PGY-3 Elective

[Eidee]

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I have an elective during PGY-3 and since ortho is one of my weak points I am thinking about doing an ortho month as an elective. anyone have any idea of any places in the country (or world since it's an elective) that are set up in a way that provides the best experience from an EM perspective (i.e. no OR, floor, or clinic etc.)

thanks in advance!

 

[roja]

You are probably not going to find this as a MS4 rotation. Even many EM residency rotations include floors etc. (my program did not, one of many bonuses and why I loved it).

Most people are weak on ortho when they start. You will see and do plenty of ortho during residency. if you want a 'cushier' rotation, you might want to see about setting up a radiology rotation. You could then take the 'cases' you see that are ortho based and read up on EM management of the cases you see. high yield stuff and not to stressful of a rotation. Don't worry, the ortho procedures are not the 'hard' part of ortho. Its the diagnosis and figuring out which ones need emergent consultations and which ones don't.

 

[EM_Rebuilder]

You are probably not going to find this as a MS4 rotation. Even many EM residency rotations include floors etc. (my program did not, one of many bonuses and why I loved it).

Most people are weak on ortho when they start. You will see and do plenty of ortho during residency. if you want a 'cushier' rotation, you might want to see about setting up a radiology rotation. You could then take the 'cases' you see that are ortho based and read up on EM management of the cases you see. high yield stuff and not to stressful of a rotation. Don't worry, the ortho procedures are not the 'hard' part of ortho. Its the diagnosis and figuring out which ones need emergent consultations and which ones don't.

MS4? PGY3?

I think the OP said he is a PGY3 and based on your sig; you know that that is....maybe it was too late when you applied and it did not register.

I think he is a senior resident, about to graduate, and gets a tad uncomfortable with some ortho stuff...the best way to polish that is to see lots of ortho everyday and no writing D/Cs and FU with social work. Not sure what to tell you OP on where to go but wanted to point out/clear MS4 vs PGY3...

 

[roja]

Actually, I don't know what it is. maybe you could explain it to me. 🙄 I am easily confused by these complicated letters and numbers. 😉


I was working till 2am... sheesh.😎

 

[roja]

To the OP, sorry for the mix up. I was in a stinky ED crammed full of people, clearing out my team and trying to stay awake. God bless multitasking. 🙂


I don't know of many ortho services that will let an off service person come in and do such a cushy elective. Still think you could try the radiology route unless its the procedures you want.

 

[Eidee]

actually I'm a second year EM resident, and have an elective during my third year. I wanted to solidify my ortho skills since I don't think we actually get enough in our program. that's why I'm thinking of doing an ortho month as an elective next year but would like to do one where there is minimal to none OR/floor/clinic/scut... are there any rotations out there anywhere setup like like this?

 

[EM_Rebuilder]

Actually, I don't know what it is. maybe you could explain it to me. 🙄 I am easily confused by these complicated letters and numbers. 😉


I was working till 2am... sheesh.😎

Actually I just wish you were one of MY attendings so then I would have something already to give you a hard time over!...



Have a good wkend!

 

[roja]

Actually I just wish you were one of MY attendings so then I would have something already to give you a hard time over!...



Have a good wkend!

😕 You have to be gentle with us elders on nights. We are easily confused. 😕 And have a hard time sorting out semi-veiled sarcasm. Of course, given where my mind degenerates when its tired, we are probably thinking very different things about what that comment means. 😛 😀


you enjoy *your* weekend, now, y'hear.

 

[roja]

actually I'm a second year EM resident, and have an elective during my third year. I wanted to solidify my ortho skills since I don't think we actually get enough in our program. that's why I'm thinking of doing an ortho month as an elective next year but would like to do one where there is minimal to none OR/floor/clinic/scut... are there any rotations out there anywhere setup like like this?

I think you might have a hard time at an outside institution setting something up like this. When our residents have set up electives like this, it tends to be in house. You might try approaching your PD and maybe someone in the ortho department. What is making you nervous? reductions? splinting? diagnostics? You might be able to create something yourself. Best of luck.🙂

 

[SolidGold]

As someone who is praying for my Ortho month to finally end on Oct 2, all I can say is that if you are going to create your own rotation, be careful with how you set it up. If you could set it up so that you are only seeing consults from the ED, I think that would be very high yield. Our rotation consists of that, plus dealing with holding the floor pager which can be slightly painful. The ED consults are useful. I've done a good number of reductions and tons of splinting. I even feel confident that I've developed a good threshold on what needs a consult. (I do not want to be one of "those guys" who consults everyone for everything) I've also handled many spine and hand consults which I've learned a lot from.

Bottom line: set up a rotation where you get to see ED consults only!