Friday, 1 June 2012

80 + Things you wish you knew before you started medical school

80 + Things you wish you knew before you started medical school

So I've been looking at this site http://www.medschoolhell.com/2007/04/24/101-things-you-wish-you-knew-before-starting-medical-school/ , which is great but very american and not always applicable to the english medical school system, so I've decided to slowly completely plagiarise/alter/ add my own bits to this (I'll keep updating this post as I think of things. I think I'm a bit more optimistic than the original poster perhaps tho, so some have had a positive slant added to them!)


  1. People told you it would be hard, but at times you will feel they didn't emphasize this enough. At other times you will think that they (and me now!) are drama queens.
  2. You’ll study more than you ever have in your life.
  3. Only half of your class will be in the top 50%. You have a 50% chance of being in the top half of your class. Get used to it now.
  4. You don’t need to know anatomy before school starts. Or pathology. Or physiology.
  5. That Chemistry A level you had to take because it was "the most relevant a level for studying medicine"? Not relevant. At all.
  6. Third year rotations will suck the life out you. Fifth year ones might take your soul (so I hear, I'll let you know next year).
  7. Med-cest! Your year group will couple up, break up, and then re couple up differently. Gossip galore. Those with non medic partners are in a sad minority.
  8. You may discover early on that medicine isn’t for you.
  9. You will need to know how to make tea to order for GP rotations. That job in a cafe? Looking more useful now.
  10. You will become OCD about handwashing, if not you will be told off on many occasions by the nursing staff (rightfully).
  11. Despite all the early lectures you have about patients consent being clearly asked with regards to medical students sitting in on clinics, you will be in countless situations where you are pretty sure the consultant hasn't asked and you don't think the patient is comfortable with you being there
  12. You won’t be a medical student on the surgery rotation. You’ll be the retractor bitch.
  13. You often won't be a medical student on ANY rotation, you will be he/she who pulls the curtain.
  14. You will get really good at getting drug rep/ company free pens whenever you can but doctors are even better at "borrowing" them off you.
  15. If you added up all the time you waste waiting around for clinics/ lectures/ ward rounds you could easily shorten the actual medical degree by a year.
  16. You will work with at least one smart arse senior that you want to argue with about the way they treat you and other medical students, but you will have to sit down and shut up.
  17. You will see staffs expressions of annoyance when you turn up and say you are a medical student.
  18. You’ll ask a stranger about the quality of their stools.
  19. You’ll ask post-op patients if they’ve farted within the last 24 hours.
  20. At some point during your stay, a stranger’s bodily fluids will most likely come into contact with your exposed skin.
  21. Somebody in your class will flunk out of medical school. Probably more than one.
  22. Several people in your year will date doctors during the course.
  23. After the first two years are over, your summer breaks scarcely exist. Enjoy them as much as you can.
  24. You’ll be sleep deprived.
  25. There will be times on certain rotations where you won’t be allowed to eat.
  26. The phrase "Reflective writing" will induce a pavlovs dog style response resulting in instant rage.
  27. There will be times throughout the course when you hate medicine and wonder why you are doing this.
  28. You’ll party a lot during the first two years, but that will reduce drastically once you start rotations....
  29. .... You will quickly learn than hangovers and ward rounds to not mix well at all.
  30. You’ll probably change your specialty of choice at least 4 times.
  31. You’ll spend a good deal of your time playing social worker.
  32. Nurses will treat you badly, simply because you are a medical student.
  33. Sometimes on ward rounds/ clinics you will start to seriously debate whether you have achieved the power of invisibility.
  34. You will develop a thick skin. If you fail to do this, you’ll cry often.
  35. Public humiliation is very commonplace in medical training.
  36. Surgeons are arseholes. Take my word for it now.
  37. It’s always the medical student’s fault.
  38. At least 5% of those in your year would happily push you over and walk on you on their way to try and get to the top.
  39. The woman at Lidl will give you a lecture about the medical risks of drinking too many energy drinks.
  40. Your house might go uncleaned for two weeks during an intensive exam block.
  41. As a medical student on rotations, you don’t matter. In fact, you get in the way and impede productivity.
  42. You’ll be competing against the best of the best, the cream of the crop. This isn’t school where half of your classmates are idiots. Everybody in medical school is smart.
  43. Don’t think that you own the world because you just got accepted into medical school. That kind of attitude will humble you faster than anything else.
  44. If you’re in it for the money, there are much better, more efficient ways to make a living. Medicine is not one of them.
  45. Anatomy sucks. All of the bone names sound the same.
  46. The competition doesn’t end after getting accepted to medical school. You’ll have to compete for decile ranking, awards, and f1 positions. When you specialise you will have to compete for that too.
  47. Close friends will claim they have done next to no work all year, you will be reasurred until you see their pages and pages of notes 1 week before exams start.
  48. Your fourth year in medical school will be like a vacation compared to the first three years. It’s a good thing too, because you’ll need one. (This depends on medical school however....)
  49. Somebody in your class will be known as the “highlighter whore.” Most often a female, she’ll carry around a backpack full of every highlighter color known to man. She’ll actually use them, too.
  50. Rumours surrounding members of your class will spread faster than they did in school.
  51. Rumours about the course will spread faster still - "haven't you heard the medical school HAS to fail 20% because the year is too big?!"
  52. You’ll meet a lot of cool people, many new friends, and maybe your husband or wife.
  53. No matter how bad your medical school experience was at times, you’ll still be able to think about the good times.
  54. Most questions at the end of lectures come from the post-grad students.
  55. There will be at least one person in your year who scarcely has the social skills to say his own name, no one knows how they got through the interview process.
  56. At the beginning of first year, everyone will talk about how cool it’s going to be to help patients. At the end of third year, everybody will talk about how cool it’s going to be to make a lot of money.
  57. By fourth year you are virtually having weekly conversations about how you will spend your first pay check.
  58. The attractiveness of being a GP with its good pay and short hours is positively correlated to your year at medical school
  59. Telling local boys/girls at the bar that you’re a medical student doesn’t mean shit. They’ve been hearing that for years. Be more unique.
  60. The money isn’t really that good in medicine. Not if you look at it in terms of hours worked.
  61. Don’t wear your hospital id badge into a petrol station, or any other business that has nothing to do with you wearing a white coat. You look like an ass, and people do make fun of you.
  62. Dont steal patients for presentations that you know other students are going to use and actually clerked! You will quickly be known as one of that 5% that would push their own gran in front of a bus if they thought it would help their career somehow.
  63. Stick to the back of the ward round parade unless offered to come forward and get a better view of the patient, we've not earnt a right to be at the front yet.
  64. If you piss off your F1, he or she can make your life hell.
  65. Make the most of all the opportunity universities have - don't forget you are at university rather than just medical school, don't be afraid to step out of that medical school bubble occasionally.
  66. Your family members will ask you for medical advice, even after your first week of first year. By your third year onwards they start to worry if you don't know the answer.
  67. Many of your friends will go onto great jobs and fantastic lifestyles. You’ll still be at university eating (asda smart price) pot noodles.
  68. It’s amazing how fast time flies on your days off. It’s equally amazing at how slow the days are on a rotation you hate.
  69. No matter what specialty you want to do, somebody on an unrelated rotation will hold it against you. You will probably starting lying to make your future career match your current rotation...
  70. Sitting around in a group and talking about ethical issues involving patients is not fun. But you will have to do it a lot.
  71. You will probably do more role play than the students studying drama do, and you will become adept at playing the role of a sick patient for ocse practise.
  72. Find new ways to study. The methods you used in college may or may not work. If something doesn’t work, adapt.
  73. Hospitals smell bad.
  74. Occasionally a doctor or nurse will offer you a cup of tea or coffee, that person will become your new god.
  75. Subjective evaluations are just that – subjective. They aren’t your end all, be all so don’t dwell on a poor evaluation. The person giving it was probably an asshole, anyway.
  76. Some physicians will tell you it’s better than it really is. Take what you hear (both positive and negative) with a grain of salt.
  77. 90% of surgeons are assholes, and 63% of statistics are made up. The former falls in the lucky 37%.
  78. During the summer before medical school starts, do not attempt to study or read anything remotely related to medicine. Take this time to travel and do things for you.
  79. Vaginal deliveries are messy. So are c-sections. It’s just an all-around blood fest if you like that sort of thing.
  80. Despite what the faculty tell you, you don’t need all of the fancy equipment that they suggest for you to buy. All you need is a stethoscope. The other equipment they say you “need” is standard in all clinic and hospital exam rooms. If it’s not standard, your training hospital and clinics suck.
  81. Don't buy textbooks before you start medical school, and don't buy everything on the reading list then, most librarys are perfectly adequate for textbooks you may only ever use a couple of times. Wait till you know what the core books you use are.
  82. There will be several people in your year who will seem to be doing some form of "gotta catch 'em all" for committee positions and extra curricular activities.
  83. There will be at least one person in your year who seems to be doing the same for STI's ...
  84. By fourth year suddenly everyone will be talking about publications they have got or presentations they are giving at national conferences. If you are not one of these people you simply won't understand how everyone has managed this.
  85. Don't let your decile ranking within the medical school affect your self worth!
  86. Avoid surgery like the plague.
  87. You may have gone into medicine "to help people" but sometimes the only way to do that is to carry out procedures which cause them pain and make you feel like an utter b**t**d, you'd better be prepared for that too.
  88. Reflection will no longer be just the thing you see in the mirror but a word that fills you with dread.
  89. Read this, and the linked american version, now, throughout medical school, and then after you’re done. Then come back and say how right all this is. (I read the american version early in medical school, and now again now as a fourth year, got to say, its definitely looking pretty right!).

Tuesday, 29 May 2012

I could have qualified last week

I could have qualified last week


So last week the fifth years got the results for the second (and last) part of their finals.  Those who have passed both bits effectively know now that they will be a doctor come August.  This includes a large number of my original year group and some of my closest friends.  For those of you who weren't following last year, I took a year "out" of medicine between my third and fourth year of medicine in order to do an intercalated BSc in Sports Science (as did a large amount of my friends, but a few of the closest did not so we are no longer in the same year group).

Now I don't regret this extra year in the slightest - I had so many incredible experiences last year which I could not have had if I had stayed at my university, only ever studied medicine, and never been a "real" student.  Furthermore I've had experiences this year (I can't talk about these as much as I am very proud of them and they have been a massive part of my year, as linking myself to them would COMPLETELY destroy any sense of anonymity) which I could not have done if I had been in the fifth year and were not an option last year as the society I was part of did not exist then.

However its hard not to feel the slightest tinge of jealousy (and I mean very slightest, and not in a bitter way - I'm unbelievably proud and happy for my friends that all their ridiculous hard work this year has paid off) or slightly weirded out that without this year, I could have passed (or failed..) my finals last week and be starting as a doctor come august. That kinda blows my mind.

I have mixed feelings about whether I would want to be in this position - on the one hand MONEY (I'm honestly not going into medicine to get rich, but the amount of student loan we get at this stage of the course is pitiful and I'm growing weary of counting pennys student style), the knowledge you've done it and the fact that by five  years of uni you are a little weary of the whole thing (however much I honestly love my medical school) and just want to be done.  On the other hand, I'm not sure right now that I am quite ready for the responsibilities of a doctor - not knowledge wise (I definitely don't have that yet!) but emotionally/ situation management wise; perhaps though going through fifth year would have meant I would feel more ready at this stage though.

One of my friends who has just passed is only 22, she will have just turned 23 once she starts, so perhaps although I feel too young at 23 to be qualifying it is not so much age making me feel this but the amount of clinical experiences I am yet to have but will hopefully have been exposed to by the end of fifth year.

I think my overwhelming feeling though is being quite daunted by the prospect of finals and fifth year in general.  From seeing my friends go through it, it looks exhausting. I'm envious of my friends for being past this stage now. Their finals being done now, means my year group are the next to have finals (ignoring retakes). FLiiiiipppping heck.  I still remember walking into my first lecture of first year thinking how long the course was, and scoffing at the lecturers who told us before we knew it we would be coming to the end. And I still have so much knowledge to re-learn after forgetting it all during my intercalated year. Well, one things for sure, next year should be...interesting..!

But above all:
CONGRATULATIONS TO ALL THOSE MEDICS UK-WIDE WHO HAVE JUST PASSED FINALS!!!
This year this is for my friends, group of absolute geniuses who I know will make incredible and caring doctors (hopefully next year I can do the same with the "halfa" in my blog title!!!)

Halfadoc x





Wednesday, 23 May 2012

Drs ABC at a post office

Drs ABC at a post office


Hello again, I've been gone for a while as I was frantically writing my medical school dissertation.  And if you've been reading my blog for a while you might remember from my intercalated year just how much I LOVE writing research projects. For those of you who are new to this blog, I hasten to add that this is sarcasm.  But, it is DONE. Feels pretty good (plus two committee positions that I have been undertaking which involved a great deal of work have just come to an end, so I'm the most free I have been all year :D)

The two bound copies of my completed dissertation - needless to say the pink scribble is not on the actual copies but to protect anonymity! 

However whilst last week was mostly a case of being permanently attached to my desk and trying to make myself write this ^ damn thing, one of my few ventures out into the real world did yield a blog worthy story.

The context: So there I was standing in a massive queue for the post office, rather annoyed because the packages I was collecting should have been there 2 weeks ago (our local post office is widely known for being really shoddy lately, its in the local papers regulary) and instead had of course come on the one day that no one was in the house but due to their crappness lately I wasn't risking getting them redelivered and instead had paid £3.60 in parking to collect them (one was too big for cycling) and was wasting my time doing so when I should be writting dissertation.  So I was quite annoyed and was planning complaining at the counter as well about the fact one of my packages STILL hadn't arrived (and in fact STILL hasn't another week on... ....).  Anyway enough of my postage rant, but that gives you an idea of the context.  Oh and further context is that I was dressed like a total slob in trackies and a hoody (ironically my medical school hoody) as thats what I wear when I'm writing essays etc.  Anywhere so there I am, queuing, in a bad mood, dressed like a slob, when....

The event: The girl in front of me collapses! Now I didn't have to think too hard about my first action, I assumed she had fainted from standing too long (as I've said before, I'm prone to doing this so that was my immediate assumption for her).  As a result my first words to her were "Are you ok?".  I wasn't at all expecting her not too respond.  When she didn't I went into "first aid" mode from what I have been taught on countless courses and said loudly directly into her ear "Can you hear me??", when she still didn't respond I added a shoulder pinch (no no no, not to be mean but because this is what I have been taught).  [There then was a brief moment when I thought shit I'd better put her into recovery position but fortunately I calmed down and remembered I needed to check one or two things before I jumped to this stage!]
At this point I realised she really wasn't responding and asked the people in the queue behind (none of whom as of yet had offered any help) if anyone was there with her, no one was.  Someone then asked if I wanted them to call an ambulance, which was a good prompt to be honest as this is the next stage really when someones not responding so I said yes please call an ambulance.  Fortunately someone asking this reminded me to calm down and go back to the basic Drs ABC algorithm for what to do in these situations (if you don't know what I mean, the picture below explains it but not what you should do at each stage - google it or even better go on a first aid course, you can literally save a life from knowing 5 basic steps).   So I turned the patient over (and as I did so did actually have a brief scan of the girls wrists to see if she had a medic alert bracelet but I only saw what look like a watch).  At this point someone else scuttled over and said lets take off her scarf , which I didn't think was entirely the most important next point as it was far too loose to be impeding her breathing and wasn't going to stop me doing the "Head tilt, chin lift" to open her airway but I let them do it and just said something awkward like I'm a medical student if that helps at that point they promptly backed away, happy to leave someone else to do it instead and reassured that despite looking young I had a vague idea what to do... At the same time I realised that yes, I probably was the most medically qualified person here, oh god oh god oh god!! But quickly checked nothing was in her mouth and then id the head tilt chin lift to open her airway and was about to listen for breathing when she started incoherently responding - PHEWWWWWWWWWWWW

I realised the first thing she was trying to say was that she DID have a medic alert bracelet (that watch thing? verrrrry sneakily engraved in small letters on one of the links!) , then as she came round more I took her history, tried to see if she had any prn meds she usually took in this situation (she didn't and in fact hadn't taken her regular medication for a week which is almost certainly why she had collapsed) and passed everything on to the ambulance operator on the phone.  She was shivering a bit so I put my hoody over her, and someone else in the queue offered theirs.  Eventually a post office first aid person came out, checked the ambulance had been called and then did absolutly nothing (literally didn't even chat to the girl, it was insane).  Fortunately the ambulance crew turned up quickly and I was relieved there was someone more qualified to take over!

The ambulance man made sure someone went and got her package while he was checking her bp etc which I though was a nice touch.

But yeah, a bit more dramatic than your average trip to the post office! Was retrospectively quite exhilarating though ( I think this is ok to say because she was ok in the end).

Learn first aid, go on a course, its simple and you could save a life


Halfadoc xx