Worst Intern Year?

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anestheticman said:
What is worse a medicine program that sucks with q2 call or a surgery prelim?
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I wouldnt do either. The medicine program is already admitting that you are going to break the work hour rules and the surgery program will do it but make you lie about it.

Find a better prelim year.
 
I'm a TY, and I've done a bit of both medicine and surgery this year. I have totally surprised myself and actually preferred my surgery months to medicine. The rounding is faster, the notes are less painful, the work is more straight forward and you get more procedures. I get more sleep on call during my surgery months, and I'm usually home by 8 or 9 am post-call(nearly unheard of on medicine).

Another factor to look at is how many call-free months each program offers you (outpatient, electives). Those rotations are priceless.
 
Yeah, I have more research to do this weekend.

I liked my surgery clerkship.

I know TY is the best... but I think the medicine programs I have a good chance of getting are miserable.

Anyone know decent surgery prelims in NYC with housing that I could scramble into?
 
you guys are lucky

i remember my intern year where q3 call was like a vacation month compared to the multiple months that ended up being more q2 based on lopsided call schedules - and frequently worked 100-115 hours/week.

it figures that right after my year they instituted the 80 hour work week...
 
kidhaole said:
preferred my surgery months to medicine. The rounding is faster, the notes are less painful, the work is more straight forward and you get more procedures. I get more sleep on call during my surgery months, and I'm usually home by 8 or 9 am post-call(nearly unheard of on medicine).
Click to expand...

👍

i'm doing a surgery prelim now, and it is definitely much easier than i could have ever imagined. sure, the first 2-3 months were definitely in the 90-100 hour a week range, because we were all so inefficient. the days were 6am-7pm. but now, we are routinely signing out to the on-call person at 3pm, and we send the pre-call intern home around noon. with 6 calls a month, i'm only working 60-70 hours a week. and i'm usually at home asleep in my own bed by 8am post-call, and i usually get 3-4 hours of shut eye on call. and the procedural experiece is awesome - i've put in around 30 central lines this year, and logged around 50 cases.

comparing that to the medicine prelims at my hospital: they have 16 call free weeks (4 of them are their vacation, divided up) - we only have 4, our vacation. but when they are on call, which is q4 for them, they don't leave until at least 1pm, usually it is 2 or 3 before they head for the door. i sometimes leave on a regular day before the medicine post-call interns. they are up all night in the ER with dealing with patients with CP, SOB, syncope, etc. etc. if i get two ER admissions after 8pm, it's a bad night. not to mention that i can do a quick h&p, call my attending, and write orders on a standard SBO or cholecystitis in less than 30 min. and if it's an appy or a cold foot, even better... i get to go the OR in the middle of the night.

they are probably learning more relevant stuff than i am - working up typical cardiology/pulmonary patients is a great benefit to a future in anesthesiology that i am not getting. but given the above, i'm very pleased with my decision. there are several medicine prelims at my hospital that are going into anesthesia, and most have mentioned to me that they wished they would have done surgery instead.

i know my program is probably an exception to the rule, but in summary, don't assume that a surgery prelim is going to be worse than a medicine prelim, because that is definitely not always the case.
 
anestheticman said:
What is worse a medicine program that sucks with q2 call or a surgery prelim?
Click to expand...


I have heard of Q4-Q10 but I have never heard of Q2. Under served area? Is the hospital on the far side of the moon? Is it only manned by two residents?:laugh::laugh:
 
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