Review Detail

9.0 2 10
Florida August 14, 2007 18430
Miami orthopaedics review
(Updated: October 23, 2007)
Overall rating
 
8.3
Staff Surgeons
 
9.0
Didactics/Teaching
 
7.0
Operating Experience
 
9.0
Clinical Experience
 
9.0
Research
 
7.0
Residents
 
10.0
Lifestyle
 
7.0
Location
 
9.0
Overall Experience
 
8.0

Program Review

Staff / Faculty / Chairman
Trauma attendings get along great with residents. Friendly, approachable, willing to teach. Chairman is formal but very nice. They have added foot/ankle and joint attendings recently. Resident input is valued and they make changes according to their feedback.
Didactics / Teaching
One morning per week dedicated to lectures, review, grand rounds,etc. Speciality specific journal clubs meet according to the schedule of that service. <br />
<br />
Quality of lectures were a mixed bag, some great, others okay. Also somewhat disorganized and random in terms of the topics presented. Overall didatics seems to not be an area that is emphasized like at more academic places. This may not be representative but during my month this is what I found to be true.
Operating Experience
The 2 can theoretically get in the OR but during my rotation was always on the floor or tracking down films (no pacs as of fall 07 but on its way), consenting pre-ops, etc, etc. I was surprised by this bc I expected the 2 to be more involved in the OR. When the 2 did get to go in the OR, pager would go off like crazy with stuff from the floor. However, I did talk to one 2nd year who said that during his trauma rotation he got in alot, he just came in real early to handle the floorwork. <br />
<br />
From year 3 and up, lots of cases, good deal of autonomy but attendings are around and always willing to stay late to staff a case if needed. Ilizarovs, pelvis/tabs, complex upper extremity fx along with the bread/butter. No trauma fellow, could change. <br />
<br />
SPINE:<br />
<br />
The 2 is on the floor, the 4 can scrub in if interested. Usually the fellow and the attending. Just don't know too much about operative experience on spine as I followed around the 2 on the floor during my 2 week rotation.
Clinic Experience
TRAUMA:<br />
set up is pgy2 as the floor guy, pgy3/pgy4/pgy5 just operate. since they added a 7th resident, you could possibly have an additionaly chief on the service as well. three attendings (may have added more), running about 6 ORs. plenty of work.<br />
<br />
separate team of intern and pgy3 to cover consults/er during the day (no OR time) --thought this was great, as by week 2 or 3 intern has seen and done ALOT. good volume of real not annoying consults. dedicated c-arm and cast tech. pgy2 and pgy3 (3 is on night float) team covers floor and consults at night. pgy2 on trauma does not take trauma call. <br />
<br />
2 clinics/week. seniors rotate days (one in clinic, one OR). very very busy, can easily get behind. majority of pts are spanish speaking. this can take getting used to. almost entirely resident run. lots to do for a rotating student (splint, cut casts, injections, write notes/orders/Rx).<br />
<br />
rounds, fx conference every AM. on call team presents cases from the night. cases for the day are discussed. pretty benign in terms of pimping, not always from what i heard. walk-around rounds with the whole team is once a week--very quick! there is one PA available to do floor work. the 2 is still handling a list of about 30ish pts.<br />
<br />
SPINE:<br />
the chairman's (Dr Eismont) rotation and all that goes with it...very formal (shirt and tie, clipboards, no gum chewing, the list must be impeccable, etc). there are three spine attendings incl Dr Eismont, a spine fellow, a pgy4 and pgy2. pgy2 is never in the OR and does floor work all day, pgy4 chills typically or if interested in spine can be in the OR. when i was there, neither resident wanted to do spine so the 4 relaxed, the 2 worked the floor (working the floor on spine is exacting, precise, and very detailed oriented as this is the chair's service). that being said, Dr. Eismont is very nice, I'm sure if either residents had interest in spine they could have got plenty of OR time. Also word is he can get the residents any fellowship they want (judging by recent placement, must be true). Also there is a spine clinic at Jackson which the fellow runs.
Research Opportunities
There are two research rotations during the 5 years, additionally a 6 year research spot opened up this year. Residents are expected to take call during their research. Most residents I talked to weren't really interested. Rresearch seems to be tolerated and I would not consider it a big selling point here. More of a clinical than academic program.
Residents
Real cool, alot of them are single, mostly guys, a couple female residents. They seem to hang out together more than any other program I've rotated/interviewed at.
Lifestyle
Intern year is pretty chill. 2nd year is the roughest, prolly 14hr/days on trauma on average, can get nastier, but after your 2nd year you are mainly operating. Call is busy, 1-2 hours of sleep as a junior. Seniors may operate until late at night if cases get bumped. Summary: you will work. <br />
<br />
Jackson is a huge county hospital so alot of aggravation that comes with that is to be expected. They spend 80% of their time at Jackson. I have no first-hand information other rotation sites but the residents seem to like them, especially the sports rotations. <br />
<br />
Conferences, etc. Same as other places, one a year. Interns get to go to conference in the Keys.
Location / Housing
It's Miami. <br />
<br />
Housing: lot of the junior residents stay at a high-rise condo on south beach. ive heard the rent is +2K/month for a 1bedroom.
Limitations
-no pacs system. supposed to be getting one very soon. will cut down pgy2's scut tremendously. <br />
-weaker didactics, research relative to big academic places (i.e. pitt, rush, etc)<br />
-Jackson, great learning/autonomy/volume, also great inefficiencies/scut for junior residents
Overall Rotation Experience / Conclusion
-excellent clinically, tremendous operative volume<br />
-solid faculty, all sub-specialities are covered, well balanced<br />
-not an academic-focused program (research/didactics weaker than at other programs)<br />
-consistently great fellowship placement

Qualification

I rotated as a medical student at this program
Date of Rotation
2007
RK
Top 500 Reviewer
Report this review Was this review helpful? 0 1

Comments