summer after MS I?

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rachana

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I'm trying to figure out what I want to do this summer after the first year of med school is over. What are you all doing or what have you done? Research? Clinical stuff? Something abroad? Thanks!
 
myself and a few classmates are going to Europe for about a month. If I didn't already have some publications, I would probably be doing some research. I've heard that being published really helps out in getting residencies.
 
http://nhsc.bhpr.hrsa.gov/join_us/search.cfm

I did a pretty bad ass preceptorship out in the middle of NO WHERE (Dutch Harbor, Alaska... Aleutian Islands in the Pacific). They gave me housing, a car, and paid for my meals. The sun went down for 2-3 hours, so you can still go hiking after work.

There's a list of participating states on the website above. The preceptorship is non-binding grant (NHSC scholarship is the binding one where you serve 1 year per year of support minimum of 2 years, and loan repayment is 2 years minimum after job placement). It's a great opportunity to travel in the states, do rural primary care if you're hip with it.

Bush bumped up the funding in 2002, so they accept non-NHSC scholars now (NHSC Scholars usually get 1st priority)... and looking at the list just now, I noticed that a lot of states that didn't used to give stipends now do.
 
Oooo... and I forgot. Take Spanish through a language immersion program for the 2nd month... It'll come in handy when you work in the hospital (trust me on this one).

www.isls.com
 
lowbudget,

how lon were u there for? can u describe your experience? thanx
 
i'm going to be working (r&d/biotech) and probably taking a spanish conversation class. i'm going to hawaii for a week in june (my sister's wedding) and then over the 4th of july, have a week-long canoe trip in the boundary waters tentatively planned. 👍
 
Well I was in Costa Rica this past December. And it was a really positive experience. i didn't speak any Spanish prior to going to Costa Rica, and so it was pretty scary... but I've travelled to non-English speaking countries before and you just have to open your mind and not be afraid of looking like a dumb ass.

Anyhow, I was away for 3 weeks, b/c New years would have made it really expensive for the 4th. You live with a host family and they provide food and shelter as well as help you with your homework. There're lots of young people at the school and you meet people when you go out to the bars. Some of the locals like hanging out with foreigners... for various reasons...

Besides going to school, you'll have time to travel and do tours and excursions. Costa Rica is known for its beaches and rain forest and so you can do lots of that. OR you can choose another Central American country. Typically relative to the US, it's dirt ass cheap to be out there. You just need to pay for tuition and airplane... everything else is chump change. When I was confident with my spanish to travel by myself, I went to the beaches. There's plenty of river rafting, hiking, and nature tours around Costa Rica. It's safe as hell and politically stable. Just don't be duped by tourist traps. It's ok to let the locals profit, but the question is how much... so be a smart traveller.

If I could do it again, i would have done it in between M1 and M2, because in that summer (2 months) there's only so much you can do in terms of a preceptorship because of limited knowledge and skills. At the same time, you want to travel and have fun. Doing a language immersion program in foreign country is a good way of combining the fun and travel with buying yourself a credit to apply towards 4th year so you can graduate early, and learn a skill that is going to be useful when you get into the hospital.
 
Oh... and about Alaska, I was out there for 4 weeks in between M1 and M2. Basically was in a clinic where they saw everything... including fishing trauma. The place is called Unalaska/dutch harbor and it's great with all the creature comforts. There's a community center where there's a gym and you get access to the pool if you'd like. Plenty of hiking opportunities but you need to purchase a "license" from the Aleutian Indians because you'll be hiking on their land. It's a small community but has a lot of transient fisherman trying to make the big bucks. You don't really serve the Eskimo population unless you do the Indian Health Service because they receive their health care directly from the government and not through private insurance... and therefore have different careproviders unless they're in dire need to help outside the IHS. Anyhow, I got to do the usual H&P on men, women, children, elderly... and you see plenty of pathology as well as normals... just like any family medicine clinic. Call is optional... there's usually something goingo on at night, be it a bar fight where you need to suture some bastard's head or a kid with crazy fever and crazy moms. it was fun... it makes the book studying worth it.
 
I recommend pounding beers for about three months... it'll come in handy.
 
lowbudget, I'm very happy to hear you enjoyed Costa Rica, since I am in the process of applying for a grant to go study in one of the language immersion programs there this summer! Unfortunately, we only have 8 weeks or so in between MS I and MS II (sucks, doesn't it?) so I'm thinking of going for 6 weeks and that'll be pretty much all of my vacation. Where exactly did you study in Costa Rica??? Thanks.
 
thanx lowbudget,
how long were u in alaska for? did u have a lot of free time aka weekends of? i figure if u are working all the time i might as well do that at home. where did u stay and how much did u spend on the travel, etc. Thanx so much.
 
Rachana:
In Costa Rica, I was in Turrialba, which is 2 hours from San Jose by bus (US$1.50 direct). It's a small town up in the mountains where it's mostly Costa Ricans. Very few foreigners. Very immersive. Bars and restaurants, plenty of young people. Access to many creature comforts like gym, pool, as well as adventure outings (rafting, rainforest hike, volcano hike, horseback riding). There are other places you can go too, like the beach towns (dominical) but they are VERY non Costa-Rican. They speak English out there and the Costa Ricans live farther out of the beach towns (it's a wealth thing, don't get me started)... but HEY! You get to be on the famous beaches of Costa Rica. Don't know about living arrangements. In Turrialba, you live with family. In some beach towns, you live in cabinas (no air, no hot water, lucky if you have mosquito netting) or bed and breakfast type places. Lots of options. Don't worry. I got 8 weeks also when I was M1. I did 1 month in Alaska (preceptorship) and travelled British Isles the 2nd (for play). To me, it would've been cool to travel for credit on that 2nd month, because it buys you one month of vacation in 4th year to either take Step 2, interview, go play with your buddies without ANY WORRIES. At least that's how it works at my school.

Su4n2:
I was in Alaska for 4 weeks. And yeah, I had lots of free time. I was in a remote location called Unalaska/Dutch Harbor which is one of the Aleutian Islands. Small population, there is 1 paved road on the island. I worked whatever hours I wanted to which was 8-5. I lived in the clinic (2nd floor) where they have an apartment designated for visiting docs. So basically if I wanted to look for action at night, I'd go downstairs in my sweats to see who's having an MI. They work on Saturdays, closed Sundays, but I never worked Saturdays. Part of the philosophy behind a preceptorship like this is to go out and be part of the community... this is very much a marketing/recruitment gimmick as it is a teaching thing (trust me, as an M1, you don't contribute to the health care of the patients...). You'll meet everyone in town between clinic, the gym, or the grocery store that by the end of the 1st week, people will be asking you to go have a drinky drink with them at the 2-4 local bars or go fishing with them. Airfare from was $1500, with the most expensive leg being Anchorage-Dutch Harbor. My grant was through National Health Service Corp's SEARCH program, so all airfare was covered. Because of the weather conditions and the short runway (that's right), they use specialized pilots. It's 2 hours flight from mainland, but if crosswinds are extremely strong, they go BACK to Anchorage. I didn't know until I was leaving, but many people pray to Jesus on the flight in, and many people came to clinic to get benzodiazepines to fly out. Other places include being on the mainland where there are plenty of trees and mountains, being up north where it's all ice with polar bears. National Health Service Corp also has the same program in other states as well if you're interested. Anyhow, you can look it up if you're not a big Alaska fan.

Don't worry. No matter what you do during your summer, you'll have a great time. Plenty of beer pounding and travelling time in 8 weeks. The biggest plus is getting that 1-2 months credit so you can graduate early/take vacation during 4th year (ESPECIALLY after Match)... My fools and I were talking about going to Hawaii or some Pacific Island after Match and before graduation... any ideas?
 
lowbudget:

since you mentioned turrialba and dominical i'm guessing you took classes at AEC. That's what I'm looking into as well. It sounds like you definitely enjoyed Turrialba. What did you think of the classes? How well did you come back speaking Spanish? 🙂
 
You can do a couple of weeks in Turrialba and a couple in Dominical at no additional charge. I really liked Turrialba and so I did all of it there. Dominical is more vacation-y. But I took weekend trips to the beaches anyways (in DECEMBER, baby! GOD I love Costa Rica). Classes were fun. Max 4 people per class. I thought the Med Spanish (additional module) was stupid, but I had to take it to get credit. My Spanish is ok. I felt confident enough to travel. There's NO WAY you can be fluent in a very short amount of time, but you can become really damned good. The key after learning the grammar and conjugations is just to work on expanding your vocabulary. I feel like I had a good foundation and can learn a lot of it by myself/through practice now. (At least enough to chill with a laboring woman while she's waiting to punch out her baby. And enough to build rapport with a modest Hispanic woman for her to allow a male med student to do a pelvic.)
 
Ooo... That said, Dominical is supposed to have some of the WORLD's BAD ASS surfing. I'm not a surfer though. You can take lessons there. The beaches on the Pacific side are awesome for surfing and the beaches on the Atlantic side are great for chillin'. Either way, if you go, I GUARANTEE you will be doing weekend outings... or even extending your plane ticket...
 
I did an 8-week quasi-medical service program in Uganda (East Africa) during my MS1 summer through a program called Operation Crossroads Africa. If you are interested in travel and learning about heath care in a third world country, this might be a good option.
 
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