Traditional Rotating

[sexyman]

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Ok- someone has to explain to me exactly what this is.

Sometimes in a matchlist it will say

- Traditional Rotating
Plans to enter Emergency Medicine

and sometimes it just says

- Emergency Medicine

Why is it that one student seems to match right into a field and one does this traditional rotating year? Do you get paid as a resident during the traditional rotating year? Is this more common in the osteopathic community? This has me in a tizzy.

 

[scpod]

The way things used to be done has changed quite recently. The AOA wanted to change things and each of the colleges decided the way they want their residencies to be done. From now on you should see it as the way I posted it earlier:

"In AOA residencies, you match directly into the following specialties with your first year of residency counting as an internship year:

Anesthesiology
Family Practice and FP/EM
Integrated Family Practice and Neuromusculoskeletal Medicine.
Emergency Medicine
Internal Medicine
General Surgery, Neurological Surgery, Orthopedic Surgery and Urological Surgery
Internal Medicine/Pediatrics
Obstetrics and Gynecology
Otolaryngology Facial Plastic Surgery
Pediatrics

In the following specialties, you match into the specialty and are assigned an internship to complete first, sometimes at a different institution:

Diagnostic Radiology,
Neurology
Neuromusculoskeletal Medicine/Osteopathic Manipulative Medicine
Ophthalmology
Pathology (currently no programs)
Psychiatry
Radiation Oncology
These specialties require a traditional internship year and you don't match into the specialty:

Dermatology
Occupational/Preventive Medicine
Physical Medicine and Rehabilitation
Proctology

If you do a traditional year and want to match into one of the first two groups later, you may or may not be given credit for your intership year depending on the specialty college.

Other specialties require more, like Cardiology or Gastroenterology, for instance, that require a fellowship after you've completed internal medicine. If you look at the Cardiology listings you will note that they begin in post graduate year 4."

Prior year matchlists will not show this same terminology.

 

[TexasTriathlete]

I'm going to specialize in traditional rotating.

 

[JaggerPlate]

I'm going to specialize in traditional rotating.

I assume you meant to say: derm #1, traditional rotating #2 ... everyone wants derm bro; didn't you get the message?

 

[TexasTriathlete]

I will be attending an osteopathic medical school. Therefore, it will be impossible for me to match derm.

 

[sexyman]

SCPOD-

Thanks- I have one more question though. In my example I used EM and both were found in the same year, would someone do a traditional rotating year and "plan to enter EM" because they didnt match into any programs and are hoping to after their traditional rotating year?

Also- what is the pay situation for a traditional rotating year?

 

[CtownTriDoc]

Hey I didn't see "Traditional Herbal Medicine and Healing Through ESP" on that list of residencies. Does that one require a fellowship or an internship year? Thanks.

 

[scpod]

SCPOD-

Thanks- I have one more question though. In my example I used EM and both were found in the same year, would someone do a traditional rotating year and "plan to enter EM" because they didnt match into any programs and are hoping to after their traditional rotating year?

Possibly, or they could be in one of the 5 states that requires a traditional for licensure and they have planned to enter an allopathic program afterwards. There are ways to get your first year in an allopathic program approvroved, instead of doing the traditional, but they are trying to change the rules right now about how they do it. The problem with doing the traditional first is that you will run out of funding for your last year, so you have to make sure that it's ok with the allopathic program first.

Also- what is the pay situation for a traditional rotating year?

Depends on the program and what part of the country you are in. On Long Island you may get around $50,000 (due to a higher cost of living) but in some areas you may get between 35K and 40K.

 

[DiverDoc]

I will be attending an osteopathic medical school. Therefore, it will be impossible for me to match derm.

Some newbie is gonna read this and cry.

 

[DiverDoc]

On a more serious note: sexyman, I think some students do a traditional rotating year to gain more experience/interest in a field before committing themselves to a residency.

 

[McPoyle]

I had heard that the wages for residents are set by medicare, for some reason. Thus the wages change very little with area, assuming we are comparing the same PGY-x .
Basically, when I was talking to a resident at one of the facilities I work at, I had asked a bit about how she figured out where to do her training at, and one of the factors she mentioned was the fact that she could make $50, 000 in NYC or make $50, 000 here in the midwest.

Possibly, or they could be in one of the 5 states that requires a traditional for licensure and they have planned to enter an allopathic program afterwards. There are ways to get your first year in an allopathic program approvroved, instead of doing the traditional, but they are trying to change the rules right now about how they do it. The problem with doing the traditional first is that you will run out of funding for your last year, so you have to make sure that it's ok with the allopathic program first.



Depends on the program and what part of the country you are in. On Long Island you may get around $50,000 (due to a higher cost of living) but in some areas you may get between 35K and 40K.

 

[scpod]

I had heard that the wages for residents are set by medicare, for some reason. Thus the wages change very little with area, assuming we are comparing the same PGY-x .
Basically, when I was talking to a resident at one of the facilities I work at, I had asked a bit about how she figured out where to do her training at, and one of the factors she mentioned was the fact that she could make $50, 000 in NYC or make $50, 000 here in the midwest.

No. Medicare doesn't set wages. It provides the bulk of GME payments to hospitals through a complicated formula of both direct and indirect expenses. So, some places receive slightly more, but it ampunts to somewhere around $100,000 per resident. It is up to the hospital to decide what part of that they want to spend on your salary. Salary, however, is not always as importnat as benefits. Some places pay for yours and your family's health insurance, parking, meals, childcare, continuing education, licensing expenses, health club memberships, travel, moving expenses...etc. While others pay for virtually none of those.

As for salary examples: Last year Bronx Lebanon paid 1st year residents$53,100. Good Samaritan in NY paid $50,000. Johns Hopkins paid $44,192. Mayo paid $43,981. Georgetown paid $43,717. Creighton university paid $43,502. U of Colorado paid $42,531. Oklahoma U paid $41,146. Corpus Christi paid $40,927. U of Kansas paid $39,989. Baylor paid $39,559. UC Irvine paid $38,100. UT San Antonio paid $38,000.

 

[McPoyle]

cool, I get it, thanks

 

[sexyman]

Ok I have what is most likely going to be a super stupid question.

Some states require a traditional rotating year to be "licensed".

Suppose I decide to do my residency in New Jersey and do not do a traditional rotating year because it is not required. I practice in NJ for 20 years and then want to move to PA and practice there. Can I not do this because PA requires a traditional rotating year?

I apologize in advance...

 

[TexasTriathlete]

I think that you can apply to have your first year of residency counted as your traditional rotating year.

 

[RockfordWF]

Ok I have what is most likely going to be a super stupid question.

Some states require a traditional rotating year to be "licensed".

Suppose I decide to do my residency in New Jersey and do not do a traditional rotating year because it is not required. I practice in NJ for 20 years and then want to move to PA and practice there. Can I not do this because PA requires a traditional rotating year?

I apologize in advance...

You have to apply for your first year of residency to count as the internship under AOA resolution 42. This can only be accomplished if there are no DO residencies of the same specialty in the same city where you trained. In addition, if you did not do OB, Family Medicine, and Surgery during that internship year, you will have to go back and do those rotations.