Rotation at future employer

[meerkat111]

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Hi All,
So getting through the last part of my residency training (I am a bit off cycle). I have a job lined up. Considering moving a month ahead of time and doing the very last rotation at the future employer hospital. Did not think much about this except yesterday my attending says " you may not want to be a resident where you will be working. It is different to be a fully licensed doctor, plus don't offer them free labor". Hmm. Really? I thought it would give me a head start on the new EMR etc...
Any thoughts?

 

[smq123]

Hi All,
So getting through the last part of my residency training (I am a bit off cycle). I have a job lined up. Considering moving a month ahead of time and doing the very last rotation at the future employer hospital. Did not think much about this except yesterday my attending says " you may not want to be a resident where you will be working. It is different to be a fully licensed doctor, plus don't offer them free labor". Hmm. Really? I thought it would give me a head start on the new EMR etc...
Any thoughts?

Why not? I don't understand your attending's logic.

 

[ProfMD]

Don't be a resident where you are going to be an attending unless you have to. I have seen many people take faculty jobs at their residency hospital and they end up getting treated like residents for a few extra years. Not the hours or pay, of course, but the respect for you abilities.

Also - take time off to move. This will be your last chance for an extended period of time off so take it if you can afford it.

 

[mcl]

Don't be a resident where you are going to be an attending unless you have to. I have seen many people take faculty jobs at their residency hospital and they end up getting treated like residents for a few extra years. Not the hours or pay, of course, but the respect for you abilities.

Also - take time off to move. This will be your last chance for an extended period of time off so take it if you can afford it.

Strongly agree on both counts. You want to join them as a peer, not as someone they need to supervise and evaluate. Also taking time to decompress from the stresses of residency will help you make the transition to practice.

 

[smq123]

Strongly agree on both counts. You want to join them as a peer, not as someone they need to supervise and evaluate. Also taking time to decompress from the stresses of residency will help you make the transition to practice.

We have had residents who rotated with us, and then joined us as staff. Perhaps it is different on the inpatient setting, but in our clinic, we treat all new physicians (particularly those out of residency) as people who need supervision and periodic evaluation, whether or not they had worked with us as residents.

While I agree with not becoming faculty at the same place where you did residency, one rotation at the end of your senior year is unlikely to "stain" you forever. Speaking as a new-physician trainer, it is kind of nice to have someone come in who has some experience with the EMR, which shortens the learning curve slightly.

 

[meerkat111]

We have had residents who rotated with us, and then joined us as staff. Perhaps it is different on the inpatient setting, but in our clinic, we treat all new physicians (particularly those out of residency) as people who need supervision and periodic evaluation, whether or not they had worked with us as residents.

While I agree with not becoming faculty at the same place where you did residency, one rotation at the end of your senior year is unlikely to "stain" you forever. Speaking as a new-physician trainer, it is kind of nice to have someone come in who has some experience with the EMR, which shortens the learning curve slightly.

Thanks for the replies. I did not think a month would make a difference... Also I am taking five weeks off before the actual start date.

 

[gutonc]

Thanks for the replies. I did not think a month would make a difference... Also I am taking five weeks off before the actual start date.

I agree with smq for whatever that's worth. A month at the end of residency will be irrelevant in the "trainee/partner" transition. But the extra time to figure out the practice landscape will be invaluable.

 

[dozitgetchahi]

Don't be a resident where you are going to be an attending unless you have to. I have seen many people take faculty jobs at their residency hospital and they end up getting treated like residents for a few extra years. Not the hours or pay, of course, but the respect for you abilities.

Also - take time off to move. This will be your last chance for an extended period of time off so take it if you can afford it.

Totally seen it. It's disgraceful when I've seen it happen too. Go somewhere else.

 

[NotAProgDirector]

I'm surprised your program is letting you do this. They lose medicare funding for the time you're there, and the added educational value is nil since that;s where you'll be working anyway.

 

[meerkat111]

Well, they do. One month out rotation in each senior year, I never went away in the past, however.