F508 Posted March 22, 2016 Report Share Posted March 22, 2016 Hello, I was wondering if anyone had recommendations for must-do rotations, as in rotations that are: - useful for any future practice - high return for LMCC - things less seen in predoctorate level but come up a lot in practice ex: I've heard infectious diseases is a rotation everyone should do Link to comment Share on other sites More sharing options...
katakari Posted March 22, 2016 Report Share Posted March 22, 2016 Depends on your specialty of interest. Link to comment Share on other sites More sharing options...
ACHQ Posted March 23, 2016 Report Share Posted March 23, 2016 Agreed it really depends on your specialty of interest. For example, if you are interested in Internal medicine then I wouldnt call something like peds or OB/GYN a must do rotation. As for "things less seen in predoctorate level but come up a lot in practice" again depends on your specialty but always being able to handle acute situations is something they don't really teach too much in preclerkship, things like anesthesia, emerg or ICU would be great for that. Link to comment Share on other sites More sharing options...
Renoir Posted April 11, 2016 Report Share Posted April 11, 2016 Agreed it really depends on your specialty of interest. I'm interested in the same advice as OP, but with a Family Rural residency in mind. (CCFP-EM or CCFP-FPA are potentials down the road) So far I've come up with: Radiology Anesth Derm Plastics (rural site) Ultrasound Do these make sense? Any advice from other primary care folks? Thank-you! Link to comment Share on other sites More sharing options...
ACHQ Posted April 11, 2016 Report Share Posted April 11, 2016 I'm interested in the same advice as OP, but with a Family Rural residency in mind. (CCFP-EM or CCFP-FPA are potentials down the road) So far I've come up with: Radiology Anesth Derm Plastics (rural site) Ultrasound[/size] Do these make sense? Any advice from other primary care folks? Thank-you![/size] Note: I am not someone doing family medicine (let alone rural family) I am doing internal medicine but have worked with rural family docs getting extra training I would say that list looks fine, and consider adding ICU and ER for sure. A trauma elective would be good but only during the primary survey not trauma surgery. Cardiology/CCU would probably be helpful too. Peds (peds ER would probably be best) would also be good for you. That being said you probably have limited number of electives so you won't be able to do all of them. Link to comment Share on other sites More sharing options...
F508 Posted April 11, 2016 Author Report Share Posted April 11, 2016 Of course it depends on what speciality you're interested in. However, regardless of speciality of interest, are there good electives to do to have a well rounded predoctorate training? I would hate to become an orthopedic spine surgeon who knows nothing about the differential for chest pain... A bit exaggerated but you get my point Link to comment Share on other sites More sharing options...
F508 Posted April 11, 2016 Author Report Share Posted April 11, 2016 How would plastics be important for med fam? Link to comment Share on other sites More sharing options...
F508 Posted April 11, 2016 Author Report Share Posted April 11, 2016 . Agreed it really depends on your specialty of interest. For example, if you are interested in Internal medicine then I wouldnt call something like peds or OB/GYN a must do rotation. As for "things less seen in predoctorate level but come up a lot in practice" again depends on your specialty but always being able to handle acute situations is something they don't really teach too much in preclerkship, things like anesthesia, emerg or ICU would be great for that. Ita interesting you mentionned ICU, a few people have recommended this rotation. I was under the impression that ICU cases were more intense and wouldn't be helpful for a generalist practice. i guess ICU helps to learn how to stabilise patients in acute + severe cases? Link to comment Share on other sites More sharing options...
Renoir Posted April 11, 2016 Report Share Posted April 11, 2016 How would plastics be important for med fam? The thinking was -probably only for trauma or minor procedures done in an urgent care or rural ED. In retrospect, a lot of the techniques could be learned on my own anyways. In talking to my advisor, I'm told having this many 'lifestyle' specialty elective looks suspicious for some applying family, so I'll probably spend more time on family and internal electives. Link to comment Share on other sites More sharing options...
ploughboy Posted April 12, 2016 Report Share Posted April 12, 2016 . Ita interesting you mentionned ICU, a few people have recommended this rotation. I was under the impression that ICU cases were more intense and wouldn't be helpful for a generalist practice. i guess ICU helps to learn how to stabilise patients in acute + severe cases? If you're going to be practicing rural family med, from time-to-time you'll find yourself dealing with a ridiculously unstable patient without any back-up. You'll be the most qualified medical practitioner available, at least until the helicopter gets there. So ya, doing some ICU would be a good place to experience the basics of resuscitation. As the med student on ICU, you'll often get stuck with the really stable, going-to-the-ward-but-there's-no-bed patients. Don't settle for that! Ask to be assigned to the fresh, unstable patients with one of the residents or the fellow backing you up. And be keen about going to emerg consults, rapid response calls etc. That's probably the best way for you to get the most out of that sort of rotation. Link to comment Share on other sites More sharing options...
ACHQ Posted April 12, 2016 Report Share Posted April 12, 2016 If you're going to be practicing rural family med, from time-to-time you'll find yourself dealing with a ridiculously unstable patient without any back-up. You'll be the most qualified medical practitioner available, at least until the helicopter gets there. So ya, doing some ICU would be a good place to experience the basics of resuscitation. As the med student on ICU, you'll often get stuck with the really stable, going-to-the-ward-but-there's-no-bed patients. Don't settle for that! Ask to be assigned to the fresh, unstable patients with one of the residents or the fellow backing you up. And be keen about going to emerg consults, rapid response calls etc. That's probably the best way for you to get the most out of that sort of rotation. 100% agreed. Link to comment Share on other sites More sharing options...
PurpleS Posted May 12, 2016 Report Share Posted May 12, 2016 The thinking was -probably only for trauma or minor procedures done in an urgent care or rural ED. In retrospect, a lot of the techniques could be learned on my own anyways. In talking to my advisor, I'm told having this many 'lifestyle' specialty elective looks suspicious for some applying family, so I'll probably spend more time on family and internal electives. 2 weeks in OBGYN would probably also be extremely helpful in rural family. Also agree on ICU and emerg mentioned above. Link to comment Share on other sites More sharing options...
hking03 Posted May 12, 2016 Report Share Posted May 12, 2016 Having my matched to a rural family program and having worked with a few rural family doctors I'd say the following are good rotations to do: ICU Emerg Peds Emerg CCU Obs Good alternatives: Trauma Gen Surg Anesthesia Internal subspecialties Ones that I would avoid: Radiology (because for the most part, at least what I've seen and heard, you sit around and watch someone read an X-ray, which is cool but you'll get more practical X-ray exposure on ICU, internal, Emerg rotations). Derm (although seeing skin conditions is important for practice, these electives are usually too short to get comfortable and you can always do an elective in residency) Good luck! Oh, also... I'd do a rural family elective too. Just so they know you are interested in family medicine Link to comment Share on other sites More sharing options...
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