Monday, September 7, 2009

Sub-Internship II - Week 1

So last Monday Drew started his second sub-Internship. He has a much longer commute for this one, and has already expressed the importance of living close to the hospital once we are in residency. His current commute is about 45 minutes (even at 4:30 a.m.) which means he wakes up at 3:30 every morning!
On his first day he didn't start until 8:00 a.m. and was done by 5:00 p.m.
Day 1 = 9 hours
A big difference between this sub-Internship and his sub-Internship last month is that he does not see patients prior to rounds in the morning. As I explained in a post last month, at the last program he was assigned to several patients and went to see them each morning (by himself) and then went with the residents and chiefs to see the patients and he would explain the status of the patients he saw. Well at this program he doesn't see any of his patients on his own. He simply does rounds with the residents. Since he doesn't have to see patients prior to rounds his day technically starts a little later with rounds at 6:00 a.m. (At the last program he tried to arrive by at least 5:00 a.m. so that he was done seeing his patients prior to rounds at 5:45 a.m.). Although Drew doesn't have to be there prior to rounds, he said that he has still been arriving closer to 5:00 or 5:15 a.m. so that he can see if the residents need any help with anything. On Tuesday Drew was done by 8:30 p.m.
Day 2 = 15.5 hours
On Wednesday, Drew took call so he was at the hospital until 8:30 p.m. on Thursday night.
Days 3 and 4 = 39.5 hours
On Friday Drew was done by 7:30 p.m.
Day 5 = 14.5 hours
On Saturday, rounds are later (7:00 a.m.) and that night Drew took call. Fortunately, it was a very quiet night and Drew had time to work on a case report that he is putting together for a doctor from his last sub-Intership and he even had time to get plenty of sleep. He was done by 10:30 a.m. on Sunday morning.
Days 6 and 7 = 28.5
The pace is a little different at this second program, and it is a little more laid back. Drew seems to really like the residents at this second program as well. He is also working with two other medical students on this rotation. Both of them are women - which are fairly rare among neurosurgery (I want to say that more than 90% of neurosurgeons are male). One of the women was on her fourth week last week, but the other woman started at the same time as Drew and will be there for the same four weeks. He seems to get along with both of them pretty well. Thank goodness these women (like the student he worked with at the last program) seem to be serious, but not so competitive that they would throw Drew under the bus. Some medical students (and even residents) are trying to make such a good impression that they are willing (or even hoping) to burn the competition in the process.
This first week Drew didn't get to do too much (mostly observed) but we'll see if that changes at all being that he didn't do much his first week last month either.

1 comment:

AmberW said...

I like your breakdown of the weeks...
S is on Sub-Internship III - Week 1.
It has been insanely intense! Nice to hear what the other programs are like...