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What to put first?

Discussion in 'Clinical Rotations' started by inked_caduceus, Mar 26, 2007.

  1. inked_caduceus

    inked_caduceus 10+ Year Member

    Apr 23, 2006
    Savannah, GA
    I'm waffling on how to set up my 3rd year schedule - it comes down to Peds versus Ob-gyn.

    I think I want to do medicine, so that's out as a first.
    The idea of surgery first fills me with dread, even though people say the July/August block is the easiest time to do it (yes?)

    Ultimately, I don't have a big interest in either Peds or Ob-gyn, so I feel that if I'm not stellar at either, I won't cry over it.

    Is there any advantage to doing one or the other first?
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  3. Bertelman

    Bertelman Maverick! 7+ Year Member

    Feb 11, 2006
    Had a Cooch
    Quid pro quo:

    I'd do peds first. Kids don't go to the doctor in July. If so, it's for sports physicals or something equally easy.

    Do you really have a caduceus tattoo?
  4. inked_caduceus

    inked_caduceus 10+ Year Member

    Apr 23, 2006
    Savannah, GA
    I do, but don't have a picture handy. Got it when I received my acceptance to med school. :)
  5. ESPNdeportes

    ESPNdeportes Member 7+ Year Member

    Jul 7, 2003
    To be honest, it probably doesn't matter. Might be nice to have peds first before medicine to really practice your presentation skills, though.
  6. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner Moderator Physician Faculty 10+ Year Member

    Aug 2, 2006
    Then you know that the caduceus is a symbol of alchemy, and the asclepius is the symbol of medicine (such as the AMA, the WHO, etc).
  7. zeloc

    zeloc Senior Member Physician Faculty 10+ Year Member

    Aug 22, 2003
    From what I understand, you are trying to decide between doing Peds vs. OB/GYN first, but you don't necessarily have to do those 2 rotations first in your third year?

    I started with Peds and it's a nice easy rotation to ease yourself into M3. I know a lot of people who started with OB/GYN and then did Peds and many of them found it boring because they were constantly doing things during OB/GYN while there was a lot of down time on Peds. I would probably go with Peds first.
  8. inked_caduceus

    inked_caduceus 10+ Year Member

    Apr 23, 2006
    Savannah, GA
    I do, but it came down to aesthetics. The caduceus is still widely correlated to medicine and the asclepius just looks strange to me.

    I think I am going with Peds first, but I'll probably put Ob-gyn as my backup choice.
  9. njbmd

    njbmd Guest Moderator Emeritus 5+ Year Member

    May 30, 2001
    Gone Walkabout!

    There is no advantage of doing anything in order except for doing Internal Medicine last in terms of what you want to do as a specialty. You have to go though all of the required clerkships and we (the residents) alter our expectations based on whether we are dealing with third year clerks at the beginning of third year versus later in third year. Order is not much of a defining factor but performance is a great defining factor in terms of grade.

    There is an advantage of placing Internal Medicine last in terms of taking USMLE Step II CK. Most of this exam is Internal Medicine and thus taking it early when medicine is fresh in your mind is optimal and gets this exam out of the way quickly.

    In terms of "easier months" versus "harder months", the difference is not much of a factor. Any rotation in surgery can be busy if the hospital is busy and any rotation in Family Medicine can be less busy if the service has less patients. No matter how busy the service, there is a limit to what a third-year medical student can do and learning is your top priority.

    In terms of order of rotation affecting your choice of specialty or choice of specialty affecting order of rotation. I started medical school and third year wanting to do pediatrics. Our dean assigned us randomly to rotation orders and thus we had no control over what we did or the order of our rotations. They literally pulled names out of a hat. I wanted to be a pediatrician and peds was my first rotation. I honored Peds.

    Family Medicine was my second rotation and I honored FM. Psych was my third and I honored Psych. My next rotation was surgery and the first time I walked into the OR, I was hooked. I honored General Surgery and I am now a senior resident in General Surgery headed for fellowship. I had no control over the order of my rotations and neither my ability to do the specialty of choice nor my grades suffered. My classmates had the same experience.

    I did realize that having Internal Medicine last was a very lucky thing for me because I took Step II early in my fourth year. By Match Day, I had nothing else to do except show up and get my diploma. I had six weeks of pure vacation fourth year and I enjoyed every second of it before graduation. I was able to travel to the site of my residency and take my time purchasing a house.

    In the end, order really doesn't matter except if given a choice, do medicine last and take Step II as soon as you can.
  10. Mayhem

    Mayhem Scut Bear 5+ Year Member

    Apr 22, 2006
    Somewhere only we know
    Well look at that, you learn something new everyday. I never noticed the difference. I guess my mind has just been filling in the extra snake and wings on the AMA logo all these years.
  11. Critical Mass

    Critical Mass Guest

    Feb 23, 2007
    Thanks for the advice.

    I was actually thinking this way, but most of my colleagues want to get it out of the way early. Since I've heard that it is a tough shelf, my thinking was to build up to it.

    I've seen it popular to do both medicine and surgery back to back first to get them out of the way. Wouldn't that be a back breaker if you got a slow start?

    On the other hand, some selectives require either medicine or surgery as a pre-requisite. Any thoughts on that?

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