Medical Electives

Klinikum Lüdenscheid

Elective Report from Nov. 17, 2013

Supervision 3/5 Teaching 5/5 Leisure 5/5 Translated
Application: In the last few years of is far less interested than seats. So probably not a problem. Contact the student Office can be found on the website: www.maerkische-kliniken.de Who is following the exam for two (?) Years binds to the hospital, can get additional premiums retroactively again for the PJ time.
Inside: for the inner four months one is firmly associated with a Department. If there are enough lesion, making parallel inside an exchange of the focal points may be possible. Usually is (is) set one but for the entire time. Mandatory is a 14 day rotation on the inside for each intensive (only day services). Who would like to knn also again two weeks in another Department inside a taste (at its discretion) - but it does not have. Nephrology is classified mainly on station. You can even days or the clock inside sniff in the dialysis or accompany patients in the ambulance to the kidney biopsy - mainly do however so station work with the interns. Starts at 7.30. The doctors are divided into early and late services. Usually, it is really productive, if also the late service there is. Each resident or Chief visits or Department meetings are at noon. Apart from those dates, you get the "not - station doctors" but barely. I personally had not feel as much knowledge was located towards me the Chief (the station doctors, however, already - super nice!). Oddly enough, Würzburg block interns, who were in between times for two weeks since got without asking your own case discussions with the Chief. Was not yet well on me? Loosen is carried out on the station by nursing staff. Only in "difficult" cases, the lesion is then once asked. Otherwise: good curves business and medication adaptation as well as writing discharge letters. Punctures/Shaldon/punch biopsy remained barred from me (I was still a number behind the interns and even came in the three months to the course). Lunch break is ensured every day. Afternoon then usually one or two additions (medical history, examination, ECG, arrangements preparing). The time was quite ok. Especially the station doctors have pulled it upwards interpersonal and technical teaching. Sense or nonsense of the intensive rotation can fight. I was before the anaesthesia intensive and found it there better. At the internal medicine the film cast, changes daily i.e. doctors don't know a mostly and the training is structured according to little. Also, don't know her patients for the same reason some and have accordingly double workload. Some PJlern that is adopted for lunch you gave on the way: "you can then also go, if you like". My Tip: uses the time to broaden the horizons and hang yourselves to one of the physical / respiratory therapist. Straight latter can do more differentiated therapy of mechanical ventilation and weaning anyway as the interns... Or go with the neurologist to the stroke patients (stroke-unit = same floor). Or get an ambulance radio (see below) What makes/learns/may otherwise hanging from the own knowledge and the shift schedule of doctors (turnover, see above) off. By "Po flat seats and turns writing" up to SPF, Kardiovertieren, pleural punctures. General Hospital: Accommodation in the hostel on the other side of the road. Room with its own fridge and sink. Shared kitchen, laundry & drying room with washing machine and a single shower on each floor. Wi-FI-flat on Klinikhotspot for lesion free. DVB-T reception possible. Parking card for lesion free. Monthly 90 euro lunch money (is booked every four weeks on corresponding magnetic card) – that's loose enough to be plenty fed up and also the station doctors to supply coffee or sweets from the canteen! In many PJlern balances accumulates on the months even more. The cafeteria offers breakfast and lunch (several dishes to choice + salad bar), includes only breakfast but at 15: 00 at the weekend. Study days have been abolished on the part of the University of Bonn. Instead, well an hour is scheduled study time every day. This is impractical and will accordingly also flexibly solved. The trainings take place Mon-Wed (16.00-17.30) and do (14.00-15.00) and rotate thematically by the departments. Participation is mandatory and can be collected in consultation with the respective heads of most appropriately as "Plus hour". The trainings are usually highly recommended and performed mostly by the chiefs or attendings personally. In addition, there are again and again training sessions for doctors, in which you can participate if you are interested free on the part of the individual hospitals. To receive the monthly 400 euros about eight services in the emergency room must be paid per four months (16-24 hours). There are also equivalent time off in lieu. The lesion on their own make the classification (wg leisure balance consultation with the head of own is advisable). In the emergency room it is mainly the internal cases along with the on-duty doctors. These range from "look over the shoulder" to "Complete severance". Usually it is also always possible at interesting cases of other disciplines to act. Independent from the current four months/box all lesion ride NEF also ambulance services on one of the two after a short briefing, if intern by a medical "emergency in spe" is busy (which almost never is he after 16: 00 and at the weekend). For ride sharing during Worktime you must of course also sort it out in advance with the own boss. Also here the possible range from the "look over the shoulder" up to the "complete severance" (with non nod by the ambulance, of course). Who want to build much emergency medical competence: a ride in the first few weeks with different Notärzten, you get out fairly fast, with whom it is on the same wavelength and where to be active can/should/want to. Otherwise almost all great friendliness, openness and teaching will reigns in the House the PJlern opposite. Usually it is to gehenen no problem at all also even by the hour in the outpatient clinics/OPs of other departments (some people did sometimes whole two weeks a "fourth compartment"). And although the House with over 900 beds is so large, it feels also everywhere to know someone (by the Chief - Physician contacts from the training and the emergency services), at least half the time the man in the can ask no doubt quite at ease and allowed. Can take over in addition OP reputation services who would like to increase the 400 euro, (approx. 16-7 watch, about 100 euros per service - whether called or not, but no time off in lieu). About the city: Lüdenscheid is probably for Sauerland conditions metropolis, who comes from the Rhine (Cologne/Bonn), who will laugh about it at best. Although there is about what it takes to (monitoring) life, but the Fußgänerzone is quite open and starting no later than 20: 00, nothing more is going on in the city. For leisure, there are two cinemas, the so-called "House of culture" (theatre, concerts, readings,...) and for sporting a decent swimming pool. Sporty can be also used extensively on foot or with the mountain bike - but then it goes steadily up and down. Guarantee of snow in winter. There is a ski and toboggan slope in the city, who wants to properly exit must be but in the car and still somewhat further to the East. This works (with winter tyres) but even at 40 centimeters, because in contrast to the Kölner Bucht traffic during snowfall not together ;-) breaks Biggest drawback is certainly the public transport connection to the other civilization. Currently train ride just about Hagen is (2 x per hour, each about 45 minutes one way). Closing the gap of Meinerzhagen Marienheide and direct through binding of the RB25 by the Cologne Hbf is working on currently (completion still unclear). Drive is via A45/A4 in about an hour to Cologne/Bonn - and usually without traffic jam.

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