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First Aid for Jefferson Clerkship Students

Geriatric Clerkship at Jefferson and Lankenau Hospitals

TRANSPORTATION

How did you get there? What is the IDEAL way to get there (if different)? If you took public transportation how much did it cost?
  • At Jeff: Most sites are within walking distance. You spend the large majority of the time at the senior center, which is on Broad Street and is walkable. The other sites include the geriatric psych unit on 15 Thompson and an assisted living facility called Whitemarsh (45 minute drive, no public transport).
  • At Lankenau: Best to have a car, but possible to get there by public transportation (about an hour and 14 minutes) on clinic days, and 50 minutes by bus to the nursing home twice a week for about $4/day.

LIVING

If you lived away from campus, how was the housing?
  • N/A

FOOD

Was it paid for? Were there free lunches? Did you get meal vouchers when you were on-call?
  • N/A

SITE STRUCTURE

How were the 3 weeks divided up? What are the teams or the options for the rotations?
  • You can let them know if you have a car. If so and you're assigned to Jeff, then you spend a week at Whitemarsh, which is a sub-acute rehab facility/nursing home. You spend 1-2 weeks at the Philadelphia Senior Center, a couple days at the Geriatrics Psychiatric unit and a day or so doing Home visits with Maria Hervada-Page.
  • Lankenau: you go to clinic MWF and to the nursing home on Tuesday and Thursday.
Are you able to request what you want?
  • Not really but they can accommodate specific interests if you make it known.

FORMAL LEARNING

Did you have lectures/didactic sessions at your rotation site? How often? How long? Do you feel like they were as well organized as the lectures at Jeff?
  • We were expected to go to Family Medicine Grand Rounds on Wednesday mornings, then surgery lectures Friday afternoon.
  • No lectures at Lankenau, but have to come back for surgery lectures Friday afternoon.
  • 4th years go to lectures with the geriatric fellows on Friday mornings.
Did you give a presentation? Were you required to do so?
  • You can give a presentation during the Friday morning fellow conference. Usually Dr. Arenson will ask the students to come up with a topic of discussion as well as present a patient that they have during the Friday morning conference.
  • It will probably be a quick 10-15 minute presentation on a topic of your choice presented to your fellow students, residents, and 1-2 Attendings

WORK SCHEDULE

What were your hours (roughly)?
  • 8 a.m.-4 p.m.
Did you get off on major holidays, or were you expected to be there (i.e. Labor Day, Thanksgiving & Friday after Thanksgiving)?
  • We got Labor Day off.
What was the call schedule? Were you able to pick your nights or trade with peers?
  • No Call
In the Hospital, did you feel a part of the "team"? Did residents/attendings appreciate you?
  • The fellows and attendings are amazing; they really involve the students and value their input especially on inpatient. We were a vital part of the team, seeing patients on our own and expected to come up with at least rudimentary plans.
How was the teaching by attendings?
  • The attendings were approachable and knowledgeable, always taking time to answer any questions after you see a patient. They were always available and enthusiastic to teach.

HOW TO BE A ROCK STAR:

Read in advance, take good H&Ps and try to come up with a plan? Be as nice and helpful as possible.

CANDID COMMENTS FROM STUDENTS

Pros:
  • Great hours, great Attendings, great exposure to the geriatric population.
  • A good rotation if interested in Family Medicine as it gives you more face-time with Attendings and allows you to see a specific population.
Cons:
  • Driving to Whitemarsh can be frustrating.
  • Does not prepare you for the Surgical Shelf but the knowledge gained was appreciated.
  • You have to seek out geriatric patients if you really want to spend time with them because the practice includes patients from 18 years old and up.

Last revised: 01/12


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