Medicine: Inpatient: You probably won’t get to decide where you go  There are 2 ways to think about setting

up your schedule. If you do 2 inpatient months now, you will have 1 less inpatient month your 4th year which makes for an easier schedule. However, if you do ambulatory now, you can choose a specialty to do your 4th year inpatient month in (ex: cardiology instead of general medicine). Having ambulatory your 3rd year also allows more time to study for your shelf exam, which is probably the hardest all year. Most people try to get the geriatric rotation because it’s a “cush” month but counts as an inpatient month. Froedtert: I wasn’t here 3rd year but it’s generally known to be the busiest place. th day, with short call on the 3rd day after call. Teams generally consist of a senior Call is every 6 resident, 2 interns, a SMS, and 1-2 JMSs. You will have 1 attending for 2 weeks, then switch to another for the second half of the month. VA: Call is every 4th night, with short call 2 days after call. This is the second busiest place and generally has less variety in cases. However, the attendings are all very nice and really enjoy their jobs. Attendings usually switch half way through the month like at Froedtert. The team is mostly managed by the senior resident, with the attending just checking in for rounds in the morning. There is the most room for autonomy at the VA. St. Joe’s: Considered easier compared to Froedtert and the VA. Call is every 4th night and the whole team (minus the JMSs) stays overnight. There are multiple attendings that you round with, causing frustration at times in trying to get a hold off all of them. There is the least amount of autonomy here, as the senior resident and intern do not have as much say in the management of the patient. Outpatient: haven’t done it yet, sorry. I hear you get half days off to study though. Surgery: Most people choose which specialty they want and just take whatever general service is attached. The most popular are trauma and pediatrics, however they are also the only 2 with in house overnight call. This means when you are on call you are there for 30 hours straight and may not sleep. They are probably the busiest services and will generally require the most hours. Pediatrics: cute kids and great attendings make for a good combination. This tends to be a very hands-on rotation if you show interest, and the attendings are all very interested in teaching. Be prepared to not sleep on call nights though as there is lots of butt puss that comes into the ER at all hours of the night. This service also does the trauma calls in kids, but you aren’t a part of the care team. You can go down and watch however, then should follow the patient to the CT scanner. This is usually paired with community memorial. Trauma: very busy service and you get to do a lot. During traumas you are actively involved in the care of the patient and are in charge of pt exposure, foley placement, drawing labs by femoral stick, and the rectal examination. If there are multiple traumas that come in at night your attending may be going between different operating rooms, leaving you as the first assistant (this has happened to me). The attendings are all very good, including Dr. Somberg, if you can handle his crass attitude and are not easily offended. This is usually paired with Waukesha. Transplant: Call is home call and I think its every few nights. Surgeries are interesting but can be long. The downside to home call is if you get called in at midnight and

CT: probably has the longest surgeries lasting a whole day at times. They do walking rounds. Call is usually every fourth night and you stay until about 10pm. You will learn how to manage ICU kids well. Usually a decent amount of variety here too. Probably less busy of a service. There is a good variety of cases on this team. . Orange: EMU. Attendings switch weekly and there are 2 on each week. you will learn how to do an infant physical exam. Rounds are not as long as on the red team. Red: Hospitalists. you may not see as many common things. You will learn a lot on this team. Blue: this is the step down ICU and is considered with the red team to be one of the most demanding teams. Table rounding. Can be very busy and demanding. From other students I have heard that your job will mainly be to hold the heart out of the way while it is surrounded with ice.operate all night long. so it’s very unpredictable. but it is VERY busy (we admitted 14 patients one night!). Dr. Again. Green: if you like babies this is the team for you. but generally attendings are very good at teaching. which can take up the entire morning. you don’t get to go home early the next day like you would if you were in house call. Teams generally consist of about 4 interns and a sub-I with 4 JMSs. It can either be very busy or totally dead. Lewis is very friendly and interested in teaching. The attendings from Froedtert usually cover both. but that depends on the day. only your attending. I have heard very good things about the attendings on this service as well. You get a lot of really interesting and rare cases on this service. These kids are extremely sick and some have chronic diseases with mental retardation. Specifically. ER is fun and you never know what will come in the door next. which is a good skill. However. Pediatrics Inpatient: divided into color teams. Outpatient: you can either request the ER or be set up with a community physician. You will have a lot of ownership with your patients as you do not work with an intern. If you have a specialty you are interested in. You will see a lot of common conditions as well as some unique cases. as you can often see into the entire chest while the heart is pumping. These kids can be very sick and some are in the hospital a lot. Purple: a general medicine team with attendings who do have admitting privileges. Great attendings. but is often less busy than the red team. Vascular: at both Froedtert and the VA. Peds is also notoriously hard to honor due to very high expectations of students. Ages weeks to 2 years old. I would not do this rotation if you have Reynaud’s. These are patients that do not have a primary care doctor with Children’s Hospital admitting privileges. The VA is probably a little less busy. rather than walking rounds is done. You will get to know conditions in babies well but may miss some things common to older ages 9you may get that in your outpatient month though). The annoying thing is you have multiple attendings and have to call each one to staff your patients. Surgeries are very interesting though. you can request that and they may set you up with someone in that field. hem/onc service. but may miss out on some very basic conditions. The attendings I worked with were all very nice and interested in teaching.