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.

End of Paediatrics.

7 weeks have passed which means I am done with my paediatrics placement! To be honest, it actually went by really fast. I got to admit that the first few weeks went by really slowly...to the point I was dreading the placement. Luckily, the placement started to blow by as I got to know the doctors and nurses on the ward and in general felt more welcomed.  I think 7 weeks was plenty of time for a taster of the specialty so my impression of paediatrics? Not for me. But I won't 100% remove it from my potential list of specialties as I find the surgical side of paediatrics fairly interesting. On my last day of paeds I had a lecture about paediatric orthopaedics, and to be fair...it seems quite interesting. These surgeons see a lot of different conditions ranging from pathological to congenital conditions. Definitely something I wouldn't mind considering in the future.

Also another reason to celebrate about the end of the placement is that I have passed my placement based assessment!!! I was really nervous for it, but it went really well. Did a full patient history on a boy with pneumonia and did a cardiovascular and respiratory examination on him.  I also got a lot of feedback from my supervisor, which was good as I'm constantly trying to improve and do better. I also managed to finish all my essays and reflective writing all in time along with my log book! Really stressful weekend, but everything came together in the end. I was really chuffed with it and after Monday (where everything was due including my assessment), I felt like the world was off my shoulders. I felt so much more at ease and just felt a sense of relaxation. I can finally enjoy the placement again and just take it easy for the last few days on my placement. On top of that, end of paediatrics = end of driving a long way to placement. My next placement is only a 15 minute drive (which is closer than the central hospital from where I live), so I'm excited for that. I no longer have to wake up at a ridiculous time to drive. I've also heard fantastic reviews about the next hospital I will be going to as they like to pride themselves in teaching medical students.

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!

Sh!t Hitting the Fan.

Oh wow...it is quite rare for me to leave work to the last minute. I should be panicking, but I'm not...well not just yet. I have 2 essays and 1 reflective writing to hand in on Monday. One of my essays is a case report, which I have finished...but it is still pretty rough. The other essay is an evidence based medicine essay, which requires me digging through a bunch of literature...haven't started that whatsoever. Reflective writing...I hope it doesn't take long as I haven't done that either, but I usually only take 10-15 minutes to do up reflective pieces. As you can tell...I'm not too shabby at reflecting (which I do believe is a very important part of the degree - can't improve if you can't reflect on your performance/day). It doesn't end there - I've got a summative assessment on Monday where I will be watched by a consultant in taking a full patient history and perform two systems examination (could be either Cardiovascular, Respiratory, GI, Peripheral Nervous System, Cranial Nerves, or Developmental examination). Afterwards I will be asked a few questions about the patient history such as differential diagnosis, management, investigations, pathophysiology, etc. Anything goes as long as it is relevant to the patient's condition. Will also be asked to present my findings on physical examinations. Ack. I mean taking a patient history and doing examinations is just a matter of practising which I think I've done enough of. I'm just worried about the questions my consultant will ask me.

This week has been fairly uneventful. I was only in for 3 days as I had a lot of meetings to attend. Because of all my meetings, I haven't been able to do an "on-call" from 9am-9pm, which means I have to do 2 on-calls in my final week of Paediatrics. Fun. Essentially I spent this week completing my log book in terms of getting my clinical skills signed off and getting a registrar to do my formative assessment for 3 systems examinations in preparation for my summative assessment for next Monday.  I also found this week incredibly hard to wake up. Every morning I was struggling to wake up. Thank goodness 1 more week of Paediatrics and travelling a long way to the peripheral hospital. Next placement is Obs+Gynaecology and the drive there is about 15 minutes so I won't have to wake up as early. PHEW. To be honest I'm quite sick of my placement now. 7 weeks is too long and I haven't really been having a great time either so that doesn't help with my experience. I'm usually bored and I generally feel quite unproductive. To be fair though, I still learned a lot especially on how to interact with children. Still something I'm struggling with, but if I compared myself to the first week of placement, I have definitely grown as a person and have learned some new skills. It'd be unfair for me to write this placement off as it has been very useful. Just not my "cup of tea". Can't love every placement. There will always be up and downs, but medical school is all about exploring specialties and learning about everything. As a medical student, you need to learn how to adapt and essentially "just get on with it". My basketball coach from high school always told me: "If you don't like it, too bad. Make the most of it. If not, just suck it up and keep going."

Placement 2 - End of Week 2

Holy smokes what a crazy week. To be honest though there isn't much to talk about placement as I only went in 3 out of the 5 days. Well actually more like 2/5. On Monday I had my clinical skills assessment so I spent the whole day pooping myself and practising before my assessment. I was so nervous it was kind of ridiculous. I was nervous because I felt that I haven't had enough practice yet and there's just so much to think about whilst doing a clinical skill.

So it was finally my turn to do the assessment and thank goodness the assessors were REALLY nice. It was really informal and they told me that they don't expect me to be a pro at it and will guide me through each skill. Essentially I was tested on hand washing (easy), vital signs (BP, temperature, pulse, SpO2), venepuncture, cannulation, drug mixing, and finally setting up an IV drug. I didn't mind doing any of those EXCEPT for drug mixing and setting up an IV. I haven't done either of those skills since last year and I didn't get a chance to practice either of those skills prior to my assessment. I nearly started sweating bullets while doing those two skills but thankfully everything came back to me and I managed to pass all my clinical skills. That means I can officially do all of these clinical skills on real patients in the hospital as long as I am supervised.

Tuesday - standard - ward round and clinic. Clinic was really interesting. Saw 2 patients which some interesting case histories. Ward round...was a pain. Dr B was doing ward rounds which meant another grilling session. Also what I have realized is that he is PAINFULLY slow at doing ward rounds. Dr Y takes 3 hours to do a ward round....Dr B takes 4.5 hours and has the same amount of patients to go through. Anyways while Dr B was finishing writing notes in the patient's notes, my partner and I talked about the patient and the physical signs that we saw. Out of no where, Dr B turns around and snaps at us. He told us off for talking and said that if we keep getting distracted/aren't interested we can go to the library and do something else. My partner and I were like "....what?" We were confused because we were talking about the patient and what we saw, so we weren't distracted and obviously we are interested; hence why we were talking about the patient. Obviously Dr B was a bit grumpy today. The way he snapped at us really bugged us as it was uncalled for. So my partner and I had two choices: a) Piss him off more and just leave and go follow Dr Y or b) Bombard Dr B with loads of questions to show him we are interested and obviously to annoy him as much as possible. We chose to go with plan B and cue the waterfall of questions. We literally asked him about EVERYTHING. We looked at a patient's drug chart and asked Dr B about why he would prescribe these medications and why not alternatives. We started asking about the mechanisms of different drugs. I'm pretty sure Dr B got the idea that my partner and I were doing this on purpose and Dr B blazed through the rest of ward round. I guess that's one way of getting things done fast.

Wednesday - I didn't go to placement as I was helping out at the Medic's Fresher's Fair, which was quite tiring. Started setting up quite early and then had to wait for the fair to finish as I also have to help put away stuff. It was really nice meeting the new medics. Then I had an age crisis as some of these freshers look really young. I mean I saw some who barely even look 16 years old! It was crazy. We also got to showcase the Fresher's Video that we made. It turned out quite well and I think (hope) that the freshers enjoyed it.

Thursday was the usual, BUT Thursday night was the night of Medic's Fresher's Fever! I was really excited for it as there was going to be a hot tub and sand at the venue. In the end - I must say this was the best Fresher's Fever I have experienced. It had a really good vibe and for once all the Fresher's stayed til the end! The last two Fresher Fevers I went to, people left 2 hours into the party and essentially used the event as a pre-drink before going to another club. This time - people stayed all the way until the venue closed. I was so glad I got Friday off as there was no way I would've been able to go to placement. I got to get Friday off as there was another freshers event that I had to help out at: Buddy Scheme. That didn't start until 3pm....and I thought I would definitely be able to wake up for that. I ended up waking up at like 2:15pm and was literally running around my flat trying to get ready to get my butt out of the door. But yeah this week has been quite interesting. Highlight of the week must be Fresher's Fever. Yeah yeah I know I'm getting too old for it, but seriously it was amazing. Definitely a memorable night.