UMASS
Type of Elective: EM Sub-Internship
SLOE Experience: Expect SLOE to be in before sending apps out
Required exam: SAEM exam, doesn't factor into grade
Interview offered during rotation: Usually yes, but not this July
Would you recommend this rotation to others: Yes
Comments on rotation experience:
Great rotation overall. Well established, well regarded, 3 year program in the Northeast. Within the hospital, I got the impression that emergency medicine is well respected. This was my first rotation, but could not have been happier with my experience.
Structure: 15 shifts (4 overnight (mixed between community and university hospital), 4 at Memorial (community hospital), 10 at University, and 1 "synthesis" shift (where you see only 1 patient and present to faculty to get feedback on presentation/differential/plan). Shifts from 7am-330, 3-1130, 11-730am. Didactic w/ lecture, procedure practice, simulations every Wednesday from 8am-3pm. Assigned a preceptor, with whom you have 4 shifts, so you get some longitudinal feedback. SAEM exam on the last day of the rotation.
Responsibilities: Students are expected to see patients on their own and present to the attending for the most part. Occasionally, you present to the 3rd year chief residents and then talk to the attending. Basically, you look at the ED board, and when a new patient comes in you sign up for it. I wrote a note for all my patients, and got to put orders in (but required attending to officially sign them). I called all the consultants, talked to the admitting staff, social work, case managers, etc for all my patients. You really get to "own" your patient here. I did rotate during July when there were a lot of new interns (sometimes 2 interns with you during your shift), so had to "compete" for patients every now and then. With regards to procedures, it was very variable per shift. I did a lot more on overnight shifts, because there was just one 3rd year resident, one attending, and me for roughly 20 patients. I don't remember the exact count, but I got to do 1 central line, 1 US guided paracentesis, 1 lumbar puncture, over 10 lac repairs, a couple I/Ds, and a ton of ultrasound scans. If you are looking for a procedure- heavy rotation, I wouldn't say this is one. It is super variable, and if its during a day shift, the intern or 3rd year will probably get first dibs on it. On average, during a shift at the University campus (academic, main hospital), I would see 5-7 patients per shift. At Memorial (community), I would see 6-9 patients per shift.
I was fortunate to work with the associate PD for several shifts, which was an awesome learning experience. Toxicology is super, super strong here. Many of the attendings have done a 2 year Tox fellowship.
All the faculty are super eager to teach, and the didactic sessions are very interactive and span topics from EKGS to abdominal pain. We had one lecture with Dr. Bird, the PD, about meta-cognition and memory which was interesting. I think Dr. Bird and Dr. Church are both really, really good and have this program on track to becoming a true powerhouse in the field.
Overall, great first rotation for me. I would recommend it to anyone. I was the only rotating student not from the Northeast. SAEM exam was somewhat annoying and very poorly written in my opinion, but it is what it is. Only criticism would be that it is located in Worcester (about an hour from Boston).