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  1. #1
    emmarhee is offline Permanently Banned 510 points
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    Gastroenterology elective at Wyckoff hospital

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    Sree:

    I'm a new clinical transfer student at AUA and I've signed up for gastroenterology at Wyckoff for November 2008.

    Is it true that all students get a "C" grade for that rotation no matter how much effort you put in?

    If that's the case, man, I'm cancelling this rotation.

    I actually need feedback from anyone that did this rotation.

    Can anyone help me out?

  2. #2
    sreec is offline Super Moderator 536 points
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    I pulled an A in the rotation. The secret is to work really hard (as you should in any rotation), impress the Fellows and have one of the fellows evaluate you. Then have an attending sign the fellow's evaluation! You cannot hand in an evaluation with a Fellow's signature, though, because the Wyckoff education department will throw it in the garbage (happened to a buddy of mine). If you hand your evaluation form to an attending, you'll get a B because attendings don't care.

    No one gets a C. I know people who showed up 4 days to a 30 day rotation and got B's.

    Working hard means showing up at 9 AM, doing the H+P's on the colonoscopy patients, observing colonoscopies, taking consults and independently doing them. You should know by now how to conduct a focused GI history and physical exam. If you spend more than 10 minutes with a clinic patient, you're doing something wrong and you'll probably get yelled at. It takes 4-5 minutes to take a history, 4-5 minutes to do a GI exam and 30 seconds to schedule them for a colonoscopy.

    Know everything (not just a list of what they are) about the top 8-9 etiologies of Hepatitis - viruses, alcohol, drug induced, alpha-1-AT deficiency, wilson's, hemochromatosis, etc. etc.

    Know everything about the top 6-7 causes of GI bleeding - peptic ulcer disease, diverticulosis, diverticulitis, angiodysplasias, colon cancer, etc. etc.

    Know the indications for colonoscopies, EGDs, HIDA scans, etc. etc.

    If you get assigned a presentation topic, make it a powerpoint even if the person assigning it to you doesn't mention powerpoint. Use google images to see what a colonic polyp and colonic diverticulum looks like on colonoscopy. And, don't ask stupid third-year questions like "At what age should people start getting screening colonoscopies?." Elective students are expected to know stuff like that.

    And finally, the GI department does a lot of research. Ask to get involved, even if it means staying late. You need research to get a good residency. I wish I had done that but I was taking Organic/Physics in night school at the time.
    Last edited by sreec; 08-06-2008 at 08:29 PM.


  3. #3
    whats_up_doc is offline Member 510 points
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    Very well said Sree, I also got an A but only the attending signed my paper although fellows were there.
    The key as Sree states is the work hard and they will notice you to not have to be over the top just do what you were told, and dont let them of to keep on reminding you.
    Things like always get the MCV when dealing with anemia, know Child's classification of cirrhosis. Basically read alot while you are there, it helps for Step 2 also since GI is very big.

    Good luck.

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