Where did you have a *great* student EM rotation?

[InternistDO]

Remember that there are probably less than 20 attendings who post on the EM board with any frequency. You'd be foolish to ignore what they have to say, but you'd also be foolish to base your opinion of an entire specialty just on 20 people.

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[AthleteDoc7]

LMAOOO, check out the anesthesia page. Its worse by a few magnitudes.... they're fearmongering to the point that some are claiming that anesthesiology salaries will drop down to the CRNA levels (150K). It would be a really scary read if uninformed or naive med students based their specialty decisions in some level off SDN.

hahaha damn I guess I haven't navigated that forum much. must look into it for entertainment purposes. couldn't agree more on your last point lol

 

[amandamegan21]

Posted by @evanffx via SDN Away Rotation Review Google Form

Albany Medical Center

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: None
Interview offered during rotation: Yes
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Overall very good, autonomous, residents were friendly and invited you out and treated you like part of the team.

Hi! I am doing an away at Albany and I had a few questions if you have a chance- do you know if they grant interviews to all student rotators? What are the hours for shifts (11p-7a, etc)? How many away rotators are there per block?

Thanks so much!

 

[refridgerator]

Anyone do Cornell at Queens?

 

[Birdstrike]

weirdly enough I don't really see the same doom and gloom from attendings from any other field on here except EM lol

Why not?

 

[Birdstrike]

Remember that there are probably less than 20 attendings who post on the EM board with any frequency. You'd be foolish to ignore what they have to say, but you'd also be foolish to base your opinion of an entire specialty just on 20 people.

True. Get as many opinions as possible. And make your own decision. SDN can contain some important nuggets of truth, but it's certainly not the whole picture, and there is a lot of garbage to pick through, before finding the few golden nuggets that are here.

 

[Birdstrike]

LMAOOO, check out the anesthesia page. Its worse by a few magnitudes.... they're fearmongering to the point that some are claiming that anesthesiology salaries will drop down to the CRNA levels (150K). It would be a really scary read if uninformed or naive med students based their specialty decisions in some level off SDN.

Although I haven't peaked over there much lately, most of the doom and gloom over there seems to be the same old "CRNAs are going to destroy the world very soon!" stuff they've been waiting to happen since the 1980's.

 

[Birdstrike]

Ah, no, Birdstrike was saying the rest of the career was downhill and that the Away was the high point.

Ah, I suppose I was over simplifying. There's been some definite high points along the way, and things are good now. So, I can't complain. I consider myself very fortunate. We all should, really.

 

[Anxietyfreak]

anyone rotate at NYMC- St. Josephs?

 

[surely]

Posted anonymously via SDN Away Rotation Review Google Form

Georgetown University Hospital/Washington Hospital Center

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: SAEM exam
Interview offered during rotation: No, but interview is guaranteed to rotators
Would you recommend this rotation to others: No

Comments on rotation experience:

Faculty and residents are middle 1/3 compared to other rotations. Facilities are bottom 1/3, as both ERs are on the older side. Experiences on rotation are bottom 1/3, with little trauma and procedural experience. Organization of rotation is top 1/3, well-organized with good communication, but SAEM exam is dated. Rotators do not get an accurate sense of their SLOE and may find themselves disappointed and with many rejections, though it is sent on time, so bottom 1/3 for SLOE. Patient population is primarily indigent at one of the two locations, so will get lots of frequent fliers, and at the other, there will frequently be patients who are well-established w/ exacerbations of complicated cases, simply requiring chart review and initial studies before calling down patient's specialist, so bottom 1/3 or middle 1/3 compared to breadth on other rotations for patient population. City/weather/geographics were top 10%. Shifts and didactics are of normal expectation: middle 1/3. Overall, middle 1/3 or bottom 1/3.

(Note from @surely: Lol, I love the SLOE framing of this review. Nice.)

 

[surely]

Posted anonymously via SDN Away Rotation Review Google Form

University of Texas Health Science Center School of Medicine at San Antonio

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: None
Interview offered during rotation: No, but interview is guaranteed to rotators
Would you recommend this rotation to others: Yes

Comments on rotation experience:

San Antonio is truly a gem. Rotated in Summer 2017

Structure/Rotation:
15 shifts a month, 8 hours, with the potential for a couple of pediatric shifts in the Peds ED depending on how many students in the department that month. You work either with the 2nd or 3rd year EM resident, pretty standard practice, go see them, present plan. The interns will see patients with you as well but normally are seeing patients with the 3rd year medical students (required rotation here). A few procedures here and there, but anything above lacerations/i&ds generally goes to the EM intern (such is life early on in the year I suppose). A few people got a line. Didactics once a week with the residents in their resident school.

Hospital:
The hospital is super high acuity, the pods are generally ESI 2-3 and they are generally pretty sick, almost all the non-sick patients are diverted to areas staffed my MLPs. The Resus bay is 8 beds and generally full, if they aren't cramming patients into the rooms (I saw 14 patients crammed into these 4 rooms once). Sick, sick, sick. I'd say at least one ETI every 4 hours some shifts.

Residents/Faculty
The residents all are very impressive. I'd have to say compared to other places the EM2s at the beginning of the year seemed like attendings even though they just finished intern year! Everyone is super cool, laid back, the new interns this year were all super nice and encouraging. As has been echoed on the forum, the PD is awesome.

Trauma you won't see as a rotator because its a separate ED, the attendings are trauma surgeons. But from what I heard from the residents, its a crazy experience over there, many ED thoracotomies a month, with many surgical airways placed, very high acuity bay sounds like. ED residents run the head of bed over there. Like I said don't know too much since we didn't go there.

 

[Perfect Hair Day]

Has anyone rotated at Northwell in Long Island?

 

[liveonthewater]

Haven't seen Wake Forest which is a little surprising.

 

[EMmusic&more]

Has anyone rotated at Duke?

 

[Ruby109]

Any thoughts on Cornell's New York Brooklyn Methodist away rotation? I'm curious to hear a review, and I'm trying to figure out if they offer SLOEs?

 

[Nedsson]

Posted anonymously via Google Forms

Program: Henry Ford
Rotation: EM Sub-I
SLOE Experience: Sent in timely manner

Had a GREAT experience at Henry Ford. During this rotation you work 15 9 hours shifts (usually 8.5 hours or so) plus 1 2-3 hour long US shift. Most of your shifts are on the highest acuity Category 1 area of the department, but you do have several shifts in the other areas. All of your night shifts are bunched together. Students work 1 on 1 with a resident and present all of their patients to the attendings.

The residents that I worked with here were all very friendly and enjoyed having a medical student with them. I feel as though I got more useful feedback on this rotation from the residents than I got on any other rotation that I've had to date. You see a lot of sick patients at this hospital and I came away from this experience having learned a ton. The apartments just behind the hospital can be rented by visited students for only ~$300 for the month! I highly recommend rotating at Henry Ford without any reservations.

Which Henry Ford? Detroit or Wyandotte?

 

[mymembernames]

Did a search and couldn't find anything so anyone have experience rotating at Texas Tech in El Paso? Thanks!

 

[Spagett!]

.

 

[Perfect Hair Day]

Any thoughts on Cornell's New York Brooklyn Methodist away rotation? I'm curious to hear a review, and I'm trying to figure out if they offer SLOEs?

Never hurts to email clerkship coordinator / clerkship director or PD/aPD to express interest in rotating and ask for some "management-changing information" about their elective.

 

[Dr Turkelton]

Any recent info on Yale or WashU?

 

[eatkalteenbars]

Anyone hear back from UCI or BU?

 

[refridgerator]

Any thoughts on Cornell's New York Brooklyn Methodist away rotation? I'm curious to hear a review, and I'm trying to figure out if they offer SLOEs?

I'm rotating at their Queens location and I straight asked if they do SLOEs (they do)

 

[DwightKShruteATTRM]

Any recent info on Yale or WashU?

i received an invite from Yale back in March.

 

[Tambourine]

Anyone hear back from UCI or BU?

A classmate got BU last Friday

 

[TheIslandGuy]

Is VSAS doing funky things to the rest of y'all? I was contacted directly by a program for an acceptance offer due to VSAS not working well.

 

[TheOne13]

Is VSAS doing funky things to the rest of y'all? I was contacted directly by a program for an acceptance offer due to VSAS not working well.

At this point, I'd love to hear back from anyone no matter how funky. The only thing that was weird for me was one of mine went into the rejected pile (received rejected email too) and now it's back to under review. I had another program email me for scores/CV and then heard nothing from them since.

 

[LaceyMD]

Is VSAS doing funky things to the rest of y'all? I was contacted directly by a program for an acceptance offer due to VSAS not working well.

VSAS has been acting weird all application season for me. I had several programs reach out to me for documents that I'd already submitted through VSAS because they were unable to access them in the system, and I got a rejection email from a program addressed to another student. Seems that there were lots of issues with the conversion to VSLO that are still being worked through, unfortunately.

 

[filhodeinferno]

Which Henry Ford? Detroit or Wyandotte?

Sounds like Detroit.

 

[Dr Turkelton]

Any thoughts on maryland?

 

[tarsuc]

For next year.
What happens if you get a rotation way before ERAS opens? Where do the department you do the rotation at, send the SLOE? Do they keep it with them, and upload it when you remind them to, later that year, after eras opens?

 

[LChristmas]

For next year.
What happens if you get a rotation way before ERAS opens? Where do the department you do the rotation at, send the SLOE? Do they keep it with them, and upload it when you remind them to, later that year, after eras opens?

They send it in like any other LoR for ERAS. You give them a letter request form, and they upload the SLOE. For the 2019 match, we've been able to upload letters since the start of 3rd year.

 

[mymembernames]

Any recent thoughts on UofArizona?

 

[Tambourine]

Anyone with input that rotated at U Buffalo?

 

[Apollyon]

Anyone with input that rotated at U Buffalo?

2001?

Nothing current, for me, though! Sorry.

 

[surely]

Posted anonymously via SDN Away Rotation Review Google Form

Alameda Health System - Highland Hospital

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: None
Interview offered during rotation: The rotation is the interview. No formal sit-down with the PD.
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Overall a really great experience. The attendings and residents are really top notch at Highland. The residents get along and are all nice, eager to teach, and genuinely seem to be happy. There are great attendings who go out of your way to teach and give feedback, and then a couple who are so-so but I'm guessing you will find these everywhere. For me, the so-so attendings were certainly brilliant, but had no interest in teaching medical students and basically tried to avoid them at all costs (which is tough in a 1-2 attending ED). Procedures are totally up for grabs here and they are happy to teach and let you take the reigns; I was able to get in lacs, I&Ds, paracenteses, nerve blocks, and set some trauma fractures. You work 17, 8-hour shifts (one is an EMS ride along). Each Wednesday there is didactic conference for the residents that you attend all morning. This consists of large lectures, small groups, and case presentations. Thursday afternoons have Student Conference time where just the med students have lectures. Lastly during each shift they have "GI rounds" where they call for all physicians to meet in the team room and everyone eats a meal (hence the GI) and one of the attendings runs through cool cases. At the end of the month there is an extremely low stakes presentation on the topic of your choosing (seems to be a done/not done situation). Notably, this month is your interview, so you will not be invited back to interview later. There isn't a sit down interview at any point, they just consider your 17 shifts to be your interview.

 

[surely]

Posted anonymously via SDN Away Rotation Review Google Form

University of Arizona

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: SAEM exam
Interview offered during rotation: Yes
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Rotation - So there's 2 different rotations, a classic AI and an EM/Crit Care rotation. The away rotation students were split between the 2. EM/CC students work with the senior residents and do a week in the ICU and AI students work with the attendings. It's kind of weird why they split it up and I don't think any of knew we weren't all doing the same rotation before orientation, but everyone gets a SLOE regardless.
Didactics - all the lectures and simulations are front loaded in the 1st 2 or 3 days during orientation, some of them are good, some are blah. There are also conferences on Tuesdays, which are optional for students.

Faculty - They have a large teaching faculty and everyone is excellent, with maybe one or two exceptions. Most of them genuinely love to teach and will take plenty of time to teach you procedures. Also, most of them will go out with the residents to bars or parties. They all seem like really fun people.

Residents - Some of my favorite people I've ever met. They have your back as a student and help you to get procedures and see all the cool stuff. Also, they kick it really damn hard, I was honestly impressed. If you like to climb or ride mountain bikes, you'll make plenty of friends in a hurry.

Shifts - 14 shifts split between Peds, Main campus, and South campus, with one US shift. You can do more Peds shifts if you're interested in the Peds/EM program.

Responsibilities - You're basically the intern on the AI, except you can't put in orders. This can get frustrating because very few of the attendings know how to actually put in orders anymore. But otherwise, you have your own pager/phone and all the nurses/consults will call you when they need something. If you take ownership of your patients, you'll have a good rotation.

Tucson - There's way more to do here than I expected. Tons of hiking, climbing, biking, cool bars, a vibrant restaurant scene (so many amazing tacos), and there's always people down to hang out. The heat isn't as bad I thought it'd be either. Really enjoyed my time there.

Interviews - You get to interview at the Main campus and South campus while you're there, which is a huge perk to have 2 interviews in the bag before the season even starts. You can also interview at the Peds/EM program if you're interested in that.

 

[Biza]

I had great experiences at Lehigh Valley, Conemaugh, Mt Sinai Miami and Grand Strand. All were hands on, great simulation, high acuity patients, and decent time to interact with the attendings.

 

[surely]

Posted anonymously via SDN Away Rotation Review Google Form

Los Angeles County - Harbor/UCLA Medical Center

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: None
Interview offered during rotation: Yes
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Amazing faculty, residents, everything. Could not recommend more.

 

[MedicineZ0Z]

Hi, what are a couple or few places that allow students to do any invasive procedure they like and create an encouraging environment for it? (intubating a crashing patient, central lines, chest tubes)
Thanks.

 

[Zebra Hunter]

Hi, what are a couple or few places that allow students to do any invasive procedure they like and create an encouraging environment for it? (intubating a crashing patient, central lines, chest tubes)
Thanks.

From what I remember from my aways and what my friends told me about their programs Temple, TX program lets you do a lot, LSU Baton Rouge my buddy told me they let their med students do most procedures as long as they demonstrated the knowledge of how to do it, the Corpus Christi program supposedly let my buddy intubate multiple times on his away.

 

[MedicineZ0Z]

From what I remember from my aways and what my friends told me about their programs Temple, TX program lets you do a lot, LSU Baton Rouge my buddy told me they let their med students do most procedures as long as they demonstrated the knowledge of how to do it, the Corpus Christi program supposedly let my buddy intubate multiple times on his away.

Good to know, thanks!! Corpus Christi I was really interested in for sure. Did you get any insight into what Temple lets you do (ex. as far as chest tubes)?

edit: on a similar note, wondering also about any anesthesia rotations where intubation volume is very high for away students ?

 

[surely]

Posted by @Mr.Mine via SDN Away Rotation Review Google Form

Henry Ford Macomb Hospital

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: None
Interview offered during rotation: No, but interview is guaranteed to rotators
Would you recommend this rotation to others: No

Comments on rotation experience:

So someone review this last year and i had a very similar experience.
For this rotation you are paired each shift with one resident (a pgy 2, 3 or 4). You are also required to do 1 shift with a nurse, and one with a PA on the urgent care side of the ER. Most residents used you like an assistant to hook patients up to the monitor, get them blankets or water. You will be expected to remember the whole story of the patient because later you will be the one to put it into EMR (so you're also a scribe). Depending on the resident you might get lucky and actually see a patient and present to them. Most of the time they will use the line "lets go see this one together" and it basically is the end of any hope of you doing anything useful besides being a glorified scribe/servent. I had 4 shifts with one resident in particular that i basically just followed them around like a duckling, didn't do much.

For a community hospital that boosts about being part of the henry ford system they dont really do much. Its a trauma II but really acts like a trauma III, you barely saw any real trauma besides fall from standing. Theres 2 ultrasound machines, very underutilized, and pretty broken down. They have 3 tiny trauma bays. Tons of strokes in this hospital because there is many Nursing/assisted living homes near by. When it comes to flow, this place was a dud. I doubt its 69k visits as their website claims, it was much slower while i was there. There was always a ton of residents on, but barely any patients. We were lucky if we had more than 2 patients per student/resident combo ( on the critical care side). The acute care side was a little bit better but not by much. The fact that it was so slow, i got to know the residents decently well. The residents as a whole were pretty friendly, lively bunch always talking and had sibling like relations, so a good atmosphere to say the least. When it comes to attending it was very hit or miss, some were great and would talk to you, some basically ignored you even if you initiated conversation. As a whole, the attending were very CT/pointless labs trigger happy, i mean their threshold was very low. They had a whole orderset for every body part complaint, they practice "defensive Medicine". Even a few the residents i spoke to acknowledge this problem and said its recent issue, so maybe someone got sued recently ???

Everyone know ER is critizied pretty hard but here theres some beef they have with OB and all the attendings do is complain about it. Didactics are actually legit. Overall I don't feel I learned much during this rotation and since you only saw the patients your resident saw, it was pretty hard to show what you know.

 

[surely]

Posted anonymously via SDN Away Rotation Review Google Form

University of Massachusetts

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: NBME Exam
Interview offered during rotation: Yes
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Faculty were pretty friendly, and I was allowed to take a large amount of ownership over my patients. I was essentially treated as a intern for the most part. Didn't get really any procedures, mostly because the opportunity didn't present itself, but I also got the impression that students aren't trusted with procedures as much as my home institution. Boarding often made it difficult for students to see new patients. Had dinner with the residents, which was a really good experience, as well as wine night with the residents and attendings.

 

[tarsuc]

any reviews about Vanderbilt? Surprisingly none in this thread?

 

[surely]

Posted anonymously via SDN Away Rotation Review Google Form

New York Presbyterian Brooklyn Methodist Hospital

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: SAEM Exam
Interview offered during rotation: No, but interview is guaranteed to rotators
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Residents and Attending are incredibly nice and often like to teach. Clerkship director available in a timely manner for any concerns.

 

[surely]

Posted anonymously via SDN Away Rotation Review Google Form

Mount Sinai Medical Center of Florida

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: Department written exam
Interview offered during rotation: No, but interview is guaranteed to rotators
Would you recommend this rotation to others: Yes

Comments on rotation experience:

10-12 shifts for the month + 1 ultrasound shift and 1 was at the free-standing ED. Optional EMS shift which I recommend. Miami Beach Fire is apparently famous. All shifts were 8 hours for students.

Dr. Edwards recently replaced Dr. Boge as the APD so we had much more interaction with Dr. Edwards who is super chill. Dr. Dalley (PD) is easily one of the nicest, most sincere people I have ever met. You can tell he truly cares about the residents and even the students. I worked with him 2-3 times and he somehow always knew me by name and took extra time to teach. And to be honest, most of the attendings did the same.

You work directly with either a 2nd or 3rd year and present patients to them but they try to get you in front of the PD/APD as much as possible. All of the residents are very good at what they do and super chill as well. I would say that the vibe is pretty academic bc there were rounds twice every day and both the residents/attendings were pretty serious about pimping you throughout the shift. Sounds stressful but I learned so much this month from it.

Didactics are once every week with 1 hour just for med students which were actually super helpful and not that basic airway **** every other place does. Didactics were fun and interactive. They are huge on Ultrasound. I went into this rotation with little to no US experience and left feeling very comfortable with just about every basic exam. They have a SIM lab where we did SIM encounters as well as procedure skills.

On shift, the residents are great about giving procedures to med students. I did a ton of suturing, joint drains and peripheral vein access with ultrasound. I also reduced 3 dislocated joints and did 1 central line. This is a busy ED that sees some really sick patients. There is a fast track where NPs/PAs see the less acute stuff so residents aren't bothered with it. It will absolutely help if you speak Spanish but I don't and was just fine. You also see a lot of international(European, South American) patients due to the location. I had never been to Miami Beach so my time off was a lot of fun. So much incredible food.

Overall, I went into this rotation with pretty low expectations and left very impressed. Everyone is really excited about the new ED they are building which should be done by early 2019.

 

[surely]

Posted anonymously via SDN Away Rotation Review Google Form

New York University School of Medicine

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: None
Interview offered during rotation: Yes
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Very academic, with daily morning report in which students were expected to attend. The faculty and residents are good at teaching, and you will definitely learn a lot. 14 shifts/month, you are the Sub-I and present directly to the attending. In New York you need to know how to put in IVs and be ok with transporting your patients to imaging and doing some of their lab work. Manhattan has very little trauma, and I only saw a couple intubations. The patient population is very diverse and there is great pathology. Would recommend.

 

[surely]

Posted by @FreeTrial via SDN Away Rotation Review Google Form

Baystate (UMMS)

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: None
Interview offered during rotation: Yes
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Overall great rotation. Majority of faculty and residents are motivated to teach medical students and actively sought me out for procedures and interesting patients. We had multiple lectures about applying to residency, which was very helpful considering they have multiple faculty involved with CORD and knowledgeable about the application process. Scheduling is very fair, with ~14 shifts all at the same ED and 1 EMS ride along. Student housing available for $200/month.

 

[surely]

Posted anonymously via SDN Away Rotation Review Google Form

Texas A&M College of Medicine - Scott and White

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: NBME Exam
Interview offered during rotation: No, and interview is not guaranteed to rotators
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Amazing rotation. It's a lot of hard work but you are expected to act like a true intern and are given a lot of autonomy. I also learned A LOT because it is so well set up in terms of curriculum and sim

 

[surely]

Posted anonymously via SDN Away Rotation Review Google Form

Christus Health

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: In-house exam
Interview offered during rotation: No, and interview is not guaranteed to rotators
Would you recommend this rotation to others: Yes

Comments on rotation experience:

12 shifts, EMS shift, procedure log, patient presentation log, powerpoint presentation. Faculty and residents are nice and happy to teach. Many procedures to go around. Definitely a hidden gem that is worth a look. All-around a great rotation. Brand new hospital opening in 2019.