The Gateway to Your Orthopaedic Career.
  Wednesday, 06 March 2013
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Hi all- first time posting.

Class of 2014 here, applying this upcoming cycle. When I was setting up my 4th year, I had signed up for a July sub-I at my home school. This was 2 months ago. I had planned on doing 2 aways in August and September. Unfortunately, my brother got engaged and his fiance had arranged for the wedding to be in September and I am his best man.

This forced me to plan to do an away, then my home sub-I, then an another away. Unfortunately the June sub-I spots at my school are all taken.

My question is, will this be a huge problem? I have previously done 2 weeks of ortho spine during my third year, and I know how to work hard and make good impressions on rotations. It's just that everyone keeps saying you do your home sub-I, then your aways. If anyone has experience with going to an away first, please share. I appreciate your time.
13 years ago
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#58132
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Short answer: No.

Long answer: While most people agree it's the smartest thing to do your home sub-i first, I think that's for two primary reasons:

1) so that you learn how to do well on an ortho sub-i BEFORE going elsewhere and trying to impress people who don't know you at all

2) so you can get your letter(s) of rec all squared away nice and early.

It also helps to give you a baseline to compare all other programs to, but I think that's secondary.

If you already know how to work on an ortho sub-i and you will not have a problem getting your letter from your home program in on time (with home sub-i in July you should have plenty of time) then you have nothing to worry about.

I did an away that ended in mid September and managed to get a letter in to ERAS from that. So don't worry about it. Just stay proactive, organized, and focused.

Congratulations!
13 years ago
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#58133
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Thanks for your input, that's certainly reassuring.

Any others that have advice or experience to share please do so!
13 years ago
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#58134
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I did an away rotation first, in July, having never done ortho before. It was great for a couple of reasons:
1. you are likely to be the only student there, especially if there's no associated medical school. This makes you memorable and will give you flexibility on which cases you scrub.
2. Everyone will be out of sorts with the new residency turnover, making your mistakes, such as they may be, much less noticeable. Keep in mind though, this may give you an unfair negative impression of the program.

Study hard beforehand and you will be remembered at your away location. When you get home, you will be compared to the other students from your school (who did their sub i in july or are doing their first 4th year ortho rotation) and, having just done an ortho rotation, you will be way ahead.

Bottom line, if you can swing it, this will put you ahead of the game.
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