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First Aid for Third Year Clerkships at JMC

Orthopaedics Clerkship at Bryn Mawr

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: allows for the most flexibility. I76->Rt1W->Right on Conshohocken State Rd->turns into Montgomery Ave->bear right onto E Montgomery Ave->left on Morris Ave-> Park in Septa parking lot and follow the walking instructions below.
  • By train: The R5 to Bryn Mawr is also an excellent option IF the first train of the morning is running on time. Get off the train and cross the tracks. Go right on N Bryn Mawr Ave. Cross W Lancaster Ave at the light and continue straight on S Bryn Mawr Ave. Take a right on Old Lancaster Rd and the hospital entrance is on your left.
  • Time: Center City->Hospital entrance = 30 min in the morning, 45 min during the p.m. rush hour (that includes parking and the walk).
  • Cost: If you’re driving, bring 4 quarters every day if you plan to park in the Septa parking lot as described above. $1 a day is the best option by far.

LIVING

If you lived away from campus, how was the housing?
  • No housing offered.
Food: Was it paid for? Were there free lunches? Did you get meal vouchers when you were on-call?
  • We were not formerly given meal vouchers. However, the residents had a plethora of vouchers that they shared with the students for breakfast, lunch and dinner if you happened to grab a meal with one of them. And the cafeteria, though small, has a good selection and fair prices. However, don’t plan on a long lunch: some days you’re in the OR from 8 a.m. -3 p.m. with no real breaks. The OR staff lounge has a refrigerator that you can use as well. As an added bonus, there were always sales reps from the various joint replacement manufacturers that occasionally treated us to lunch over a lunchtime information and demonstration session.

SITE STRUCTURE

How were the 3 weeks divided up? What are the teams or the options for the rotations?
  • This 3-week surgical subspecialty is spent with the Orthopedic surgical team (residents are affiliated with Jefferson). You will have the opportunity to observe hip and knee replacements, arthroscopic shoulder surgery, arthroscopic knee surgery, a variety of wrist/hand procedures, and orthopedic trauma like dislocations and fractures.
Are you able to request what you want?
  • Two students are on the team per 3-week block. You will be assigned to work with a different attending everyday depending on the physician operating and who is holding office hours.

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?
  • Most of the site teaching was done in the mornings before the first 7:30 a.m. case. One day a week there was a joint conference where residents presented x-rays from the cases of the previous week for analysis. Twice a week the residents reviewed assigned chapters and created a handout that we went over with an attending or two. Friday mornings were spent going over a real case with a single attending and how one should approach the situation, the reasoning behind the treatment, treatment options, and how to read MRIs and CT scans. All of these sessions were more focused, however, for the residents’ education.
Did you give a presentation? Were you required to do so?
  • No, it is not required.

WORK SCHEDULE

What were your hours (roughly)?
  • 6:15 a.m. - 4:30 p.m.
Did you get off on major holidays, or were you expected to be there (i.e. Labor Day, Thanksgiving & Friday after Thanksgiving)?
  • They were pretty flexible about things.
What was the call schedule? Were you able to pick your nights or trade with peers?
  • Call is completely optional. The four residents at Bryn Mawr are on call every 4th night and you have the opportunity to stay if you want . . . but most often they recommend you going home unless there is an interesting add-on case scheduled.
In the Hospital, did you feel a part of the ‘team’? Did residents/attendings appreciate you?
  • It depended on the day, the attending, and the resident you worked with. Some really encouraged you to see patients first, do post-op checks on your own, help write orders, etc. Others acted as if you were a bother and slowed down their routine. Totally hit or miss.
How was the teaching by attendings?
  • Again, hit or miss. Some were very enthusiastic about teaching; others were used to their routine and didn’t bother. Some attendings will pimp during operations, others will not, but most of them take extra time during their office hours to teach. The residents will be able to let you know what to expect and are a great resource.

HOW TO BE A ROCK STAR

  • Brush up on OR skills (i.e. suturing, sterile technique) and read up on the anatomy of the case the night before. This will not only prepare you for the case but may help you to answer questions posed by residents/attendings.

Last revised: 01/12


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