Post by medstudent34 on Sept 30, 2008 0:33:21 GMT -5
Ok, first off, let me start off by saying that, yes, I had heard the rumors about how terrible the IM program was at Atlanta Medical Center, but I wanted to give the program a fair shot, since it would have been a nice location option for a residency program.
Well, one month of misery saved me 3 years of hell, if I had decided to go to their program without trying it out first. Oh my lord people, Run. Run far and fast AWAY from AMC, and if you trip and fall, pray you don't get sent to Atlanta Medical Center because that scraped knee will fester into full blown sepsis and death at the hands of the AMC residents. I'm not kidding.
Example of Resident Activity:
-Patient Seized because Resident didn't know what his home med of Dilantin was for, so just decided not to give it to him
-Was admitting a patient with same resident for Syncope/Hypotension/Bradycardia. She was going to continue home med of full dose Coreg, untill I pointed out hey. um. that's a BetaBlocker
-Saw our resident GOOGLING 'EKG' in the ER when admitting a patient for CP
-LIES told by team:
-Resident made up an EJF for CHF patient...just picked a number out of the air
-I was presenting a patient whose abd was TTP on exam. Resident and Intern interrupted me to say, no, patient was no longer having pain. When asked by attending, they described it as RUQ gallbladder pain (it was midepigastric and gnawing). When pressed by attending they admitting to lying....they neve actually examined the patient. Turns out he had Espophagitis and Gastric Ulcer.
-Overhead Intern tell Resident he didn't finish his notes. When attending asked where his note was on rounds, he lied an said a nurse must have taken it.
So, our Attending was busy putting out fires with our residents/interns, and not so much paying attention to the medical students. As a SUB-I this was a complete waste of time, and I think I got dumber from being there. I never once was able to finish a full presentation without the intern/resident interrupting me to blurt out what they were going to do about whatever problem I was presenting....they didn't exactly get the SOAP note thing. And just presenting was a daily battle, with our Attending constatnly having to tell the resident/intern to let the students present the patient...a concept they never got. And if we did admit a patient with the team, they always rushed to present the patient over you in the morning. It was crazy.
And if you think you can shine like a superstar in light of the people you will be working with, good luck, like i said, my attending was to busy putting out fires and worrying about getting sued to care that I had looked up a new treatment on Neurosyphilis
Still Interested? Here's the basics:
Experience is team dependent. Dr. Lovett is the best by far, very knowledgable, sweet, and very concerned with students learning. I think you can request him. On the other side, if you get Dr. Pearlman.....good luck, just remember the misery only last 4 weeks. I had Dr. Shroff. He is young and very laid back, unfortunatly he dosent yet know what to do with medical students, and like I said, he's busy trying not to get sued because of his housestaff.
Hours:
Call: q4hours. ( Call starts 3pm that day till 7am next morning)Team dependent if spend the night. We left by 9pm and were back early to see patients before morning report.
Call hours are different than MCG, here you don't have to leave untill 2:30pm, and they only just started enforcing that because AMC is on probation for violating hours. We usually left at 2-2:30 post-call days
Post-post call: Left by 4-5
Short call: (Take call from 7am-3pm) Left at 5pm
Morning Report: supposed to start at 7:30, but actually starts anywhere from 7:30-8am. We were told it was not mandatory by our residents, so myself and other 2 medical students often skipped. Some doctor made a stink about it near the end of our rotation, So now I think it's going to be mandatory. Oops
Morning Report is worthless, Half the residents never showed, and the team that was on call the night before had to present a case, so everyone is sleep deprived. Some teams scutted the reports to medical students, so watch out.
Well, one month of misery saved me 3 years of hell, if I had decided to go to their program without trying it out first. Oh my lord people, Run. Run far and fast AWAY from AMC, and if you trip and fall, pray you don't get sent to Atlanta Medical Center because that scraped knee will fester into full blown sepsis and death at the hands of the AMC residents. I'm not kidding.
Example of Resident Activity:
-Patient Seized because Resident didn't know what his home med of Dilantin was for, so just decided not to give it to him
-Was admitting a patient with same resident for Syncope/Hypotension/Bradycardia. She was going to continue home med of full dose Coreg, untill I pointed out hey. um. that's a BetaBlocker
-Saw our resident GOOGLING 'EKG' in the ER when admitting a patient for CP
-LIES told by team:
-Resident made up an EJF for CHF patient...just picked a number out of the air
-I was presenting a patient whose abd was TTP on exam. Resident and Intern interrupted me to say, no, patient was no longer having pain. When asked by attending, they described it as RUQ gallbladder pain (it was midepigastric and gnawing). When pressed by attending they admitting to lying....they neve actually examined the patient. Turns out he had Espophagitis and Gastric Ulcer.
-Overhead Intern tell Resident he didn't finish his notes. When attending asked where his note was on rounds, he lied an said a nurse must have taken it.
So, our Attending was busy putting out fires with our residents/interns, and not so much paying attention to the medical students. As a SUB-I this was a complete waste of time, and I think I got dumber from being there. I never once was able to finish a full presentation without the intern/resident interrupting me to blurt out what they were going to do about whatever problem I was presenting....they didn't exactly get the SOAP note thing. And just presenting was a daily battle, with our Attending constatnly having to tell the resident/intern to let the students present the patient...a concept they never got. And if we did admit a patient with the team, they always rushed to present the patient over you in the morning. It was crazy.
And if you think you can shine like a superstar in light of the people you will be working with, good luck, like i said, my attending was to busy putting out fires and worrying about getting sued to care that I had looked up a new treatment on Neurosyphilis
Still Interested? Here's the basics:
Experience is team dependent. Dr. Lovett is the best by far, very knowledgable, sweet, and very concerned with students learning. I think you can request him. On the other side, if you get Dr. Pearlman.....good luck, just remember the misery only last 4 weeks. I had Dr. Shroff. He is young and very laid back, unfortunatly he dosent yet know what to do with medical students, and like I said, he's busy trying not to get sued because of his housestaff.
Hours:
Call: q4hours. ( Call starts 3pm that day till 7am next morning)Team dependent if spend the night. We left by 9pm and were back early to see patients before morning report.
Call hours are different than MCG, here you don't have to leave untill 2:30pm, and they only just started enforcing that because AMC is on probation for violating hours. We usually left at 2-2:30 post-call days
Post-post call: Left by 4-5
Short call: (Take call from 7am-3pm) Left at 5pm
Morning Report: supposed to start at 7:30, but actually starts anywhere from 7:30-8am. We were told it was not mandatory by our residents, so myself and other 2 medical students often skipped. Some doctor made a stink about it near the end of our rotation, So now I think it's going to be mandatory. Oops
Morning Report is worthless, Half the residents never showed, and the team that was on call the night before had to present a case, so everyone is sleep deprived. Some teams scutted the reports to medical students, so watch out.