My first elective of the fourth year was a rotation in Intensive Care at Baptist. The I.C.U. was run by Dr. Sid Garvey, a cardiologist who was highly regarded as a distinguished medical educator.
Aware of the caliber of medical residents at Baptist, Garvey devised an elaborate set of protocols for virtually every emergency that could occur in an I.C.U. The protocols were so logical and easy to understand the medical residents at Baptist actually bordered on being proficient in the management of critical care patients.
Most of the larger university hospitals in Philadelphia had a number of different intensive care units that …show more content…
Scores and grades no longer had any meaning for me, and I kept thinking of Freud's riddle: "What do you call a medical student who graduates last in his class?" The answer, of course, was "Doctor."
Following my six week stint in the I.C.U. at Baptist, I started an elective in Dermatology at Keystone. The elective was an incredibly easy rotation because the Dermatology clinic hours were from 9:30 to 11:30 in the morning and 1:00 to 3:00 in the afternoon.
I intentionally scheduled Dermatology during October and November because they were the months when I had also scheduled most of my residency interviews. The light Dermatology schedule allowed me to take residency interviews in most of the Philadelphia area hospitals without losing any time from my rotations.
Throughout the history of American medical education, there were a number of different programs that were intended to secure internships or residencies for the graduates of American medical colleges. Each program had its good and bad points, but Medicine continued to search for a better way to match its thousands of medical college graduates with acceptable residency programs. As the computer became