My Internal Medicine Rotation
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Brooklyn, NY
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Core rotation #2 - 12 weeks
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Services: Clinic, Telemetry, Medicine floors (different teams)
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Clinic: we start at 9:30 except Thursdays which starts in the afternoon. We go to a room and work with the resident, interviewing and performing physical exams on the patients
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Telemetry: we arrive to the floors around 7:30/8:00 am where we are divided (as students) into two different groups of residents covering Telemetry. Each group of residents has 1 PGY-2 and 1 intern. We are given the patient list and assigned a patient. We look up recent laboratory results and examine the patient to present to the attending provider for morning rounds. After rounds, we work on what needs to be done for the patients as well as typing anything our resident requires until lecture (4pm).
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Medicine floor: we arrive to the floors around 7:30/8:00 am where we are divided (as students) into groups. Each group of residents has 1 PGY-2 and 1 intern. We are given the patient list and assigned a patient. We look up recent laboratory results and examine the patient to present to the attending provider for morning rounds. After rounds, we work on what needs to be done for the patients as well as typing anything our resident requires until lecture (4pm).
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Lectures: Every day at 4 or 4:30pm however during my rotation, we rarely received lectures so as students, we all would be waiting for 15-30 minutes and then went home since
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Other: We are required to submit 3 H&P notes every 3 weeks to the main preceptor in Internal Medicine for review. This is used as part of our grade along with the student portfolios our school requires us to submit at the end of the rotation.
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Tools: Stethoscope, pocket resource book, notebook, pen, reflex hammer, penlight **I also suggest pulse ox
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Resources: UW, NBME practice shelf exams
*I highly suggest picking 1-2 resources because there are so many UW questions and there is so much material that it will be hard to complete everything by the time your shelf exam comes
ABOUT
Me
Kandria Ledesma, MD
Emergency Medicine resident
NJ -> Antigua -> NY -> CA
Medicine, Running, Birds, Plants, Food, Dinos
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Useful Phone Apps: Epocrates (helps with drug names, indications, dosing), UptoDate (information), MDCalc (calculator for clinical decision making), Core: Clerkships (helpful information for each core rotation), UW on the go
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Overall thoughts: I thought this rotation was okay. It was a little disorganized in terms of GME placing students in different services because some students ended up in Telemetry twice (which was not allowed). I wasn't able to learn much since a lot of the interns were new and were still getting the hang of things and the lack of lectures and communication for lectures really frustrated most of the students who were eager to learn. I also noticed not many procedures were done either. However, the residents were very friendly and willing to provide advice and information to students. They also let us go to the library if everything was done for a patient so we could study for shelf exams.
