{"id":46125,"date":"2019-11-22T17:40:25","date_gmt":"2019-11-22T16:40:25","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=46125"},"modified":"2019-11-22T17:40:50","modified_gmt":"2019-11-22T16:40:50","slug":"student-secrets-to-success-on-the-wards","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2019\/11\/22\/student-secrets-to-success-on-the-wards\/","title":{"rendered":"Stephanie D\u2019Costa: Student secrets to success on the wards"},"content":{"rendered":"<p><em>Final year medical student Stephanie D\u2019Costa gives her top tips for getting the most out your time <span style=\"font-weight: 400\">on the wards.\u00a0<\/span><\/em><\/p>\n<p><!--more--><\/p>\n<p><span style=\"font-weight: 400\">As a medical student, spending time on the wards doesn\u2019t always seem valuable. I start the day wanting to contribute to the team and learn for myself, but it can be hard to come away from a day on placement feeling like I\u2019ve been productive. So what can students do to turn an ordinary placement into an excellent experience?<\/span><\/p>\n<p><b>Don\u2019t be afraid to tell doctors your agenda. <\/b><span style=\"font-weight: 400\">Placements coincide with different pressures for students, whether that\u2019s getting practical skills signed off, portfolio building, or exam practice. By letting the team know what you want to get out of your placement, they\u2019re in a much better position to help guide you. I\u2019ve found that asking for experiences that interest me means I\u2019m less likely to be sitting in the corner wondering what to do.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Though it might not be the glamorous lifesaving that attracted you to medicine, developing good admin skills is essential for junior doctors. <\/span><b>Writing in the notes<\/b><span style=\"font-weight: 400\"> is a vital part of the ward round and junior doctors are often glad to hand over the job. Just remember to get them looked over and co-signed<\/span>\u2014<a href=\"https:\/\/www.gmc-uk.org\/-\/media\/documents\/Achieving_good_medical_practice_0816.pdf_66086678.pdf\"><span style=\"font-weight: 400\">the General Medical Council has guidance<\/span><\/a><span style=\"font-weight: 400\"> on how a medical student can contribute to notes. Writing<\/span><b> discharge letters<\/b><span style=\"font-weight: 400\"> are another opportunity to get some admin skills under your belt. Typing up a patient\u2019s problem list is a good way to think about the progress of that patient, putting post-discharge appointments you\u2019ll see in primary care into context. It can really help the team, too \u2013 editing a final draft rather than typing up the whole letter can save a lot of time! In clinics, offering to summarise a patient\u2019s notes can be a useful way to learn about a new patient and remind the consultant about their past encounters with a follow-up.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Not every environment lends itself to a student actively helping. Theatres are an obvious location where you might feel nervous about getting involved. Depending on your level, there are ways to feel more involved in surgery\u2014make sure to ask about sterility rules if you\u2019re not quite sure. You might like to ask the anaesthetist if you can join them at the head of the bed, where there tends to be a good view of the action. As an enthusiast, I often seek opportunities to <\/span><b>scrub in<\/b>\u2014<span style=\"font-weight: 400\">even if the surgeon says no, they\u2019re more aware of your interest. Preparing for surgery is key as a medical student\u2014<\/span><b>looking up a video of the procedure<\/b><span style=\"font-weight: 400\"> you hope to see is sometimes the best way to orientate yourself in the real thing.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Seizing opportunities when they arise can be key to extracting teaching from busy clinicians. When a patient\u2019s scans are back<\/span><b>, ask to present the imaging<\/b><span style=\"font-weight: 400\">. This is a useful skill to practice for medical students as it sometimes comes up in exams. Observing doctors in action, as well <\/span><b>as examining patients under supervision<\/b><span style=\"font-weight: 400\">, has really helped my examination skills. There are certain techniques only those with experience can teach students\u2014such as handling a screaming child in an ENT exam (throat last\u2014that\u2019s the worst part) or feeling for hepatomegaly when you\u2019re uncertain (turning the patient on their side sometimes helps).<\/span><\/p>\n<p><b>Teaching<\/b><span style=\"font-weight: 400\"> is an integral part of medicine, and as a final year, I\u2019ve found that teaching younger students on the wards is one of the most efficient ways of retaining information. By preparing, planning and executing a teaching session, you\u2019ll remember the content much more than if you were to just read it in a textbook.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The hardest part of succeeding on the wards is to <\/span><b>keep trying. <\/b><span style=\"font-weight: 400\">These opportunities might not come up every day and it\u2019s easy to feel ignored, frustrated and out of place in a working environment. Keep going, and remember to appreciate the staff who help further your learning\u2014you\u2019ll soon be doing the same for medical students coming to you.<\/span><\/p>\n<p><em><span style=\"font-weight: 400\"><strong><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/11\/Stephanie-D\u2019Costa.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-46126 \" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2019\/11\/Stephanie-D\u2019Costa.jpg\" alt=\"\" width=\"175\" height=\"145\" \/><\/a>Stephanie D\u2019Costa<\/strong>, Final Year Medical Student at the University of Cambridge.\u00a0<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Competing interests:<\/strong> none.<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Final year medical student Stephanie D\u2019Costa gives her top tips for getting the most out your time on the wards.\u00a0 [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2019\/11\/22\/student-secrets-to-success-on-the-wards\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":44464,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[224],"tags":[],"class_list":["post-46125","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-students"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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