Extraction said:
I would have prefered an intern year rather than 2nd year of medical school. I don't think I needed second year to prepare for the USMLE. I personally thought that having to take second year is a negative about my program's design. Thankfully, we only have to take a few second year classes and not the entire year. I also only take 6 months of med school the 4th year. I was worried about the financial aspects of have to take an extra year of med school, and not getting compensated, but ranked my program ahead of other programs that do only 3rd and 4th year of med school. I personally never went to classes that weren't mandatory and moonlighted the whole year. I have new car, a condo and went on alot of trips that year. Some people really like having the second year to prepare to study for the USMLE. It sucks to repeat classes I agree, but if you want the medical degree you have to put up with the med school's BS. As far as experience, I'll get more experience at my program than many places that don't have 2nd year of medical school based on our volume.
Based on my experience, people who take the 2nd year of medical school tend to think it was the better option, whereas those who do an intern year will tell you that their option is better. People in four year programs will tell you medical school is a waste of time in general... It usually isn't an objective opinion, as the person telling you is trying to justify their own choice.
In the end I only studied 2 weeks for Step I and scored high...
For me (being a lowly 4 year guy), I talked to a bunch of guys who went to medical school and they all said that it wasn't the bang for your buck (time) as they originally thought.
I would have considered a six year program IF it was more customized to my interests. My ideal six year program would be: NO second year medical school (pass part I boards before you ever show up for the residency-instead of wasting time partying the last 6 months of dental school, use the time to study, take and pass USMLE I). Then get rid of OBGYN rotation and the psychiatry rotation, general surgery rotation (as an MS only). I would fill those in with cardiology, ICU, Pulmonology. Then your year of general surgery (internship year I would like 4 months of general surgery, 2 months of plastic Surgery, 2 months of Head and Neck (ENT), 2 months of Neurosurgery, 2 months of CV Surgery.
In summary if Esclavo could custom design a 6 year medical school-OMFS program it would be:
PGY1- 10 months of OMFS (the "donkey days"), 2 months of Anesthesia (at PGY1 level not MS)
PGY2- internal medicine (2months), Peds (2 months), ICU (2months), Cardiology (2 months), Pulmonology (2 months), ED (2 months),
PGY3- OMFS (4-6 months), Ophthalmology (2 months-with a little oculoplastics), 2 months of anesthesia (at PGY1 level not MS), split the two extra months between PGY2 and 3 year for studying/passing step II
PGY4-(donkey year 2) intern in General Surgery/Trauma (4 months), intern in ENT (head and Neck -2 months), intern in plastic surgery (2 months), intern in CV Surgery (2 months), Intern in Neurosurgery (2 months) None of these rotations as a medical student all as a minimum of intern level.
PGY5- OMFS (10 months), 2 months of Anesthesia (focus on Pediatric anesthesia)
PGY6- OMFS
36-40 months of OMFS. You show me a program like this with this much control over your rotations, getting out the bull crap and I would have signed up.
6 months of anesthesia (with two months ear marked for pediatrics)
All of your surgery experience at an intern level or better none of this medical student crap. Eat up all the "medicine" type rotations as a medical student. Problem is that I've never heard of a medical school that would go for this.
I'm not against the idea of med school, just the fact that in most of the programs you just jump through hoops to get the two letters behind your name and not any legitimate experience that would help you be a better surgeon....while robbing you of valuable OMFS time and not giving you solid surgery time as a resident not a medical student....closest I've seen is Shreve....which almost tempted me but then N2S wouldn't have been with his kin, I would have
🙂 😉