All entries for December 2015
December 10, 2015
End of Lectures…sort of
My self and the other phase 2 students have reached the end of Advanced Cases 1. This means that from now on we are primarily based out in hospital in the partner trusts. Every two weeks on a Friday we will be at the medical school for a mixture of lectures, group work and case based learning, Junior Academic Days or JADs for short! I have mixed feeling about coming to end of the ‘preclinical’ phase of the course. While endless lectures can be mentally draining, the relative comfort of the lecture theatre is reassuringly familiar compared to clinical care in hospital or in the community. Being on your feet most of the day, trying to stop your hand from shaking as you attempt to take blood and then trying to think of differential diagnoses is both physically and mentally exhausting! It’s a feeling I’ve not adjusted to yet, so while I’m excited to move to the next phase of the course I do so with trepidation!
In between juggling lectures and CBL I also presented my poster from my summer research project this term. The Undergraduate Research Support Scheme is a university wide scheme here at Warwick that supports students to undertake a research project over the summer vacation. My project was to conduct a systematic review looking at the relationship between poor sleep and the development of obesity in children. At the URSS Showcase I was presenting my project poster alongside students who had done projects in diverse areas such as philosophical theory to sustainable water projects in Africa. It’s good to get involved in research early on at Medical School and take advantage of opportunities like the URSS scheme. We also have dedicated timetable time for research activities, in our last week of AC1 we’ve been told about our next Student Selected component (or SSC2) that happens at the start of Year 3. This is an 8 week block dedicated to a research project, this can be chosen from a list provided or we can develop our own, hence why we are being told about it 9 months in advance!
As well as Systematic reviews and research projects we can also choose to conduct an audit. There are also lots of opportunities to get involved in audits while on our clinical placements. The Warwick Academic Medicine Society also helps students to find audit opportunities in areas they are interested in. At the moment I am helping my Psychiatry Buddy with an audit looking at Consent and Electroconvulsive Therapy. The Psychiatry Buddy Scheme is run through Warwick PsychSoc, students are paired up with Psychiatry trainees in the local area who they can meet up with for careers advice and tips in Psychiatry. I’m helping my buddy with an audit and I’ve also been shadowing her in clinics which has been a very interesting sneak-peek before I have my own placements in Psychiatry through the Medical School.
This past week we’ve had lectures introducing us to Core Clinical Education in January, different specialties came in to give us tasters of what we will be doing, for example as part of our obstetrics placements we will be on shift with midwives assisting on the Delivery ward, one of which will be a night shift! My last few weeks on placement have been filled with great experiences which have only increased my excitement for January. We’ve had some great bedside teaching sessions and I really enjoyed my time in theatres. I wasn’t scrubbed in so I spent most of my time with the anesthetist. I got the opportunity to put cannulas in for the first time and was doing lots of airway management completely on my own! With clinical skills you often don’t think you can actually do it in real life but in the heat of the moment your constant drilling and practice just seems to kick in! So thankyou AC1 for getting me as ready as I’ll ever be and here’s to core clinical education!
Joanne
December 04, 2015
Working in the hospital
As part of the introduction to Core Clinical Education that all second-years will be starting in the New Year, we have been spending each Monday at our respective hospitals completing several different orientation tasks. Students in our cohort are assigned to either UHCW (University Hospital of Coventry and Warwickshire), Warwick Hospital or to George Eliot Hospital in Nuneaton. It has been fascinating to see how hospitals work, and this extended orientation session has had the very welcome effect of showing us not just how doctors do their jobs, but how all teams work together to make the process of healing, treatment and management as therapeutic for each patient as possible, whilst working with finite and closely-managed resources.
Students at my hospital are given multiple different tasks to complete over the term; these include bedside-teaching sessions (practicing taking histories and performing examinations), mandatory orientation sessions (such as introduction to outpatient services) and some optional sessions that we chose before starting. The purpose of these tasks is to ensure that students develop respect and appreciation for all members of every team, and see how the many, varied cogs of each ward’s wheels fit so nicely together.
One of my morning placements was in the operating theatre, the purpose of which was to observe several operations and see how the team members’ tasks complemented one another. I had the privilege of witnessing three relatively routine procedures take place back-to-back and watch the progression of each from start-to-finish. Each of these procedures required the patients to be given general anaesthetic, and I was present for the entire process. I watched the anaesthetist and the ODP (Operating Department Practitioner) prepare the drugs, was present when the (conscious and alert) patient was wheeled in, and observed everything from that point forward.
I once watched a documentary about a Formula-1 pit-stop crew; the stops were so tightly choreographed that each team member had certain spots where they could place their feet so that they did not get in the way of anyone else. The amount of precision and professionalism in this operating-theatre team was not far off of that. Every task was completed efficiently and quickly, and with minimal disruption to the patient’s wellbeing. And this was the most impressive and best part of it all: the patients are so vulnerable and so trusting of their medical professionals. Each was literally unconscious, and yet no doubt entered anyone’s mind that each would be given anything but the most dignified and respectful treatment possible - and so they were. It made me proud to be part of a service which takes its duties so seriously, and in which the absolute highest standard of care is not merely something to be aspired to, it is something which is actively practiced and expected.
John