Thanks for doing this. Starting my Home Ortho AI in a couple of weeks. Obviously due to the lack of away rotations with COVID this is even more important given it is the only opportunity for letters this upcoming application cycle. What is your advice on how to rock it? Any tips/tricks you picked up both from the medical student and also the resident side?
Oh wow, didnt realize they had cancelled away rotations! Sorry to hear that.
From a resident perspective here is how to shine and this is the stuff we would discuss as residents about rotators/home students.
1. Be nice. Orthopedic residency is 5 years. You can "learn" ortho in 5 years, you cannot learn how to not be an a***hole in 5 years. either you know it or not.
2. Be helpful. What I hate "can i roll out a splint for this ankle fracture you are going to reduce?" You already know the ankle fracture needs a splint, it is more helpful and proactive to say "I'm going to go roll out the splint in the ER for bed 2 if thats ok". Both demonstrate knowledge of what needs to happen, one is a bit more proactive and it shows.
3. Know about the floor patients and cases for the day. Likely you will get the schedule in advance, if you're on a busy service (trauma, joints, spine) - atleast where I trained, then you should show up early, round, and know about the patients. Print the list, etc. For cases, attendings usually arent going to ask you questions that you have no business knowing like what implant to use or how to balance a TKA. What they will ask you is anatomy. We had a med student who did not know the compartments of the leg - just to name them, not even the contents. Did not know the arteries of the leg...these are bad. These you should be able to know cold because you learn it in med school.
4. Research - you may as well do research since its your home program. Find an attending that pumps out papers, usually every academic institution has atleast one of these guys. Find them and latch on to them if you can. Say yes to every paper and work on them over the weekend.
5. Don't be late, dont ask to leave early.
6. in your pocket always have tape, trauma scissors, pen for consents.
7. Learn the workflow, likely you'll be shadowing or working with the junior resident the most. Especially if you are seeing ER consults. Learn the workflow. Do they do consents? if so, why not have the consent form available and in your pocket (unfilled out). Have a pen, maybe have the patients sticker available. Same with other small workflow items. The med students I really vouched for are the ones I missed when they left service just because they were so helpful and made my life easier. When I was on nightfloat my life was horrible, so anyone that made it easier I loved. Be loved.
Good luck!