All 2 entries tagged Foundation
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April 12, 2021
The past couple of weeks feel as though they have gone both very quickly and very slowly. I think that’s just a reflection on every day being almost exactly the same. I’m sure that you already know from my last blog, but I am currently in the midst of the revision block before my final exams in almost exactly 2 weeks. This is week 6 of 8, and I feel as though I have made startling progress so far. Mostly I have been going over things by myself, practicing my academic and clinical knowledge together to try and integrate things and bring all of the knowledge and skills we have acquired over the course into a homogenous whole. The university has also run some practice sessions for us which are similar to the actual final exams – one of these was the GP session I had last week. This session was run online by one of our GP tutors and involved taking a history from a simulated patient whilst the GP watched and then asked questions at the end. Doing a history online is quite…awkward! It is difficult to read a patient’s cues and facial expressions when you can’t see them. However, I think the session went relatively well and I had some good feedback from the tutor. It was also good practice because our final 'long case' exams this year will be online so getting used to talking via webcam is useful.
The last two weeks have also been exciting for a whole different set of reasons. As well as our final exams, we also have to be applying for doctor jobs if/when we finish the course and graduate. This process is complicated and starts at the beginning of final year and essentially you rank areas and then jobs in that area and then are scored based on your Medical School performance, amongst other things. I am delighted to say that I got into my first-choice deanery (West Midlands) which was essential to me as my partner can’t move due to work. This means that we can live together when I start work as a doctor and both commute into Birmingham. I am originally from Birmingham, did my History degree there, and now I’m going back! I don’t know which hospital I’ve been assigned to yet, but I’m not really too fussed – the jobs are essentially the same and I was just keen to be going home and around family and friends for what I’m sure will be a busy and exciting two years of the Foundation Programme. I’m excited to be returning to the second city to start my career as a doctor. Coming to a Birmingham hospital near you! (If I pass my finals that is…)
This week we had a clinical skills practice session at the George Eliot Hospital. I have spoken of my fondness for the George Eliot (or 'the Eliot' as some call it) previously, as the clinical education staff are fantastic and really go above and beyond to make sure we have a good experience. For this session, the clinical education department had set out all the equipment so we can practice our skills on things that come up in practical OSCE exams. These skills include things such as taking blood samples, doing an ECG, catherization, feeding tubes, airway procedures and delivering drugs via various methods. Going over the skills was really good practice and actually reminds us of how much we’ve covered over the course – our training is very broad based to enable us to be pretty competent at a huge array of things. I particularly struggle with catheterisation as there are a lot of steps to remember to make sure infection is not introduced, so having the chance to practice was super helpful. Knowing that a job is waiting for me at the other end is a big morale and motivation booster. Not long to go now.
November 12, 2020
The last 2 weeks have been very busy for me. The time has come for us to apply to the Foundation Programme. I have spoken about the Foundation Programme in my blog before, but just for a brief recap, the Foundation Programme is a 2-year programme which new doctors complete. It is, as the name suggests, a Foundation – a 2-year programme where you are a qualified doctor but work in specific roles where there is plenty of support and training to allow you to build your confidence and abilities as a new doctor. The application process is relatively straightforward and pretty much nothing like a normal job interview. Your medical school ‘nominates’ you, and then there is a brief online form, and then you rank geographical areas where you want to work. There is no nerve-wracking job interview, just a ranking process based on your performance at Medical School and in an exam called the Situational Judgement Test (SJT). The SJT asks you certain dilemmas and asks you how you would respond, and you get points for the most correct answer. We have to sit the SJT in December or January.
In addition to preparing for the future I am also in the middle of the Paediatric and Child Health block. Last week we had Paediatric Basic Life Support training. We have had training in Adult Basic Life Support before on the course, but Paediatric life support is actually quite a bit different. In adults, you approach an unconscious causality and presume that they have had some sort of heart issue, whereas in children the most common cause of a collapse is a breathing problem such as choking. We had to practice on model babies which is an unsettling experience, even though it is only a doll. I really hope that during my time on Paediatric block I don’t need these skills, and luckily it is very rare for a child to be that poorly!
This week I have been placed on the Special Care Baby Unit (SCBU) at the George Eliot Hospital. This unit looks after babies in the first few weeks and months of life who have developed medical issues or are struggling to grow, feed or develop. We have also had online lectures about common issues that affect babies such as jaundice (yellowing of the skin) and various heart murmurs (some of which can be normal). I have also spent time this week observing the new-born baby checks. These are done by a trained midwife or one of the doctors and all babies have a check within 72 hours of birth which is done by the hospital. Another check is then done by the family doctor/GP at 6 weeks of age. These checks aim to identify any problems present from birth, for example birth defects or any issues which may impact on the baby and its ability to grow and live. It has been really interesting to observe these checks, and, of course, there is the added bonus of getting to see some very cute babies! All of the babies I observed were okay but watching the checks has opened my eyes to the many issues which can affect babies and their families – birth is just the beginning!