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Post by Betsy on Jun 26, 2005 21:40:49 GMT -5
This was posted by kricket from the Class of 2006 Forum.
The good- There's plenty of patients, baby-catching, c-sections, and gyn surgeries. More pap smears than you can shake a stick at. In the OR, you'll get to do plenty of retracting, dabbing, suture cutting, and depending on who you are with, you can do some suturing, stapling, endoscopic camera and instrument holding. Gyn is usually busy in the AM, but slow in the afternoon, so you have planty of time to study. Students take part in "post-call" privilige of going home at noon after being on call.
The bad- On OB, your day begins at 5AM. You will take in-house call in L&D for the entire 6 weeks, even when you are on the gyn service. It's q4d excluding Monday nights, because there's a lecture Tuesday afternoon. Remember that "post-call" privilige? Occasionally you may get stuck staying until much later in the day, if say there is an unexpected event...
The ugly- Two of the interns this year are complete morons. Really. I'm not sure they even actually attended medical school. There's a bit of division between the upper and lower ranks, in so far as the PGY-1 and 2's are apparently not doing so hot this year and have been in lots of trouble. Additionally, Family practice interns rotate through the program for 2 months, so you'll have more interns to "deal with" on OB. How will this affect you? As the saying goes, **** rolls downhill. Sometimes you'll get caught in it, sometimes you won't.
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Post by AMC on Aug 18, 2005 18:16:54 GMT -5
There is plenty of opportunity to participate in most activities ie baby catching, cesarean sections, Gyn surgery. If you are the interactive type, most attendings will let you dab, staple, retract, deliver if you are up to the challenge. Gyn is usually not busy in the afternoon; however, due to fewer residents and high patient volume you will frequently utilize your study time assisting Ob. Days start early. During Ob, plan to arrive at 5 am rounds follow at 7 or 7:30 depending on the attending physician. During Gyn, plan to arrive at 5:30 am. If you finish early there is the option of helping Ob or studying. Study opportunities are limited; time management is essential. Call occurs approximately q 3-4 days, but you do have the pleasure of participating in the resident post call departure at noon the following day. The ability to sleep during the night depends on your upper level resident and the number of patients laboring. More often than not you will be awake. Get used to writing H&P's you will write more than ever thought possible. The residents are hard working, diligent, and willing to teach. Most will grab you if they have an interesting patient or ask for your participation in procedures or deliveries. Be advised of the high female ratio and the subsequent issues such an imbalance might cause. Most importantly have fun and take advantage of the multitude of opportunities this site has to offer.
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Post by jabbasmd on Sept 25, 2006 17:59:46 GMT -5
Having experienced this rotation in May/June 2006, I don't think I would recommend it to anyone. The program has a lot of internal issues, namely a huge conflict between Faculty and Residents, and until that gets cleared up and you start hearing people in the Class of 2008 having positive experiences, I would steer clear.
Hours: Most you'll ever work in your life, well in excess of 80 hours, I'd say 85-100.
The grind: There at 4:30-5, out at 5-6. Never, and I repeat, Never earlier. Call about q5, about 8-9 in the 6 week rotation. YOu will maybe get 1-2 hours sleep every other call, but don't bet on it. Post-call you're there till noon, and this is VERY inflexible, and in some cases later.
Patients: si no habla espanol, va a tener unas problemas. About 90% of the patients are hispanic, and while translators are abundant, the language barrier does have a negative impact on your relationship with the patients. I speak spanish well and while I could communicate effectively, the massive cultral and language barriers are worth noting. The good news is there are a LOT of patients, and you will be able to easily do 10+ unassisted deliveries and be active in the OR as well.
Teaching: None. there are 3-4 excellent lectures by Dr. Schwartz, but that's it. 3 horus of teaching in 6 weeks. Combine that with zero time to study, and you're really up the creek in finding time for the shelf board.
The residents: Depressed, disgruntled, bitter, angry, malicious, you name it, it's there. 3 of 3 of the interns were leaving the program, and many upper levels were actively seeking out other opportunities. Again, this is the biggest drawback right now to being a program appropriate for students, so I'd follow up with people who have gone through in the past few motnhs to see if they have better experiences...
Summary: Enter with caution, but 5 years ago this was supposedly one of the best OB/GYN rotations available, and I know some friends who actually decided to go into OB because opf this rotation. If it gets its act together, it could be great again, but it wasn't as of June 2006.
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Post by guest on Oct 7, 2007 18:20:28 GMT -5
Be very careful before choosing this rotation . . .
Your experience will greatly depend on the interns/residents you work with (and you have no control over this)
Dr. Schwartz is in charge of the med students - and he enjoys teaching - try to scrub into his surgeries if you can.
You will spend 3 weeks on OB and 3 weeks on Gyn
OB: I had to be there around 5:30am everyday, and most days I stayed until 530. You see your patients in the morning, then rounds (most days depending on the attending), and then you will go to L&D or C-sections. sometimes you are slammed and sometimes it can be slow. find the Dr.'s lounge on L&D - its a good place to hang out but still be available. You will get to deliver, and you will scrub in on tons of c-sections.
Gyn: My days started at 5:15am and I was usually out around 5pm. you see your floor patients in the morning, then go do pre-ops, then rounds, then surgery. Again - try to scrub in with Dr. Schwartz. Afternoons are fairly calm, and you usually do post ops and study.
OB and GYN students go to clinic 4 days a week
Call: depends on the number of students, but MCG students were responsible for call on wed, fri, sat, and sun nights (i know, very unfair) PCOM students take the other nights. Plan on not sleeping, or eating for that matter. Pack a lunch for dinner because I never got a break until around 11pm (and the cafeteria closes early). Some nights I slept for 4 hrs, some not at all. You do get to leave after rounds post call. You will get to do the most when you are on call - especially if you are on call with a good intern/resident/attending. Some nights I was in 3 C/S, delivered a few babies, and had lots of calls to the ER. Then you have to start rounding on your patients around 5am - so be prepared to work.
Basically - you are there to work for the interns. You will write more notes than you ever thought possible.
General info: This is NOT a teaching rotation - you are there to work! Also - unless things improve - be prepared for a very hostile environment. All of the interns left the program last year, so there are NO second year residents. Also - most of the residents and interns bad mouth each other infront of the students. No one is happy, and they all complain about the program. Just imagine about 12 women working together under a lot of stress - and you can guess what happens.
Last piece of advice: don't bring too many dress clothes - you are in scrubs 24/7 unless Dr. Schwartz is in clinic (he likes students to dress up for clinic) (2 days/week).
If you happen to land this rotation - make the best of it - and Be VERY VERY nice to the interns/residents! It will make your experience as good as it can be in that environment. Whatever you do - do NOT make the chief residents mad (PCOM students had a way of making every intern/resident mad at them).
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