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Students

Hemal Kanzaria et al: How can we reduce medical waste in US hospitals?

4 Apr, 14 | by BMJ

hemal_kanzariaUS hospitals annually discard millions of dollars of clean, unused medical equipment due to procedural excess or federal regulations. [1,2] Many health professional students do not recognise the magnitude of this waste or the extent of worldwide inequities in access to such supplies. In an era of value driven care, it is critical to engage students in cost conscious care and waste reduction efforts.

Remedy at University of California San Francisco (R@UCSF) is a student implemented, service learning initiative for the responsible redistribution of medical supplies to underserved communities. [3] Through an experiential curriculum, the program objectives are a) to reduce disparities in access to healthcare supplies by providing clean and needed equipment to under resourced communities and b) to expose students to the magnitude of medical waste in US hospitals. more…

Richard Smith: Teaching medical students online consultation with patients

14 Feb, 14 | by BMJ

Richard SmithA first year medical student of today may well still be practising in 2070. We can’t know how medicine will look then, but we can see some clear trends. The relationship between doctors and patients will surely be much more equal; indeed, health will be the business primarily of patients, with doctors as advisers, guides, and facilitators. Much of medical practice will be conducted online, with online consultations routine. Indeed, in some parts of medicine online consultations are routine now, reminding us that the future is already here but not evenly distributed. Recognising these trends, Leicester Medical School has introduced medical students to online interaction with patients at the very beginning of their course. I went to Leicester to meet with patients, students, and teachers who are participating in the programme. more…

Alice James: Tackling tobacco temptation—why we need to target children

28 Nov, 13 | by BMJ

alice_jamesThe most effective way we can reduce the global burden of smoking is to target young people. During the debate on standardised packaging of tobacco products, an initiative which has for now been stalled by the government, MP Bob Blackman stressed that, “Two thirds of current smokers began under the age of 18″ and that once “hooked” it becomes “very difficult to give up.”

Governments need to take extra measures to make tobacco products more difficult for children to purchase. It appears some are making a start: New York City councillors recently voted to increase the legal age for buying cigarettes from 18 to 21 as well as backing the introduction of a $10.50 minimum price for a pack of cigarettes. Making the legal smoking age equal to the legal drinking age might accentuate the effect of this tobacco control measure, as previously teenagers might have taken up smoking because of the ease of buying cigarettes compared with the ease of purchasing alcohol. The more governments can do to prevent smoking becoming habitual during adolescence, the less likely the individual is to embark on a lifetime trajectory of smoking-related ill health. more…

Keir Arran: A remote and rural foundation programme—a unique experience

1 Nov, 13 | by BMJ Group

keir_arranSeveral recent publications, including the BMA’s Healthcare in a rural setting suggest that there is a shortage of doctors working in rural areas.

I first heard about the N10 rural track foundation programme from a registrar working in A&E when I was a student. He talked about the programme with such enthusiasm that I looked it up and was sold on it instantly. There is some thought that junior doctors, under pressure from the European Working Time Directive and with shorter attachments, have lost the sense of being part of a team. When choosing my foundation posts, a good general medical training was obviously an important factor, but I wanted to achieve this in an environment where I would be recognised and valued as a member of the team, rather than feeling like “just another number.” A rural hospital sounded like it could provide this. more…

Isabella Laws: Innovative teaching—why hasn’t it come further?

24 Sep, 13 | by BMJ

isabellaMedical education has long seen the need for reform. The aged style of listening to a lecturer impart hours worth of highly technical scientific information at a rate which sees you frantically scrawling everything down on a page continues to cling on, despite the fact that it is outdated.

For one, lecture notes are available online on university portals. And secondly, lecturers and professors are no longer the sole sources of knowledge. The internet, e-books, and the rise of easily accessible information has removed the obligation to attend lectures (unless you are unfortunate enough to attend a university which records attendance). Instead, you choose to go, hopefully because they will be able to engage you in the topic. more…

Eva Dumann: My experience of being a Clegg scholar

15 Aug, 13 | by BMJ

Foto1I saw an advertisement for the Clegg scholarship in the Student BMJ magazine and decided to apply on impulse, mainly because our supervisors were urging me and my second year colleagues to find a worthwhile experience and not waste another preclinical summer by innocently enjoying life. To me, someone with an interest in writing and journalism, going to the BMJ sounded much nicer than my colleagues’ dull research project proposals. So, was it worth it? more…

Jonny Martell: Surviving burnout

9 Aug, 13 | by BMJ Group

Jonny Martell Nothing much sprung to mind.  A friend had just asked me an odd question, paraphrasing the mystical scholar Andrew Harvey, “what breaks your heart the most?”  Was this an early showing of the carapace of cynicism to come? A day later it came back to me: the thought of my father’s final walk around the house and garden he couldn’t bear to leave.  The thought of his hands – devastated by rheumatoid arthritis – tying a knot in the rope to hang himself from the old oak tree.  Nearly a year ago and a few weeks into my first job as a doctor, my father took his own life.  more…

Eva Dumann: So this is victory—treating adolescent idiopathic scoliosis

18 Jul, 13 | by BMJ

Foto1One of the great things about being a BMJ Clegg scholar is unlimited access to BMJ articles, coupled with enough free time to read about the weird and wonderful topics that the “real” medical world concerns itself with. Sometimes, however, the findings are not so pleasing. A recent Clinical review on adolescent idiopathic scoliosis (AIS) managed to muddle up my feelings and thoughts quite a bit with the simple statement: “Bracing in AIS is controversial, with treatment effectiveness remaining questionable based on available evidence.”

I was diagnosed with scoliosis at the age of 13. My curve angle was never dramatic, and it wasn’t until my last routine check-up that the paediatrician recognized that I wasn’t quite straight. An orthopaedic specialist prescribed a brace, to be worn until I stopped growing. The brace looked like a piece of medieval armour, battered by a few cannon balls to bulge out on one side and cave in on the other, made of hard plastic, held tight by two huge buckled straps. more…

Rhys Davies: Chronic frustrating syndrome

24 Apr, 13 | by BMJ

A wise man once said that he knew nothing at all except that he knew that he knew nothing at all. Socrates would have made a good medical student.

Chronic Fatigue Syndrome (CFS) is characterised by overwhelming fatigue, post-exertional malaise, cognitive symptoms, sleep disturbances, and a vague constellation of muscle and joint aches. It is a frustrating disease, for doctors, for patients, and for medical students. more…

Isobel Weinberg: The Foundation Programme Office giveth and it taketh away

4 Mar, 13 | by BMJ

On Monday, a friend posted a picture of an enormous, triple layered chocolate cake on Facebook. It was, she wrote, a present for her boyfriend—a final year medical student—to celebrate his being awarded his top choice of location for his first job next year. Getting the first choice has meaning beyond simple preference: it enables the couple to spend the next two years living in the same part of the country.

But the elation and the chocolate cake were soon followed by sadness and anger. As you will have heard by now, the job allocation process is to be rerun, and, like thousands of other final year medical students, my friend’s boyfriend has no idea whether he will achieve the tantalisingly glimpsed first choice job again. more…

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