As a 4th year, I did 3 straight orthopaedic rotations, 1 at my home institution and then the final 2 away. LIVING OUT OF A SUITCASE DOES SUCK. My first away rotation I actually lived in the University Hospital! There was a wing dedicated to away rotators/special programs. The first 2 weeks I drove to the nearby trauma hospital...not too bad, but the last 2 weeks I never really left the hospital as I was on the spine service. There's something kind of strange/interesting about rolling out of bed, walking down the hall to the O.R., sneaking back to YOUR "apartment" between cases, EVERYDAY of a rotation.
By the time I was done with that rotation I couldn't wait to get out of the hospital.
My second rotation had me living in graduate student housing 2 blocks away from the hospital. Better than living in the hospital but still, living out of a suitcase is no fun.
ANYHOW, Orthopaedics is NO JOKE. To optimize your chances of matching, you have to be willing to endure some pain. You'll do it as an away rotator, an intern, as a junior/senior resident and even as an attending life is not necessarily all peaches and cream.
One other option may be to only do away rotations locally if you live in a place with multiple programs not affiliated with your home institution. The problem with that is the flood of applications they WILL receive from all the other LOCAL medical students. Face it most people will apply in geographic proximity to their medschool in additon to all over the country if they want to optimize their chances of successfully matching ortho surg.
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