All 2 entries tagged Anaesthetic
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March 31, 2014
My first week on my Orthopaedic and Anaesthetic block was dedicated entirely to Anaesthetics. For anyone who doesn’t know, an anaesthetist is a doctor whose responsibility it is to ensure a patient is asleep and comfortable during an operation. The majority of an anaesthetist’s clinical commitment is spent in theatre.
Our first proper day with our consultant was on a Tuesday. Our instructions were to meet him on the pre-op ward for the Obstetrics and Gynaecology list. Simple enough instructions, but it took us a good deal of walking around the hospital to find the right ward and by the time we had got there the anaesthetist had already seen the first patient. No worries though as he seemed to sympathise and we quickly found ourselves observing him performing a pre-operative assessment on a patient. After watching him assess the patient he turned to us and said “Okay, so now you have seen one you can do the other two between yourselves. I will see you in theatre.” I laughed, but before I had realised it wasn’t a joke, he had already left the ward.
This is what it has felt like since starting on rotation, as though you are in the deep end, and I love it! Whilst it is incredibly daunting, I wouldn’t have it any other way. I hate standing around watching people talk and do things; I much prefer to be doing it myself. Unfortunately, what I also hate is doing things wrong, and I seem to have been doing a lot of that lately, but I guess that is part of the learning process.
Fast forward two less than ideal anaesthetic pre-assessments later and we find ourselves heading to theatre. We walk into the reception area and without even opening our mouths we are greeted with “Are you medical students?” Now, yes, we are medical students but I am amazed how many people know this without me even saying it. Patients aren’t so good at telling, but hospital staff seem to be experts at knowing, it’s almost second nature. It keeps happening. How, how on earth does almost every hospital employee know we are students? Either there is a big sign over my head that I can’t see, or I don’t have as good a poker face as I’d like to think and I constantly look how I feel – a mix between a deer stuck in headlights and child in a sweet shop! Unfortunately, I think it’s the latter.
On this occasion however I am glad we were noticed as fresh-faced medical students because the first time you turn up to theatre is quite intimidating. Much like everyone who realises we are medical students, the operating theatre manager was very good in showing us where the changing rooms and operating theatres were and letting us know what to do. It is really nice how helpful people have been to us.
When you go into an operating theatre you have to wear scrubs, and if anyone hasn’t told you, they are one of the most comfortable things in the world to wear. I think a lot of anaesthetists love their job because essentially they wear pyjamas for the most of the day.
Now I’m pretty sure I’m not alone in thinking this, one of the biggest challenges of any surgical or anaesthetic rotation is finding clogs that match! Clogs are the shoes that you have to wear in an operating theatre. When you arrive in the changing room you are greeted by a box of clogs which look as though they have been filed away using the same system a toddler uses to put their toys in a toy box. It is chaos. If you are contentious enough (like you will be in your first week at least) you will spend at least five minutes searching for a pair of clogs that are the right size, the same colour and the same design. Basically a matching pair, but I am pretty certain there are no matching pairs in these boxes.
I have rambled on a bit about things that are quite non-medical in this post. Next time my post will be more medically focused. A lot of time and energy does need to be spent on learning where places are, different etiquettes in different areas and how to get the most out of our time. Now that’s out the way, I feel I can focus purely on Medicine; let the fun and games really begin!
March 27, 2014
The light at the end of the tunnel, the thing that has kept us all going through the exam periods is finally upon us. We have all just finished our first week of our first rotation in hospital (or general practice).
Phase II starts with Junior Rotation where we have six eight-week blocks rotating through different specialities. I am starting with Orthopaedics and Anaesthetics, so simply put bone surgery and putting patients to sleep. We do this with our ‘clinical partner’, someone in our year that we have chosen to work with. When you pick your clinical partner it is suggested you pick someone of the opposite gender. The process of asking someone to be your clinical partner is like being back in secondary school and asking someone out to a school dance (at least I imagine this is how it would feel - I went to an all-boys school). All being well you will be with your clinical partner for over two years, it doesn’t take a genius to know that you have to pick your partner wisely!
Now, Phase II is very different to Phase I. Phase I was very structured; our days were full and we knew well in advance where we have to be and at what time. It is very much like our undergraduate degrees in this respect, but perhaps a little bit more full on. Phase II, the clinical phase, is very different to this. Before we start our block we are sent emails with our timetabled teaching (these are fairly spartan when compared to our previous timetables) and the name of our consultants, that is it. The rest is up to us. The guidance on the knowledge we should have acquired before sitting our final exams is in the form of learning objectives for each block. Some objectives are specific and some are vague, I imagine we will eventually develop the skill of determining how much depth to go into, but until then I will be drowning in an endless sea of medical information. This is all very alien when contrasted with the regimented style of learning used during Phase I. This is very exciting!
For each hospital rotation/block students are allocated two consultants, in this block I have one Anaesthetic and one Orthopaedic consultant. Students have to establish what the consultants expect; for example, when you will attend their clinical sessions (such as clinics and theatre), as well as deciding what we would like to get out of the block. My partner and I have decided that what we want from the block will mostly be dictated by the learning objectives.
Queue day one; we have nothing scheduled for our block so my clinical partner and I decide it would be wise to try and arrange a meeting with both of our consultants. We just have their names, so a call to the hospital switchboard and several different (wrong) phone numbers later and we have arranged a meeting with our anaesthetist and established that our orthopaedic consultant and his secretary are both on leave. This was quite handy as it meant we could devote our first week to one consultant and specialty allowing us to find our bearings and ease into things.