What is important during clinical years?

[123165]

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I am wanting the point of view of some residents

My school allows you to rank where you want to do years 3/4 in a manner similar to the residency bids. The sites vary a lot. There are some sites in Michigan/Ohio at hospitals that have a ton of residencies, and there are some at smaller hospitals with no residencies at all. Some are mostly clinic based.

Looking back, what would have best prepared you for landing a residency? I worry that at a big hospital with lots of residents I wont get in on a lot of procedures.

I worry that a smaller hospital I wont learn to work in a team-setting, which will hurt my auditions. I also think that the didactics could be lacking. Do you think a LOR from a smaller hospital will carry less influence?

Opinions? Does it matter?

 

[Groove]

I am wanting the point of view of some residents

My school allows you to rank where you want to do years 3/4 in a manner similar to the residency bids. The sites vary a lot. There are some sites in Michigan/Ohio at hospitals that have a ton of residencies, and there are some at smaller hospitals with no residencies at all. Some are mostly clinic based.

Looking back, what would have best prepared you for landing a residency? I worry that at a big hospital with lots of residents I wont get in on a lot of procedures.

I worry that a smaller hospital I wont learn to work in a team-setting, which will hurt my auditions. I also think that the didactics could be lacking. Do you think a LOR from a smaller hospital will carry less influence?

Opinions? Does it matter?

Don't be stupid, pick the more academic based, larger hospitals with residents, more med students, and academic faculty to write you letters.

I know what you're thinking... that you'll have a better chance to shine at a smaller hospital with few students and anybody else to compete with....stay away from the easy button. You can say it never crossed your mind...but it did. Good luck.

 

[123165]

Don't be stupid, pick the more academic based, larger hospitals with residents, more med students, and academic faculty to write you letters.

I know what you're thinking... that you'll have a better chance to shine at a smaller hospital with few students and anybody else to compete with....stay away from the easy button. You can say it never crossed your mind...but it did. Good luck.

Not what I was thinking, actually. I was thinking one-on-one with no residents would allow me to do a ton more procedures.

Lack of faculty is a valid concern though, thanks for posting. I had not even thought that people would see it as the easy road, ie less competition

 

[Groove]

Not what I was thinking, actually. I was thinking one-on-one with no residents would allow me to do a ton more procedures.

Lack of faculty is a valid concern though, thanks for posting. I had not even thought that people would see it as the easy road, ie less competition

Gaining procedural expertise and facile should not be anywhere close to the top of your priority differential during 3rd and 4th year clinicals. You'll have plenty of time for that during residency. 30 central lines and 20 intubations as a med student won't do you much good if you can't land a residency spot. Gotta figure out what specialty you want to do first though, right? What good are all those procedures going to do for you if you find near the end of 3rd year that you want to to do neurology or psych? Not much good.

 

[123165]

Gaining procedural expertise and facile should not be anywhere close to the top of your priority differential during 3rd and 4th year clinicals. You'll have plenty of time for that during residency. 30 central lines and 20 intubations as a med student won't do you much good if you can't land a residency spot. Gotta figure out what specialty you want to do first though, right? What good are all those procedures going to do for you if you find near the end of 3rd year that you want to to do neurology or psych? Not much good.

I appreciate your time. So you are saying that the most important thing is getting good letters and having other students to compete with, which I need an academic hospital for? I agree with your reasoning about procedures not being all that important. What do you think is the key to landing residencies, or what my priority should be in clinicals?

Thanks in advance

EM is what I am looking at for now.

 

[smq123]

Moving to Clinical Rotations.

 

[st2205]

I think we're at the same school. I'm at a preceptor based site for my own personal reasons. There are a lot of things to consider, despite a lot of 'one-size-fits-all' answers you may get.