Which is best to start with?

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MJUST

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Hello everybody!
Next month, we will begin our clinical rotations and we will be separated into 3 groups, one starts with internal medicine, one with surgery and one with pediatrics.
Which do you think is the best to start with?
Thanks! 🙂
 
Whichever you are sure you don't want to do.

Bingo. I had no interest in surgery, did it first, hated most of it, and now won't have to worry about it anymore. Also, everything by comparison will be better.
 
Hello everybody!
Next month, we will begin our clinical rotations and we will be separated into 3 groups, one starts with internal medicine, one with surgery and one with pediatrics.
Which do you think is the best to start with?
Thanks! 🙂

I'd do IM/Peds first. Then surgery and the other of the two you didn't like last.
 
Echo whichever one you want to do least first.

I'd recommend IM first if you can stand it (or not surgery first).

With every resident just starting out their new year, you're going to have a lot of fresh chief residents who are going to need all their cases, so you may get to do nothing substantial in surgery as a first rotation.

IM first is going to have a fresh senior who is going to be horribly inefficient, but it'll give you the best opportunity to help out and get noticed by the person who will have an input into your grade (your senior resident/attending).
 
I would do peds first. Can't stand other parents, filthy, germy, boogery, crying little kids. Ugh. Of course I have to deal in FP - but not all day every day. Worse thing is medicaid kids and the parents with a $200 cell phone, tattoos, and a coach bag wanting an Rx for children's tylenol because they "can't afford it". Really???
 
I would do peds first. Can't stand other parents, filthy, germy, boogery, crying little kids. Ugh. Of course I have to deal in FP - but not all day every day. Worse thing is medicaid kids and the parents with a $200 cell phone, tattoos, and a coach bag wanting an Rx for children's tylenol because they "can't afford it". Really???

Peds is actually a pretty good rotation to do first; the kids aren't quite as sick compared to those in the winter time, so there's low volume on the wards. Most of clinic is kids coming in for well-child checks right before school starts, meaning you'll get a lot of practice with taking a history, learning normals, and presenting patients. You get to see a wide range of pathologies, and you can focus on learning about them because there aren't 40 kids in the hospital with diarrhea/vomiting (yet).

I really enjoyed peds, and the parents weren't too bad. The kids were also good patients since most of them were healthy. Start with peds!
 
Hello everybody!
Next month, we will begin our clinical rotations and we will be separated into 3 groups, one starts with internal medicine, one with surgery and one with pediatrics.
Which do you think is the best to start with?
Thanks! 🙂
don't start with family. I did and I am regretting it because my school requires us to take the shelf right after the rotation. Since family is a mix of everything its generally considered to be a mini step 2. Many people think that its easier after you've finished IM, obgyn, peds ect. So consider taking it last.
 
Despite being a fresh intern, I tried to get med students involved during my inpatient months. Then again, the student joined near the end of my first month, so by then I wasn't in the "WTFdoidoOMG" mentality and instead could actually practice presenting and show the student a few things. I do make sure to send the student to either study or do something helpful when I have nothing to do but floorwork...cause following around and watching would be boring.
 
I would do peds first. Can't stand other parents, filthy, germy, boogery, crying little kids. Ugh. Of course I have to deal in FP - but not all day every day. Worse thing is medicaid kids and the parents with a $200 cell phone, tattoos, and a coach bag wanting an Rx for children's tylenol because they "can't afford it". Really???

Agreed about the irresponsible thing. But I'm sure you'd agree that getting an Rx for OTC's is smart, especially if you have an HSA/FSA.
 
The only thing I've heard is to do medicine before surgery if you want to do better on the surgery shelf, but honestly I agree with everyone else- start with what you want to do least!!
 
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