Monday 29 July 2013

UKCAT

Just took my UKCAT and got my results as follows:

AR - 630
VR - 760
QR - 900
DA - 900

This has a total of 3190 and an average of 797.5!

Sunday 28 July 2013

My week in the Old School Surgery

I've just finished ( :( ) my week in the wonderful Old School Surgery, a GP surgery in Wiltshire. I had an incredible week, and managed to see some of the wide variety offered by the surgery. On Monday, I had my induction into the surgery, where I learnt how to use the computer system to book appointments and help order repeat presciptions and how to answer the phone (however putting people of hold was a skill that took me about 5 failed attempts of hanging up on people to master!).
I spent all of Monday and Thursday morning (as they are closed the afternoon) in Reception, for the most part scanning in letters to the GP surgery (e.g. from hospitals or A&E notifications) and adding patient, letter and sender details, and then filing them into the system and sending them to one of the doctors to read. This re-iterated the importance of proper notes, but also showed to me how important the services of reception are to the smooth running of the surgery and the importance of good teamwork.
On Tuesday, I spent the morning with the Nurse, watching her doing INRs, taking blood, measuring blood pressure, removing stitches, changing dressings and trying to remove a tick that seemed very insistent that it was not to be moved. In the afternoon, I sat in a GP clinic, where it was interesting to see the difference in the nurse/patient and GP/patient relationship, with the nurse/patient being a lot more jovial and relaxed than the GP/patient one.
On Wednesday, I spent the morning in a GP clinic, with a different GP, who had been at the surgery for longer, where it was fascinating to see the difference in the two GPs, as, while they had a similar, clinical yet friendly feel, the newer GP knew the patients less well, so had a slightly less personal, though equally friendly feel. I spend the afternoon in the dispensary, helping to find and check medicine. I started off needing about 5 minutes to find anything, although I progressively got quicker at finding things once I knew where to look! I learnt how everything that's done needs to be checked by another person, and about the drug tariff and dispensing fee.
On Friday, I spent the morning back in the GP clinic, where I saw some of the problems facing GPs, for example alcoholics and people with co-morbidities. I also saw the difference in how some patients treated their GPs, with some not seeming to pay any attention to the advice given to them, to one man saying "God bless you" (including to me, for some reason!) every minute. It was patients like these that showed me part of the rewarding side of being a GP, contrary to criticism in the media and what may be the popular belief that patients are all rude and come in with a cold. In the afternoon, I was back in Reception, continuing my vendetta against the pile of letters requiring scanning. It was nice to finish where I started, but it didn't make me any less sad to be leaving that afternoon. Just as I was about to leave (for the second time, after I had been delayed the first time with people at the desk and then a phone call!) I was presented with an envelope containing a £20 gift voucher! This was totally unexpected, because I felt I should be thanking them for the experience they gave me!
Overall I had a fantastic week, and really opened my eyes to the prospect of being a GP!

Medsim

A couple of weeks ago, I attended the Medsim course in Nottingham Uni. It was a fully packed weekend, filled with Clinical Skills (like Ultrasound, taking blood pressure, using stethosccopes) and practicing talking and diagnosing patients. In one session (claimed to be Clinical Analysis), one of the helpers ran in halfway through, shouting that there was an 'emergency' that we needed to help with. There were 3 different scenarios we worked our way through, including a car crash, a drug overdose and a woman who had had a heart attack. As a group we eventually got better at keeping calm and managing to keep the 'patients' alive. It was a very exciting evening, where I learnt a lot about the correct protocol and behaviour in an emergency. Overall I had a really great weekend (especially as I wore scrubs all weekend and got to take them home - guess who has some new pyjamas! :) ).