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Monmouth medical center, NJ
WORK HOURS : Work starts at AM officially but in order to finish your work you have to come earlier. Everyday at least you carry 12 patients and more than that, the moment you discharge. Since there is no family medicine or any other adult medicine residency in this community hospital, medicine residents take care most of inpatients. On a given day there is 20 to 30 admissions.
First year is worst and all the work is on interns including progress notes (which is paperwork still), discharge summary, calling pharmacy, discharging the patients, family conference, even giving meds like metoprolol, labetolol and digoxin .
Once in a while department asks to fill work hours for previous months which, if you remember you can do it.
Second year you get some time but during two electives you are not to supposed to go for outside rotation since you are in jeopardy. During jeopardy almost everyday you will called in for work. During rest of floor months call on every fourth day you will staying up to midnight. Third year is very cool and have very less work where you have 7 electives. One second year supervises two interns carrying atlest 24 patients this year probably reduced to 20 patients.
Third year has 7 electives and no floor month -so it is one of the coolest year. You will defenitely feel workload is not equally distributed between first, second and third years.
WORK ENVIRONMENT:
The computer system is one of the ancient which needs improvement. To see one patient vitals will be at the bed side, meds chart will be with nurse, progress notes at one place and consults at one place. If you are good runner and see all this in a short time then you may succeed in finishing up your note. All these hinder the effective patient care, which department never cares-all they want is some work done. Medicine resident is expected to take care of Neurosurgery, ortho and surgery patients too.
Department never backs up the residents, so all staffs at all levels treat residents as their subordinate. So their is no team work basically almost like slavery. never expect any respect from your allied health staff. Nursing staff sometimes do not know to simple stuffs so patient end up getting up big procedures.
ACADEMICS: If you can study by yourself thats great, but remember whatever you are practicing there in the hospital will not make sense and sometimes confuses you. You might sometimes get confused about the right treatment and diagnosis. There are very few attending who are really dedicated in teaching but they don't have time. If you want to run a practice to see 50 to 100 s of patients per day and earn more without knowing what you are doing it is best place. I cannot say more about this learning experience because when you come out the program and practice outside you will know how far you have learnt. On any day at least 4 hours is gone by so called didactics which you don't gain anything and even more than that on some days. We can count the number of attending who are really dedicated. Do not expect any help from the staff attending because many are busy practicing and hardly have time to teach. Literally you are by yourself in first year doing whatever you know without proper guidance. Most of the attening are private and very few are interested in teaching.
PROCEDURES:Medicine resident calls surgical team since he does not know how to place central line and department never backs up if you are doing central lines and never takes attempt to make a resident to learn basic proceures. You will defenitely do procedures in manequins and watch videos for certification. But you may end up doing Foley at ER where few nurse need your help. But by the time you finish your residency you can do 3 central lines in patients only with the help of surgical residents if you have strong will power and effort since medicine deprtment are least interested in it. Once a year you can practice on mannequin's and you can watch videos and get certified finally because that's all you need to get be board certified
[FONT=Arial,Helvetica]..
[FONT=Arial,Helvetica]Don't even think about family and sleep in your first year. .
[FONT=Arial,Helvetica]ACHEIVEMENT AT THE END OF 3 YEARS: If you want to know how to run a practice by seeing more patients it is good place. Certainly drawbacks are the paperwork ,computer system and department itself. Once when you finish and practice you will know how much you dont know, but if you want to stick around the monmouth medical center you may not even realize that. Worst are the taking away 4 hours of residents in the name of didactics and conferences and expecting residents not to go beyond hours, which always happens. Most of graduates end up close by or in some remote places where there is scarcity of doctors. Only 10-20% go to fellowship those which are not competitive which happens once in a leap year. Only positive are few attending are really supportive and into teaching. You can a see all kinds of politics, which if you are good at then you can join this program for fun. Do not expect any help from the department for your fellowship. I would definitely welcome inquiries about this residency since I do not want anybody to suffer and waste your knowledge which you already have..
WORK HOURS : Work starts at AM officially but in order to finish your work you have to come earlier. Everyday at least you carry 12 patients and more than that, the moment you discharge. Since there is no family medicine or any other adult medicine residency in this community hospital, medicine residents take care most of inpatients. On a given day there is 20 to 30 admissions.
First year is worst and all the work is on interns including progress notes (which is paperwork still), discharge summary, calling pharmacy, discharging the patients, family conference, even giving meds like metoprolol, labetolol and digoxin .
Once in a while department asks to fill work hours for previous months which, if you remember you can do it.
Second year you get some time but during two electives you are not to supposed to go for outside rotation since you are in jeopardy. During jeopardy almost everyday you will called in for work. During rest of floor months call on every fourth day you will staying up to midnight. Third year is very cool and have very less work where you have 7 electives. One second year supervises two interns carrying atlest 24 patients this year probably reduced to 20 patients.
Third year has 7 electives and no floor month -so it is one of the coolest year. You will defenitely feel workload is not equally distributed between first, second and third years.
WORK ENVIRONMENT:
The computer system is one of the ancient which needs improvement. To see one patient vitals will be at the bed side, meds chart will be with nurse, progress notes at one place and consults at one place. If you are good runner and see all this in a short time then you may succeed in finishing up your note. All these hinder the effective patient care, which department never cares-all they want is some work done. Medicine resident is expected to take care of Neurosurgery, ortho and surgery patients too.
Department never backs up the residents, so all staffs at all levels treat residents as their subordinate. So their is no team work basically almost like slavery. never expect any respect from your allied health staff. Nursing staff sometimes do not know to simple stuffs so patient end up getting up big procedures.
ACADEMICS: If you can study by yourself thats great, but remember whatever you are practicing there in the hospital will not make sense and sometimes confuses you. You might sometimes get confused about the right treatment and diagnosis. There are very few attending who are really dedicated in teaching but they don't have time. If you want to run a practice to see 50 to 100 s of patients per day and earn more without knowing what you are doing it is best place. I cannot say more about this learning experience because when you come out the program and practice outside you will know how far you have learnt. On any day at least 4 hours is gone by so called didactics which you don't gain anything and even more than that on some days. We can count the number of attending who are really dedicated. Do not expect any help from the staff attending because many are busy practicing and hardly have time to teach. Literally you are by yourself in first year doing whatever you know without proper guidance. Most of the attening are private and very few are interested in teaching.
PROCEDURES:Medicine resident calls surgical team since he does not know how to place central line and department never backs up if you are doing central lines and never takes attempt to make a resident to learn basic proceures. You will defenitely do procedures in manequins and watch videos for certification. But you may end up doing Foley at ER where few nurse need your help. But by the time you finish your residency you can do 3 central lines in patients only with the help of surgical residents if you have strong will power and effort since medicine deprtment are least interested in it. Once a year you can practice on mannequin's and you can watch videos and get certified finally because that's all you need to get be board certified
[FONT=Arial,Helvetica]..
[FONT=Arial,Helvetica]Don't even think about family and sleep in your first year. .
[FONT=Arial,Helvetica]ACHEIVEMENT AT THE END OF 3 YEARS: If you want to know how to run a practice by seeing more patients it is good place. Certainly drawbacks are the paperwork ,computer system and department itself. Once when you finish and practice you will know how much you dont know, but if you want to stick around the monmouth medical center you may not even realize that. Worst are the taking away 4 hours of residents in the name of didactics and conferences and expecting residents not to go beyond hours, which always happens. Most of graduates end up close by or in some remote places where there is scarcity of doctors. Only 10-20% go to fellowship those which are not competitive which happens once in a leap year. Only positive are few attending are really supportive and into teaching. You can a see all kinds of politics, which if you are good at then you can join this program for fun. Do not expect any help from the department for your fellowship. I would definitely welcome inquiries about this residency since I do not want anybody to suffer and waste your knowledge which you already have..
