clinical skills

Year 1 Perspective

/ Sarah Bethel

I don’t think I will ever forget that first day. Sunday 2nd October 2016. With two cars packed full to the brim, my mum, dad, sister and I began our journey up to Lancaster, ready for me to start the next chapter as an adult. Completely daunting I must admit! Being the girl I am, I managed to recruit a grand total of 8 people to unload the cars and move me into my lovely flat in Lonsdale – obviously the best college!

The whole first day was a complete whirlwind; from the moment I said goodbye to my family, I was meeting the rest of my flat and house whilst playing ice breakers in the October sunshine (believe it or not, it’s actually a real thing). Everyone hates that moment where you feel like a complete fish out of water but your reps make you feel at ease. From that moment on, fresher’s week had officially begun. It was one of the best weeks of my life, filled with college events and meeting so many new people it was overwhelming – some I know will be my friends for life.

Yes, Fresher’s Flu is a real thing.

I guarantee you will suffer to some extent from fresher’s flu, hopefully not for a month like I did, but you will definitely suffer.

Next it was time to meet my medic family. I was assigned a ‘medic dad’ in second year called Mike and a ‘medic mum’ in fourth year called Lauren (although technically my great grandma) who are both amazing. I significantly remember being given my welcome pack with so much information in it made my head spin and Lauren told me not to panic – and I’ve lived by those words ever since.

Settling into the medical school is like starting anything new – it takes time to adjust. My weekly anatomy sessions are a life saver and are both informative and enjoyable. Clinical skills takes place in the infirmary and it makes you feel very professional I must say! The sessions quickly allow you to get you over any embarrassment you may have and by week three you’re examining your friend’s abdomen!

Medsoc is another part of medic life. In the 2nd week of term Medsoc organised our fresher’s ball which gives you an opportunity to fully mingle with the people you are going to spend the next 5 years with (say it quick!) You also get to meet people from the other years who are more than happy to ‘calm your qualms’ and offer advice.

Being a medical student is amazing, and I couldn’t think of a better place to be experiencing it than at Lancaster.

 

Settling In – The First 6 Weeks

/ Katie Burrell

It’s hard to believe that it has only been 6 weeks since that oh-so-exciting first day. My flatmates were my main concern – what are the chances of 8 complete strangers getting along? This was followed closely by – wait, hold up a sec. I’ve been working my socks off to become a med student for years and now I’m here, is this what I want and will I be able to do it??

Thankfully those questions were swiftly answered. Fresher’s week melts away any fears about not making friends. Standard cliché line but – everyone is in the same boat, and Lancaster make sure that you have a great time. Flat reps: one thing that I didn’t know about beforehand – so listen up. When you arrive, each flat is assigned two reps (older students) that take you under their wing. They aren’t like controlling parents sticking their noses in, they’re a bit like cool older siblings who are the pool of all Lancaster wisdom and can answer everything; taxi numbers, which bus to get or luckily for one of my flatmates even how to replace a snapped door key at midnight.

For the anxious parents out there, the reps also make sure you get home okay during the first week. Sounds silly now – but trust me, when you’re having a fab time at the paint party (100% would recommend) and realise you’re covered in UV paint, it’s 2.30 am and you’re in a totally new city (maybe had a few too many), you’ll be glad to know there’s someone looking out for you.  My personal highlight of fresher’s was the silent disco – I challenge you to name something more fun/cheesy than dancing the night away to the likes of Mr Brightside and all the S Club classics.

Staying with the guidance theme, as a 1st year med student we are assigned a medic parent (second year) and a medic grandparent (fourth year).  We meet with them during fresher’s and they are there to help with absolutely anything. It’s a brilliant way to get to know the upper years and all the secrets, tips and tricks on how to survive and thrive.

Moving on to the course – it’s definitely lived up to expectations. I absolutely love it, especially clinical skills. We spend two hours a week at the hospital and have very interactive sessions. The first time I used my stethoscope to learn how to examine the abdomen, that’s when it felt very real. Luckily for me, my flatmates are more than willing for me to practice on them. Unluckily for them I’m not quite the doctor they think I am yet and unfortunately don’t know the cure for the dreaded fresher’s flu. (Naps. Naps solve everything. I didn’t tell you that though.)

I’m also a part of Teddy Bear Hospital, a society run by med students who go to local schools and lead sessions with children, aiming to reduce anxiety and fears about hospital. The kids bring their ‘sick’ teddies in and then we work through diagnosis and treatment. (Let me tell you, you soon rediscover how fun toy thermometers and bandages are.) It’s something both fun and meaningful and really gives you some perspective, especially if you’ve been in a little study bubble all week.

I could write pages on how fabulously crazy the past month has been; I can’t wait to see what the next few weeks bring.

 

9th November 2016

Cecilia Vinchenzo

/ Lauren Kennedy

Arriving at Lancaster on move-in day I was simultaneously very excited and very nervous . Upon arrival at my college we were greeted with friendly reps who showed me to my new room. I felt very out of my depth and it didn’t feel real moving away from home for the first time, but quickly my flat mates and college reps helped me settle in within hours, all my fears and nerves about moving to university were gone!

For me Freshers Week was a very memorable week. Every night my college hosted a different themed event – ranging from Casino Royale fancy dress to a UV paint party. A highlight for me was the university campus bar crawl as we got to see every college bar and meet so many new people. It was fun getting to know my flat mates and becoming friendly with lots of people in my own college and the other colleges on campus. There were all sorts of events going on during Freshers Week – medical and extra curricular. I went to the Freshers fair midweek, which was great, and I got to check out many of the societies the university has to offer – there are so many it was hard to choose what I might like to join!

My first clinical skills session at the Royal Lancaster Infirmary education centre was daunting not just for myself, but also for my classmates – we didn’t know what to expect because it felt like ‘real doctor stuff’ and it was only our first week! It turned out to be a lot of fun, alongside being a necessary educational part of the course, and it is now something I always look forward to on a weekly basis. Keeping it simple and basic we were taught the globally used Ayliffe hand washing technique – something we will need to use for the rest of our careers. We thought we knew how to wash our hands, but we were wrong! The essentials of personal protective equipment and correct waste disposal were also discussed.

The entire first year class were invited to attend the Medics Society Freshers ball. To put a twist on the event it had a masquerade theme. Everyone donned their best suits and dresses and enjoyed a lovely meal, getting to celebrate surviving our very first week of medical school! Many medical students from other year groups also attended which was great, they imparted some brilliant advice and were eager to meet all of the first year students. The ball was an amazing way to meet my classmates outside of the lecture room environment.

I am so glad I chose to study at Lancaster – I’ve had a brilliant start and I can’t wait to see what the rest of the year brings!

Mel Sarigul

/ Lauren Kennedy

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.

Huz Khojani

/ Lauren Kennedy

Starting 4th year

You would imagine that starting fourth year of medical school would be a daunting experience, knowing that your final university exams would be at the end of it. But as it turns out, that isn’t the case. There is a tremendous amount of confidence that comes from passing exams at the end of a medical school year, and so by the time that you’ve done it three times, you feel unstoppable. “Bring it on!” you declare to the challenge that lies ahead.

The first day of fourth year starts very similarly to how every other clinical year does; an entire day dedicated to talks that reinforce the principles of that we have been taught from the beginning, such as how to keep patients safe as well as ourselves. Then, during the final segment of the planned day, we are given the information that is most important to us; how fourth year is organised and which groups we are placed in.

In a nutshell, fourth year consists of a whistle-stop tour of the entire hospital (excluding the Accident and Emergency department). Four weeks are spent on each specialty except Medicine and Surgery, which get double the time. This makes sense, as these can be argued to be the “meaty subjects”. Because there are so many specialties to see, the year group is divided into groups that would rotate between the specialties. The concept of having “rotations” has been persistent since second year, however this year the groups are as small as five students. This means that a majority of the academic year will be spent with the same four people.

The first big change of the year that is quickly noticeable is the higher level of respect given on wards by doctors and more junior students. Along with the respect comes an expectation that we are able to perform more and better clinical skills on the wards. This means that we are given more responsibility in clinical practice, which I very much welcome. So far, the year has had me and my clinical partner running our very own GP clinic, as well as clerking patients in on a paediatric ward. Clerking a patient means that you are the first person that a patient talks to once they are admitted to the hospital. This can seem incredibly challenging as there are no patient notes and you are left with nothing but a stethoscope and your own clinical knowledge to determine what might be wrong with a patient. However, having a hands-on experience to this degree does make you more emotionally invested into the patient’s condition, resulting in remembering the features of the patient’s diagnosis for a long time in the future.

Not all clinical experiences have been rewarding however. The most frustrating time that I have had this year was when trying to examine a child who refused to let me go anywhere near them, but managed to pull at my ID badge and undo the lanyard that is attached to it from around my neck. Being particularly fond of my picture, the patient decides to put my badge into their mouth and starts chewing on it. The next half-hour is spent trying to get it back, which was a lot harder than expected.

As eventful as fourth year has been so far, I look forward to the challenges that it will definitely bring in the future. By this point in medical school, instead of seeing these challenges as problems you see them as opportunities to continue growing