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First Aid for Third Year Clerkships at JMC

Orthopaedics Clerkship at Rothman Institute

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?
  • Rothman is located in between 8th and 9th on Chestnut St.

LIVING

Food: Was it paid for? Were there free lunches? Did you get meal vouchers when you were on-call?
  • Like most rotations at Jefferson, food is not provided. No on-call meal vouchers are provided.

SITE STRUCTURE

How were the 3 weeks divided up? What are the teams or the options for the rotations?
  • The participating student will receive a schedule prior to starting the rotation. The student will have the opportunity to rotate through a maximum of 3 different services (1 week/service) over the duration of the rotation including: Spine, Joints, Foot/Ankle, Sports, Hand.
Are you able to request what you want?
  • You may send requests to the course coordinator.

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?
  • Students are expected to attend resident lectures/conferences on Monday afternoons and Thursday mornings.
Did you give a presentation? Were you required to do so?
  • Presentations are not required.

WORK SCHEDULE

What were your hours (roughly)?
  • Operating Days: students are expected to show up at 6:40 a.m. or earlier depending on the case start time.
  • Clinic Days: students are expected to show up on time usually around 7 a.m.
  • Hours largely vary day to day depending on the number/type of cases and OR schedule. Expect to be there until 4:30-5 p.m.
Did you get off on major holidays, or were you expected to be there (i.e. Labor Day, Thanksgiving & Friday after Thanksgiving)?
  • Students may expect all major holidays and weekends off from rotation.
What was the call schedule? Were you able to pick your nights or trade with peers?
  • Evening call is optional and is used as a criteria to achieve a grade of High Honors.
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. I was never made to follow patients on my own or round with the team each morning. Other attendings, didn’t pay too much attention to me. In general, you are well received by the attendings and residents if you try to get involved, have a good attitude, are a help in the OR, are respectful and act interested. This rotation has potential to be really fun, even if you have no desire to go into Ortho. Some of the surgeries are really cool so you should get into it while you are there!
How was the teaching by attendings?
  • Some were very enthusiastic about teaching; others didn’t bother getting to know a medical student that would only be there for a few weeks. Some attendings will ask questions during operations, others will not. The residents will be able to let you know what to expect and are a great resource. Students should actively seek learning opportunities and identify attendings that are eager to teach. If you take this approach, you will always be in a position to learn.

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.

CANDID COMMENTS FROM STUDENTS

Pros:
  • "Great exposure to several fields within Orthopaedics."
  • "I was in the OR nearly every day of the rotation."
  • "Make it longer!"
  • Most students felt that the residents were friendly and approachable. Students appreciated the ability to work directly with the attendings at Rothman
Cons:
  • Several students remarked that they wish they had more responsibility. Since students are not required to round on patients, there is little continuity of care.
  • Students would have liked more lectures geared toward medical students as compared with those given to residents at conference.
  • The majority of students found it inappropriate/difficult to ask for a letter of rotation given the fact that the student works with one attending for maximum one week.

Last revised: 01/12


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