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2 | Timestamp | Program Name | Type of Elective | SLOE Experience | Required exam? | Interview offered during rotation? | Would you recommend this rotation to others? | Comments on Rotation Experience | Username | The space below is freely editable - Make comments and ask questions here! | |||||
3 | 2:23:13 PM | *** Can't find a program? Pick this option and specify the missing program in your comments so I can add it. *** | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | No | Florida State University Sarasota: This is a new program. Eventually, the program will be great; but you cannot trust any of the faculty. I did an audition here and was blindsided by a bad SLOE. One of the main preceptors is very unprofessional. He spent more time watching football on the computer or talking about his fantasy football than seeing patients after consistently arriving late (after shift start time not just the recommended 15 minutes before shift start). He also expects you know everything he knows, which negates the need for an EM residency. Also, everyone will smile and tell you that you are doing great--then destroy you on a SLOE. There was very limited opportunity for procedures of any kind. You will not receive any kind of constructive criticism or advise on how to improve any shortcomings. This program is looking for pedigree overfit. The patient population is largely geriatric. The best thing about the rotation is the food (Boar's Head sponsored). | |||||||
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6 | 6:30:07 PM | AZ - Maricopa Medical Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | No, but interview is guaranteed to rotators | Yes | Loved it. Shift schedule wasn't overwhelming (14 I believe), and the shifts themselves were great. Med students are really incorporated into the learning here: at 3pm everyday a low-stress tiny teaching point was presented by a med student which the residents are all into, had a small final presentation on an interesting new topic in EM (session was actually helpful/fun), excellent med-student focused didactics including sim. Good mix of cases including lots of zebras. Diverse patient population. EMS shift was fun (we actually did a mountain rescue! these are common in the summer). The residents are super chill and treated the subIs like real members of the team. Phoenix is underrated, and has lots of food, music, and outdoor activities at a reasonable price, if you can handle the heat. | |||||||
7 | 6:50:21 PM | AZ - University of Arizona | EM Clerkship/Sub-Internship | Sent SLOE considerably late | NBME exam | Yes | Yes | I really enjoyed my time here. Everyone was friendly, great to work with, and seemed to genuinely love working with each other too. I did the EM/Crit Care rotation (not sub-i), which consisted of 12 nine-hour ED shifts (5 at Main campus, 5 at South campus, 2 Peds ED) + 5 ICU shifts. Their Main campus is a Level 1 and an academic center, while their South campus is more of a community hospital, so you'll get a good mix of trauma, medically complex, underserved, and bread and butter EM during the whole rotation. I was paired with a PGY3, given autonomy to see my own patients, wrote 1-2 notes/shift with feedback, and was usually given the first shot at procedures. Both residents and attendings enjoyed teaching and even those I wasn't assigned to work with would pull me aside if anything cool came in. For the ICU week, you can do MICU at main or south campus or PICU and it can be a busy, tiring time (2 ED evening shifts + 5 ICU days). The idea is to follow your ED patient into the ICU, which was a pretty neat experience. It was nice to see how well EM residents were treated off-service. Also, you can interview for any of their programs (Main, South, Peds/EM) during your rotation. For their Main campus program, you have to set up your own faculty interviews, which were laid-back. For their South campus program, they set aside an interview day, which was more of a traditional interview experience. Not sure about Peds/EM since I didn't do that one. I think this was a great experience as my first 4th year EM rotation because I worked mostly with residents, who helped me hone my presentation skills. I'd recommend the sub-i rotation if you've already done a 4th year EM rotation because you'd work directly with attendings and not have to do 1 week of ICU. Grading is 50% evals, 25% NBME, and 25% ICU workbook. SLOE was sent about 1 month after the end of the rotation. Also, Tucson is a nice city with a small town feel to it, good food, decent hiking up Mt. Lemmon, and isn't as hot as Phoenix. | |||||||
8 | 1:10:58 AM | CA - Los Angeles County-Harbor-UCLA Medical Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | Amazing faculty, residents, everything. Could not recommend more. | |||||||
9 | 3:06:07 PM | CA - Los Angeles County-Harbor-UCLA Medical Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | 13-14 shifts for the month (they give you the master schedule during orientation and let you schedule your own shifts), 1 required nursing shift, 1 required EMS ride along (awesome experience), and weekly conference is mandatory for Sub-I's. Overall, an AMAZING rotation. Everyone at Harbor was friendly and I felt like I was an integral part of the team as a sub-i. Harbor is unique in that they have 1 hour of protected time at the beginning and end fo every shift for "teaching rounds" where the oncoming and off-going team do hand-off in a separate, private room and the senior resident/attending teach - very cool. Dr. Pedigo, the clerkship director, is amazing, he will meet with you roughly halfway through the rotation and provide you with feedback regarding your performance as well as his thoughts on your overall application/competitiveness. His transparency is such a breath of fresh air, he will verbatim read you your shift evaluation cards and tell you how they would potentially align with you overall course grade/SLOE. The EMS ride along was dope. The patient population is very sick and very grateful that you are providing them care. There is no lack of crazy traumas, the proximity of Harbor to south central makes for some wtf type trauma presentations. If you want this away rotation make sure you submit your application on VSAS promptly when it opens as I was told this is very important at this institution. | |||||||
10 | 10:35:31 AM | CA - Los Angeles County-Harbor-UCLA Medical Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | This was my favorite away rotation! You work roughly 11-12 ED shifts (some Peds), 1 RN shift, and 1 EMS ride-along. In addition there is usually a cadaver lab in the beginning where students can practice doing common and uncommon ED procedures. Shifts are around 10 hours with teaching rounds bookended at the beginning and end. This is time to do sign out and also get in a few teaching points from interesting patients that day. I thought this was a totally reasonable schedule. The culture here for sub-Is is that you are part of the team. I was really impressed with how thoughtful and down-to-earth many of the residents and faculty were, I felt included and that I wasn't in the way. 90% of the time you will first present to your senior resident and then the attending, you take ownership of the patient and write the main note that is then co-signed by the resident. The majority of attendings were interested in me and wanted to teach. The nurses were also very friendly and easy to work with. Didactics got the job done. They do resident shout-outs (anyone can submit these) during conference which I thought was a nice way to support each other. Depending on when you are here, you may get to go to ALL LA which is a joint conference between the 3 LA EM programs. Finally, they ask you to hand out small printed notecards to residents and attendings after every shift to be evaluated and get feedback. These are then dropped off into an eval box. I thought this was BRILLIANT because people would fill them out right away, and this allowed for you to get a substantial amount of real feedback midway through the rotation. I think what really made this rotation was the clerkship team. Jeanne, the coordinator, will go above and beyond to get you what you need. Dr. Pedigo, the clerkship director, makes himself available to help you with your application and gives you a very realistic run down of how you are doing at the halfway point. He is as transparent as he can be about where you stand and I really appreciated his approach in the midst of what can be a very mysterious process in terms of SLOEs. I felt very taken care of here, and not just another away rotater. | |||||||
11 | 1:44:17 PM | CA - UCLA Medical Center/Olive View | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | Rotated here because it was convenient and ended up being blown away by the program, currently my top choice. Offers 3 or 4 week rotations with 11 shifts/3 weeks or 15 shifts /4 weeks--spilt roughly even between RR and OV. Required conference days and an additional weekly afternoon session for students. Also requires a brief, very low pressure presentation. Dr. Begaz is very forthcoming with where you stand throughout the rotation and goes to great effort to be a student advocate--separating himself from the actual residency selection process. A vibrant residency with diverse clinical exposures, approachable faculty, very strong conference. Highly recommend this rotation. | |||||||
12 | 9:16:36 AM | CA - University of California (San Francisco)/ Fresno | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | It was hectic and slightly confusing as to what your role was at first, but everyone was very helpful, the pathology was amazing, and everyone loved to teach. Also the SLOE was in within 7 days, CRAZY FAST. | AnonymousPlatypus | ||||||
13 | 2:23:53 PM | CA - University of Southern California/LAC + USC Medical Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | Institutional | Yes but I think not in the early months (rotated in October) | Yes | Have to work 120 clinical hours during the month, mostly 12s with occasional 8s. Split shifts between Resus, North (bread and butter), Peds, Fast Track, and Jail. You are assigned to an R3 and an R4 for two weeks each, two weeks of nights and two weeks of days. I was there during ACEP and had to pick up and switch a handful of shifts so I ended up working with 5 different residents. They were all super great, really knowledgeable, taught on shift, and were eager to get me procedures whenever possible. Jail shifts are optional but would HIGHLY recommend them, as the patient population and the pathology are fairly unique. These were by far my favorite shifts. Some residents will have you present to faculty and a lot of the faculty are enthusiastic teachers and give great and useful feedback. Didactics are great, mixture of resident, faculty, and visiting lectures with a procedure day usually once a month. There is a huge Spanish-speaking population so either get good at it or be ready to use the phone a lot or make friends with the nurses and medics (like probably half my patients). Patient population is amazing, super grateful for the care they receive. They also assign you an advisor that you work a shift with and host an advising BBQ with the PD, APDs, and clerkship director with residents to answer any questions. They truly want you to be successful and will answer any question that you have. This was a super great rotation. | |||||||
14 | 5:57:46 PM | CO - Denver Health Medical Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes | Yes | Fun rotation, impressed daily by the knowledge of the residents. They were all very invested in teaching. Probably the best rotation of my med school experience. | |||||||
15 | 9:06:55 PM | CO - Denver Health Medical Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes | Maybe; go there if you think it might be the residency for you. | ||||||||
16 | 12:05:37 PM | CT - Yale-New Haven Medical Center | EM Clerkship/Sub-Internship | Sent SLOE considerably late | None | No, and interview is not guaranteed to rotators | No | Fairly well organized rotation. 15-16 shifts that are 8-9 hours, two tape sessions, weekly didactic for 5 hours, and two simulation mornings. You are scheduled in either the A or B side. A being more acute and managing the resuscitation rooms, while you run through more patients on the B side. You do not full autonomy at the rotation. You either report directly to the senior, both the senior/attending, or just the attending. You have access to Epic, but you do not write notes, input orders, or do the discharge. You will, of course, follow up on patients, usually perform the procedures and ultrasound, call consults, and arrange admission. The difficulty is that since you are not the primary medical provider, if the ED picks up pace, you are easily left behind and will not see very many patients on shift. The resuscitation rooms are either stroke, trauma, modified trauma, medical alert. You will usually watch and may occasionally do the FAST exam, but airway management is handled by the senior resident and consulting services arrive quickly. You will do some lac repairs and may help with chest tube or paracentesis. They started having a teaching resident that works 1:1 with you for about half of your shift. This allows more autonomy, but still is not a true subinternship relationship. With the education requirements and consistent shifts, you will not have too many days off. There was a time where I was doing something for 14 straight days. The residents and faculty are pretty nice, but a lot of interaction is dependent on your ability to initiate conversation. The SLOE can take up to one month to upload and you must send medhub evals to the attendings and residents of your choice. There is absolutely no written or exam component used on the SLOE. New Haven is bland and mainly geared towards undergraduate Yale Students. Try to have a car to explore other areas throughout Connecticut. Airbnb is expensive and many areas are considered 'unsafe' per Yaleem.org website advice. If you wish to walk to the hospital, it will be pricey. Overall, the lack of autonomy and the less than ideal engagement with faculty and residents made this rotation less than stellar in my opinion. The ultrasound experience was amazing and I highly recommend trying to do an ultrasound rotation here instead. Schedule earlier in the season if you need a SLOE before September 15th. | |||||||
17 | 10:27:01 AM | DC - Georgetown University Hospital/Washington Hospital Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes | Yes | Nice residents who definitely enjoyed eachother's company. Enjoyed working with most of the faculty, but did have one attending who was a huge pain to be with and I ended up with her on three separate shifts. Lots of 1-on-1 attending time. Decent didactics, very informal for the most part. Was told I would get an intubation if one came in during one of my shifts, but didn't get the chance. Otherwise, only did a few lac repairs and ultrasounds. Attendings are super into their SOAP format presentations that just jump into what you think we should do instead of giving too much background, which was difficult to adjust to at first, but is actually a much nicer way of doing things. Exam is SAEM. Grading is based on last year's students performance so you know what you need to do to get honors. | |||||||
18 | 12:19:21 PM | DE - Christiana Care Health Service | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | No, but interview is guaranteed to rotators | Yes | You do half of your shifts at Christiana and half at Wilmington. Christiana is more of the university style and wilmington is more county but at the end of every shift they were pretty similar to be honest.. the sub-i's are given lots of autonomy, and depending on the pod you're assigned to youre going to be seeing more trauma / critical patients or less acute (mixed w/ geriatrics, peds, and optho/ortho) but mid levels see all of the 4-5. Most patients I picked up were a triage 2. All residents were willing to let me do any procedures that I was comfortable doing, they expect you to be the main provider for the patient and to do all consults, orders, procedures applicable. The didactics are great, and they break up into classes to do small group so the discussion doesn't get over your head which i appreciated. Very easy work hours, 15 8 hour shifts ending on time. Mid rotation feedback told you generally how people are grading you (same system thats on the SLOE so you have a good idea of what type of SLOE you'll be getting if you continue performing the second half the same / motivation to improve if they aren't as great as you'd hoped). | |||||||
19 | 6:08:55 PM | FL - Mount Sinai Medical Center of Florida, Inc | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | Department written exam | No, but interview is guaranteed to rotators | Yes | 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 shit 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. | |||||||
20 | 2:19:22 PM | FL - Orlando Regional Medical Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | No, but interview is guaranteed to rotators | Yes | 15 shifts, 8 hours each. 10 adult, 5 peds. On adult shift you are paired with a "Teach resident" whose primary goal of the shift is to work with students. Typically it is you and another student, at times you will be solo student or paired with two others on a shift. Charts are picked up at will, you see patient on your own, present to teach resident, then to attending. Every resident was really nice and helpful, they will ask you questions they think the attending will ask and review/teach you on points. Teach residents will also get calls from everyone in ED if there is procedure for you to perform or interesting case. Most shifts the resident will ask what you want to learn or do for the shift. Patients? Procedures? US guided IVs? Anything goes. Peds shifts are a bit less structured as you work with Peds EM fellow or the senior resident which is typically a 2nd year. Didactic 2x weekly, Tuesday and Thursday morning 7-9:30 with a 30 minute student only lecture from 9:30 to 10. No required presentations or exams. | |||||||
21 | 3:36:55 PM | GA - Emory University | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Interview offered during rotation and they schedule a follow up phone call later on in the cycle | Yes | Required 13 shifts, one has to be an EMS ride along shift (12 hours technically but you can leave after 8 hours). They work 8 hour shifts (7-3, 3-11, 11-7). You are required to have a few at each of their three locations. Emory main campus is a tertiary center with a lot of weird pathology but not very sick patients, Emory midtown campus is community, and Grady is as county as county can get (their trauma center is crazy). You have access to EPIC at Grady and the peds hospitals (there are 2 different campuses to choose from), and cerner for midtown and main but not expected to write notes or put in orders. Expected to reach out and follow up with 2 patients (based on the honor system so they're not double checking), they have a checklist of cases and procedures they want you to do which is easy to get since most of your shifts will likely be at Grady. They assign you to a faculty member that you stick with for a few shifts and then you work with some of the rest of their 100+ faculty members otherwise. The faculty is great for the most part, they range from those who love to teach to those who want you to learn but aren't really passionate about education (those are mostly at Midtown). No one is malignant.The residents are very nice and will let you present to them first so they can help you refine your presentation and blow away the attending. Students carry their patient primarily and present and follow up throughout the shift, you'll see a few patients every shift. Procedural exposure will depend on the residents and attending and how comfortable they are and how busy they are. | |||||||
22 | 8:17:06 PM | GA - Medical College of Georgia | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | In-house multiple choice exam. | I got an interview invite through ERAS while I was rotating, but did not have the option to schedule an interview during my rotation. | x | This is for the CIVILIAN ROTATION. I do not know how the military rotation is set up. Shifts Coordinator was helpful with working out alternate dates for my rotation as the initial dates I was accepted for conflicted with a previous rotation. Coordinator makes your schedule for you, but is very flexible about moving shifts around if you need certain days/nights/weekends free. All shifts are at MCG/Augusta Health in Augusta, GA, including peds ED shifts. 14 shifts for the month, all are 9 hours with 1 hour at the end of the shift for housekeeping where you will not be picking up any more patients. You will work in both the high acuity Area A and lower acuity Area D, both of which cover trauma/resus rooms. You will also work some pediatric ED shifts as well. You will typically work with PGY2 or PGY3 residents, and depending on which attending is on you will either present to them directly, or to your resident first, then the attending. Overall, the shifts tend to be pretty busy, and the patient population skews somewhat to the poor/underserved with significant medical comorbidities. Trauma experience was a mix of blunt (MVCs) and penetrating (mostly GSWs), as the hospital is a major referral center for western Georgia and eastern South Carolina. On any given shift there were at least 1-2 level 1 traumas called. The patient population as a whole felt more like a county population rather than a university hospital population. The majority of the residents were really fun to work with, enjoyed having me there, and would typically let me do procedures if I was proactive about asking to do them. There is an onsite EMS fellowship and you have the option to schedule ridealongs with the EMS fellow if you choose. I did not do this due to time constraints. Didactics Sim session required for all rotators. Weekly required "academic half day" in the mornings on Wednesdays for all rotators and home students. Required quizzes each week (easy), based on D2L readings from the previous week. All students had the option, but were not required to attend resident lectures on Wednesday mornings. Depending on when you rotate, there may also be some extracurricular sessions like Tactical Day with the local SWAT team and stuff like that, since a lot of their residents went through the Military Match. Location Augusta is just a small southern city. It's 2 hours from Atlanta, which was nice for making weekend trips over there, and 2 hours from Charleston. I rented a car while I was there, since I stayed a little further than would be manageable to walk. Overall Impression I enjoyed this rotation quite a bit. I probably didn't take advantage of everything I could have while I was there since I had two months of EM rotations prior to this and was feeling a little burnt out by the middle of this rotation. | |||||||
23 | 3:00:35 PM | IL - Advocate Health Care (Advocate Christ Medical Center) | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes, but it is not guaranteed to rotators | Yes | This is a great place to do an audition rotation. As a student, you can see patients on your own and are empowered to do your own procedures (with appropriate back-up). You will have the opportunity to sew up lacs, drain abscesses, drop a-lines, place IO’s, do U/S-guided IV’s, and even intubate (& lots more)! This site is very much a “trial-by-fire” type of practice environment: there is no formalized graduated responsibility, and you will do everything from day 1. Thus, the med students on their audition rotations here are afforded a high degree of responsibility and autonomy. High volume of patients, so you will be challenged. ED is built for 50K, but gets 100K+ patients, so there are lots of hallway beds. It can get stressful, but it is super fun. The residents & faculty are awesome, super chill, and fun to work with. Lots of ancillary support staff, so not a low resource site by any means. I think we did 13 shifts/month, and you can add an EMS ride-along shift (I did) if you’re interested. Didactics were very cool, one was done on-site at a fire dept (played with their toys, put on suits, etc). There’s a case presentation & exam. Have a car, because it is a ~30m commute from the South Loop of Chicago (more if you live further north). | Champagne_Papi | ||||||
24 | 12:40:37 PM | IL - John H Stroger Hospital of Cook County | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | No, but interview is guaranteed to rotators | Yes | Fantastic faculty, learned more here than anywhere else. The residents are all really cool and some of the most capable I've seen. Almost full autonomy. 13 shifts only 8 hours each. Didactics are only 1-3 hours long mondays and you are dismissed from shift for the time if they overlap. Lots of free time to explore and have fun in Chicago. | |||||||
25 | 2:50:16 PM | IL - Presence Resurrection Medical Center | EM Clerkship/Sub-Internship | Sent SLOE considerably late | SAEM exam | No, and interview is not guaranteed to rotators | No | * I mainly rotated a Didactics: Weekly conference with the residents. Organized by one of the APDs. Rather unorganized and traditional lecture format. Did not feel to be high yield. Faculty: the faculty at Resurrection were Extremely hit or miss. Many attendings were passionate about having students, however you would often be assigned to work with attendings who were not willing or interested in teaching. We were tracked and evaluated based on how many patients we saw, however some attendings would be visibly annoyed when you went to present a patient to them, and we were only supposed to present directly to attendings. I will say the faculty at St. Francis, their trauma center, are excellent. Great teachers and very enthusiastic. Procedures: Lots of laceration repairs. I did not see a single intubation my entire month at the hospital, and only one central line. I got the impression that the acuity at resurrection was not very high. Shifts: 16 shifts per month. 14 at your main site and two crossover shifts. You either do a majority of your shifts at presence resurrection or st. Francis. Overall: I was not very impressed with this rotation at resurrection. The residents are great, friendly, and were great to work with. Unfortunately, I had a very bad experience with several core attendings who were not friendly, and not interested in teaching. There were a few excellent faculty, but I felt that it didn’t outweigh the profoundly negative experience I and the other rotators had. This was the only rotation where students were very loudly verbally dressed down by attendings in front of the entire ED staff. There was also very little on shift teaching, to the point I felt that it was difficult to learn. I’m not someone who needs a lot of teaching on shift and I enjoy autonomy, but I even received more on shift teaching from attendings at the true high acuity county programs I rotated at. The residents are also not afforded a lot of autonomy, and the attendings micromanaged even the third year residents. The residents were friendly and well-trained, but I didn’t get the vibe they were allowed to make many of their own decisions. I really enjoyed my shifts at St. Francis. The attendings are all different there and were much easier to work with. I would have loved this rotation had it been solely there. I would have accepted my interview offer had this been the primary site. | |||||||
26 | 6:54:19 PM | IL - Rush University Medical Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes | Yes | Pro's: Faculty here are young and energetic. Each have their personality, most were chill but some just sucked to be around (but that's expected at all programs). There was a decent amount of time for teaching on shift due to slow times within the department. Residents were welcoming and also willing to teach. PD was great, and the program is headed in the right direction. shifts are 8 hours and you do around 14 of them. Con's: No trauma seen whatsoever at the main hospital (Residents get their trauma exposure at cook and also at their community site). Sometimes things were a bit too slow in the ED, leading you to be unable to take your own patients and ended up shadowing residents. Procedures were scarce, but I'm sure it's made up for at their community site. Overall great rotation. The clerkship director was awesome and personable. I expect this program to be really strong in the next few years. | |||||||
27 | 5:15:29 PM | IL - University of Illinois College of Medicine at Chicago | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | In-House final exam (written in 2013, multiple choice) | Yes | Yes | I loved this rotation, but it depends on the site you get. I was at Illinois Masonic, much smaller than expected but great medical student coordinator and great faculty. Lots of bread and butter type EM. My only comment is they are no longer taking students that aren't on schedule with them which sucks because that may limit how many can actually rotate there. | |||||||
28 | 8:52:14 PM | IL - University of Illinois College of Medicine at Chicago | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes | Yes | There are 4 locations. Didactic- Once weekly with 2 SIM labs Faculty- at UIH, they are on average very good. Residents- awesome procedures- most will go to the residents. Was able to do a few, including lacs and one arhtrocentesis #shifts: I think 12 8-hour shifts, 2-3 night shifts Involvement/responsibilites- treated like a resident | |||||||
29 | 9:22:07 PM | IL - University of Illinois College of Medicine at Peoria | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes | Yes | Rotation was pretty well organized and stress-free. Worked about 14-16 shifts, one being an EMS ride-along. All are about 8 hours. Did not have to write notes... just picked up patients and presented to either of two attendings in your pod. The ED here is extremely well organized and is one of the nicest I've seen. The attendings may be hit or miss but most are more than willing to answer any questions you have and teach on the side. The Clerkship director is literally the coolest doc I've ever met and is just an all round awesome guy. We got to do some great SIM stuff in their amazing Sim center too. Oh, and btw... UNLIMITED FREE FOOD for the month that you're there... literally did not go grocery shopping or buy food after I found that out. COL cheap (can easily rent a place for a month for $500) and all in all a solid rotation if you wanna experience community EM. NOTE: Trauma is completely separate and you will not see any on your rotation (unless you specifically ask to). | |||||||
30 | 1:50:32 PM | LA - Louisiana State University (New Orleans) | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Not sure if guaranteed but I was offered one after I rotated. | Yes | Phenomenal experience. Awesome faculty. Beautiful facilities. I chose this rotation for two reasons: 1. I love NOLA 2. I wanted to see what four years have to offer. The city itself was amazing, which I already knew, but was even better for the trauma experience. I came from a mid-city blunt trauma program and here there was a lot of penetrating trauma. Great for a med student to see. The didactics and SIM were pretty solid and I really like that they paired you with NOLA EMS to ride around. Seeing it as a first responder was really worthwhile. The residents were overall meh which was really unfortunate. It was probably a 50/50 split between phenomenal and awful. Two residents in particular stood out. Both fifth year residents doing combined programs. Really taught me a lot and made me feel as if I was getting the intern experience. To counteract that the second years were just awful. The attending would give me a procedure (a simple I&D) and as soon as he left the resident went in and did it himself. He was just a real gunner who made it seem as if he was really busy and important the whole time when in reality he was just a turd. The other second years I worked with just pretty much gave me busy work and didn't really teach me anything. I loved the program overall and the clerkship director and faculty I worked with really were great teachers. Nobody could give me a good reason to do a four year program knowing I want to do a fellowship. A chief EM resident told me "If you just do peds electives and then pick up a couple extra shifts then you get the same amount of training as a fellowship." He didn't like when I explained that made no sense. Why not do the extra year (4yr program vs 3year with 2yr fellow) and get the extra qualification, while still making a little extra attending pay, and not having to pick up extra shifts. Either way, I would definitely recommend them for an away just purely based on the faculty, location, and educational exposure. Sent a solid SLOE for me. I declined the interview which made me sad but would definitely redo the away again in a heart beat. | |||||||
31 | 4:30:27 PM | LA - Louisiana State University (Shreveport) | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | No; I received an interview but not sure if they're guaranteed | Yes | Pathology, Pathology, Pathology. My rotation at Shreveport was eyeopening and an excellent experience as a student. Their patient population is definitely the sickest I've seen overall. A lot of poverty, drug use, and violence in the area lends itself to an exception EM experience. We had several student only hands-on workshops(LP, intubation, chest tubes, etc.)/didactics, which were very useful. You work with a resident each shift who fills out an evaluation for you. These are used to write your SLOE. The residents are a fun, welcoming, and laidback group. Some let you take it easy, some pushed you to see patients more independently, write notes, etc. They will cherry pick patients for you to present to attends, so you get some face time. Most of the attendings were welcoming and willing to teach. The upper level residents work directly beside the attendings. One downside is you do not have a computer login, so it's hard to track/follow up on patients. We worked 15 8-hour shifts with one of those being a ride along where we reported on scene for a shooting. Shreveport is a little rough, but the educational experience is worth it. | |||||||
32 | 8:56:29 PM | MA - UMMS-Baystate | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | 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 knowledgable 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. | FreeTrial | ||||||
33 | 3:42:55 AM | MA - University of Massachusetts | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | NBME exam | Yes | Yes | 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. | |||||||
34 | 3:06:04 PM | MI - Detroit Medical Center/Wayne State University (Detroit Receiving Hospital) | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | In-house exam | Yes | Yes | Awesome spot for an away rotation. Lots of autonomy & responsibility as a student. You go to all of the codes for your “mod” (team) & can go to all codes in general if you like. Do a lot of procedures and see a lot of patients! The volume & opportunity to get hands-on are all there. Lacs, I&D’s, U/S-guided IV’s, ABG’s, a-lines, IOs—did it all! In-house exam at the end. Trial-by-fire training, do everything from day 1, residents are awesome and fun to work with, attendings are super chill too. Didactics were great, they did an intern who-am-I ppt for one. Also, had a nursing shift (awesome!!) to practice putting in IV’s and such. There is truly ample opportunity to learn, do, and grow as a student here. All in all, great rotation. | Champagne_Papi | ||||||
35 | 7:37:50 PM | MI - Henry Ford Macomb Hospital | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | No, but interview is guaranteed to rotators | No | 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. | Mr.Mine | ||||||
36 | 3:08:58 PM | MI - St. John Hospital and Medical Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | Wayne State Exam | No, and interview is not guaranteed to rotators | Yes | St. John was an awesome rotation. It is a very unique hospital that sits on the Eastside of Detroit and affluent Grosse Pointe. It is one of the busiest ED's in the State of Michigan, so you will see a lot of patients with diverse/unique backgrounds. This ED is very hands-on. I was given an opportunity to do multiple laceration repairs, put in two central lines, and even intubate a patient with supervision. Most of the attendings and residents are very nice, and willing to teach. The shift schedule consists of 14-15 shifts, with a good mix of days, nights, and weekends. I like the fact that they have large rooms for each patient, and also liked that the medical staff sits with the nursing staff because it made for effective communication. | |||||||
37 | 10:32:39 PM | MI - Western Michigan University Homer Stryker MD School of Medicine | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | NBME exam | No, but interview is guaranteed to rotators | Yes | Very busy rotation where you work under an attending, NOT a resident, and truly work as a sub-intern with ability to input orders, call consults, etc. I can't remember how many shifts I had, maybe 15? One of the shifts was an EMS shift and another an ultrasound shift which are fairly light. There are student lectures every week and you're required to attend the residents' lectures as well. I felt like the didactics may have been one of the weaker points. If you're proactive you can get in a lot of procedures. I know multiple other students who intubated on this rotation. I didn't get quite as many procedures as I did on my first Sub-I, but that was due to less sick patients in comparison to the county program I rotated at. Overall, I can't recommend this place enough. If you apply early enough you can get free student housing too. | |||||||
38 | 5:31:39 PM | MO - University of Missouri at Kansas City | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | NBME exam | Yes | Yes | Didactics were poorly attended when I rotated. Didactics did not seem like their strongest area. SIM is pretty meh when compared to other programs. Interns are coddled to the max and not given much responsibility in the department. 2nd & 3rd years run the pods. Trauma is run by EM. Trauma shows up but does not say much. Fair bit of penetrating and blunt trauma with a good mix of medically sick as well. Good EMS if that's your thing. Everyone is nice. While the residents appeared to get along, it seemed like they didn't do much together outside of work. | |||||||
39 | 9:25:48 PM | MO - University of Missouri-Columbia | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes | Yes | I had a fantastic rotation here! This is one of the few rotations I've ever been on where people looked genuinely happy to be working with a medical student. For me, it's a huge red flag when a medical student walks in on the first day, lost and terrified, and residents who are just browsing facebook don't look up and don't respond when directly asked questions. At Mizzou Columbia, residents and faculty knew my name even if I hadn't met them, because they'd looked us up before hand. Everyone took the time to orient me and answer questions. I had almost 100% positive experiences with residents, and loved all the faculty. One bad interaction, but that happens. Shift culture: sometimes residents were a bit aggressive picking up procedures or patients, but less so than other rotations I've been on. Just watch the board and beg the residents if they sign up faster than you. If you asked "hey can I ___", a lot of times you got to do a lot more. I got to intubatex1, paracentesisx2, a ton of lac repairs, and FAST most traumas. Ultrasound: nice Sonosites with wall plugins. You can ultrasound pretty much anything you want, there's no red-tape about billing for POCUS. EMR: They use Cerner, you do have dragon access. If you step up, by the end you will be writing all your own notes. No orders though. Schedule: I think it was 16 or 18 basic shifts, mix of day and nights. Our schedules and badges were all seamlessly figured out by their coordinator, who is an angel in human form, with good interfaces between day/night shifts. Location: University hospital has 2 pods and 1 fast track. You'll work in the two pods, not fast track unless you're a super gunner. Also will work some shifts 15min away at the Women's and Children's hospital, where you see pedes/ ob-gyn, and some surprisingly sick adults. W+C can have an urgent care feel that the residents complained about a bit, but I found it to have a lot of super sick pediatric fever/PID/septic abortions type stuff. *Bring your car... * Trauma: pretty typical relationship with Trauma surg. Some squabbling for chest tubes, but the ED attending and resident participated in management a lot more than other rotations I've been on. ED resident was a valued member of trauma team, not just an intubating monkey. 3 or 4 trauma bays, all the gear you could need. You are welcomed and encouraged to get hands on. Conference: typical 5 hrs once per week. some visiting lecturers from other disciplines, some cool interactive lectures. Can't recommend this rotation enough. Learned more and had more ownership of my pts than at my home institution or a well-reputed academic center. Never thought I'd consider a mid-tier program in Missouri, but I would happily go here for residency. | |||||||
40 | 10:41:38 AM | NH - Mary Hitchcock Memorial Hospital | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | No, but interview is guaranteed to rotators | Yes if you want to stay in the area otherwise no. | 16 shifts 9 hours each. Low volume and difficult to pick up many patients. Difficult to staff with residents/attendings at time. A few attendings are fantastic while others seemed disinterested but everyone was nice overall. | |||||||
41 | 1:42:34 PM | NY - Hofstra Northwell School of Medicine | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | In-house written exam | Yes | Yes | Faculty and residents are all super engaging and willing to teach on shift. Students attend resident didactics once per week as well as one morning of didactics solely for rotating students. Also had one day of cadaver skills lab and one of sims. Not a ton of procedures (at least on my shifts, but maybe I'm a white cloud), but the residents are very willing to let students do any that do come up. Students work 13-14 10hr shifts over four weeks. Very much enjoyed my time here and truly felt respected and valued as a visiting student. | |||||||
42 | 8:39:55 PM | NY - Icahn School of Medicine at Mount Sinai/St Luke's-Roosevelt Hospital Center | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | in house exam and presentation | No, but interview is guaranteed to rotators | Yes | Pros: Amazing experience despite this being my 3rd away rotation. I felt rejuvenated during this away because of the residents and faculty here. I loved the brilliant but easy going faculty and the resident camaraderie. The physicians weekly resident get together on conference days made me feel relaxed and getting to know the residents outside the ED made working with them in the ED that much better. I worked 1 on 1 with attendings and a few shifts with the PD and the APD. You rotate between mount sinai st lukes which is your busy sick underserved county population and mount sinai west which is the more fancy tertiary complex patients. At st lukes I was always kept busy. I really had the opportunity to function as an intern and tried to pick up at least 1 patient per hour. The resuscitation bay had 2 beds but was always busy. There was one shift where I was bouncing between both resus beds and had the fortunate opportunity to do FAST exams, 2 crash central lines, and a few IO access. I felt like there was a good vibe of pushing yourself past your comfort level to keep on improving. I like their conference structure which has about an hour of interactive discussion in the beginning and then breaks out into small groups and the rotators had their own group to go around the small group stations. Conference always had breakfast and lunch provided and the food was always delicious. The residents are a tight group between all 3 years and on conference days often play basketball together, spikeball, and then at night meet up for the physicians weekly dinner and drinks. Also they often do a movie night at their mount sinai housing because one of the residents has a projector. The mount sinai shuttle or what the residents call it "jitney" seems really convenient to go to the st lukes hospital so you don't have to pay for the subway. Also the housing is subsidized which helps a lot especially since Manhattan is crazy expensive. With st lukes being the county experience and roosevelt/west being the tertiary center, the residency has mount sinai beth israel as the community experience and is improving the community autonomy exposure at this site because of previous feedback. I'm a bit bummed the rotators didn't get to do a shift at the community site to see what it is like. Cons: i didn't see much trauma but all programs in manhattan will see less trauma but there is a month of trauma rotation in the second year to big trauma centers like shock trauma. Manhattan is expensive but it is only for 3 years. Not the program for you if you miss driving a car or currently have a car you will probably need to sell the car. The program directors just switched so the old APD is the new PD but that happens at a lot of programs and probably doesn't affect much. No meal plan or free food except for conference days. 12 hour shifts in the intern year if you can't stand 12s. 9s, 10s, and 12s in 2nd and 3rd year is bad in case you only want 8 hr shifts throughout residency. Overall impression is that this is an amazing well rounded program with county, community, and tertiary ED hospital exposures with happy, smart, and chill residents. Wellness is really taken seriously at this program and that is really important to me. I heard great things from friends about this program but it has only exceeded my expectations. Going to keep my fingers crossed. | |||||||
43 | 3:24:55 PM | NY - Montefiore Medical Center/Albert Einstein College of Medicine (Jacobi/Montefiore) | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | In-house exam. Pretty easy. | Yes | Yes | You do 6 12-hour shifts at Montefiore (2 weeks) and then about 8 8-hour shifts while at Jacobi (2 weeks). In addition, you have conference Wednesday 8am-noon, follow up rounds Friday for an hour, one day where you go to the Bronx zoo to talk about snake venom, and one nursing shift to learn and practice IV placement. I loved the residents and the attendings and they seemed to have a great relationship with each other. It was a very relaxed atmosphere and I was definitely treated like a part of the team. I liked Jacobi a little bit more than Monte, only because I was actually able to write notes at Jacobi. We don't get edit access at Monte. Personally, I find notes useful in organizing my thoughts before I present. You only present to an attending and have a lot of responsibility for your patients--placing lines, suturing, taking them to CT, checking on labs, etc. I even got to use the ultrasound machine to get a difficult blood draw. Out of my two EM rotations, I had way more autonomy at Jacobi/Monte. Another quick note- Jacobi and Monte are nuts, in their own ways. I had one night where we had five (unrelated) stabbings, one of those was a traumatic arrest that ended with a thoracotomy. You don't spend too much time on the critical pod at Monte, so I didn't see any really sick patients there, but it was still a shit show (in a kind of fun way). Stretchers were three deep against the wall and always full. The less urgent patients were seated in chairs around the pod--chairs and stretchers were crammed in every possible space. Residents leave Jacobi/Monte being able to deal with any pathology in addition to learning how to manage resources. Overall, dope af rotation. | |||||||
44 | 3:14:19 PM | NY - New York Presbyterian Hospital | EM Clerkship/Sub-Internship | Does NOT provide SLOEs | None | Yes | No | Compared to my other aways (midwest, west), this one was my least favorite. It's combined at Columbia and Cornell. I suppose it's a personal preference, but these EDs were not for me. Volume may be high, but acuity was often low. Columbia bills itself as having a county feel, but if you want to be in NYC you would be better off going to NYU or King's for an EM experience that's a little more exciting/trauma-heavy/not mostly patching up primary care problems. At Columbia in particular patients are often left in the halls clamoring for attention. Presbyterian hospital is an impressive name, but I don't think it emphasizes EM very much. | |||||||
45 | 1:16:07 PM | NY - New York Presbyterian Hospital | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | Honestly, not a bad month. work around 13-14 shifts (one is EMS, one is Peds, and one is urgent care and one is nursing/triage). Peds shift is just shadowing (but saw some sick kids), urgent care shift is very useless (should get rid of it) and EMS shift is cool (But hit or miss). You spend 2 weeks at Cornell, and 2 at Columbia. Have varied (Day,night,evening) scheduling, but works out okay. Mostly 8-10 hour shifts, might have a couple 12 hour shifts here and there. Coordinators were great and receptive to scheduling requests. No required Exam (but have to to a project which is super chill) at the end, the Clerkship coordinator is pretty sweet and super into FoamED and they have required med student didactics once a week too with more Sub-I specific stuff. Honestly loved the academic nature of it. Didactics were helpful, and they have morning report and Noon report (cornell vs. columbia) everyday which you can go to if you're on shift (not expected to go if you're not). In terms of acuity and procedures definitely not as high as I expected but not bad. My home program is a very gun and knife heavy club, so had a higher norm that I was used to. I did see some cool stuff, but not a lot of penetrating trauma/high acuity cases (perhaps due to being in Manhattan). Faculty and residents were pretty great. Lot of residents enjoyed teaching and wanted the Sub-I to be involved. You "ask" before picking up patients, and some attendings definitely want you to see in the lower end of patients (I was asked multiple times to stop seeing so many lol). Are somewhat more autonomous at Columbia (claim it's more "county") but Cornell you definitely have a tighter leash. Got to help out with a couple reductions, did some FAST on trauma, some Lacs, and that's about it. Being a large academic institution, definitely did see some interesting zebras, and Columbia has a lot of bread and butter EM. Had a "social" for us during my month, and residents were pretty cool. My favorite part was definitely the didactics and simulation sessions, learned a decent amount from my shifts as well. Would definitely recommend, about 70% or so get Honors (but doesn't mean top 10% or top 1/3). I know peers who did not get the best SLOES from here, so might have to be more proactive in giving/getting feedback. You submit a form after each shift, but you don't get to see any of your actual feedback. Overall solid month, and solid program. | |||||||
46 | 5:31:35 AM | NY - New York Presbyterian Hospital | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | No, but interview is guaranteed to rotators | No | General info: This program is affiliated with Cornell and Columbia. The name of this hospital carries a lot of weight, but the ED’s are nowhere near on the same level. As a Sub-I was scheduled for 15 total shifts (which includes 1 EMS shift, 1 peds, I triage, 1 urgent care). Shifts vary from 8-12 hours, usually around 3-4 overnights. 2 weeks straight are spent at Columbia, then next 2 weeks at Cornell. Assigned to work directly with an attending every shift, instead of any residents. Didactics are mandatory and usually all day for rotators on Wed (8-4pm). Pros: Coming from the west, I didn’t know what to expect. All the residents and attendings were very nice and friendly. The didactics were good, better than other programs but not the best. It has an incredible academic vibe. NYP was ranked in the top 5 hospitals in the nation. There is access to every specialist and anytime day or night. I liked knowing I was at a prestigious program where I would have the best consultants around if needed. Cons: Working directly with attendings came at a price. At Columbia, 1 attending is usually in charge of managing a whole section of the ED, which at times can be 30+. This creates a problem when it gets really busy, particularly at Columbia. Since as a Sub-I you cant put in orders, the attending has to do everything for the patients you see. Which means that when it becomes hectic (which is every shift) the attendings will tell you to stop seeing patients which will leave you sometimes standing and just watching for hours. This creates a problem because there are some days when attendings became too overwhelmed to allow you to see many patients (more than 2 or 3), thus creating an issue with evaluating you accurately and fairly when it comes time to write the SLOE. Columbia hospital was very busy, but low acuity. In my entire 2 weeks at Columbia I saw only 1 trauma activation. Many senior residents commented on one shift I was on that they couldn’t remember the last time they intubated a patient, which showed to me that really sick patients dont get seen often at Columbia. Also the patient population is majority Spanish speaking. If you dont speak fluently it can be very difficult to find a translator when you want/need. Also, 12 hrs shifts at Columbia often turn into 13 or more depending on what section you work in. In the busier sections you have to round on every patient in the section when sign out occurs. This can be exhausting. Conversely, Cornell seems like the exact opposite of Columbia. Patient population is more affluent generally. The ED isnt anywhere near busy as Columbia and you see a fair amount of Trauma. However, at Cornell depending on what section you are assigned, there were not always enough patients to go around. Often I was overlapped with other medical students, thus sometimes it felt like we were all fighting for the same patients. Also, some night shifts are incredibly slow and once again I felt like I would fight off service residents for patients. Furthermore, Cornell uses scribes. At times I felt like the attendings that worked with the scribe would put more attention on them than the med student, which I understand given the scribe is doing their charts for them. But it made if difficult as the rotator. Another Con was the EMR used at both was something very outdated. It was difficult to navigate and use in comparison to known EMR’s like Cerner or Epic. They also hand typed every note, which again can be very time consuming and a waste of time. Other programs I’ve been to have Dragon dictation or something of that sort. My overall impression of this rotation was poor. We had 19 total rotators and after speaking with other rotators after some of our didactic days, the general feel of this program was that it was living off of its name. NYP might be a top 5 hospital, but their ED’s are subpar. Very understaffed. Labs and imaging take way long than any place I’ve ever been. Residents appeared overworked. Attendings were stressed at times. They adhere to a strict top 10, top 1/3, middle etc grading for SLOE’s. Felt like with the way the rotation is run, its a crap shoot on how you will be evaluated. I wouldn’t recommend rotating here because of the above mentioned. They guarantee an interview but force you to come back for it, which is another negative. | |||||||
47 | 10:07:04 AM | NY - New York University School of Medicine | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | 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. | |||||||
48 | 3:46:57 PM | NY - New York-Presbyterian Brooklyn Methodist Hospital | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | No, but interview is guaranteed to rotators | Yes | Residents and Attending are incredibly nice and often like to teach. Clerkship director available in a timely manner for any concerns. | |||||||
49 | 1:00:53 AM | NY - New York-Presbyterian/Queens | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | 11 shifts mostly 12s, mixture of resus, bread and butter, peds, urgent care. Paired with attendings, some will have you present directly to them, others will have you present to chief resident. High value placed on procedures, will have to do lines and blood draws for lots of your patients, always happy to get students involved in other procedures (ABGs, LPs). High volume community ED, did not write notes and most emphasis placed on seeing lots of patients (average 10-15/shift). Low trauma volume/acuity, but the patient population is generally very medically sick/complex with interesting pathology. Almost 50/50 English/non-English speaking, mostly Spanish, Mandarin, or Cantonese, but multiple iPad interpreters in each area. Residents and attendings were all super friendly and very laid back, though rarely time for teaching on shift. Very much a dive-right-in/learn-as-you-go attitude. Didactics were ok, some good lectures, so not so good lectures. Sim with residents was mostly observation which kinda sucked. Program is very new with lots of young faculty. Everyone there loves each other and places high value on the family aspect of their residency and residents wellness. Overall, good community experience, especially for a small new program. | |||||||
50 | 10:37:25 AM | NY - SUNY Health Science Center at Brooklyn | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | No, and interview is not guaranteed to rotators | Yes | 15 shifts between two hospitals. Technically a university and county hospital, but both are pretty much county set up. Patients mainly from West Indies. Just like any program in NYC, you'll be placing IVs and having to transport patients. High volume adult EDs so you will be busy and see a lot. The critical care side handles all the high acuity and traumas at Kings. Faculty are helpful, and residents are very laidback and friendly. You will definitely work hard, but I recommend. | |||||||
51 | 11:39:50 AM | OK - University of Oklahoma School of Community Medicine (Tulsa) | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | Twelve 8 hr shifts with option to pick up EMS ride alongs if you desire. Students present to residents and attendings depending on who is available. Good diversity of pathology but not trauma heavy at the main teaching hospital. Residents and faculty like to teach and are extremely easy to get along with. Guaranteed interview at the end of rotation that is laid back and given as a practice run for the rest of the interview trail to come. Didactics are a mix or resident ran with excellent lectures from home faculty and guest lectures from various specialties. ED is only a few years old and very nice to work in. ED staff is very friendly. Not many opportunities for procedures as they are strictly given to interns to meet their ACGME requirements. Overall great rotation with plenty of opportunities to work with both the PD and APD who were extremely courteous and accommodating to all students. | |||||||
52 | 1:24:34 AM | OK - University of Oklahoma School of Community Medicine (Tulsa) | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | No | I really did not care much for this rotation. 12 8 hour shifts. No EMR access and you are not assigned to any resident or attending. You are just told to watch the big track board or listen for the overhead announcement of an EMS arrival and go see the patient. Many times the resident would already be there or be right behind me. Therefore there wasn't really an opportunity to present the patient. I found the volume and pathology to be really lacking. Much of the time on shift was trying really hard to find something to do and look busy. Saw only 1 central line and 1 intubation. Seemed like there was a TON of psych patients with a lot of psych holds. Way more than any of my other rotations. I will say that all of the residents and attendings were all very chill and cool people. No exam or extra stuff required which is nice. Tulsa is actually a pretty cool town. | |||||||
53 | 3:34:45 PM | PA - Albert Einstein Healthcare Network | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | Optional take-home exam. Start on this early, it's time-consuming. | Yes | Yes | Very laid-back in terms of scheduling, so would be a great rotation during interview season. Just complete 13 8-hour shifts in the space of 1 month. Didactics were every Wednesday and we had one sim day in addition to that. Although I saw patients on my own and presented to the attending / 4th year resident, I didn't feel like I had that much autonomy. As soon as I finished presenting, the attending or resident basically took over the care for that patient. Consults were called without telling me, which is totally fine--I know I'm the student-- but I would have liked to call the consult to get some practice with that. Just one of those things that I was able to do on a different away rotation that I appreciated. Because the care of each patient was basically taken over by the attending as soon as I presented, I was carrying a patient load of ~ 2-3 patients / hr. I did a lot of suturing, but no line placements or blood draws. Also, there was no one assigning patients which was a little stressful because you had to just sit at the computer waiting for a new patient to popup and sometimes a resident would go see them before assigning themselves, so you would end up seeing a patient someone already saw. Finally, North Philly is a wild place, so you see a lot of pathologies. Surprisingly though, there was nowhere near the amount of trauma I expected to see. Lots of PCP though! | |||||||
54 | 7:28:11 PM | PA - Drexel University College of Medicine/Hahnemann University Hospital | EM Clerkship/Sub-Internship | Sent SLOE considerably late | SAEM exam | No, and interview is not guaranteed to rotators | No | Shifts 7 shifts at Hahnemann University Hospital and 7 shifts at associated Mercy hospital. Special 12-8pm "teaching shifts" during which there was a dedicated PGY-3 on the floor to supervise med students. Faculty/Residents Huge amount of variability here, but generally speaking faculty and residents just seemed tired. Residents were under a lot of pressure to move patients, and as a result they were unwilling to let students see patients independently. Overall there was resistance towards integrating medical students into the emergency department's workflow because it was seen as sacrificing efficiency for education. Even though the program has incredible history and is associated with Drexel University, the environment here was not academic. I would say N=1, however 6 other students on the same rotation felt similarly. Didactics Students - held every Monday 9am-1pm, EM relevant, well organized, the CD went over power points drafted from the CDEM curriculum online. Didactics ended with a 1hr oral boards style case based upon what we just learned. Didn't have to attend if you were working overnight the day before, many students take advantage of this. Resident - didactic sessions are every Wednesday. Light breakfast is served in the AM. One or two senior faculty presentations, a guest presentation maybe, followed by didactic lectures.Residents had a brief break for lunch, followed by board question review done in a group. Not sure which text book didactics followed here, power point presentations seems to be more "this is what we do" as opposed to an organized curriculum. PGY-1s had a separate lecture elsewhere. Not sure if program is research oriented or not. Not a lot of emphasis on national guidelines during didactics or discussions about patients in the ED. Procedures The amount of procedures was limited - did not see any chest tubes, central lines, or codes in the ED. Actively bleeding injuries and lac repairs also limited. Overall, not my favorite EM rotation because the PGY-2/PGY-3 residents seemed tired/unhappy, and it definitely impacted the clerkship negatively. Do not recommend the site to students looking to train in an academic setting. Once again, N=1, so if you feel differently please comment about your experiences :) | |||||||
55 | 11:24:55 AM | PA - Drexel University College of Medicine/Hahnemann University Hospital | EM Clerkship/Sub-Internship | Sent SLOE considerably late | SAEM exam | No, and interview is not guaranteed to rotators | Yes | Two weeks at Drexel and 2 weeks at a Philly community hospital. Really enjoyed this rotation, the residents and faculty were great. Only problem was that the SLOE took more than 5wks to get. | |||||||
56 | 1:05:16 PM | PA - Drexel University College of Medicine/Hahnemann University Hospital | EM Clerkship/Sub-Internship | Sent SLOE considerably late | SAEM exam | No, and interview is not guaranteed to rotators | No | Two weeks at Hahnemann and two weeks at a community site with 14 shifts total. Note: you have to pay for expensive parking for each shift ($15-25) if you do drive. Didactics: Pass. Standard lectures, nothing impressive. Faculty/Residents: Pass. The majority of faculty here are older physicians and some have not been up to date with current practice. Let's just say that they still do things that I don't see at other shops. Most aren't interested in teaching students at Hahnemann. I do not think the relationship between faculty and residents are good. I notice that many residents particularly avoid the ones who they don't want to work with. Residents are okay at their level, nothing standout. Teaching residents are fairly good at teaching and they make up for the little attention that you get from the faculty. All the residents I've work with are friendly. However, they all look tired and overwork. They are expected to move the meat fast and many do not want medical students to see patients with them due to the disruption of workflow. Hence, I'd say that I only see 0.5 pph in half of my shift and the other half is 1 pph. Procedures: Low Pass. Kept at baseline level, no intubation or central lines. Fairly low acuity levels at both ED. Saw a chest tube but it was done by the trauma team. A PGY2 told me that half of his class has yet to done a chest tube. I saw many and did a bit of ultrasound-guided IV, however. I'm quite surprised of how little procedures here get when there are so many at Temple & Albert Einstein. Student responsibilities: Low Pass. There is very little to no autonomy. You write SOAP notes on a paper and the attending may or may not look at them. Attendings do want you to present every pt you see to them. Other: the hospital is broke so many equipment either don't work or aren't available. Usually there is no seat or available computer for student to work with. You do fairly a bit of scut work here. Nurses aren't very nice or ignored me when I needed their helps. I believe that nurses are union here. Global Assessment: Low Pass. SLOE was delayed for 7 weeks. It was not a good rotation and fairly disorganized. | |||||||
57 | 7:59:11 PM | RI - Brown University | EM Clerkship/Sub-Internship | Sent SLOE considerably late | SAEM exam | No, and interview is not guaranteed to rotators | No | Very problematic program. Although nicely organized, you get binder of readings, shift schedule on your first day, there is no real sense of personal investment from the program leadership to help you succeed. No rotation feedback. No facetime with PD or APDs. Peds experience is unsatisfactory. Didactics are weak. Silly that dress clothes are required (u cant wear scrubs). Residents are the only saving grace of the experience. If this away rotation is an indication of how the program is run, I am unlikely to want to rank them highly | |||||||
58 | 3:48:09 AM | RI - Brown University | EM Clerkship/Sub-Internship | Sent SLOE considerably late | Elective written exam | No, and interview is not guaranteed to rotators | No | Attendings seem detached from medical student education. Most of learning came from residents. Didactics seem weaker than at my home program and my other away at Mt. Sinai. No built in face time with residency leadership which is lacking compared to other programs. The fact that they don't guarantee interview invites seems like one's time would be better spent elsewhere doing an away rotation that does guarantee one. Kinda promotes an offputting arrogance of the "prestige" of the program: you are not worthy to speak to our residency leadership, not worthy to get midrotation feedback, not worthy of an interview. Left a bad taste in my mouth | |||||||
59 | 6:05:15 PM | SC - Greenville Health System/University of South Carolina | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | NBME exam | Yes | Yes | 14 shifts split among the main hospital, community sites (3 shifts), and peds ED (1 shift). Students invited to resident events that happen during the rotation.. Work directly with faculty, not residents, although that might change as they add more resident classes (they had only PGY2s and brand new PGY1s when I was there). Majority of faculty came specifically to start the residency a few years ago, and as such are very engaged in teaching. They do a casual interview during the rotation - as the PD said, you're basically doing a month long interview, they don't need to make you put on a suit and answer boiler-plate questions for an afternoon. Short presentation at the end of rotation on an interesting patient case. Overall had a fabulous experience and would highly recommend this rotation. | |||||||
60 | 1:03:19 PM | SC - Greenville Health System/University of South Carolina | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | NBME exam | Yes | Yes | Excellent rotation that I would recommend to anyone! You complete approximately ~18 9 hour shifts that can turn to 8 hours if you wrap up early. Handful of peds shifts. There is a powerpoint assignment on a case that is due at the end of the rotation. NBME is required even if you have taken it previously. You work 1 on 1 with attendings. The attendings are outstanding and they are one of the biggest draws of the program (as well as living in Greenville, being close to the mountains, beautiful parks, awesome didactics, etc etc). You attend morning didactics once a week with simulations following. Overall extremely happy I rotated here! | |||||||
61 | 7:09:03 PM | SC - Palmetto Health/University of South Carolina School of Medicine | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | Institutional exam | Yes | Yes | 14 shifts. 1 is pediatric. All shifts are at Palmetto Richland. Scrubs are provided to borrow. You work with the senior resident and report directly to them. Many times they let you present to the attending, especially if he/she is involved with the residency program. You have access to the EHR(Cerner) but are expected to bring your own laptop because computers are limited during certain times of the day. Unless it's a night shift or early in the morning, you'll be using your computer. This sounds like a negative but honestly it's helpful because all of your personal resources are quickly available to help with your differential and plan. You will never have two students on the same shift in the same pod. Residents are awesome, especially the seniors. They don't try to pimp you, just teaching. Most of the attendings are great too. They will essentially let you see any acuity of patient on your own. It wasn't like this on other rotations and I appreciated the learning experience. There are plenty of procedures. Many of the AI students got intubations, central lines, chest tubes, reductions, etc. Lots of sick patients. Gets very busy. EM has airway on all traumas. The student also gets to do the FAST exam. US is big and all residents/attendings are comfortable with it. Didactics are once every week with the residents for 5 hours. There are also student lectures once or twice during the month. There are two SIM days. The first is a resident SIM day where you act as a nurse/tech. The second is just for the students and are bread & butter EM cases that are led by attendings/residents. Very helpful. SIM center is really big with procedure labs. There is a procedure day where you practice intubation, central lines, chest tube, IO, etc. Optional EMS shifts with Richland County. There is an introduction event the first week at a local bar which was fun. Lots of faculty and residents showed up. They provide the food but you pay for your drinks at a discounted price. Journal club is held once every month at one of the attendings homes. Fun and laid back with free food and drinks. They give mid-rotation feedback to tell you how you're doing. They offer early interviews for all rotators if you want to do it while there. The interview was very laid back and conversational. 2 residents, 1 faculty and the PD. The end of rotation exam is written by faculty. They give you access to HIPPO EM to study while you're there. Patient presentation on a cool case after the exam. Columbia isn't known as a great city. Lots of college students around. Overall, it was a solid learning experience and I would recommend it to everyone. | |||||||
62 | 7:28:22 PM | SC - Palmetto Health/University of South Carolina School of Medicine | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | House exam | Yes | Yes | ~13 shifts, 8 hours each. 7a-3p, 3p-11p, 11p-7a. 1 Peds shift. Shifts split between higher acuity "red zone" and lower acuity "yellow zone." Usually work 1 on 1 with senior resident. Students have computer access but do not have any charting/ordering responsibility. Sometimes a resident will have you write their note and call consults. Resident conferences on Wednesday mornings and 4 lectures on high yield patient presentations given by residents throughout rotation. 2 SIM lab days, 1 for procedures and 1 with several simulated cases. Both are taught by residents and faculty. Students give 1 presentation on interesting case they were involved with and have final test at the end based on 8 hours of HIPPO EM lecture videos. If you get >95 on test you get bumped into higher final grade. Get feedback at midway point with where your grade stands and clinical feedback. Procedures are hit or miss, some people got several intubations and central lines, others just lac repairs. Lots of ultrasound availability. Overall very student friendly rotation. | DrDoogan | ||||||
63 | 7:19:08 PM | TN - University Medical Center - Nashville | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | A home grown EKG test and a home grown EM test | No, and interview is not guaranteed to rotators | No | Felt like this needed to be done because I couldn't find any recent info on 's rotation when I was considering it and in retrospect wish I hadn't done this rotation. Let's start with the positives. Everybody is extremely nice from residents to faculty. They want you to enjoy the rotation and your time in Nashville. The lectures and learning are top notch and will learn a ton. There is very much a way to the way they teach things which I found really good, though might not be for everyone. Alot taught by Slovis himself. Student specific lectures and SIM. Now for negatives, lecture from 8-12 five days a week with additional SIM and clinical time. Additionally, the clinical experience here is really lacking. Feels like you are taking a class more so than doing an internship. 9 six hour shifts plus 1 three hour shift with an EMT. Multiple shifts are basically shadowing shifts where you don't see patients on your own or present. So you basically have 5 six hour shifts to try and impress. Attendings and Residents aren't on your schedule so you are asking for evaluations from people you might present 1 patient to. Also, big pods with numerous off service residents and significant boarding so you have to be really aggressive about trying to get patients. Left feeling baffled on how anyone could actually evaluate me for a SLOE and it seems like the quality of my SLOE reflects that. They grade based on this big complicated scheme that factors in test grades as well as esoteric things such as your performance in lecture. Big rotation groups so tough to stand out and they do NOT guarantee and interview to rotators. Don't mean to sound like some jilted lover but in the EM application world where SLOEs are king (and queen) and interviews are tough to come by, its just not worth it to do a rotation where your opportunity to impress is so limited and you don't necessarily get an interview. | |||||||
64 | 3:33:24 PM | TN - University of Tennessee College of Medicine at Chattanooga | EM Clerkship/Sub-Internship | Sent SLOE considerably late | None | Yes | Yes | I had an amazing time here! The residents and attendings were incredibly nice. The volume was higher than expected as well as acuity. I felt like I learned a lot, and even on busy days I felt like they tried to speak in some teaching. | fyiimdumb | ||||||
65 | 5:08:45 PM | TN - University of Tennessee College of Medicine at Chattanooga | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | "...best away rotation in the nation." Rotated at 3 other rather respectable EM residency programs. Hands down the best experience, I would go as far to say, I'd https://www.maricopaemergencymedicine.com/adult-em-rotation.htmlmoney down this is the best away rotation in the nation. Yea. It's that good. Once the residents get to trusting you, you have almost complete autonomy. All procedures are fair game and holy crap are there a ton to go around. You'll never be sitting on your butt; this ED is BUSY. If you need help, they are definitely there to help, but if you've had a rotation before this away it will definitely help as there are enough patients you can act more independently if you at least semi-know what you're doing. Ultimately this is a location that will take your skills from med student to resident level. I received multiple comments on my rotations following that I was operating at a levels above intern status and I definitely attribute it to this rotation. HIGHLY HIGHLY recommend if you're up to the challenge | |||||||
66 | 4:51:00 PM | TX - Christus Health | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | In-house exam | No, but interview is guaranteed to rotators | Yes | 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. | |||||||
67 | 9:53:42 AM | TX - John Peter Smith Hospital (Tarrant County Hospital District) | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | None | Yes | Yes | 16 shifts all 9 hours including one nursing shift (Place IVs, foleys, etc). Good mix of bread and butter and trauma. Everyone was really excited to be working in the ED and with us students. They did a good job of incorporating us into their department and learning experiences. Overall very positive experience and much better than my home program. | |||||||
68 | 12:57:16 PM | TX - Texas A&M College of Medicine- Scott and White | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | NBME exam | No, and interview is not guaranteed to rotators | Yes | 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 | |||||||
69 | 11:45:31 AM | TX - Texas Tech University Health Sciences Center Paul L Foster School of Medicine | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes | Yes | Never posted here before but wanted to share. This rotation was amazing! It's the only level 1 trauma center for the whole city and surrounding 200 miles (Texas, New Mexico, and Arizona). The pathology is strong and unique--had an aortic dissection followed by a case of primary TB on one shift. There's lots of pathology related to the border that you don't see elsewhere. People without insurance come in with necrotic limbs, biweekly dialysis, completely unmonitored COPD, shot/stabbed in Mexico, etc. Patients here were sicker than my rotations at "big name" places. The residents are all really relaxed and super into teaching. Some of the most chill attendings I've met on any rotation in med school. Didactics are strong and engaging. The sim center is incredible and sims were super useful. Got to do a mix of 8s and 12s, which helped deciding on residencies if I was OK with either. I saw my own patients, presented usually to the attending and resident at the same time. Note writing is optional. I got to do any procedures for my patients and senior residents would come find me for procedures on patients that I wasn't following (and it was things like paracentesis, central lines, etc., I didn't really have to do much in the way of lac repairs unless I wanted to). Did a 4 hr shadow shift at a 911 call center, which was actually really cool followed by a 4hr tox shift, an EMS ride along, a couple peds shifts (can request more if interested in PEM). El Paso is a super underrated city--cheap, good weather, nice airport--with a ton of outdoor activities and great food. They uploaded my SLOE 2 days after the rotation finished, and it got brought up on almost every interview how nice of a letter it was. Highly recommend this for an away. | |||||||
70 | 5:52:52 PM | TX - University of Texas at Austin Dell Medical School | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | No, and interview is not guaranteed to rotators | No | DO NOT ROTATE HERE. The program itself is fine, the problem is that the SLOEs they give are all over the place, and there is pervasive elitism that is frankly ridiculous and unwarranted given how new the program is. There is no reason to risk being given a middle or bottom SLOE that has little to no basis in reality. I earned a top 10% SLOE from a well known, top tier established program and then subsequently a middle 1/3 from them with a comment that was completely at odds with the feedback I was given at the end of the rotation. There is an obvious disconnect there, and I would advise you not to risk your career on a rotation at this institution at this time. Now if for some reason you HAVE to rotate here (your spouse works at UT Austin, etc.), here is the low-down. As far as the actual rotation goes, it was fairly average in my opinion. Faculty and residents are nice, and the facilities are new. Didactics were well-taught, though there was nothing medical student specific which was a little annoying. Anything simulated the medical students did not get to participate and just had to watch. During didactics they make all the students sit in the front and separate everyone by class which was weird. I had a good amount of minor procedures when I was working there, so that was definitely a plus. Large amount of ortho procedures and reductions given how weak the ortho program is there, but I would expect this to change and the ortho residency gains it's footing and starts taking these procedures back. 15 total shifts over the month at about 8-9 hours each. Patient population was not very sick compared to other large cities in my opinion, there was very little trauma experience (unless electric scooter accidents count), and they absolutely are not used to having 4th year students. They do not interview everyone, and ironically all of my friends who rotated at easier places got interviews here while I did not. So, let me be clear: In time this program, will be a gem. But for now, don't risk your career and just go someplace else that has established leadership and letter writers. You'll probably get to interview here anyways. | ||||||||
71 | 7:43:58 PM | UT - University of Utah | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes | Yes | 17 8+1 hr shifts split evenly between the University of Utah Hospital and Intermountain Medical Center, a community ED. IMC lets you park in the physician garage, while UU parking is kind of terrible. IMC gives hot meals in the physician lounge, plus a generous meal allowance. UU you're on your own for food. IMC uses Cerner, UU uses Epic. At IMC you staff only with attendings; at UU, you staff with residents and attendings. IMC sees kids, UU is adults only. Great attendings at both places who loved to teach. The residents were awesome and went out of their way to include us in conference and social events. Everyone was eager to give procedures to rotating students, except during traumas, where surgery essentially ran the show. The shifts were overlapping and there was an expectation for attendings, residents and students that you pick up a bunch of pts at the beginning of your shift, then stop picking up new ones an hour or two before the end of your shift. Then you were expected to stay and dispo at least most of your pts. We were told it was expected that we stay about an hour after the official end of our shift, and then we could sign out any pts still remaining. But on occasion it seemed like there was a low-key expectation to stay longer to dispo certain pts. That said, I almost always left after around 9 1/2 hours. The first shift at each hospital is a warm up shift where you have no real expectations and don't get evaluated. Get a tour, hang out with techs and nurses, do procedures, maybe see a couple pts if you really want. Mid-rotation feedback was helpful. They told us our current score based on shift evals and showed us all comments from those evals. There was an official interview day scheduled for everyone on rotation, with 3 pretty standard short interviews. They emailed us before the rotation saying *not* to wear a suit to this interview day. Based on the interviews I've gotten and the comments at those interviews, it seems like my SLOE must say nice things about me. | |||||||
72 | 12:13:47 PM | WI - Medical College of Wisconsin Affiliated Hospitals | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | Written Exam made by clerkship director based off of textbook and information learned in didactics, also SIM practical exam. | No, and interview is not guaranteed to rotators | Yes | Didactics very helpful. Friendly people. Beautiful facilities. Shifts split between two different pods: red pod runs traumas. Plenty of opportunities to suture, cast (pretty much every sprain/minor fracture we saw), femoral draws in trauma, etc. Great patient diversity. Feels like a community hospital with the university bonus. Residents are extremely competent and willing to teach during shift. I think shifts were 9+1 hours and ~15-17 shifts. Feedback given by attendings via online form and they have close to 100% response rate, although verbal feedback was unfortunately limited. Wish resident feedback had been considered as well as I worked more closely with residents on some shifts than I did an attending. | |||||||
73 | 9:26:49 PM | WI - University of Wisconsin | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes | Yes | Was by far my favorite rotation (EM or otherwise) of medical school. Madison is a really cool small city and the hospital is beautiful. The ED, while not like amazingly beautiful looks pretty new and has some great equipment and a ton of work space for you. You work on one of 2 sides of the ED and are paired with one attending per shift. We did about 15-16 shifts total with 1 day of didactics a week. Also get to rotate at a low-volume single coverage community ED that was a really cool experience. This is an academic center so you see some sickkk people... Most of my patients had cancer or a transplant, or had some weird disease or something. Since it's an academic place, most of the attendings do a great job teaching and love to answer qs. The residents here were the nicest I've meet throughout my interview trail and are down-to earth awesome, helpful people. Maybe it was b/c of the weather or time of the year, but I didn't get to see basically any trauma while I was here if that matters to you. Parking is paid ($100 for the month). There is 1 EMS shift at a fire station and the SIM and teaching overall is great. Again, this is a wonderful rotation that I cannot recommend highly enough. | |||||||
74 | 2:06:47 PM | WI - University of Wisconsin | EM Clerkship/Sub-Internship | Sent SLOE in a timely manner | SAEM exam | Yes | Yes | Overall: Great rotation. You are treated as an intern. You have a phone assigned at the start of the month and staff patients directly with the attending. I didn't staff a single patient with a resident. Your notes count and you are expected to place orders for your patients that the attending can sign. I felt like I had full ownership of all my patients. The faculty did a great job of being very focused and specific about the feedback they gave. They have some new, younger faculty that were brought on to improve the medical student rotation and it shows. Didactics: They have a revamped didactics curriculum and there was a lot of small group work where you got mixed in with the residents for discussion and work. They had a few lectures as well that were high quality and very interesting. Procedures: The downside is having fewer procedures. I did some simple stuff like lac repairs and I&Ds, but no central lines or other more intensive procedures. | |||||||
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