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First Aid for Third Year Clerkships at JMC

Internal Medicine Clerkship at Lankenau 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?
  • By car it takes 20-30 minutes in the morning, 45-60 minutes in the evening. Parking is free! You can also take SEPTA Paoli-Thorndale Line to Overbrook. From the train station there, it's about 15 minute walk to Lankenau.

LIVING

If you lived away from campus, how was the housing?
  • There is no housing.
Food: Was it paid for? Were there free lunches? Did you get meal vouchers when you were on-call?
  • 2-3 lunches were provided during the week. Meal vouchers were provided for nights you were on call. Food is rather expensive, but good.

SITE STRUCTURE

How were the weeks divided up? What are the teams or the options for the rotations?
  • You will remain on the same team for 4 weeks. There are eight teams, all of which are General Medicine, with Team 6 (Cardiology) being the lone exception. Each team is made up of a PGY-2 or -3, PGY-1 (Intern), and either a sub-intern (MS-4) and MS-3 or two MS-3’s.
Are you able to request what you want?
  • No.

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 noon conferences for residents held Monday through Thursday, which students should attend barring any student-specific lectures, which are typically 1-2 a week. Intern case reports occur once a week, and student case presentations are usually held on Thursday afternoons. Grand Rounds is every Friday morning. "Noon conferences at Lankenau were extremely relevant and helpful. A lot of the topics that were presented was information that ended up on the shelf."
Did you give a presentation? Were you required to do so?
  • Besides presenting patients during rounds, students were occasionally asked by attendings and residents to give a topic presentation. These were informal, 5 minute discussions usually pertaining to an interesting patient or treatment option. You usually have at least a day to prepare your presentation and 1-page handout.

WORK SCHEDULE

What were your hours (roughly)?
  • 6:30 a.m. (earliest) - 6:00 p.m. (latest). Again, this is team-dependent and highly variable (ie. some students may leave by 3:00).
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 at all sites, from order by Dr. Salt.
What was the call schedule? Were you able to pick your nights or trade with peers?
  • There is weekend call. Night call is every 4th night and you follow your intern so you can't trade with peers. Call typically lasted until 8:00 p.m. during the week (except Thursdays which was 10:00 p.m.). If on call on Friday night, students are typically required to come in post-call on Saturday morning from 8 a.m. until noon. If on-call Saturday, students were required to come in Sunday for post-call.
Describe your typical day (i.e. who you rounded with, etc.).
  • 06:30-07:00 - Arrived.
  • 07:00-10:00 - See patients and write notes (often lectures are interspersed between seeing patients).
  • 10:00-12:00 - Formal/Social/Work Rounds- included entire team and attending.
  • 12:00-13:00 - Noon conference.
  • 13:00-15:00 - Chart check/follow-up on patients, labs, and consults.
  • 15:00-16:00 - Attendings may give additional lectures on important topics relevant to current patients on service.
  • 16:00-17:30 - Sign-out with your team.
In the Hospital, did you feel a part of the ‘team’? Did residents/attendings appreciate you?
  • At Lankenau, the attendings and residents go above and beyond, and really make you feel like a valuable member of the team. Most attendings ask for your opinions, and encourage students to contribute as much as possible during rounds.
How was the teaching by attendings?
  • Nearly every afternoon, attendings would set aside some time to discuss topics with the team. Attendings were always open to any lecture topic, and often provided articles to supplement their discussion. They are incredibly knowledgeable and extremely positive.
  • Teaching at Lankenau is fantastic. All of the attendings hold morning rounds, and sometimes afternoon rounds. They have a vested interest in educating medical students. In addition, Dr. Surkis provides excellent didactic lectures in the afternoons.

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.
  • "During my month at Lankenau, there were so many attendings on service it was difficult to maintain a relationship with just one."

Last revised: 01/12


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