A bit hard to believe but I've only got 2 more weeks of Orthopaedics left. It definitely flew by despite not being a very "intense" placement. Actually it was extremely slack...but it still went by very quickly as I'm still having fun and having a good time. With this particular specialty at my school, students aren't placed in Orthopaedics for very long. Through the regular rotations through the school we only get about 1 week of Orthopaedics so consultants/registrars don't get to know you very well. With me, because I had self-designed my placement to be in Orthopaedics for 6 weeks...consultants find it weird that I've been around for a lot longer than most people. Every week I attend early morning meetings to discuss about cases and I can tell that the consultants are starting to expect me in meetings and I'm becoming a familiar sight. They are all acknowledging my presence and are talking to me, which is a bit of a surprise as I haven't really followed any of them to clinics/theatre so in general the only time they see me is when I attend their meetings (once a week).
Essentially I go to clinic twice a week, and we would see quite a lot of patients in a half-day clinic. When I first started out on my first week, I essentially just sat in clinic and observed. The week after, I was allowed to go take full patient histories and then present them to my supervisor in front of the patient, but I would watch my supervisor perform examinations on the joints. Third week: full patient history + joint examination on my own, then present to my supervisor in front of the patient. Fourth week (now): take a full patient history, full joint examination, differential diagnosis + formulate a management plan. I think my supervisor is doing a really good job in terms of allowing me to progress and allow me to do a bit more with every week. Finally getting things to do and a bit of responsibility, which is nice. It also makes the clinic a bit more enjoyable as sitting through a whole clinic and not doing anything gets fairly boring, especially in such a specialized clinic (lower limbs). Patients generally come in with the same complaints so when we get new patients, I get to at least get up and walk around and do a bit of talking/interaction with patients in a side room, while my supervisor sees a follow-up patient. I actually think it helps the clinic move a bit faster as we are seeing two patients at a time at some points and when I present my patient, it obviously takes less time than doing a history on the spot and my supervisor is starting to trust my examination findings so he only needs to quickly check instead of going through all the motions.
I think I'm actually learning a lot as my history taking skills and examination skills can always be improved on so with all this practice, I believe I have improved a lot. Taking a pain history is quite easy now and it is something I don't really need to think about anymore and I hardly miss any questions out as I'm seeing so many patients and getting lots of practice in. This is definitely giving me a bit of a head start compared to other students as other students use their "self-design" placement as a holiday by applying to do a project in "sign language" or something really random. With my placement, it is almost like a regular rotational placement that we get placed in and I'm doing a lot of clinical things which is obviously helping me improve and giving me a lot of opportunities to practice and formulate management plans (which aren't really taught to us...it is something we have to learn on placements).
Overall, really enjoying my time in clinics (can't believe I am enjoying clinics) and they go by fairly quickly as well. My supervisor asks me questions from time to time so he keeps me thinking and he teaches and shows me a lot of x-rays throughout clinic as well. Like I said about my last O&G placement, supervisors definitely matter and they can make a huge difference in your placement. Can't believe only 2 more weeks left...I could do another month of this! Starting to become a routine and I'm starting to feel a bit more comfortable. Best bit is that I'm not in every single day from 9-5, so I get to work on a project/audit at the same time so it keeps my week interesting/varied. Plus I'm getting some free time to enjoy the odd sunny weather here in the UK. Loving it.
Saturday, May 26, 2012
Wednesday, May 23, 2012
Empathy.
Empathy is probably one of the most popular answers to medical interview questions such as "skills required to be a doctor." Empathy is essentially the skill to be able to feel another person's feelings. To be entirely honest...it seems like it is a skill that you LOSE, not gain as your career progresses. As a medical student, I treat the patients with a lot of respect and take the time to listen to them and try to empathize and sympathize with them. It is definitely not an easy task. There are countless amount of times where I found myself fake sympathizing/empathizing with patients as I sometimes find it very difficult to place myself in his or her shoes. And some of you may think why you "lose" your empathy skill as you progress through your career. Obviously this is a generalization and there are definitely lots of consultants out there who are really good at empathizing with patients; however, there are some where you start questioning their bedside manners.
I really don't blame the consultants for not empathizing with patients. After doing your job for 30-something years, you might not be as interested in it as you were 30 years ago. Some consultants have extremely busy schedules and it is a shame they don't take the time to empathize with patients. With an aging population, we now see a lot of elderly patients on the wards with chronic conditions. These patients might be in for their 10th surgery on their hip, for example. Sometimes it is unfortunate that surgeons/doctors don't acknowledge these things. Yeah you need to fix a patient's hip, but after having so many surgeries, it is obviously going to affect the patient psychologically and socially. I know there are some doctors who believe in holistic medicine. These doctors would tend to all the needs of the patient: psychological, physical, and social. I feel like the patients who have these sort of doctors feel like they are cared for and sometimes I guess it is pretty frustrating to be tossed between 5 different teams in a hospital as consultants won't know you as well.
Then we start to asking the question: are doctors too specialized? I mean just under orthopaedics, we've got consultants who specialize in only hip replacements, or hand surgery, etc. With such specialized doctors, we start to realize that these doctors start to lose knowledge about other systems in the body. In hospital for hip replacement but have a breathing problem so the orthopod has to refer you to the respiratory team. Are we becoming too one dimensional? It's definitely a tough argument. By having such specialized doctors/surgeons, we get people who are excellent at their field. If we have a bunch of doctors who knows a bit of everything...well we get doctors who are just good at everything and not excellent in anything. It's a tough argument, but to be honest, I would much prefer having a very specialized doctor as I would know for sure that he or she is fantastic at treating a certain condition or performing certain surgical procedures. If my life is at risks...I would obviously want the best and only the best.
Hmm...think I got a bit off topic there. Anyways empathy. It is a shame that some doctors lose this skill and overlook a patient's social/psychological well-being. But like I said earlier...I really don't blame them. I hope I will still be good at empathizing with patients 30 years down the line, but I know it will be something I will have to keep reminding myself to do. What's the point of being rude to patients? You gain nothing. Might as well be nice and listen to them and make their stay at the hospital better. Easy to say...hard to do.
I really don't blame the consultants for not empathizing with patients. After doing your job for 30-something years, you might not be as interested in it as you were 30 years ago. Some consultants have extremely busy schedules and it is a shame they don't take the time to empathize with patients. With an aging population, we now see a lot of elderly patients on the wards with chronic conditions. These patients might be in for their 10th surgery on their hip, for example. Sometimes it is unfortunate that surgeons/doctors don't acknowledge these things. Yeah you need to fix a patient's hip, but after having so many surgeries, it is obviously going to affect the patient psychologically and socially. I know there are some doctors who believe in holistic medicine. These doctors would tend to all the needs of the patient: psychological, physical, and social. I feel like the patients who have these sort of doctors feel like they are cared for and sometimes I guess it is pretty frustrating to be tossed between 5 different teams in a hospital as consultants won't know you as well.
Then we start to asking the question: are doctors too specialized? I mean just under orthopaedics, we've got consultants who specialize in only hip replacements, or hand surgery, etc. With such specialized doctors, we start to realize that these doctors start to lose knowledge about other systems in the body. In hospital for hip replacement but have a breathing problem so the orthopod has to refer you to the respiratory team. Are we becoming too one dimensional? It's definitely a tough argument. By having such specialized doctors/surgeons, we get people who are excellent at their field. If we have a bunch of doctors who knows a bit of everything...well we get doctors who are just good at everything and not excellent in anything. It's a tough argument, but to be honest, I would much prefer having a very specialized doctor as I would know for sure that he or she is fantastic at treating a certain condition or performing certain surgical procedures. If my life is at risks...I would obviously want the best and only the best.
Hmm...think I got a bit off topic there. Anyways empathy. It is a shame that some doctors lose this skill and overlook a patient's social/psychological well-being. But like I said earlier...I really don't blame them. I hope I will still be good at empathizing with patients 30 years down the line, but I know it will be something I will have to keep reminding myself to do. What's the point of being rude to patients? You gain nothing. Might as well be nice and listen to them and make their stay at the hospital better. Easy to say...hard to do.
Sunday, May 13, 2012
Too slack?!
Some of you have probably noticed that I am back from holiday due to my recent post. Anyways you must be thinking what placement I must be on. Essentially we get 6 weeks where we can either design our own placement or select a project that the school offers. Most of you probably know that I am interested in Orthopaedics, so I designed my own placement and have chosen to spend 6 weeks in Orthopaedics. So far...well so far I haven't really done much as my supervisor has been taking quite a few annual leaves. I've been in for about 3 days in the last 2 weeks. I've been to 2 clinics, which were quite good. My supervisor is quite good at teaching so I'm definitely learning lots...just wish I was in more often. Yes I am whining about not having enough to do. It doesn't help that my last placement was quite busy (in from 9am to at least 5pm every day). Now I'm in for a half day here and there. I got 1 theatre day which was alright. For the first surgery I didn't get to scrub in because the nurses didn't realize I was attached to the consultant and no one helped me scrub in. For the rest of the list I got to scrub in and it was definitely interesting. Looked ridiculous though fully decked out in gear as in Orthopaedics they are quite anal about cleanliness as they want to prevent infections. If the patient gets an infection, the only way of curing it is to take the implant out so we all want it to go successfully. No one wants to go under the knife more than once. My supervisor was really good at getting me involved though. I mean scrubbing in was already good enough but my supervisor also let me use the drill, hammer, etc. It definitely put a smile on my face and I really enjoyed it. I also got to learn how to stitch (finally) and I got to help close up at the end of surgery.
Anyways there isn't much to post about unfortunately as I haven't actually had a proper full week yet. It's quite frustrating. I'm actually keen to do some work and stuff, but I haven't even really touched base with my supervisor so I hardly know what is going on. I mean I've gotten to know the registrar which is good, but with going into theatre, the consultants are generally quite picky about having students in and I haven't had a chance to meet all the consultants on the team yet. Really difficult to keep my motivation up to go into placement at the moment. A bit disappointed as well, but once my supervisor gets back I'm sure everything will get going again (I hope).
Anyways there isn't much to post about unfortunately as I haven't actually had a proper full week yet. It's quite frustrating. I'm actually keen to do some work and stuff, but I haven't even really touched base with my supervisor so I hardly know what is going on. I mean I've gotten to know the registrar which is good, but with going into theatre, the consultants are generally quite picky about having students in and I haven't had a chance to meet all the consultants on the team yet. Really difficult to keep my motivation up to go into placement at the moment. A bit disappointed as well, but once my supervisor gets back I'm sure everything will get going again (I hope).
Friday, May 4, 2012
Taking Notes 101.
Attending lectures is one thing. Paying attention during a lecture is another...but taking notes during a lecture is almost like an art. Essentially, note taking is a unique thing. Every one takes notes differently. Back at school, everything was spoon fed to me. What the teachers wrote on the board, I would copy it down. This method doesn't exactly work in university...unfortunately. When I got to university, I was pretty confused about how to take notes during lectures. Fortunately, my university uploads the lecture slides ahead of time, so I usually print them out and take them to lectures. What notes do I write down? Well it depends. It helps to read the lecture ahead of time so you can pay more attention to what the lecturer is talking about and you'll know when to add to the slides.
For me, I bring a laptop to lectures as I think it is easier to type my notes as I don't need to really pay attention to my typing and I can pay more attention to what the lecturer is saying. Plus, I type quickly so I can take down more notes. If I know I have a brief/not detailed lecture, I would tend to write down most of what the lecturer says. Some people find it difficult to follow lectures, so some people bring a dictaphone to record the lecture and to listen to it later when they have time and to take more notes. I think it's a good method ONLY if you go back and listen to the lecture. I'm a bit of a lazy bugger....so I know this method wouldn't work as I wouldn't go back and listen to a lecture and make notes.
Then again, some people don't take any notes and rely on their recommended/extra reading to get the notes. Also you need to know what kind of a learner you are. I'm not a great oral learner...I'm much more a visual learner so I need to see things written down. I can't remember things that are told to me. I have to either do it or write it down; therefore, note taking is a very unique thing and only you'll know what is best for your learning.
I wish I can tell you in more detail how to take notes, but this is something you have to try and discover yourself. Try different methods...and eventually you'll find what works best for you.
For me, I bring a laptop to lectures as I think it is easier to type my notes as I don't need to really pay attention to my typing and I can pay more attention to what the lecturer is saying. Plus, I type quickly so I can take down more notes. If I know I have a brief/not detailed lecture, I would tend to write down most of what the lecturer says. Some people find it difficult to follow lectures, so some people bring a dictaphone to record the lecture and to listen to it later when they have time and to take more notes. I think it's a good method ONLY if you go back and listen to the lecture. I'm a bit of a lazy bugger....so I know this method wouldn't work as I wouldn't go back and listen to a lecture and make notes.
Then again, some people don't take any notes and rely on their recommended/extra reading to get the notes. Also you need to know what kind of a learner you are. I'm not a great oral learner...I'm much more a visual learner so I need to see things written down. I can't remember things that are told to me. I have to either do it or write it down; therefore, note taking is a very unique thing and only you'll know what is best for your learning.
I wish I can tell you in more detail how to take notes, but this is something you have to try and discover yourself. Try different methods...and eventually you'll find what works best for you.
Thursday, April 12, 2012
Expectations.
Everyone has his or her own expectations for certain things. In my case: I had my own expectations for this placement (Obs & Gynae). Before I even started this new year and embarked on my specialty placements, I had already made up my mind about some of the specialties. And I have once again been proven wrong and again shouldn't be making judgments before even starting a specialty. You would think I would learn by now not to judge so early. Before I started O&G I constantly told myself that it is going to be my worst placement ever and I will truly hate it. I was not looking forward to it. I even marked it on my calendar as: "Ugh." To make things short, I had extremely low expectations for O&G. And you know what, sometimes I like being proven wrong. Don't get me wrong I have respect for the specialty, it just never clicked with me. You get this whole: "Awkwardddd women's health...it's going to be weeeirdddd!". I think in general anything that deals with bits downstairs is a whole taboo subject.
So I went back to my archives and read up on my blog post that I typed up before starting the specialty:
And I can't really call it luck anymore with getting a nice/easy going/chill supervisor. I've said it before, but at the end of the day, a consultant/supervisor is a person as well. Yes they too have expectations for me and I try to meet their expectations, but because they are also people, you can certainly have some good banter with them. I got to know my supervisor and probably saw my supervisor the most out of the rest of my group so I guess he got to know me better than the others. Definitely made the attachment more enjoyable as I could feel that my supervisor genuinely cared about my learning and it's also nice to get to know your supervisor as it'll keep my blood pressure and heart rate from shooting through the roof whenever I see him. In some placements I would purposely avoid my supervisor just to avoid getting told off/being quizzed. For this placement, I didn't mind bumping into my supervisor on the ward or even in the corridors. I think we also had a "mutual understanding". He knew what my personality is like and what sort of student I am so he didn't form unrealistic expectations for me so that put me at ease and allowed me to feel comfortable in the hospital. Again it is a two-way process. I know when my supervisor didn't want to see me and I guess I'm fairly good at telling when I can be cracking jokes. I guess it is a skill I definitely cherish as like I said I'm a "happy-go-lucky" and a bit of a prankster/joker who is quite cheeky as well...so I definitely need to know where to draw my line with each person.
All in all, I think this attachment has worked out really well and essentially exceeded my expectations. I have definitely gained a heck lot more respect for the specialty and it has definitely changed my view on the specialty. It really ain't that bad at the end of the day. The doctors are also pretty cool people as well so it was good. The hospital was great as well and was really good at making sure medical students are learning and interacting. Following a doctor around is one thing, but being able to assist and do things is a whole other ball game that makes your attachment so much better. This could be the very last time I'll be doing O&G for the rest of my career, but hey if I do get a rotation in it in the future, I won't mind doing it again. Hate to say this, but this is easily the best placement I have ever had so far. Who would've thought I would be saying this 7 weeks later. I wish all my placements can be this good. Now I'm scared about my future attachments as this placement has set the bar so high. How can I go back to just following a doctor around? How can I go back to standing in theatre not scrubbed in and peering over the surgeon's shoulder? Will I get along with my next supervisor how I got along with my supervisor now? What are my expectations for my next placements now?
Thank you for proving me wrong and giving me the best 7 weeks of my medical degree. What a placement. Damn. Can't believe it is over. The one time I am dreading for the end of a placement. I guess one good thing about this is that I finally get a much needed 3 week holiday.
Side note: Will be on holiday for the next 3 weeks and I, most likely, will not be posting as I really need a break. Sorry!
So I went back to my archives and read up on my blog post that I typed up before starting the specialty:
"My next placement is Obstetric and Gynaecology. I'm actually really scared for this as I don't really know what to expect as well. Should be interesting as I'll definitely be able to go to theatre (YES!); however, it'll be dealing with quite a sensitive subject so I'll definitely need to change from being playful in Paeds to professional for this specialty. Hopefully I'll be able to compose myself and try to enjoy this specialty as much as I can. First I'll need to go to a week of lectures before commencing my placement. I much rather having lectures first before going to placement as at least I'll have some basic knowledge prior to going to the hospital so I won't look like an idiot in front of the doctors. I also hope I'll have a really nice/easy going/chill supervisor. My last supervisor on paediatrics was very easy-going, which made the placement much more enjoyable. Crossing my fingers that I'll be just as lucky this time with Obs+Gyn. Another 7 weeks of Obs+Gyn and then Easter Holiday! I can't wait for holiday. To be honest...I kinda need one now!"I really can't blame myself for being scared as it is a sensitive subject, but in terms of changing my behaviour from playful to professional was something I was a bit unsure about as I'm naturally a "happy-go-lucky" so I was a bit nervous for that change. Thinking back through the last few weeks, I haven't had so much fun on placement. Even more fun than my paediatric placement. Yes I have to be professional and build a good rapport with patients to talk about more sensitive things, but I realized that if I'm having a good time, the rapport comes naturally and you as a person become a bit more easier to approach and get along with. In paeds I was told that it was "written all over me" that I was not enjoying my placement. For this placement, yes I went in knowing I'll hate it, but I really wanted to make sure that I didn't make it obvious that I'm not enjoying the attachment. Because I went in with such low expectations I was open for anything and had little expectations. This actually helped me be a bit more welcome to anything and I think a lot of the staff and my supervisor could see that. I was even told by the nurses that some of the patients thought I was a "breath of fresh air" as I was always smiling on the wards and just enjoying my time. A patient told me that most of the staff look bored, but I look interested and just trying to have fun. Because in my last placement in paeds I looked super bored, it was probably the main reason it took me a bit longer to get to know the staff and interact with the patients.
And I can't really call it luck anymore with getting a nice/easy going/chill supervisor. I've said it before, but at the end of the day, a consultant/supervisor is a person as well. Yes they too have expectations for me and I try to meet their expectations, but because they are also people, you can certainly have some good banter with them. I got to know my supervisor and probably saw my supervisor the most out of the rest of my group so I guess he got to know me better than the others. Definitely made the attachment more enjoyable as I could feel that my supervisor genuinely cared about my learning and it's also nice to get to know your supervisor as it'll keep my blood pressure and heart rate from shooting through the roof whenever I see him. In some placements I would purposely avoid my supervisor just to avoid getting told off/being quizzed. For this placement, I didn't mind bumping into my supervisor on the ward or even in the corridors. I think we also had a "mutual understanding". He knew what my personality is like and what sort of student I am so he didn't form unrealistic expectations for me so that put me at ease and allowed me to feel comfortable in the hospital. Again it is a two-way process. I know when my supervisor didn't want to see me and I guess I'm fairly good at telling when I can be cracking jokes. I guess it is a skill I definitely cherish as like I said I'm a "happy-go-lucky" and a bit of a prankster/joker who is quite cheeky as well...so I definitely need to know where to draw my line with each person.
All in all, I think this attachment has worked out really well and essentially exceeded my expectations. I have definitely gained a heck lot more respect for the specialty and it has definitely changed my view on the specialty. It really ain't that bad at the end of the day. The doctors are also pretty cool people as well so it was good. The hospital was great as well and was really good at making sure medical students are learning and interacting. Following a doctor around is one thing, but being able to assist and do things is a whole other ball game that makes your attachment so much better. This could be the very last time I'll be doing O&G for the rest of my career, but hey if I do get a rotation in it in the future, I won't mind doing it again. Hate to say this, but this is easily the best placement I have ever had so far. Who would've thought I would be saying this 7 weeks later. I wish all my placements can be this good. Now I'm scared about my future attachments as this placement has set the bar so high. How can I go back to just following a doctor around? How can I go back to standing in theatre not scrubbed in and peering over the surgeon's shoulder? Will I get along with my next supervisor how I got along with my supervisor now? What are my expectations for my next placements now?
Thank you for proving me wrong and giving me the best 7 weeks of my medical degree. What a placement. Damn. Can't believe it is over. The one time I am dreading for the end of a placement. I guess one good thing about this is that I finally get a much needed 3 week holiday.
Side note: Will be on holiday for the next 3 weeks and I, most likely, will not be posting as I really need a break. Sorry!
O&G - Done!
One of the most stressful days ever. Let's just say this placement never really got my heart rate and blood pressure up until today (my last day). Waited to do my final assessment with my supervisor and I was really stressed out. Hate waiting around. You see if this was one day earlier, I would not be as stressed out. I was a bit of a smart ass and booked to leave for home 1 day before official holiday. Seriously talk about luck. Supervisor couldn't do my assessment until my final day...5 hours before the departure of my train to go to the airport. Essentially, we are allowed to resit our assessment if our supervisor believe we are incompetent. You would usually resit the assessment immediately or the week after, BUT because we are doing our assessment in the final week on my last day of placement, I don't really get another go. So that means I have ONE shot at this assessment. I pass...I pass. I fail...let's just say that is NOT an option. I essentially needed a bit of skill (to pass the assessment) and a heck lot of luck to not only pass my assessment, but to also catch my train. Doing an assessment is already stressful enough especially when you've got only 1 shot at it. Travelling is also another very stressful thing. Put the two together (assessment AND travelling) is the formula for a heart attack. Yes why should I be worrying about my assessment? I worked hard. I came in every day. Didn't skive. Studied...a bit. Practiced my examination skills quite a bit. So why am I not confident? Simple. Anything can happen eg. bad luck such as getting a difficult patient, blanking out aka brain fart, nerves, etc. I think I'm pretty chill with my supervisor and I don't really "fear" him that much, BUT at the end of the day yes he is a person...but he is also my SUPERVISOR, which I cannot forget. He essentially is the one who determines whether I pass or fail this placement. Kind of hard not to be a bit scared/nervous/stressed/intimidated.
Anyways luckily I passed my assessment and it all went very well. Got all my forms signed off, handed in my locker keys, and next thing I knew, I was saying my goodbyes to the staff and shaking hands with my supervisor: "I guess that's it. 7 weeks. Done. I really enjoyed the placement. Thank you. Maybe we will meet again in the future, maybe not. It was a pleasure to meet you and your team. Thanks again." It was probably the first genuine "thank you" I have said to a supervisor at the end of a placement. These last 7 weeks have opened my eyes and taught me not to judge. I have never done so much active learning in one placement. Best bit: I wanted to learn. I wasn't forced. What a great overall placement. I guess the only way to show your gratitude towards a placement is to work hard and show that you have learned. Actions certainly do speak louder than words. Even my good friend said that if only my supervisor saw what type of student I was on placements and how much I have changed in terms of motivation and work ethic - only then it is obvious how much I enjoyed this placement.
What a placement. Who would've thought.
Anyways luckily I passed my assessment and it all went very well. Got all my forms signed off, handed in my locker keys, and next thing I knew, I was saying my goodbyes to the staff and shaking hands with my supervisor: "I guess that's it. 7 weeks. Done. I really enjoyed the placement. Thank you. Maybe we will meet again in the future, maybe not. It was a pleasure to meet you and your team. Thanks again." It was probably the first genuine "thank you" I have said to a supervisor at the end of a placement. These last 7 weeks have opened my eyes and taught me not to judge. I have never done so much active learning in one placement. Best bit: I wanted to learn. I wasn't forced. What a great overall placement. I guess the only way to show your gratitude towards a placement is to work hard and show that you have learned. Actions certainly do speak louder than words. Even my good friend said that if only my supervisor saw what type of student I was on placements and how much I have changed in terms of motivation and work ethic - only then it is obvious how much I enjoyed this placement.
What a placement. Who would've thought.
Wednesday, April 11, 2012
Request: Top Tips for Managing the Workload.
Alright so this has been requested by one of my readers so I'll try my best to answer this request: Top Tips for Managing the Workload.
1) Stay on top of reading and lectures.
Let's be honest here...it's not exactly the easiest thing to do. So it's pretty unrealistic to constantly be on top of it and I have always struggled with it. I mean try your best to do recommended/relevant reading, but there are days where you just don't have time/there is way too much to read - to the point it is ridiculous. At the end of the day, you start asking: "How much reading should I be doing?" To be honest, it depends on your lecture. Sometimes I have amazingly detailed lectures, so I tend to skip out on the reading unless I need some clarification/extra details. Now if I had a lecture which was incredibly brief as in the lecturer spent maybe a total of 20 minutes talking about his confusing topic, then I will definitely need to read and make notes. It's really hard to say exactly how much reading is needed. You really have to judge that yourself as every school's lectures are different and every lecturer is different. I think another way to stay on top of lectures (if this is available to you) is to read next day's powerpoint/lecture the night before. For my university, our lectures' powerpoints get uploaded online for us to download so we can read what will be covered. Even if it doesn't make sense, just reading it helps a bit as when you get to the lecture you'll be more focused on what the lecturer is talking about and will probably make better notes as you know what to expect/know what he/she will be talking about. Also taking notes during lectures is also a great way to help you remember stuff...and it'll make your life a bit easier when it comes to revision as your notes will be ready for your revision.
2) Staying awake in lectures/Go to lectures.
I don't know about you, but I surely have difficulties staying awake in some lectures. Yes they can be horrendously boring, BUT it makes such a big difference when you're actually paying attention as no matter how little attention you're paying, you will absorb some info and the lecturer may even highlight a key point that you need to know for exams. And same thing with staying awake...if you ain't at the lecture...how are you going to know if it is important or not. There are lectures for a reason - go to it! I can't stand it when people think they'll be clever and skip lectures. Then when it comes to revision time they call me up and start asking me about the lecture that they missed. My answer: "Well if you actually cared and bothered coming to lecture, you wouldn't be in this position would you?!" It's not rocket science.
3) Use your weekend effectively.
"YAY WEEKEND!" Unfortunately, weekends are great at distracting you from your work. By all means go have fun. I usually go out and play sports on the weekends, but I do dedicate SOME weekends to working/catching up (most likely doing more catching up than anything else). It's the perfect time to catch up on work. If you have caught up with notes and have no plans, spend an hour just reading for the topics for next week, then you can ease the amount of work you have to do during the week.
4) Take a break!
Hey, no one can work forever. Take a break from time to time! No one said shut yourself in your room and become a hermit to do your work. GO OUT! Catch up with friends. YOUTUBE! Watch some TV! Do something else OTHER THAN medicine, plus it'll make your life a bit more interesting. When you take breaks, you become more effective at working. Work for short periods vs. doing a long haul. Well that depends on your personality. I'm horrible at working in short periods as it takes me quite awhile just to get going/working. I'm a long haul worker however that means I take really long breaks. For example: Recently I had my essay due for this attachment...I spent the entire Saturday doing nothing/being distracted/staring at a blank word document. From 1am - 7:40am, I managed to write up 4200 words for my essay. Went to sleep...Sunday - finalized my essay and it was ready to hand in for Monday. I like to say I'm quite efficient, and again it'll depend from person to person. You know yourself best. Do what works for you. "If it ain't broke, don't fix it."
5) Make a revision schedule.
I know some of you who are already in medical school will probably have exams coming up pretty soon. Go do yourself a favour and design a revision schedule EARLY. Predict how long you'll need for each topic. For example in 2nd year I dedicated 5 days per topic I had over an 8 week revision period. I tried my best to stick to it, but I always give myself a 1 week grace. So I aim to finish revision 1 week prior to exams just in case anything goes over time or takes longer to revise. If I finish revision on time, then I have the week to go over anything I'm not very sure about or to solidify some things. I also use the week to go over sample papers and any past formatives/quizzes that we got throughout the year. By making a revision schedule, this will probably temporarily cause your stress levels to shoot through the roof, but eventually it'll actually keep you from cramming and you'll feel like you know what you need to still study/you can keep track of your revision progress.
6) Don't leave everything to the last minute.
Aka do not procrastinate. It is extremely tempting to procrastinate, but we ALL know what happens when you procrastinate. Stuff gets real and you start stressing out because you realize you haven't done a lot of work and everything has stacked up. It is tempting to leave your lectures to stack up and just go over em over the weekend (I'm very guilty of that), but in the end, if you are busy on the weekend with sports or whatever, then the work just keeps piling up. The best thing to do is to PREVENT this from even starting in the first place and to avoid procrastinating. It is natural to procrastinate so don't think you're weird or you've got issues. I think every normal person procrastinates. Like some of you have noticed...I am very guilty of procrastinating, but thankfully I'm fairly efficient/effective when it comes to deadlines as I'll work my heart out if that means staying up all night to meet deadlines. Guess it is a give and take world and like I've said already - only you know how you work. Optimize it and use it to your advantage.
7) Get your work done EARLY.
Again just stressing the previous point - don't procrastinate. Yeah the deadline is like 2 months away, but if you get your assignment done now...well you don't have to think about it anymore. Done and dusted. No need to stress you out anymore. I'm actually very glad I finished my essay 2 weeks earlier than my colleagues as they are now stressing out as my placement is coming to an end. Me? I'm just chilling. Supervisor is off my back as he doesn't need anything else from me as I've finished my essay. Happy supervisor = happy student. Get your work done early. You'll never regret finishing work early...well ok maybe you might...but UNLIKELY you will regret finishing your work early. So just get on with it!
8) Be organized.
When you're organized, you're on the winning side of the workload. Organize your notes into binders or split them out. Cardiovascular notes in one binder. Respiratory notes in another and so on. I'm horrible at keeping my notes organized and every single time when it comes to putting notes away into binders after going through 2+ topics, I start regretting not staying on top of my organization Print out lectures if you can, type out notes if that's what you do, etc. Put them into the respectful binder and you'll be happy with yourself and it is less likely you'll lose those notes when they are slotted into a binder and when it comes to revision - everything is there and ready for you. Easy.
...I can't think of another 2 points to make it a nice round 10 points, but I will think about it. For now here are 8 points. I hope they are useful. I'm just telling how it is. No student is perfect...so I think the general rule is if you stay on top of your work early - less regrets at the end. I will openly admit that I am very guilty of not always staying on top of my work and I do stress about it near the end. I have no one else to blame but myself as I got to manage my time better/not procrastinate. If you know you're going away for the weekend/busy on the weekend/busy for the week...do your work ahead of time. Don't let it get out of control. Easy to say - extremely difficult to do.
Anyways good luck! If you readers have any requests for me...I'll try to write up a post for you. If you've got a question, I'm sure other readers will think the same. Obviously when I'm busy, I won't be able to get to requests as quickly, but I'll try my best.
More posts to come! :)
1) Stay on top of reading and lectures.
Let's be honest here...it's not exactly the easiest thing to do. So it's pretty unrealistic to constantly be on top of it and I have always struggled with it. I mean try your best to do recommended/relevant reading, but there are days where you just don't have time/there is way too much to read - to the point it is ridiculous. At the end of the day, you start asking: "How much reading should I be doing?" To be honest, it depends on your lecture. Sometimes I have amazingly detailed lectures, so I tend to skip out on the reading unless I need some clarification/extra details. Now if I had a lecture which was incredibly brief as in the lecturer spent maybe a total of 20 minutes talking about his confusing topic, then I will definitely need to read and make notes. It's really hard to say exactly how much reading is needed. You really have to judge that yourself as every school's lectures are different and every lecturer is different. I think another way to stay on top of lectures (if this is available to you) is to read next day's powerpoint/lecture the night before. For my university, our lectures' powerpoints get uploaded online for us to download so we can read what will be covered. Even if it doesn't make sense, just reading it helps a bit as when you get to the lecture you'll be more focused on what the lecturer is talking about and will probably make better notes as you know what to expect/know what he/she will be talking about. Also taking notes during lectures is also a great way to help you remember stuff...and it'll make your life a bit easier when it comes to revision as your notes will be ready for your revision.
2) Staying awake in lectures/Go to lectures.
I don't know about you, but I surely have difficulties staying awake in some lectures. Yes they can be horrendously boring, BUT it makes such a big difference when you're actually paying attention as no matter how little attention you're paying, you will absorb some info and the lecturer may even highlight a key point that you need to know for exams. And same thing with staying awake...if you ain't at the lecture...how are you going to know if it is important or not. There are lectures for a reason - go to it! I can't stand it when people think they'll be clever and skip lectures. Then when it comes to revision time they call me up and start asking me about the lecture that they missed. My answer: "Well if you actually cared and bothered coming to lecture, you wouldn't be in this position would you?!" It's not rocket science.
3) Use your weekend effectively.
"YAY WEEKEND!" Unfortunately, weekends are great at distracting you from your work. By all means go have fun. I usually go out and play sports on the weekends, but I do dedicate SOME weekends to working/catching up (most likely doing more catching up than anything else). It's the perfect time to catch up on work. If you have caught up with notes and have no plans, spend an hour just reading for the topics for next week, then you can ease the amount of work you have to do during the week.
4) Take a break!
Hey, no one can work forever. Take a break from time to time! No one said shut yourself in your room and become a hermit to do your work. GO OUT! Catch up with friends. YOUTUBE! Watch some TV! Do something else OTHER THAN medicine, plus it'll make your life a bit more interesting. When you take breaks, you become more effective at working. Work for short periods vs. doing a long haul. Well that depends on your personality. I'm horrible at working in short periods as it takes me quite awhile just to get going/working. I'm a long haul worker however that means I take really long breaks. For example: Recently I had my essay due for this attachment...I spent the entire Saturday doing nothing/being distracted/staring at a blank word document. From 1am - 7:40am, I managed to write up 4200 words for my essay. Went to sleep...Sunday - finalized my essay and it was ready to hand in for Monday. I like to say I'm quite efficient, and again it'll depend from person to person. You know yourself best. Do what works for you. "If it ain't broke, don't fix it."
5) Make a revision schedule.
I know some of you who are already in medical school will probably have exams coming up pretty soon. Go do yourself a favour and design a revision schedule EARLY. Predict how long you'll need for each topic. For example in 2nd year I dedicated 5 days per topic I had over an 8 week revision period. I tried my best to stick to it, but I always give myself a 1 week grace. So I aim to finish revision 1 week prior to exams just in case anything goes over time or takes longer to revise. If I finish revision on time, then I have the week to go over anything I'm not very sure about or to solidify some things. I also use the week to go over sample papers and any past formatives/quizzes that we got throughout the year. By making a revision schedule, this will probably temporarily cause your stress levels to shoot through the roof, but eventually it'll actually keep you from cramming and you'll feel like you know what you need to still study/you can keep track of your revision progress.
6) Don't leave everything to the last minute.
Aka do not procrastinate. It is extremely tempting to procrastinate, but we ALL know what happens when you procrastinate. Stuff gets real and you start stressing out because you realize you haven't done a lot of work and everything has stacked up. It is tempting to leave your lectures to stack up and just go over em over the weekend (I'm very guilty of that), but in the end, if you are busy on the weekend with sports or whatever, then the work just keeps piling up. The best thing to do is to PREVENT this from even starting in the first place and to avoid procrastinating. It is natural to procrastinate so don't think you're weird or you've got issues. I think every normal person procrastinates. Like some of you have noticed...I am very guilty of procrastinating, but thankfully I'm fairly efficient/effective when it comes to deadlines as I'll work my heart out if that means staying up all night to meet deadlines. Guess it is a give and take world and like I've said already - only you know how you work. Optimize it and use it to your advantage.
7) Get your work done EARLY.
Again just stressing the previous point - don't procrastinate. Yeah the deadline is like 2 months away, but if you get your assignment done now...well you don't have to think about it anymore. Done and dusted. No need to stress you out anymore. I'm actually very glad I finished my essay 2 weeks earlier than my colleagues as they are now stressing out as my placement is coming to an end. Me? I'm just chilling. Supervisor is off my back as he doesn't need anything else from me as I've finished my essay. Happy supervisor = happy student. Get your work done early. You'll never regret finishing work early...well ok maybe you might...but UNLIKELY you will regret finishing your work early. So just get on with it!
8) Be organized.
When you're organized, you're on the winning side of the workload. Organize your notes into binders or split them out. Cardiovascular notes in one binder. Respiratory notes in another and so on. I'm horrible at keeping my notes organized and every single time when it comes to putting notes away into binders after going through 2+ topics, I start regretting not staying on top of my organization Print out lectures if you can, type out notes if that's what you do, etc. Put them into the respectful binder and you'll be happy with yourself and it is less likely you'll lose those notes when they are slotted into a binder and when it comes to revision - everything is there and ready for you. Easy.
...I can't think of another 2 points to make it a nice round 10 points, but I will think about it. For now here are 8 points. I hope they are useful. I'm just telling how it is. No student is perfect...so I think the general rule is if you stay on top of your work early - less regrets at the end. I will openly admit that I am very guilty of not always staying on top of my work and I do stress about it near the end. I have no one else to blame but myself as I got to manage my time better/not procrastinate. If you know you're going away for the weekend/busy on the weekend/busy for the week...do your work ahead of time. Don't let it get out of control. Easy to say - extremely difficult to do.
Anyways good luck! If you readers have any requests for me...I'll try to write up a post for you. If you've got a question, I'm sure other readers will think the same. Obviously when I'm busy, I won't be able to get to requests as quickly, but I'll try my best.
More posts to come! :)
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