Saturday, 10 September 2011

Yr 3: intro

It's definitely more clinical this year!

I've been back at uni for 2 weeks now, and we're just about done with all the introductory lectures, communication skill classes and clinical skills refresher sessions... and lets not forget the fun bits which came in the form of practical skill sessions!

Practical Skills:

This is where we get split into smaller groups and practice either on models, or.. each other! We had four sessions altogether, and managed to refresh ourselves on previous skills, like taking a blood pressure, and measuring blood sats.. and all the new stuff:

- Taking blood
- Putting in a cannula
- Inserting a catheter
- Opthalmoscopy
- Otoscopy

all in all.. a lot of fun! Although i seemed confident doing it on a plastic model.. i'm sure i will be less so when i actually have to take blood from an actual patient for the first time... only 2 weeks till im off to my first firm!

Clinical skills:

This was embarrassing! On our very first session we got split into pairs within our small groups, and had to take a patient history. I was taking the patient history, and my friend acted as the patient. This was fine, i asked all the appropriate questions starting with his name, age and occupation, and took a full history....

....now here is the embarrassing part...!! >.<
The consultant who was taking the class comes to our group, and gathers the "students" and asks us to present the patient.. I was picked first...and so.. off i went:

T:"This is *insert friend's name*, a 21 year old... " - Consultant stops me here, "NO!, next" and looks at the person next to me.... (eeeks! what? what have i done wrong?!) he goes around the group asking questions, and gets back to me:

C: "Tofu, what is the occupation of the patient"
T: "He is a medical student"
C: " NO! he works in a supermarket!"
T: " But the patient told me he was a medical student.."

- this was when we all looked at my partner...and he fessed up... he basically didn't read the scenario properly, and didn't realise he was meant to be Mr Jones, a 23 year old supermarket worker!!

Haha, in hindsight it was pretty funny, but at the time i was just cringing at getting all the simple things wrong in front of everyone >.<

Communication skills:

In communication skills we learnt how to take a patient history, and then practised doing so with pretty convincing actors! It's a lot harder than it looks!! It seems easy in principle, to go through the checklist and make sure you ask all the appropriate questions, but i found myself closing down my open questions as soon as i've asked them...

The most embarrassing moment was when i had to ask the "patient" if she had recently had sex. I'm unsure why i found it so awkward (Well the tutor and the entire group was observing me) and it went "er..... when was the last time you er..... er..... er..... *10 seconds later*... had sexual intercourse?"

Next Week: CSP

7 lectures a day... every day apart from Wednesday...
coffee?.. YES PLEASE!

Thursday, 25 August 2011

Y3: 10 days away ^.^

I can say i want a longer summer and i don't want to go back to uni.. but who am i kidding...

i'm super super SUPER excited about starting 3rd year...
......and it's only 10 days away!!

I sound too keen (and that can never be good), but i am the overly enthusiastic type when it comes to a lot of things, and starting clinical years is one of those things i'm currently really excited about!

I know that i am also the whine-y type, and thus i may moan my way through the next 3 years, but ... hey... for now i am living in bliss, with the excitement of being able to finally learn to put the theory to practical skills ^.^

(i will have to worry about adapting to a new method of learning, scary consultants, and the lack of sleep later..)

To make things even better, my friend is joining my year group (direct entry), and we're even lucky enough to have one placement together!

Roll on the 5th of September............... 8am!
(8am.. why oh why..?!?!?!)

Friday, 17 June 2011

Year 2 Results: 2/5th of a doctor ^^

Have to admit, this was a scary scary wait!

I wasn't sure if i had passed the spotter and i was just constantly biting my nails the whole week! I even woke up at 4am this morning (unintentionally) and decided to check my results!! (..as if any admin staff will be up at that time updating our results..but i had to try!).

I just randomly refreshed the browser every so often until 9am when the random page refreshing turned into an every other minute spam... and finally.. around 10 something ish.. the results were out!!

Paper A - 86%
Paper Bi - 78%
Paper Bii - 75%
Paper C - 70%
Paper D - 74%

Outcome: Pass with Merit
[Edit: Got an email in December, and it turned into a distinction ^^]

The results aren't as great as last year, but i'm not complaining!!
(particularly since i'm now free for the summer and not having to worry about that nasty spotter ever again! ^^)

2/5th of the way there - YAYeeeee ROLL ON CLINICAL YEARS!

Monday, 13 June 2011

Paper C: Spotter

This exam Sucked.

(tempting as it is to end this post here, i think i should probably ramble on a bit more...)


That was perhaps my biggest nightmare... my revision tactics had obviously failed.. as not only were the questions difficult.. they were all completely new images..!!!! DAMN IT!!


i just sat there, half-falling asleep.. thinking:



"oh crap!!!!! oh crap oh crap... what the hell is this blob... why does it look just like the freaking blob right next to it... wait.. am i suppose to be looking at this blob or the weird stringy thing right next to it?" - i hate histology..!



So yes... that didn't go well at all.
Im sad to say.. of all exams ive ever sat.. i've never felt this crap at the end of it..!


Results out --> Friday 17th

*all phalanges crossed*

Thursday, 9 June 2011

Paper D: OSCEs

Writing this in a bit of a rush, as i have my spotter tomorrow, and have only 13 hours left to start cramming lots of photos!


(That sounds odd.. but that is literally what a spotter exam involves: sitting up all night and trying to remember what different photos are showing.. and then praying the same photos come up tomorrow on the computer, so i can conveniently scroll down and click the correct answer and scroll on... )


BUT thats enough about my plans for tonight, today... i sat my 2nd OSCE exam.. and i have to say.. i'm no where as excited as i was when i wrote about it last year. Sure it was fun, and it was a little different from having to pick up a pen.. but i guess i'm just too tired to be excited about anything. i've never been this tired ...ever...


i really dont know what it is, but im really exhausted now, i've worked so hard throughout the year, and in a way i feel like i may have let myself down with the exams this summer. Sort of feels like i've worked hard and sort of just not performed as well as i could have when it came to the exams that actually did matter....


hmmmpphhhh... all the whining and feeling annoyed about it can come after, and back onto this osce exams today:



The exam was sat in the same pathology museum at Barts Hospital, as it was last year, and i was in the exact same circuit, but this time they chucked in a whole range of different stations.. this year the circuits involved:


-Thyroid examination
- Cardio. examination
- Resp. examination
- Abdo. examination
- Shoulder examination
- Hip examination
- Cranial nerves examination
- Vision examination
- Upper & Lower limb sensory examination
- Taking patient history


Don't really know what to write about, just really annoyed with myself at the moment, and just going to do some cramming for the last exam tomorrow.

im so tired now. Can't wait to have my first night of proper sleep tomorrow.

Tuesday, 7 June 2011

Paper Bi: EMQ

HA! Skin and i have had a poor relationship... and it could have got ugly today but luckily C came to my rescue! ^^


She gave me a quick cram session on skin just before i went in, and as soon as the EMQ paper started, i frantically flipped through the booklet to locate those skin questions and unleashed my short term memory.. pure luck! - those questions came up!! Take that liver spots and hemangiomas!


The questions were quite fair, and my pbl write up from HSPH came up as a 5 marker: ethical arguments for Liver transplant.. which was again a bit of good luck, as i was struggling to keep myself motivated to revise HSPH ... ><


So that was EMQs...

OSCEs on Thursday, and the spotter on Friday... ^^

I WANT MY SUMMER HOLIDAY NOW!!

Monday, 6 June 2011

Paper Bii: SAQs

That was it, my last ever SAQ paper at medical school! =)
(let's not jinx it.. but hopefully this will be the last, and not the re-sit in August >.<)

It started with a few predicatable questions on bronchiolitis and miscarriage, and then the SLE ones were sort of okay.. until i got asked to draw a hair follicle..... WHAT?!


- i ignored skin for the last ICA and that haunted me for a good day or two.. and now this for my end of years! ARGHHHhhhh.. dermatology is definately not for me!! I have no idea why i thought i liked it (as i clearly can't spend more than an hour looking at it...). To top the whole poor relationship i have with skin.. i don't know what came over me, but i randomly organised some shadowing with the dermatologists at Barts this summer.. this sounds like torture now!!


It then got worse with the unseen PBL... (according to D, it was on malignant hypertension..i did a google, and he's right! i didn't even know that term)

...thankfully it got better from then!
(but..that was already over half the paper worth of marks!!)


B&B - Migraine
CR - Heart Failure
Met - Steroids
Loco - De Quervain's Tenosynovitis
HSPH - Relative risk calculations and questions on studies

EMQs tomorrow!!
- time to cram all the drugs, infections and random obscure conditions!!