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First Aid for Third Year Clerkships at JMC

Primary Care Clerkship at Reading Hospital

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?
  • You need to drive out to Reading (about 1 hour 15 minutes). Greyhound does have a bus that goes there but it takes several hours more.

LIVING

If you lived away from campus, how was the housing?
  • Very nice, clean furnished dorm rooms with bathrooms, two people to a room. You can request another Jeff student to be your roommate. There are also gym, kitchen, and laundry facilities.
Food: Was it paid for? Were there free lunches? Did you get meal vouchers when you were on-call?
  • $20/day to spend at the cafeteria, which is just about sufficient for 3 meals depending on how much you eat. Food is not bad, with decent variety.

SITE STRUCTURE

How were the 3 weeks divided up? What are the teams or the options for the rotations?
  • You spend the whole 3 weeks at an outpatient office working with 4 different attendings.
Are you able to request what you want?
  • If you're interested in going to some of the team meetings or stuff that makes it a patient centered medical home you can ask to go.

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 days there were lunchtime conferences usually aimed at residents set up by the internal medicine department. Some were useful at our level.
Did you give a presentation? Were you required to do so?
  • No.

WORK SCHEDULE

What were your hours (roughly)?
  • 8 a.m. - 4:30 p.am.
Did you get off on major holidays, or were you expected to be there (i.e. Labor Day, Thanksgiving & Friday after Thanksgiving)?
  • Off (mostly depends on Surgery).
What was the call schedule? Were you able to pick your nights or trade with peers?
  • No call.
In the Hospital, did you feel a part of the ‘team’? Did residents/attendings appreciate you?
  • Definitely. Attendings will have you interview the patient first, then you present to them, both go back to talk to the patient, and then you write up the note. It's a pretty informal and friendly environment. You get an office laptop to type your notes into the EMR.
How was the teaching by attendings?
  • Great. They are pretty enthusiastic about making sure you understand what's going on with the patient, what they wanted to accomplish in that visit, and will answer any questions you have. The span of outpatient medicine is broad so you are motivated to look up stuff about your patients.

HOW TO BE A ROCK STAR

  • Typical things - Be nice to patient and staff, be enthusiastic and have a good presentation.
  • Remain interested in your patients. Ask questions and be informed.
  • Help to educate the patient's family.

CANDID COMMENTS FROM STUDENTS

Pros:
  • Good hours with no call.
  • Working with attendings all the time.
  • Plenty of time to talk to patients without feeling rushed.
  • Nice view of what it's like to practice outpatient medicine, compared to resident clinics or Jeff HOPE where patients can be complicated and non-compliant.
Cons:
  • Doesn't really apply to the surgery shelf.
  • Getting used to writing the note in the EMR . . . eventually, while talking to the patient!

Last revised: 01/12


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