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Thread: My advice for 3rd year clinicals

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    DocZaius's Avatar
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    My advice for 3rd year clinicals

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    Pick the track that works you the least. Ask around. You learn very little during the rotations that will help you on the shelfs and most importantly, on CK. I am at a track that REALLY works the students hard. For example, in Surgery I had to work 19 straight days without a break. I'd be at the hospital at 5 am an get home at 7 pm exhausted. It's very tough to pick up a book and read and then do U world questions. My shelf scores suffered for it. Now I'm dead scared about to start studying for CK. I have a lot of gaps in my knowledge.

    Of course, the flip side is I will be a better resident. I wrote a ton of notes. I learned how to act like a resident. But I have to get into residency first. I know people in easier tracks (hint: in the South Eastern US) that got out by noon everyday and just studied for shelfs and CK all day and got awesome shelf scores. They feel pretty confident about CK, which is all that really matters for us. You could've gotten all A's in rotations, but if you bomb CK its lights out.

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    medic300107 is offline Supermedic Moderator 10497 points
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    Quote Originally Posted by DocZaius View Post
    Pick the track that works you the least. Ask around. You learn very little during the rotations that will help you on the shelfs and most importantly, on CK. I am at a track that REALLY works the students hard. For example, in Surgery I had to work 19 straight days without a break. I'd be at the hospital at 5 am an get home at 7 pm exhausted. It's very tough to pick up a book and read and then do U world questions. My shelf scores suffered for it. Now I'm dead scared about to start studying for CK. I have a lot of gaps in my knowledge.

    Of course, the flip side is I will be a better resident. I wrote a ton of notes. I learned how to act like a resident. But I have to get into residency first. I know people in easier tracks (hint: in the South Eastern US) that got out by noon everyday and just studied for shelfs and CK all day and got awesome shelf scores. They feel pretty confident about CK, which is all that really matters for us. You could've gotten all A's in rotations, but if you bomb CK its lights out.
    I wouldn't necessarily agree with this. I think teaching on rotations is dependent on many factors. 1) what you put into it (is the most important) 2) their teaching. I had some very good, (and poor) 3rd year clinicals. And I can tell you that more experience will help you on CK.
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    I go on record for 2 of my clinical rotations. (I know there are tracks now so there isn't any jumping around anymore)

    Harbor Hospital, Baltimore MD. It was intense and you are almost at sub-I levels as a med student. The hours were intense. There are a lot of didactics and the interns/residents when I was there were at least receptive to trying to teach. There was an end rotation in-house exam based ENTIRELY on MKSAP. Did I study outside of the hospital?? NO. Did I do really well on the shelf exam? YES!

    St. Mary's, Waterbury, CT. This was even MORE intense than Harbor. You ARE essentially a sub-I and the hours were horrendous. And I "illegally" had 13 straight nights of Night Float. I barely had time to sleep, let alone study. The residents hammered you hard at rounds so you had to do enough during the day to study on the fly at least. Did I do really well on my shelf exam, not touching a single book? YES!

    So, mirroring what medic just said, I'm not really in agreement w/ this. In fact, I did poorer on my "chill" rotations than I did when they were intense. There's a lot to be said about learning practically/clinically. Did I read a chapter on CHF exacerbation? Bah! Was my census of CHF patients high? Yes, and I knew exactly what shelf questions wanted because I was on the team treating these patients.
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