Background and motivation Flashcards

1
Q

Tell me about yourself

A
  • Biomedical science - neurodegeneration - problem solving
  • HCA - 8 months - teamwork - communication - Makaton
  • YSA - team to educate public
  • Charity officer - fundraising aware - organisation, time, leadership
  • ID/GP placement
  • Swimming - pressure, stress, resilience
  • Volunteering - dignity and respect, leadership, treat as individual
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2
Q

Why do you want to study medicine

A

• I always enjoyed science at school - dissections and anatomy during degree
• I’ve also always enjoyed interacting with people e.g. volunteering - teaching
• Organised placement with the GP for a week
o Loved seeing how the doctor communicated with the patients to determine the best care for the patient
o Problem solving aspect really appealed too and seeing how the doctor had to take into account social and biological factors to make a decision on end of life care
• Being a health care assistant for 8 months over 442 hours cemented this desire
o Enjoyed: MDT, difference at most vulnerable -hoist/teddy, communicating/interacting with patients e.g. MS/cuppa – medicine similar…
• Although aspects were clearly challenging e.g…. – work/life balance, enjoy challenge
• I feel like medicine will allow for life-long learning and combine my love for science and also communication with patients

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3
Q

If not offered a place what would you do

A

• I was originally offered a place at Sheffield after my A-levels. I reflected on where I went wrong
• Gained more experience as a HCA for 8 months developing my communication skills, teamwork skills and gave me a better insight into medicine, ensuring this was still something I want to do
• If again
o Masters/HCA
o Why gone wrong
o More experience/voluntary work to gain more insight
• Also continue with swimming, volunteering

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4
Q

What excites you about a career in medicine

A
  • Highly sociable career and allows for a lot of communication with patients
  • Teamwork
  • Make a difference to people’s lives in their most vulnerable state
  • Opportunities to teach within the profession
  • So much variety/ so diverse
  • Ability for life-long learning

• Problem solving
o End of life care plan – biological and social factors

• Aware extremely challenging – death, emotionally and physically draining, paperwork – yet work life balance etc. from swimming

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5
Q

What aspects of being a doctor are you not attracted to

A
  • physically demanding
  • emotionally demanding
  • paper work takes time away from interacting with patients
  • complaints due to increased demand and expectations due to better technologies
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6
Q

How have non-scientific hobbies aided you in becoming a doctor

A

• Swimming
o WJ record/Commonwealth games

o Time management, determination, motivation, commitment, resilience

• Charity work/inclusion officer
o £8000 for charity
o Deal with conflict within the team every other week
o Teamwork, resolve conflict, planning/organisation

• Volunteering
o Empathy, compassion, leadership skills

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7
Q

What do you wish to achieve from your medical career

A

Would be open to different aspects

GP - continuity of care so can build relationships, 2 FY, 3 GP

Variety of people, ages, prevention and treatment

Holistic and problem solving

Teaching

Work-life balance

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8
Q

Why a doctor and not a nurse

A

Very similar - same goal to deliver best patient care, work in MDT, care compassion communication, administer meds

Yet higher degree of clinical responsibility
o Although nurses are still vital in the decision making process and are getting increased responsibility, the doctor ultimately decides on the course of treatment plan or the patient
o I would enjoy exercising this level of responsibility

Increased problem solving
o observed in the GP practice
o e.g. uni degree

Interested in the science behind the medicine
not same as 3 year nursing course e.g. anatomy

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9
Q

Why a doctor and not other profession

A
  • In comparison to a research scientist, you cannot follow the patient over time
  • In comparison to working in labs, it is a highly social profession.
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10
Q

What are your strengths

A

• Adapt communication skills
o HCA – Makaton
o Volunteering – mention respect and dignity

• Motivation and determination
o Swimming

• Empathy
o Alzheimer’s patient – bear

• Resilient
o Swimming

• Organisation/time management skills etc.
o Charity

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11
Q

Will you stay motivated

A
  • Swimming demonstrates my motivation/determination
  • As a swimming teacher – require motivation to persist with those struggling to master a skill – takes perseverance
  • Already been through a uni degree

• Work experience
o I was able to take the time to reflect on if this is something I still want
o E.g. communication with patients

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12
Q

What steps have you taken to see if medicine is right

A
8 months HCA 
1 week GP - problem solving 
1 week ID - work in partnership, listen 
talking to med students 
Immortal life of HeLa
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13
Q

Where do you see yourself in 10 years

A
5 years med school 
F1/F2 years 
GP - 3 years 
o	Love the variety in patients
o	Allow to work part time to fulfil other roles e.g. medical teaching 
o	Problem-solving aspect
o	Continuity of care

• I believe I have the skills to achieve this as:
o Dedication/motivation
o Adapt communication skills
o Empathy

• I would join societies linked to this career pathway if I was successful to maximise my chances, however I would not close off any doors

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14
Q

How do you handle professional failures and setbacks

A

Why went wrong, rectify it, prevent, ask for help

e. g. DQ at race - coach, watch race, sports psychologist, silver in same event, 15 mins on turns
e. g. not getting into medicine - cut down on swimming, more confidence and work experience and voluntary work
e. g. HCA - little things wrong for the patient

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15
Q

What have you learnt from your setbacks

A

Open and honest

When to ask for help

Own limitations

How to prevent

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16
Q

GP, surgeon or physician

A

All common goal etc.

Yet:
continuity of care as GP
variety
holistic approach

17
Q

What is it like being a medical student

A
stressful 
independent work 
placements - death 
teamwork 
leadership 
EC activities
18
Q

What are extended roles of nurses

A
  • European working directive led to a reduction in number of working hours for doctors. They realised a lot of the jobs could be carried out by others if adequately trained
  • Speciality nurse e.g. HIV. Able to prescribe, take histories, examine patients etc.
  • Research nurse
  • Nurse managers
19
Q

How important is IT in medicine

A
  • Store patient data – easy to retrieve
  • Easier to transfer over information between departments e.g. x-rays
  • Used for referral letters etc
  • More environmentally friendly – prevent printing
  • COVID – GP consultations over the phone, saves time
  • Patient – repeat prescriptions, book appointments
  • Confidentiality
20
Q

Where does most treatment occur

A

• Community
o Many self-medicate
o GP is first port of call
o Some GPs specialise to run clinics at GP to reduce burden on hospitals

21
Q

How important is teaching in the medical profession

A
  • Keeps yourself up to date with latest medical advances – EBM
  • Pass on knowledge to next generation - junior doctors to learn
  • Important for doctors to progress through their career and gain more knowledge
  • Promotes better knowledge, treatment and so better patient care
  • Promotes teamwork
22
Q

What is holistic medicine

A
  • Patients are at the centre of care
  • Doctors must address their needs from various angles

• E.g. rash – easy option is to give ointment
o Holistic approach is to see if it has psychological origin due to stress
o So assist patient in treating the other aspects of their life

•	E.g. chronic illness – MS
o	Help physical aspects
o	Help psychological aspects
o	Help family aspects 
o	Consider social life, financial implications etc.
23
Q

Why is research important in medicine

A

• Can take many forms – clinical, preclinical or literature based
• Advancement of medicine for better techniques that are
o Less intrusive
o Cheaper for NHS
o Less time consuming
• E.g. PD – probiotics – research at uni/ COVID – vaccine

24
Q

If you had a lot of money to research, what would you choose and why

A
  • Currently looking at gut-brain axis in ND
  • 7-10million worldwide, annually – massive amount of people
  • Such a devastating illness affecting patient and family e.g. symptoms
  • Personal experience
  • Treatment for reversing illness e.g. c.elegans
25
Q

Causes of aggression

A
  • Influence of alcohol or drugs
  • In pain
  • Waiting long times
  • Not giving the patient what they want
  • Medical staff made mistake
  • Scared about diagnosis
26
Q

How is medicine different to 100 years ago

A
Free
NHS - 1948
More prevention 
New diseases e.g. HIV/AIDS
More treatment 
More demand/expectation 
Personalised medicine 
More teamwork
27
Q

Weaknesses

A

Get very enthusiastic and passionate about what I’m learning about which can mean sometimes I focus too much on specific details, rather than the bigger picture e.g. first year would write down everything word for word

I got a student mentor in first year to help with this.

Also went to PASS classes.

They were in 3rd year and gave me lots of tips, around further reading, how much time to be spending on something before moving on and introduced me to brainscape which is Q-cards to focus on the main points - this has helped massively

Important because in medicine you need a balance and its more about the breadth of knowledge, not depth. I also find it useful to study in groups with people as collectively we can decide the level of detail we should be going into.

OR: public speaking - oral presentations - YSA
OR: struggle to say no to things - assertiveness lecture at uni

28
Q

How can the NHS cope with an increased demand

A
  • use different roles in the NHS e.g. advanced nurse practioners
  • social prescribers - people who come in regularly as lonely - not integrated into community - not doing anything for them as the issue is social and not medical
  • primary care networks - last year - get a group of GP practices together and services in the local voluntary and social care that work together better
  • these merge to form an ICS - integrated care system
29
Q

What did you want to do before you studied medicine

A

Had thought about nursing as you do get to spend more time with the patients and it’s an incredibly caring and compassionate career. However, I decided to go with medicine due to the increased clinical responsibility, increased depth of science, whilst still having the same common goals as nursing

30
Q

Favourite subject

A

Biology - loved anatomy and looking at the mechanisms underpinning disease. I think that is why I chose forensic anatomy for this semester, where we have been looking heavily into genetic fingerprinting and DNA profiling. We will have to identify a person from their remains and it’s been so interesting. It’s really interesting that Alec Jeffrey’s actually identified genetic fingerprinting here at this university. Dissection has been amazing and physically doing it yourself really suits my style of learning.

31
Q

Why did you choose to study biomedical science

A

I’ve always loved science throughout school e.g. dissection. The course I chose at Sheffield would allow me to persue this and I thought it would be a great stepping stone to eventually study medicine. I’ve absolutely loved forensic anatomy and neuroscience - dissertation

32
Q

What was the last practical you did

A

Used immunohistochemistry to detect which cells were HER2 positive, which is really important for personalized medicine (see EBM example)

33
Q

What makes a good doctor

A
  • self-aware and honest
  • empathetic
  • resilient
  • determined
  • communication skills - patients and colleagues
  • patient
34
Q

Why is the role of a GP important

A
  • they are the first port of call and patients can be at their most anxious
  • GPs work as part of large multidisciplinary teams (MDTs) who all support the holistic care of any patient and these can include nurses etc. They meet regularly to discuss cases and plan joint approaches to co-ordinate packages of care.
  • Important for preventative medicine and health promotion e.g. smoking cessation or immunisations
  • continuity of care
  • chronic issues and acute ones - many people may have multiple conditions due to an ageing population so it can be complex but rewarding too
35
Q

Why not a physicians associate

A

Increased breadth of knowledge on the science

Increased clinical responsibility

Less variety