The Gateway to Your Orthopaedic Career.
  Thursday, 30 March 2006
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A little help from 4th years or beyond will be appreciated on this issue. I am a 5th year M.D./Ph.D. student that is heading back to the hospital this summer. To be honest, I forgot a lot of basic medical science. Our school has a lottery system for picking third year roatations. I think the way my lottery numbers fall, I have the choice to take Med and Surgery right off the bat or Med and Surgery at the end. I was told to take Med before Surgery because it helps. I want to do well in both Med and Surgery. Is the rotation schedule really important or not a big deal? Any advice will be appreciated. Thanks.
20 years ago
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#51543
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Put em off. By the end of the year you'll be more comfortable w/ the hospital environment, know what's expected of you, and will be better at taking the shelf exams.
20 years ago
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#51544
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well this is what i feel. i did medicine first studied hard to honor and after that rotation all the rotations are all downhill in terms of knowledge you need to have. The shelfs are way easier. I have honored everything since and am on my last one right now.
20 years ago
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#51545
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Definitely do medicine before surgery, because you are expected to know medicine stuff but they won't teach it to you on surgery. Also, I found that I usually "pre-rounded" on about 3 times as many patients on surgical services in about half the time; so it helps to be comfortable in the hospital.
I did med first, surgery second and I think I made the right choice. Then I could coast for the rest of the year. In my opinion, you don't learn a whole lot on other rotations that is going to help you on medicine or surgery (except alot of sewing on OB maybe). Since you are coming off of research I would imagine that you are well-rested, so you can take on the big guns up front. If you do surgery last, than you will likely go straight into ortho sub-i's and that has the risk of burning you out early in 4th year (or 8th year as the case may be for you).
I would definitely recommend not doing the ortho component as your first surgery rotation (if they let you take ortho as part of your surgery block) - it would be good to get to know the OR before diving into ortho.
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