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  1. #1
    dnth8mecuzuaintme is offline Junior Member 510 points
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    San Juan City Hospital

    Boricua.. Morena.. Papichulo.. Arroz con Pollo.. Vamos a la Playa..
    Now that thats out of the way.. here's what San Juan is like..

    the hospital
    The Facility is pretty nice to my surprise. Maybe I was expecting Holberton or something, but surprisingly it was much more than I expected. The Website for the hospital doesnít really do it justice. The Ob/Gyn department is pretty extensive I would say. There are 4 components to it, Delivery room, Wards, Ob Emergency room, and a prenatal/postpartum clinic, and the daily schedule includes all of it. There is a lot of patient exposure in different ways and it does get pretty hands on.

    The Faculty
    There are students from 3 other Puerto Rican Medical schools that rotate through, all of which are US approved, and there was a student from Ross here as well. The Puerto Rican students do 2 weeks of lecture, 2 weeks at a different hospital and 2 weeks here at San Juan Municipal. So on my first day I felt like I was behind and I didnít know anything. Later on I found out the other students were starting their 5th week there so they had been exposed to all of this recently. The attending physicians and the residents are really helpful. They do their best to include you in whatever theyíre doing, and they are very approachable and appreciate extra interest and involvement. The Staff in the Graduate Medical Education office is super helpful , they even helped with housing options a little bit.

    San Juan
    I didnít get much notice before my rotation started, but thatís the chance I took to get obgyn and peds out of the way in a green hospital. The transportation system here basically sucks. There is a metro station (Tren Urbano) that stops at CENTRO MEDICO where the hospital is located but this metro line doesnít really stop in the places you would expect it to (Old San Juan, Condado, Plaza Las Americas) its more of a local form of transit to keep cars of the road but not really helpful as far as housing is concerned. I found housing near the University of Puerto Rico which does have a metro stop within walking distance, but getting a 3 month lease was pretty difficult so I had to take a 2bedroom apt. If you plan on coming here for 6 weeks GOOD LUCK FINDING HOUSING! If you plan on having a car, then the options are limitless, there is a lot of really nice and relatively cheap housing (compared to Miami), but nothing really conveniently located around the Hospital. Like most other major metropolitan hospitals its not really located in the posh/nice part of town so the housing around the hospital reminds me a little of the houses on Friars Hill road between Epi and the Old campus (not so nice).

    Daily Schedule
    The day starts at 7am, where u go through patient records on your own to familiarize yourself with the cases of the day. Morning report at 730 and a short daily lecture from 8:30. At 9 am you have rounds with an attending afterwhich you break up into either OB or Gyn and get down to business. Lunch from 12-1 after which everyone goes to the clinic for 3 hours to help out. After a few days you can even see your own patients (supervised of course) and do small things like.. pap smears, GC swabs, check the fetal heart beat etc. at 330 there is a change of shift report after which you go home unless you have short call which means youíre their till 8pm. Short call is twice a week depending on what team you are on (ob or gyn) and every week fri/sat or sun you have a 12 hour shift in the wards. Which basically means you get one day off a week guaranteed.

    Se Habla Espanol
    If you donít speak Spanish fluently.. DONíT COME. I would say that Iím conversational in Spanish and I find myself lost many times during the day. The patients and nurses all speak Spanish, the residents and students all speak English but they chose not to. The patient records, case presentations, powerpoints, ALL ARE IN ENGLISH, yet they explain everything, present everything, and discuss everything in Spanish. And Puerto Rican Spanish is known as the WORST Spanish in the world.. they words run together and they speak a million miles an hour. I find myself writing down words I donít know and getting lost in the discussions, but then I go back after my shift to the patient records and fill in the blanks. If youíre fluent in Spanish I feel its an AWESOME experience, because its hands on and there are small student:doctor ratios, but if you donít speak it fluently I feel like youíre not gonna get the most out of this rotation and youíll be doing a lot of catch up work, but on the upside you WILL LEARN SPANISH.. you have NO CHOICE haha.

    Other than that, if you have any questions get at me. Iíll post something similar about Peds when I get there. Until then.. good luck and Hasta Luego.

  2. #11
    DrTropical is offline Newbie 510 points
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    Hey what other rotations are available in PR. I have bachelors in spanish and im seriously considering doing a few rotations in PR, any suggestions?

  3. #12
    ATG
    ATG is offline Member 512 points
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    merde

    Quote Originally Posted by dnth8mecuzuaintme View Post
    i hope u speak spanish.. cuz if u dont u'll just be going through the motions and might not feel like ur gettin the most out of it. but if you dont want to do OB, and u wanna just get it out of the way then cool..

    housing for just 6 weeks? good luck! unless you can find a vacation rental or a cheap hotel its going to be difficult. check for housing around UPR (Univ. of Puerto Rico) since there is a metro stop near there and one near the hospital, unless you'll buy/rent a car then good luck in traffic because its horrible and the drivers are worse than LA or Miami.

    i dont mean to scare you away, holloween was yesterday, just tryin to give u a taste of what you'll see down here.. other than bacalao and arroz con habichuela.

    mira mira que chevere!
    wish i knew more than one word in Spanish!

    (Well maybe i know a couple more than that -- but probably not the words I'd need to get by in a hospital...)

    (i'm so envious of you spanish-speakers)

  4. #13
    IluvMD is offline Member 510 points
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    Do residency directors prefer one to do all rotations stateside or doesn't it really matter where you rotate as long as they are all green? Thanks a bunch

  5. #14
    DOC.p's Avatar
    DOC.p is offline Super Moderator 7191 points
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    PR is a US territory, it is considered "state-side"
    M.D.

  6. #15
    ross11 is offline Junior Member 510 points
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    Does anyone know if you can start rotations here while waiting for STEP 1 scores?

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