Showing posts with label notes. Show all posts
Showing posts with label notes. Show all posts

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.

Thursday, April 5, 2012

O&G Ward Week.

You can hardly call this my "Ward Week" as I probably spent more time in clinics than on the ward. This week also marks my last timetabled week of my placement and I have been seriously trying my best to enjoy every day of it as there is a bit more flexibility with my week.

Spent Monday morning in Gynae clinic. I managed to see a lot of prolapses such as cystoceles (proplapse of the bladder). Luckily the consultant has gotten to know me as I've been in a few of his clinics with him so I got to do a vaginal examination on almost every patient. It was interesting to feel a prolapse as it is definitely very different and then feel the difference when a shelf/pessary is inserted as a temporary treatment for the prolapse. Patients with cystoceles tend to classically present with a "dragging" feeling down below which becomes quite uncomfortable as the day progresses. There is also a "heavy" feeling, which again gets worse as the day progresses especially when stood up for a long time. Some of these patients also present with urinary symptoms such as urinary frequency and hesitancy. I think by coincidence these patients also present with some form of urinary incontinence as well. Usually elderly women would not be offered a surgical repair where stitches will be placed to reinforce the anterior wall of the vagina (where the bladder prolapses through) as these patients are usually unsuitable to go under anaesthesia.  By the looks of it, most of the women are fine with the pessary and it seems to sort out their problems quite well.

Then I wandered onto the wards with one main goal in my mind: Take as many gynae patient histories as possible. Why so keen? This is because my assessment is taking place the following day. Essentially we are required to take a full patient history with an assessor sitting alongside. This assessment either makes or breaks me. If I fail, I would obviously have to resit the assessment which would go down on my records that I had 1 failed attempt. If I fail the second time, then I will have to repeat the entire 7 week placement all over again. I mean I'm having a good time on this placement, but if you asked me to do another 7 weeks, it might be a bit of an overkill. Anyways I took about 4 patient histories in the afternoon and had a good time talking to patients. It's nice to see patients enjoying talking to me as I guess for them it is better than sitting in silence and day dreaming as the hospital is pretty boring in general.

So I had my assessment...and oddly enough...I wasn't too nervous for it. Actually I was so calm it was worrying. I was struggling to take the assessment seriously as before I went in to take the patient history I was chatting away with my colleagues (well I did the talking...they just listened as they all looked very nervous). I kept telling myself to take this assessment seriously but I struggled. I was fairly annoyed with myself, but at the same time - if I'm in a good mood I tend to take better patient histories and form much better rapport with the patients, which is key for the assessment. Luckily, my patient wasn't too complicated (vaginal hysterectomy and anterior wall repair). I finished my history quite quickly and  I thought I did quite well. Didn't have any difficulties whatsoever. Huge contrast from my last placement (paediatrics) assessment. In my last placement I was properly pooping myself prior to my assessment and I was dead scared. I was much more confident for this gynae assessment - night and day in terms of confidence between my last placement assessment and this one. My assessor had no difficulties in passing me and even gave me an "above average" mark which I was quite chuffed about. I was quite proud of myself as I was only expecting a "meets expectation" as my supervisor is known to be quite strict with marking.

Since my next assessment isn't until next week, I knew I can relax for a bit and return to enjoying my placement. Oddly enough I thought I was going to be quite bored on the wards as there isn't much a medical student can do on the wards, but I was actually quite productive on the wards. The doctors were all really welcoming and actually allowed me to write in the medical notes and sign off on them (of course the doctors reviewed and counter-signed my notes). I also got to clerk in a few patients, which is always interesting. It's weird seeing how seriously some of the patients treat me. I mean at the end of the day I'm just a medical student, but these patients really take everything I say seriously and show a lot of respect. It's quite nice to not be treated as a joke and it definitely makes me feel much more responsible.

Because my next assessment is on obstetrics and I haven't had much exposure to it on the wards, I decided to spend my day on the obstetrics ward and practice my obstetrics examination skills. And jeez....I suck at obstetrics examination. I swear I cannot feel a thing. In our assessment I'm supposed to be able to tell the position of the baby, the engagement of the head, the lie, etc. I feel like my hands are dead stubborn as I swear the bum of the baby feels the same as the head! Yes I know one side is flat and the other is round like a ball, but at the same time I'm too scared to palpate deeply in fear of hurting the mother. I definitely need to get more confident in doing this examination or else I will fail my final assessment. Not looking good. I thought I could get away with just a full day of practice, but I definitely need to go back to the obstetrics ward next week to examine more pregnant women. I think I did leave a good impression with the midwives as they seemed keen to have me around and that I am welcomed to come back next week to practice some more.

1 more week until holiday...well not even. Technically only 2.5 more days of placement left as I have a half day next Thursday (and Monday is a bank holiday and I get Friday off).  Can't believe it's already been 7 weeks. I can still remember my very first lecture for O&G like it was just yesterday. This placement seriously went by way too fast...and I'm having such a good time. Argh.

Sunday, March 27, 2011

5 Weeks.

Well okay not exactly 5 weeks but close enough. Anyone care to take a guess 5 weeks until what?

If you said exams...you are CORRECT! It has come to that time of the year that every medical student dreads - EXAMS. Well for my university...not sure about others...passing the year 100% relies on 3 exam papers which are done 3 days in a row. Stressful much?! I dread it so much. It can easily be the 3 worst days in my life. No matter how much you study you will not know everything on the paper. Unlike back in school - you study...you go to the exam...you know everything - easy. Medicine? Study like no end...think you've covered everything...get to exam day and first page of the exam - BAM - you have no bleeping clue about the question. It is BOUND to happen. Now as a 2nd year medical student we have to also know last year's material so technically we will be examined on 2 years worth of knowledge. Not like one year isn't hard enough eh?

I have started studying since end of February...now I am about 3/4 way through the material. Now thinking back...I don't think I remember really anything from what I studied in February (which was all of last year's material). Great. Oh and NEVER look at a specimen paper in the middle of revision just because you got curious or whatever. With no doubt you will most likely scare the crap out of yourself as you'll see questions in there that you have no clue about and then cue panic attack/major stress. I made that mistake a few days ago...and I nearly cracked, but I haven't actually studied the section that the question was aimed for, but still - it was not a pleasant feeling.

The only nice thing about only having 3 papers is that we can get it all done with in 3 days. Nice and short - just extremely torturous. At least now having already taken an exam last year, I know now what to expect in this year's exam and will be more prepared. Last year, I had absolutely no clue what the exam would be like. Armed with experience I think I am a bit more confident this year than I was last year. One major difference is that I started studying MUCH earlier than I did last year so I won't be rushing through revision and causing unnecessary stress.

5 weeks...jeez. I'm really scared. Haha. Instead of losing an hour sleep can we possibly increase the days to about 30 hours just until exam time? It would be very useful. Oh and to make matters worse, the SSC attachment I have been talking about...well my final report (2500 words) is due in a few days. Great...time to wave goodbye to good quality sleep and hello long hours of studying through the night!

Saturday, April 10, 2010

Offical Countdown to Exams....in 2 days.

Finally got the draft timetable (most likely will not change) for our exams and we will be the first bunch taking exams. May 24-26. 3 exams in 3 days. Funnnnnn. Pro: Done with exams nice and early! Con: LSKFJSLK:AKLJF SO SOON?! *hyperventilates*

Uhmm I was not expecting our exams to be so early so I had a mini wake-up call when I found out about our exam schedule. Pretty much have been burying my head in my notes ever since I found out. I really need to get snapping and get studying properly. I'm pacing at about 2 lectures a day...not good enough (and pathetically slow). I will not finish in time. BUT the last few days I have been studying biochemistry and I really do not like it. I am finally done with biochem so hopefully everything else will go smoothly and quickly. I'm hoping to finish revising 2 weeks prior to exams so I can break out my revision books! So in 2 days it will officially be properly 6 full weeks before exams. Eek.

Sunday, April 4, 2010

Exam Prep.

After 3 days of prepping my notes I think I am finally ready to start studying. One problem: Where should I start?

I've got five 2" binders full of notes and four 1.5" binders plus 8 textbooks of reading. The crazy life of a med student. *headache*

Tuesday, August 11, 2009

Starting to pack.

WELL my mom has been continuously nagging me to start packing up stuff I don't need now and will need in Sheffield such as notes from school/books/binders/etc. I'm actually getting a headache going through my mess. I'm thinking about taking my Chemistry and Biology notes with me. I've decided to pack stuff into boxes instead because when I get to my place I can actually fold up the boxes and put them behind my closet or something as suitcases do take up a lot of room. I'm also really tempted to take my PS3/Xbox 360 with me but I don't know if I can find a wire with the UK plug to plug into the system. I really should get back to packing my room is no joke a complete mess. I can hardly get out without stepping on something.

Quick tip for UCAS: Especially for medicine make sure you get as much work experience done that is related to your course as it will help you get a good feel whether or not the career in the future will suit you. You will also be able to gain a lot of skills from the volunteer work which you can talk about in you personal statement.