Where did you have a *great* student EM rotation?

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UW doesn't accept visiting students for EM unless something has changed very recently.


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Oops, youre right. I applied for a rads away there, not EM. trying to just do aways for the first 5 rotations (EM,PEM,Ortho,Rads).

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Hennepin.

Positive
The acuity, faculty, volume, pitboss role, resources, and reputation are great. It's a 3 year. The PGY3s were very confident and knowledgeable. They practice EM in its full scope here. Graded responsibility. Stab (short for stabilization) conferences are well attended by specialists and EMS/paramedics. County experience with great trauma experience where EM plays a primary role (rare). They have ultrasound machines all over the place here. Ancillary staff is top notch, minimal scut and high chance of learning opportunities. This is a great program that is still making active changes to continue improving. Many changes were made recently based on resident feedback. Epic EMR. Hyperbaric experience possible. Many Procedures, great ortho experience.

Negative
Peds may be a weak point for this program. Residents, although happy, are tired appearing. When asked regarding work-life balance, they state they are happy with their experience overall. Graded responsibility may not be ideal for some.
 
Stay away from JPS if you are a DO student. They will not give you an interview even if you do well in the rotation. The program is becoming more and more like UT Austin and they only want students with high stats and they are really biased against DO students (I've seen it and experienced it first hand). It's kind of a blow to TCOM students since this is considered their unofficial home institution and starting class of this program were mostly TCOM students. Now it seems like the program is trying to distance itself from TCOM. The funny thing is in the ROL thread most of these students are ranking them really low.

Not even close to reality on this one. There is no bias against DOs at all, we had numerous DOs at each interview day this year. If we (residents) and faculty feel an applicant is a good fit, they'll get an interview regardless of the letters after their name.

Source: I'm a JPS resident

I'm hearing to the contrary. Many of the third-years and fourth-years (who recently matched into EM) are talking about how JPS is trying to distance itself from TCOM. For years they've been an unofficial home for us and many of our graduates have matched into their EM program. This year, 14-15 TCOM students rotated at JPS and only 3-4 of them got an interview. Just 1 will be going to JPS. This is very different from how it's been in previous years.

At a recently matched panel discussion, all of them acknowledged that some DO bias is becoming apparent. Last year, JPS recently broke off relations with TCOM and so the school lost all of its residencies and departments except for OMM and FM. People are saying that this happened bc JPS wants to be more like UTSW and did not want to be associated with a DO school. This year, TCOM got some of these departments back. But there's absolutely some friction between TCOM and JPS at the moment. Not sure what the full story is but that's the story that's going around.

I'm a first year TCOM student.
 
Has anyone done an away rotation at Florida Hospital Orlando? I couldn't find anything on the previous threads. Thanks
 
Posted anonymously via Google Forms

Program: LA+USC
Rotation: EM Clerkship
SLOE Provided: Yes

Comments: This was hands down my favorite rotation I did out of my 4 aways this year. Students work at least 120 hours the whole month (roughly 10-12 shifts) and are paired with two 3rd or 4th year residents. As someone mentioned previously, you spend two weeks with one resident working their shifts before switching off with a different resident for the second half of the month. I liked being evaluated this way because you really got to know the residents and I felt they could better evaluate you over the 4 week period. Since you work the shifts of the senior residents, you get a mix of nights and days as well as a mix of the different pods. At LA-USC there are 5 different pods that students work: Resus (Trauma/CC), North (higher acuity), East (fast track) and Peds. Students can also work the Jail ED, which is underneath the hospital and caters to the inmate population in LA County. It has all the resources of the main ED and sees all but the sickest inmates. The jail shifts, which were optional, are something really unique to LA-USC and were some of my favorite shifts, since its essentially just you and the resident working together. Didactics, which have been mentioned previously, are outstanding. Some of the brightest minds and thought leaders in the field of EM are at USC so seeing them in person is really impressive.

From the beginning of the rotation, the program coordinator makes it clear that they want to you to get more out of the rotation than just a SLOE. They have an advising BBQ for all the rotators at the PD's house that is attended by residents where they answered any and all questions about the application process. This was the only place that I went that did this and I really appreciated all of the advice. As for procedures and clinical experience I did many lac repairs, 2 paras, assisted with several central lines and did quite a few FAST exams. While I was there I saw 2 thoracotomies, multiple chest tubes, intubations etc. There was definitely no shortage of ways to get involved as a student. I would highly recommend rotating here if you can get a spot.


Out of curiosity, how many visiting applicants are granted an interview after their sub I? And is there a higher likelihood of matching here after an away here?
 
Out of curiosity, how many visiting applicants are granted an interview after their sub I? And is there a higher likelihood of matching here after an away here?

Everyone that rotates here will interview during their sub-I month. Any yes, doing an away greatly increases your odds of matching here. Majority of the matched interns will have done an away sub-I here.
 
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Alright, figured it was time to finally throw my review into the pit. I made it thorough because the program doesn't have any other reviews yet.

Brown/Rhode Island Hospital

Shifts: ~14 shifts total over the month including: 1 Peds shift, 2 critical care pod shifts, 4 community shifts and the rest at RIH (mix of days, nights, etc.). By the end of the rotation, I had a complete understanding of the variability in experience (as far as EM shifts) for this program.

Clinical Experience: Phenomenal. My favorite shifts were working with the 2nd year over nights or the fourth years in Pod A. The residents were all incredibly strong, which tended to facilitate more autonomy for the medical student. I was able to do most of my procedures, be the primary provider on sick patients, and interact directly with attendings. Residents were supportive and engaging (interns would let me run my presentations through them on complicated patients before presenting to the attending) - they wanted the students to look good.

Of note, the critical-care shifts were more of a shadowing experience; valuable, but at times I felt like I was unable to do anything, yet I was still being evaluated. I had one critical care shift where the attending refused to let me suture and I was peeved about it.

Didactic Experience: There was some great SIM involvement throughout the month, however, med-student didactics were overall basic. (Basic workup for chest pain, SOB, abdominal pain... etc. Things you would know if you've already done an EM rotation). Contrastingly, the resident lectures were engaging, well delivered, original and full of interesting material. Great shared trauma conferences with the surgery team.

Grading Experience: Felt very fair. Every shift, the attending you work with fills out a survey and reviews it with you to work on strengths and weaknesses. They prioritize growth and improvement; a great culture for learning. There was an exam portion to the grade and also a case presentation.

SLOE: They expect every rotator will ask for a SLOE (but you still have to ask). I was told on multiple interviews that my SLOE was very strong, so I got a sense they took these seriously. I received my SLOE about a week after ERAS submission and I was a pretty early rotator.

Interview: You are NOT guaranteed an interview. On my interview day, they specifically say that you earned that II, and that they only interview the students that they thought were a good fit and performed well (Keep in mind, this is a pretty low bar). This might come across stingy, but after my rotation experience, I agree with this philosophy. The way VSAS facilitates aways, you never know what type of rotators you will get. There were some horrendous rotators during my block. (Would actively complain about having to wake up at a certain time for conferences or dress codes for certain lectures IN FRONT of residents/faculty) - I was impressed how unaware these people were at sabotaging themselves.

Other:
- Residents were fantastic and threw an end of the month party at one of the downtown, rooftop bars.
- Very limited communication with the actual residency team (APDs, PD) except for occasional ED shifts.
- The schedule, learning materials, expectations are all very clear and well-organized in a labeled binder you receive on the first day.
- Living in Providence during the summer/fall is AMAZING. I took the ferry to Newport twice and would bike to the hospital for my shifts.

Overall: Fantastic experience. It opened my eyes to what makes a strong residency program vs an average program. I thought the residents were some of the strongest I met. Very fair rotation that opens doors if you work hard. You will learn a ton, gain autonomy and get a lot out of it. Most rotators who are friendly and play nice will get an II. Summertime in New England is amazing.
 
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UNC and WakeMED

Shifts: 13 8 hour shifts. 8 shifts at UNC, 5 at WakeMed. No peds shifts. I’m not sure if I was the only one without overnights, but my latest shift was 3p-11p.

Clinical Experience: Great! When I first realized that WakeMed was ~35-45 mins from where my rotating room was, I was super skeptical. They acutally wound up being some of my favorite shifts. It is really cool to see what community EM docs do and compare it to academia, like at UNC main. The docs there would let you do a ton as well. The residents also loved working there. It is a level 1, and I felt I saw a ton more trauma (blunt and 1 gsw, but it is not much of a knife and gun club) there that at the main hospital.

At UNC main you still get a lot of sick people. I felt like the residents and attendings would give you a lot of free reign after getting to know you. They were also some of the most laid back EM people I worked with in my 4 aways, and that is saying something.

Didactic Experience: Easily the best didactics I had. I HATE lectures for the most part, I am horrible at sitting down for an hour as my mind tends to wander. But these lectures were fricken fantastic. The residents and attendings are so funny that I swear a good tenth of the lecture is spent laughing. Most lectures were 30 mins, which is a great amount. We had a simulation day. Another was guest lecturers that dressed up like Kylo Ren and Rey. Another was an attending dressing up like Alex Trebek, and he was unrecognizable. Another was two residents arguing in tuxedo shirts. Another was a wilderness day where we hiked a trail and had wilderness EM stations. Can’t say enough about their lectures.

Grading Experience: I thought it was fair. You had a card with procedures they wanted you to do. Obviously not everyone is going to get a tube or a central line, and you won’t be dinged for that. They do expect you to start some lines, suture, do an I&D, US, etc. There are daily readings from case files and Tintanelli (she created the residency, so you best know her book!) and a test (home grown, not a shelf) at the end of the rotation. I thought the test was really, really hard, and I am strong test taker. I would not recommend sleeping on it at all.

SLOE: I rotated there in September, it was up in October (which I think is on time). I heard only good things about it.

Interview: Done during interview season, not during the rotation. Dr. Waller asked us if they should change this, so I’m guessing there is some thought to helping y’all save money and doing it during the rotation. Contrary to what was stated before, I have heard of one rotator not being given an interview. I don’t think this is common though.

I’ll also add the EM department advocated for my significant other to get an interview in her specialty, and the EM residents helped her out with a place to stay during her interview. That speaks volumes to the type of program they run.

Other:
- Residents organized a brewery night for everyone to attend. Kari would reschedule the shift for whoever was supposed to be working that night (which was me!) if you wanted her to.
- Kari is an awesome coordinator who is also on top of her game. Fantastic coordinators can be a game changer.
- Dr. Waller meet with all those going into EM for a Q&A, and for general advice. Same went for Dr. Jones.
- I think a lot of people don’t take into account the COL for the month on their aways. I found a rotating room with an IM resident where I had my own room and own bathroom that was 10 mins from the hospital for $500.
- There is FREE public transportation that you can use to get to and from the hospital to select areas (including were I was staying) with you badge. This was also clutch for cost-cutting.

Overall: Loved the program. It made for an extremely hard decision when putting together my ROL. Strongly recommend it to anyone who wants that blend of community and academia. Chapel Hill is hard to beat for a city to live in.
 
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Any comments on the following sites for aways would be greatly appreciated:
St. Louis University, Western Michigan University, Florida Hospital East Orlando, Presence Resurrection
Thank you
 
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Any comments on the following sites for aways would be greatly appreciated:
St. Louis University, Western Michigan University, Florida Hospital East Orlando, Presence Resurrection
Thank you
Start here for Western Michigan at least: Where did you have a *great* student EM rotation?. Start at the bottom of the page and work your way up to Cinematographer's post with links. WMU is linked there and it'll get you to the review. Orlando Health is too but not sure if that is the same program you were seeking.
 
Anyone with experience at UC San Diego? Do they interview all of their visiting students?
 
Everyone that rotates here will interview during their sub-I month. Any yes, doing an away greatly increases your odds of matching here. Majority of the matched interns will have done an away sub-I here.

Thank you! Just as a last question these posts were very helpful; how fast are they with giving out SLOEs and in addition, how is there grading system?(honors/high pass / passing system?) is there an exam at the end?
 
Anyone rotate at BWH/MGH or BIDMC? Thoughts? How tough was the grading?
 
Posted anonymously via Google Forms

Program: University of Alabama
Rotation: EM Clerkship
SLOE Experience: Other

Comments:
Didactics: Student specific didactics are every week, generally about 3 hours total. Only a few lectures, mostly hands on workshops. But the lecturers that gave our lectures were fantastic. The last week there is a joint simlab with 5th semester BSN students. It was a great experience, and is how I wish simlabs always were run. Attendance to didactics is "optional" but you should go. Not required, nor "encouraged" to attend resident conference so no need to attend this.

Faculty/Residents: Dr. Peterson (the clerkship director and APD) is an amazing and personable person. All the faculty that I interacted with were really involved with teaching the students, residents. Mostly younger attendings with a few of the very first EM boarded attendings in the country. All passionate about education. The residents are really great teachers, and personable people. Honestly the nicest people I have ever worked with were UAB's EM residents.

Shifts: 15 shifts + 1 EMS ride along or 16 ER shifts. All 8 hours, you don't stay much after your shift is over. Clinical pearl before and after shift in breakroom taught by an attending. 2 of the shifts in the POD 5 (trauma) and 2 shifts are at highlands (a pseudo UAB community ED, down the street from UAB)

Student Involvement/Responsibilities: Pick up patients the second they are in a room. UAB is very quick and does not like to leave patients in rooms for very long before they are seen. Evaluate, present plan to senior on service +/- attending presentation. Some residents will have you write a note and save it and send to them to edit. You don't put in orders. You will probably be the one doing procedures on patients in the pod in general (even not your own). Unless the intern is in need of a particular procedure.

Logistics: BHam has fairly reasonable housing options from hotels to short term rental companies.

Evaluation: SLOE will be provided and APD guarantees it by 1-2 weeks after ERAS opens up. Shift cards given to senior or attending on every shift.

Overall: Incredible experience. For those looking for a hospital with crazy pathology, good teaching, in an interesting city; I'd recommend UAB. 10/10 would rotate again.

I'm thinking about doing an away here in during interview season to fulfill my EM requirement. I'm not applying to EM. Would it be okay for me to go on interviews during an away ER rotation? Or would it be considered super unprofessional/rude of me?
 
I'm thinking about doing an away here in during interview season to fulfill my EM requirement. I'm not applying to EM. Would it be okay for me to go on interviews during an away ER rotation? Or would it be considered super unprofessional/rude of me?

As long as you're not gone half the month. They have to expect you to be interviewing.
 
As long as you're not gone half the month. They have to expect you to be interviewing.
When in interview season? If you're talking October/November, please reconsider. It is hard enough for all the people applying EM to get aways, and it is still possible to get useful SLOEs/letters during those months.
 
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When in interview season? If you're talking October/November, please reconsider. It is hard enough for all the people applying EM to get aways, and it is still possible to get useful SLOEs/letters during those months.

It'd be November 20 - Dec 15. Is that still encroaching? I waited 1-2 months after they opened it up on VSAS so I might've assumed incorrectly that it wasn't a necessary month for applicants.
 
It'd be November 20 - Dec 15. Is that still encroaching? I waited 1-2 months after they opened it up on VSAS so I might've assumed incorrectly that it wasn't a necessary month for applicants.
That's pretty late in the audition season....I only know of one person from my school who is rotating that late and he isn't expecting a SLOE out of it...I think you're fine.
 
First, cinematographer thank you for organizing and maintaining this thread! Second, thanks to everyone who submitted reviews! I plan to pay the karma forward.

I'm an MD PhD student without strong geographic ties to any one region. I'm hoping to do at least one EM Sub-I away, but I'm curious what more recent thoughts are on non-SLOE generating aways? Particularly those that would have quite a bit of relevance and provide exposure to different programs. The programs that are really piquing my interest are the metrohealth burn unit rotation and ucla's ultrasound rotation. My thought is that it would be valuable experience and let me see if the region is somewhere I would be ok with living for a longer period of time than an interview (if I am so fortunate!) would even if they are not formal Sub-Is.

I'm also curious to see if there are updated reviews for Regions Hospital in St Paul or for Indy? Best of luck to all those waiting on interviews and currently rotating!
 
Anyone rotate at BWH/MGH or BIDMC? Thoughts? How tough was the grading?
Did a rotation at BWH, really really loved it. Not a great place for procedures (only did a few suturings, I&D's, etc over the month) but the residents and attendings are very focused on making sure the students have a good experience & learn. I think the grading is like HMS grading which is fairly forgiving from what I hear.
 
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Did a rotation at BWH, really really loved it. Not a great place for procedures (only did a few suturings, I&D's, etc over the month) but the residents and attendings are very focused on making sure the students have a good experience & learn. I think the grading is like HMS grading which is fairly forgiving from what I hear.

That's really great to hear - I hadn't considered any of the Harvard affiliates for an away rotation but maybe I will now :)
 
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That's really great to hear - I hadn't considered any of the Harvard affiliates for an away rotation but maybe I will now :)
The biggest hurdle is that they don't let you know until about 2 weeks before the rotation begins. I had to cancel an away at another institution which I felt guilty about (and now worry I may not get an interview there because I canceled so close to the beginning).
 
Introducing the New and Improved SDN Away Rotation Review Survey, 2017-2019 edition.

Since @Cinematographer is busy with residency and real life and is less active on SDN these days (no posts in almost 5 months), I decided to go ahead and revamp the Google Form that people had been using to submit away rotation reviews. New questions include "which exam did you have to take?" and "did they interview you while you were out there?"

I'll post responses here for discussion and future reference. If anyone has any feedback, you know where to find me. Big thanks to @Cinematographer for all his hard work managing this resource!

Directory of 2017-2019 reviews: Last updated on 9/1/2018

Arizona:
California:
Colorado:
Connecticut:
DC:
Delaware:
Florida:
Georgia:
Kentucky:
Illinois:
Indiana:
Maine:
Massachusetts:
Michigan:
Minnesota:
Missouri:
Nevada:
New Hampshire:
New Jersey:
New Mexico:
New York:
North Carolina:
Oklahoma:
Pennsylvania:
Rhode Island:
South Carolina:
Tennessee:
Texas:
Wisconsin:
 
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Posted anonymously via SDN Away Rotation Review Google Form

SUNY Health Science Center at Brooklyn

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: None
Interview offered during rotation: No, interview not guaranteed either but was told that rotators should get interviewed as long as they did well
Would you recommend this rotation to others: Yes

Comments on rotation experience:

14 8-hour shifts, weekly lectures.

You work at 2 different EDs (Downstate and Kings County) but they're right across the street from each other. Definitely a very busy and sick population with good trauma load. Many patients are creole speaking so you'll use the translator phone a lot. NYC nurse stereotype holds true, residents and med students put in most IVs and draw labs. Personally I think this is fine for a subI but it can be annoying if you end up matching here. Generally you are working with a senior resident who will do most of your evals. You also are scheduled for 3 guaranteed shifts with the PD or an APD. Biggest negative is that visiting students do not have access to EMR which means it's very difficult to see past visits, lab results, or even find vitals. I had to look at the big board to quickly jot down vitals for my patients. You can also borrow people's log in to type out a note while they're off seeing a different patient. In general, the people you work with understand the limitations and it's fine to tell them you're not sure of things you would have otherwise looked up. Residents are friendly and willing to teach but they don't put on the kiddy gloves. Downstate is a pretty rough residency and that attitude trickles down to the subI. They work hard and they expect you to as well. The ED team does a really good job moving patients out the door so there's a good volume of patients to see. The residency program has a motto of "more patients, more learning" so you'll definitely get to see and manage a pretty good number of patients during your shifts. It's got a really gritty feeling so if you're looking for a county experience, this is one of the purest ones around.

Pros:
+Great clinical exposure and opportunities to learn;
+Brooklyn and the entirety of NYC is available to you by metro;
+Residents are very open to students and are willing to let you do as much as you are capable of handling;
+Lots of hands on work (maybe a negative if putting in a bunch of IVs isn't a plus for you);
+Some really interesting pathology in a largely immigrant population, many of whom have gone without care for most of their lives;

Cons:
-No EMR access is pretty awful, even if evaluators take it into account, it feels pretty bad being so blind
-Brooklyn can be a rough place to live for a month if you've never been before and don't know what kind of city NYC is;
-They won't babysit you and you have to actively seek out opportunities to work and learn
-The ED is pretty old and pretty crowded
-Patient population has a large proportion of immigrants from Jamaica and Haiti so it's technically not a diverse population
 
Posted anonymously via SDN Away Rotation Review Google Form

Central Michigan University College of Medicine

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: Their core students take the NBME Exam. If you have taken an exam on a previous rotation, they will utilize that score.
Interview offered during rotation: Yes
Would you recommend this rotation to others: Yes

Comments on rotation experience:

I rotated when their lectures were instead simulation labs to teach procedures to the interns. Fantastic experience. Work with attendings 1 on 1 mostly, I had two shifts with residents. Everyone wanted to teach and encouraged you creating treatment plans. Read-only access to EMR. Procedures are available, and can sometimes be done by the student. I helped with central lines and a chest tube, would have been allowed to do the line if patient was less volume depleted.

8 hour shifts, I believe you do 12, with one of those being an EMS shift and another a tech (IV, Foley, blood draw) shift.

Downsides: student lectures occur the same day as resident lecture. I liked this, but some might find it to be a long day. Not much in the way of housing available in the area, and the area in Saginaw isn’t the nicest.

All in all, great rotation. You will see a lot, will be allowed to do more than many rotations I’ve been on, and work with great residents and attendings. I wish I had been able to hang out with the residents a bit more, but I would highly recommend checking this program out.
 
Posted anonymously via SDN Away Rotation Review Google Form

Western Michigan University Homer Stryker MD School of Medicine

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: NBME Exam.
Interview offered during rotation: No interview during rotation. Uncertain if interview is guaranteed afterwards. I believe so, but cannot say with confidence.
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Pros: Student housing is supplied on a first come, first serve basis. The housing is adequate and will be with other students. It is close to one of the two hospitals that you might rotate at. This rotation has fairly high expectations of rotators: you are asked to write a note on each patient you see and provide the orders that you would like, call consults and admissions, attend all conferences and student lectures, etc. One excellent benefit of this rotation is the advising session you get with the chair of the EM department, Dr. Overton. If your school doesn’t have a good resource for Emergency Medicine advising, he is an excellent resource. He helps you understand your competitiveness and tailor your application list accordingly.

The didactics weren’t anything special, but were engaging. Simulation labs were frequently held, and the clerkship director asked for feedback about the rotation. They are committed to making it a great experience for the students. Procedures seemed light as compared to other places, but that is a function of how the hospitals operate. Most procedures seem to be done in the ICUs, but you can get involved as much as you’d like in cases. The attendings and residents were fantastic to work with, usually you were one on one with the attending. I think I had 12 shifts, with one being an ultrasound shift, one a teaching shift, and one was a shift on their resident ems response vehicle.

Overall, a good rotation that gave a great student experience. Highly recommend it.
 
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Posted anonymously via SDN Away Rotation Review Google Form

Christiana Care Health Service

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in a timely manner
Required exam: None.
Interview offered during rotation: No interview during rotation, and interview is not guaranteed to rotators.
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Didactics: We were there during an unfortunate time of the year (mostly on quality assurance, feedback, etc.) However we did have 2 teaching residents and time each week for practice cases and SIM with just the students which was good.

Faculty: Smart and mixed group of attendings. Some clearly care about education while others are there just to work.

Residents: For the most part they were relaxed, fun, and great to be around. It's rare to get along with EVERYONE in any situation and this was no exception (2 residents with whom I didn't mesh well, but still got good evals from them).

Procedures: Didn't get too many as fast track patients with lacs, I&Ds, etc. are filtered out at their main site for the most part. Their inner city 2nd hospital you get more of a chance to do them as it's just one ~30 bed ED no separate fast track. Saw several traumas but none with intubations/chest tubes.

Shifts: 12-14, 3/4 at main site and 1/4 at Wilmington. You don't need to do notes so you just get to see patients, present, do procedures if indicated, and help dispo. Some residents were great and let you see each patient before them and work together. Sometimes you just presented to the attending (often if it were 2nd year resident).

Perks: Put you up at a hotel across the hospital if you're from out of town (something like more than 60 miles away) with free hot breakfast. Get to meet with the PD/APD if you want during the rotation for general EM advice. Meet with clerkship director halfway through and at the end. Well known program (especially on the East Coast) with a history of writing legitimate SLOES that they say will help you get interviews.

Overall: Everyone was nice, learned a bunch, saw a lot of sick patients, and I think got a strong SLOE (didn't receive a grade yet, but you meet with them halfway and they tell you roughly where you're at). Definitely recommend a rotation here, especially if you want a hybrid/mixed hospital system in a smaller city/suburban location.
 
Removed at the request of anonymous submitter.
 
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Posted anonymously via SDN Away Rotation Review Google Form

Mary Hitchcock Memorial Hospital

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: SAEM exam.
Interview offered during rotation: No, but interview is guaranteed to rotators
Would you recommend this rotation to others: Yes

Comments on rotation experience:

15 9hr shifts. Residents were super nice, fun to work with, and did a great job of teaching. Newer program with only 6 interns/class, you could tell they were all very close. Faculty were great, most of them were wonderful teachers and seemed to really like what they do. Wednesday rounds were great. Got tons of procedure time. Trauma takes over for most of the traumas. Only downside is they only have 3 peds rooms in the ED and it didn't seem like there was a lot of peds exposure for the residents, but this may just have been because of my timing. Just like any Sub-i, you pick a patient and they are yours (unless they are a triage 1, then you share). They had a PA for triage level 4&5, so don't expect to do a lot of suturing or other bread and butter ED visit things (MSK injuries, sore throats, etc). Overall I would rate the program highly and would be happy if I ended up there. You get a meeting with the PD before you leave, but you have to come back for an official interview early in the season.
 
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University of Illinois College of Medicine at Peoria

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: SAEM exam.
Interview offered during rotation: Yes
Would you recommend this rotation to others: Yes

Comments on rotation experience:

14 8 hour shifts, had more autonomy here than I did at any other rotation. Staff patients directly with the attendings. Epic for EMR. Faculty were all wonderful and very willing/excited to teach. Free food 24/7, free parking. Best rotation overall.
 
Posted anonymously via SDN Away Rotation Review Google Form

Christus Health (Corpus Christi, Christus Spohn)

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: Short answer exam written by coordinator
Interview offered during rotation: Yes
Would you recommend this rotation to others: Yes

Comments on rotation experience:

14 9 hour shifts. Good didactics, mostly resident run. A ton of procedures here, and residents are more than happy to let you do them on your patients. ER is crazy busy, and you see a lot of sick people. Residency is unopposed so lots of hands on experience. Attendings and residents were all fantastic. Residents made it a point to include you in outside activities. Meditech for EMR. Have an end of rotation presentation that was super low stress. Free food, parking, and HOUSING. Absolutely loved this rotation.
 
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Beth Israel Deaconess Medical Center / Harvard Medical School

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: SAEM exam
Interview offered during rotation: Yes
Would you recommend this rotation to others: No

Comments on rotation experience:

Didactics were solid, if a bit dry and drawn out. Faculty all seemed like reasonably nice people, with only one exception that I encountered (as expected at any institution). Another student brought up this attending's interactions and was told that the attending had a history of being a bit of a jerk to students, so at least I was reassured that it wasn't just me. I think we did 15 shifts over the course of the month, although one EMS shift counts; this shift is a ride-along on a privately-owned EMS company (Cataldo).

Number of procedures in general was OK, and one of the residents was extremely nice and let me do a central line. I also did a paracentesis, joint aspiration, and a few extremely simple lac repairs. One of the third years did a splint with me and, if I'm honest, it was a pretty awful splint - either it was just a bad day for her or ortho isn't a strong suit of the program, I'm not sure.

Students have access to the EMR exactly as if they were an intern, with the exception that orders have to be cosigned by a senior resident. I frequently found that orders I put in would be cosigned *before* I had a chance to present the patient, so I think this rotation helped me grow a lot in terms of thinking like a real doctor "without training wheels." You think a lot more about putting in that order for a CT if the nurse starts prepping the patient to go to radiology before your resident has had time to hear your presentation.

That brings me to the next aspect of this rotation...presenting patients. I found that there were *frequently* times where the resident that I was supposed to be presenting to just, "didn't have time," to hear me present. I would often have to wait 10-15 minutes (sometimes more) before I could actually present. This made it quite hard to move on to the next stages of the workup/see other patients. I've been told that my presentations are always quite organized and to the point, so I don't think the residents were blowing me off or anything due to my performance.

You use their custom EMR dashboard which is developed completely in-house. They tend to rave about how efficient this dashboard is but I found it to be fairly unintuitive to use for anything but the most basic of tasks. Also you consult and admit people completely through the computer (i.e. no talking to people on the phone at all unless they have questions), which I didn't like so much.

I had high expectations for this rotation as BIDMC is known, at least within Harvard Medical School, for being quite good in terms of giving valuable, thoughtful feedback. However, my experience was quite different. They tell you that people submit feedback "automatically" to the clerkship director through their custom EMR. However because you don't give people paper feedback forms, you're never quite sure about who's actually giving written feedback. To make things worse, all of the rotating students compared the feedback we had been given during mid-rotation evals and they told us all the same thing! *Absolutely no individualized feedback at all*. I can't stress that enough. Additionally, I tried to get verbal feedback from every attending after shifts and it tended to be very generic "good job" type of comments. All of this would be fine, except...I later found out while interviewing that my SLOE was somewhat less-than-stellar. I think it's pretty unacceptable to write a mediocre sloe for someone who unsuccessfully sought feedback throughout the rotation and was told nothing but "good job, keep it up." For that reason, I cannot recommend this rotation.
 
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Integris Health

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: None
Interview offered during rotation: No, and interview is not guaranteed to rotators
Would you recommend this rotation to others: No

Comments on rotation experience:

Very busy ED, decent acuity level, residents are legit, unopposed hospital, you get to see a lot and do a lot. Met the single biggest dick of an attending I've ever met there. Didactics kinda seemed like a joke compared to most academic programs. They tend to treat their residents like workhorses. Got trashed on a SLOE there.
 
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Beth Israel Deaconess Medical Center / Harvard Medical School

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: SAEM exam
Interview offered during rotation: Yes
Would you recommend this rotation to others: No

Comments on rotation experience:

Didactics were solid, if a bit dry and drawn out. Faculty all seemed like reasonably nice people, with only one exception that I encountered (as expected at any institution). Another student brought up this attending's interactions and was told that the attending had a history of being a bit of a jerk to students, so at least I was reassured that it wasn't just me. I think we did 15 shifts over the course of the month, although one EMS shift counts; this shift is a ride-along on a privately-owned EMS company (Cataldo).

Number of procedures in general was OK, and one of the residents was extremely nice and let me do a central line. I also did a paracentesis, joint aspiration, and a few extremely simple lac repairs. One of the third years did a splint with me and, if I'm honest, it was a pretty awful splint - either it was just a bad day for her or ortho isn't a strong suit of the program, I'm not sure.

Students have access to the EMR exactly as if they were an intern, with the exception that orders have to be cosigned by a senior resident. I frequently found that orders I put in would be cosigned *before* I had a chance to present the patient, so I think this rotation helped me grow a lot in terms of thinking like a real doctor "without training wheels." You think a lot more about putting in that order for a CT if the nurse starts prepping the patient to go to radiology before your resident has had time to hear your presentation.

That brings me to the next aspect of this rotation...presenting patients. I found that there were *frequently* times where the resident that I was supposed to be presenting to just, "didn't have time," to hear me present. I would often have to wait 10-15 minutes (sometimes more) before I could actually present. This made it quite hard to move on to the next stages of the workup/see other patients. I've been told that my presentations are always quite organized and to the point, so I don't think the residents were blowing me off or anything due to my performance.

You use their custom EMR dashboard which is developed completely in-house. They tend to rave about how efficient this dashboard is but I found it to be fairly unintuitive to use for anything but the most basic of tasks. Also you consult and admit people completely through the computer (i.e. no talking to people on the phone at all unless they have questions), which I didn't like so much.

I had high expectations for this rotation as BIDMC is known, at least within Harvard Medical School, for being quite good in terms of giving valuable, thoughtful feedback. However, my experience was quite different. They tell you that people submit feedback "automatically" to the clerkship director through their custom EMR. However because you don't give people paper feedback forms, you're never quite sure about who's actually giving written feedback. To make things worse, all of the rotating students compared the feedback we had been given during mid-rotation evals and they told us all the same thing! *Absolutely no individualized feedback at all*. I can't stress that enough. Additionally, I tried to get verbal feedback from every attending after shifts and it tended to be very generic "good job" type of comments. All of this would be fine, except...I later found out while interviewing that my SLOE was somewhat less-than-stellar. I think it's pretty unacceptable to write a mediocre sloe for someone who unsuccessfully sought feedback throughout the rotation and was told nothing but "good job, keep it up." For that reason, I cannot recommend this rotation.

So 1) I realize this is a reply to an anonymous poster and 2) I have no ties to BIDMC other than the fact that I interviewed there for residency several years ago. That being said, a med student having to wait 10-15 mins to present a patient to a senior resident shouldn't be seen as a negative. It is just a fact of being in an ER. If you are a senior resident tasked with running a department, triage is a big part of your job. The med student who saw a stable patient can wait while you address more critical issues. Although your education is important, patient care comes first - and sometimes that means you have to wait. If you said "it was great, the second I came out of the room, I had a resident waiting to hear about the patient" I would think that the department is overstaffed and likely underprepares the residents to work in a busy ED. If you said, "I had to wait an hour plus to present every patient" then I would think that they are either understaffed or inefficient. Waiting a bit should be the norm and expected.
 
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John Peter Smith Hospital (Tarrant County Hospital District, JPS)

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: SAEM exam
Interview offered during rotation: Yes
Would you recommend this rotation to others: No

Comments on rotation experience:

Lots of trauma and patients. Department doesn't seem to have a good relationship with trauma surgery. Residents okay, not amazing. After discussion with fellow classmates and others who rotated it seems that they write scathing SLOEs so I can not recommend away rotators here. I would even go as far as to say I would blacklist the place for away rotators.
 
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University of Kentucky

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: SAEM exam
Interview offered during rotation: Yes
Would you recommend this rotation to others: Yes

Comments on rotation experience:

One of the best experiences of medical school, definitely wasn't expecting this! The more I reflect on this experience while I write this, the more tempted I am to rank UK #1 for residency - I was really happy my whole time there.

First of all, everyone is very nice and funny and relatable, and they want you involved. Felt like I was part of the team, not just a student. The residents are so easy to work with and fun to be around, joking and having a good time. Helped reduce fractures, did multiple paracenteses, got a chest tube. Other students got intubations.

The ED is enormous, pretty new, and very attractive - Looks like it belongs on TV. Laid out so that medically critical patients are right next to the semi-enclosed doc charting area, in 6(?) critical care beds, trauma patients are the next pod over, and everyone else is either in their own room with a door or a hallway bed. Big ED Obs unit directly next to the ED, can use for extra space as needed. Peds ED is huge (25 beds?) and directly next to the adult ED.

Lots of ultrasound. High volume place with a sick population - It was #4 in the country for acuity when I was there, recently heard through the med student grapevine it increased to #1, not sure how accurate that is. Lots of trauma, including weird farm crush injuries, but not SO much trauma that it gets in the way of the medically sick patients. You also get to do a shift or two at their county hospital (Good Sam) about a mile away, working 1-on-1 with the attendings. The one I worked with was one of my favorite people in all of medical school. (Good Sam might actually be community... I can't remember... but the patients I cared for seemed to be more on the uninsured side of the spectrum).

Lots of energetic faculty, seemed to be skewed a little younger, no concerns about "old school" attitudes. The faculty love talking about the program at UK and comparing it to places they did their residencies, and I got some legitimately helpful advising out of those conversations - while just shooting the **** and getting to know everyone. Several of them are also involved in FOAM - Dr. Sam Ghali's twitter (Sam Ghali (@EM_RESUS) | Twitter) has gotten a shout out on here before in the "effed up shops" thread, pointing out the insane acuity he sees. Dr. Jacob Avila runs 5minsono.com. Dr. Matt Dawson is the co-creator of ultrasoundpodcast.com. Dr. Rob Rogers runs something called Medutopia, has a huge interest in developing medical educators, does a lot of podcasting (rob rogers (@EM_Educator) | Twitter). One of their aPDs, Dr. Jonathan Bronner, is involved in ALiEMU education design leadership. Oh and their former PD (still around, just not PD) Dr. Doty is the president of CORD as well as being a generally great human being. I'm sure I'm missing some people, because I'm not a home student, but I was really impressed with this group! None of their FOAM stuff would matter to me if they weren't great to work with, but they all were.

Nuts and bolts stuff for the clerkship: Dr. Rebecca Bowers is the clerkship director, and is awesome, as is the course coordinator Di. I think I did 14 or 15 shifts. The only real assignment is a case presentation at the end - 15 minute PowerPoint where you work through a case and do some teaching. No required patient/procedure tracking or required notewriting!!! Paper evaluation sheets at the end of each shift either done by residents or attendings, all of whom were happy to give feedback. You have to take the SAEM test and score >~90 for honors, unless they change it for next year. Didactics are above-average engaging with some faculty lectures, some resident-led lectures, and small-group oral boards prep (you rotate through 3 cases and get key learning points at the end). The turn-around time for the SLOE was very fast, and while I haven't read it, I've been told by interviewers that it paints me in a good light. Lexington is a great mid-sized city with beautiful outdoors but also fun places to eat, drink, see live music, whatever.

Full disclosure of possible downsides: The parking garage is about 3/4ths of a mile away from the ED, all outside, and costs something like $30 for the month. They use the Sunrise EMR, not Epic, but it wasn't that bad (students can't put in orders so no experience there, but can help write notes and get feedback). Kentucky's malpractice environment is worse than a lot of places in the country.

All in all, strongly encourage you to do an Away there. This place is going to be a big name in EM before long.
 
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John Peter Smith Hospital (Tarrant County Hospital District, JPS)

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: SAEM exam
Interview offered during rotation: Yes
Would you recommend this rotation to others: No

Comments on rotation experience:

Didactics every Wednesday AM before resident lectures. I actually had a good experience, the residents and faculty were pretty kind and welcoming. 16 shifts 8hrs long, 1 shift is a nursing/procedures shift. You can get really involved in procedures: intubations, lac repairs, nerve blocks, splint placements, etc. You have EMR access (Epic), no orders. You're responsible for observed H&Ps with either the residents or attendings. I actually had a really great time on this rotation; however, I realized that I received a surprisingly harsh SLOE despite what was relayed at the mid-rotation feedback session. After talking with a few other rotators during my month as well, I noticed the same pattern. This is a great residency program, but I highly discourage rotating here for a SLOE. You'll be able to get an interview here getting a SLOE that reflects the feedback you're given at another program.
 
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Norman Regional Health Systems - Norman, OK

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Does not provide SLOEs after September
Required exam:
None
Interview offered during rotation: Yes
Would you recommend this rotation to others: Yes

Comments on rotation experience:

Norman Regional Health Systems-Norman, OK

14-12 Hour Shifts, plus 1 shift on EMSSTAT, the hospital based EMS service

Group SLOE only given for July-September rotators. No SLOE's after that.

Students rotate through 3 campuses: Porter-the main campus, Healthplex-Mainly cardiac, ortho, and OB, and Moore- low acuity, almost urgent care.

Weekly didactics. Students are allowed to leave at 2300 the night before if they are on shift. Consist of lectures, active Q&A, Oral and written board prep. Students are expected to participate.

Students are also required to perform 10 H&P's on a certain form and turn them in at the end with your badge to receive your eval

You'll get a lot of responsibility, I was expected to see my patients, present the H&P, perform any bedside US/FAST exams, and assist or perform Central lines, etc. Read-only EHR access is provided to keep up with your labs etc. Shifts at Moore are just you and the attending, that was the closest I felt to being an actual doctor. If you are there during football season, you can work the clinic inside the OU stadium with the Program Director (he is also the medical director of the ambulance service). The PD and faculty all work shifts, so you can get plenty of face time with all of them. If you are interested in EMS or have an EMS background, besides the PD, 2 of the residents are current EMS medical directors. Additional airway training is available for the students, as well as ultrasound training with the US director when he is on shift. Your ID is tied to a spending account and you get up to a certain amount for on-duty meals. Overall, it's a great program. The residents and faculty were great to work with, didactics were some of the best I had attended, there was plenty of variety and procedures. They really encourage student participation in all aspects of the ED.
 
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John Peter Smith Hospital (Tarrant County Hospital District, JPS)

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: SAEM exam
Interview offered during rotation: Yes
Would you recommend this rotation to others: No

Comments on rotation experience:

To underclassmen, take what you read on the internet with a grain of salt, but I would have to agree with the prior comments about JPS. I got generic comments like, "good jobs, keep doing what you're having been doing, etc.," then got murdered on the SLOE. It was brought up to my attention during an interview. This grenade SLOE got me a lot of rejections and this was my favorite rotation until I found out about the SLOE. You have been warned!
 
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John Peter Smith Hospital (Tarrant County Hospital District, JPS)

Type of Elective: EM Clerkship/Sub-Internship
SLOE Experience: Sent SLOE in timely manner
Required exam: SAEM exam
Interview offered during rotation: Yes
Would you recommend this rotation to others: No

Comments on rotation experience:

I just want to say grenade (from the previous post) is an understatement, it was an absolute nuke. If you're thinking about rotating here for a letter turn around, run the other way, do not pass go, pretend it was never an option. If you just want experience sure.
 
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