Peds

[Jared Huber]

Hey friends,

Hope the new rotation is going well. I don't know when I will need to rank in and out patient peds sites, but am wondering what the dealio is anyhow. Just let me know of any wonderful or horrible things to rank first/last respectively.

9b is great. Stay up late. Shelf exams I hate. Eat parfait.

JH

[Omar Khan]

Inpatient is really dependent on the attendings/fellows especially for the specialties. GenPeds attendings are almost always fantastic and really into teaching. In my experience, all of the residents have been fantastic and I've heard the same from literally everyone who has gone through Peds. Personally, I really liked Neuro. Some of the patients were really over my head in terms of management but with medicine under your belt i think you'll be really well prepared. As with all the floors (except maybe MHT) the variety isn't always there (sometimes the floor will be full of patients on keto diets or with conversion disorder - i.e. only a good learning experience once or twice). But, all of the floors have about 1/2 of the beds dedicated to general pediatrics so you should see a good amount of bread and butter peds. Heme seems to be the overall favorite (lots of sickle cell tho). 

Outpatient was great at Karabots. You'll be with a different attending each half day, which can be frustrating if they have different styles but you end up learning a ton (may not be so great if you're aiming for a high clinical grade tho....they are pretty harsh from personal and other ppl's experience). It was also a great site for me since I was expected to chart on every patient I saw and I really wanted the practice. I don't have any regrets about listing that site as my first choice. Otherwise any of the CHOP pediatrics sites are supposed to great. 

w00t

O

Omar Khan
__________________________
MD PhD Candidate, MS2
Perelman School of Medicine

University of Pennsylvania
+1(916)-390-4028
omar...@gmail.com

JH

--
You received this message because you are subscribed to the Google Groups "CantWaitForMDs" group.
To unsubscribe from this group and stop receiving emails from it, send an email to cantwaitformd...@googlegroups.com.
For more options, visit https://groups.google.com/d/optout.

[Jared Huber]

Thx bud!

JH

[Saloni Malik]

Inpatient: I did MHT, really loved it. It was a great first rotation to have, because you do see a really wide variety of stuff, much of which is tested heavily on the shelf. I think going into it though having already done medicine may end up being a little more boring -- most of the patients there have minor problems and are out within a few days. Very few really, really sick children (which I liked, actually -- I enjoyed seeing the fast turnaround from problem to solution). Another positive element is that all the attendings there are really nice and really into teaching. There are no residents/interns, which I was initially worried about, but the attendings are super approachable, and in fact, never stressed out or cranky. Most of them have small children at home who they actually spend time with, and are very into creating a positive work/learning environment, and are generally laid back and aren't trying to put you through the wringer. 

Outpatient: CHOP South Philly. This is often regarded as one of the best ones -- after a day or two, you take care of the entire patient encounter on your own, write the note, etc -- the attending will come in and check that the patient is fine etc, but you get a lot of autonomy and learn a lot. Again, everyone is super nice and mostly good at teaching. Speaking Spanish comes in handy here as well, as many families are Spanish speaking only. 

Overall, you can't really go wrong w/ peds. Everyone's pretty nice, and I haven't really heard of anyone having a terrible experience. 

Saloni

[Zachary Hostetler]

Heyo team.

I'm on 8S for inpatient peds at CHOP, which is a gen peds/pulm floor.  Overall, I think it's a good service to rank highly as long as you know what to expect.  Both the gen peds and pulm attendings have been very committed to teaching, much more than many of the attendings on internal medicine.  However, it sounds like rounds on 8S are always notoriously long, which is consistent with my experience for the last two weeks.  We've typically rounded every day from 7:30 until around noon, so come prepared!

In terms of patient population, these kids are pretty sick and most usually require plenty of respiratory therapy.  Most of the patients on our pulm service right now have CF and therefore are very complicated to manage.  They require coordinated, multidisciplinary care which can be daunting as a med student to wrap your head around (I'm still not there).  However, I think once you gain a clear understanding of all the considerations for these kiddos, you'll have a sophisticated grasp of many of the important themes in pediatrics.  

An added perk of being on the pulm service is being challenged by your residents and attendings to obtain and report a thorough and informative respiratory exam, which I have to say was a weakness of mine prior to peds.  Since respiratory issues are a big concern in the pediatric world, gaining these skills can't be overlooked.

I don't think you can go wrong with ranking the pulm service highly, as long as you know to expect more complicated pediatrics patients and rounds that are just a little bit too long.

Strong work everyone,

Zach

Zachary Hostetler

zhost...@gmail.com

610-348-6751

The University of Pennsylvania

Perelman School of Medicine

M.D./Ph.D. Candidate, MS2

The Pennsylvania State University
Schreyer Honors College, Eberly College of Science
B.S., Biochemistry and Molecular Biology

FACT: Cancer is still the leading cause of death from disease among U.S. children over one year of age.  Cancer kills more children than cystic fibrosis, muscular dystrophy, AIDS, asthma, and juvenile diabetes combined.

To donate online or learn more, visit www.THON.org!