View Full Version : Huron Hospital, Cleveland, Ohio

03-02-2006, 08:35 PM
i was wondering if anyone has done internal medicine/surgery rotations at huron hospital in cleveland. i would really appreciate any feedback re. the structure of the twelve weeks, the hours, the didactics, the experience and on call set-up etc...thanks in advance guys.

03-02-2006, 09:15 PM
I did not rotate at that particular hospital, but rotations for IM are pretty much the same. You see patients in the morning and report back to your resident your findings etc. You then (depending on the hosp) would write a short note before your resident. You would then sit in on morning report, while the residents report to the attendings. At times you may need to present a patient to the attendings but usually your resident will cover your back if you forgot to do something. Sometimes they may put you incharge of gathering that day's lab data etc. After report you usually round with the attending and see the patient and get taught by the attending (sometimes.. some places you are just watching the attending). Usually you can leave around 3:30ish unless your on call with the resident. When you are on call, your resident will usually send you down to take a history and do a physical exam before he gets there. Sometimes you end up doing things like digging thru the old charts to find history details (thats usually the worst part). Most of the time the residents are nice and wont wake you up in the middle of the night. Then again some of them have the 'if i gotta do it, you gotta too' attitude. You can usually leave first thing in the morning after morning check out. You also spend like 1 day a week in outpatient clinic, most of this is just going in with the attending or resident and not doing too much. Didactics are usually a couple of times a week. You also get to sit in on M & M and some of the faculty conferences. Drug rep lunches also serve as didactics at least once a week.

Surgery follows another schedule. You usually round on patients with the residents early in the morning.. and i stress early! Then you are in the OR the rest of the AM. Sometimes you get to assist with lap procedures, holding the cam, suturing (only skin when you close) other times you are just holding a retractor.. sometimes for hours (FemPop). Youre usually required to read about the procedure ahead of time and might get 'pimped' during the surgery by the attending and resident. After this you basically re-round on the patients. Whats different about surgery is that patient status can change quickly so you round more than you would in medicine. Most of the time you're putting in like 12hrs a day. Its definetely a challenging rotation but one that gives the most gratification. Hope this helps... and enjoy your cores and learn as much as you can... depending on the sight the teaching may or may not be good. I would go to the residency program website and learn about their particular schedule. You can even find a way to conatact some of the residents and find out about the teaching there.

03-02-2006, 09:34 PM
Here is a link to the program info from med students and residents on scutwork.


03-08-2006, 02:33 PM
8wks of floor work and 4wks of ICU. You can even ask to do 4wks in a specialty as past of the 8wks of floor (this can even include ER if you like). On the Floor: arrive 7:30am for morning report--last one hour, then you go to see your patients on the floor. Students are placed on a team consisting of two interns and a senior resident (2nd or 3rd year). You will actually be assigned to a specific resident to follow around on this team though. This resident will assign you patients and you will see anywhere from 1-5 patients on your own and students are usually put in charge of everyone on the detox floor. Every day at noon there is a conference and free lunch is served. And three days a week you will meet with your team and an attending assigned to the team for that month during which you will discuss patients, go over cases, and give presentations--this is the time to shine as students because this attending will have input into your final evaluation. ICU: 6am report and see your patients (1-3). Here you are assigned to an intern and overseen by 1 senior resident, but usually all the interns (4) and seniors (2) work very well together. Rounds with the attending start at 8am (you will miss morning report with the rest of the IM residents). Sometimes a didatic session will follow rounds. On both floor and ICU,then rest of your day is spent following up on labs, H&Ps, clinic (2x week), and sign-out. Depending on your intern, you may be able to leave after noon conference or 5/6pm at the very latest. You do call Q4d. In the ICU you will stay all night, the intern usually sends you to bed around 12am and will call you if there are any admits or procedures. On the floor, you will stay until the admits slow down or your team caps out at accepting patients. They are very flexible on the floor and you may be able to leave as early as 9pm. I usually stayed at least until 12am and the latest I left was 3am. Post-call you are required to show up for the day and will leave after noon conference.

The surgery department is small--6 attendings, 6 interns, 2 seniors at Huron at one time, plus 10-12 medical students. There are 8wks of floor, 2wks of ICU, 2wks of ortho. The surgery team also covers the ER for traumas, this will be done by the on-call team, which I will talk about in a minute. Floor: start time for the day is flexible, I suggest getting there at 5:30am, but this depends on how long it takes to see your patients. You are responsible for 1-4 patients. Rounds with the chief resident start at 6:15am with table rounds. You may or may not be asked to present your patient, but it always looks good to take the initiative. The you will move to floor rounds finishing in the ICU. Sign up for surgical cases after rounds. The rest of the day is concerned with surgery, getting labs, discharges, admits, and ER and of course study. For this rotation there is a lot to do, it depends on what you want out of the rotation. If you don't like surgery, you can spend most of your day studying unless you are the on-call team for the day. The day will finish anywhere from 4-6pm and then the on-call team takes over.
On-call team: Come on-call as soon as morning rounds start. They will gather labs for the entire surgery department, accept all admits, and report to traumas in the ER. Medical students are paired up and will work with a different senior and intern every time on-call. Students stay all night and there are nice call rooms for students to stay in. Some nights you will be up all night and there were some nights where I went to bed as early as 10pm. This is all dependent on the traumas that come in. Post-call: leave at 10am.
Didatics: Mondays--Trauma report, Tues--clinic, Wed--Case report, Thurs--M&M and Basic science, Fri--Clinic. and always during rounds
ICU: day starts at 6/6:30am. You will see 1-2 patients and WILL be required to present. This is the time to shine because ICU students get asked the most questions and the attending who writes you evals is almost always present during these rounds since he is an ICU/critical care specialist.
Surgery: You will scrub into at least one case/day unless you are post-call or on-call. You may always walk into a case and observe. The perform plastics, vascular, ortho, general, ENT, and OBGYN, and Neuro surgeries at Huron. Know your anatomy when going into a case. There are only 2 attendings who liek to ask questions during surgery and you will find that out quickly. Sometimes a chief or 4th year resident will ask questions. You will be in charge of holding retractors and suctioning. Depending on your senior, you may get to suture, cut with a scapel or use the Bovie.

Overall: Huron is a great place to learn. The surgery department really gets the students involved, especially when you are on call. The internal medicine department usually has residents who were doctors in their home countries so they really know a lot. The only draw-backs I have found is that 99% of the residents are IMGs and English is not their first language, secondly, the IM department is huge (50 residents) so the students tend to get lost in the mix because not a lot of medical students what to rotate there or they don't know about it, but I think that with the 5th semester being in Cleveland, more people may want to rotate there.

Okay, I think I have given you enought food for thought. Please feel free to PM me if you have any more questions.

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