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  1. #1
    Macgyver1MD's Avatar
    Macgyver1MD is offline Senior Member 535 points
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    Surgery - St Mary's Hospital in Waterbury CT (Post Rotation Review)

    Surgery in general is tough in most hospitals from what I heard. This is my impression from St. Mary's Hospital in Waterbury CT.

    It was a VERY TOUGH ROTATION mainly because of the hours we are there. The work load and responsibilities are on par with most rotations, and the scut work is kinda high.

    You start out 4:30am and see your patients on the surgery floor. This can be anywhere from 1 - 6 patients and you have 1.5 hours (4:30 - 6:00am) to seem them and write your progress notes. At 6am your senior resident comes in and you start rounding with your team of about 4 students. 1-2 interns and the senior resident. You present your patients then round on all patients on your team. This can be 10 - 30+ patients in the morning and the team has to be finished by 7:00am to report to the chief resident. After signout to the chief residnet we have breakfast (provided by free meal tickets $2.50). If you have a 7:30 surgery then you might have to skip breakfast and go directly to your case (sucks). There are usually 3-4 attendings doing cases all morning and you ususally follow the same attending all day.

    You will be pimped in the OR from a few attendings, but some don't. You hopefully get out of OR by 12 - 2pm and have some lunch. Then the vitals and labs are to be copied by the students for evening rounds on pre-made sheets. You basically hang around doing really nothing waiting for the senoir residents to come back to the floor and begin rounding. This can be as early as 1-2pm and late as 5-6pm. Rounding can take 1-3 hours depending on the number of patients and the amount of teaching that occurs while rounding. You will be dismissed after signing out to the on-call senior resident after evening rounds. Then you go home from 4 - 8pm depending on when evening rounds finish. Then report next morning 4:30am to start over again.

    You are on call q4 and students do not get post call off. You are required to stay the entire day, but if the floor work is minimal, you might be able to get a few hours sleep after morning rounds since your the last to go into the OR if needed at all. Most of the other studnets cover the OR while the post call people do floor work.

    On weekends you are constantly busy usually. You still report at 4:30am and have to see all your patients on your team, but after signing out after rounds you follow the intern around all day helping them out. Its usually very busy because you also cover all Trauma in the ER in addition to all the surgucal patients and consults.

    On call you usually get avg. 3-4 hours sleep.

    Wednesday is acedemic day and after morning rounds we have to report for lectures all day and lunch is provided by drug reps usually. Then we do evening rounds and are dismissed.

    Average you spend 90 - 110 hours a week there. Teaching is good by residents, awful by most attendings. On call q4 with no post call. Mornings begin at 4:30am and end around 5-6pm after rounds. You get meals provided for free ($2.50 breakfast, $5.00 lunch and dinner).

    All things considered, if you want to be a surgeon this is a good place to learn. If you want a good rotation to learn surgery but not interested in surgery GO SOMEWHERE ELSE. The hours are the worst part. Seriously consider other places for surgery if you don't want to go into surgery. You don't get time to seriously devote to studying due to hours.
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  2. #11
    Macgyver1MD's Avatar
    Macgyver1MD is offline Senior Member 535 points
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    Quote Originally Posted by TBL2008 View Post
    You forgot to mention how wonderful the student call room at St. Mary's is!! Share some details.
    Hmm.. well the surgical students have their OWN call room. It has a large common area and 4 separate bedrooms with a twin bed and sink. There are 2 bathrooms in the common area and a realllllly small kitchen area with microwave and sink. There is a TV with basic cable.

    It isn't the cleanest place on earth (it is cleaned by the hospital), just old. It isn't bad, but you will spend about 2 hours their your whole rotation... oh well...
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  3. #12
    GregNYR89 is offline Newbie 510 points
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    Hey guys,

    I'm starting Surgical core rotation at St. Mary's Hospital in May. Do you have any suggestions for me? Should I review anything, besides Anatomy, which I'm planning on starting now.

    Thank you in advance.

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