This is so annoying

[ocean11]

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Have you ever worked really hard in a rotation but still feel like the attending dosn't really appreciate you? yet he appreciates the other med student who dosn't do as much work as you, happens to say the right things at the right times and ends up getting the better eval!!! grrrrrrrrr actually I shouldn't say that yet b/c our evals havn't come out yet BUT I will keep you posted!

Ocean11

I just want to be rich *&^% LOL

 

[chintu]

Happened to me quite a bit so far, especially on my first rotation when I was paired up with this 4th year and I was constantly compared against his work. I ended up getting a so so eval and he probably honored the rotation. I love the rotations when I am alone (like outpatient family, peds) with a preceptor so I don't have to strive to prove myself over others or at least I am not compared against others. A lesson I have learned so far is that you may be working your tail off and picking up lots of pts and fluster a little bit in your presentations because you have so many of them, but other students who manage to get fewer pts and can spend enough time and do a good job at presentations get rewarded sweetly by the attending. You only spend limited time with an attending (rounds, etc) and your performance during those interactions will solely determine your evals/grade and the rest of the day even if you pick up a handful of pts and help out the residents it will probably go unrecognized in the attendings eyes. With the limited interaction we have with the teams its all about making good impression, which means knowing a lot about a few pts and not the other way around.

 

[mdphd2b]

Happened to me quite a bit so far, especially on my first rotation when I was paired up with this 4th year and I was constantly compared against his work. I ended up getting a so so eval and he probably honored the rotation. I love the rotations when I am alone (like outpatient family, peds) with a preceptor so I don't have to strive to prove myself over others or at least I am not compared against others.

This has become an increasing problem at my school (Pitt). We have started a new curriculum in which third and fourth years are now "combined clinical years", so we can take electives and clerkships in any order we prefer. As a result, I've had a number of 4th years in my clerkships and electives. I definitely feel the 4th years are at an advantage, both in clinical skills and on the exams. For instance, Family Medicine was my 1st clerkship in August, but also the last one taken by a number of 4th years that month. There is no rule listed anywhere for grade adjustment due to "seniortiy".👎

 

[AmoryBlaine]

This has become an increasing problem at my school (Pitt). We have started a new curriculum in which third and fourth years are now "combined clinical years", so we can take electives and clerkships in any order we prefer. As a result, I've had a number of 4th years in my clerkships and electives. I definitely feel the 4th years are at an advantage, both in clinical skills and on the exams. For instance, Family Medicine was my 1st clerkship in August, but also the last one taken by a number of 4th years that month. There is no rule listed anywhere for grade adjustment due to "seniortiy".👎

1. Who had the bright idea to start up that program?
2. What did they hope to accomplish? So now people can do an elective in Ortho before they've had Gen Surg?


Seriously, that sounds awful.

 

[Blake]

1. Who had the bright idea to start up that program?
2. What did they hope to accomplish? So now people can do an elective in Ortho before they've had Gen Surg?


Seriously, that sounds awful.

I'm having ortho before gen surg.

 

[Dr JPH]

I definitely feel the 4th years are at an advantage, both in clinical skills and on the exams. For instance, Family Medicine was my 1st clerkship in August, but also the last one taken by a number of 4th years that month. There is no rule listed anywhere for grade adjustment due to "seniortiy".👎

4th years are certainly at an advantage.

I would hope that the residents and attendings grading your evals would do so realizing where you are in your training.

You cant grade a MSIII on their first clerkship the same as a 4th year who has a year under their belt. There should be different expectations based on the level of your training.

 

[mdphd2b]

1. Who had the bright idea to start up that program?

Not sure exactly, probably many deans over many years.

2. What did they hope to accomplish? So now people can do an elective in Ortho before they've had Gen Surg?

Yeah, pretty much. There are a handful of electives still reserved *ideally* for 4th year b/c you need certain pre-requisites, ie, you can't do a Peds AI without first doing your Peds clerkship. But for most of the electives, they were open to us as MS3s!!

Seriously, that sounds awful.

Yup, I actually took an ID elective in July with a 4th yr student. We had 3 attendings, and one of them never realized until half-way thru that I was actually an MS3!!! It wasn't until he saw me sign MS3 on a note and wanted to "remind" me I was now an MS4! Then I had to remind HIM that 3rd years can take electives now! I just assumed the fellows had informed all the attendings about our class year, but apparently not 😕