| Saturday, 19 April 2008 |
| 1st week of clinicals |
So the first week of clinicals has come and gone. I think everyone has their own opinion of how good ,(or bad) it was. I think its infinitely better than the days in lecture halls, struggling to stay awake during boring lectures. But at the same time, its so much more challenging and tiring compared to the foundation years. First of all, we have much longer hours. Secondly, we no longer have the structured lessons and system of the past. And lastly, we no longer get to see all the friends and people that we used to be able to spend time with everyday.
The whole uncertainty that being in clinics bring is quite daunting. I suppose everyone feels kinda out of loop of what exactly we should do and how about we should be doing it. I mean, everyone knows we are in the wards to learn how to do the basics of taking a history and eventually, to learn how to do a basic physical exam. We know that we should be learning to talk to patients, to get over our initial fear of interacting with patients. So what do many of us try to do? Keep clerking patients. But then again, that isn't easy because it takes lots of luck to find a patient that is willing to entertain you, and also lots of guts to approach that patient in the first place.
So at the end of the day, everyone goes home exhausted and frustrated. Frustrated that we seem to be going absolutely nowhere with the clerking and history taking and the physical examination. But I guess, we can't rush such things and can't force us to make the transition from mugger to rugger in like 5 days? There's still lots of stuff to iron out really, and I guess we'll never actually ever give up trying and probably only achieve that total transition when we have gone on in like 10 years time to become some successful doctor in some hopefully good hospital or clinic.
Talking to patients is really tough. I realize that all the previous fantasies and images of me being a doctor with natural empathy and the ability to communicate with patients are absolutely rubbish. I sometimes don't know what to say to patients. Its so hard really to balance the feeling and the thinking, and to be honest, right now, I'm so busy thinking that I'm not capable of doing much feeling at all.
But then again, some patients just HAVE the ability to make you feel. Take the little old lady I met yesterday in the wards and the other old lady I met during NHS today. I can't talk about them here, but lets just say that I can't help but feel totally helpless and useless when I think about them. I think its going to the wards and the grassroots that makes you realize that there is very very little that Medicine alone can help achieve. Medicine without the Social and Political will to help results in half-hearted attempts to change people's lives really. So really, you can't change anything by being in Medicine, and if you are in this job to change lives, you shouldn't hope too much. But if you are in this to help in whatever way's possible, then yes, you're in for the right reasons.Labels: clinics, school, society, soul |
posted by voldemort33 @ 22:39  |
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