6 Types of Medical Students

Disclaimer: This post is on a VERY light note and all characters in it are entirely fictional.

If you’ve been in medical school long enough, you’ll find out that each medical student you meet is different from the next. Knowing this provides you with a balanced perspective in approaching medical school and helps you to set realistic expectations for yourself. 

Please note that the humor and  sarcasm in the labels are a bit exaggerated and the list is by no means exclusive. 

Enjoy!

1. The Bookworm/Silent Genius

A.K.A The Nerd.

(S)he is your average Joe, who sits in a corner of the lecture room or at the very front to avoid any form of distraction. (S)he hardly talks in class unless asked a question.

Bookworms may be loners or friendly, depending on their personalities.

Credit: 123RF

The school library is usually their second home and they would often stay back after school hours and on weekends to study.
If you need someone to put you through the Kreb’s Cycle the night before your Biochemistry test, just call a friend, sorry, nerd.

Interestingly, a nerd’s life is not only about medical school and studying. Some have remarkable interests in art, photography, music, nature, or poetry.

As expected, the nerd is likely to be the class valedictorian.

2. The Popular Student/Party-goer

Every class has a Chris (or Chrissa).

That one person who seems to be friends with everybody (or who everyone says “hello” to). Like a magnet pulling objects towards its core, they can’t help but draw attention to themselves.

Chrissa is the fashionista who is up-to-date with her weaves, makeup and accessories. Chrissa would rather finish a season of Grey’s Anatomy than study for her Anatomy test over the weekend.

Chris is the cool dude with the latest ride, phone and wristwatch. He even wears designer shoes. He is also an unrepentant sports fan and doesn’t mind skipping a class or two to watch a game.

Both thrive on fun and have activities planned for every weekday and weekend. They know every interesting place there is in town and often find time to steal away for out-of-town adventures.

As a rule the popular guys are “book-smart” and manage to keep up with their studies, with some performing quite exceptionally.

3. The Activist/Politician
This is Bill.

He is on the face of every bill board in the school.

Bill participates in most, if not all, student events and plays active roles in the student government. He is eager to stand up for (or against) a cause and easily draws a large following.

Bill is also quick to point out the inefficiencies of the school administration as well as unfair student policies, and mobilizes other students into signing petitions.
If you need something done, all you need is to get Bill involved.

Bill is sometimes unlucky enough to get into conflict with the school advisory committee and may even suffer some setbacks academically.

But Bill doesn’t mind, he will do anything for the cause of justice even if it means getting expelled from medical school.


Bill
as we know, is likely to run for Global President, a decade from now and we ALL would vote for him.

4. The Nervous wreck/”Water-works” Student

Lisa is fidgety and cries a lot.

She cries at the beginning of the semester on merely seeing the class timetable.

She cries before every test, not knowing if she would do her best.
She cries after every test, not knowing if she has done her best.


Lisa
is often the last to check the score board and needs the support of a friend or two, to do that.

Credit: Quickmeme.com
She cries if she fails the test, she always knew she would.
She cries if she passes the test, she thinks it’s a narrow escape.

This kind of student needs lots of reassurance from time to time.
It’s not unusual to find her malingering and having to reschedule her tests/exams a few times.

Sometimes, Lisa needs more than a box of Kleenex and a shoulder to cry upon. If she has other psychological issues, she might benefit from seeing a therapist.

5. The Indifferent/Absentee Student

We’ll call him Fred.

Fred hardly shows up in class. And when he does, he is late and never stays until the end.

In fact half of the time Fred is in class, he is on his mobile phone texting or playing a game. And weird enough, the lecturers don’t seem to mind.

As a rule, he is the last to get to the exam hall and always the first to leave.

He never stays around long enough to strike a conversation with anybody and isn’t known to hang out with any friends outside school.

He is such a recluse that nobody really knows where he lives and whether he is a real student or a “phony student” sent in by the CIA.

To add to the mystery, Fred stops coming to school after 1 or 2 semesters.

Maybe Fred was never a student after all! 

6. The Know-It-All/Competitive Student

Meet Maria.
Maria is a smart but bossy student who likes to intimidate others with her smartness.

She claims to know everything there is to know about everything there is to know.

In every class, the Pathology lecturer tells her to wait until the next class before he answers her question- which just happens to be the next topic!

Maria chairs the table in every Anatomy lab session and believes that her dissecting skills are second only to that of the Anatomy Professor.

She dominates every group work and outshines others in every seminar presentation.

To her credit, Maria knows how to go the extra, extra mile in getting whatever task she’s given. No wonder, she’s every teacher’s favorite student.

Credit: 123RF


Maria strives to know the test scores of all the students in class and gives a cold shoulder to anyone who performs slightly better than her.

***

What type of medical student would you say you are (were)?

I would say I was almost nerdish (“almost” because sometimes I’m in class supposedly paying rapt attention, but my mind is 10000 miles away 🙈🙈).

***

:::requine:::
❤️❤️❤️

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50 Practical Ways To Stay Motivated In Medical School (A Recap):

Here’s a recap of the 50 Practical Ways you can motivate yourself through medical school. Feel free to check the links at the end. 


1. Discover yourself
2. Learn new skills
3. Take online courses
4. Avoid negative self-talk
5. Volunteer
6. Listen to good music
7. Watch Medical Shows
8. Start your own business
9. Keep a journal


10. Keep the end in mind
11. Find a mentor
12. Medical school is just a phase. It won’t last forever.
13. Quitting is not an option.
14. Cultivate healthy friendships


15. Find what works for you and make it work
16. Remember why you started
17. Expectations from Friends and Family
18. Eat healthy
19. Focus on becoming competent vs just getting good grades
20. Listen to podcasts
21. Don’t lose your Passion
22. Set Priorities And Rewards
23. Don’t sweat the small stuff


24. Faith in God
25. Set simple goals and achieve them
26. Be your greatest cheerleader
27. Learn to unwind
28. Volunteer to teach others
29. Seek help when you need it


30. You are not alone
30. Play Stimulating Games
31. Stay Focused
33. Ask Questions
34. Aim For Excellent Grades
35. Enjoy the learning process
36. Think Medicine, Think Prestige
37. Believe you can make a difference
38. Financial Sacrifices And Future Remunerations


39. Don’t Quit
40. Take it one step at a time
41. Start a Countdown
42. Share Your Story
43. Have a bucket list
44. Contribute on Social Media
45. Sleep well
46. Work It Out
47. Meditate
48. Cheer as others win


49. Reflect
50. Live, Learn, Love. Repeat.

***

50 Practical Ways To Stay In Medical School (Part 1)

50 Practical Ways To Stay In Medical School (Part 2)

– 50 Practical Ways To Stay Motivated In Medical School (Part 3)

50 Practical Ways To Stay In Medical School (Part 4)

50 Practical Ways To Stay In Medical School (Part 5)



Cheers,

:::requ1ne:::

❤️❤️❤️

50 Practical Ways To Stay Motivated In Medical School (Part 5)

You can read the previous part here

41. Start a Countdown:

Like in any major event of life, finishing medical school is a big deal. Going through it can be as exciting too. One way is to have countdowns for each stage of medical school like the White Coat Ceremony, Starting/Completing Clinical Postings and of course Finals! Looking forward to the BIG DAYS was another major way I stayed motivated throughout medical school. So start the countdown now! 

42. Share Your Story:

Sharing one’s story has such a powerful effect not only on the audience but also on the individual. There’s a uniqueness to your journey that only you can talk about: your fears, victories, and everything in between have contributed to who you are at the moment. So why not take the time to share your story and inspire several upcoming medical students out there. 

No matter how many medical school blogs or YouTube channels are out there, yours can still stand out to a specific audience.

And if you’re concerned about your privacy or security, you have the option of sharing your story anonymously. 

Recommended: How to start a YouTube Channel

Recommended: How to start a blog (WordPress)

43. Have a bucket list: 


Why do I need a bucket list?” you may be wondering. Well, being in medical school is a great opportunity for you to take on new dreams and go on adventures- because whether you like it or not, you still have the time. You don’t have to wait until you’re 40 before you start living the real life.

Maybe you’ve always wanted to learn how to swim or go on a fancy boat cruise or get a massage session in a spa. Well, who says you can’t?

Just start with what is within your financial means and soon you’ll be surprised at how many things you’ve achieved before you complete medical school.

44. Contribute on Social Media:

As a medical student, you are a stakeholder in the health concerns of the communities you belong to, whether physically or virtually. Several people are on the lookout for the right information regarding their health.

So creating a Health Awareness page on Facebook or sharing health tips on Twitter, can help to promote a healthy culture among the people in your sphere of influence. Remember you don’t need to have all the answers and where you’re not sure, just ask them to see a doctor.

45. Sleep well: 

Some days, all you really need is a good night’s sleep. Make it a habit to sleep well everyday. An average medical student runs on less than 5 hours of sleep everyday, which is way below the daily requirement of 8 hours of sleep. 

Read: 11 Surprising Health Benefits of Sleep

If you have problems tracking the number of hours you sleep each night, you can try using a sleep app.

Recommended:
8 top-rated apps that can help you get a better night’s sleep

46. Work it out: 

It’s amazing how pushing oneself to the physical limit often stretches one’s mental capacity as well. A simple morning jog or rope skipping if you prefer, will make a difference in your outlook for the day. Not considering the health impact it would have on your body in the long run. So make it a habit to Work Out, your body and brain need it. 

Recommended: SWORKIT APP

47. Meditate: 
Meditation is another great way to reduce the stress that comes with medical school. Take a few minutes off to unwind and practice some mindfulness techniques each day and begin to enjoy some amazing benefits.

Recommended: 5 Mindfulness Apps worthy of your attention 

48. Cheer as others win: 
Celebrating others as they complete medical school, take licensing exams and start their residency programs, is another good way to motivate you for the remaining stretch of your medical school journey. When you see those ahead of you achieving their dreams, it boosts your confidence in pursuing yours. 

49. Reflect:

To reflect means to step out of the picture and go down the “memory lane” a few times. Reflection helps you to review the decisions you’ve made in the past, your failures and successes, your strengths and weaknesses, and to take note of all the  major contribution to your past achievements.

Knowing what has motivated you in the past, gives you some perspective in staying presently motivated.

50. Live, Learn, Love and Repeat:


Above everything else, see Life as a gift. Learn to treasure every moment of it no matter how challenging it may seem sometimes. 

Be grateful for the little things and bigger things will come your way.

Remember, Medical school is a privilege and not a right. So live joyfully, learn passionately and love deliberately. 

Cheers, 

:::requ1ne:::

❤️❤️❤️

50 Practical Ways To Stay Motivated In Medical School (Part 4)

You can read the previous part here.

31. Play Stimulating Games:

It’s amazing how overcoming small challenges, even virtual ones, can motivate us to face real life situations.
In a particular semester in medical school, I became almost addicted to “Candy Crush” and jokingly told myself that if I could beat a certain level in the game, no subject was too difficult for me to handle. Amazingly, I went on to have some of my best results that semester.
Thankfully, there are a variety of medical games that not only help students to unwind, but also improve medical knowledge remarkably.

Recommended:
ClinicalSense
Prognosis

It’s also possible for you and your friends, to make up random games on the go, for instance, naming medical conditions that start with letter A or try to play Scrabble with the medical dictionary as a guide or have an Anatomy Challenge, where you only speak in anatomically terms for a whole day. I can bet it’ll be fun.

32. Stay Focused:

No matter what happens around you, don’t lose your primary focus for being in medical school- LEARNING! 

It is easy to get distracted by other things, social media for instance, but most of these distractions are avoidable.

The rule of thumb is, if something can wait, let it wait. It takes a lot of discipline to achieve that, but soon it becomes a habit.

Distractions are like leaking holes in a pipe, too many of them will jeopardize your journey in the long run; so you must be wary.

It’s important to remind yourself each day about your Priorities/Goals and a good way to achieve that is to create a personalized Vision Board.





Recommended
: Making Vision Boards Work For You  (Terri Savelle Foy)

Also Read: How to avoid distractions in College

33. Ask questions:
Nothing is more powerful as a tool of for learning, than asking questions.”- Myles Munroe.

Asking questions, especially from those who have gone ahead, provides you with more opportunities to learn even outside the classroom. The wells of experience from senior colleagues will not only equip you with the courage to face some of your worst fears but also the wisdom to avoid some costly mistakes.

 

 

There are enough answers if only you ask the right questions – REQUINE.

 

So quit trying to figure out everything on your own. Just ask away!

34. Aim for excellent grades:

While getting good grades isn’t all there is to medical school, it certainly helps to boost your morale when you find out that you got an A in the Genetics exam, or your name was on the dean’s list four semesters in a row with a scholarship to complete your studies.

Getting an AWARD for your hardwork definitely motivates you to do more! 

35. Enjoy the Learning process:

Remember how eager you were to know the alphabets and engage in other learning activities as a pre-school toddler?

Like most kids that age, learning was fun. Unfortunately, many students lose that excitement as they get older. If all you think of is how to graduate from medical school, you won’t get the best out of it.

To have a fulfilling career, you need to cultivate the habit of enjoying the learning process. Doctors are life-long learners!

Be an active learner by applying something you’re taught in your interactions/activities each day. Let your knowledge be an investment into the future, generations will thank you for it.

Also Read: 7 Strategies For Studying In Medical School

36. Think Medicine, Think Prestige: 

We all know that Medicine as a career, is both prestigious and lucrative. Here’s what one medical doctor says, “The associated prestige from non-medics was pretty cool that I didn’t wanna lose that.”

Perhaps among your childhood friends/immediate family, you’re the first to get into med school. Think of all those looking upto you and how much value you will add to the society.

37. Believe you can make a difference:

Have you ever asked yourself if you can make any real difference in the field of Medicine? The truth is, you can.

Think of the hundreds/thousands of patients (and their relatives) that’ll come your way in the course of your career, and if you’re more inclined to research, imagine the groundbreaking discoveries you can make in Medicine. Also think of how you can inspire the next generation positively whether in the classroom or on the ward.

38. Financial Sacrifices And Future Remuneration: 

Think of medical school as an investment. Most people put in lots of money whether through student loans, scholarships, personal savings or family support into financing their medical education. In most countries, medical education is more expensive than the average college degree, so you don’t want all the money spent to be a waste. The good thing though is that you are likely going to be overcompensated for every penny you put in.

39. Don’t Quit:

Dropping out of medical school, means you’re going to start all over, whatever else you choose to do.” says one Doctor.  While quitting isn’t always a negative thing to do, the thought of losing all the time/energy you put into medical school can be really frustrating. So why not take the bull by the horns and keep at it?

40. Take it one step at a time:
One of my top secrets of passing through medical school with minimal emotional breakdown was learning to take each moment/challenge one step after the other. Before I knew it I was counting the Months/Weeks/Days to my finals. There were lots of giants to slay along the way, tests, exams and more, but knowing that one step in the right direction will take me closer to my goal, I was motivated me to keep moving. In the end, the journey was so worth it!

More tips to stay motivated through med school? Please share.

Cheers!

:::requ1ne:::

50 Practical Ways To Stay Motivated In Medical School (Part 3)

You can read the previous parts here and here.

21. Don’t lose your Passion: Passion is more than a feeling, it is a series of decisions that drive you towards your goal. When you’re passionate about something, you just don’t do it because you have to, you do it because you WANT to.


Not everyone has the bravery or opportunity to embrace their passion; in order to survive, most people prefer to be practical rather than passionate. (Singyin Lee). The difference however is always clear between a passionate doctor and an ordinary one.

Read more on10 Things You Should Know About Passion (And How To Find Yours)

22. Set Priorities and Rewards: 
“This is a very practical one for me, I set priorities for school work during the semester, and plan ahead for the holidays. I try to focus and do well during school and tell myself I’ve got the whole vacation as a reward for my hard work.” says Tinu, a medical student.

23. Don’t sweat the small stuff:

Most medical students will tell you that medical school is tough, which is relatively true. However, you’ll be doing yourself a great injustice if you see everything as overwhelmingly difficult. Rather than focus on what you don’t know for instance, do what you know and keep working on getting better with others. As long as you remain consistent with studying and observing, you will overcome the hurdles. 

It took a while for me to summon enough courage to take blood samples from patients while some of my junior colleagues were already good at it. Thankfully, I could do other things like taking patient history, physical exam, writing out discharge notes etc Eventually what seemed such an arduous task became a relatively easy skill for me. 

24. Faith in God: 

The place of faith in the medical school journey cannot be overemphasized. Like all of life’s challenges it is accompanied by risks and fears, but when you see medicine as more than a career path but a call to God’s purpose, you have the confidence that no matter what, the outcome will be victorious.

With God, ALL things (including your dream of becoming a medical doctor) are possible!*

25. Set simple goals and achieve them:
Setting goals no matter how simple they are, sets you apart as an individual. It will show in your commitment, perseverance and diligence towards a given cause. For starters, it can be as simple as- getting a better grade in the next Anatomy exam.

26. Be your greatest cheerleader: 

Everyday, get up and look into the mirror. Tell yourself where you see yourself in a few years. Encourage yourself when there’s no one else to turn to. Celebrate small victories. A pat on your shoulders, a reassuring smile and a toast after a good exam, all add up eventually.



27. Learn to unwind:

Over the years, medical students across the globe have learnt healthy ways to cope with the challenges of medical school. Sports, Entertainment and Religious activities are a few. The key is to discover the things that give you joy and do them.

Read: 5 tips to reduce stress in medical school 

28. Volunteer to teach others: 

As medical students, it’s important not just to learn but also to teach others what has been learnt. That way, you are not only helping others to know what they don’t know, you are also helping yourself to remember what you already know.

A good way to do this, is to join a tutorial group where you can offer to teach your junior colleagues (or even classmates) a subject you’re pretty good at.

29. Seek help when you need it:

It’s normal to feel overwhelmed at some point despite your best efforts at staying motivated. Times like that require that you seek help, whether from your academic adviser, professional counselor or a spiritual mentor, depending on your need(s). There are also countless self-help materials out there that you may find useful.

30. You’re not alone:

Think of all your senior colleagues and even lecturers who have been up that road and how they scaled through. The truth is, most of them probably had times of self doubts and frustrating grades too. So let their success stories inspire you.

Cheers,

:::requ1ne:::
❤️❤️❤️

*Matthew 19:26 (Paraphrased)

50 Practical Ways To Stay Motivated In Medical School (Part 1)

All medical students need encouragement from time to time; And staying motivated through the rigors of medical school is in itself a challenge.

From my experience and those of other past and present medical students, here are some practical ways to keep the motivation coming through medical school, which I’ll be sharing over the next few weeks.

1. Discover yourself.

As a medical student, you’ve likely spent most of your life in a school environment (Elementary to College); now is the time to not just focus on your schoolwork alone, but also learn about yourself- your purpose, your values and your principles. You’ll be surprised at what you’ll find out.

2. Learn new skills

Medical school opens a world of other interests to you, where you can develop new skills like writing, photography, baking, video editing, or music; plus the Internet offers you great DIY resources.

3. Take online courses.

It is true that you’ve chosen the career path of medicine, but there’s so much you can learn about other fields like the arts, humanities, social sciences or technology. There are a variety of free courses online that you can look into.

Try some courses for free here: Edx.org

4. Avoid negative self-talk.

There’s enough stress to handle already with the overwhelming work load in medical school and sometimes discouraging grades. It gets worse with putting extra pressure on yourself and criticizing every mistake you make.

5. Volunteer.

Volunteering especially for medical causes (health fairs, blood drives, health awareness campaigns etc) is a good way to feel invaluable while giving back to your community. You don’t have to wait until you graduate before you find some meaning in the medical path.

6. Listen to good music.

Good music is like therapy for your soul. You’ll have some low output days, and rather than allow yourself to sink into depression, why not listen to some cool beats with amazing lyrics? Music is a great tool for internal motivation.

Listen to this inspiring song: I’m a Winner(MTN Project Fame version)

7. Watch Medical Shows.

Medical shows are not only a (fairly good) source of medical information (think terminologies, procedures and diagnosis) and humor, they also fuel your passion for medicine. Grey’s Anatomy, House and Chicago med are a few of them.

8. Start your own business.

Even as a medical student you can become an entrepreneur; apart from the financial renumeration, it also gives you a sense of self-worth and personal satisfaction.

Cake by ADESUWA (A 3rd year medical student)

9. Keep a journal.

Having a journal helps to boost your morale when you reflect on how you overcame a previously challenging time; it also helps you to keep an account of your journey which will be relevant in sharing your experiences in future.

Read: Chronicles of a Student-Doctor (A medical school journal)

10. Keep the end in mind

 “For me it was mostly the thought of being a good doctor (that kept me motivated) says Dr. Johnson, “I was always like someone’s life is going to be in my hands one day and I sure want to be able to save…I don’t want to be the doctor that doesn’t know what she’s doing.”


I hope you find some of the tips helpful, you can let me know some other ways you stay(ed) motivated in medical school.

Cheers,

:::requ1ne:::

❤️❤️❤️

PS– If you enjoyed this post, you might also enjoy:

– 7 Strategies for studying in medical school

– 5 Tips to reduce stress in medical school

– 7 Lessons from medical school

Chronicles Of A Student-Doctor #12

CHAPTER 12: PSYCHIATRY POSTING.
And to the last of my clinical postings, welcome to the Psychiatry department.

A place of several tales, some sad, some strange and others absolutely shocking.

Psychiatry was a bitter-sweet experience for me. It was the one post I excitedly looked forward to, telling all that cared to listen that I knew what I wanted and I was determined to embrace it.


For as long as I can remember, I have been fascinated by mentally-challenged individuals, whether in literature or on the roadside. I often wondered how some people ended up becoming weird, homeless, unkempt or completely dysfunctional. While most people would see such individuals and turn up their nose in disgust, I would often take a second or third look at them, and imagine if they have any family or home to call their own.
Medically speaking, the factors that lead to mental (and specifically Psychiatric) impairment, can be genetic, neurologic, environmental, or a combination of these.

On the other hand, some indigenous folks (at least where I come from), believe that mentally-impaired people might actually be demon-possessed or under spells. Of course, it seems a ridiculous way to think but cultural/religious sentiments have a way of shaping our perspectives.

As a Christian, I believe that demons do exist but I also know that mental health has remarkably improved through medical care over the years.

So all through my medical school journey, I really looked forward to my Psychiatry posting.

I mean I’d liked the idea of Mental Health for years, and Clinical Psychology was one of my favorite subjects during my pre-clinicals. Even before I completed my Secondary School Education, I already had much interest in Psychology. And because I wanted to study Medicine, I decided I was going to become a Psychiatrist. Hence my fate was sealed (or so I thought), until I actually started my Psychiatry rotation.

Despite the pep talks my colleagues who had done the rotation ahead gave to me, I wasn’t prepared for my encounter on that first day…
The Mental Health institution in SVG is situated apart from the General Hospital, and is currently (temporarily) located in an area called Orange Hill, which is along the countryside.
The institution which is more of a community than a facility, gave patients the privilege of roaming the immediate neighborhood with little or no restrictions.
On my first day there, we went in to see the female patients. I was stunned to say the very least. All I saw basically was a sea of faces staring mindlessly about, with some out of touch with reality. How could anyone live this way? I wondered. I left the place all sobered up and emotionally drained.

As the days progressed into weeks, I got to know a number of the patients and their story. We followed up some of them repeatedly in the outpatient clinic and what an experience it was.

The cases we saw ranged from mild/moderate depression to cognitive impairment to acute manic episodes to chronic schizophrenia to parasuicides, and the likes. And some of their stories would always remain with me. One of such remarkable cases was that of Ms. X:

Ms. X was a known patient with Bipolar disease who was admitted to the Casualty department during an acute manic episode that was triggered by an emotional experience. I had never seen an adult throw such tantrums before. This patient was hyper, continuously jerked her limbs against the bed restraint and cussed loudly. It was quite a sight. She was later transferred to the Mental institution. Over the next few days, and after a number of medications, the patient significantly returned to baseline.

Despite the emotional circumstances, Psychiatry posting was an adventurous ride for me. I got the opportunity to travel to parts of the island I had never been to. There was a community outreach where we had to visit patients in different villages like Chateurbelair, Rose hall, Troumaca and Spring village. Those areas were on the leeward  part of the island.



We also had occasion to hold outpatient clinics in Stubbs and Georgetown which are in the windward side of the island, as well as the Prison.


My Preceptor, Dr. K. Providence, an amazing woman dealt kindly but firmly with all the patients. According to her some of the patients can become very manipulative and threaten the caregiver. The most difficult patients to deal with are usually those with criminal charges. They are prone to take the “victim stance” where they make others think they are being victimized. This was especially common among the prison inmates.

We learnt how to take Patient history, do the mini mental status exam (MMSE), PHQ-9, CAGE questionnaire, BECKS Depression inventory, and other forms of assesment. We were taught to be confident and empathic while handling difficult patients.

My colleagues were fun and supportive. The interns, nurses, social worker, counsellor and clinical psychologist made a good team to deliver care to the patients. This was important because many of the patients we saw had social issues as well e.g. Lack of employment, drug use (Marijuannna especially), alcohol abuse, lack of finances, domestic abuse, homelessness and social stigmatization.

Aside the emotional demands, Psychiatry also gave room for lots of adventure. I saw new places, met new people and learnt new things too. And I took lots of pictures too.

My paddy and I…

Studying during my Psychiatry posting was perhaps the most interesting. I used Lange Q&A (Psychiatry), PRETEST for Psychiatry, Kaplan step 2 videos and Paul Bolin’s YouTube videos for Psychiatry to study. Any material on Psychiatry with DSM V criteria updates, should serve you well.

And to the big question. Would I be interested in pursuing Psychiatry as a speciality? I like it enough in theory but I’m not sure I can handle the clinical aspect, so I honestly can’t tell yet. So fingers crossed until then…✌✌

Kudos to all the Psychiatrists out there. Thank you for making a remarkable difference in people’s lives.

Thank you for reading,

:::requ1ne:::

PS: Here ends the Chronicles Of A Student-Doctor posts. I appreciate all the feedback and support I got. I hope I can share aspects of my post medical school journey with you in subsequent posts.

Chronicles Of A Student-Doctor #11

CHAPTER 11: OBSTETRICS & GYNECOLOGY POSTING.

 


Welcome to the Obstetrics/Gynecology department, where we cater for women from adolescence to menopause.
The Obstetrics/Gynecology department comprises of two co-dependent units:

1. Obstetrics unit: also called the maternity unit, which is concerned with childbirth and the care of women giving birth.

2. Gynecology unit: which is concerned with functions and diseases affecting the reproductive system of women.

In the hospital where I did my clerkship, the two units were on separate wards. The Obstetrics (labor) ward was divided into three sections:


(Maternity ward entrance, MCMH)

Section 1: For patients in active labor.

Section 2: For immediate postpartum patients.

Section 3: For high-risk patients on observation e.g. Preterm labor, Pregnancies with comorbidities like Hypertension/Diabetes.

There was also a special room for Patients with Preecclampsia (who are high risk patients) and two Delivery rooms.

The Gynecology unit was on the Female Surgical Ward, and we had rounds whenever our patients were admitted there.

Obstetric clinics ran twice weekly (Family planning clinic and Antenatal clinic) while Gynecology clinic was once a week.

We had surgeries on Wednesdays and emergency cases were scheduled as needed.



(At the MCMH Theatre)

Shortly after starting the posting, I had the opportunity to attend the 20th Annual Perinatology conference organized by the Pediatrics/Obstetrics departments of the MCMH, and attended by doctors, medical students, midwives and other stakeholders from the Hospital and Ministry of Health, Wellness and the Environment. They presented and discussed the maternal/neonatal morbidity and mortality over the past year. According to the speakers there was an overall improvement in maternal/neonatal care in the country. The event was both fun and enlightening for me.


(At the conference with two of my colleagues and the medical officer, Dr. Cumberbatch. Photocredit: SVG Health).


(The Senior Register, Dr. Pabilona giving her speech during the conference. Photocredit: SVG Health).

Some of the presentations I saw during my 6-week posting include:
Cervical Intraepithelial Neoplasm (CIN)

Complete Miscarriage

Cyesis preterm

Endometritis

Endometriosis

Gestational Diabetes

Hyperemesis Gravidarum

Hypertension in pregnancy

Menorrhagia

Ovarian Hyperstimulation Syndrome (OHSS)

Preterm Uterine Contraction

Placenta Previa

Polyhydraminos

Postpartum Hemorrhage

Preecclampsia

Premature rupture of membrane

Urinary Tract Infection

Uterine fibroids


And some Procedures I saw were:

Artificial Rupture of Membrane (AROM)

Cardiotocography (CTG)

Colposcopy

Insertion of Pessary

Intrauterine Contraceptive Device (IUCD) placement


(CTG procedure: which was typically left to the medical students).

Surgery cases:
Bilateral Tubal ligation

Caesarean section

Cervical Cerclage (secondary to incompetence)

Cone Biopsy

Dilation and Curettage (D & C)

Hysterectomy

Ovarian cystectomy & salpingectomy
I came across different kinds of patients too: the nervous, the confident, the cooperative, the indifferent and so on. Generally most of them were easy to relate to. 

Then comes the most dramatic part. In my opinion, there’s nothing as fascinating as watching a live birth. The delivery room experience is awesome. Let me try to paint the scenario as I remember it:


A woman in labor is rushed into the delivery room, with the midwives and other birth assistants in attendance. Sometimes a doctor is there to take the delivery as well. And the partner or a family member of the patient is usually allowed to come in.

Push! 

Push!! 

Push!!!

The midwife-in-charge yells, as others encourage and soothe the woman in labor. The baby’s head would then gradually descend as the midwife helps to manouver it. When the entire body of the baby comes out, usually with a distinct cry, another midwife states the sex of the baby and time of delivery. Then comes the clamping of the umbilicus which is eventually cut off under sterile condition. After a few moments on the mother’s chest amidst tears and smiles), the baby is transferred to the nursery. 

Shortly after an oxytocin injection is administered intramuscularly to facilitate uterine contraction and the placenta is delivered. After ensuring that there is no part of the placenta missing, the woman is cleaned up and returned to the ward. Occasionally we’d encounter a difficult delivery that requires a procedure like episiotomy.

This wiki article gives a breakdown of what takes place during the process of delivery.
A major highlight of the posting is that I got to assist the Senior Registrar for two mini-surgical procedures…which is every medical student’s dream! Yaay!! 😀


(At the Operating Theatre, Yours truly).


#Case Note

Then the Preceptor I worked with is one of the most dedicated doctors I’ve met. She’s well respected not just in the Hospital but all over SVG as a country. On my last day in the department while giving her final assessment, she gave me some insight on boosting the self confidence I need further along my medical career.

(Dr. Camille Nicholls. Photocredit: SVG Health)

Recommended study materials:

· KAPLAN step 2 videos

· Blueprints (Obstetrics and Gynecology)

· Case Files (Obstetrics and Gynecology)

· First Aid for the Obstetrics & Gynecology clerkships
* * *

My ObGyn posting was one of my most remarkable clinical rotations. Although it was quite  demanding and challenging, but it was quite enlightening too. The midwives, nurses, doctors and other students I worked with were quite dedicated and there was great teamwork. I was able to learn a lot from the rounds, teaching sessions, presentations and procedures. I had to clerk and admit patients, draw their blood samples and so on. Seeing as mothers bonded with their newborns was always heartwarming. It gave me reasons to seriously begin to think about motherhood! I wrote this post just before I finished from the department. 

So would I consider a career in this specialty? Hmmmn…maybe not. I personally don’t think I can stand the process of taking a Normal Spontaneous Vaginal Delivery (NSVD) every other day, or being called to the theatre for an emergency Caesarean section or Evacuation of Retained Products of Conception (ERPC).

Shout outs to every Ob/Gyn Doctor out there, thank you for the amazing job you do. 🙌🙌

Thank you for reading!

:::requ1ne:::
PS: I have one more post to go for this series. Thanks to everyone that has supported me so far.

God bless.

 

Chronicles of a Student-Doctor #10

CHAPTER 10: OPHTHALMOLOGY POSTING.

The eye is the lamp of the body. If your eye is sound, your entire body will be full of light.” (Matthew 6:22 AMP)


Know your eye anatomy:


The gift of sight is one of the best gifts from the creator. It’s a beautiful thing to be able to behold the beauty in the world around us.

There are several preventable causes of blindness and visual impairment, so the need to take good care of your eyes cannot be over emphasized.

Welcome to the Ophthalmology Clinic.


Now Ophthalmology is one of the most fascinating fields of Medicine, but it takes only an insider to appreciate what really goes on in there.
The average person sees an eye doctor as the doctor that examines the eyes, and recommends eye glasses or contact lenses. But there is a lot more to what eye doctors actually do.

An Ophthalmologist
Let me quickly clarify these job descriptions:
a. Optician: A technician who is trained to design and fit lenses and frames for eye glasses, as well as contact lenses, as prescribed by an Optometrrist or Ophthalmologist. 
b. Optometrist: A healthcare professional (also known as a doctor of optometry), trained to perform eye exams and vision tests, prescribe and dispense corrective lenses, detect certain eye abnormalities and prescribe medications for certain eye diseases.
c. Ophthalmologist: A medical doctor who specializes in eye and vision care. An ophthalmologist is trained to diagnose and treat all eye diseases, perform eye surgery, and prescribe and fit eyeglasses and contact lenses to correct vision problems. Furthermore, some ophthalmologists decide to specialize in fields dealing with the Cornea, Retina, Glaucoma, Pediatric Ophthalmology, Neurophthalmology, or Plastic surgery.

(source: http://www.aapos.org)
 
To be honest, in my first week, a lot of the terminologies used in the clinic were pretty foreign to me. Thankfully I worked with an amazing Preceptor, Dr. Grant-Ledger, who was more than ready to put me through any question I had. In retrospect, the posting was one of my best.

The outpatient clinic ran like crazy from around 9:30 am upto 2 p.m. on some days. Then we had surgeries on Wednesdays. Unlike in most other surgical sub-specialties, we get to actually sit down during Ophthalmology procedures. 

(Photocredit: http://www.truevisionsys.com)

Thankfully, we had Fridays off.
I saw a good number of cases ranging from Blepharitis, Pterygium, Stye, Cataracts, Strabismus, Esotropia, Cellulitis, Glaucoma, Amblyopia, Conjunctivitis to Traumatic Eye injuries.

My Preceptor was super student-friendly and she allowed us to clerk patients and perform their eye exam/vision tests. It was a memorable experience in all.

SNELLEN CHART
SLIT-LAMP EXAM

Maybe it’s time to visit your eye-doctor 😅😄

(Photocredit: WEB)

I’ve frequented eye clinics more than any other clinic for the past decade, because of the myopic condition of my eyes (I wear prescription glasses). 


So there’s a big maybe as to whether I’ll like to consider Ophthalmology as a specialty. And I personally admire female Ophthalmologists. They are usually nice and easy to relate with. Aside from the nitty-gritty details of microsurgery and the long hours in the Operating Theatre, I think Ophthalmology is a field I wouldn’t mind exploring.

Ophthalmology clinic selfie…

Shoutout to all Ophthalmologists out there, thank you for the beautiful job you do. 

Cheers!

Thank you for reading,

:::requ1ne:::