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njava001
11-17-2011, 01:22 AM
For those people doing Clinicals in Miami.... how do you like it? Can you reccommend any good apartment complexes? Do you need a car? Some valuable info would be greatly appreciated. Thank you!

RfisherMD
11-17-2011, 12:33 PM
Does the Miami site offer electives or only cores?

ScubaV
11-21-2011, 08:27 PM
You definitely need a car. Most students live downtown or in Miami Beach, but those places can be expensive. As for the rotations themselves, I've done psych and finishing peds right now. You work directly with attendings, either individually or in small groups, but my experience has been that your hands-on opportunities are very limited. Often you end up just following the attending around and watching what they do. I'm going to Bronx-Lebanon for IM, family, and OBGYN and hoping my experience will be different there.

andrewjsl
11-21-2011, 08:44 PM
You definitely need a car. Most students live downtown or in Miami Beach, but those places can be expensive. As for the rotations themselves, I've done psych and finishing peds right now. You work directly with attendings, either individually or in small groups, but my experience has been that your hands-on opportunities are very limited. Often you end up just following the attending around and watching what they do. I'm going to Bronx-Lebanon for IM, family, and OBGYN and hoping my experience will be different there.

Ditto on the lack of hands on experience. I'm finishing up IM, and must say at most rotations you just end up observing. Oven our ID's for UMH say "observer". We've been told that this means nothing and it's only because UM won't give student ID's out to visiting students. But numerous times I've personally been told by preceptors that we're only there as observers. But in the end it depends who you're assigned to.

RfisherMD
11-22-2011, 01:47 AM
...but my experience has been that your hands-on opportunities are very limited. Often you end up just following the attending around and watching what they do.... How can this be a greenbook rotation that counts toward graduation? (How would they even evaluate you? "Student follows well and stays out of the way while I see patients and perform procedures??" MEAS should definitely do something about changing this or dumping the site. You learn by doing and personally, I would not be very happy to be shelling out almost $1,200 per week to simply observe! Be firm with MEAS/OCSA that this is NOT right and needs to be stopped.

LinkMoto
11-22-2011, 08:50 PM
More like if you are good to get along with, look interested, don't come in real late, show that you keep up with reading, you get a good eval. This is as far as the parts of rotations where you don't do H+P's for patients, etc. Then again, I would argue this can be universal for every location or rotation. Even sites where it's the traditional attending/resident model, there were times I was basically shadowing but still learning.(ie my OB/GYN rotation). And although the badges say "observer", you CAN still physically examine patients inpatient. It usually occurs when the attending is present, but it's not like "Med students can't go 5 feet near real patients, shoo!!"

Although there were parts of IM(mainly in the clinic) where you do present patients and perform full physicals and stuff, I do agree that a lot of the inpatient stuff was a bit lacking looking back. There were no daily progress notes or following up with patients on your own during a hospital course and presenting with an intern/attending as with other sites. However, you do get to see a lot, learn a lot and attendings teach well from my experience...but in hindsight it would have been nice compared to other medicine peers to be more involved in the inpatient side. But, I would also argue working with an attending is better than working with residents on average. Most residents are laid-back and like to teach, but some can be a real miss. At some places, you barely see the attending.

nemar
01-24-2012, 10:24 AM
Any updates for the Miami site? Are things pretty much the same there or have they gotten their act together a little? Would those who have completed a rotation or are currently in rotations there recommend it?

nemar
02-03-2012, 09:28 AM
Any word yet?







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