The Gateway to Your Orthopaedic Career.
  Tuesday, 26 January 2010
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I'm a MS3. Like many, I need some advice with regards to where to do my away rotations. I attend a medical school in the west (but not on the coast) that has a well respected ortho department/program. I have searched the forums and read and appreciated many of the suggestions given with respect to away rotations. I realize this is a largely a relative question, but I want to approach this process with a clear understanding and real expectations. I feel I have a reasonable knowledge of the programs that are considered ultra competitive, competitive, etc. Personally, I'm not one for huge names and reputations. (i.e. I'm not the kind of guy that just has to match HSS, Mayo, Rush, or any other big name). I simply want to find a that is well-balanced, non-malignant program that offers a good education in all arenas of orthopedics. As of right now, I plan to pursue a career as a community orthopod, but I will likely want to complete a fellowship after residency, however, I am undecided at this point as I am only in my third year of med school. I would prefer to stay out west, but by no means will I limit myself to the west. Also, I have read a lot about regionalism in ortho, so I fell I may need do an away in the midwest/east to break into those areas. Is that true? Another problem I face is getting a feel for how competitive I am. Again, I don't want to rotate at a program I'm not competitive enough for. That being said I will include some of my stats at the conclusion of this post. Any recommendations would be greatly appreciated at this point. Programs? # of aways? Thanks. As many of you already know it is hard to approach these decisions as a MS3 sue to the fact that we just don't have all the info yet. It's like applying to med school all over again
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kind of frustrating.

Step I: 247
Grades: H/P/F system - mostly honors in basic sciences, mostly honors in clinical rotations thus far except Peds (P).
AOA: Won't know for a few more weeks whether or not I will make Jr-AOA or not. My program only takes 5 JR-AOA, and I am kinda borderline. If not Jr I should have a decent chance at Sr-AOA after 3rd year.
Research: published x3 by the time I apply. (1 non-ortho, 2 ortho), 3 abstracts, 3+ presentations. Only 1 of the 3 was in a substantial journal (Spine), in fact it was actually featured in Orthopedics Today last fall.
EC's: avg. amount of volunteerism, etc.

Other cosiderations:
-I'm married and have a family - so NY, CHI and other big/expensive cities are likely not an option.

Thanks for the input.

B4B
16 years ago
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#55487
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I sent you a PM, check your box.
16 years ago
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#55488
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I'm also a western applicant (not California) with a family, looking for similar things as you.

Outside of California, there are only 6 orthopaedic programs in the "western" states (washington, oregon, utah, arizona x2, and new mexico)....pretty slim pickings.

I also have a family so the cost of living at most programs in Cali led me to not apply there, the same could be said for seattle. I knew this meant that I would likely have to move east for residency. the 6 programs mentioned are either very competetive (UW, Utah....) or small and very selective in who they take (people with a strong interest in going there). I was not offered an interview at any of these programs and I wasn't surprised. (I didn't interview at home program for personal reasons, but thats a different story).

Fortunately there are tons of great programs that are in affordable and liveable cities. these programs can be in bigger cities, small cities or could be in a rural setting. You can find programs with excellent academics and research and start your career in academics, or you could find a community program with a great operative experienc and also have strong names in ortho. Many of these programs have struck an excellent balance between operative experience and academics. In my experience, you will find most of these in the midwest or southeast, but there are some in the northeast as well.

You can find what you are looking for, but you and your family has to be willing to move almost anywhere.

one final thing....make sure you rotate at a place appreciates that you are there and that atleast guarantees an interview. preferably don't rotate at places that take a ton of rotators.
16 years ago
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#55489
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Madison, Dartmouth, Minnesota, Michigan, Iowa, were all strong programs i visited, all seem to be very family friendly, good mix of academics/operative, and FAR from malignant. Might be worth looking into some of those based on what you're looking for. Don't know if you want to stay west though.
16 years ago
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#55490
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Like others have said, you should do between 2-3 away rotations. At least one at a "reach/dream" program and one at a more "safety" program. I would offer a word of caution though about aways. You should probably not do an away rotation at a program for which you are marginally qualified if that program does not automatically rank all rotators or does not invite all rotators back for interview. Your numbers are pretty good so you shouldn't have a problem with this, but it's more of a word of a word of caution for those with lower numbers. That being said I think there are some things to consider.

1. Does the program automatically rank it's rotators or automatically invite them back for interviews? Ask around and search orthogate for these programs. These offer the most bang for the buck. There's nothing worse than shelling out the cash for travel and lodging for an away and busting your butt for 1 month only to be rewarded by a rejection letter from said program. It's great if programs offer the courtesy of interviewing all their rotators and even better if they give you the courtesy to not make you travel again to their program again for an interview, since if you don't know each other well enough after one month, you probably were never meant to be together.

2. How many rotators does a program have? Some programs only have 15 or so rotators per cycle and some have close to 50 per cycle. Obviously your chances of making a lasting impression are better with less rotators.

3. How much does the rotation matter in the ranking process? Somewhat related to number 2. I know of some programs where it seems like every resident was either a med student at the program or did an away there. While some programs seem like their residents come from all over.

I will also say that the away rotations are pretty much absolutely necessary if you intend on being a competent orthopaedic intern when on service since most med schools hardly teach a lick of ortho. I know I'd be completely lost as an intern on service if I didn't do aways. In addition to a program getting to know you and vice versa you actually learn a ton of ortho on the rotations.
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