Medical Electives

Klinikum Lüdenscheid

Elective Report from June 8, 2013

Supervision 4/5 Teaching 5/5 Leisure 5/5 Translated
Application: About the University. With us, the House was not very popular, because the trip to Bonn about takes 4 h in public transport. (Capacity: 30 lesion, actually 4 - at nearly 1,000 beds)
In the inner one is firmly assigned to a clinic (inner I look v, on the homepage of the hospital) (no choice), to 2 weeks in the medical ICU (8.9) must rotate and can rotate in an other internal medicine clinic for two weeks. For the rotation on intense you must consult shortly with the heads of both departments and the other PJlern (only one at the same time on intensive), but no problem. I was the inner I allocated (General Interior, Gastroenterology, Endocrinology and Rheumatology) - essentially this means, gastroenterological and geriatric patients, many isolation room. I also rotated for two weeks in the inner III (cardiology). The four months was quite short for me because it was my last, and I took every study days at the end. My final Jolt is that the professional competence of the departments is impressive and should not hide behind some uni. Started with the rotation in the cardiology for organisational reasons. The Organization was very easy on both sides. Unfortunately you can not really deep go in two weeks in the matter (for lesion, which primarily are assigned to the cardio, there is probably a well-thought-out rotation schedule and the competent OA is very student-friendly). Actually I wanted to see much on station, from this little but has become. This was also the worst. For this I was much in the echo (and a couple of times in the pacemaker clinic) and Kat ether laboratory (also some times when the EPC). How much you learn, depends on the doctor, but generally get much explaining and each patient must sound before even yourself (that you learn the subtleties of the TTE in two weeks, clear - everyone probably but the before and after difference is already noticeably). In the cath lab, you do of course anything yourself, get but much explained. There is also a cardio MRI, but the doctor was just for training when I was there. Arguably aortic valves should be used in future interventionell. Overall a friendly Department with many sub specialties represented by physicians; the expertise is impressive (for me as a lesion). The boss is Rhythmologe, has co-written the bradycardia guidelines. In the cardio, the ESC guidelines replace some textbook (Yes, mostly also the Herald, but no ECG book), necessarily read, if you haven't should have done so. The Gastroenterology is a friendly Department (and Yes, even competent). The Endocrinology and Rheumatology are represented by each an OAU, if the subjects interest you, just ask. Since the OAU is also geriatrician (and many geriatric patients with pathogen = General Interior or diarrhea Gastroenterology = come), there is also always some geriatric patients. As lesion, it decreases blood, sets Viggo, and picks up patients (never all, but always as many as possible - the OAU but find as if you 'must be in the endoscopy', you can record just any patients - I recorded a day between 3 and 8 patients), which you then briefly introduces in the lunch meeting. Also writing the arrangements for the patients, before it passes them to one of station doctors. Because the doctors have not fixed room, but divided the patients themselves, you need to find always a doctor taking patients. This can be even very annoying, especially if 'still just' a patient should be taken shortly before the end of the day, but then no one is found. Overall, it is the Department but absolut ok. You can go the rest of the time in the endoscopy or the Sonography, just in the Sono ambulance you must sound itself. As the lesion, you get a radio with which it is typically to called to the interesting stuff. The work Division is essentially very freely, took off in the morning mainly blood, recorded one or two patients, then the function Department and after the lunch meeting some patients take up. Lunch break is made after the lunchtime meeting together; the boss has ensured that the doctors only in case of emergency call. The sisters on the station have not noticed my name (was not based on reciprocity grummel *, the doctors knew her but), function departments that was significantly different. Overall very nice and competent Department with light organizational deficits, but good can is offset by their own organization. === To the PJ General: House the maximum care, nearly 1,000 beds. Covers almost every subject, no cardiac surgery, neurosurgery "only" by two physicians, orthopaedic absent, there is 200 m further is an orthopedic clinic. The rules for payment, housing (in the dorm, right next to the hospital, bearable, but after a year of somewhat closely) and study days are constantly, changing (thanks, University of Bonn) just ask. Classes are 4 times a week for each 1 to 1.5 h instead, namely surgery, internal, radiology and a changing trade. You will find the current training schedule on the homepage of the clinic. The training courses are generally very good; I rarely regret, are to be gone (already required). The training take place Mon to Thu, so that one can think his free days on Fri (previously there were times more study days). As the lesion to do 8 times a service in the Central pit in the four months. It is associated with in general internal medicine and looks after their own patients after consultation (don't worry, you will be introduced slowly and the patient is seen at the end of the PJs still by a doctor). If less is going on in the inner (= rare), helps you there where is busy or attaches itself to someone off, whose skilled care a. The ZNA services are not paid, but 1:1 at activities balanced as far as possible on the following day, but as the head of own has to have a say (when, not if). The service plans be folded actually always quite well after consultation with the Director who has TSNA creates lesion, with us. If you want to earn money, you can on surgical reputation services (= hook keeping, by the surgeon almost expects to do that) attend or teach in nursing school (time hardly possible, because in the morning). I found the atmosphere in the House generally very collegial and friendly, it is not only "the lesion" as lesion fully integrated into the team and is. There are exceptions of course, but less than during my internships. If you time (leisure time - unfortunately) another Department try wants, are actually all happy, you get placed no obstacles in the way.

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