It has been a while since my last post but as promised here's my update. As we all know I am a transfer student and Atlantic helped me focus and prepare for the USMLE. Believe me it was the best move I have made concerning my medical education and the education level is amazing. So far all of my rotations have been at teaching hospitals where I was assigned through the dept of ed in the hospital. I have completed 3 semesters in total and have been to Baltimore, Connecticut, and Chicago. Here's how they stack up:
Chicago: I completed my OBGYN & Pd's there (1 semester) I was assigned to a 1st yr resident in Pd's and called about once a week. I normally put in about a 40 to 50 hr week. This gave me plenty of time to study for step 2. In OBGYN I was with a 1st yr resident that I had to mirror her schedule. I had anywhere from 8 to 15 patients on my schedule (way to many but they discharge them pretty fast) and worked 60 to 80 hrs a week. I enjoyed outpatient where I was scheduled for 2 weeks along with another 2 weeks for L&D. I saw a ton of patients and the more patients you see the more you have to read so I had no social time at all.
Maryland: I completed by IM here for 1 semester, I was assigned to a resident and mirrored his call schedule (every 4 days) and one long 3 day weekend in the entire semester. During call I was responsible for the ER & new admissions while following my patients on the med floor. I had no more than 10 patients at anytime and was given plenty of time to read and research my patients. Rounds began about 9 on the floor and everyday were supplemented by radiology, pathology, cardiology, and Grand rounds at noon. I spent 2 weeks in oncology and 2 weeks in ICU which were a great learning experience.
Connecticut: I completed by surgical rotation here, you can plan to spend your entire day and evening in the hospital during this rotation. We began morning rounds at 6:30 and needed to be finished by 7:30 to make our assigned surgery schedule. I was assigned 2 surgeries per day in the surgical suite, a little piece of advice, make sure you see each patient you are asked to scrub in for or you will be watching and not assisting. I saw each patient the night before since the schedule is posted around 3pm the day before, make sure you review their med hx because the attending will ask a thousand questions to make sure you did your homework. After surgery noon rounds occurred about 2pm and then there's evening rounds in SICU where most of your postop patients end up. I have no memory of leaving the hospital before 11pm on any night and my call was every 4th day. I was with different residents depending on the patient assignment and we covered all trauma in the ER. Surgical outpatient clinic was scheduled twice a week and everyone attended for at least 2 hours per week.
Over all I have had an excellent clinical experience and one of the hospitals wants me to consider them for an out of match residency position. I'm heading back to Chicago mostly because I am sick of moving around and can complete all my rotations there. In comparison I enjoyed the Chicago rotations and they were an excellent learning experience 2nd to none.
As an AUSOM student I got comfort knowing the students I was in the same rotation in from other schools were in most cases paying twice the tuition I was paying for the same exact experience. FYI I scored in the 92% on step1, 92% on step 2 and 95% on step 2 CS and yes your USMLE score will determine your future in medicine so take it very seriously. On another note we had 4 opened (unfilled) clinical spots in Conn, 3 in Maryland, and 17 in Chicago so there are plenty of spots.