What should we take as our 4th year required Sub-I?

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Anonymous (not verified)
What should we take as our 4th year required Sub-I?

My school, as most do, require a core sub-I in 1 of the following 6 specialties for 4th year:  Internal Medicine, OB/GYN, Family Medicine, Pyschiatry, General Surgery, or Pediatrics.  Is one of the following preferred by program directors or is one suggested by you former students over the other?  Obviously, most people will choose General Surgery with Internal Medicine coming in 2nd (I assume), but is there any advantage of one over the other for residency or a career in urology down the road?

Edited by: nicky on 05/11/2015 - 19:50 Reason: Updated by FeedsNodeProcessor
Let trigones be...
Fourth year here, so take

Fourth year here, so take this with a grain of salt. I would strongly advise doing an internal medicine sub-I. This was one of my most rewarding rotations, and I think you definitely learn more than on a general surgery rotation.

Anonymous (not verified)
medicine sub-i + urology

medicine sub-i + urology elective

2-0 Chromic
Medicine Sub I

I'm doing a Medicine SubI this year. I wouldn't mind doing a Surgery Sub-I at my school, but it's 2 months long. Also, I don't have time to fit that in my schedule. I think Internal Medicine will be quite useful. I'm on Nephrology for a month which I'm hoping will be quite helpful in the future.

Did anyone find that doing a

Did anyone find that doing a general surgery Sub-I prepare them more for intern year more than a Sub-I in medicine would have?

Conversely, anyone who did a general surgery Sub-I wish they had done a medicine Sub-I instead?

gen surg sub-I definitely

gen surg sub-I definitely strengthened my suturing skills, keeps you talking "surgery talk" and maintains your shortened presenting/note writing/bedside procedures...but Medicine obviously teaches you more medicine.

Do you want to be more knowledgable or more practical?...is what you have to ask yourself.

Let trigones be...
for me, I don't think

for me, I don't think suturing skills gained during a sub-I will put you that far ahead of other interns. However, being able to think about acute renal failure, chest pain, and patient's with various medical co-morbidities will.

also, the wait is killing me.

Anonymous (not verified)
I would agree with the above

I would agree with the above with one caveat. If you feel that during your JMS rotation on surgery you learned well how to handle floor patients and work (meaning you learned how to be busy all day long getting the job done) then I would think that you would learn more in an Internal Medicine sub-I, specifically regarding things that you will not have time to learn during internship. Remember, the next 5 years are going to be all about surgery, so this is the last time to clean up any deficiencies in your medical knowledge that you may have - at least that is my own opinion.

Anonymous (not verified)
While there is a lot that can

While there is a lot that can be gained by any number of rotations outside of urology; as a urology intern and potentially as a second year you will do somewhere between 6 months and nearly 2 years of general surgery depending on where you match. Having a strong background in general surgery knowledge and pathophysiology will make the transition to intern year potentially more bearable, if that is possible. Of course medicine or peds knowledge can certainly be helpful but as a urology intern myself it is something I would consider.

Anonymous (not verified)
pediatric gynecology

pediatric gynecology

Anonymous (not verified)
pediatric gyn - fist time I

pediatric gyn - fist time I have laughed out loud on this website. I hope we match together