Hello fellow Rossies! I am guessing you have come to this post for some more information about the first third year rotation, Internal Medicine Foundations. (Still need help with Comp or Step? Click HERE)
Fortunately, I have recently gone through November IMF 2018 so I have some details to share to help you make a smooth transition to IMF and Miramar, FL. Unfortunately, I am a part of the last IMF class before some big changes are being made to the IMF curriculum starting in January 2019. However, I have collected as much information as I can to help your transition go smoothly and set your expectations straight.
(PS if you are looking for an embroidered white coat for a good price, check out Lydia’s Uniforms)
Complio and Health Documents
First things first. Once you register for an IMF class, you will receive documents regarding your health status. I urge you to start your paperwork ASAP, even if its during the weeks that you are studying for step. The reason I say this is because there is many requirements that are required to be met in order to be “compliant” for your rotations. This includes several documents and vaccines and blood work to be complete.
If your paperwork is not completed and you are found to be non-compliant, discipline DOES happen. It is not an empty threat. Regardless of the reason for your non-compliance, action is taken to label your non-compliance as misconduct. SO start your paperwork as early as possible.
One mistake several of us made was getting our titers done and not getting QUANTITATIVE results. When you go to see your doctor, make sure (I mean double and triple check) that your results will indeed have a number for you to input into Complio. Ask for quantitative results.
The only item you need to pay for online when you register for Complio is the $29.00 fee for your background check. The first part is completed online and the second part is completed during IMF orientation.
We have lived in Miramar since March and have looked high and low for places to live that are affordable, clean, safe and close enough to the Ross campus. Truly, our favorite place we found was Milano in Miramar, renting via our landlord who has furnished 1, 2 and 3 bedroom apartments. If you are interested let me know and I can get you her contact information.
If you have your own car and are able to bring it with you, I would highly recommend this as it allows you the freedom to get too and from Ross and Cleveland Clinic and any leisurely activities. Since the schedule is changing for IMF, having your own transportation is crucial to getting too and from your assignment since they may vary in times. As an IMF student you will be offered a discounted Enterprise rate as well. This is a good option. There was an option to list a carpool partner a few weeks before IMF. I am not sure if this will still be the case, but if so there is another option for transportation with friends.
Although many changes are happening to the IMF curriculum to prepare students better for rotations, I believe many of our experiences will be the same. There is assigned readings, my suggestion would be to print them out or buy the book and read them a little everyday. This way you will not have to cram everything the night before the exam. The readings are not very dense, make sure to pay attention to any criteria, mnemonics or screening guidelines in the readings.
In IMF there is five main parts
- Clinical rotations
- Random Lectures
While those in November 2018 IMF and those before us have done our clinical rotations at many different clinics around Southern Florida, starting in January 2019 all clinical rotations during IMF will be at the Cleveland Clinic. We only did two days a week of rotations, but starting in January, many more days will be spent at the clinic. This also included different shifts (morning, afternoon, night, weekend). Clinic work will include more skill work like writing SOAP notes and presenting! It’ll be a good change.
During the 6 weeks of IMF we did two standard patient encounters with write up and presentation each week. You are broken up into small groups of 5-6 that you stick with for OSCE and every week, two people choose to do the full patient encounter. Everyone writes up one of the patients afterwards. The OSCE patient usually stems from the assigned readings for the week so it helps to keep up with your assigned readings (if these still exist from now on).
One of my favorite activities in IMF is sim lab! There are 12 cases in total. These aren’t the same simulation patients as we had in Dominica. They are extremely advanced and they even have conversation with you so you can take a history! I really loved doing sim. This is not tested, but take notes on the teaching points that the teacher goes over after all 4 cases are complete, because these are tested on the midterm and final (if these still exist).
Essential patient procedures in IMF include airway, pelvic exam, IV insertion, scrubbing and suturing. Three of these are tested on the final (pelvic, IV, and airway).
There is many, many… many hours spent in lecture. Lots of them are given by administration about how to get through the next two years. There is several lectures about what to do and what not to do during rotations.
One of the weekends during IMF you will spend a Saturday and Sunday learning Basic Life Support and Advanced Cardiac Life Support. You will get your certifications later that week and those have to be uploaded into Complio in order to be compliant. I believe they will no longer be doing PALS (Pediatric Advanced Life Support) starting in January, but I am not sure. If for some reason you cannot make it to these trainings, you will have to pay for them yourself and attend them on your own days off (and there is NOT many).
Selecting a Track
The tentative track list below is very much a tentative track list. Sometimes they add tracks and sometimes they take some away. Regardless, at least you can go into IMF with some idea of how you want to rank the track options. The second day after we started IMF (a Tuesday), we got an email about the tracks that would be offered and lots of information about each track and their start dates. You then have about 5-6 days to fill out your track application which includes ranking the sites and personal comments about why your number one pick is important to you. This is also the section where you will tell them if you want to go to the same place as your partner (girlfriend, boyfriend, fiancé, husband, wife, whatever). Make sure that you BOTH put that you want to be together on BOTH applications. Also, if it is more important for you to be together at any site rather than separated at your top two choices, then make sure you BOTH put “we would rather be placed together at any choice than our top choice”. This doesn’t mean you wont get your first choice, most people do get their first choice!
HAVE AN OPEN MIND! Some people do get their second or third choice, so rank places that you would be ok going to in places two and three. If you don’t get your top choice, still try to keep an open mind. All the tracks are great, students who are currently there have good things to say about every track.
Although there is and will be very little downtime in IMF, it is important to still enjoy your time in South Florida! BUT do not forget to get some sleep when you can, or else grumpiness will sneak up on you.
Some of our favorite places to visit while in South Florida:
- Salty Donut
- Hollywood Beach
- The Wharf
- Bill Baggs State Park
- Wynwood Area
- Miami Beach
- Divieto Italian Restaurant (cheese wheel pasta y’all)
- Little Havana
- Pembroke Gardens Happy Hours- The Pub, Village Tavern, Havana
- Vickys Bakery
Hope this synopsis of IMF gives some of you some clarity! Good luck with IMF and feel free to reach out to me with any questions!