What makes rotation sites good or bad?

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meddesire

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Hi there,
I just wonder how can you know which rotation sites are better than the others? when every school provides you a long list of rotation sites.
like the ones in urban areas are better than rural, right?
 
Residents>no residents

I would agree with this mostly; however, occasional rotations where you work one on one with attendings (and are allowed to be hands on) can be very solid learning experiences and good for your development as a medical professional. That being said, the majority of rotations at sites with a decent residency should be the goal.
 
I agree, had a couple preceptor rotations that were quite good. Residency programs have daily lectures, morbidity and mortality conferences, and journal clubs which are good. The only real variable is if your resident likes to teach or not. That you have no control over.
 
How do we pick ourselves up or maximize our competitiveness if we end up in a "bad" rotation simply due to lottery? Does residency directors understand that DO rotations can be a hit or miss sometimes? Or is that just life?
 
How do we pick ourselves up or maximize our competitiveness if we end up in a "bad" rotation simply due to lottery? Does residency directors understand that DO rotations can be a hit or miss sometimes? Or is that just life?
MD rotations can be hit or miss too. My son rotated at a Level 1 trauma center and a couple rotations were awful. If you run into a poor rotation, try to make the best of it. Ask to give a presentation, or if you can tag along for a consult.
 
MD rotations can be hit or miss too. My son rotated at a Level 1 trauma center and a couple rotations were awful. If you run into a poor rotation, try to make the best of it. Ask to give a presentation, or if you can tag along for a consult.
Can you elaborate on the "make the best of it" part? Like do we ask for some autonomous work? something like that?
 
Can you elaborate on the "make the best of it" part? Like do we ask for some autonomous work? something like that?
Sure. First, see what you can do to be helpful. Chase down labs, if not assigned patients, do your own mini rounds. Have the answers to questions about the patients before others do. They might give you more responsibility. Ask to go along to see new admissions or consults with residents or attendings. Sometimes they will try and ditch you and this usually means they are going to perform an abbreviated consult and dont want you to see them cutting corners. Ask to present a case or pertinent topic on one of your patients if they do not assign you one. If you have a dud for a resident or attending, then all you can do is fall back on your intellectual curiosity and read about pertinent topics or study for boards. Any time doing that is not wasted. Try not to be out of site for too long, your evaluation will suffer if you dont appear interested.
 
Hi there,
I just wonder how can you know which rotation sites are better than the others? when every school provides you a long list of rotation sites.
like the ones in urban areas are better than rural, right?
I don't think it's necessarily related to urban or rural. It's more what @Goro describes per below.
Whether you get responsibilities vs mere shadowing (or glorified shadowing).
I'm in a major city, urban. Right now, there is a person on rotation at the ER where I volunteer. My observation is that 50% of the time they are holed up in the physician's office peering at a computer screen (my guess is that they were not given anything better to do.) Another 25% standing around doing nothing (on the floor.) 10% watching nurses put in IV lines, 5% assisting the PA (could even be something like bringing the PA a towel or something from the Pyxsis) and maybe 10% (I'm generous) actually "doing" stuff. Did that add up to 100?

Even as a lowly pre-med maggot, I can see this is a bad situation that lacks hands-on training that is so crucial for the oncoming hell that is intern year.

If this person is a 4th year doing an elective instead of a core, perhaps it's not too bad. I don't know...
 
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Sorry y'all, but I'm still a little confused. For example, if a hospital has only FM residency program, is it still good to do rotations there for other specialties (IM, general surgery, psychiatry, EM, etc.)? Or I have to go to other hospitals which have residency programs for those specialties? <My school allows us to do rotations at multiple sites>
 
Sorry y'all, but I'm still a little confused. For example, if a hospital has only FM residency program, is it still good to do rotations there for other specialties (IM, general surgery, psychiatry, EM, etc.)? Or I have to go to other hospitals which have residency programs for those specialties? <My school allows us to do rotations at multiple sites>

The real answer is maybe or maybe not. Sometimes having only FM residency also means FM residents gets to run the ER as well. Also, not having a residency doesn't necessarily translate into a bad rotation. It could mean that you get one on one time with great attendings, and you get first dibs on learning how to do certain procedures.
 
Try to rotate at both as each has distinct advantages. In general, the FM program will offer more hands on experiences and the university teaching hospital will provide good didactic teaching, noon conference, etc. Also, they will deconstruct journal articles and show you how to critically read a journal article.
 
Really hit or miss, but I'd say rotations with a residency or at least at a location with a residency are more likely to be hits. I did do a couple of electives in ED and gen surg in places without residents 4th year as electives and throughly enjoyed being 1:1 with the attendings though.
 
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