PreparingforClinicalMedicine

Outline

Structureofthirdyear
Whattoexpectfromclinicalwardbasedteaching
Howtogainfromwardbasedteaching
HowtobalanceclinicalteachingwiththeSBCPDVD
lectures
 Structureofthirdyear

Medicine&Cardiology(7weeks)
Surgery(6weeks)
Musculoskeletal(3weeks)
Neuroscience(2weeks)
Ophthalmology(2weeks)
Haematology(1week)
Dermatology(1week)
Endocrine(1week)
Nephrology(1week)
ENT(2weeks)
 Hospitals

AltnagelvinAreaHospital
AntrimAreaHospital
BelfastCityHospital
CausewayHospital
Craigavon
DaisyHill
Erne
Mater
Musgrave
RVH
Ulster
 StudentSelectedComponents

SSCstakeplaceas3weekcontinuousblocks,oneatthe
startofSeptemberandoneatthestartofJanuary
Selectionprocessisthesameasbefore
Largeamountofchoicesavailablewithmanyclinicalbased
choices.AllclinicalSSCsarebasedinhospitalsandsome
maybeinperipheralhospitals soyoumayneedtobook
accommodationpriortothestartoftheSSCblock.
 EndofyearExamination

NoexamatChristmas endofyearassessmentinJune
TwoSections:
Clinical
OSCE 60%
Writtenclinicalpaper 25%
Cases 15%
SBCP
1hourMCQpaper(33%)
2hoursshortanswerquestionspaper(67%)
 Structureofclinicalteaching

Tutorials
Casebasedteaching
Bedsideteaching

Youshouldbefillingsomeofyournontimetabledtime
withselfdirectedwardbasedlearning
 Selfdirectedlearningonthewards

Makethemostoutoftheopportunitiespresentedonthe
wards
Takehistoriesandexaminationsfrompatients staffcan
adviseyouwhichpatientshaveimportantclassicalhistories
andclinicalsigns
Alwayskeepinmindfitnesstopractice!
 FitnesstoPractice

Consent
Confidentiality
Chaperone
Dresscode
Respectvisitingtimesandresttimesforpatients
 WardEtiquette

Wardsarebusy knowhowtofitinwithbusyatmosphere
Makeyourselfknowntostaff
IDbadgemustbevisible
Trytoorientateyourselfwiththeward whatitisfor,who
consultant/reg/F1/wardsisterisetc.
 Preparationforwards

ReviseHistoryTaking
Reviseallexaminationslearntinfirstandsecondyear
Readrelevanttutorialsforeachattachment
Acquirerelevantreadingmaterialforeachattachment
(libraryhasallbooksonreadinglist)andreadaround
subject
 Skillsyouwilllearn

Clinicalprocedures:
Urinarycatheterization
ChestXrayinterpretation
ECG
Newexaminations:
Breast
Scrotum
Femoralpulses
 Cases

History
Examinations
Investigation
Diagnosis
Managementplan
Surgery
Discussion
 ClinicalNotes

Youwillbecomeveryfamiliarwithpatientsnoteswhich
canbequitedauntingwhenyoudontknowhowtoget
themandwhereeverythingiswithinthem.
Askstaffonthewardswheretogetthemastheyarehappy
tohelp!
Ifyouhaveanyqueriesaboutwhatsinthenotestalkto
medicalstaffontheward,bearinginmindconfidentiality.
 Accommodation

Itmaybenecessarytobookaccommodationinthirdyearif
youareattachedtoaperipheralhospital
Bookingaccommodationisasimpleprocess,and
informationforeachhospitalisfoundontheYear3Student
noticeboard
Somehospitalschargeadeposit,normallyaround75,
whichisrefundedwhenyouvacate.Sometimesyoumay
havetochaseupthedeposit,normallyaphonecalltothe
accommodationmanageratthatparticularhospitalis
enoughtogetitback.
 Benefitsofwardbasedteaching

Opportunitiestopracticeclinicalskillsandexamination
techniques
Gainknowledgeofhowthehospitalenvironmentworks
Meetpatientsandseehowthetheoryofpathology
correlateswithreallifeexperienceofdisease
Gainconfidenceinyourabilitytocommunicatewith
patientsandwithhealthcareprofessionals
 SBCP

Carefultimemanagement over200lecturestoget
throughonDVD
Workoutyourownsystem
UseDVDtosupportyourwardbasedteachingbut
rememberitisanexaminationinitself
TextbookCrashcoursePathology
 Conclusion

Thirdyearisaverydifferentlearningexperiencetothe
previoustwoyearsofMedicine.
Thoroughpreparationwillmeanthatyoucanmakethe
mostoftheyearandwillhelpyouinthetransitionfrom
lecturebasedteachingtowardbasedteaching
Makeyourselfknownonthewards
Seeasmanypatientsasyoucan
Carefultimemanagementisthekeytosuccessinbalancing
clinicalworkwithSBCPlectures!
Ifindoubt,ASK!!