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Bored MED V Chiming in.

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HughMungus:

--- Quote from: justaloser on September 06, 2020, 05:48:59 pm ---Excited to read about whatever you post here. As a med jaffy I don't hear much about the clinical years apart from being pimped and consultants being dicks. Hear good things about rural placements though (maybe that's because they have a whole program to promote it).

How were your clinical years compared to pre-clin? What are clinical med students' opinions of preclin?

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Getting quizzed on the ward rounds by consultants is a polarising topic IMO, it depends on your personality and how you learn. Personally I enjoyed getting quizzed because I am an interactive learner and who better to teach you stuff than a consultant. I think on a few occasions they were trying to make fun of me but I passed their "shit test" which made them respect me more and subsequent quizzes were more educational. My personal advice would be to have a go at answering the question to the best of your ability, you'd be surprised how everything is basically interlinked and the preclin stuff will make sense. If you know physiology well, you'll do well on medical wards, if you know anatomy and pathology well, you'll do well on surgical wards.
Every med student is different, some are more up their ass than others. People like me quite like the junior med students because it allows us to bounce medical science ideas off them (as you freshly learnt it) and then contextualise it in the clinical setting. Some of my colleagues are a little more snobby and will try to enforce hierarchy where you're the dumb one. Don't take it to heart and please don't become like them in the future.


--- Quote from: Lear on September 06, 2020, 06:30:04 pm ---The JVP doesn't exist and you won't convince me otherwise. It's a massive conspiracy to put down medical students :P .

In all seriousness, looking forward to reading your responses here.

Question from me - I've sometimes found the isolated physiology taught to us in preclin jarring when it doesn't seem to have clear correlation to conditions. Just wondering how the substance of education changes in clinical years. I know you have a matrix and learn conditions and such, but is there still those random pieces you're meant to learn 'just because'?

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My cardiology rotation has enlightened me to the mystical ways of the JVP. Wait your turn sweet child as soon you will also see the light. ;) Seriously tho, it's so cool when you get it. Esp on the heart failure patients where you will see it all the way up to their jaw.

I am an extremely strong advocate of mastering the medical sciences, physiology included. I do not believe they are useless as some may tell you for clinical practice. For example you got a patient with hyperkalemia on the wards and you notice they are on an ACE inhibitor. Because you paid attention in pre-clin, you would know that ACEi inhibits ACE (duhh) thus affects RAAS which means you are excreting less K in the kidneys as less Aldosterone is being released due to reduced ATII. So you would know that one of the things you can do to treat is stop the Ace inhibitor, all from first principles. Also these things comes up multiple times in postgraduate training where a lot of doctors have to relearn anatomy, physiology, pathology, pharmacology e.t.c. for their college exams. Might as well have a good idea from the start and look less clueless on rounds :).
The entirety of medicine is 'random peices you learn because' so be prepared for that. If you are not learning some new random factoid everyday, you are not paying enough attention. I learnt today that a mechanical mitral valve can clot and when it does, it loses its characteristic click on Auscultation and a clotted mechanical mitral valve is BAD --> immediate Tissue plasminogen activator infusion and lo and behold the click is back :O <mindblown>

In the clinical years, your learning will shit from the structured tutes and lectures to more independent learning. You will still have lectures and tutes but you will be expected to work on your own matrix and juggle your clinical placements at the same time. It's not as bad as it sounds trust me ;)

If an idiot like me can do it, so can you :)

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