Survive Medical School

8/8/2019 Survive Medical School

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Compiled by Sabreena Malik, Prizzi Zarsadias, Juliet Walker, Anna Mead-Robson, and Kayte McCann

survivemedical schoolTOP TiPs FOr TOMOrrOWs DOCTOrs

Sponsored by
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1 IntroductIon

2 Student lIfe

5 the web

6 textbookS

8 lectureS

9 StudY tIPS

12 ModuleS

13 cASe rePortS

14 exAMS

16 on the wArdS

18 extrA currIculAr

19 fInAl wordS

20 uSeful MneMonIcS

21 MedIcAl ePonYMS

contentS

SurVIVe MedIcAl School |1

Your rst year at medical school can be adaunting time. It is your rst step on the ladderto qualication and a rewarding lie in the

medical proession.

The British Medical Association is committed toproviding the support and guidance you need tosucceed in your studies. We campaign or yourrights as a student on a local and national leveland provide help as you progress rom medicalstudent to qualied doctor.

Find out how to get the most out o yourmembership at www.bma.org.uk/membership which has ull details o membership benetsand the terms on which our services areoered to you.

On behal o all at the British MedicalAssociation, your trade union andproessional association, we wish you

all the best in your studies and yourmedical career.

Members can call on our support atany time by calling 0300 123 123 3(8.30am-6pm, Monday to Friday), or byemailing [email protected]

Nick DeakinCo-Chair, BMA Medical Students Committee2009-10

Congratulations to all our new medicalstudent colleagues! You made it. Ater all

those application orms, interviews and

personal statements, you nally got through

to medical school. Unortunately, it doesnt

get any easier. It does, however, get much

more un. With any luck you have started doing something you

love and will carry on loving or years to come.

In this book you can nd the distilled wisdom o loads o

medical students and doctors. Find out about reshers week,what textbooks to buy, good study technique, and what to

expect on the wards. No matter where you are up to in your

studies, youll nd some great advice here.

And as you wend your way through medical school, there

will inevitably be some wobbles, some tribulations, and

maybe even some tears. But whatever happens to you has

surely happened to someone else along the way. So once you

have nished reading this booklet, put it saely in a drawer

somewhere so you can come back to it whenever you need.Enjoy the booklet, med school, and your lie, and let us

know how things go on BMJ blogs and doc2doc, BMJ Groups

global clinical online community. Take it easy, but take it.

Oliver Ellis, Student editor, Student BMJ
http://www.bma.org.uk/membershiphttp://www.bma.org.uk/membershipmailto:[email protected]:[email protected]://blogs.bmj.com/http://doc2doc.bmj.com/http://doc2doc.bmj.com/profile.html?userId=2052943&plckUserId=2052943http://www.bma.org.uk/_top/join_bma/studentbenefits.jsphttp://doc2doc.bmj.com/profile.html?userId=2052943&plckUserId=2052943http://doc2doc.bmj.com/profile.html?userId=2052943&plckUserId=2052943http://doc2doc.bmj.com/http://blogs.bmj.com/mailto:[email protected]://www.bma.org.uk/membershiphttp://doc2doc.bmj.com/


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2| toP tIPS for toMorrowS doctorS

Freshers weekMedical school started o with a couple o weekso social events to get everyone introduced toeveryone else. These included a pirate themed boatparty, beach themed party, salsa night, and blacktie ball. I now have a very impressive collection oancy dress.

Frances Dixon

Some universities have Facebook groups or you tomeet your classmates beore you go. My riendmet his fatmates beore even starting university.

Lottie

Most medical schools have a buddy schemeo some sort during reshers week, so be sure toattend. Older students want to help you and willgive you advice more relevant to you and your

course than anyone or anything else.Ronnyv

Many students drink considerable amounts duringreshers week. Remember the usual: alternatealcoholic drinks with water; have a decent mealbeore going out; and try to avoid mixing drinks.

Daniel Henderson

While your non-medic riends enjoy reshersweek, you are thrown into a lecture hall with 300other people and expected to listen or an hour onsomething you dont really understand.

E_Amoao

Watch your money. When you rst go to medicalschool there is a lot o pressure to buy stu.Numerous text books, insurance, membership or

various societies... Its easy to go mad and blow halyour student loan during reshers week.AnnaMR

Student lIfe

Medic-medic romanceOne night stands with classmatesreally arent worth the drama.Medical students love to gossipand news spreads ast.bungeechump

Make riends with medics romaround the world on doc2doc doc2doc.bmj.com
http://blogs.bmj.com/bmj/?s=frances+dixonhttp://doc2doc.bmj.com/profile.html?userId=2034248&plckUserId=2034248http://doc2doc.bmj.com/profile.html?userId=2039148&plckUserId=2039148http://student.bmj.com/student/view-article.html?id=sbmj.b3216http://doc2doc.bmj.com/profile.html?userId=2009181&plckUserId=2009181http://doc2doc.bmj.com/profile.html?userId=2034582&plckUserId=2034582http://doc2doc.bmj.com/profile.html?userId=2058349&plckUserId=2058349http://doc2doc.bmj.com/http://doc2doc.bmj.com/http://doc2doc.bmj.com/http://doc2doc.bmj.com/http://doc2doc.bmj.com/http://doc2doc.bmj.com/profile.html?userId=2058349&plckUserId=2058349http://doc2doc.bmj.com/profile.html?userId=2034582&plckUserId=2034582http://doc2doc.bmj.com/profile.html?userId=2009181&plckUserId=2009181http://student.bmj.com/student/view-article.html?id=sbmj.b3216http://doc2doc.bmj.com/profile.html?userId=2039148&plckUserId=2039148http://doc2doc.bmj.com/profile.html?userId=2034248&plckUserId=2034248http://blogs.bmj.com/bmj/?s=frances+dixonhttp://doc2doc.bmj.com/


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FamilyMedical relatives have their uses! I you have parents orsiblings who are medics,use their textbooks and heedtheir advice. Talk to them, tell them o your deeats andvictories, listen to theirs, and marvel how things DONT

change! And turn to them i you need support. Thingsdont change that much. Us old *rts understand theblack times that come in medicine. Talk about thingswith us, learn how we got through.John D

Lecturers warned us that, having completed one term,we were now doctors (in the eyes o riends and amilyat least) and would be bombarded by requests or advice

all through the holidays. I wasnt asked once!Frances Dixon

Student lIfe

MoneyWhen I came across my depressing loanrepayment orm, I elt as i someone hadhanded me a subpoena. Over the years I hadgathered a debt o 15 000. How could havethis have happened? Moreover, what is withthis interest? Adamant to nd the aetiologyo this student debt, ater much pondering Isoon realised accommodation and school ees

were by ar my biggest costs.Zabair Ahmed

Very careul planning can help avoid thathorrible ugly debt that most people arelet with at the end. I know that two o myriends graduated rom with 45 000 debteach! Scary stu!

Imran Qureshi

Medical education is very expensive allaround the world. There are three ways

to survive: help rom relatives, loans, andscholarships.

Matiram Pun

I worked or my rst three years, but had tostop or my 4th to 6th years. I graduated with45 000 worth o debt. For those pooreststudents there is sometimes help through

scholarships; however, in the UK, these areew and ar between.

Antagonist
http://doc2doc.bmj.com/profile.html?userId=2040511&plckUserId=2040511http://blogs.bmj.com/bmj/?s=frances+dixonhttp://doc2doc.bmj.com/forums.html?slPage=showDiscussionPost&slGroupKey=35e72c33-95b9-4d95-8cfa-89e2dc6d6b9d&slForumPostKey=Cat%3AprivateForum%3Af98fa290-8db0-4a9f-a16c-67e6f507b831%40D%7C9%3B36%7CCommGroup35e72c33-95b9-4d95-8cfa-89e2dc6d6b9d%7CDiscussion%3Ab019ce60-1402-4f26-85f1-100a72018fba&onPage=1http://blogs.bmj.com/bmj/2009/04/06/zabair-ahmed-the-new-medschool/http://doc2doc.bmj.com/profile.html?userId=250434&plckUserId=250434http://doc2doc.bmj.com/profile.html?userId=301439&plckUserId=301439http://doc2doc.bmj.com/profile.html?userId=2088397&plckUserId=2088397http://doc2doc.bmj.com/profile.html?userId=2088397&plckUserId=2088397http://doc2doc.bmj.com/profile.html?userId=301439&plckUserId=301439http://doc2doc.bmj.com/profile.html?userId=250434&plckUserId=250434http://blogs.bmj.com/bmj/2009/04/06/zabair-ahmed-the-new-medschool/http://doc2doc.bmj.com/forums.html?slPage=showDiscussionPost&slGroupKey=35e72c33-95b9-4d95-8cfa-89e2dc6d6b9d&slForumPostKey=Cat%3AprivateForum%3Af98fa290-8db0-4a9f-a16c-67e6f507b831%40D%7C9%3B36%7CCommGroup35e72c33-95b9-4d95-8cfa-89e2dc6d6b9d%7CDiscussion%3Ab019ce60-1402-4f26-85f1-100a72018fba&onPage=1http://blogs.bmj.com/bmj/?s=frances+dixonhttp://doc2doc.bmj.com/profile.html?userId=2040511&plckUserId=2040511http://doc2doc.bmj.com/


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on cAll And nIghtSStudent lIfe


FoodEat properly. Its easy to live o junk oodor ready meals when your mums no longercooking or you. Cooking is easier than youthink - buy yoursel a good student cookbookand start experimenting. Besides, ood is agreat way to socialise. Why not organise yourown Come Dine With Me with ellow students?AnnaMR

Moms are always rightyou have to eat well.I your GI tract is sensitive to changes, stickto the stu that works or you. A quick x,like a cheeseburger, isnt an option or thoseo us already aware o our relationshipswith certain ready to eat meals. Pizzas areawesome, although they make you virtually

unrecognizable i you get hooked on them.Be wary o your choices and go or healthieroptions whenever possible. Remember, youare more likely to add to your stress anddepression i you balloon up on a requentast ood diet.KK Muneer

Cooking and doing laundry or mysel isntactually that hard. And no, I dont just mean

beans on toast. The washing machines inhalls are also pretty idiot proo.Francis Dixon

Getting aroundI always used to cycle to universityand or trips such as the supermarket,the cinema and to meet riends. OnceI bought my rst car I still cycled to uni,but the other journeys were replaced bythe car.

DrS

Im a med student; Im poor, hate publictransport, and like the idea o havingregular exercise in my daily routine, soplan to get a bike and start cycling to uni.

David.Jones

Unless you have many clinical placementsin the rst two years, theres usually no

need or a car at the start. Save the petroland insurance money or when you enterthe clinical years. Youll spend more timetrying to nd a parking space around yourhalls o residence than it will take to get youanywhere.

Neil Chanchlani

As a student who got a bike to get around

placements Id just advise to get reallygood waterproos and dont risk it i its icy.mmcevoy

What not to bringDont bring a kettle, toaster, toastiemaker, grill, microwave etc. Someoneelse is bound to have brought themand you dont need more than one.I nobody has one you can all clubtogether and buy one so it works outcheaper or all o you.bungeechump
http://doc2doc.bmj.com/profile.html?userId=2034582&plckUserId=2034582http://doc2doc.bmj.com/profile.html?userId=2132435&plckUserId=2132435http://blogs.bmj.com/bmj/?s=frances+dixonhttp://doc2doc.bmj.com/profile.html?userId=267800&plckUserId=267800http://doc2doc.bmj.com/profile.html?userId=2091067&plckUserId=2091067http://doc2doc.bmj.com/profile.html?userId=2025382&plckUserId=2025382http://doc2doc.bmj.com/profile.html?userId=2062942&plckUserId=2062942http://doc2doc.bmj.com/profile.html?userId=2058349&plckUserId=2058349http://doc2doc.bmj.com/profile.html?userId=2058349&plckUserId=2058349http://doc2doc.bmj.com/profile.html?userId=2062942&plckUserId=2062942http://doc2doc.bmj.com/profile.html?userId=2025382&plckUserId=2025382http://doc2doc.bmj.com/profile.html?userId=2091067&plckUserId=2091067http://doc2doc.bmj.com/profile.html?userId=267800&plckUserId=267800http://blogs.bmj.com/bmj/?s=frances+dixonhttp://doc2doc.bmj.com/profile.html?userId=2132435&plckUserId=2132435http://doc2doc.bmj.com/profile.html?userId=2034582&plckUserId=2034582http://doc2doc.bmj.com/


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Med student websitesOne very obvious tip is to go readStudent

BMJonline (student.bmj.com) - its great!

Birte

You cant beat wikipedia.org (unless youre

in the deepest bowels o a hospital and have

got hollow dot...or worse...no network at all).

j.hare

Websites I recommend or all UK students

are patient.co.uk and nice.org.uk They are

both great resources or clinical years.

Aish15

the web

From internet orumconversations with a universityproessor I have never metwhose child has epidermolysisbullosa, Ive learned a lot morethan by seeing several casesin dermatology classes and byreading case explanations inocial textbooks.

IvaNik

Stay up to date onlineWeb 2.0 applications, such as social

networking, web eeds, podcasts and Twitter,

are changing the way medical inormation is

distributed, enabling large volumes o data

rom many sources to be browsed quickly.

Web feeds (RSS and Atom) send newly

published website content directly to

subscribers without the need to visit the actual

sites. Feeds usually take the orm o a headline

and a ew lines o text, with a link to the

original article.

Listening to, or watching, podcasts, audio,

and video les on the internet is a way to stay

up to date without reading. Podcasts can be

downloaded directly rom websites or can be

subscribed to in similar ways to web eeds.

Social bookmarkingallows web pages o

interest to be stored online. Bookmarks canbe shared between users. Most bookmarking

sites, such as delicious.com, encourage users

to tag their bookmarks into categories.

Personalised web pages are single web

pages containing all your avourite web eeds,

podcasts, and bookmarks.

Twitter allows medics to communicate with

each other and express succinct views on

medical matters. More novel uses includepublic health disease tracking, such as

FluTweet, and the Henry Ford Clinics Twitter

account, which recently tweeted updates

during a craniotomy.

Alexander Young and Jonathan Bloor

Benet rom ree access to all originalresearch articles, the completeBMJarchive and regular interactive blogs,podcasts, polls and videos bmj.com
http://student.bmj.com/http://student.bmj.com/http://student.bmj.com/http://student.bmj.com/http://doc2doc.bmj.com/profile.html?userId=2056500&plckUserId=2056500http://en.m.wikipedia.org/http://doc2doc.bmj.com/profile.html?userId=2032060&plckUserId=2032060http://patient.co.uk/http://nice.org.uk/http://doc2doc.bmj.com/profile.html?userId=2057165&plckUserId=2057165http://doc2doc.bmj.com/profile.html?userId=2087201&plckUserId=2087201http://doc2doc.bmj.com/profile.html?userId=2087201&plckUserId=2087201http://student.bmj.com/student/view-article.html?id=sbmj.b2396http://podcasts.bmj.com/http://www.delicious.com/http://twitter.com/http://flutweets.com/http://twitter.com/henryfordnewshttp://twitter.com/henryfordnewshttp://student.bmj.com/student/view-article.html?id=sbmj.b2396http://www.bmj.com/http://www.bmj.com/http://www.bmj.com/http://www.bmj.com/http://www.bmj.com/http://www.bmj.com/http://www.bmj.com/http://www.bmj.com/http://www.bmj.com/http://student.bmj.com/student/view-article.html?id=sbmj.b2396http://twitter.com/henryfordnewshttp://twitter.com/henryfordnewshttp://flutweets.com/http://twitter.com/http://www.delicious.com/http://podcasts.bmj.com/http://student.bmj.com/student/view-article.html?id=sbmj.b2396http://doc2doc.bmj.com/profile.html?userId=2087201&plckUserId=2087201http://doc2doc.bmj.com/profile.html?userId=2057165&plckUserId=2057165http://nice.org.uk/http://patient.co.uk/http://doc2doc.bmj.com/profile.html?userId=2032060&plckUserId=2032060http://en.m.wikipedia.org/http://doc2doc.bmj.com/profile.html?userId=2056500&plckUserId=2056500http://student.bmj.com/http://student.bmj.com/http://doc2doc.bmj.com/


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textbookS

Library prosI loved being able to go to the library whenever I wanted. Oten its not about being able toborrow a book, but to sit down among bookshelves and read, having multiple reerences tohand.Adam Asghar

Dont be araid to ask or help and use textbooks,but dont eel the need to go out and buy all therecommended ones; theyll be in the library mosto the time and, 90% o the time, using lecture

slides is enough.E_Amoao

Library consI used to avoid the medical library at all costs.Not to avoid the books, but to avoid ellowstudentsespecially around exam time whenthe place was packed. tnolan

There are not enough library books to go around all the time, especially or specic eldso medicine like neurology, when a basic physiology book doesnt cut it.pireland

Shiny, brand new textbooks are nice on abookshel, but usually unnecessary. Get toknow your learning style beore spendinghundreds on textbooks.Neil Chanchlani

I you decide to buy textbooks, buy on Amazon.

comso much cheaper! But get as many aspossible rom the library.Lori

Beg, borrow, or steal books rom medicriends and amily. Not all books on the booklist are essential throughout med school; inecessary, buy second hand.Sabreena

Never buy a book until youve had it out romthe library twice.DrS

Make sure you know what style o teaching theschool is oering beore you start. You may notneed to buy many textbooks i the course islecture driven, but books (and the internet) areyour main sources o inormation.pireland

Think about e-books (theyre the uture!);theyre easier to search, annotate and,unlike paper books, i you go overboard onhighlighting you can unhighlight. You dontnecessarily need an ebook reader, I used tocopy and paste things onto my phone to readthem on the bus.Prizzi

Speak to people in the years above about

which books are worth getting; you might getlucky and get some o theirs.

pireland
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Surgery textbooksThere is an English text calledLecture Notesin General Surgery. Its part o theLectureNotes series. This covered everything weneeded. Not many pictures, but all the rightinormation, and in readable chunks.DrS

Having just nished nals I can say thatthe book Surgical Talkis awesome its anessential text or all med students (UK atleast). It covers all the questions I get askedon surgical rms and it actually reads like aproper book, not just a textbook!DanMH

In Greece we are given Current SurgicalDiagnosis and Treatment. While I think it is anice book, it is too much or medical students.

Panos

Best apps or medicalstudentsEponyms,MedCalc,ECG Guide, andiRadiologyare pretty good. The gold standard,Medscape,is excellent and you can even download thecontent or oine viewing.bungeechump

I use the Google Apps Reader unctionto keep up to date with Richard Lehmansblog andTrustTheEvidence.PastTest App isgood or exam revision on the move but abit slow and not very well ormatted or theiPhone.mSecureis a valuable app that storespasswords, or example, to all the hospitalsystems that you only occasionally use as astudent.j.hare

TheDierential Diagnosis appis useul: entera symptom and get an instantaneous list odierentials. And, o course, the Student BMJapp or news, research, blogs, oine readingand podcasts.Education_d2d

Epocrates: the ultimate smart phone medical

app thats been going or literally ages.Charles Durdin

FreeStudent BMJiPhone app or busymedical students on the goDigest research on the move, keep tracko the latest developments in medicine,nd up to date career advice, and accesseducation articles, blogs, and podcastsstraight rom your pocket by downloading

this FREE app Find out more at student.bmj.com

textbookS

Bailey & Loves

Short Practice of SurgeryThis is the surgery book o choice at under-and postgraduate levels in Pakistan.drrathore

Recent editions have lost the standardsor which they were known. Try readingSchwartz Principles o SurgeryorGreenelds Surgery: Scientifc Principlesand Practice. At least go through them inyour library and youll know where Baileystands in comparison.Kumaran

This is the gold standard surgical textbook

or undergraduates in most parts o India...its a antastic book.Sudarsan
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10/24

Note takingWrite good notes during lectures. You maythink you will remember everything, butonce you have been to a ew, you will soonorget what came up each time. There isnothing more boring than sitting in a dulllecture doing nothing. A top tip or stayingawake is to take notesthey may alsoprove useul later on. And try not to miss

lectures. I you think sitting and listeningto someone talk about a boring subject isbad, its an awul lot worse having to orce

yoursel to read about it or exams.Elizabeth Carr

You will get rustrated that a ew monthsago, concepts were understood so easilyand you were pretty much guaranteed

those 3 As at A level. These eelings dontlast; youll be amazed at how quickly youadapt. Youre not expected to understandeverything you hear in the lectureitsoten the rst time the concept has beenintroduced to you and youll have ampletime to go over slides, ask riends, andconsult textbooks beore the exams. Tryto go to all your lectures and tutorials

because, when you do grasp it, youllremember something your lecturer saidand experience that beautiul eeling osatisaction at understanding what he orshe was talking aboutthose are the thingsthat stick in your mind all year.

E_Amoao

It sounds a little trite but just write downas much as you can. You have always

got two great resources ater the lecture:riends and the library.

Fucithalmike

lectureS


The rows in the lecture

theatre became a reectiono the social gradient atschool, so the urther downthe stairs you walked, thebigger the nerd you were.Vaibhav Gupta

Lecture etiquetteMake sure your phone is on silent, andtry not to come in late. It is also veryunpleasant to sit through a lecture whilehungover. Probably no need or a shirtand tie in a lecture, but dont come indressed like a gangster or in anything veryrevealing, as people will probably laugh.Jeans and a T shirt should be ne. Bring a

pen, notepad, and bag to carry handoutsheets in. Most importantly, bring lunchor money or it, as most days youll havethings scheduled or the morning andaternoon.Oliver Ellis

There is a theory that where you habituallysit in lectures refects the specialty youre

destined or: GPsscattered; physiciansnear the ront; surgeonsnear the back.Daniel Henderson
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11/24


StudY tIPS

Learning techniquesDont learn, do understand. Medicine iscomplex. Simply learning acts is one sureway to make the exam season stressul.Understanding a topic will lead to a rmoundation or acts to be built upon.

Kungumatt

Figure out what kind o learner you are. I youpick up things visually, draw mind maps; iyou remember things you hear, record lecturesand play them back when youre shopping.Prizzi

The saying common things are commonseems to crop up repeatedly and it really istrue! Always ocus on the basics and knowthe common things inside out.

luce

Learn the basics! Youre not going to be goodin surgery i you dont know anatomy. Equally,physiology and biochemistry are crucial orunderstanding the pathology o all diseases. Avery clever man once said: I you dont get thebasics down, the ancy stu doesnt work. Asmedicine goes, Id say spot on.

ebrencicova

Understand the curriculum; know what youare supposed to have learnt ater each year,semester, and maybe even lecture. This willmake sure that you take the key points out oeach stage and do not get lost in the muddle.

DaVinci

You will be taught everything at least three

times, so make good notes rst time round, ona computer so they can be updated.

Oliverhale

Taking breaksBreaks are important, they give an escape

rom routine work and reresh you. Do

laundry, wash dishes, write unny messages

on riends boards or take a quick trip

around your foor and chat with somebody

in the corridor. I am addicted to music so I

stay away rom it because it always extends

my breaks. Some o my riends take their

study notes to the potty but I eel that

because I am usually at my desk studying, a

break to the loo should be notes ree. I am an

advocate or moving about though because

I eel really sti rom sitting around or

hoursI strongly suspect medical school can

really change the shape o your backside!

KK Muneer

Try dierent learning techniques, such as,reading a page o text, jotting down the mainpoints rom memory, then testing yoursel later.

Also do group work and use dierent resourcessuch as websites, podcasts, and videos.luce
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12/24

StudY tIPS


Itll be hard work. Accept it. Get on with it. Manynd the volume o work more stressul than theactual complexity but it will be a step or two uprom college/sixth orm. You will have time orother things apart rom study, but expect to bestudying more than other students. Attend as

many lectures, tutorials, and seminars as youcan, even i the subject isnt enticing. You maybe surprised by the topics you like and, ater all,youre paying or them! A document entitledsyllabus or learning outcomes will tell you thelevel o detail your lecturers want you to learn.Get hold o it and ick through while revising atopic, and read up on anything you arent sureabout. Past papers arent always available soperhaps ask someone rom the year above whattheir exams were like last year.Ronnyv

Staying up late to cram beore an exam willonly make matters worse. Also, try avoidingnegative thinkers beore an exam: youhave no idea how much they can aect yousubconsciously.dania.s

When I revise I like to be around people,but not people I know; the temptation totalk or go or coee or to the pub is toogreat.tnolan

A home learner, I like to be comortableand wear chill out clothes when I study. Iwant the option to make a pot o tea, listento lounge music etc. Thats an environmentwhere I am relaxed and the mostproductive. However, I also know manypeople try to keep their home study-ree.ebrencicova

Journal clubsA journal club is a group o individualswho meet on a regular basis to discuss andexplore publications. They are the answeri you are worried about writing reports or

your student selected component, passingexams, and the growing pressure to publish.They are good or those scared at the thoughto reading a journal and to whom the

application o research in clinical medicinemakes no sense at all.Charlotte Hellmich andLuc Bugeja

Join doc2docs online journal club atdoc2doc.bmj.com

The bigger pictureIn non-clinical years, with your head buriedin textbooks , try to think about WHY yourelearning what youre learning. Imaginepatients with the conditions youre readingabout. What would they look like? Whatsigns would they show on examination?What might their history be like? Medicine isall about applying science to people and solearning medicine should be the same.medstudent13
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13/24


StudY tIPS

Dont get overly competitive. Sometimes youmight do well on a test, sometimes you mightdo badly. Try to work out where you went wrongand try to improve, but do not get too stressedabout it. There is more to being a doctor thangood marks!

Max Allen

You do not need to be top o your class anymore.The act you were accepted into medical schoolis a huge testament to how capable you areo doing something great. Yes, medics arerenowned or being competitive, but youll ndeveryone has strengths and weaknesses; beinghumble will allow you to make riends who youcan ask or help when needed.

E_Amoao

There will always be someone who does morework or gets better grades than you. Only oneperson can be top; i thats you, great, butdont worry i its not. Accept that your gradeswill most likely be lower than they were at Alevel, but as long as you pass, youll be ne.medstudent13

Be a team player. In the real world we arent

trying to outdo our peers but trying to do ourbest or our patients. Get into that mindset.

Kevin.day

Medics are renowned or not sharinginormation (were all competitive). But talk toyour riends, share inormation. Being averageis okay. Youre only average because everyonein medicine is the cream o the crop.

Lori

Speaking as a very average medical student, my

most startling revelation was coming to realiseI was no longer the smartest kid in class. Thesooner you come to accept the act everybodyin medical school is going to be at least asintelligent as you, the sooner you can relax,keep working hard, and enjoy being a medicalstudent. By the way, you wont believe this, butnot getting an A is not the end o the world.

pchan

First year is suddenly such a competitiveenvironment and even nishing in the bottomhal o the year can seem like a disappointment.Its really o little importance. Its about being asgood a student as possible, regardless o howyou are doing compared with other students.Fucithalmike

Dealing with competition

Everyone in medical school isbright, and its dicult to adjustat rst. This doesnt meanyoure ineriorbut dont let theeeling o being average get youdown; average is ne.

bang
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Medics do various modulesFor the module on communicationwe hadlectures, workshops, and interviews withsimulated patients (volunteers who we couldtake histories rom). Putting theory into practicewas really useul and made me think about howone day I will be interviewing patients or realand will need to communicate eectively, or Icould aect a patients treatment. Just the skill

o letting the patient talk, and not interruptingis importantoten they mention somethingyou wouldnt think to ask about. Hopeully bythe time I am doing it or real mysel, it will besecond nature.Frances Dixon

Anatomy and physiology can be boring butlearn them! Many doctors regret not payingmore attention in the early years. Anatomys

incredibly difcult to re-learn.bungeechump

I was a little apprehensive about theepidemiology module, as someone told meepidemiology was just health statistics. Whenwe started, I realised it wasnt nearly as boringas I expected (no oence to epidemiologists).Frances Dixon

When I rst chose the student selectedcomponent in performing medicine Ithought it might mean dressing up with

bandages and tomato ketchup, or in a longwhite coat and stethoscope, and theatricallyacting out medical scenarios. In act, themodule was about arts and their placein health care, and included workshopson body language, voice, team work,prejudices, lie drawing, yoga, and visits toart galleries.Laura James

DissectionThe highlight or me was the oundation course on the human body. For this we had acouple o lectures in the morning, and in the aternoon were taken into the dissectingrooms and actually allowed to examine and explore some cadavers. I ound this absolutelyascinating. It sounds silly to say it now, but in textbooks all the organs are colour codedand separate rom each other, so I sort o assumed this is what it was really like. I mean,obviously I didnt think organs were colour coded! But I didnt realise just how packed ineverything is, and how it is all secured there by membranes. It just ts together so perectly

and really made me appreciate what an amazing thing the human body is. I was alsoimpressed with the respect with which the cadavers are treated.Frances Dixon

ModuleS
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Case reports allow doctors from all overthe world to share their experiences ofnew and interesting cases. Although still

in their infancy, the journals listed havethe potential to act as large case banksfor doctors to search cases and viewmanagement guidance.

Preparation involved in case reporting Literature reviewuse medical databases

(or example, PubMed, Ovid, Medline) to

check or similar cases.

Liaising with doctors in chargeyou need

their permission and they can provide

guidance.

Gaining consentask or senior advice,

check journal guidelines, and obtain

written consent rom the patient i youwish to include pictures or clinical details

rom which they may be identied.

Data collectionbring your patients case

together by nding his or her medical

notes, laboratory results, imaging, etc.

Structuring a case reportAbstractconcise (< 150 words) and snappy;

encompasses the important aspects o yourcase.Case reportpresentation o your patientto the reader (concise history, relevantexamination and investigation ndingsincluding negatives).Discussionputting the case into contextincluding inormation about the conditionor intervention (or example, epidemiology,pathophysiology, clinical presentation,

investigations, treatment) and showing howyour case diered rom the norm and iscontributing to medical understanding.

Journals that publish case reports

BMJ Case Reports(casereports.bmj.com)

Cases Journal(casesjournal.com)

Journal o Medical Case Reports

(jmedicalcasereports.com) Radiology Case Reports

(radiology.casereports.net) Journal o Dermatological Case Reports

(jdcr.eu)Aimun Jamjoom, Ali Nikkar-Esahani, and JFitzgerald

How to write a case report ...

BMJ Case Reports - the worlds largestrepository o medical casesBecome a Fellow o BMJ Case Reportswhich allows you to submit and access asmany cases as you like Visit casereports.bmj.com or details

cASe rePortS
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exAMS

Multiple choice questions (MCQs) Read widely around subjects, concentrating more on understanding basic principles than

memorising acts.

Work through previous MCQ papers or an indication o the exam style.

Some nd MCQ books useul, but style and topic range may vary.

Calculate time available per question and stick to it. Dont allow any question to delay this.

Answer using your rst impression. I unsure, mark the question with a star and return to it.

Ater the rst run through, start a second, returning to starred questions.

I negative marking applies, aim to answer at least 90% (ideally 100%). Sweeping statements such as never, always, or exclusively are generally alse.

Statements with keywords could, possible, or may are most oten true.

Precise statistics are oten alse.

Chances are, statements containing unamiliar inormation are alse.Simon Chen

For those doing objective structuredclinical examination (OSCE) exams, study

groups are invaluable. Although book work isimportant, examination practice is essentialor OSCEs. It is unlikely you will have the timeto spend hours on the wards with patientsinitially so why not get a group o your matestogether and practice on each other.Sophie Cook

Exam ethicsMedical students are experts in exams. They sit them every ew weeks, so it is not surprising thatthey have developed strategies to make them less stressul. Some are straightorward, such asdeveloping a detailed revision schedule, others are more underhand. One strategy is to analysepast papers and spot questions or topics that may appear in uture exams. Another is to listencareully to lecturers who, deliberately or unintentionally, may leak details o orthcomingexams. A lecturer might remark: Make sure you know the clotting pathway inside out. Or:The new Mental Capacity Act could well turn up in exams. Some bold and hopeul studentsask lecturers outright what will be examined. Students need to consider the consequences, good

and bad, short and long term, o each alternative, and or each o the relevant parties, includingstudents, teachers, the medical school, and uture patients.Daniel Sokol

Exams never go as badly

as you think! You got intomedical school becauseyour university believed youactually CAN be a doctorone day.

E_Amoafo
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exAMS

Failing examsUniversities mark hundreds o papers at examtime, and mistakes can be made. There wasa case where an American student got hispapers back with a letter saying he had ailed.Looking at the papers he saw he got 15/20,17/20,15/20,14/20 and 16/20. The secretary hadadded up just the rst two papers, and gave amark o 32%. The mistake was rectied.Sushant Varma

Help should be available to those who ailexams. Its in everyones interests to giveconstructive support to those who ail, ratherthan to leave them with advice such as: Youneed to do more work. I got a lot o sympathyand encouragement rom riends and teaching

sta and had a constructive oer o help rom asenior house ofcer riend, who was willing togive up his time to help me. I also had a useulmeeting with a consultant, who helped me toidentiy the common themes in examinations.

Ted Adams

Feedback on exam papers may help preventailure when resitting an exam. These areoten the most stressul events in medical

school, so the better prepared you are, theeasier it is to cope.

Sushant Varma

Success from failureFew doctors can honestly claim they havegone through their careers without ailingsomething. Even the eminent dean o mymedical school allegedly ailed his nalsbecause o a love aair with rowing. Imanaged to perorm consistently poorlyor the whole ve years. Failing seemedapocalyptic at the time; in reality it was a

chance to take stock.

Getting wound up was depressinglyunproductive. Calm reection and positivethinking was key: admitting why thingswent wrong, thinking about preventingthem happening again, and realising thepositives that can be drawn. I would neverhave spent our extraordinary monthsabroad, be working in general practice in

Buckinghamshire, or have met my wie, had Inot ailed certain exams when I did.

Apart rom improving my problem solvingskills and my approach to exams, I havelearnt a lot about mysel. I understandbetter my own strengths and limitations.Experiencing ailure has also made me moretolerant o others: colleagues, students, and,most importantly, patients. Being aware o

my own allibility makes it easier to acceptshortcomings in others.

Ultimately, ailure is an intrinsic part o themedicine game. The best thing to do is learnrom and capitalise on it. Failure, muchlike illness, can beall anyone at any time.A consultant in my nal year said to me,Exams? Ah, dont worry about ailing a ewnow and againweve all done it. It hasnt

aected my career at all. Breezing examsdoesnt necessarily make you a good doctor.Ayan Panja
http://archive.student.bmj.com/issues/99/12/education/456.phphttp://archive.student.bmj.com/issues/01/12/reviews/484a.phphttp://archive.student.bmj.com/issues/99/12/education/456.phphttp://www.bmj.com/cgi/content/extract/327/7423/1115?maxtoshow=&hits=10&RESULTFORMAT=&fulltext=panja&searchid=1&FIRSTINDEX=10&sortspec=date&resourcetype=HWCIThttp://www.bmj.com/cgi/content/extract/327/7423/1115?maxtoshow=&hits=10&RESULTFORMAT=&fulltext=panja&searchid=1&FIRSTINDEX=10&sortspec=date&resourcetype=HWCIThttp://www.bmj.com/cgi/content/extract/327/7423/1115?maxtoshow=&hits=10&RESULTFORMAT=&fulltext=panja&searchid=1&FIRSTINDEX=10&sortspec=date&resourcetype=HWCIThttp://www.bmj.com/cgi/content/extract/327/7423/1115?maxtoshow=&hits=10&RESULTFORMAT=&fulltext=panja&searchid=1&FIRSTINDEX=10&sortspec=date&resourcetype=HWCIThttp://archive.student.bmj.com/issues/99/12/education/456.phphttp://archive.student.bmj.com/issues/01/12/reviews/484a.phphttp://archive.student.bmj.com/issues/99/12/education/456.phphttp://doc2doc.bmj.com/


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Put in all the time you should on the wards.You might think bum on seat in the library is abetter use o time, but the stu you see on thewards is whats going to sink in.

KirstenP

Ask junior docs or teachings. They areusually happy to oblige unless they are reallybusy. It takes a ew weeks to get used to howwards work; you might preer to go around inpairs at rst to make things less daunting.Oliver Ellis

Remember you chose medicine to help

people. Be open, honest, and empathic;humans are not just clusters o cells andorgans. Remember that rom the beginning o

your rst encounters with patients.yoram chaiter

Dont just turn up or the bedside teaching orward rounds then leave. Youll miss so manyopportunities. Spending time on the wardsmeant I was able to see and do proceduresthat ew people in my year had done.

Lisa S

I started o carting around my bag whichwas a huge mistake as it became anobstacle to mysel and anyone else aroundthe bedside. The basic essentials are astethoscope, at least two pens, a olded upsheet o continuation paper tucked behind

your ID badge, and lunch money. I you haveample pockets you could carry a mini OxordHandbook. Other bits and bobs are handyto carry depending on the specialty (orexample a decent tourniquet in A&E).Ward sisters always know which patientswill be best or histories and examinations;junior doctors will point out patients with

good clinical signs and will have odd jobs

or you so you dont eel like a spare part;nal year students will have tips on how topass exams and are usually happy to teach

you as they get to revise or nals!Once you eel competent about perorming

a skill on a model, actively seek out anopportunity to use the skill on a real patientobviously under close supervision andmaking sure you are not out o your depth.Patient saety is the priority so i you dont eelcondent or sae, dont be araid to step asideand let whoever is supervising you show

you how its done, youll still be learningsomething by observing.

Prizzi

Do you use Twitter? Get updates rom the doc2doc community at twitter.com/doc2doc

on the wArdS

What to expect with clinical teaching
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on the wArdS

Presenting a patientHistory: introduce the patient, thendivulge presenting complaint, history opresenting complaint, medical history, drughistory, amily history, and social history;strictly speaking, however, there is no rightor wrong place to insert any o this.Examination ndings: help the listenerdecide whether the patient is acutelyunwell by describing comort at rest,respiratory rate, pulse, and blood pressure.Mention pyrexia, tenderness, alertness,and orientation. Include negative ndings

because they may infuence management.Ademola Olaitan, Oluwakemi Okunade, and

Jonathan Corne

Answering doctors questionsDoctors like to ask medical studentsquestions and the common responseis the rabbit in headlights syndrome.Answering questions shows o what youknow, helps you pass exams, and helpsbuild good rapport with senior colleagues.Tips or answering common questions How should Mr X be managed? The correct

answer starts with an airway, breathing,circulation, disability, and exposure (ABCDE)approach. This is not wrong even i its notthe answer they are looking or. Mention thatonce the patient is stable you would managetheir specic problems. Dont orget to say

you would ask or help early on.What causes Mr Xs signs and symptoms?Surgical sieves are ways to recall the possible

causes o a disease (e.g., VITAMIN CDEwhich stands or vascular, infammatory/inective, traumatic, autoimmune,metabolic, idiopathic, neoplastic, congenital,degenerative, endocrine; and/or considerthe cardiac, respiratory, gastrointestinal, andmusculoskeletal causes o a symptom). Dontorget commonly missed causes, such asgynaecological causes o abdominal pain oranaemia as a cause o breathlessness.

Tell me about this x ray/ECGState what the investigation is, the dateit was taken, the name and age o thepatient, the patients presenting complaint,x ray exposure/ECG intererence, obviousabnormalities, and the nal diagnosis,i you spot it. Top tip: pick up anyelectrocardiograms you nd in the notes,even normal ones, and orce yoursel to go

through this system.Eve Hartley, George Traord, Sonia Bhangu,and Aneel Bhangu

Bear in mind that i youre on placement, youare expected to dress like a doctor. Mini skirts,low cut tops, and midri fashing crop topswill only generate you more patients.

Merys Jones

I youre in hospital, see patients, not books.Ask i there are jobs like cannulation to bedone. Theyll love delegating chores to you.

Fucithalmike
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The old cliche work hard, play hard is true ormedicine more than most coursesMedicine is as much art as science, so try to learn to paint,draw, or sculpt, with passion, early on. MSaleh

Follow any special interest, in or outside medicine. Thereis nothing to stop you rom writing; getting involvedin medical politics; or developing an interest in healtheconomics, charitable work, education, painting,

running, or playing the piano.Anita Houghton

Joining a sports team or society is a good way o meetingpeople.Ronnyv

Medics are expected to be well rounded people whocan appropriately interact with the general population.Get out there and do something other than medicineoccasionally: gym, church, clubanything.

Daniel Henderson

Medic vnon-medic riendsHaving a ew really good medic mates to practiceexaminations and histories on is invaluable. You alsoneed non-medic mates. Medics drive you insane,especially i you live with them! Find someonewho couldnt tell their haustra rom their valvulaeconiventes and have regular pints with them.

DanMH

Sometimes its good to have a non-medic ear tobend when medicine is all youve done or a week.Also, you never know when youll need trustworthylawyers, accountants, dentists etc in the uture.Sabreena

You will be in your hall maybe one or two years,but you will be a medic or the rest o your time at

university. Loyalty to medics rom day one is wellrewarded.DrS

AlcoholDont be araid to be a normalresher and party too much. Butthere comes a time when you needto knuckle down and pass thoseexams!bungeechump

Just because your at mates getaway with drinking into oblivionand ending up in A&E with abag o uids doesnt mean itsappropriate or you!Merys Jones

Student BMJretains the authorityo theBMJwhile keeping a ingeron the pulse o medical studentlie. Medical issues rom a studentviewpoint are covered in every issue subscribe at student.bmj.com

extrA currIculAr
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I a time machine could take me back tostarting medical school all over again, I:1. Wouldnt kill mysel to get a grade A in

every assessment;2. Would go to how ever many medically

related conerences, events, and talksit would take to make me see the kindo light Id like to see at the end o thetunnel;

3. Wouldnt waste time in the medical libraryeavesdropping on medics lying about howmuch revision they have and have notdone a week beore an exam;

4. Would make riends with medics rom allover the country so as to gain some insightinto which hospitals are good or certainspecialities;

5. Wouldnt make medicine the centre o mylie - theres so much more to it than that!

Pooj

No other degree gives you the opportunity toview the entire spectrum o human lie, romdelivering a baby to taking part in end o liecare. So get stuck in!bungeechump

I you are eeling blue or bored, put on your

avorite song and sing loudly along with it.A girl down my corridor does it sometimesand I never understood why until I tried itmysel; what an awesome release!

KK Muneer

I youve got some spare time, there arenumerous undergraduate prizes that youcan enter. For example, The Royal Society oMedicine has lots o essay competitions on a

variety o specialties. These could be handyor uture job applications and your CV.

Rinkecca

Things they dont tell you in theprospectus

It is possible to be a little disgusted andascinated at the same time (thank you,anatomy class)

but that doesnt mean people want to hear

all about it during dinner (sorry, mum). Cramming an entire years worth o work

into ve days o exams is possible.

The public is eager to help students in anyway, whether it is being a simulated patientor giving us money during RAG week.

Lots o lovely new words like dyspnoea,amenorrhoea, haematuria, and steatorrhoea.

How to spell diarrhoea (nally).

The more diseases we learn about, the morehypochondria we develop.

The rst question everyone asks when theynd out you study medicine is: Do youknow what you want to specialise in? Forthe record, no I dont!

Scrubs are excellent outerwear or snowballghts.

Medical students can be kind o cliquey, butas long as Im in the clique I dont mind.

It is a good thing that the medics bar is nextdoor to A&E.

Frances Dixon

fInAl wordS
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uSeful MneMonIcS


Ooh, Ooh, Ooh, To Touch And Feel nearly all medics are told this legendary mnemonicor cranial nerves at some point, so theres little need to write it in ull here.

GET SMASHEDCauses o pancreatitis: Gallstones, Ethanol, Trauma, Steroids, Mumps,

Autoimmune, Scorpion sting, Hypercalcaemia/Hypertriglyceridaemia/Hypothermia,

ERCP, Drugs (e.g., azathioprine, diuretics).

Two Zebras Bit My CatFive major branches o the acial nerve: Temporal, Zygomatic,

Buccal, Mandibular, Cervical.

Some Lovers Try Positions That They Cannot HandleBones o the wrist:

Scaphoid, Lunate, Triquetrum, Pisiorm, Trapezium, Trapezoid, Capitate, Hamate.

GAVLIP6 aliphatic aminoacids: Glycine, Alanine, Valine, Leucine, Isoleucine, Proline.

Randy Travis Drinks Cold BeerComponents o the brachial plexus: Roots, Trunks,Divisions, Cords, Branches.

RIPETuberculosis treatment: Riampicin, Isoniazide, Pyrazinamide, Ethambutol.

MUD PILESCauses o high anion gap metabolic acidosis: Methanol, Uraemia, Diabeticketoacidosis, Paraldehyde, Iron/Isoniazid (INH), Lactic acid, Ethanol/Ethylene glycol,Salicylates.

S2, 3, 4, keep poo o the foorNerves roots S2, S3, and S4 control deaecation.

C3, 4, 5, keep the diaphragm aliveNerve roots C3, C4 and C5 innervate the phrenic nerve.

Stones, bones, abdominal groans, and psychic moansSigns and symptoms ohyperparathyroidism: renal stones, bone related complications, GI symptoms, and psychosis/delirium.

The lingual nerve, took a curve, around the hypoglossus. Well Ill be *#ked! Said Whartons

duct: The bastards double crossed us!lingual nerve course.

Salt, sugar, sexorder o adrenal cortex products: mineralocorticoids, glucocorticoids,androgens.

There are many subjects in medicine that require a lot o memorising.Making mnemonics will help.dania.s
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MedIcAl ePonYMS


To the doctor, ame; to the patient, conusion; to the unwary, a mineeld; to the initiated,a treasure: medical eponyms are all things to all people. Patients with eponymoussyndromes abound in all areas o medicine. As well as the more commonly known eponyms,

Parkinsonsdisease, Crohns disease, Graves disease, and Alzheimers disease

Others to know...

Wells scores: Scores assigned to evaluate patients with suspected deep vein thrombosis orpulmonary embolus based on various clinical criteria.

The circle oWillis: Circle o arteries at the base o the brain.

Wolf-Parkinson-White syndrome: Cardiac rhythm abnormality.

Von Willebrands disease: Hereditary coagulation abnormality.

Henoch-Schnlein purpura: Autoimmune systemic vasculitis.

The epiploic oramen oWinslow: Connection between the greater cavity o the abdomen and

the lesser sac (omental bursa).

And to make you look really clever ...

Marchiaava-Micheli syndrome: paroxysmal nocturnal haemoglobinuria (PND).

Von Reckinghausens disease: neurobromatosis.

Lovibonds angle: nail old angle.

Duroziezs disease: mitral stenosis.

Marie-Strumpell disease: ankylosing spondylitis.

Van Bogaert-Scherer-Epstein syndrome: cerebrotendinous xanthomatosis.

Aravinthan Varatharaj

TheEponyms iPhone app is brilliant or looking up syndromes youcant quite remember. bungeechump
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