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."

Too slack?!

Some of you have probably noticed that I am back from holiday due to my recent post. Anyways you must be thinking what placement I must be on. Essentially we get 6 weeks where we can either design our own placement or select a project that the school offers. Most of you probably know that I am interested in Orthopaedics, so I designed my own placement and have chosen to spend 6 weeks in Orthopaedics. So far...well so far I haven't really done much as my supervisor has been taking quite a few annual leaves. I've been in for about 3 days in the last 2 weeks. I've been to 2 clinics, which were quite good. My supervisor is quite good at teaching so I'm definitely learning lots...just wish I was in more often. Yes I am whining about not having enough to do. It doesn't help that my last placement was quite busy (in from 9am to at least 5pm every day). Now I'm in for a half day here and there. I got 1 theatre day which was alright. For the first surgery I didn't get to scrub in because the nurses didn't realize I was attached to the consultant and no one helped me scrub in. For the rest of the list I got to scrub in and it was definitely interesting. Looked ridiculous though fully decked out in gear as in Orthopaedics they are quite anal about cleanliness as they want to prevent infections. If the patient gets an infection, the only way of curing it is to take the implant out so we all want it to go successfully. No one wants to go under the knife more than once. My supervisor was really good at getting me involved though. I mean scrubbing in was already good enough but my supervisor also let me use the drill, hammer, etc. It definitely put a smile on my face and I really enjoyed it. I also got to learn how to stitch (finally) and I got to help close up at the end of surgery.

Anyways there isn't much to post about unfortunately as I haven't actually had a proper full week yet. It's quite frustrating. I'm actually keen to do some work and stuff, but I haven't even really touched base with my supervisor so I hardly know what is going on. I mean I've gotten to know the registrar which is good, but with going into theatre, the consultants are generally quite picky about having students in and I haven't had a chance to meet all the consultants on the team yet. Really difficult to keep my motivation up to go into placement at the moment. A bit disappointed as well, but once my supervisor gets back I'm sure everything will get going again (I hope).

Planning Ahead.

I would like to think I am fairly good at planning ahead. I am quite a simple person and fairly straight forward, but few know that I actually think quite a bit about the future. Being an international student, you have to think about the future.  We try our best to not think about the future as anything can happen, but we also have to be ready for anything unexpected. My biggest advice to international students (no matter how confident you are about staying in the UK) is to have a backup plan. What happens if the UK government decide to throw us a curve ball and change the immigration/Visa rules? What happen if you suddenly have to return home due to family issues? And if you're not planning on staying in the UK, you really got to plan when to take the registry exams such as USMLE. It pains me when I see international students not having a single clue what they'll be doing in a few years time. Unfortunately it isn't a straight path for international students, let it be staying in the UK or going back home. Either way it won't be easy and you will have to make sacrifices. Anyways enough with the grim outlook for international students. It isn't all that bad to be honest. It's just that you have to constantly remind yourself you are an international student and it isn't a simple straight path. There will be many obstacles to cross and many walls to climb. It isn't easy, but hopefully it'll be all worth it in the end.

Anyways enough with the weird banter paragraph above. Maybe I should put the beer away. Haha. If you guys read my last post carefully, I did not talk about Friday. No I didn't have lectures...and no I did not go into placement. Then you must assume I was skiving. No I wasn't skiving either...well I wouldn't consider it skiving because I was actually doing something productive. I had a meeting with an Orthopaedic consultant at the central hospital to discuss about my Student Selected Component (SSC) project for this coming May.  The last time I met the consultant, I fell asleep in the chair and he had to wake me up...great first impression. Luckily it didn't really affect him as he was willing to see me again. He was actually quite keen to be my supervisor for my SSC and to mentor me. This time prior to meeting him, I made sure I was not going to fall asleep. I heard him come out from his office so I made sure I didn't look like I was dozing off...to be honest I was zoning out as all I did was stare at the wall. I had to wait for awhile as I was 30 minutes early for the meeting as I messed up on my travel timing so I was quite tired. Went into the office to discuss what I will be doing for my 6 week SSC project. We did a lot of brainstorming and came up with quite a few ideas.  Either this consultant is smart or was prepared to discuss about my SSC as he was rapid firing ideas at me. Unfortunately, I kept zoning out as to be fair...I did not understand half the things he mentioned. He was talking about the different type of implants used in Orthopaedics, and obviously I have never heard of the brands. He talked to me like I knew all the brands so you could imagine I was very lost. When I get lost...I zone out. It's a horrible trait I have. As he went on, he realized he should write down what I will be doing. He set out a bunch of aims and wanted me to expand on it and give it a think. He filled up half a page with notes on the aims of my project (looking at implants). I quickly put the paper away in my bag without looking at the paper.

And then I perked up as the consultant mentioned that during my project he wants to do some clinical things with me. I told him that I got to observe a few trauma surgeries and paeds orthopaedic surgeries over the last few weeks. He ended up throwing a curve-ball at me and told me that it is good that I'm making the effort and be keen to go see these things, BUT the difference is that when I follow him I will be scrubbing in and actually assisting. Oh man, I got so excited it was ridiculous. I immediately sat up straight and couldn't stop smiling. Scrubbing in and assisting = music to my ears. Finally I get the chance to get my hands in and do something that I am interested in. He also went on how I will be able to do some stitching (heart sank a bit as the last time I learned stitching was a year ago). Now, I was very excited about my SSC and the consultant surely knows how to make a student happy.

After the meeting I quickly went home and took out the paper that he wrote on. To my demise, I could not make out half the things he wrote. I regretted zoning out and I should've remembered doctors do not write legibly.  Took me ages to decipher what the consultant wrote. In the end, I figured out most of the things he wrote as I vaguely remembered the stuff he was talking about and managed to crack on with expanding on his notes. Note to self: Do NOT zone out while a consultant is talking to you. You'll regret it as you won't be able to read half the things he wrote down. Imagine if I couldn't decipher what he wrote...the embarrassment I would have to go through as I would have to email him and tell him I can't read what he wrote when I should have been paying attention during the meeting.

Anyways I'm super stoked about my SSC in May! One more meeting and a bit of paperwork before my SSC will be official. Cannot wait.

SSC and Random Thoughts.

I just finished my SSC project (Student Selected Component) and sparked me to write a little entry about it as it is a requirement for all medical schools to do them. At my school, we have three of these per year. For first year we have:

1) History of Medicine
2) Critical Analysis
3) Communicating Health Information

The first one is a 2500 word essay and you would choose an essay topic from something ridiculous like 260 topics? I found this to be the hardest of the three assignments. If I remember correctly, they expect you to have about 12-20 references for this essay and it really kicked me in the ass. I cannot recall borrowing so many books from the library before! But other than collecting the info, writing the essay was pretty straightforward and easy. It was practically just summarizing your findings.

The second one is where we chose a drug from a list of topics and we would have to analyze it and present it to a small group. I found it pretty easy and actually did it up only a few days before deadline (shhhh). Really straightforward...and requires hardly any energy.

Third one is what I just finished. It is a public health assignment. We can pick our own topic just as long as it is a public health problem and do up an information poster about it. Again...really straightforward (zzzZzzzZZ). Finally pulled my brain together and managed to finish the entire thing in five hours.

I don't know what the other medical schools do for their SSC topics but personally I think the ones that we have are pretty bland and straightforward. Most of my friends truly believe that they give us these SSCs just to keep us busy. Personally I don't find that I learn a whole lot from doing the SSC unless I pick a topic that pertains to what I want to do in the future and what I am interested in. For example: the critical analysis SSC to me was pretty pointless. I found out a lot from ONE drug...and a bit about others but the stuff we present aren't that informative for the future. It was pretty much just a brief outlook on the drug. On the other hand the History of Medicine and Communicating SSC are the complete opposite. The two topics I chose are something I am interested in and I am considering to possibly specialize in either one of them - so I find these projects more informative. I guess it really depends from person to person.

Also forgot to mention that these are marked on a 1-5 scale.
1 = Outright Fail
2 = Borderline (kind of failed - require meeting)
3 = Satisfactory
4 = Good
5 = Excellent

It is pretty hard to fail...the only way to fail is to not hand it in or do absolutely nothing. OR the scariest part is plagiarism. I still remember the first lecture we had on plagiarism and the university takes it really seriously. I get really nervous every time I hand in my work and I always make sure I did all my citations correctly and stuff.

Random thought: I was thinking the other day if I should register for a volunteering job at a hospital back home when I go back for summer. The problem is that most hospitals are not keen to accept people for short term volunteering and I think I will only be home for 1.5 months, which ain't a long time. Hmmm. Thoughts? Opinions?