By Guest on Monday, 25 March 2002
Posted in Match Center
Replies 1
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moatz20
OSRR Newbie
Posts: 4
(1/16/02 11:59:44 am)
Reply 4th year electives????
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can i get some advice on what 4th year rotations to do that help out for ortho... thanks

tbone
OSRR Senior
Posts: 55
(1/16/02 1:59:29 pm)
Reply 4th Year Rotations
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You definitely want to do an ortho rotation at your home school, and a couple aways if possible. Someone in our class ended up using his vacation months to do 2 additional aways (for a total of 4) but I think that's completely unnecessary- 2 is probably more than enough. There are some other threads on this group that address the away rotation game.

Beyond that, it's important to do things that you won't see again once you've left medical school. As painful as it may sound , do some medicine electives or some unit months. Rehab is another specialty that is ortho related and may be useful in your career. People will expect that as an MD you will have a basic skill set, so it's important to hone those skills and be well-rounded while you're still in school. You'll have the rest of your life to study ortho.

Whatever you choose, for the most part programs won't know what you're taking during 4th year, so do what you want and don't worry about whether it enhances your application. I think only one of my 4th year grades was actually available when my transcript went out on ERAS, and hardly anyone asked about 4th year during my interviews.

pod person
OSRR Intern
Posts: 11
(1/16/02 2:06:07 pm)
Reply Consider aways at certain places
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If you have a dream location or think you might want to go to certain programs (HSS, Cleveland Clinic, Vandy, Utah, Harvard, G'town, Duke, Penn, etc.), b/c doing a 4th year rotation there may be the only way of realistically getting and interview (especially HSS).

So choose wisely and don't forget.... vacation/slack time is a good thing that you won't have much of for a LONG time after 4th year!

IamNikolas
OSRR Fellow
Posts: 124
(1/16/02 3:48:53 pm)
Reply 4th year
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I agree with all the above. Do stuff that would make you a better physician, not a better orthopod...you'll do that for the rest of your life.

And one thing about aways: if you're competitive on paper (I'd say at least over 230, bunch of honors...AOA is not a must)...do aways at places that you would love to go to...pick 2 places that are awesome for you -- as far as location, program, everything...this way you secure yourself interviews at these places. Don't worry about doing backup aways at safe places...you'll get plenty of interviews. Again, do this if you're competitive on paper. If not, choose electives wisely so you ensure that you match.

my 2 cents.

cssbones
OSRR Newbie
Posts: 2
(1/16/02 4:29:28 pm)
Reply no home program :
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You folks have been so helpful so far so I'll ask another question...

I'm a 3rd year interested in ortho. My school unfortunately doesn't have a home ortho program. So, they're probably going to @#$ign me to some general surgery advisor that doesn't give a sh*t about ortho specifically. In this case, where is the best place to get advice and a letter of rec from? I guess it sucks even more because there's no one to make phone calls for me to other program directors and stuff as has been suggested in other posts. Did anyone else go thru this situation and what did you do to fix it? Thanks!

Ortho2002
OSRR Fellow
Posts: 140
(1/16/02 5:26:22 pm)
Reply same boat
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i know where you are coming from. i think that the best possible thing you can do is get some good core letters from people who know you well (even if they are gen surgeons) and then hit the road. you need to go out on probably three away rotations as early as possible in your fourth year and work your tail off. it is hard, but if you try at most places you can get some good one on one time with the attending. if you work with someone for a month at a great place and get a letter, you will equal out the fact that you have no home letter. also, consider yourself lucky for not having to ever answer the question of "why not stay at your home program"?!! good luck.

pod person
OSRR Intern
Posts: 12
(1/16/02 5:40:08 pm)
Reply Ask questions
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For when you're scheduling away rotations, it is invaluable to try and develop a nice phone relationship with the secretaries. They can make or break you. Also, they will give you the inside scoop about whether one attending may be better to work with (i.e. a known student advocate) or if there is one type of away rotation (if they have options) that allows more one-on-one time, which is key to letters.

One more thing... try and schedule your aways as soon as possible b/c they tend to fill up fast.

Best of luck!

Bone Jock
OSRR Intern
Posts: 14
(1/16/02 7:41:00 pm)
Reply more of the same
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Another good 4th year elective is Rheumatology (outpatient). Get to do more in terms of learning a good MSI exam, and you get to inject and drain a lot of joints.

As for electives. Do them early, especially if you need to work on getting recommendations. I recommend you rotate at your home school first (in July or august), because most programs require a chairman's letter when you apply. And just because you rotate at a place, it doesn't mean that you're gonna get an interview. Mayo interviews all of their rotators. While programs like CCF and vanderbilt (among many others) don't. Just a little something to keep in mind.



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