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Post by Betsy on Jun 26, 2005 0:39:30 GMT -5
This was posted by KristinDavis from the Class of 2006 Forum.
No call!! Rounds usually start at 8am, must pre-round beforehand. Usually leave by 6pm on weekdays. Must work for half day 1 day each weekend. The other day is off. Day off is determined by which day the intern who follows your patients has off. Dr. Kutlar is really awesome. Dr. Hiemenz loves to pimp, so watch out! Any more specific questions? Just ask!
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Post by Betsy on Apr 29, 2006 0:20:26 GMT -5
This rotation was pretty cool and laid back. As with all medicine rotations, your experience/hours are totally depend on the team and interns that you are working with. With that being said, Heme/Onc is one of the most rewarding clerkships that I have been on thus far. The patients (altough they are very sick people) are extremely grateful and appreciative for the most part. Alot of these people are at their most vulnerable state, and its an amazing experience to be a part of that.
You get to see alot of interesting stuff, but most of the actual orders for chemotherapy are done by the attendings. So alot of the work is just babysitting the patients while they are getting their chemo. For the most part, the same pts come every 2wks or so for routine chemotherapy (save a copy of your H&P on all your pts, you are guaranteed to have at least one come back in). There will be a few newly diagnosed pts, I think there was 3 on our rotation (each student picked one up). Those are neat to follow to see how the process works, and those pts usually stay about a month (not to mention they get very sick during the myelosuppression). There is alot of sickle cell pain crisis that come in, and that is pretty routine once you see one pt. As far as what you may see, alot of leukemia/lymphoma, a few solid tumors (we had some pts with esophageal CA, breast CA, pancreatic CA, renal CA, pretty much everything), and a few hemolytic anemia, ITP, TTP, that kind of thing. I think 95% of the patients I saw had either sickle cell or leukemia.
Hours are pretty good, we usually rounded at 8 or 9 (so I usually got there by 7 or 7:30 to preround. Done by 5 almost always. Lots of free time during the day. No call. We each took 1 weekend day, and on my day I was done by 10am. All the attendings that I have dealt with on the service (as well as the fellows) are incredibly nice, and love teaching. And with the heme/onc service, you get about 3 lectures a week (just one attending and the 3 students) on a specific topic. I thought they were all excellent topics. Also, lots of FREE LUNCH! Overall, I think this is a sweet rotation, with ample study time as well as excellent teaching by the staff. Not to mention, alot of this stuff showed up on the shelf examination.
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Post by csamsel SOM 2008 on Aug 13, 2006 16:34:21 GMT -5
I agree with Betsy for the most part. Our year is much the same except
now students who get Blue Medicine only do it for 2 weeks and then get
2 weeks of GI (Orange) afterwards. This is probably good as there won't
be much information from Hem/Onc on the boards compared to things
like Cards, GI, and General med.
The hours are sweet in general--all the fellows are laid back and they're
the ones who set the tone. The attendings are all chill---Dr. Kutlar is great.
You won't get much teaching during rounds, as Betsy said, but you'll get
2-3 one hour lectures the whole month (even while on GI) that teach a
good bit. They attendings/fellows handle the chemo and diagnoses, so you
get to be in charge of taking care of the patients. It's very comforting to
the patients and you become more of a lifeline to them than the Hem/Oncs
who spend most of their time reading and discussing together than seeing
patients.
The hours are great--I got out at about 3-4pm each day and didn't have to
come in until 7am. You see tons of sickle cell (SC and SS), Myelodysplastic
Syndrome, ALL and AML, some CML and CLL, Multiple Myeloma, Breast CA,
Prostate CA, Lung CA, and the occasional colon and stomach CA.
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Post by chase on Oct 8, 2006 23:30:51 GMT -5
NOT A GUEST!
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Post by drj on Dec 17, 2006 12:10:23 GMT -5
I agree with Chase. Good hours, good house officers. The service will have lots of patients (I've seen anywhere from 12 to 20), but each student is only expected to carry 2 or 3. You won't have to know the ins and outs of each chemo regimen, but know side effects and such. The heme patients (sickle cell, etc.) are your chance to shine, since most of the folks know onc inside and out and don't know heme too well. Also keep on your toes -- the first patient I picked up had a really rare cancer that only the attending had heard of.
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Post by guest on May 20, 2008 17:10:42 GMT -5
Good rotation overall. If you have dr samuel I and a few others Ive spoken to got mid Bs....
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Post by everest on Jan 6, 2009 12:41:42 GMT -5
I also got a mid-B and I thought I worked harder than that. I found the rotation kinda depressing as when you read about your patients, you realize they are all going to die - and then you watch some of them die. If you don't know how you will react to seeing death - you will find out on this rotation. Also the cases you see are not as useful for the exam (you are not expected to know chemo regimes for the most part as they are very specific and frequently changing (not even residents have to know) - only major side effects of certain drugs). Also remember that heme/onc tolerates some crazy CBC values - don't transfer this info to another rotation. I spent a lot of time in a small conference room trying to find something to do, so bring a book. Hours ~7am-5pm. Lectures 2-3pm most days (frequently canceled - use as study hall). Weekend split among students (one must show up each day).
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