Radiology: Dark Room - Perfect for Snoozing.

So I had my attachment in Radiology. I was a bit hesitant about it, as I'm not great at sitting still, though I was excited to actually be taught how to read X-rays, CT/MRI scans and maybe see a bit of intervention radiology done. As expected first day I was sat in a dark room in front of a computer screen with a radiologist. Had great teaching on how to read chest x-rays, but eventually it got a bit boring and repetitive. Eventually I found myself zoning out, but luckily the radiologist had to go to a meeting so allowed me to go home. Thought to myself: "Jeez how am I going to survive a full day tomorrow in a dark room?"

Next day, same thing in a dark room, but smaller room...which was fairly stuffy and warm. Perfect environment for a snooze. This time we were going through MRI scans of the head. Complicated, but interesting. Had a bit of a late night the day before trying to do job applications, so I found it hard to wake up. Eventually again, found myself drifting off. I was sat behind the radiologist and because he had quite a long list of things to do, he would go back into his own world and dictate a report. While he does that, I felt my eyes getting heavier...and let's say at one point I nearly fell off my chair. Then off to ultrasound in the afternoon. I followed the sonographer, and again they work in a dark room. It was fairly straight forward, except at least there's a little bit of patient contact. Despite this, found myself falling off the high chairs while trying to focus on the screen.  I think it didn't help that I didn't get any hands-on as this attachment was more just to get a feel for the specialty.

So this dark room saga and me dozing off continued for a few days. I guess I didn't learn as much as I had hoped. I think with radiology, it is one specialty where you just need to sit down with a book of examples and go through them at your own pace. It is nice to have someone there pointing stuff out, but I found that the radiologists does them really quickly as they're well-experienced, but for an untrained eye like mine...I really need to sit there and admire the abnormality and compare it with "normal".

Really not that exciting of a week. Starting another specialty next week...by the looks of it, it isn't that exciting. I do have Orthopaedics coming up in a few weeks so definitely looking forward to that. It's been awhile since I've been in theatres (since electives) and it'll be nice to be back in there!

Week 1 - Anaesthetics.

Interesting week here in England. Had a snow storm the day before my first day of placement. A lot of my friends got a snow day, but I haven't heard from my hospital so I ended up leaving later than usual for the central hospital. Because of all the snow - it was actually a very pleasant drive as there were hardly any cars. What is usually a 30-40 minute drive, ended up taking me 10 minutes. I was thinking to myself that I was such a genius to drive as the roads were clear (bit slushy)...until I got to the hospital. The parking lot wasn't cleared and it was packed with snow/ice/slush. Made it a bit daunting to park my car. When I got out of my car, I stepped in about 2" of snow...well there goes my black shoes. Tippy toed my way into the hospital only to overhear people saying that there will be more snowfall in the afternoon. "Shit." was probably the only thing that came into my mind. And then I thought to myself: "How am I going to go home...what an idiot. Shouldn't have driven."

Anyways I made it for my induction and most of us managed to get in. A few people got snowed in as they live on a hill and couldn't make their way. We got our logbooks which has various skills that we need to be signed off on by the end of 4 weeks in anaesthetics/critical care. Such things include putting in cannulas, inserting a laryngeal mask airway (LMA), intubating, drawing up antibiotics, etc. I was quite motivated to get my logbook done as quickly as possible so I walked into the theatre I was assigned to - ready for action. I was then greeted by a consultant anaesthetist, who seemed a bit annoyed. I was quickly told to leave and come back in an hour. Almost felt like I smacked into a brick wall. It kind of threw me off and I got nervous again as the consultant didn't seem too friendly. I went to get some food and returned an hour later and was promptly told to go find a patient in the ward and get a patient history from him. In my head I was getting annoyed as I wanted to work on my logbook, not go and speak to patients. By the time I returned to theatre the consultant had relaxed and apologized to me for being a bit rude earlier. I really appreciated the apology and the consultant gave me a few tasks to do such as mixing and drawing up antibiotics. I was then taught how to insert a LMA and how to hold an oxygen mask to the patient's face. It was really good and exciting. I also got a lot of teaching about regional and local anaesthetics during surgery which was an added bonus. Because of the snowfall, some patients cancelled and we ended up having a short theatre list. I was out of the hospital by 3pm and luckily the snow had just stopped, so I made a run for it before my car gets snowed in. Thankfully made it home with my car (to the surprise of many). Also had the feeling of: "not so dumb after all!"

I would say I had a really good first day as I got a few things signed off and was ready to go for day 2. Unfortunately, it was a bit of a mess as there was teaching going on and the lists were starting later than usual (and I made the effort to go in for 8am when lists weren't starting until 11am). Then I realized that this is something everyone has to accept - as a student and as a doctor. Not everything will go to plan and you just need to adapt and find something productive to do. There were a few theatres running so I decided to go for a wander. Funny enough I ended up scrubbing in for a few procedures and assisting. Yay...but obviously deviating away from my placement goal: to learn anaesthetics! It was a nice bonus and certainly better than sitting in the coffee room for 3 hours. I at least did something productive and I felt like I was helpful. Later in the day I met up with a different anaesthetic consultant and I got a bit of teaching (not as much as I had hoped) and unfortunately did not get a single thing signed off. Great - here's hoping next day will be better. Next day...same thing. I tried to hint to another consultant anaesthetist that I would like to get involved as I had put on my gloves and stood at the top of the bed ready to lend a hand. Instead, I was ignored. I asked if I could insert a few cannulas and was told that it would be too difficult. By now, I had lost a lot of motivation and ended up just standing around for the whole day. I don't think this is really the anaesthetists fault as they are all very nice people and love teaching. I learned loads, it was just a bit more annoying that I couldn't do anything practical. Just another thing as a student you have to accept - sometimes you can't get in on everything. Unlike my group mates, I haven't been kicked out of theatres due to too many students. I've been lucky that I've still been able to stick around and observe and get some teaching. I've also been in orthopaedic theatres so the orthopaedic surgeons were also teaching me about their procedures, which I found really interesting. Essentially other than the first day, this was the story of my week. Just not getting any opportunities to do practical skills.

So I went home and thought what I can do about this as I have a log book that I need to complete. I think next week I will approach with a different mindset and make it clear first thing to the consultant that I am very keen on helping out and trying out some practical skills. Sometimes being subtle and polite doesn't work so I'll just have to be brazen and go for it. Fingers crossed that I will get to do a bit more next week!

Psychiatry - Slow Start.

I don't know why, but I'm quite prone to having slow starts on placements. So I've had my first week in psychiatry and to be honest...I've stepped onto the "wards" for about 5 minutes and then left. I don't know if I should be happy about the placement or a bit annoyed. We've got a lot of free time on the placement and seeing how exams are coming up - it gives us a great opportunity to revise. But at the same time...when I did go on the ward and ask if there's anyone I can see or anything I can do - the staff said that there's nothing to do here and told me to go get a cup of coffee. For the rest of the week - I spent my time in half-day clinics with my consultant. Luckily he is very chill and really good at teaching (if asked to teach). The nice bit is that there is a mutual understanding between the two of us. He has established that I do not want to do psychiatry and fairly indifferent about it. He said he will leave me alone BUT will teach if I have any questions or want any teaching. On top of that, he clearly listed out my learning objectives and what he does expect for me to have completed by the end of the attachment - which was pretty easy/fair. I know what my consultant expects and I don't see it being a struggle. He's also extremely nice which is a nice bonus.

I haven't really met any patients with full blown mental illness. All the patients I have seen were follow up patients who have their symptoms under control and doing fairly okay. Somehow due to my luck, I managed to miss the two new patients I was supposed to see in the week so I can see how patients present to the psychiatric team. For the first new patient, I only managed to stay for half the consultation as I had a doctor's appointment. Then in the next clinic, I ended up being 30 minutes late and missed the new patient as I got lost. Was really annoyed with it as apparently that patient was very interesting.

To be honest though, I don't mind this placement! I'm actually enjoying it as it is fairly easy and not very stressful. My schedule is very flexible and essentially to get good at psychiatry is to just speak to a lot of people (which I haven't exactly done as I'm having an extremely slow week). Despite having a slow week, I am learning a lot as everything is new so that's a bonus. So far all the consultants I've met are also very nice and chill, but they claim they should be chilled out as they know stress is a factor for suicide...

Hopefully next week will go a bit better and hopefully I'll be a bit more productive!

How to Make the Most of Shadowing.

Right so I'm in the mood for a tips post so today I will be discussing how to make the most of a shadowing opportunity. This is mainly aimed to those who aren't in medical school yet.

Let's point out the obvious issues of shadowing doctors when you aren't in medical school yet:

• You can't do any clinical skills
• Don't have much knowledge in medicine 
• Daunting environment - very unfamiliar/disorientating 
• Never really spoken to a patient before

Common problems that you share with medical students:

• You get ignored
• Can't do very much (depends on the placement/consultant)

So with the common problem of getting ignored...there isn't much you can do about it other than finding someone who won't mind having students around/is a good teacher. Not being able to do much is a universal problem. Fair enough some patients don't want to be handled by a student and there has been several times where I have found myself sitting in a corner like an old piece of furniture. It's just something we all have to accept.

Right so as a prospective medical student you want to get some experience and see what it is really like to be a doctor so you ask to shadow a doctor/consultant. So how do you make the most of it? Because you won't have much knowledge about the specialty, the best thing you can do is observe the key skills that a doctor needs. The main skills you'll notice are:

• Communication skills
• Empathy
• Teamwork

Communication is probably the most important skill to have as a doctor. The profession involves a lot of talking to patients, but also the need to listen to the patients as well. Watch how the doctor talks to a patient. Listen to how he/she asks a question. Usually doctors start a consultation with open ended questions to allow a patient to elaborate why they are in clinic. Watch the rapport that the doctor establishes with the patient. The best way to get info from a patient is to get them to trust you so the first few seconds of a consultation is key. Don't dig your head too deep into the medicine. Just focus on the interaction between the doctor and the patient. Some of the consultants who I have been attached to describe it as an art form. Communication is literally needed everywhere. Communication is key in theatre, clinics, and on the wards. If you're fortunate enough to go onto the wards, take some time and talk to the patients. I took my first patient history 1 month into medical school and hardly knew any medicine at that time. Take a social history which involves asking the patient about how his/her medical condition has affected them. Try to find a patient with a chronic disease such as heart conditions. Find out how their condition has changed their lifestyle. This is a good way to practice your communication skills and creating good rapport with the patient. Plus most patients on the wards are really bored so most will welcome a nice lil chat.

Empathy...I've made a post about this not too long ago. Again another important skill and something you'll sometimes see. Talking and listening to a patient is one thing, but watch to see if the consultant shows a bit of empathy. Sometimes patients have a tough time with their medical condition and SOME consultants do take the time to empathize.

Being a doctor involves a lot of teamwork. It is certainly not a one-man job. In clinic, you'll probably have a nurse helping out. Just watch how the doctor and the nurse interact and how they have to be on the same page. Essentially the nurse keeps the clinic running smoothly and on time. You'll probably see more teamwork in the operating theatre. There is always about 6-8 people in an operating theatre so again stressing the importance of communication skills and teamwork skills. Sometimes the consultant may invite you to a MDT meeting (multidisciplinary team meeting). There will be microbiologists, radiologists, surgeons, physicians, nurses, etc all sitting in one meeting to discuss complex cases. Not only do you have to get along with people in your own specialty, but you'll have to get along with people in other specialties. So essentially the care of a patient isn't just in one person's hands...but in many many other people's hands. If you can, take the time to appreciate this as when I first started out in medicine I didn't expect THAT many people to be involved in a patient's care. It was actually surprising and quite amazing how people manage to stay organized and not mix things up (but it does happen from time to time).

Oh and if you really don't know what's going on...best thing to do is just smile and look interested. No one wants a grumpy/tired/not interested student around them. If a doctor sees that you're interested then he/she will be more willing to teach. I've tested this so this is based on first hand experience. Recently in my last orthopaedic attachment...I was falling asleep in clinic (due to jet lag) and my consultant hardly said anything to me or really taught me anything. He just left me alone. Next clinic...got over my jet lag...more keen...leaning forward and looking interested - learned loads. My consultant taught me so much and he seemed to enjoy my company as I was interacting with the patients and with him as well.

Another tip is that if you find yourself on the wards and no one to follow - go find the junior doctors. They know what it is like to be a student as it is still fresh in their minds and they'll probably be able to sympathize and show you some interesting things suited for your level. I've encountered prospective medical students in the hospital before and don't be shy and just ask for help. For me, I'll always be happy to help unless I'm busy. Same goes with junior doctors/doctors of any level. As long as they aren't doing something really important/look really busy, just introduce yourself and ask em if they can show you around/teach. Just make sure they know you're not a medical student and just want to get a taste of what it is like to be a doctor. Some might even get a break and sit down with you and tell you what their day is usually like.

Good luck and I hope this post helped!

Progress.

I was watching Junior Doctors earlier on and listened to the FY1 doctors saying how they feel more like a real doctor as they have responsibilities and they get to do procedures. I sat on my couch thinking about my last placement on paediatrics. Thinking about it...comparing to my placements just only half a year ago when I first stepped onto the wards as a student doctor, I have seen myself progress. My last placement in paediatrics, I was clerking in patients and presenting the patient history and examination findings to senior doctors. I am probably one of the first "medical" person on the ward to properly sit down and ask them about what has brought them to hospital. I get the honour of seeing these patients prior to the doctors on the ward. While on my placement, I guess I didn't really appreciate this properly as I just took on the responsibility to clerk the patients in, but never realized that I could be one of the first people to see the patient on the ward. I also have to make sure my patient histories are accurate and that my examination is accurate as when I present the history to a senior doctor, it is now expected for me to have a differential diagnosis, possible investigations, and management. Only half a year ago, I was stepping on the consultant's heels going around on ward rounds and just watching. I didn't really get to do very much. If there is something interesting on physical examination that the consultant sees/hears, then he/she would let us take a look/listen. Now...I am the one telling the senior doctor about hearing something and I have to be confident about it. It is actually quite frightening. There were times where I heard crackles at the base of the chest, but I would sometimes doubt myself as they are fairly faint crackles. However, when I present the patient to a senior doctor I have to be sure about these crackles and now I get to write into the patient's notes about any examination findings. It's pretty crazy how much I have progressed from half a year ago.

Also 2 weeks ago the first year medical students got their quick taster of hospital placements and for once I wasn't the most newbie medical student around. There were people more "new"/fresh than me. It was a weird feeling. Then you start noticing that they really don't have a clue how to take patient histories.  And then you think to yourself...about 2 years ago...I was just as clueless. It's weird thinking how much you learn in such a short period of time. Now the structure of patient histories come naturally and you don't really have to think about it. You just ask the questions and go with the flow. I still remember in first year constantly trying to remember what questions to ask...what is important to ask...what the structure is to take a patient history. In first year before I saw a patient, I always wrote on my paper:

PC (presenting complaint)

HPC (history of presenting complaint)

PMH (past medical history)

DH (drug history) - ALLERGIES?

SH (social history)

FMH (family medical history)

This structure is now engraved into my head...and it's only been 2 years! I also taught these freshers how to take a pain history. It's weird that they don't know SOCRATES. SOCRATES is my saving grace. You can never go wrong with it!

Site (where is the pain exactly?)

Onset (when did the pain first come on?)

Character (what does the pain feel like? can you describe it to me?)

Radiation (does this pain go elsewhere?)

Associations (are there any other symptoms that you noticed?)

Timing (does this pain come on at certain times? does it come and go? is it constant?)

Exacerbating/Alleviation (what makes the pain better? what makes it worse?)

Severity (on a scale from 1 to 10 - 1 being not very painful and 10 being the worst pain you have ever felt, what score would you give your pain?)

I found it very confusing to actually see these medical students taking me seriously and genuinely absorbing what I was saying. I'm not much older than them...one of my students was actually older than me! Also when I walked by a few of the first year students and quickly said "Hi!" to them as I walked by, I heard them whispering: "Whoa an older medical student said hi!" I still remembered when an older medical student said "Hi" to me while I was in the hospital...I felt quite happy as I felt like I was noticed and not ignored....more like I actually existed!

Crazy how 2 years make such a big difference, yet thinking about it...it hasn't been too long ago. Speaking of which...this month actually marked the halfway point of my career! Halfway to being a doctor! Scary!

Lack of Sleep.

5 weeks in! 2 more weeks to go. This has got to me the toughest week in terms of waking up. Every morning I am waking up at 6:30am to get ready, but it doesn't help that there isn't much to motivate me to get up.  I think the only thing that is making me wake up on time is the fact that I have to drive other people to the hospital so they kinda rely on me. I also think that being 5 weeks in, there isn't much else to see. Most of the patients we see have acute illnesses as most of the special illnesses get referred to a bigger hospital. 

I was on-call on Wednesday and the best bit is that the doctors on the ward can tell when I am on-call as I'm never on the ward when I am on-call. I try to go to clinics to try and make the time go by faster. As usual...Wednesday - I escaped the ward. I went to the Children's Orthopaedic Clinic for the entire morning. It was a lot more interesting than I expected it to be. I saw a lot of different cases. I was even able to sympathize with some of the patients. Met a girl who is hypermobile, which was affecting her participation in sports.  The consultant was doing a physical examination on the range of movement of her joints and on doing internal rotation of the hip, the consultant asked me if it was normal. I knew my leg could turn that far so I said: "normal". I have never seen such a confused face. "That is NOT normal. LOOK how far it goes!" Feeling a bit dumb/embarrassed I covered my back side by saying: "Oh sorry didn't notice how far it went *blushes*"

Once the patient left, the consultant questioned why I thought the range of movement was normal as it was apparently fairly abnormal. Then I proceeded to tell him that I am hypermobile as well. Then I found out he isn't very good with hypermobility.  The consultant looked quite uncomfortable and didn't want to see me showing my "flexibility". I was quite surprised about his reaction, but thinking about it....it is fairly gross. Fingers shouldn't bend so far back and such.  Haha. Hypermobility is a great party trick by the way. Just thought I would throw that out there.

Anyways clinic took quite long, but we had a lot of patients. What I enjoyed the most about the clinic is that we did not see two of the same case. Every single patient had a different problem and it really kept me awake and interested. For the first time at a clinic, I did not find myself bored. I was constantly engaged and I found each case interesting.  Probably could be one of the best clinics that I have ever been to. Long, but interesting.

At some point the clinic had to end and I had to return to the ward. On the way back, I stopped for a lunch break.  When I returned to the ward I was told there was another clinic happening in 30 minutes. Obviously I pounced on that opportunity and I disappeared from the ward for another 4 hours. By the time I got back to the ward, I only had 4 more hours left of my on-call to do. Luckily when I got back, the ward started to get busy and I got to clerk in a few patients. Most of them were diarrhoea and vomiting problems, so it wasn't too exciting. It was better than sitting around doing nothing.  But because the ward started to get busy, I didn't get to leave til 9:30pm. I had quite a bit of work to do when I got home and didn't get to sleep early. Worst part, I had to get up at 6:30am the next morning again. Thursday was brutal. For the entire day I was falling asleep whenever I sat down.  We also had lunchtime teaching from the registrar and I accidentally fell asleep. I felt really bad as I didn't mean to fall asleep as it wasn't boring. I was just so tired I couldn't keep my eyes open. Now I think the registrar hates me. She wouldn't talk to me afterwards and it was kinda awkward on the ward. Hopefully she'll forget about it after the weekend. And hopefully I can catch up on my sleep.

Doh!

Interesting and short week of paediatrics. Had Monday off as I was in for 9-5 lectures. Tuesday..can't remember what happened...obviously nothing exciting as I would remember. I was on-call again on Wednesday so I was in the hospital from 8:45am - 9pm. It was also my SHO's last day and to be honest I think he was really great. Probably the few doctors that really made us medical students feel very welcomed and a part of the team. He's also really good at teaching too. Really smart dude. As a medical student, the biggest worry is being left out from the team. It's already nerve-racking to step into an unfamiliar environment and have no clue what you're supposed to do, so when a doctor welcomes you and teaches - you feel much more at ease and it really makes a huge difference to your experience at the hospital.  It was also nice that he could remember our names and it really helps with making us feel welcomed. Great thing about this SHO is that I understood him. I knew when to bother him and when not to. And it seems like he too knew what I was like. Seriously, some of you may think I'm really hard working, but I am definitely not the hardest working student to have graced medical school. In fact, I'm quite lazy (blushes). It was interesting how my SHO could tell that there are times where I don't want to do anything and he lets me be. It was like we were on the same page so it was good we had this mutual understanding.

Took quite a few "tea breaks" during my on-call so I got to talk about life as a doctor with the SHO as the ward wasn't too busy either. It was eye-opening. But the conversation soon led to a massive "DOH!" moment. Out of no where I was asked: "You don't like Paediatrics very much do you..or this attachment in general right?" I was actually left speechless. My face was probably a mix of a dead pan with a "DOH" moment. Secretly inside...I haven't really been enjoying this placement very much as in general I'm not very interested in Medicine. I really miss going to theatres and watching surgeries as I find it much more interesting and exciting. I have tried my best to put on an enthusiastic/keen face during this placement, BUT apparently it is fairly obvious I don't really like paediatrics. Another interesting bit is that the SHO could tell what I wanted to do in the future. Haven't told him what I was interested in and he randomly was like: "You're definitely going to do surgery. It's written all over you." And for some of the followers of this blog, you probably know I want to do Orthopaedic Surgery in the future so it was nice that people can see I want to do surgery. On top of that, the day after, another doctor went up to me and was like "You don't like Paeds very much do you. It's like written all over your face." Cue another "Doh!" moment. I even asked if it was that obvious and everyone around me was like "Yes." Soooo....it probably means my supervisor/consultant can also tell I'm not really enjoying the attachment. Honestly though, I'm not HATING it, but I don't love it either. I'm quite indifferent about it and I do realize I'm quite awkward around kids as I don't know what to do with them. Guess it's something I have to work on...and I am trying quite hard though...guess that's what matters.

Next week there will be new SHOs starting on the job and meaning starting back at square one with trying to get on with the new doctors. Life is always full of changes and you just have to keep adapting. Also being a medical student you constantly have to remind yourself that you're at the bottom of the ladder and you really have to work hard to get noticed. Note to self: Stop making it so obvious that I don't like kids.

End of Placement 2.

...where did my 3 weeks go?!

Seriously. These last 3 weeks actually blew by. Crazy. Couldn't believe that today was my last day on my placement in the peripheral hospital. Next week I will be back in the local teaching hospitals so I guess YAY no more 45-50 minute drives! Thinking back - I quite enjoyed my placement in the peripheral hospital. There were only 20 medical students at the hospital so the doctors were all really keen to teach and the staff were all very friendly. If only the hospital wasn't so far away. I've been hearing stories how the local teaching hospitals are absolutely packed with students; hence, patients are pretty annoyed with us and the consultants don't have time to teach.

Anyways this week has been really good. Did the standard ward rounds and finished up my first essay assignment that I handed in today. Got loads of teaching from Dr Y so that was really good. Saw some pretty interesting physical signs this week. Saw really marked dyskinesia in a patient with Parkinsons Disease. Today we saw a really interesting case. Patient presented to hospital with left sided weakness as well as facial weakness. This patient had a previous history of stroke. On examination, it was found that the patient had heminiopia and reduced corneal reflex in both eyes. Patient could not show her teeth/smile and could not open her mouth very wide. Arms and legs were not that weak. Both limbs seemed fairly normal and there were no changes in sensation except in the face. So what do you think she has?

Well she was just admitted so investigations have to be done, but it is suspected that she has bilateral facial palsy which is apparently quite difficult to make out. In general her face was emotionless which lead us to think that she may have bilateral facial palsy, and both corneal reflexes were reduced. The team didn't think this is a stroke but probably a pathology in the brain.

I personally thought this case was quite fascinating. It was different and it definitely makes you think. Thought I would share this case with you all.

Found out my next placement will be in General Surgery..........................AGAIN. General Surgery is great, but I have had enough. I'm so sick of it. I've done general surgery in my 2 weeks of placements in first year and then general surgery for my first placement this year. I want to see something else NOT GI related...PLEASE. I'm really interested in surgery and it's just so frustrating to be constantly placed in the same specialty. I really want to see the other surgical specialties and it's annoying how the medical school doesn't take into consideration your previous placements and what specialties you have been on. Pretty sure the school will come up with something like "Life isn't fair." But come on.

But yeah all in all - great placement out in a peripheral hospital. Definitely the complete opposite to my initial impression and have learned not to listen to other students as these students said that the hospital I was just placed in was hostile and unfriendly. Complete opposite and my experience has been fantastic. Really enjoyed it and have learned so much. Hopefully this continues in my next placement.

First Day as a Student Doctor.

So today was my very first day as a proper student doctor (clinical year medical student). I must admit that I was fairly nervous about my placement and at the same time excited. I really didn't know what to expect and my biggest worry was not being welcomed.

Anyways I am placed in Upper GI surgery which I had done for 2 weeks before in first year. Technically I should be an expert on it. Obviously I am not. Today was induction day at the hospital and we got a hospital tour. The hospital is fairly large and because it is a teaching hospital, most of the doctors/nurses there are really helpful. I heard a few bad things about the hospital I am placed at such as consultants completely ignoring you and being rude. I literally have nothing to complain about today. When I was standing around with my partner on our ward trying to look for our consultant, we were approached by several nurses asking if we needed help looking for someone or something with a smile and genuinely wanted to help. It really made me relax as it seems like I am welcomed and that people are willing to help.

After induction/introducing ourselves to our ward, the search for our consultants still continues. After lunch, we decided to go down to theatre to look for our consultant as he is a surgeon. Bingo! He was in theatre all day. During the surgery, our consultant did a great job at showing us stuff and letting us take a look and he took the time to explain things. However, we were quizzed, but our consultant was really nice especially when we did not know the answer. After surgery, our consultant went over the surgery that was just done with us and I mean our consultant has been in theatre all day and he took the time to sit us down in a room and draw us a diagram of the operation. He took the time to run through the basic anatomy involved and took the time to explain each step of the surgery. It really showed us that our consultant is committed in helping us learn and I have a feeling it will be a good attachment with great learning opportunities.

As well our consultant told us his schedule and told us to join him whenever we feel it is necessary. I like how we have the freedom to plan our own schedule and I guess quite self-directed. Really gives us the opportunity to prioritize things and get some of our compulsory assignments done instead of being our consultant's shadow.

By the end of the day I got to admit my back was quite sore after standing for so long. Can't wait to get a really good sleep tonight as I didn't get much sleep yesterday.

Hopefully I'll update you with more things if I encounter anything interesting.

A Sigh of Relief.

Today was quite a cheerful day...well minus the gloomy/ridiculous weather. Went to meet my supervisor for my research attachment at the Bone Metabolism Centre. My supervisor has lectured us quite a few times during our MSK unit, but I always had the impression of him being a quiet/awkward guy. After meeting him - wow...he is a really chill person. He was relaxed and it was quite fun to talk to him. He told my group and I (3 of us in total) what the project entails and what is expected from us and everything just seems really straight forward. Best thing I heard was that he knows that we should be studying for exams and will not be expecting us to do 9-5 every day. In fact, he only expects us to come in once in awhile and go to some seminars/lectures and maybe visit the gait lab to see the equipment used and what the volunteers will be put through. Super excited about this. He also said that it isn't an intense research attachment and all of us breathed a sigh of relief. We were really worried that we'll be really busy and won't have time to study.

I'm definitely looking forward to this attachment and hopefully I'll get my schedule soon. We are supposed to start tomorrow but when we were leaving our supervisor said: "See you next week!". So I assume we get the rest of the week off...or until we get our schedule! Exciting stuff. To be honest I'm not being lazy and stuff as I'm genuinely really excited for this attachment and it is one that I wanted to do, but it really got the best of two worlds. Equal balance of the attachment and as well giving me study time to concentrate for exams. Great stuff.

As well, before the meeting the medical school decided to add a new clinical skill session for our year - venepuncture. We got to draw blood on plastic arm models and it was really fun. Gave us a reminder that we are studying to become doctors. Sometimes you tend to forget due to all the preclinical lectures of all the basics - you lose sight of what you're studying and sometimes it is nice to get reminded from time to time that in a few months we'll be on the wards and in three years we'll be qualified! Still seems a bit surreal.

Today was a great day...shame the weather couldn't cooperate though!