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First Aid for Third Year Clerkships at JMC

Internal Medicine Clerkship at Christiana Hospital

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?
  • Since you are given housing at the Fairfield Inn in Newark, DE, you only have to travel down once a week from Philadelphia. There is a Septa train station (Churchmans Crossing station) within reasonable walking distance to the hospital and hotel, but this only runs on weekdays. Cost is about $7 each way. You don't need a car to get from the hospital to the hotel, but it would be nice, especially if it's during winter. Some people drove up and down every day from Philly, as well - the commute is about 30-45 minutes without traffic in the morning, over an hour with traffic.

LIVING

If you lived away from campus, how was the housing?
  • Christiana provides you with a hotel room for free at a nearby Fairfield Inn Mon night-Thurs night. You get daily free breakfast.
Food: Was it paid for? Were there free lunches? Did you get meal vouchers when you were on-call?
  • You get free lunches on Wed and Fri at resident lecture. The other days, you are on your own. The cafeteria is pretty good and relatively inexpensive. You are, in theory, supposed to get meal vouches when on-call but no one ever gave them to us.

SITE STRUCTURE

How were the weeks divided up? What are the teams or the options for the rotations?
  • You are on a team with a hospitalist and residents/interns. The teams are split up based on hospitalist groups, not based on organ systems like at other hospitals. There is a hem/onc team, and you can request this if you want by contacting the coordinator. The teams are made up of a PGY3 or PGY2, PGY1 (intern), a sub-intern, and between 1-3 MS3s/PA students. Dr. Burday also has a "freedom team" which allows students to experience a hospitalist week, an outpatient week, an ICU week, and a night float week.
Are you able to request what you want?
  • Since the teams don't really have a focus, this isn't necessary.

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?
  • There are lectures every Wednesday and Friday that are designed for residents, and occasionally lectures specifically for medical students. There are also sessions with a preceptor and 2-3 other medical students with attending twice a week for 2-3 hours.
Did you give a presentation? Were you required to do so?
  • Besides presenting a patient during rounds, students were occasionally asked by attendings and resident to give a topic presentation. These were informal 5-minute discussions usually pertaining to an interesting patient or treatment option. You usually had 1 day to prepare for the 5-minute topic presentation.

WORK SCHEDULE

What were your hours (roughly)?
  • 6:30 a.m. to 4:00 p.m., or 7 p.m. on call nights. 7:30 a.m. is morning report.
Did you get off on major holidays, or were you expected to be there (i.e. Labor Day, Thanksgiving & Friday after Thanksgiving)?
  • Major holidays are now considered OFF days at all sites, from order by Dr. Salt.
What was the call schedule? Were you able to pick your nights or trade with peers?
  • You took call with your intern. You could not really trade call, but they are reasonable if you needed to leave. There is no weekend call because you can't stay in the hotel over the weekend, but you are encouraged (not required) to take an overnight call from Friday night to Saturday morning at least once during the 4-week block.
    • 6:30-7:00 a.m. - Arrival.
    • 7:00-7:30 a.m. - See Patients.
    • 7:30-8:30 a.m. - Attend morning report (very helpful for boards).
    • 8:30-10:00 a.m. - Returned to the hospital floor to continue seeing patients, writing notes, and preparing for rounds.
    • 10:00-11:00 a.m. - Patient rounds with the entire team including the attending.
    • 11:00 a.m.-1:00 p.m. - Teaching rounds with specialists or attended noon conference/lectures with the residents.
    • 1:00 p.m.-4:00 p.m. - Depending on the day, you’ll either have additional lectures or chart check on your patients. You may even have some additional time to study.
    • 4:00 p.m. - Sign out with your team.
In the Hospital, did you feel a part of the ‘team’? Did residents/attendings appreciate you?
  • Yes. The residents are very down-to-earth and and the attendings really do appreciate having the additional input. "The attendings were phenomenal. Many of them request you to call them by their first name, which shows their more relaxed nature. However, this does not take away from their professionalism, knowledge base, or ability to teach, but rather reinforces it. They always made time for the students, were receptive to questions and input, and ensured plenty of time for teaching."
How was the teaching by attendings?
  • This all depends on the attendings. However, there are additional "attending rounds" by a clinical faculty member twice a week for 2 hours for additional teaching. You attend these with your residents and interns.

HOW TO BE A ROCK STAR

  • Be on time. Know your patient.

CANDID COMMENTS FROM STUDENTS

Pros:
  • I enjoyed the daily interactions with my patients, and the feeling of "being useful"--whether calling a consult or checking on results--to both my team and my patient.
Cons:
  • Overall: The thing I liked best about medicine was when I had a week with an attending that enjoyed teaching. It is like night and day when someone is willing to spend time interacting with you.

Last revised: 01/12


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