Thursday, June 12, 2008

Morning tea breaks, 2 hour lunch breaks, afternoon tea breaks - I have woke up and gone to heaven



I have now finished my seven week placement in general medicine and have this week, moved to general practice for seven weeks.

My first impressions are that, bloody hell this is a civilised profession - they have start times and finish times and tea breaks, where nice ladies on reception bring them tea (In china cup and saucer - result) They earn loadsamoney and only have to do a little bit of OOH cover. It seems to be the antithesis of hospital medicine and these doctors actually seem to have a life.

It is interesting then, that when I got together with my group today lots of them are hating their GP placement and can't wait to get back to acute care. They felt that most patients rolling through the door didn't need to come to see their GP (Minor skin rashes and ailments that are already getting better when they attend) They also felt that after a morning of seeing children with Hayfever, they wanted to climb out of the window and run to the hills (Or the nearest hospital)

Me, on the other hand LOVES it!! Well I would if I wasn't so terrified - I am absolutely bloody cacking it. I got so stressed on Tuesday that I had to nip outside to try to breath. The problem you see, is that on the wards, we are in groups of six / seven medical students and so when questions are asked, one of us can usually pipe up. In GP land however it is just me and the GP. There is nowhere to hide and it is butt clenchingly terrifying.

For example, a nice lady Mrs A brought her two children in this week. She had recognised that both of them had hayfever and she wanted a prescription for piriton so that she could leave and return her children to school. Instead, what she got was Anna the pale, shaking, medical student. This was the first visit that the GP told me to handle from beginning to end and hell, did I make a meal of it. She got asked about her kids' bladder and bowels (Commonly affected in hayfever....not) and about other "pertinent" points such as "Have they been abroad lately"

I made a mess - a real hellish mess. I know that if I had not had the GP sitting in the corner I would have been absolutely fine. I could easily have handled this, prescribed and sent them off to school. Instead, I went to pieces and I can just picture the mum pissing herself laughing to her mates about what this freak from Wales had been waffling on about.

I think that if I could find a way of developing my confidence, I would be half way there. I have spent my time at medical school feeling like an impostor and even now don't feel like a real medical student. I need to get me some ego!

2 comments:

Dragonfly said...

Whether you like an attachment or not has something to do both with personal factors and the team you are attached with. I HATED the first GP clinic I was attached to (as did the other student). It was SO boring (and the practice nurse treated me like crap...while treating the male student really well of course). We couldn't wait to leave every day. Now we are both attached to different clinics (the system at our MedSkool is to do 1 day a week in GP in addition to hospital work, as opposed to doing a 6 week stint in GP). Now we love it and GP is for the first time, on the list of things I might want to be when I grow up. And the students who are now at our old clinic hate it to bits.....

Anonymous said...

Hi Anna

I am a producer at a production company called Diverse, based in London. Could you possibly get in touch with me, as we would be really interested to speak to you regarding a series we are currently developing.
many thanks

Samia (samia.murphy@diverse.tv) 07966 497 132

About Me

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I knew I wanted to study medicine from 5 minutes into my nurse training in 1992. This didn't go down too well with my peers but it has taken me eleven years to get my life in a place where I could apply to medical school, so I have paid my nursing dues! I was lucky enough to get two offers. I have been married for seven years to an ex footballer who is now a PE teacher. We have no plans for babies but I would love more King Charles Spaniels. I start medicine on September 20th 2006 and am absolutely petrified.