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What are typical clinical rotations?

Discussion in 'Clinical Rotations' started by Alexander99, Apr 7, 2004.

  1. Alexander99

    Alexander99 Ghetto Fabulous
    7+ Year Member

    Sep 17, 2003
    Likes Received:
    What are typical clinical rotation/clerkship lengths for MD schools during years 3 & 4? I'm specifically interested in the type of rotation (surgery, primary care, etc) and the amount of weeks.

    Someone made a post on the pre-MD forum saying if you go to a school that graduates students that mostly enter primary care, that school will have you spend lots of time doing primary care rotations while if you go to school that graduates lots of students that enter surgery, you'll have way more surgery rotations.

    Can anyone comment on whether this is true?
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  3. doepug

    doepug Senior Member
    10+ Year Member

    Jan 20, 2001
    Likes Received:
    I think basic clerkships are pretty standard nationwide. After all, every school has to meet the same requirements to be accredited by the LCME.

    At my school the following rotations are required:

    Internal Medicine / 9 weeks
    Surgery / 9 weeks
    Pediatrics / 9 weeks
    Ob/Gyn / 6 weeks
    Neurology / 4 weeks
    Psychiatry / 4 weeks
    Ophthalmology / 1 week
    Ambulatory Medicine / 4 weeks
    Emergency Medicine / 4 weeks
  4. souljah1

    souljah1 Attending
    10+ Year Member

    Feb 7, 2002
    Likes Received:
    We have:

    3rd year...
    4 weeks psych
    4 weeks neuro
    8 weeks medicine
    8 weeks surg
    2 weeks surg subspecialty
    6 weeks family
    6 weeks peds
    6 weeks ob/gyn

    4th year..
    medicine subI: required 4 weeks
  5. Seaglass

    Seaglass Quantum Member
    10+ Year Member

    Jul 25, 2003
    Likes Received:
    Attending Physician
    In my experience so far we have the least required and the most elective time 3rd year:

    Peds 6 wks
    OB.Gyn 6 wks
    Inpt Med 8 weeks
    Gen Surg (Gen, trauma, peds) 4 wks
    Sub-spec Surg 4 wks
    Fam Med 4 wks
    Primary Care (rural med) 4 wks
    Psych 4 wks
    Electives (2) 4 wks each

    4th year the only requirements are 2 sub-I's, one in any medicine field, one in any surgical or surgery-related.
  6. Skrubz

    Skrubz Not your scut monkey
    7+ Year Member

    Sep 9, 2003
    Likes Received:
    Our third year looks like this:
    12 weeks internal medicine (4 of which is outpatient)
    8 weeks general surgery (2 of which can be gen surg subspecialties)
    8 weeks peds
    6 weeks ob/gyne
    6 weeks psych
    6 weeks FP
    2 weeks required subspecialty (typically urology)
    48 weeks total

    Fourth year is:
    4 weeks sub-internship (peds only if you're going into peds, everyone else has to do medicine)
    13 weeks required subspecialties (2 weeks each of derm, ortho, ENT, neuro, 4 weeks of anesthesia/radiology combo, 1 week of ophtho
    20 weeks electives
    37 weeks total
  7. Daiphon

    Daiphon Semper Ubi Sub Ubi
    Physician SDN Advisor 10+ Year Member

    Nov 6, 2003
    Likes Received:
    Attending Physician
    My school has much the same, but we do our FamPrac 1 day qweek starting in MS II and going through graduation... thus:

    FamPrac 1d qweek x 2.5y
    IM 12weeks (6 private doc, 6 hospitalist)
    Surg 12 weeks (7 general, 1 gas, 2 subspecialty x 2)
    Peds 8 (4 inpatient, 4 outpatient)
    OB/Gyn 8 (4 OB, 4 Gyn)
    Psych 8

    12 weeks of "selectives" (have to do 3 rotations from a pool of 6 possibilities: cards, pulm, gi, ID, nephro, Hem/Onc)
    4 weeks neuro
    20 weeks of electives
    8 weeks discretionary.

    I like the system... it's a pain in the arse this year, but works well for next year
  8. Vincristine

    7+ Year Member

    Jan 29, 2004
    Likes Received:
    our requirements are really quite open.
    80 total weeks of clinical activities to be self scheduled between M3 and M4:
    16 weeks of IM (almost exclusively inpt, which can be split to 12 + 4)
    8 weeks surgery (including 2 weeks subspeciality if desired)
    8 weeks peds (outpt vs inpt depends on time of year taken)
    8 weeks OB/Gyn (8 weeks with one attending following his/her outpt clinic and call schedule)
    8 weeks psych
    4 weeks FP (almost exclusively outpt, and usually a more rural setting)
    4 week Medicine and Society course
    4 weeks surgical elective (including EM)
    20 weeks electives -- completely up to our planning including aways.
  9. KyGrlDr2B

    7+ Year Member

    Oct 15, 2001
    Likes Received:
    Moving to clinical rotations.
  10. VitaminK

    VitaminK Member
    7+ Year Member

    Sep 9, 2003
    Likes Received:
    I go to a 6 year med school so it's a little different here. Starting during our third year we have medicine clinic one day every week. Then we get 6 months total of in-patient medicine on top of that, so overall we get a lot of internal medicine training.

    4th yr (Most of the year we finish up all of our med classes)
    2 months medicine (in pt)
    1 month preceptorship (FP in rural area)

    5th year
    1 month FP
    2 months medicine (in pt)
    2 months surgery
    2 months ob/gyn
    2 months peds
    1 month pysch

    6th year
    2 months medicine (in pt)
    1 month ER

    Whatever leftover months we have we can chose from a variety of different electives and then have 1 month of vacation years 4, 5, and 6.
  11. Smurfette

    Smurfette Antagonized by Azrael
    Administrator Physician 10+ Year Member

    Jun 6, 2001
    Likes Received:
    Attending Physician
    Third year:

    Primary Care (FP/IM/peds)--8 weeks
    Medicine--8 weeks
    Surgery--8 weeks (4 gen surg + 2-2 week subspecialty rotations)
    OB/Gyn--6 weeks
    Peds--6 weeks (3 inpatient, 3 outpatient)
    Psych--4 weeks

    Either third or fourth year:

    Neuroscience: 1 wk ophtho, 1 wk neurosurg, 1 wk PMR + neurorads, 3 wks neurology
    Anesthesia--2 weeks
    Radiology--2 weeks

    Fourth year:
    Medicine sub-i--4 weeks
    Surgery elective--4 weeks
    Preceptorship (community based FP, IM or surg)--6 to 8 weeks
    electives make up the balance of the total credit requirement.

    Even for required rotations, at many schools med students are sent to different hospitals and thus experiences and expectations vary quite a bit.
  12. chirurgeon

    Physician Faculty 10+ Year Member

    Apr 5, 2004
    Likes Received:
    Attending Physician
    It's been interesting to see the variety in arrangements for neuro training. We recently had a curriculum committee change to add another week to our neuro clerkship in other to fulfill a recruiting promise our Dean made to the new chairman of Neurology (I'm at UAB). Here's our new and revised schedule:

    MS-3 (6 8-week blocks with 2 1-week electives and 2 weeks vacation at Christmas/New Year's)

    * Medicine (inpt 8 weeks - 2 different hospitals @ 4 weeks each)

    * Surgery (8 weeks total - 3 subblocks - 3 wks on general surg, 3 wks on general specialty [e.g. vascular, surg onc, pediatric], and 2 weeks on subspecialty [e.g. urology, ENT, ortho])

    * Peds (8 weeks total - 4 weeks inpt, 4 weeks outpt with 4 1 week rotations [varying from juvenile detention care to peds ER])

    * Psych (5 weeks total) - 2 sub-blocks of 3 weeks and 2 weeks
    * Rural medicine or "selective" (3 weeks) - selective may include ER, ophtho, derm, ortho, ENT, etc.

    * Neuro (4 weeks)
    * Family medicine (4 weeks outpt)

    * OB/Gyn (8 weeks) - 4 weeks L&D; 2 2-week sub-blocks (Gyn-Onc is very popular at our school as is Reproductive)

    MS-4 - 4 required AIs and 4 blocks of electives; up to 3 months off
    * Inpatient AI (4 weeks)
    * Medicine AI (4 weeks)
    * Surgery AI (4 weeks)
    * Ambulatory AI (4 weeks)
  13. mpp

    mpp SDN Moderator
    Moderator Emeritus 10+ Year Member

    Jan 17, 2001
    Likes Received:
    Resident [Any Field]
    Mayo has half-day clinical rotations starting 2nd year with:
    2 weeks family medicine
    9 weeks internal medicine
    6 weeks pediatrics
    3 weeks surgery
    3 weeks PM&R
    3 weeks dermatology
    3 weeks clinical skills (ENT, ophtho, urology, breast clinic)

    Then 3rd year rotations include:
    13 weeks research
    6 weeks surgery
    6 weeks medicine
    4 weeks psychiatry
    2 weeks family medicine
    6 weeks pediatrics
    6 weeks ob/gyn
    3 weeks neurology
    3 weeks elective

    4th year requires:
    4 weeks medicine sub-I (or 6 weeks pediatrics sub-I)
    4 weeks emergency medicine
    1 week social medicine (chaplain service, social services, hospice)
    3 weeks medicine subspecialty elective
    3 weeks surgery subspecialty elective
    3 weeks pediatrics subspecialty elective
    12 weeks other electives
    3 weeks of didactic courses
    9 weeks for interviews
  14. Jaded Soul

    Jaded Soul Proloxil > Zoloft
    7+ Year Member

    Apr 13, 2003
    Likes Received:
    3rd Year:

    Peds: 6 weeks (3 inpatient + 3 outpatient)
    Surgery: 12 weeks (3 trauma + 3 non-trauma + 3 x 2 surgical subs)
    Medicine I: 6 weeks (3 inpatient + 3 outpatient)
    Psych: 6 weeks
    Family Med: 6 weeks
    OB/Gyn: 3 weeks OB + 3 weeks Gyn
    Selective/Elective: 6 weeks

    4th Year:

    Medicine II: 4 weeks inpatient
    Neuro: 4 weeks
    Required Selectives: 16 weeks (4 critical care + 4 x 3 various)
    Electives: 16 weeks

    There seems to be a bit of emphysis on primary care and surgery in Year 3. Total of 12 weeks of pure outpatient (med/peds/family med) and 12 weeks of surgery and surgical subs.
  15. We have:

    11 weeks Internal Medicine (5.5 weeks inpatient, 5.5 weeks outpatient)
    7 weeks Surgery
    7 weeks OB/GYN (3.5 weeks gyn, 3.5 weeks L&D)
    7 weeks Psychiatry (3.5 weeks acute inpatient, 3.5 weeks state hospital)
    7 weeks Pediatrics
    7 weeks Family Practice
    4 weeks Emergency Medicine

    Then a bunch of electives in 4th year.
  16. DOtobe

    10+ Year Member

    Dec 12, 2000
    Likes Received:
    Attending Physician
    Although you asked for MD school rotations, here is how ours are at LECOM:

    Third year:
    6 weeks Psych
    6 weeks FP
    6 weeks surgery
    12 weeks medicine
    6 weeks Peds
    6 weeks Ob/Gyn
    6 weeks elective
    (although this is changing for next year, rotations are changing to four weeks)

    Fourth year:
    8 weeks EM
    8 weeks Ambulatory
    and a bunch of time for selectives (med, surgical, and primary care) and electives.
  17. kutastha

    kutastha 2K Member
    Physician 10+ Year Member

    Jun 24, 2001
    Likes Received:
    Attending Physician
    UVM's are like this:

    MS1.5-2.5, starting in Feb
    IM outpt: 3 weeks
    FP: 3 weeks
    Peds: 7 weeks
    Neuro: 3 weeks
    Psych: 6 weeks
    IM Inpt: 6 wks
    Surg: 8 wks
    OB/GYN: 7 wks

    Then the rest of the time is spent in two more required Inpt rotations and the rest are electives.

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