Scheduling medicine subI?

[DrMommy]

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Hi
Im a 3rd year who is interested in Anesthesia. Im in the process of scheduling my required medicine SubI for 4th year and wanted to do it in the spring. I don't know if this will affect my acceptance into a prelim medicine internship...do you guys have any advice?

 

[RxBoy]

Hi
Im a 3rd year who is interested in Anesthesia. Im in the process of scheduling my required medicine SubI for 4th year and wanted to do it in the spring. I don't know if this will affect my acceptance into a prelim medicine internship...do you guys have any advice?

Nope. Won't effect chances.

The only foreseeable way I can see it effecting your acceptance is if you failed/remediated IM 3rd year. Otherwise they won't care. Do SubI whenever you want, just avoid iv months (Nov-Jan).

During interviews, no one had access to my 4th classes or grades. Sucks because almost all were honors but PDs know 4th year is monkey business anyways.

Front load rotations involving your ultimate residency choice... Anesthesia, ICU, Pain ect. if you want to go into Anesthesia. Helps get LORs, know the players, and solidifies your interest in the field.

Hope that helps.

 

[DrMommy]

Thanks for getting back so fast.

Actually, I do have to remediate my 3rd year IM. I was pregnant and missed too much time with dr appointments and bed rest. I was planning on taking my 2 inpatient months over in August and September, but don't know if it will count in terms of residency if I do great during the remediation. What do you think?

 

[RxBoy]

Thanks for getting back so fast.

Actually, I do have to remediate my 3rd year IM. I was pregnant and missed too much time with dr appointments and bed rest. I was planning on taking my 2 inpatient months over in August and September, but don't know if it will count in terms of residency if I do great during the remediation. What do you think?

Can't make the choice for you but here are the pros/cons if you do inpatient first:

Pros:
1) Looks better if you fix the problem before IV's so when asked you have explanation w/ solution. This helps for all residency IVs not just prelim.
2) Not having to constantly worry about whether you'll graduate or not because of a core elective.
3) If you study hard for step 2 while doing medicine (IM is like 60% of step 2), it can kill 2 birds with one stone.

Cons:
1) Cuts off access to electives that get you LORs/impressing attendings in your future field.
2) Inpatient medicine during summer just sounds painful. But then again I'm from the Midwest so not too many summer months for us.
3) Dealing with ERAS/Personal statements/applying for programs during inpatient medicine will also suck. You need to submit by Sep 1.

Can't tell which one would be better... But most would agree eliminating red flags early is def. high priority. If you just straight failed IM w/o explanation than I would def. advise to do it early.

I would personally:
1) July = study like a maniac and kill step 2.
2) Set August as a month to get LOR's, elective in field, perfect my ERAS and find out what programs to apply to.
3) Devote Sep/Oct to remediation in IM...
4) When you start IV'ing in Nov you will have already solved that red flag.

But thats me....

 

[DO4lifer]

its unfortunate there aren't too many great prelim spots for the applicant pool. i would recommend looking to do medicine rotations at the local hospitals that offer prelim and getting a letter of rec there.

 

[fakin' the funk]

its unfortunate there aren't too many great prelim spots for the applicant pool. i would recommend looking to do medicine rotations at the local hospitals that offer prelim and getting a letter of rec there.

Not really sure what you mean by this. There are tons of prelim medicine programs, and tons of spots.

Even someone who remediated their IM clerkship but did well on a sub-I shouldn't have a problem.

I'm not sure how many total prelim-med + prelim-surg + transitional + prelim-peds spots there are out there vs. the number of applicants, but I'm willing to guess it's 1:1 or more, and all of them count for anesthesia.

 

[pjl]

I would not worry much about getting a prelim medicine spot. Like 1/2 the spots are categorical, so you won't need to find an intern year, and if you are dead set on doing medicine you should fairly easily find somewhere that will take you.
I know quite a few people who matched advanced and did not have a prelim year set up, called the program they matched into and a few hours later had one set up. That is the high stress way to do it though.

With your failing the first IM I would definitely do the remediation and probably the subI before november.

 

[Chrysanthemum]

I saved my medicine sub-I til now and omg am i getting destroyed while everyone else is chillin. 30-hour calls, q3 , getting scutted by residents, and a PD that constantly checks up on me. I just move veerrrryyyy s l o w l yyyy and try to act incompetent. ugh, one more week left of this crap...

you don't necessarily have to take ur step 2 early on if you really killed step 1. however if u think u still have room for improvement then ur probably running into a tough situation because you'll need july to really study hard and kill step 2 and that might make it hard to get that subI out of the way.

u might want to get that cleared before u submit ur application...that would def be best....but will it ruin ur chances of getting an interview at some places... i dunno.

 

[McSnappy]

Can't make the choice for you but here are the pros/cons if you do inpatient first:

Pros:
1) Looks better if you fix the problem before IV's so when asked you have explanation w/ solution. This helps for all residency IVs not just prelim.
2) Not having to constantly worry about whether you'll graduate or not because of a core elective.
3) If you study hard for step 2 while doing medicine (IM is like 60% of step 2), it can kill 2 birds with one stone.

Cons:
1) Cuts off access to electives that get you LORs/impressing attendings in your future field.
2) Inpatient medicine during summer just sounds painful. But then again I'm from the Midwest so not too many summer months for us.
3) Dealing with ERAS/Personal statements/applying for programs during inpatient medicine will also suck. You need to submit by Sep 1.

Can't tell which one would be better... But most would agree eliminating red flags early is def. high priority. If you just straight failed IM w/o explanation than I would def. advise to do it early.

I would personally:
1) July = study like a maniac and kill step 2.
2) Set August as a month to get LOR's, elective in field, perfect my ERAS and find out what programs to apply to.
3) Devote Sep/Oct to remediation in IM...
4) When you start IV'ing in Nov you will have already solved that red flag.

But thats me....

I wld keep it as such (RxBoy) if you did below 220 on step 1.

If above 230, then,
1. July LOR's...
2. August-sept., remediate, just to get it out of the way. Get your ERAS done before sept 1. and get a LOR from an IM doc to upload into ERAS early.
3. Oct., 2nd elective, away if you are looking at one program real close. Perfect time to get to know people right before all the nuts/interviewees show up from Nov-Jan.
4. November off to study and take step 2 and throw in an interview.

If step 1 is 220-230 you are likely oK for 75% of programs and not do step 2 til' later also.

 

[RxBoy]

I wld keep it as such (RxBoy) if you did below 220 on step 1.

If above 230, then,
1. July LOR's...
2. August-sept., remediate, just to get it out of the way. Get your ERAS done before sept 1. and get a LOR from an IM doc to upload into ERAS early.
3. Oct., 2nd elective, away if you are looking at one program real close. Perfect time to get to know people right before all the nuts/interviewees show up from Nov-Jan.
4. November off to study and take step 2 and throw in an interview.

If step 1 is 220-230 you are likely oK for 75% of programs and not do step 2 til' later also.

Agreed!
I was one of the <220 step 1 applicants, so I killed myself to get a really high step 2 to remain competitive. If that's not the case for you, McSnappy's schedule would be more ideal.