Placement 2 - End of 1st Week

What a quick change. From sitting in lectures from 9am-5pm to being on my feet from 9am-5pm. Hands down: placement > lectures. There is just so much to learn and see on placements.

For my 2nd placement, I've been placed in the Stroke Unit. On the first day I realized that this is the first time I've been placed on a medical ward. For the last few hospital placements - they have ALL been in surgery. I was definitely preparing myself for the worst as I really do enjoy surgical attachments and I wasn't sure what to expect from a medicine attachment.  Also the fact that I was placed in the Stroke Unit was quite intimidating. In my mind Stroke = Neuro = intense. I was scared as heck on the first day and quite nervous, but also excited for the unknown.

The minute I stepped onto the ward, I was greeted by a really friendly receptionist who assured my partner and I that the doctors on this ward are really nice. We asked to see consultant X, but was then told that he no longer works at the hospital. What a great start to the day. We then muttered out another consultant name, Dr Y, and immediately the receptionist became very reassuring as she guaranteed us that we will be just fine with this consultant. Apparently he is very friendly and is a great teacher. I was starting to get excited. Right before going to the Dr Y's office we bumped into another consultant, Dr B. I must admit, I was surprised to learn that he was a consultant as he is quite young. He seemed really friendly...and perhaps a bit quite awkward. Then we met Dr Y. My first impression of him was: "What a boss." I know that sounded a bit weird but Dr Y seems to be a very confident/leader-like person. Very calm, and very approachable. He definitely looks serious, but we came to find out that he is a very patient man. Oddly enough, Dr Y quickly set out a schedule and several goals that he would like us to accomplish and what he aims to do with us. I believe this has been the first time where I've been sat down with a consultant and made goals and aims. I actually quite liked that as we are only 3rd year medics (1st year of clinical), so a little bit of guidance is quite nice as we don't really know what we should be doing in the hospital. He also arranged for some time to teach us about neurology/stroke. I was definitely liking the sound of this.

Anyways we then joined Dr B on ward rounds and pretty much got grilled to death by questions. I guess that's his way of teaching. Not exactly the method I would prefer to learn from as I do get quite nervous when put under pressure with a question, but Dr B is a really nice guy so I'm not too scared about answering a question wrong. He wouldn't put you down or look disappointed, he would simply acknowledge and explain the answer to his question. With this method of teaching, I guess things stick in my head for longer as you remember being grilled on that topic and stuff stands out a bit more.

Impressions of the ward? I'm really surprised at the range of ages on the ward. You would expect the whole ward to be elderly people, but to my surprise - there were quite a lot of middle aged patients. Made me realize that stroke isn't an elderly person's problem, but it can be a risk to anyone of any age.  The ward is also extremely friendly and relaxed. You don't feel pressured or watched on the ward. It's also nice that the nurses and junior doctors have welcomed us and do acknowledge our presence. Quite a difference from my last placement where I felt like an ignored object standing in the middle of a corridor looking really awkward and lost. Here, I feel a part of the ward.

I got to admit I have learned loads. I mean LOADS. Information overload. I have learned so much from both Dr B and Dr Y. They are really amazing at teaching. And it's really nice that they show us physical signs and teach us how to classify the signs as we do the ward rounds. I'm definitely looking forward to next week where we will learn more about stroke/neuro. From time to time, I do miss watching surgeries though, but it's good to finally experience a medicine attachment. Not a bad start I guess!

First Day as a Student Doctor.

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

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

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

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

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

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

FRESHERS WEEK - SEPT 22, 2009

Today I gotta sleep in which was nice as I didn't have anything to do until 1:00pm. The schedule was:

1:00 pm - Collect Welcome Packs
2:00-4:30pm - Welcome Talks from School of Medicine

Anyways I decided to take my sweet time to go get my welcome pack as I totally thought I was done with lining up. To my surprise when I got to the Medical School, the line up was all the way OUT of the school and along the street! I thought to myself: "You can't be serious...". I was pretty annoyed as that meant more waiting/more standing around doing NOTHING. I decided to say "Hi" to the people around me and started having a few conversations. It was nice to talk to someone as it made the time pass by faster. Finally got my welcome pack and went into the lecture theater. Had to prepare myself for a long haul as it 2.5 hours of lectures. It actually went by pretty fast as it was just a bunch of introductions. It was neat meeting the rest of the medical department. There wasn't anything special at these lecturers so I will keep you guys away from boring details. After the lectures I decided to start on the right foot and head to the library to work on my assignment (details of it below).

I forgot to mention something cool that we did yesterday. At the medical lecture we also jumped right into a case study about a woman who returned from Mexico City and was ill. We got a list of symptoms and we got to ask the patient some additional questions. We were supposed to answer a few questions by Friday which were:

1) What is your diagnosis?
2) What are your differential diagnosis?
3) What treatment will you give?
4) What other actions would you take?
5) Why do you think you are right?

So I did a bit of research today and found my answers and took down some notes. It really wasn't hard at all as it is pretty obvious. But wow what a way to start med school. Just dumping us into a case study. I can see that it will be an interesting/fun/exciting/stressful year.

Just a quick tip: Do your assignment the day or the day after it is assigned! If you let it drag you will eventually forget about it and you will be rushing last minute to finish it off. Plus if you get it down early you don't have to think about it at all and you can go off and party as much as you want! Makes sense right? Too bad it is easier to say than to do. Hmph.