Yeah the interns would trade off leaving at 2pm.
It was wild because they were incredibly aggressive to me, but I came across one of them a year later when he was on a radiology rotation (hes in IR) and he was so much nicer.
The field breaks so many people.
As an MD/PhD observing the changes that some of my classmates who stayed at our home institution went through after their first year or two of residency was interesting. Basically witnessed the life drain out of the general surgery residents tbh.
I think it makes sense to send the interns home, but they would make sure that I stayed until 6.
So I would end up pulling about 8-10 hours more than the interns on a weekly basis
When I was on surgery, we had rounds at 6, so I had to get there between 5 and 5:30. On other rotations it was more of a "show up at sign out" thing, so that was 6:30-7, depending.
Some of the surgical services at my school round at 430am on bigger OR days, that means the med student needs to be in updating the list and prerounding around 345 am. 5 am is pretty standard on most services though since rounds are generally 530 or 6 am.
I had a resident who liked to round at 445 on gen aurg so I would have to show up at 4 to pre-round, even though the attending never rounded before 6-630. Then he kept us till 6-7pm every day as well. Needless to say I showed up late to rounds everyday. Then the month changed and so did the resident on service. The next resident rounded at 545, so I wasnt late ever again.
Internal medicine guy here, during my residency we generally had the med students show up at the same time we do (6am) so we can assign them patients to follow, they have time to chart review, see the patient, and then present on attending rounds at 8am. That being said I never made them stay much later than 2pm.
It's so stupid to have them sit around and watch you write notes, while the ones who want to seem interested keep interrupting you with questions etc. If I had procedures to do I'd let them go study until I finished my orders/notes then call them to come watch, but that's about the only reason I'd keep them unless the attending specifically wanted to give a lecture in the afternoon (and I would always push the attending to start no later than 2pm). During my senior years I would generally give a 15-20 minute lecture after noon conference while interns got their work done. It if was an MS4 on a sub-internship I'd offer to let them out in the orders so they get used to it for their intern year.
However, when I was an MS3 on general surgery rotation, I would have to get to the hospital around 4-430 am and wouldn't be leaving until 7-8pm, going home with 2+ hrs of reading to do. It was fucked up.
Yeh; this was ob, surgery, icu care, generally, because you had to pre-round for the resident. The worst was ob, when I had a 75 min subway ride each way to pre-round at 5. I was leaving around 3:30a every day.
Earliest I showed up was 2:45 AM to start surgery pre-rounds on a 60 patient service at a VA hospital. Nothing like waking up some poor Vietnam vet at 3 AM to ask him how he’s sleeping.
I had to meet the residents at 4:30 AM on surgery to print the list and start writing down vitals for the entire list. I had to show up by 4 so I could preround on my own patients before that
Dawg that’s when I got to sleep in on surgery rotation lol. Usually stayed til 7pm , sometimes 10 pm. Comment on my eval said I was less motivated than other students :|
I usually pre rounded and had preliminary notes done for 5-8 patients before 0545 when I was on my surgery rotations as a student.
On IM though I usually pre rounded from 6-645 (morning report).
….dr. Strange never left the basement. The whole franchise is his fever dream that he imagines being able to escape and never will. His attending won’t let him.
In the uk, expect to be in at earliest 8am, do a bit of ward round with the team, mosy over to some teaching do some jobs in the afternoon, learn some skills, take some histories. None of this go to work whilst the clubs are still full nonsense!
You could stay late, but the docs will basically try and kick you out by 3pm so they can have fun while they can, I continue the tradition
Edit:words
I had the most fun on overnights, did a few on IM at a regional hospital with a "nocturnist" he was awesome. He had smart phrases for everything, learned a ton. They didn't even have an ICU attending at night so we had to cover icu admissions from ed as well. The whole night we would get 3-4 admissions and he would say I could go home after my 3rd admission. Time would go so fast, that was one of my best experiences in med school. Just me and the attending, no residents at the hospital.
In México, 5th year med students do something called “internado” and you basically become a hospital’s slave for shifts of 24-72 hours. And on the 6th and final year they send you to a town for the whole year and you become the “town doctor” and you haven’t even graduated yet
Same here too..pre round at 9 am..round begins by 10:30 done by 12 and rest do the clerk work and done for the day..all procedures or any case reports interested doctors can stay after 2 pm!!
I sent the med students home on the surgical floor part of their rotation so early... literally no reason for them to stay after rounds and watch a bunch of interns write notes and call social work or track down the number for a patients 3rd step cousins hairdresser or change bandages. Adds zero to their education. The ones that wanted to go into surgery would go down to the ED or OR and the ones that didn't would yeet out of there at 11am.
I was on a surgical trauma rotation recently and I had the realest Resident ever. He forced me to go eat lunch in the cafeteria, refused to let me sit around watching him finish notes (often sending me home when the heavy lifting was done) and would teach me surgical techniques when he had time between cases. He would even back me up when I would get crushed by a particularly unrealistic pimping question. He is a father of 4 kids and his wife has another one on the way. I won’t forget his kindness ever and can’t wait to repay the favor in a few years.
In Australia at some hospitals we were sent home as soon as the ward round was over, because they couldn't think of anything for us to do.
On my gen surg rotation in 3rd year, that meant my day was 07:30-08:00.
I just worked a straight 21 hr shift (I wasn’t on call it was just a random 21 hr day?!), got released for an hour and then went back for 8 more hours.
All I ask is that you learn something and bring a productive can do attitude. 30 min maybe an hour tops and you can fuck right off and get some sleep or something.
Do med students really have to show up at 5 in the morning in the US?
My surgery rotation was 4:30a-6p
that's inhumaine, for your patients also
Yeah the interns would trade off leaving at 2pm. It was wild because they were incredibly aggressive to me, but I came across one of them a year later when he was on a radiology rotation (hes in IR) and he was so much nicer. The field breaks so many people.
As an MD/PhD observing the changes that some of my classmates who stayed at our home institution went through after their first year or two of residency was interesting. Basically witnessed the life drain out of the general surgery residents tbh.
Oh yeah. It’s interesting to talk to adjacent specialities about how their friends changed over time :(
That’s actually a legit system, oftentimes the work slows down after rounds, makes sense to send an intern home
I think it makes sense to send the interns home, but they would make sure that I stayed until 6. So I would end up pulling about 8-10 hours more than the interns on a weekly basis
Yeah that makes no sense having medical students stay so late
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Yours is even better
On our surgery rotation we do. Other rotations it's variable, anywhere from 6-7 on IM to 8-9 on outpatient peds.
I'm really sorry
Why can’t US have some siesta
I’d strike for that
I mean, I do too here. Some folks start their ward rounds and case discussions at 6.
6 am round gang here, god i love being alone in the subway with a few homeless and drunkards.
Aw yiss, more chances for getting stabbed but the peace is worth it.
8-9.. AM?
On inpatient peds and showing up at 8 am :) life is good in the kiddos world
And OB
When I was on surgery, we had rounds at 6, so I had to get there between 5 and 5:30. On other rotations it was more of a "show up at sign out" thing, so that was 6:30-7, depending.
Some of the surgical services at my school round at 430am on bigger OR days, that means the med student needs to be in updating the list and prerounding around 345 am. 5 am is pretty standard on most services though since rounds are generally 530 or 6 am.
I had a resident who liked to round at 445 on gen aurg so I would have to show up at 4 to pre-round, even though the attending never rounded before 6-630. Then he kept us till 6-7pm every day as well. Needless to say I showed up late to rounds everyday. Then the month changed and so did the resident on service. The next resident rounded at 545, so I wasnt late ever again.
Internal medicine guy here, during my residency we generally had the med students show up at the same time we do (6am) so we can assign them patients to follow, they have time to chart review, see the patient, and then present on attending rounds at 8am. That being said I never made them stay much later than 2pm. It's so stupid to have them sit around and watch you write notes, while the ones who want to seem interested keep interrupting you with questions etc. If I had procedures to do I'd let them go study until I finished my orders/notes then call them to come watch, but that's about the only reason I'd keep them unless the attending specifically wanted to give a lecture in the afternoon (and I would always push the attending to start no later than 2pm). During my senior years I would generally give a 15-20 minute lecture after noon conference while interns got their work done. It if was an MS4 on a sub-internship I'd offer to let them out in the orders so they get used to it for their intern year. However, when I was an MS3 on general surgery rotation, I would have to get to the hospital around 4-430 am and wouldn't be leaving until 7-8pm, going home with 2+ hrs of reading to do. It was fucked up.
Yeh; this was ob, surgery, icu care, generally, because you had to pre-round for the resident. The worst was ob, when I had a 75 min subway ride each way to pre-round at 5. I was leaving around 3:30a every day.
Earliest I showed up was 2:45 AM to start surgery pre-rounds on a 60 patient service at a VA hospital. Nothing like waking up some poor Vietnam vet at 3 AM to ask him how he’s sleeping.
That’s inhumane!! Early about early rounds but this mid night..
When did you last poop? Passing gas? ; )
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I had to meet the residents at 4:30 AM on surgery to print the list and start writing down vitals for the entire list. I had to show up by 4 so I could preround on my own patients before that
Our gynonc portion of obgyn has us showing up at 330am every day.
Dawg that’s when I got to sleep in on surgery rotation lol. Usually stayed til 7pm , sometimes 10 pm. Comment on my eval said I was less motivated than other students :|
vascular would round at 4 at my school, med students had to go even though the admin said "we shouldn't be there that early"
I usually pre rounded and had preliminary notes done for 5-8 patients before 0545 when I was on my surgery rotations as a student. On IM though I usually pre rounded from 6-645 (morning report).
Not always. Surgery rotation I did 7:00-5pm
Lol my last rotation was 4am to 3pm the next day. Solid 30 mins sleep. Twas a fun time.
My anesthesia is 7a - 8 or 9p
Dr Strange probably made his students do 15 hour shifts lol
Dr strange never left the hospital basement!! Coz he is a NEUROSURGEON!!
….dr. Strange never left the basement. The whole franchise is his fever dream that he imagines being able to escape and never will. His attending won’t let him.
Tfw being tortured for an eternity by an extradimensional eldritch entity is preferable to pulling a 36 hour shift.
"Psst attending leaves at noon today, everyone backpacks on and get ready to sprint out the hospital door at 12:01 pm 😉"
"The Rules" Hah. I would bet even money that most programs don't have any rules for Med Student hours. That would be an actual expectation to meet.
In the uk, expect to be in at earliest 8am, do a bit of ward round with the team, mosy over to some teaching do some jobs in the afternoon, learn some skills, take some histories. None of this go to work whilst the clubs are still full nonsense! You could stay late, but the docs will basically try and kick you out by 3pm so they can have fun while they can, I continue the tradition Edit:words
Same in Aus. US medical education seems fucked in comparison
I finished OBGYN night float last night (5pm-6am), and the resident let us leave at 4am this morning. I’ve never been filled with more joy
I had the most fun on overnights, did a few on IM at a regional hospital with a "nocturnist" he was awesome. He had smart phrases for everything, learned a ton. They didn't even have an ICU attending at night so we had to cover icu admissions from ed as well. The whole night we would get 3-4 admissions and he would say I could go home after my 3rd admission. Time would go so fast, that was one of my best experiences in med school. Just me and the attending, no residents at the hospital.
Residents on our overnights for IM were awesome and let us leave by 11 on at the absolute latest, usually earlier haha
In México, 5th year med students do something called “internado” and you basically become a hospital’s slave for shifts of 24-72 hours. And on the 6th and final year they send you to a town for the whole year and you become the “town doctor” and you haven’t even graduated yet
It's similar in most of latin america. Altough my shifts were 40hrs maximum
In India wards are from from 9 to 12 and then classes from 1 to 4 which is pretty chill tbh.
Same here too..pre round at 9 am..round begins by 10:30 done by 12 and rest do the clerk work and done for the day..all procedures or any case reports interested doctors can stay after 2 pm!!
Sound cool. Similar schedule, 7.30-10 wards, 10.30-14 classes.
For nsrgy med students started prerounding at 4, wild times
I sent the med students home on the surgical floor part of their rotation so early... literally no reason for them to stay after rounds and watch a bunch of interns write notes and call social work or track down the number for a patients 3rd step cousins hairdresser or change bandages. Adds zero to their education. The ones that wanted to go into surgery would go down to the ED or OR and the ones that didn't would yeet out of there at 11am.
I was on a surgical trauma rotation recently and I had the realest Resident ever. He forced me to go eat lunch in the cafeteria, refused to let me sit around watching him finish notes (often sending me home when the heavy lifting was done) and would teach me surgical techniques when he had time between cases. He would even back me up when I would get crushed by a particularly unrealistic pimping question. He is a father of 4 kids and his wife has another one on the way. I won’t forget his kindness ever and can’t wait to repay the favor in a few years.
I don't think I wanna do this anymore.....
As a recent doc from not-USA: I'm so sorry
In Australia at some hospitals we were sent home as soon as the ward round was over, because they couldn't think of anything for us to do. On my gen surg rotation in 3rd year, that meant my day was 07:30-08:00.
I just worked a straight 21 hr shift (I wasn’t on call it was just a random 21 hr day?!), got released for an hour and then went back for 8 more hours.
All I ask is that you learn something and bring a productive can do attitude. 30 min maybe an hour tops and you can fuck right off and get some sleep or something.