Clinical Years Updates

All of the CHS Rotations under the Clinical Years tab have been added and updated.

You can find out loads of information about each core rotation. This includes the locations, schedules, tips and tricks to get by, and if you need a car.

I also have recommendations on who to request for your attending. (You email Zerith).

xx

Brittni

Summary Sheets

Below, I have attached my Summary Sheet to show an example of what it looks like.

The Office of Registrar uses this sheet to follow your Core and Elective Rotations. They will schedule your Core Rotations for you, and then as you secure Elective Rotations, you Summary Sheet - Brittni McClellanmust forward the corresponding e-mails to the Office of the Registrar so that they can update your Summary Sheet.

To complete any rotation, you must have all of the components submitted.  This process can take some time. You can see that I finished my IM rotation on 6/22, but I still have not received my final grade.

Components:

  1. Case Logs:
    • We must submit case logs for each rotation.  It is usually expected that you submit around 3 patient logs/day.  We use E-Value for this. If you are doing surgery and only have 1 8-hour CABG for the day, it is understood that you only have one case.  A minimum of 1 case must be added though.  At the end of each rotation, you must collect your Procedure Summary and Diagnosis Summary, and submit those to the Office of the Registrar.  Once those are looked over and accepted, you Summary Sheet will be updated to “Yes” under the “Case Logs” section.
  2. Hospital Survey:
    • This is a Site Survey that AUC will send you on E-Value towards the end of your rotation.  They want feedback on how the rotation went.
  3. Evaluation Grade:
    • This is a Final Evaluation that you must give to your attending before finishing the rotation.  They fill out the form, place it in an envelope, and give it back to you so that you can turn it into CHS.  Some attendings will complete the form online so that it’s less work that you have to do.  I am still waiting on my final evaluation for my Internal Medicine Site, so my grades for that have not been inputted.

Recommended Textbooks by Clinical Rotation

Surgery: 

  • Dr. Pestana’s Surgery Notes
  • Dr. Pestana’s Surgery Notes Audio – Videos
    • These videos used to be on YouTube.  They were a large collection of videos in which Dr. Pestana walked you through the chapters of the book.  These were 100x better than just reading the book alone, but unfortunately were deleted from Facebook a few months after my Surgery Rotation ended.  If you can find a copy, I highly recommend watching them.

Internal Medicine:

  • Step Up to Medicine
  • Pocket Medicine: I carried this with me on my Internal Medicine Rotation.  I didn’t use it that often, but some attendings really liked that I had it available and could look up topics in it that they were discussing.  I really stood out with a few of them as they would ask me to find the correct page and show them the guidelines.
  • Emma Holliday IM Review – Video

OB/GYN:

Psychiatry:

Pediatrics:

Family Medicine: as of now, AUC does not require us to take a NBME Shelf Exam for Family Medicine.  Other Caribbean Medical Schools are required to do so, and I have heard that AUC is in the process of changing our policy so that we must take it too.  This will not happen until after I am finished, so I did not use any books for this rotation and therefore have no recommendations.  If you have any, please let me know and I will add them to this post.

Books to carry for all rotations:

 

In addition, the NBME Practice Examinations can be extremely helpful for the Shelf Exams.  There are many Private Facebook groups that have screen shots of every NBME question, organized into folders by Exam Type and Exam Number, so that you can move through the questions of each one, and check the correct answer in the comments.  I cannot publicly post any of the groups, but before you start paying for all of them, try asking some upper semester friends about any groups you can join.

As I continue through my rotations, I will add more detail to the Peds, Psych, and Family Med Sections.  🙂

2020 Match Timeline

2020 Timeline

ERAS for the 2020 Match will open up in June 2019. That is the earliest you can purchase your token, open your ERAS and upload LORs for the 2020 Match.

 

When to take exams:

  • Take CS by July 13, 2019 so score is available when students begin applying to programs in mid-Sept
  • Take CK by mid-Aug 2019 so score is available when students begin applying to programs in mid-Sept
    • Students will need to take the Clinical COMP Exam prior to CK and should become familiar with AUC’s Step 2 CK Policy on page 47 of the Student Handbook (attached to this email). If you have any questions on the COMP policy, please contact Dean Kirkland (kkirkland@aucmed.edu). She is the one who designed the policy and will be able to answer any questions on it.

 

Students need at least one LOR in desired specialty when applying to programs. They can use the LOR from their core if applying to a core specialty; however, an LOR from an elective is more advantageous. Complete elective rotation in desired specialty by late July so LOR is available when students begin applying to programs in mid-Sept. There are a couple of options to obtain and upload your LORs:

1)      have the attending write the letter, and keep it on his/her computer until you open up a 2019 ERAS account (in June 2018). You should keep in touch with the attending and let them know when it is time to upload the letter.

2)      you can open up an ERAS account for THIS year to store your letters. ERAS will save the letters for you for the following year if you choose. ERAS does cost ~$105, so please keep that in mind. This is the safest option, as you can ensure that the letter will be uploaded and saved for the year (while the attending still remembers you). You will not be looked upon as a re-applicant if you open up an ERAS account in multiple years. You have to actually apply to a program to be considered a re-applicant.

3)      do not waive your right to see the letter, and you can have the attending print it out and you can upload it yourself when you are ready. I do not recommend this because almost all places I’ve seen recommend you waive the right to view the letter. This ensures the programs they are getting a more unbiased LOR.

 

Barton G

Barton G is the restaurant experience of a LIFETIME! It is the coolest place for dinner.

They have two locations: one in Miami and one in LA.  The location in Miami is located on South Beach. They are known for their extravagant displays of food and drinks.  I recommend adding them on your Instagram feed so you can see all of the amazing IMG_0890things they serve.  They are quite pricy, and there’s no getting around it unfortunately.  If you do not want to spend a ton of $$, I highly recommend going for dessert.  The dessert that we got is called “Dolla Dolla Bills Y’all!”.  It’s $42 dollars and feeds 4 people. It was basically a HUGE s’more. Get your phone out, because you’ll want to take a video of the waiter blowtorching the outside of the gold shell to roast the s’more like you’re at a campfire!  Check out some photos of me at Barton G below:

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The Everglades

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One of the first things I did when I moved to Florida was check out the Everglades! We took the Coopertown Airboat Tours (which we found because there was a Groupon!). The Groupon was $30.00 for 2 people ($15.00 per person).  When you get there, you must pay an additional $3.00/person park fee.

I HIGHLY recommended doing this! The boat tour is about 20-25 minutes through the Everglades.  They let you get off of the boat in the middle of the tour and stand in the IMG_0882knee-deep water so that you can take pictures standing in the Everglades. I have gone on the trip a few times and have always seen 5-8 alligators.  Before or after your boat trip, make sure you head into the back section of the place. They have tons of alligators and snakes back there that you can see and take pictures of up close!

When you get off of the boat, you get to take FREE pictures with the baby alligator. Check out my picture!

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They also have a restaurant that serves alligator and frog legs. To be honest, I have had both of these before and the sampler platter of alligator and frog legs that we got didn’t taste as good as other places.  However, you can get a plate pretty cheap to say that you’ve tried it!

 

 

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Updates!!

Hi everyone!

Just checking in to let you all know I am all settled in Brickell Miami! I have completed my Internal Medicine Rotation and am currently in my OB/GYN Rotation.  I have updated these sections and am currently working on some others, so make sure you check out the tabs above!

As always, I am open to any questions you have.  Just comment on any of the posts and I will do my best to get back with you quickly!

 

Brittni

ICU

ICU Hours: Technically, your hours are from 9:00-9:30 am – 5:00 pm depending on what attending is working that day.  Some attendings start rounds at 9:00, while others start closer to 9:30.  However, please read below.

Attending Physicians I worked with: Screen Shot 2018-03-04 at 9.24.21 AM

  • Dr. David Remy (3 Days)
  • Dr. Leelie Selassie (7 Days)

On Day 1 of the ICU Rotation, you can arrive around 8:45.  You will meet the Intensivist who is working that day (an Intensivist is a Critical Care Physician).  They will give you the “ICU Book” to have for the duration of your 2 Week Rotation with them.  Its a large book.  The sections they prefer you to read in your downtime can be found in the document they give you, which is here.  I usually read my First Aid CK Book, and looked up topics in the ICU book if I needed more detail or encountered a patient that I needed to understand better.

Rounds are usually from 9-11, depending on how many patients there are in the ICU.  Some days, we were completely full at 10 patients, and other days we were almost empty at 4 patients.  This drastically changed the duration of rounds.

During rounds, the nurse presents the patient.  Afterwards, the PA and the Attending will decide what needs to be done for them that day.  The presentation is extensive because ICU patients are critically ill and usually have a long list of problems and a lot of Past Medical History.

After rounds, you will examine each patient with the attending, speak to the family, etc.  Usually by the time this is done for every patient, it’s lunch time.  After lunch time, it’s more relaxed.  You will have time to do some reading/studying.  If they are admitting someone from the ED, or another floor, you will go with the attending to admit the patient.  If someone is putting in a Central Line, or a specific exam is being done, you should go see it (a lot of times, the PA does this).  I’ve seen multiple Ventilator tests be done (like a Spontaneous Breathing Trial and a nif).  I’ve seen a Lumbar Puncture, and I’ve seen multiple Central Lines, Midlines, etc.  Reading up on these topics could be helpful to you.

Presenting your Patient:

After Day 1, you are expected to get to the ICU before rounds and prepare to present a patient on rounds.  You do this every day that you are on your ICU rotation. For the patient that you present, the nurse will not present that patient.  For all of the other patients, the nurses present.  These are the general requirements needed to ROCK your ICU Rotation, even though some students have not been so detailed.  This is what I did, and I was told multiple times that I did an excellent job on my rotation.

  • I arrived at the hospital by 7:00 each morning (I know, it’s early!).
  • I chose my ICU Patient if I wasn’t assigned one previously.
  • I would go to the Physician’s Lounge, grab breakfast, and take it to the Surgeon’s Lounge so I could eat while I studied my patient (because it was usually empty).
  • I made myself a Template, so that I could fill in all of the necessary information that was needed for my presentation.  You can find my ICU Presentation Sheet Here.  I printed a new one out each morning so I could write up a new one.
  • I would go through every single piece of the patient chart, and fill in as much as I could under each topic.  It would usually take me from 7-8 am, sometimes until 8:15.  These patients have a lot going on.
  • I would fill in as much of the physical exam directly from the chart (like the pulses, the GCS, etc.).  This is so I had an idea of what I should be looking for in the patient as this was my first time doing physical examinations during clinicals.  Then, I would do my own physical exam and see if my results matched what the nurses did.  Sometimes, they did not.  I would ask the attending about those.
  • ** I learned which nurses were the most helpful on the first day (most of them were extremely nice).  On the 2nd Day, I asked to do the complete physical exam with the nurse so that I could learn how to do it.  A lot of these patients are on Ventilators, Tube Feeding, etc., so it can be a little intimidating.  After you do it with a nurse, you should feel more comfortable.  **
  • Then, I would research any medications/topics/pathology that the patient had so I could be prepared on how to diagnose it, treat it, etc.

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  • The template has topics like: 1. Neurological 2. Respiratory, etc.  Beside that main topic, I would either write that the patient was “Stable — Nothing Needed” or I would write what the patients problem was and how that tied into the Diagnosis.  For example, in Cardiovascular, I could write “3. Cardiovascular – Hypotension, due to Septic Shock”. and write a note of how that should be dealt with (you can see why I arrived so early — sometimes I would even get there at 6:30 if I was assigned a complicated patient).  You can see a very simplified example of what I mean on the picture to the right.
  • On the back of my Template Paper, I would list every medication the patient was prescribed, with the dosage (even if it was PRN, I would just write that).  If I looked up any specific pathology that the patient had, I would write myself notes on that on the back.  For example, if the patient had anemia with an MCV of 69 and a high RDW, I would write on the back that this indicates a Microcytic Iron Deficiency Anemia, and I would write down what should be expected on Iron Studies, etc.

On the Template, I added some large shapes and some smaller shapes that look like this.  It is a shorthand way of writing the patient’s labs, so I wanted to show you pictures with explanations below so you knew what it was.  The larger shapes, I used for the patient’s labs from TODAY, but the smaller shapes, I used to write down the patient’s labs from THE DAY BEFORE.  Labs are more important when you see how they have changed from the previous day.  For example, the Potassium may be high today, but it has decreased from yesterday so we’re moving in the right direction.  If you didn’t have the value from the day prior, you wouldn’t know that.  The attending will ask you those types of questions.

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The two attendings I had for this rotation were probably my favorite thus far, especially Dr. Selassie.  She is an absolutely wonderful teacher and I have learned more during this 2 weeks than anything I have done previously in my surgical rotation.  It is a lot of work, but you will leave with so much knowledge.

One Last Note: You should learn the Ventilator settings, modes, etc during your rotation.  There are YouTube videos that can help you!

 

Brittni

 

Want to read more?  

Head to the Clinicals Tab on the top of the page.  Place your mouse over Clinical Years –> Surgery Rotation and you will see all of the rotations I have completed at WAH thus far!

Washington D.C,: Part II

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Last weekend, Shehbaz and I headed back to DC for some more exploring.  First, we drove over to Dupont Circle, a young and upbeat area with lots of restaurants, shops, and  walking.  We heard from a friend that the bookstore located there, called

“KRAMERBOOKS & AFTERWORDS CAFE”

was an amazing place, which drew our attention.  I am a bookstore junkie.  I love old bookstores with used books especially.  When we arrived at Kramerbooks, we parked right across the street and paid for the metered parking.  The restaurant “Afterwords Cafe” was PACKED with tons of people, so we gave it a try for lunch.  I had the Bacon Mushroom Burger, and it was amazing!  All of their drinks are inspired by book titles, and we tried “The Cooler Purple”, which was a blend of White wine punch; Chardonnay, vodka, white grape, orange blossom — it was pretty strong and a great combination!

 

After lunch, we checked out the bookstore and walked around the circle (you can kind of see the circle in the picture I posted at the top).  There were people dancing in the middle of the circle, vendors, and people walking their dogs — it was a very lively place to be.  We checked out some of the shops, some of which sold only items made by people who live in DC.

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There is also a coffee shop located there called “Philz Coffee”.  Its a chain in the area, but they individually steep each cup of coffee fresh and they have tons of flavors to choose from.  I highly recommend checking it out.

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Afterwards, we headed towards the Lincoln Memorial and parked close by (right beside the Einstein Memorial).  From there, we walked a route that I thought was absolutely perfect!  We saw so much, so I want to give you the route just incase you want to experience the same day trip.

 

First, type in the “Albert Einstein Memorial” into your phone GPS.

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When you get there, you will find tons of 3-hour street parking. It is $6.00 for the entire 3 hours ($2/hr). Make sure you do the entire 3-hour max as it will probably take 2 hours+ to see everything on the route depending on how fast you go, and that isn’t including going into the Holocaust Museum or the National Museum of African American History or the Bureau of Engraving and Printing that you will pass by.

First, go see the Albert Einstein Memorial, then walk over to the Lincoln Memorial and then the Korean War Memorial.  Continue on the walk and you will see the Martin Luther King Jr Memorial along with a great picture taking area while walking along the water of the Tidal Basin.  My picture of this is shown below.

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As you continue around the Tidal Basin, you will see the Roosevelt Memorial, and then start heading to the Jefferson Memorial.  After this, you will see the Bureau of Engraving and Printing.  Next, you will come up to the Washington Monument and see the Holocaust Museum and the National Museum of African American History (which is rumored to have amazing food). Continue walking and you sill see the World War II Memorial.  Lastly, stroll past the Reflecting Pool and head back to the car.  It’s a GREAT thing to do!  Below are some pictures from our day trip.