Exempla+St+Joseph

=About the location=
 * ESJH is a private hospital largely affiliated with Kaiser Permanente.
 * The perks include free food for certain meals (which varies by service - note your meal card doesn't work at the coffee stand next to the ED, but they do make excellent espresso drinks). **Coffee and fountain sodas in the cafeteria are free! :)**
 * Parking is free in the employee garage.
 * The hospital uses the Epic EMR system. Medical student notes are incorporated into the record, and resident/attending addenda appear below the student note.

=Rotations=

Peri-Operative Care
The surgery attendings are very friendly and helpful, and have a very close relationship with the residents. You may not get to do a whole lot of hands-on operating but you are typically free to scrub in on 1-4 cases per day, depending on their length and any other obligations you have. St Joe's attendings give one-hour lessons to the four surgery medical students a few times a week, which are very helpful although they can occasionally cause you to miss a great surgery. The hours are 5-5:15 am to 4-6 pm. You are expected to take overnight call once a week, which means working a regular day, then staying overnight to take call with the team. You will scrub in on any emergent surgeries that come in, check on patients, and see consults in the ED. The intern will commonly send you to bed between 11 and 1, depending on how busy the night is. You may or may not be called if anything comes in after that, depending on what you request. You will be assigned to a general surgery attending mentor, whom you will follow in clinic about once a week and in the OR when you can. St Joe's does not have a residency program for anesthesiology, so you will work one-on-one with anesthesiology attendings. You will have ample opportunity to pre-operatively assess patients, intubate, manage anesthesia during the operation, and extubate. No one used pagers on the surgery service - they communicated with texts instead.

Women's Health (updated 7/25/12)

 * For Gyn, rounds are from 7-7:30am everyday in the Mary Brewer room.
 * For OB, rounds are from 7:30-8am everyday
 * Lectures are on Friday afternoons from 12-4pm in the "Volunteers" room - north of the Mary Brewer room. This means you should be done by 4 every Friday and have most weekends off.
 * "Benign gyn" and "Onc/uro" both = surgery.
 * Helpful tips:
 * Introduce yourself to your patient in pre-op and write a quick pre-op note about 30-60min before their scheduled time. They should be in pre-op 2 hours before.
 * Round on your patients from the day before's surgery before morning rounds and have your note in by 6:30am (this makes your residents happy). Your patients are probably on the 3rd floor.
 * Post-op round on your patients around 3-5pm and write a note. Then go home.
 * Drs Shapiro and Hatangadi often do their 2nd case of the day early - by this, I mean 2-3 hours early.
 * You may have a lot of downtime. Go to the library and look at William's Gynecology - a great resources, especially the section on surgical procedures.
 * For both OB and Gyn clinic, you will be in the other building outside the hospital (the old Children's hospital).