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MSA Medical Students’ Association
What I Wish I Knew:
Becoming a Clinical Medical Student
Advice for students from
GKT MSA
MSA Medical Students’ Association
Welcome to Third Year
• The fun stuff starts here… “putting in to practice all you’ve learnt from first and second year” “the start of proper medicine”
MSA Medical Students’ Association
In Today’s Talk
• How Year 3 works • How to get the most out of your
placements • What you need • Useful Resources
MSA Medical Students’ Association
Getting started – what do I do now?
• Learning in hospitals is an art in itself, and it can take a bit of time to get comfortable.
• Things to do in the first week:
- Meeting the Firm (if applicable) - Find out how to bleep and the relevant
bleeps for your firm - Confirm timetabled teaching
MSA Medical Students’ Association
Clinical Learning • Timetabled teaching • Self-organized Teaching
- Firm Head Teaching - Grand Rounds - Ward Rounds
- F1/SHO/Reg teaching
• Independent Learning on the Ward - On Call Clerking
- History & Examination on the Ward - Presenting to a clinician
• Home
-Notes -Start early! Core cases
MSA Medical Students’ Association
Formal Teaching –Top Tips!
• On the wards clinicians will often ask what you want to learn about, have topics ready!
• You will be expected to think in a clinical
way – when asked to give a differential diagnosis refer to VITAMIN MEN C
MSA Medical Students’ Association
Firm Head Teaching
• Your timetable should incorporate at least an hour of teaching each week from your firm head or a senior staff member
• Bedside teaching is often most beneficial, so suggest this to your consultant if he/she asks what you want to do – remember, many of these consultants are OSCE examiners…
MSA Medical Students’ Association
Registrar Teaching
• Registrars will often offer in-depth teaching on essential topics
• Asking questions is essential • Don’t be afraid to clarify!
MSA Medical Students’ Association
FY1/SHOs
• Your friends on the wards • They still remember being at medical
school • Excellent for hands on experience, jobs
and sign offs!
MSA Medical Students’ Association
Grand Rounds
• You will be expected to do a presentation on a patient with an interesting learning point –ie Mr A with decompensated liver failure and a special teaching topic of Liver Failure
• These will be marked and contribute to your overall ICA mark
MSA Medical Students’ Association
A note… on ward rounds • Ward rounds can be a lot of fun, especially
as you get to know your firm. • There can be opportunities to meet some
interesting patients to clerk later and get some jobs
• You can also learn to take notes and begin to understand patient management
• Don’t waste your time though…
MSA Medical Students’ Association
On the wards
• Lots of histories and exams • Try to spend as much time on the wards
as possible • Try to clerk acute patients (ie on call) • Present to a clinician – this is where the
real learning is!
MSA Medical Students’ Association
Going On-Call • On-call shifts can be a lot of fun • They can also be really dull • It doesn’t matter because you have to do one
anyway • Some hospitals have sign-up systems; others
go through your firm • On the general medical firms (A and C
Rotations), try and do at least one night shift and then come in for the post-take ward round
MSA Medical Students’ Association
Clerking Patients
• History Taking – get this right early – make it organised and complete
• Develop your style of talking to patients –and remember it’s only a snapshot of our day
MSA Medical Students’ Association
Things to Practice on Patients
• Examinations – Ask a junior doctor whether they know of any
patients with interesting signs (and ask your peers – medicine is a team game, and you gain nothing from withholding information from your friends)
– The goal for practicing your examinations is to make them slick – you do not have a lot of time in OSCE’s to do an examination!
MSA Medical Students’ Association
Working at home
• A good set of notes is essential for the end of year
• Volume is vast • Have a relevant structure: ie Epidemiology, Clinical Features, Pathological Features, First Line Investigations, First Line Treatments
MSA Medical Students’ Association
The Gordon Museum
• The Gordon Museum can be a valuable resource or a complete chore, depending on your predilection towards anatomy and pathology.
• However, it is vital that you know some pathology and it is better that you do it early and often than at the end of July
• You will not get your books signed off if you are there for twenty minutes
MSA Medical Students’ Association
What Do I Need?
• A pen (bring two because an F1 will invariably appropriate one of yours)
• Something to write on • A pen torch (there are often loads of
freebees knocking around the hospital) • Stethoscope • Neurological stuff • A watch with a second hand
MSA Medical Students’ Association
Neurological Stuff
• For your NOP rotation, you will need: – A Queen’s Square tendon hammer – A pen torch (try and find a free one in hospital,
but remember you will need one) – (Optional) An ophthalmoscope (these are
expensive, and you will have adequate opportunity to get to use one)
MSA Medical Students’ Association
Textbooks to buy • People learn in different ways, but the following
books are pretty popular: – Oxford Handbook of Clinical Medicine – Kumar and Clark’s Clinical Medicine – A clinical examination textbook – Macleod’s or
Hutchinson’s are the two popular texts – ECG Made Easy – Data Interpretation for Medical Students
• Try before you buy! The library carry most of these
MSA Medical Students’ Association
What Should I Wear • You are going to work and your attire should
reflect your professional image • Staff members will shout at you if you are
dressed inappropriately • This means:
– Bare below the elbow – Tuck in all extraneous paraphernalia (excluding
lanyards) – Ladies, be aware of varying attitudes towards low
cut blouses
MSA Medical Students’ Association
Exam/OSCE revision
• MasterPass • PassTest – History books • Youtube • Data interpretation
MSA Medical Students’ Association
What comes up in exams?
• Common things, more depth • Path and Therapeutics • Clinical Relevance
• Pot Luck
MSA Medical Students’ Association
Useful Websites:
www.almostadoctor.com www.geekymedics.com www.meducation.net Question Banks : PassMedicine, BMJonExamination
MSA Medical Students’ Association
MSA Peer Assisted Learning PAL
• Being a tutor: – Team up in groups of four tutors to deliver Phase 2
scenario-based teaching sessions throughout the year – Practice essential skills such as making presentations and
having interactive teaching sessions – Relearn important pre-clinical topics by teaching them!
• Being a student: – Receive teaching sessions from Phase 4 and 5 students – Cover the need-to-know clinical topics in small groups – Work on all your skills: examinations, histories, clinical
reasoning, presentation skills, and working in a team
MSA Medical Students’ Association
Finally (1)
bit.ly/clinicaltalk
MSA Medical Students’ Association
Finally (2)
• Thank you for listening. • Any questions, don’t hesitate to get in
contact: academicevents@gktmsa.co.uk
vpacademic@gktmsa.co.uk
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