Request: Tips for Revising for Exams.

So I had a request to do a post on tips for revising for your year-end medical exam. To be honest, every person will have a different way of revising. The most ideal way to revise for exams is to start from day 1 of the course. After every lecture/day, gather all your notes together and make sure your notes have enough info for you. If not, look at your recommended reading and add info to your notes. Or after end of each day is to consolidate all the things you have learned and to go over it. Some people like to consolidate their knowledge on weekends as most lecture days go from 9-5pm and by the time you finish your day, your brain will be fried. If you stay on top of your notes, when it comes to exam time, you should know your material quite well and just need to commit things to memory and you will not be needing to learn anything "new".

What I just described is the ideal way...but realistically, the chances of that happening is quite slim, unless you're quire organized and on top of everything. For me, that method got tossed out 2 weeks into my course. What actually happens is that you take notes during your lectures/print out your lecture slides. If you're having a good week and have some spare time, your notes will go into a binder so your room stays relatively neat and that you will be able to find your notes. If your university only does 1 year-end exam, like mine, on average, medics begin studying between 4-6 weeks prior to exams. You would think that's ridiculously too far in advance, but the sheer amount of material you learn in one year...it just as ridiculous. I personally need 6 weeks to go through a whole year worth of material, but do keep in mind...I don't really look at my notes again until my 6 week revision period. So here I will list some tips on how to get on top of your revision period:

1) Make a revision schedule. Try and figure out how many days/weeks you will need to go over a topic (eg. 1 week for Paediatrics, 5 days for O&G). How much time to dedicate to each topic will depend on how well you know a topic/how confident you are with the topic. Always leave 1 week prior to exams for leeway/time to go over sample/past papers/revise stuff you don't know very well/last minute cram. I usually start thinking about making my revision schedule well in advance or else if you do one too late, you'll realize you have too little weeks left and too many topics. To avoid that, maybe think about your revision schedule when you come back from your last holiday before exams.

2) Find a study buddy! If you live with other medics, then that's sorted. If you don't, try finding a study buddy who has the same sort of revising method as you. It's a great way to make sure you don't miss out any topics and also a great way to test each  other's knowledge. Make sure this study buddy won't be a distraction though or else you won't accomplish much!

3) Rest! I cannot stress enough how important it is to get enough rest during your revision weeks. No point of pulling all-nighters when your brain can't even function anymore. Nothing will get absorbed. Your body will tell you when it is time to take a break (usually when you find yourself reading the same page over and over again and nothing is going in). Try and get a good nights sleep every day. Pretty basic stuff, but it is so easy to forget to just rest.

4) Use cue cards for memorizing things. Some people don't like cue cards, which is fair enough. In medicine we have to learn a lot of names that aren't even related to the condition such as drug names/some medical syndromes. Once you write it down, you can put it to the side. Also great for the last minute cram a day or two before exams.

5) Start early. At the same time I'm not saying start revising 10 weeks before exams. Obviously this is down to personal preference. I think I started too early for this year's exam, but it's not something I regret. It was extremely tiring and boring though. At the same time, last year I started too late and regretted it and it was extremely stressful. Because I started a bit too early (or maybe even perfect timing), I could sacrifice a day or two to take a break or to spend a few extra days on a topic such as Paediatrics. I originally allocated 10 days for Paediatrics, but actually ended up taking 2 weeks to go through all of Paediatrics, but because I started revising early, I was able to give up a few days and shift my other dates around for my other topics.

6) Use revision books to AID knowledge, not gain knowledge. There are some books called Crash Course or At a Glance, which are really good books which gives you a quick glance at a topic. These are good books to help you look up stuff quickly or to double check info, but these are books you should not base your revision around as it misses out fundamental/basic knowledge that you will get from a proper textbook/lectures.

To be honest, I think the key things for revision is to be organized, good time management, rest lots, and try not to stress out too much. Exams are extremely stressful and your anxiety levels go through the roof. Everyone will be feeling the same so don't think you're the odd one out. On top of revising, you might still have to go into placement as some unis only give you 1 week of revision (where nothing is timetabled), so you'll need to be able to balance going to placement and revising. If you aren't organized, your revision will get quite messy. At the same time, don't start skiving placements so you can revise because at the same time, you can learn/revise while on placement. Sometimes really useful tutorial sessions will be held and you can learn/revise during those sessions. To be honest, this whole revision business sounds a lot harder than it really is. You'll know what to do when it comes to revision.

Hope this helps!

Request: The Future.

There was a request from one of the readers here asking:

"What are you planning to do after medical school? It would be great to get some insight to what Canadian medics plan to do after their studies in the UK."

To be honest, the future can always change directions and I know I will have to be prepared for anything that life throws at me. My first choice is to stay in the UK and do my specialty training here as I know the system,   and I have gotten to know quite a lot of doctors who can give me advice for the future. I will try my hardest to stay in the UK, but laws do change. Hopefully the law won't change to prevent international students who study in a UK medical school from practising in the UK. In my eyes, I have spent 5 years in the UK. Moving isn't easy. The last thing I want to do is moving back and forth between countries. When I set my mind to something, I like to stay on that track and I am a very determined and ambitious person. In a way some people see it as stubborn, but I set goals for a reason - it is something for me to look forward to and to work towards to. I used to be quite a high level athlete and giving up is not an option. I do not like to stray away from the goal and when I do, I do get disappointed. I set high standards for myself and yes I know staying in the UK will not be easy, but I have set my mind to it. I have moved my life over to the UK and I personally don't see much of a future for me in Canada.

Now I may be determined and ambitious, but I'm not going to shoot myself in the foot. Always have a back-up plan. Things can go wrong. Life can throw a curve-ball at you. Rules can change. Who knows. The future is unknown and the most you can do is to be ready. Yes I have my mind set to stay in the UK, but I am still planning to take the Canadian MCCEE so if push comes to shove and I have to go back to Canada, I can. Nothing worse than ending up jobless and stuck in that awkward grey area.

I know quite a few international students wondering about taking the USMLE. (Note: I am not trying to start an argument/debate with this topic - just a personal opinion. Sorry in advance if anyone takes this persona/finds it offensive...) Who doesn't want to live the "American Dream". So why am I not taking it? Because I am not seeking for the "American Dream". To be very blunt - I do not care for working in the US. Some people see it as a great opportunity to make some good money. Some people just like the environment more. How I see it - if you are looking for the "American Dream", I'm sorry to break it to you, but in today's economy - there isn't much of an "American Dream" anymore unless you become a very famous doctor. The US is a very competitive place. Remember not only do you have to take a sickeningly hard exam, but you also have to score well in it. There's no point in just scraping a pass - you have to have a competitive score to get a desirable job in the US. I personally have my mind set on a specialty and it is a very competitive specialty. If I wanted to go the US, I would actually have to ace the USMLE. I don't want to end up working in some small southern town in the states in the middle of nowhere. The UK schools aren't geared to take the USMLE. UK medical students are geared to become practising doctors...not to take a US registry exam. That means students who want to take the USMLE, have to spend a lot of extra time to study for the USMLE alongside with their UK course work/exams. It is a very tough thing to juggle and you really have to be determined to go to the US and be committed to do well. So do your research.

Having said that, those who are determined to go to the US and have their eyes set on the prize - will probably do well in the USMLE. These people would probably take the exam seriously and study hard for it. Some might not really care what specialty they want to go into. These people will probably get a job in a desirable location. I'm sure I wrote a post about priorities before. Personal preferences and priorities - what is important to you, may not be as important to the person sat next to you. To make your priorities work, you will have to make sacrifices. At the moment, my #1 priority is to get into my desired specialty. This will probably require me to make quite a few sacrifices as it is a competitive field. The most likely thing I will have to sacrifice is: location. Someone else who wants to do the same specialty may see location as a huge priority. He or she may rather stay in London than do specialty X or he/she may not mind doing specialty Y in order to stay in London. It is all down to you.

All in all, the future is a personal thing. Everyone has his/her own path. No one path is the same. Know your priorities and stick with them. Don't let someone else alter your priorities or talk you out or into things. It is your life at the end of the day.

Any Requests?

So it is summer holiday and that means I'll have a bit of free time and I'm bound to get bored at some point. If you have any requests for a post you'd like to see - please leave a comment! I'll try my best to write something up for you as soon as I can.

Taking Notes 101.

Attending lectures is one thing. Paying attention during a lecture is another...but taking notes during a lecture is almost like an art. Essentially, note taking is a unique thing. Every one takes notes differently. Back at school, everything was spoon fed to me. What the teachers wrote on the board, I would copy it down. This method doesn't exactly work in university...unfortunately. When I got to university, I was pretty confused about how to take notes during lectures. Fortunately, my university uploads the lecture slides ahead of time, so I usually print them out and take them to lectures. What notes do I write down? Well it depends. It helps to read the lecture ahead of time so you can pay more attention to what the lecturer is talking about and you'll know when to add to the slides.

For me, I bring a laptop to lectures as I think it is easier to type my notes as I don't need to really pay attention to my typing and I can pay more attention to what the lecturer is saying. Plus, I type quickly so I can take down more notes. If I know I have a brief/not detailed lecture, I would tend to write down most of what the lecturer says. Some people find it difficult to follow lectures, so some people bring a dictaphone to record the lecture and to listen to it later when they have time and to take more notes. I think it's a good method ONLY if you go back and listen to the lecture. I'm a bit of a lazy bugger....so I know this method wouldn't work as I wouldn't go back and listen to a lecture and make notes.

Then again, some people don't take any notes and rely on their recommended/extra reading to get the notes. Also you need to know what kind of a learner you are. I'm not a great oral learner...I'm much more a visual learner so I need to see things written down. I can't remember things that are told to me. I have to either do it or write it down; therefore, note taking is a very unique thing and only you'll know what is best for your learning.

I wish I can tell you in more detail how to take notes, but this is something you have to try and discover yourself. Try different methods...and eventually you'll find what works best for you.

Request: Top Tips for Managing the Workload.

Alright so this has been requested by one of my readers so I'll try my best to answer this request: Top Tips for Managing the Workload.

1) Stay on top of reading and lectures.

Let's be honest here...it's not exactly the easiest thing to do. So it's pretty unrealistic to constantly be on top of it and I have always struggled with it. I mean try your best to do recommended/relevant reading, but there are days where you just don't have time/there is way too much to read - to the point it is ridiculous. At the end of the day, you start asking: "How much reading should I be doing?" To be honest, it depends on your lecture. Sometimes I have amazingly detailed lectures, so I tend to skip out on the reading unless I need some clarification/extra details. Now if I had a lecture which was incredibly brief as in the lecturer spent maybe a total of 20 minutes talking about his confusing topic, then I will definitely need to read and make notes. It's really hard to say exactly how much reading is needed. You really have to judge that yourself as every school's lectures are different and every lecturer is different. I think another way to stay on top of lectures (if this is available to you) is to read next day's powerpoint/lecture the night before. For my university, our lectures' powerpoints get uploaded online for us to download so we can read what will be covered. Even if it doesn't make sense, just reading it helps a bit as when you get to the lecture you'll be more focused on what the lecturer is talking about and will probably make better notes as you know what to expect/know what he/she will be talking about. Also taking notes during lectures is also a great way to help you remember stuff...and it'll make your life a bit easier when it comes to revision as your notes will be ready for your revision.

2) Staying awake in lectures/Go to lectures.

I don't know about you, but I surely have difficulties staying awake in some lectures. Yes they can be horrendously boring, BUT it makes such a big difference when you're actually paying attention as no matter how little attention you're paying, you will absorb some info and the lecturer may even highlight a key point that you need to know for exams.  And same thing with staying awake...if you ain't at the lecture...how are you going to know if it is important or not. There are lectures for a reason - go to it! I can't stand it when people think they'll be clever and skip lectures. Then when it comes to revision time they call me up and start asking me about the lecture that they missed. My answer: "Well if you actually cared and bothered coming to lecture, you wouldn't be in this position would you?!" It's not rocket science.


3) Use your weekend effectively.

"YAY WEEKEND!" Unfortunately, weekends are great at distracting you from your work. By all means go have fun. I usually go out and play sports on the weekends, but I do dedicate SOME weekends to working/catching up (most likely doing more catching up than anything else). It's the perfect time to catch up on work. If you have caught up with notes and have no plans, spend an hour just reading for the topics for next week, then you can ease the amount of work you have to do during the week.

4) Take a break!

Hey, no one can work forever. Take a break from time to time! No one said shut yourself in your room and become a hermit to do your work. GO OUT! Catch up with friends. YOUTUBE! Watch some TV! Do something else OTHER THAN medicine, plus it'll make your life a bit more interesting. When you take breaks, you become more effective at working. Work for short periods vs. doing a long haul. Well that depends on your personality. I'm horrible at working in short periods as it takes me quite awhile just to get going/working. I'm a long haul worker however that means I take really long breaks. For example: Recently I had my essay due for this attachment...I spent the entire Saturday doing nothing/being distracted/staring at a blank word document. From 1am - 7:40am, I managed to write up 4200 words for my essay. Went to sleep...Sunday - finalized my essay and it was ready to hand in for Monday. I like to say I'm quite efficient, and again it'll depend from person to person. You know yourself best. Do what works for you. "If it ain't broke, don't fix it."

5) Make a revision schedule.

I know some of you who are already in medical school will probably have exams coming up pretty soon. Go do yourself a favour and design a revision schedule EARLY.  Predict how long you'll need for each topic. For example in 2nd year I dedicated 5 days per topic I had over an 8 week revision period. I tried my best to stick to it, but I always give myself a 1 week grace. So I aim to finish revision 1 week prior to exams just in case anything goes over time or takes longer to revise. If I finish revision on time, then I have the week to go over anything I'm not very sure about or to solidify some things. I also use the week to go over sample papers and any past formatives/quizzes that we got throughout the year. By making a revision schedule, this will probably temporarily cause your stress levels to shoot through the roof, but eventually it'll actually keep you from cramming and you'll feel like you know what you need to still study/you can keep track of your revision progress.

6) Don't leave everything to the last minute.

Aka do not procrastinate. It is extremely tempting to procrastinate, but we ALL know what happens when you procrastinate. Stuff gets real and you start stressing out because you realize you haven't done a lot of work and everything has stacked up. It is tempting to leave your lectures to stack up and just go over em over the weekend (I'm very guilty of that), but in the end, if you are busy on the weekend with sports or whatever, then the work just keeps piling up. The best thing to do is to PREVENT this from even starting in the first place and to avoid procrastinating. It is natural to procrastinate so don't think you're weird or you've got issues. I think every normal person procrastinates. Like some of you have noticed...I am very guilty of procrastinating, but thankfully I'm fairly efficient/effective when it comes to deadlines as I'll work my heart out if that means staying up all night to meet deadlines.  Guess it is a give and take world and like I've said already - only you know how you work. Optimize it and use it to your advantage.

7) Get your work done EARLY.

Again just stressing the previous point - don't procrastinate. Yeah the deadline is like 2 months away, but if you get your assignment done now...well you don't have to think about it anymore. Done and dusted. No need to stress you out anymore. I'm actually very glad I finished my essay 2 weeks earlier than my colleagues as they are now stressing out as my placement is coming to an end. Me? I'm just chilling. Supervisor is off my back as he doesn't need anything else from me as I've finished my essay. Happy supervisor = happy student. Get your work done early. You'll never regret finishing work early...well ok maybe you might...but UNLIKELY you will regret finishing your work early. So just get on with it!

8) Be organized.

When you're organized, you're on the winning side of the workload. Organize your notes into binders or split them out. Cardiovascular notes in one binder. Respiratory notes in another and so on. I'm horrible at keeping my notes organized and every single time when it comes to putting notes away into binders after going through 2+ topics, I start regretting not staying on top of my organization Print out lectures if you can, type out notes if that's what you do, etc. Put them into the respectful binder and you'll be happy with yourself and it is less likely you'll lose those notes when they are slotted into a binder and when it comes to revision - everything is there and ready for you. Easy.

...I can't think of another 2 points to make it a nice round 10 points, but I will think about it. For now here are 8 points. I hope they are useful. I'm just telling how it is. No student is perfect...so I think the general rule is if you stay on top of your work early - less regrets at the end. I will openly admit that I am very guilty of not always staying on top of my work and I do stress about it near the end. I have no one else to blame but myself as I got to manage my time better/not procrastinate. If you know you're going away for the weekend/busy on the weekend/busy for the week...do your work ahead of time. Don't let it get out of control. Easy to say - extremely difficult to do.

Anyways good luck! If you readers have any requests for me...I'll try to write up a post for you. If you've got a question, I'm sure other readers will think the same. Obviously when I'm busy, I won't be able to get to requests as quickly, but I'll try my best.

More posts to come! :)