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First Aid for Third Year Clerkships at JMC

Orthopaedics Clerkship at Einstein

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?
  • I took the broad street line to Olney, tokens are available discounted at the JEFF bookstore. Very convenient for those who don’t have a car, about a 25 minute ride but driving can be just as easy depending on the time of day. Parking is free.
  • The drive is roughly 35 minutes in the morning and up to an hour in the evening. Give yourself extra time to get settled and make it to lecture.

LIVING

If you lived away from campus, how was the housing?
  • Housing not offered.
Food: Was it paid for? Were there free lunches? Did you get meal vouchers when you were on-call?
  • No, food was not paid for. There were no meal vouchers since call isn’t required.

SITE STRUCTURE

How were the 3 weeks divided up? What are the teams or the options for the rotations?
  • The three weeks are spent with the orthopedic surgery team. There is one team with several surgeons who specialize in different areas. You will be able to see trauma surgery, hip/knee replacements, hand surgeries, spinal surgeries as well as consult with the resident on the floor.
Are you able to request what you want?
  • You are assigned each day to the attending that is not working with sub-Is. You may be able to request what you want for the day, but usually you are assigned to the free attending for the day. You can also request to spend a day seeing patients during 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?
  • There were lectures for the residents every morning and trauma conference on Tuesday evenings. While they were primarily for the residents, we did get taught general principles of Orthopaedic Surgery during these sessions. Also, whenever there was down time, the chief resident would teach us. These sessions were great for learning, especially for those interested in doing Orthopaedics. It is prudent to find out what the next morning's lecture will be about and try to get your hands on the reading material. The residents will notice if you have taken this initiative to learn more about the topic. Students are not by any means expected to do this and definitely not expected to thoroughly know the topics. However, depending on the attending giving the lecture, students may be asked questions about general orthopaedics in relation to the topic that the residents are discussing.
Did you give a presentation? Were you required to do so?
  • No, presentations are not required.

WORK SCHEDULE

What were your hours (roughly)?
  • 7 a.m. - 4 or 5 p.m.
Did you get off on major holidays, or were you expected to be there (i.e. Labor Day, Thanksgiving & Friday after Thanksgiving)?
  • The team was very flexible.
What was the call schedule? Were you able to pick your nights or trade with peers?
  • I never took call nor was I ever required to do so. Call is optional and I was told it is mostly for the fourth year students who would really like to go into ortho and want to learn more. I never felt I had to do it to do well.
In the Hospital, did you feel a part of the ‘team’? Did residents/attendings appreciate you?
  • I never really felt part of the team because I never saw any of my own patients and really had no responsibilities. Third year students were basically there to attend surgeries and help with consults. I never saw patients on my own, never wrote notes. It is best to try to request to be in the OR most of the time. If you get unlucky enough to be there when there are several sub-Is, you will get stuck doing consults and see very little.
How was the teaching by attendings?
  • Attendings would teach for a bit in the OR depending on the day, but overall there was very little teaching aside from the morning lectures.

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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