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First Aid for Third Year Clerkships at JMC

Pediatrics Clerkship at Jefferson Hospital (Outpatient)

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?
  • Walking - practice located at 833 Chestnut St.

LIVING

If you lived away from campus, how was the housing?
  • N/A.
Food: Was it paid for? Were there free lunches? Did you get meal vouchers when you were on-call?
  • Occasional free lunch. Free breakfast at morning report.

SITE STRUCTURE

How were the weeks divided up? What are the teams or the options for the rotations?
  • General pediatrics outpatient office. You are assigned, or you may pick, an attending to work with every day. Sometimes, there will be 2 students per attending, but there is not any overlap in patients.
Are you able to request what you want?
  • You may sometimes pick your attending, but everyone has more or less the same types of patients.

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?
  • Yes. Several days/week. Often 1-3 modules per day (lasting 1 hour each).
Did you give a presentation? Were you required to do so?
  • Yes - Site required presentation of the clinical question assignment.

WORK SCHEDULE

What were your hours (roughly)?
  • 8:00 a.m. - 5:00 p.m. (morning report for 8-9 a.m., then working with patients from 9-5)
Did you get off on major holidays, or were you expected to be there (i.e. Labor Day, Thanksgiving & Friday after Thanksgiving)? Weekends?
  • Yes. No weekends. No holidays.
What was the call schedule? Were you able to pick your nights or trade with peers?
  • No call schedule.
In the Clinic, did you feel a part of the ‘team’? Did residents/attendings appreciate you?
  • Yes. Students report always feeling as if they are involved with developing the differential diagnosis and feel appreciated by the attendings at all times.
How was the teaching by attendings?
  • Excellent formal and informal teaching, whether in modules, during down time in the office, or in between patient encounters. Attendings were ready, willing, and able to turn each patient into a learning opportunity. When the office got especially busy, this teaching became somewhat limited, but this is to be expected and students report that it did not detract from the overall experience.

HOW TO BE A ROCK STAR

  • You will be on your feet for the majority of the time. Read up on patients you saw previously before coming to work the next day, as attendings expect you to show interest and initiative. Do your best to perfect your note writing before the end of this rotation.

CANDID COMMENTS FROM STUDENTS

Pros:
  • A lot of exposure to note writing (done with every patient).
  • Great, knowledgeable attendings.
  • "The most relaxed atmosphere of any rotation I've had so far"
  • A tremendous amount of formal and informal teaching.
Cons:
  • "At times, it felt like students in the office could have been scheduled better. At times, there were 4-5 third year students, a 4th year sub-I, several 4th year advocacy students, and 1st year students looking to do their COPP visits. During these times, it felts like students could have been scheduled better to prevent overcrowding and confusion. Often, more than one medical student may be with an attending at one time. In other instances, certain afternoons had more attendings than students present."
  • When working with residents, sometimes you are reduced to simply shadowing.
  • May need to stay beyond 5 p.m. to finish notes.

Last revised: 02/11


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