Expecting to be spoon fed aren't you? This question is very often asked by lecturers to students. I am sure that this applies not only to medical students. When I was still new to medical school, this question used to irk me because I used to think that I am after all new to this whole thing so yes I expect to be given some sort of guidance. But as I venture deeper into the world of medical school, it did hit me that the question was a fair one.
When you're asked that question, it really means that the lecturers would like their students to be more proactive in gaining knowledge, completing assignments and what not? A simple comparison between a proactive student and a student who isn't, who do you think would gain more? I am not saying that you should pretend to be all enthusiastic and proactive in front of lecturers so that you could impress them and get them to grant you high marks during exam. Of course, I have met my share of such people but that is just the world nowadays and that isn't exactly the point of this blog. :P
So, the question is as a medical student, how do you go about being proactive? It isn't that difficult really. Many would disagree but from my personal experience, it is very simple. All it requires is a little more of your precious time, a little more of interest, a bit more of courage and SLIGHTLY a little more EFFORT. BUT, it does require much of your will power. The will to not run off to your comfort zones the moment classes are over. The will to wake up earlier on some weekends to go to hospitals. The will to not procrastinate your preparation for final examination until the very last minute. When I say final examination, I mean your final clinical bedside exams which would consist of long and short cases.
When consultants and specialists ask you the question, 'Are you expecting to be spoon fed?', all they really want is for you to put in some extra effort by yourselves without solely depending on them to teach you all that you need to know to become competent and knowledgeable doctors someday. Do remember that they have more important responsibilities such as SAVING LIVES!
When they ask you this question, they expect you to:
1. Go to the ward. Clerk and examine as many patients as you can. Don't do this only when you're up next as a presenter for your group. Go in a group of 2 or 3 preferably. Then, discuss about what you have learnt from that patient's condition. Take turns clerking and examining patients. If possible, do this with time limit. I started doing this only in final year and I really have regrets for not doing this from the moment I started my clinical years. It will help not only to increase your knowledge about common diseases but also improve your presentation and examination skills. SERIOUSLY, START NOW. YOU WOULD THANK ME DURING YOUR FINAL YEAR. :P
2. Go to clinics and ward rounds. Ok I admit that I have skipped many of these sessions and I am not so proud of it. You may or may not get a good consultant during these sessions but if you do, believe me, you would never forget all the lessons learnt during those sessions. My friends and I had a good number of awesome HOs, MOs, specialists and consultants who were willing to teach us during ward rounds and at clinics. Of course, you wouldn't be lucky all the time. I remember once I did go through hell with this one specialist who was very unhappy about having students in her clinics. Well these do happen sometimes but don't let a few bad teachers ruin your thirst for knowledge. Sometimes, they might even remember you during your final examination and that helps to boost their impression towards you as an exam candidate.
3. When it is your turn to present, PLEASE do it for the sake of learning thoroughly about the patient's condition. Do it so that your group mates would gain as much as you. Don't do it for the sake of getting off the 'list of upcoming presenters'. Do your homework before you present. Don't just present blindly without knowing ANYTHING about your provisional and differential diagnoses. That really pisses off your lecturers/specialists/consultants. They could actually judge you from the way you present. Don't you think they would be more than willing to teach you if you show them that you are interested in learning about the patient?
4. Don't be afraid to go by yourselves and talk to the patients. Without practice, this is never going to be easy. I learnt this the hard way when I had a terrible time clerking a patient for my orthopaedic bedside examination during my FOURTH year. Yes, I was in FOURTH YEAR and I still had problems remembering what questions to ask and how to go on about the physical examination BECAUSE I was so used to having my friends help me out with these things during regular presentation. Yes it is important to have a good group of friends to discuss but it is equally important to be able to clerk and examine a patient by yourself. Always remember, during your final year bedside exams, YOU ARE ON YOUR OWN. Don't get me wrong though. I am not saying that if there is a patient with excellent findings in the ward, go by yourself secretly and see the patient. THAT IS A BIG NO NO. Sharing is caring. Keep that in mind!
Hey I wasn't a perfect student and I learnt these things along the way. Most of them are based on personal experiences and mistakes that I have done. So, these aren't exactly rules of thumb. In the end, you know what works the best for you so it is entirely up to you whether or not to apply the above methods.
Alright then. My ranting ends here. :P
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| This used to motivate me whenever I needed a push :) |