First term complete, bags packed, presents wrapped and I am ready to return home after a busy semester.

I am now more comfortable with PBL. I still have the odd feelings of being left to drift alone in a vast, empty ocean worrying that I have missed something important but these pass fairly quickly. The learning objectives we come up with as a group on the whole match the intended learning objectives and the lectures continue to give us guidance on depth. Our group has really learnt how to work effectively together and we have a great dynamic. Aside from the educational perspective PBL has meant that students get to know each other and I have made great friends. I will be sorry to change my PBL group but also excited to work with a range of people.

I was quite late in ordering my stethoscope because I had to make the very important decision of what colour I wanted (turquoise or classic black? Smoke or brass tip?) and what to have engraved (should I include my full name or just my surname? Would ‘Life is short’ be inappropriate? Why isn’t ‘Laughter is the best medicine’ 24 characters long?!)  I was glad I waited though as often you are given a discount voucher at Fresher’s fair.  My stethoscope arrived as we were learning to do a cardiovascular examination and I got childish pleasure listening to a friend’s heartbeat. That’s one of the great things about Lancaster – medical students start their clinical training early on. Since you are practising on healthy individuals usually you can’t feel/hear much but the emphasis in first year is normality. The idea is that if you know what normal feels like you will immediately be able to identify when something is abnormal later on in your studies.

We have started Communication skills which teaches how to effectively take a history from a patient. It is nerve racking to have to get up and interview a stimulated patient with a camera and 5 sets of eyes focussed on you! Trying to uphold an image of calm and reassurance when in reality your mind is desperately searching for the next open ended question to ask all whilst nodding and maintaining eye contact. As embarrassing as it is to watch yourself back it gives you an opportunity to evaluate what you could improve on.

I feel that I am in a better position now than I was at the same time 4 years ago when I was doing my first degree. I have been practising clinical skills on anyone I could get my hands on, annoying friends with open ended questions and PBL means that I have made most of my notes already and remember the main concepts. Now comes the hard bit of learning the nitty gritty stuff in time for exams in January.