Trauma elective for surgery resident

[tussy]

Since there are now so many residents floating around this forum I thought i'd bother you all with a question.

I am a PGY2 Gen surg resident. I want to do a trauma elective next year (my PGY3 year). We don't get much exposure to trauma here (lots of blunt trauma, but limited penetrating trauma). Many residents in my program have chosen to go to the US for a 3 month trauma elective, and i want to do the same. Can anyone recommend a hospital that would give me a good trauma experience? Thanks.

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[Z]

Hi there,

My program has hosted several residents over the years who were interested in a broader trauma experience. We have about 35-40% penetrating so the operative experience is good. Let me know if you are interested and I can give you more details. Write me at [email protected].

 

[Winged Scapula]

Two of the best in this area are Shock Trauma in Baltimore and HUP (Hospital of the University of Pennsylvania). Mostly penetrating stuff with lots of OR time.

Pretty much any major urban area will get you the same.

 

[Winged Scapula]

•••quote:•••Originally posted by Z:
•Hi there,

My program has hosted several residents over the years who were interested in a broader trauma experience. We have about 35-40% penetrating so the operative experience is good. Let me know if you are interested and I can give you more details. Write me at [email protected].•••••Ruaz...any chance you're at Memphis? If so, don't you have a Trauma fellowship there (as our Admin Chief resident is leaving for fellowship there next week). Would having a Trauma fellow cut down on the op experience for a junior resident?

 

[mddo2b]

Look into Kings County Hospital in Brooklyn NY...the residents i worked with as a 4th year student on a trauma elective told me they are in the top 3-4 hospitals for pen. trauma in the country.....the place is a zoo and it was great

 

[Z]

Kimberli,

I am in Memphis and we usually have 3 trauma fellows every year. One is in the second year of the two year track and acts as an attending. The other two fellows are first year fellows. They have, in the past, only acted as first assistants (sometimes aggresive ones). As you know, there really is no board certification in Truama surgery. One must complete a RRC approved Surgical Critical Care fellowship. Part of the requirements are that the fellowship be mostly non-operative. In Memphis, the main competition for cases for a junior level resident is from the cheif of the service. As a junior resident I did 25-30 truama cases in the 6 months I have spent on the service. Most cheifs do that many cases in 2-3 weeks on the service. So, I guess the short ansewr is the fellows do not take cases away from residents. Mostly, the cheif decides if they want to pass a case down to a lower level person. Hope this helps. BTW, I hear good things about the cheif you are talking about. The staff here speak highly of them (assumingwe are talking about the same person). I look forward to meeting them and getting to work with them soon.

 

[deleted6669]

washington hospital center/medstar trauma team in washington, d.c. is a great trauma rotation. I did a trauma surgery rotation there in 1995 and spent the whole 5 weeks in the trauma resuscitation suite and the O.R.
the shifts are 24 hrs on and 24 hrs "off" ( on your "off days" you have to round on your floor and SICU pts.translation-no off days, but a great rotation nonetheless). I took ATLS the week before this rotation and it really paid off. lots of cool procedures to go around for everyone. best of luck-e

 

[Winged Scapula]

•••quote:•••Originally posted by Z:
•Kimberli,

I am in Memphis ...BTW, I hear good things about the cheif you are talking about. The staff here speak highly of them (assumingwe are talking about the same person). I look forward to meeting them and getting to work with them soon.•••••He is a great guy. VERY laid-back, fair, dark sense of humor and CALM about everything (just tends to run a bit late...I had to page him every morning when on service with him to wake him up). You are getting a wonderful fellow and he'll make a tremendous contribution to your program.

 

[tussy]

Thanks for the suggestions guys.

 

[njbmd]

•••quote:•••Originally posted by emedpa:
•washington hospital center/medstar trauma team in washington, d.c. is a great trauma rotation. I did a trauma surgery rotation there in 1995 and spent the whole 5 weeks in the trauma resuscitation suite and the O.R.
the shifts are 24 hrs on and 24 hrs "off" ( on your "off days" you have to round on your floor and SICU pts.translation-no off days, but a great rotation nonetheless). I took ATLS the week before this rotation and it really paid off. lots of cool procedures to go around for everyone. best of luck-e•••••Hi there,
Absolutely avoid Washington Hospital Center! The program is currently in transition. Opt instead for Baltimore Shock Trauma where you will get better teaching and professional experience. WHC has changed totally from 1995 and not for the better. <img border="0" title="" alt="[Frown]" src="frown.gif" />