My Audit Project: Start to Finish.

May 2012 - I started on my first audit project which was in Orthopaedics. I technically started planning this audit project with my supervisor back in January 2012. When we first discussed this project, the project was just intended to be a good learning experience for me and I pretty much saw it as something to keep me occupied during my Orthopaedics placement. I don't think any of us really thought of going far with this project. It was essentially a "we'll see how it goes" kind of thing. Admittedly, I didn't take the project that seriously either. I spent maybe an hour here and there in medical records. Our sample group size wasn't very big either so I wasn't exactly pressured to spend hours and hours to collect all the data. To be fair the audit project took about 3 weeks to complete (as in gather all the data, come up with numbers, and type up a rough report to hand in). As you can probably see now, I didn't take it very seriously. As I started getting results and numbers from the audit, my supervisor began encouraging me to think about submitting it to national/international conferences as he believes people might be interested in our results. I remember actually laughing off what he said and told myself: "That'll be the day!". Eventually he started to sound a lot more serious about it and continuously encouraged me to submit an abstract to conferences.

Because I had typed up a report (albeit quite roughly), I at least have a base for an abstract. An abstract is essentially a 250-300 word summary of your project. It would include an introduction, aim, methods, results, and a conclusion. I took a sentence or two from each of my sections in my report and put them together and there we go: I've got my 250-300 word abstract ready for submission. I submitted an abstract to 1 national and 1 international conference. As I submitted it, I still told myself: "Why would anyone want to select MY project? It'll be a joke." 3 months after submitting my abstract, I heard back from the conferences. I was accepted to do a poster presentation at a pretty "prestigious" (apparently) national conference. I couldn't believe it. I was over the moon. I mean I never expected to get anything from this project. Like I earlier said, it was a bit of a "keep me busy" project that I didn't take seriously. You can imagine I wasn't very confident about it and really truly didn't think I'll get anything from it. I even told my supervisor in the unlikely event of me getting anything out of this project, it will be a massive bonus. I heard back about the national presentation in December 2012 and in about 2 months I had to churn out a poster. Where do I even start?!

I have never done a poster before. I mean I presented my project a few months earlier at a local audit meeting so I had a powerpoint presentation of my poster, but not an actual POSTER. I asked around and was given a template. To be honest, I was still very lost. Because it was my holiday when I had to work on my poster, I pretty much sat myself down in front of my computer and spent the whole day making the poster. I used powerpoint to make the poster and after many hours of continuous work, I had my first draft for my poster. I remember sitting back and looking at my computer screen with a large grin. I can finally see my project "come to life". All that work, I can finally see it. After many drafts and sending my drafts to my supervisor, I believe I had my final draft. 2 weeks before my conference, I made some last minute changes to the images and minor adjustments and sent it for printing.

"Your poster is ready to pick up." - the graphics team had called. It was my day off and I quickly rushed out to go see my poster. When I saw the poster I just could not believe it. My work in true physical form. I obviously took a minute to be a bit of a narcissist and admire my work. I couldn't help but feel a sense of pride and joy. Just looking back at the long journey, I just could not believe it.

Then it was time to go to the 3 day conference. Poster rolled up and secured in a tube. No one has seen it other than me so my supervisor and other surgeons who helped haven't seen it. We all met up and went to the venue to register and put up the poster. Just walking into the venue and seeing everyone there (250+ people) and 95% of them were Registrars or Consultants in Orthopaedics, it was actually quite intimidating. It didn't help that I looked BY FAR the youngest in the meeting and 1 of the handful of women there as obviously Orthopaedics is quite male dominated. When I took the poster out to put up, while my supervisor and other doctors stood around, it was nice to see my name as the first author and the title of my project standing out among the other posters in the hall. I got a pat on the back and was congratulated. It has finally happened. My first national poster presentation. Throughout the day I was introduced to many consultants from around England and met some pretty famous ones who I have only heard about. It was such a great and new experience. When it was finally time to leave, I left my poster with my supervisor.

A few days ago I received an email from admin in Orthopaedics saying that I should go visit the Orthopaedics Department. I kind of dismissed it and didn't pop around until yesterday. As I walked down the hall in the department, there it was - my poster. It was displayed up on the wall, which registrars and consultants like to call: "The Hall of Fame". I stopped in front of my poster to be a bit of a narcissist again and admire my work.  

What this project has taught me is that if you work hard, "the sky's the limit". The opportunities are infinite - you just need to go look for it and grasp onto it when it passes by.

So what's next for me? Because my project was a lot more successful than we all thought, I am now hoping to submit a more polished report for publication. I mean these projects are quite fun, and a good experience so I am in the midst of planning with another consultant to do another project with a much larger sample group and on a different topic. After going to the conference, I am very motivated to keep doing projects and working hard. Who knows where my projects will take me next? America? Canada? Asia?

"The sky's the limit."

I'm baaaaack!

Well it's certainly been awhile since my last post. Apologies. I've been revising for my exams. Finished exams  so I suddenly have a lot of free time. Quite weird. I've technically been studying for over 6 weeks for this exam which felt a lot longer as it just kept dragging on and on. It didn't help that the other years have already taken their exams/have left for winter holiday already. It's gutting when people are away back at home or on vacation and you're stuck in your room/library revising all day, every day.

Today I got my results from my exam and good news: PASSED! Managed to jump over another hurdle. Next hurdle: Finals. Scary! To be honest these exams meant a lot to me. I wasn't very happy with my performance in last year's exams and promised myself that I will never make the same mistake and study harder and work harder. I pretty much declared this year as a "comeback" year. I promised myself to go into placements and actively learn. So today when I went to get my results, I was very nervous. I was confident I had passed, but there's always that little bit of doubt in the back of your mind. The relief when I saw my results. Phew. I think I can officially say that this has been a successful comeback year. I have regained my motivation for Medicine and during the 2nd half of this year, I have regained a lot of confidence. I got to say - it's been a good year (despite the highs and lows).

Along with my results, I have received my schedule and placements for next year. Starting off in A&E, so it will be a very quick and hectic start! Should be very interesting though. Now that exams are over and that I've gotten my results - I can finally relax. Get back to normality. Do what I enjoy and meet up with friends. It was a tough exam period and I cannot wait to go back home. See my school friends. See my parents. Celebrating Christmas and New Year with the family. It will be nice. It will probably be my last proper winter holiday as next year I will be revising for finals as my final exams are after winter holidays. I will definitely have to make use and enjoy this winter holiday as much as I can this year. It's been a very tough road. Scarier thought: after next year's winter holiday, I will be working as a proper doctor in a hospital somewhere during winter holidays! Wow. It's getting close!

One step closer to being a doctor!

Anyways Merry Christmas to everyone and good luck with interviews!

Another Step Forward.

I think a bit back I said I was working on an Orthopaedic project (since May). Today I had the chance to present my project in front of a group of orthopaedic surgeons across the region. It's nice to finally present something that you've been working so hard on, but I would be lying if I said I wasn't nervous. I was fairly confident a week ago when I was preparing my powerpoint though. My run-through with my supervisor went really well, but this was presenting in front of someone who I know. Presenting in front of a group of orthopaedic consultants is a whole other ball game. What I was most worried about were the questions at the end.

One thing about me is that I don't like over-rehearsing/practising my presentations as I like to improvise. I like to give relaxed presentations that can go any direction depending on how I feel as it shows confidence in your presentation/project. I know my project very...very well so this was a route I know I wanted to take, but a risky one as I haven't presented in over 2 years and certainly not in front of a group of consultants. But because I didn't want to make a fool out of myself, I thought it was a good idea to practice a bit more than usual so I rehearsed once a day starting on Monday. The one rule I have for myself is to never use cue cards or notes and this was definitely not going to change for this presentation. When I showed up at the meeting, I think the lead was a bit surprised by the fact all I had was my powerpoint and no notes/cue cards to run through while I wait for my turn. To be fair, I wanted to look like I was confident and at ease about my presentation, but actually I was completely bricking it inside. The night before I was "choking". Was confident until the night before and everything just fell apart. I was stuttering when I was running through and forgetting to talk about certain things as my slides contain very little info as I like to expand on my points.

Anyways it got to my turn and I told myself that one of my strong points are doing presentations and this is not anything different. I introduced my powerpoint and I went through my powerpoint like it was second nature. It was almost like I wasn't even consciously doing it. It felt really good! Then the dreaded part: question time. Surprisingly, the first question wasn't even a question. A consultant took the time to complement me so I was really chuffed about it. It definitely made me feel proud of myself and especially when I was the only medical student presenting amongst a bunch of registrars. At least it was some sort of confirmation that I didn't make myself look like a complete idiot, but the bail out sentence was always ready: "Sorry I am just only a medical student." The questions asked weren't too bad and it actually started a discussion amongst the audience about the thing I studied.

After doing this presentation it gave me an idea to make a post of tips for making presentations:

• Keep your powerpoint short and simple - maximum 4-5 points per slide - use these as cues for yourself and expand on these points
• Use images to make your slides/presentation look more interesting 
• My personal rule is about 30-60 seconds per slide. 10 minute presentations = 10-15 slides. Any more slides, you could potentially end up speaking too quickly
• Practice your powerpoint without any cue cards or notes from day 1 - if you don't get into the habit of using cue cards...then you'll never need to rely on them
• If you're really unsure about your presentation, find a friend to practice in front of and ask he/she to give you feedback
• If you're nervous at the time of your presentation, pause for a second at the end of each slide to allow yourself to gather your thoughts for the next slide. The audience will think you're giving them time to read your slide so use the opportunity to calm yourself and gather yourself.
• Introduction is key - also an easy way to calm yourself as you'll never forget your own name! 
• Always end your presentation with a summary slide as it's a nice way to round off the presentation
• Body language! Be aware of how you stand and what you're doing with your hands. If sitting, don't fidget/swivel in your chair. Standing and don't know what to do with your hands? Clasp them in front of you or try to use your hands to point to relevant images on your slide. Practice makes perfect for this. Avoid closed body positions such as crossing your arms across your chest and leaning against the wall. Don't want to look bored of your own presentation!
• Look around the room when talking. Don't have to make eye contact, but remember there's more than one person there so involve the room by looking around.
• And SMILE! Don't want to look grumpy about your own presentation!

So these are my quick few tips about presentations. Everyone has their own unique style so these are tips from my own personal experience. Do what you're most comfortable with. As a medical student, you are BOUND to have to do a presentation...even more likely once you become a doctor so while you can start practising in less serious meetings/conferences so when you do have to go to a proper formal meeting to present - it will be a piece of cake!

Penultimate Year.

"Hi, my name is - and I am a 4th year student doctor."

How time flies. I still remember when I first step foot onto the wards in first year and introduced myself as a first year medical student - it was almost like yesterday! Now, I unwillingly have to introduce myself as a 4th year. I quite liked introducing myself as a 3rd year to patients and to doctors/nurses. I feel like we get a bit more sympathy and leeway. As a 3rd year, we can always pull the: "Sorry it's my first year of clinical.", when we make a mistake. As a 4th year - expectations are higher and mistakes will be looked down on. I feel like 4th year is the "real deal". People expect you to know your place in the hospital and know what you are doing. Questions won't be as well appreciated and you will be much more independent. It's actually quite frightening! As a 4th year - people who know that your course is 5 years will know that as a 4th year, you'll be in your penultimate year and pull the: "You'll be graduating in a year or so - come on, you should know better!"

So I'm starting psychiatry and will on the specialty for 6 weeks. We just had a week of lectures on psychiatry and it seems pretty interesting. It's also nice to learn something completely new as well. The past lectures we've had were more of a refresher and a bit more clinical, but wasn't completely new. We have never learned about psych so it was good.

Had my induction at the psychiatric hospital and it seems promising. It seems really organized and we've got a binder full of info. We've also got schedules for our next 6 weeks. Something so simple is well appreciated as that means I can plan my life. It's a shame other placements can't give our schedules that far in advance. Got a fairly easy week - mainly at clinics. Bit nervous as psych is so unfamiliar and new. Also scared about being quizzed. Yikes. Got to do some reading asap!

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.

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.

Close Call.

If you have read my previous post on exams...you would have noticed that this exam was very difficult and I was fairly convinced I had failed. From last day of exams to results...I had 7 days to ponder and scare myself/reassure myself. Easily the most anxious 7 days of my life. First day post exam - I swear I was brain dead. I couldn't do anything properly. At the same time - I was in a bit of a depressed state of mind. Also found it very difficult to sleep. Mind you, I'm not the type that worries about stuff. I literally am a happy-go-lucky/care-free person. I rarely worry about things.  Thank goodness I got to go to London for the weekend to watch a concert, which allowed me to get my mind off of exams and just to relax.

Results day - woke up at 8am...pretty much tossed around in bed for the next 4 hours as results aren't released until 2pm. Worst bit is that I have to go to the medical school to go see my results as for no reason the school does not post them online.

"Results are out...it ain't pretty." - the text message I received from my friend at 2:10pm. When I read the message, I felt my heart drop. As I got closer to the medical school, I could feel my heart racing. I then saw classmates standing outside the school. Some crying. Some cheering. Some looked in shock. I really didn't know what to expect. The short walk from the entrance to the notice board where our results are posted was probably the longest walk ever. Next comes the difficult bit. Finding your student number in a list of 280 other numbers. "Should I check the fail list first? Or just try to find my number in the pass list?" My gut went with looking through the pass list first. Thank goodness our numbers are in numerical order this year. Page after page....I finally found my number. I passed my exam! Then curiosity won me over and I took a look at the fail list. I was in shock. The phase director had failed 20% of the year (50+ students). Wow. She actually kept her word about it. I was disgusted by the number of students she had decided to fail. Ridiculous. As time passed, more of my friends came in to check their results as word had spread about results being out. One by one I saw students come through. Saw a couple people crying as they had failed their exams. Thinking about it - we were all top of the class students. Failure...is probably something we have never really experienced before, so for those who failed their medical exams it probably came as a shock. By the way - usually only 10-15 people fail their exams. In our last two years, my year had set the highest passing rate. The academic department was proud of our year. In 6 months, we went from the highest passing rate, to the highest failing rate. Obviously there is something wrong with the exam and not us.

Unfortunately a few of my close friends had failed their exams. I know a few people getting kicked out from the course from failing more than 3 times in the course. A couple of people had failed and had such a bad experience from these last 6 months, will be quitting medicine. It's really a shame that one phase director can put so many people off from medicine and possibly even change the future of so many students.  Lots of students had lost a lot of confidence because of these exams. These exams disgust me especially knowing the school had screwed up badly with these exams. Pass mark for our exams are usually at around 47-50%. This year our pass mark was around 40%. OBVIOUSLY something wrong with the exam if your pass mark is that low. I surely hope the school does something to resolve this as I think this is unacceptable. Yes I am angry at the school. Yes I am annoyed. Yes I know I passed, but knowing the pass mark was that low - I feel like I didn't pass my exam as it was not a fair exam and not a fair way to examine the knowledge I had gained in the last 6 months.

What I had experienced from these exams, I am a bit hesitant on even recommending the school to prospective students. It's really a shame how poorly this has been handled. Hopefully the school will regain my confidence in them in the new year.

End of Placement 3.

What a placement. It actually went by a lot faster than I thought it would as I hated my first week of placements. In the end, it wasn't too bad. Definitely found out colorectal surgery is not for me. I can never seem to orientate myself in theatre especially during laparoscopic procedures. Everything looks the same! Just bowels here and there. Clinics were alright - completely understand why consultants hate it though. It's usually the same old things - over and over again. Only been to 2.5 clinics - and to be fair - it was starting to get repetitive and boring. I must admit, I am a bit embarrassed by the fact that I only turned up to ward rounds ONCE in the entire 4 weeks of placement. Oops. 7:30am ward rounds are too early - Note to self: don't get admitted as a patient to a hospital with 7:30am ward rounds - no wonder most of the patients we saw on ward round were cranky. You're ill/in pain and you're tired - 7:30 am a team of 5+ doctors (have seen teams of 10) crowd around your bed - doctor takes a feel/ask a few questions and then disappear. As a patient, that would really tick me off, but then again I'm not the most cheerful person in the morning.

What else have I learned on this placement? As previously mentioned in an earlier post - common sense takes you a long way. Oh and some consultants are actually human and love to talk about other stuff other than medicine. And again especially at busy hospitals - medical students are probably the least important things in the hospital - be prepared to get ignored/no one caring about you. That's reality and you just have to be proactive and be responsible for your own learning.

Next placement will be in endocrinology. Don't know what to expect; however, I don't even think I will have time to go into placement as exams are around the corner (December). Need to really study and start focusing. Can't tell you how stressed I am - it's mental. Like most students - I hate revising. The only thing that keeps me going is the future. I keep telling myself that once these exams are over I can slack off again and it'll be a year before my next exam. Can't wait as we just had our year-end exams in May - so it's only been 6ish months. The thought of 2nd year exams/revision still scares me - it was tough/a nightmare. At least this year's December exam will be more clinical (what I like) and not as science based. Still a bit lost as to what to study. Just hoping the best and hoping that I'm studying the right material as this year - we've hardly had any guidance. Eep.

Start of Clinical Years.

Finally got some free time to make a post. First want to thank those who are still following me on my blog as I really do appreciate it.

So I finished my 3 exams (MEQ, Multi-Station, and EMQ) on May 5. 3 torturous days as predicted. To be honest - The MEQ and EMQ exams weren't too bad as I adapted a new way of studying which is better suited for those two exams; however, I neglected the method needed for Multi-Station exam. Consequently, I did suffer a bit in my Multi-Station exam. It was horrible. I didn't exactly start at a great station either. I knew how to do the questions in my first station but the next 4 stations shattered my confidence. I did not study the things asked and it was a horrible feeling. With every station I lost more and more confidence and was starting to think pretty negatively. At one point I even asked myself if it was possible to get 0% on the exam. It was grim. After 2 hours of absolute shattered confidence and the horrible sinking feeling - I was hoping like no tomorrow that the EMQ would be much better. Thankfully - EMQ was quite okay and I didn't have too many difficulties with it.

Fast forward to May 19. Results day. My university requires us to go into the medical school to get our results so the journey to the school was long and nerve-racking. I don't think I have been so nervous before. To my relief I had passed and cue celebration. We still haven't received the breakdown marks of our 3 papers, and I'm looking forward to see how I did in the multi-station paper. Last year it was my best paper of the 3...I don't think that is the case this year. Who knows - maybe I've got some pretty amazing guessing skills.

Just the other day I got my first clinical year schedule and it looks really crammed and hectic but after looking at it again - it isn't too bad. The major downside of starting clinical years...is the lack of holidays. I guess they're trying to prepare us for the future? From what I've heard from upper years - this is the time when it hits you - you'll be a doctor in 3 years and it is quite a frightening thought. I swear the last 2 years FLEW by. Freshers week felt like it was only a few months ago.

Anyways just wanted to do a quick update and hopefully my next post will be soon. :)

To the FUTURE medics!

I just wanted to quickly post out a congratulations to those who met their offers to get into medical school! As summer holiday slowly comes to an end (noooooo!) - that means freshers is getting closer! Get ready for a great time and don't be too nervous! Personally before freshers I was really nervous especially being an International student. I was scared I was not going to make any friends and will be going through freshers as a very lonely medical student. Those who are worried about friends in uni - DO NOT WORRY! You will find that during Freshers everyone is quite friendly as most will be in the same boat as you - looking for friends! The first people you'll meet will probably be your flatmates so get to know them and don't be shy! Be open-minded and don't be afraid to start up conversations. However, don't always just stick with your flatmates - open up and get to know your course-mates and join societies so you can meet more people! Trust me the thing you'll be worrying about during Freshers are peoples' names. I found myself saying "Hi" back to people who I have met but can't remember their name. Also later on you'll realize half the people in your contacts list on your mobile will be people you don't even remember meeting! Haha.

Freshers is a time where you will probably be both really excited and maybe a bit nervous. Pretty typical feelings. If you aren't even excited for Freshers because you are scared/nervous - don't be. Hopefully you'll find it enjoyable and a pleasant experience. However I think I've mentioned in my earlier posts (in my blog) from the beginning of last year where Freshers was a bit "overhyped". I still believe it is but every one is different. I am not the biggest party animal so I didn't go to a lot of Fresher parties - but in general I still had a great time and many of the people I met during Freshers are still my friends now and we all get along quite well!

And by the way - moving in is alright but remember don't take a lot of stuff that you do NOT need. You will regret it when you have to move out. I personally thought that I brought wayyy too many clothes with me. I probably only wore half the clothes I brought and the other half just clogged up space.

Anyways I don't want to make this post too long - but I'll link you to my previous posts where I wrote about my Freshers week and updated it pretty often:

http://crazylifemedstudent.blogspot.com/2009/09/freshers.html
http://crazylifemedstudent.blogspot.com/2009_10_01_archive.html

I hope these previous blog posts will help and ease some nerves. I think you'll find the second link useful as I charted out each day of my Freshers week.

If anyone has any questions please do not hesitate to contact me. Just post in the comment box and I'll reply back to you in the comment box asap or if you want you can leave me your email address and I can email you back.

Get excited for FRESHERS and a new chapter of your life!

1 day til Results.

I didn't think I would be nervous about results as we have been assured that about 5% of the class would fail, but I AM STILL NERVOUS. It is really hard to say how I have done in the exam and I have no clue what sort of mark I'll be getting. Back in high school, after an exam, I usually have a sense of how I did and can ball-park the mark that I will be getting. This time, I seriously have no clue at all. I have a feeling that everyone will be scoring around the same mark and 1% can make or break you pretty much - scary stuff.

I also don't understand why I have to physically go to the medical school to see my results...why can't we get our marks online like most schools? For the home students it isn't that bad as they can always go home, but I am stuck in England for 2 weeks with nothing to do waiting for results to come out and I can't go home in between. I also don't like crowding around a little pane of glass trying to find your student number and along the way see other people's marks as well...quite nerve-racking but I guess it gives you a bit of competition as you can see how your classmates have done.

Wish me luck for tomorrow and hopefully I get the mark I am aiming for and PASS. I really put a lot of work into studying for the exams and will be extremely disappointed if I end up with a 3 (or fail). Not trying to be stuck up or anything - please don't get me wrong - but for the amount of effort I put into studying - I hope my work pays off and get me a 4.

Will update again when I get my mark and hopefully be a very happy medical student. :)

Countdowns

2 more days until Easter Break.
9 more weeks until Exams.

Seriously starting to get a bit nervous.

Goal: To start studying during 2nd week of Easter holiday! If not study - sort out all notes for studying!!!

In other words - Happy St. Patrick's Day to whoever celebrates it! Wishing good luck to those who are still having interviews or waiting for medical offers from their universities! And congratulations to those who already have their offers!

Interview Tips!

Today I feel like posting in my blog despite having a bit of work to do for tomorrow. I will make this one brief and hopefully informative.

I have noticed people are starting to get interview offers and I reckon giving out some tips should be useful.

IMPORTANT: REFLECT REFLECT REFLECT! AND EXPAND ON YOUR ANSWERS!

1) Look around the city before going to the interview! A common ice breaker question would be: "Why *City*?" Make sure you find something to talk about the city/university. Nothing better than completely messing up the first question. It is a great time to help yourself calm the nerves as you SHOULD know the answer.

2) Look at the medical course that the university offers. A common question would be something like: "Why this university?" This would be the perfect to time to show off your knowledge about the university and the course. Shows that you are keen and you know where you applied.

3) Please have something to say when they give you the good ol' vague question: "Why medicine?". I personally hated this question because it is SO vague and you could basically talk for ages. A great thing to remember when answering is to try and pull in stuff that you wrote in your personal statement. For example you can talk about your work experience/volunteering helped you discover more about medicine/educated you about the career. Also draw in positives such as your skills that you have picked up helping you to succeed as a doctor. Make sure you try to keep the answer short despite it being a difficult task. Just give a summary and make sure you cover the important points and cover some of the stuff in your personal statement.

4) Read the news especially about the NHS/health. In some interviews - the like to ask you about something recent that happened in the NHS or a recent medical advancement. The day before just go on BBC or something and read up on some stuff. Don't pick the hardest thing you saw in the news...pick something that actually drew your attention and that you find interesting so you can actually talk about it in the interview.

5) Reflect on what skills a good doctor should embody. This is a pretty common question. They could ask you to name a skill or they could name a skill and ask you to talk about that skill. Remember to always try and relate the question to yourself. If they ask you about empathy - find something that you have done which helped you develop empathy/care for people. Something like working at the hospital or care home would be good things to talk about. Remember in an interview the interviewer wants to know about YOU and how capable you are to becoming a doctor. Show that you are three dimensional and do other things other than go to school.

6) Be prepared for an ethical question. There is no right or wrong answer....actually none of the questions have a right or wrong. Do not fake an answer...answer honestly because interviewers are smart. Don't think you can actually outsmart them. The best thing about ethical questions is to prepare a structure on how you will answer it. Remember to look at both sides of the argument! Don't just completely ignore the other side of the argument as it is important to acknowledge it.

7) Some interviewers like to play the "Good Cop/Back Cop" game. Ignore it and be patient! They may ask very similar questions where you will have the same answer. Don't get frustrated and just answer the question with different wording. Sometimes it'll get annoying but some could be testing how you cope in stressful/annoying situations.

Random Tips:

1) Dress professional/well.
2) Be awake! (I must admit I did fall asleep in the waiting room though) - but be awake during the interview!
3) Don't fidget during the interview - it is distracting.
4) Know your personal statement - they will draw stuff out from it and ask you about it.
5) Smile!
6) Don't ask "dumb" questions at the end. I know some will argue that you will sound keen if you ask a question but seriously most of the answers can be found on the university's website/prospectus. If you really have any questions before the interview - call up the admissions office to ask or if an upper year is taking you around for a tour - perfect time to ask questions.

To be honest I didn't find interviews that hard as they are asking questions about YOU and only you know yourself the best. If you do your research and know the course and genuinely want to go the university you'll cover the factual questions. Just relax. The minute you tense up you get what I call "brain farts". Avoid it because you'll find yourself saying "um" and "uh" for the next what feels like hour. Plus it gets awkward too when the interviewers just stare at you waiting for an answer. Oh and don't rush your answers...make your answers concise and to the point, but at the same time show that you have reflected about it and try and draw positives to yourself.

Anyways I should get back to working. Hope this post helps. I know it is brief but I really don't know what else is there to cover about interviews. When you get an interview it is technically like you got your foot in the door, you just need to get the rest of your body through. They won't ask for an interview if they aren't interested in taking you. Quite simple.

Good luck!