Internal Medicine Experience at Kingsbrook Jewish Medical Center- Bk, NY

[DocPnTraining]

Hi All,

I know the second batch of IM students will be starting soon at KJMC on July 5th. I was hoping to shed some light on the kind of experience you will gaining upon starting your clerkship.

Here is what i randomly came up with: I hope this helps!


Internal Medicine at Kingsbrook Jewish Medical Center (KJMC)

The first batch of AUA students to rotate at KJMC started in April of 2011.
It started with Internal Medicine and Family Medicine which are both- green book approved rotations with active residency programs at KJMC.
I can only speak about my experience regarding the Internal Medicine program.
This was my first rotation, so i really cannot compare it to other hospitals.
As expected, this was a new experience to both the hospital and AUA, there were some bumpy roads in the beginning but things have smoothed out.

Our on site director who manages the program is employed by KJMC (the manager of the undergraduate department of medical education / UME)
Our manager is a very tedious, organized person who goes above and beyond to try to make our experience as smooth and comfortable as possibly. You will work with this person directly on a daily basis.

Our schedule is from 8am to 5pm. All hours are accounted for. You will have to sign in and sign out at the respective hours.
Thus, while on hospital grounds you should making the best use of your time.

9am-10am we have lecture. When you come in at 8 am, you are expected to follow up on any patients you have previously seen or be doing something productive with your time.
after 10 am we round with our attending physician based on their availability. You will spend anywhere from 1hr-3hrs a day with your attending. You will discuss patient cases/ management and treatment options based on a patient you saw. Other times you will prepare presentations which you will discuss with your group. Some attendings will also take you at bedside and assess your history and physical skills, others will also take you to observe procedures in different specialties.

depending on the # of students, you will be broken up into groups.
our manager likes to keep the groups small, so there is enough individualized attention.
Some attendings have 4-8 students per group.

As of now, each student is assigned 4 hours a month to rotate in the ER, you can sign up for as many hours as you like as long as it does not interfere with your attendings schedule. THis can get pretty interesting, you will see all sorts of cases here.

We also rotate at a private outpatient clinic. This is 5-6x during the rotation. THis has been a good experience because they prepare you for clinical cases. You are literally thrown into a room with a patient and expected to preform a focused physical examination based on the chief complaint. You will be expected to present the case to the physician and manage the patient before they leave the clinic. You will write scripts for medications and write in the charts. (Its good practice.)

Weekly quizzes are given, every friday morning which are simulated STEP 2 CK questions. There is also a midterm and final.
A patient log must be submitted every friday before sign out.
1 History and Physical write up is due every friday as well.

THe history and physical write up is graded by your attending.
the quizzes are managed and graded by the UME manager.
At the end of the rotation, your attending will be grading and evaluating your performance, which will be submitted to AUA.

PROS:
We have access to the electronic medical records: so we can follow and print reports of the patients we follow.
We are able to utilize the library/computers/books/software/ qbanks available to us.
We are having a student lounge specifically built for AUA students. (in process)
We have been offered phlebotomy training at the hospital.
We have also been offered ACLS/BLS recerts through our manager.

There are nursing students (Adelphi), PA & Pharmacy students (St. Johns University) and St georges students who also rotate among us, but in very small groups and in different departments.

The point is, AUA is a team and the people at KJMC respect us. Please continue to keep a good reputation for us all.

Many doors are opening for rotations - currently we have a PM&R (physical medicine and rehabilitation/ pain management) elective opened at KJMC, they are also working on getting Psych sometime at the end of this year, along with an elective in Orthopedics. (ALL GREEN BOOK)

ALL IN ALL- There is a lot to be learned and a lot of opportunities at the hospital- its up to you as a student to decide how much time you want to invest in your clinical experience.


Parking is available ($1 day parking lot, $5 dollar valet parking, ample street parking)
Cafeteria food (reasonably priced)
Coffee Shop reasonably priced.

If you have any more questions or concerns, feel free to respond to this thread. Hopes this helps

[jsmd2b]

Excellent thread, DocPnTraining! I can only wish I had the same learning experience when I completed my I.M. training elsewhere! You mentioned a PM&R elective that opened up there...do you have any feedback on this elective?? Thanks again for the great post...it's always helpful when fellow students do this! Take care

[DocPnTraining]

The PM&R elective just started on May 23rd, i believe there is only 1 AUA student currently rotating in the program. If you are interested, contact your clinical coordinators, it is a 4 week elective. This is great for people considering rehab/sports medicine.

Good Luck!

[GuitarDocta]

Excellent post - I'm very excited to start July 4! I'm looking for living arrangements in Brooklyn and was curious if you could shed some light on where to live. Also, do you drive to the hospital and is the parking situation ever a problem? Thanks.

[kaybam20]

Do we start July 4 or 5?

Does anyone have any idea?

[kaybam20]

@OP:

How many patients are you supposed to follow/present at rounds each morning?

[kaybam20]

@OP:

What was the call schedule like? Q4 or nada?

[DocPnTraining]

To Answer some questions: I believe the IM rotation along with FM rotation starts on July 5th 2011. As July 4th is Independence Day.

For the last IM group: NO CALLS or Night Calls.

Presenting case presentations and patient cases depends on your assignment from your attending.

Parking is NEVER an issue at KJMC.

[kaybam20]

@Doc

Any suggestions WRT housing?

I am having problems getting a place to stay. Please, do you know anywhere or anyone wanting to share or lease?

[kaybam20]

@DocPnTraining:

SO where do we go on July 5th? DO you know? Do you mind walking us through our first day at KJMC? I am yet to receive anything from the hospital? Are we getting any orientation packet or not?