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First Aid for Third Year Clerkships at JMC

Otolaryngology at Jefferson

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?
  • Same as normal distance to campus.

LIVING

If you lived away from campus, how was the housing?
  • No housing was offered.
Food: Was it paid for? Were there free lunches? Did you get meal vouchers when you were on-call?
  • No meal vouchers; free lunches on academic days.

SITE STRUCTURE

How were the 3 weeks divided up? What are the teams or the options for the rotations?
  • The students are split up into the Keane, Jefferson, and Consult team. The Keane team gets some of the bigger cases, but also rounds earlier in the morning and stays later. The Jefferson team is more laid back and relaxed, but also tends to take the smaller cases. As a student, you have the chance to scrub in on OR cases for both the Keane and Jefferson team. However, you only follow the progress of your own team's patients after the surgery.
Are you able to request what you want?
  • You spend one week on each of the three teams. Contact Karen Keane for questions.

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?
  • Wednesday is the academic day on ENT. It includes a morning of presentations in the auditorium, and a cozier smaller lecture in the ENT office in the afternoon. The afternoon lecture was usually a discussion between the medical students and one of the chief residents about an ENT topic, going to the clinic and learning how to perform nasopharyngolaryngoscopy (the scope in the office . . .), or reading ENT radiology films. The lectures were very well organized and generally pertinent.
Did you give a presentation? Were you required to do so?
  • Students are asked to give a 10 minute presentation on the topic of their choice at the end of the rotation. These presentations are really low-key and were given to two of the chiefs, as well as the other students. A presentation is required to qualify for honors, however - doing a presentation does not guarantee honors.

WORK SCHEDULE

What were your hours (roughly)?
  • Students generally pre-round around 5 a.m., and morning rounds varied between 6 a.m. and 7 a.m. Sign-out is at 6:30, but often students could leave earlier.
Did you get off on major holidays, or were you expected to be there (i.e. Labor Day, Thanksgiving & Friday after Thanksgiving)? Weekends?
  • No weekends.
What was the call schedule? Were you able to pick your nights or trade with peers?
  • No call schedule.
In the Hospital, did you feel a part of the ‘team’? Did residents/attendings appreciate you?
  • Like any surgical residency, the team is fairly busy so there isn't much time for handholding. But I found that they made an effort to make you feel like you were a part of the team if you were proactive and showed that you were interested in being a part of the team. But that being said - everyone was really nice, and it was definitely more laid back than general surgery. The residents were great people and are very good at making sure the students learn a lot while having a good time. I felt most a part of the team in the OR.
How was the teaching by attendings?
  • The teaching by the attendings was organized and clear. Most teaching went on during the academic days. Rounding with the attendings on the floor happened infrequently because there is no set rounding time if you are on the Jefferson team.

HOW TO BE A ROCK STAR

  • Get there the earliest and see as many patients as you can. Third years are not pimped much in the OR, but know your anatomy. You stand out if you stay late.
  • Practice knot typing and suturing.
  • Do a good (short and concise) topic presentation at the end.
  • Work to improve your presentations on rounds each day as you adjust to their style.

CANDID COMMENTS FROM STUDENTS

Pros:
  • "The chief residents asked questions in the OR, junior residents taught us pre-rounds, and the afternoon lectures on Wednesday were very informative. Office hours were also very educational."
  • "The diversity of cases and the very personable surgeons and staff."
  • "The residents were very good, and taught. There was an adequate mix of office hours, formal lecture, and surgery."
Cons:
  • "It helped to have patients to round on as we were able to learn about the ENT exam. But often, there was nothing to do and nothing expected from us."
  • "ENT lectures were geared toward residents"

Last revised: 01/12


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