med-school

Elective Reports

Abiola Adeogun – Medical Elective – Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria


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Name: Abiola Adeogun

Country of study: United Kingdom

Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria

Elective Period: 28/03/16 – 22/04/16

Duration of Elective4 weeks

Speciality: Cardiology, Diabetes and Endocrine, Neurology and Respiratory Medicine

 

 

  • What was a typical week like?

A typical week included attending ward rounds and clinics attending occasional teaching with the doctors.

 

 

  • What 3 things did you learn?

1) Making a diagnosis without relying on e.g. imaging and test results.

2) Management of tropical diseases.

3) The structure of the healthcare system in Nigeria.

 

  • What were your most enjoyable moments during your elective?

Being able to go to theatre.

 

  • What similarities and differences did you notice whilst on your elective in Nigeria, in comparison to the healthcare service you have witness whilst at medical school?

Differences in doctor patient relationship, communications skills, organisation and resources.

 

  • What were your goals? Where you able to achieve your goals, and how?

To have a better understanding of healthcare system in Nigeria and be able to compare team dynamics. To identify medical ethical challenges in the hospital and their implications. To explore the possibility of working as a Doctor in Nigeria in the future.

 

  • If you had the opportunity to reorganise or redo your elective, what would you change and why?

I’m really glad that I had the opportunity to work in a state hospital and I have no regrets. If I had to redo my electives, I think I would prefer to work in a smaller hospital or private hospital as I feel I would have been more involved and the experience would have been more hands on. I felt the environment in the state hospital that I worked at was sometimes too busy and lacked organisation.

 

 

 

  • Looking forward, how has your experience impacted your career and personal life?

A lot of communication with patents was in Yoruba. As I don’t understand the language I had trouble following some of the consultations. I realise that if I decide to work in Nigeria in the future, I may need to learn the common languages. My cousin was admitted to a private hospital whilst I was in Nigeria. Visiting her at the private hospital enabled me to see what practicing medicine is like in a private hospital, observe doctor-patient interactions and the general work ethos. I think I would prefer to work in a private hospital in Nigeria in the future.

 

Elective Reports

Wumi Oworu – Medical Elective – University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria


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Name: Wumi Oworu

Country of study: United Kingdom

Elective Location: University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria

Elective Period: 04/04/16 to 27/05/16

Duration of Elective8 weeks

Speciality: Obstetrics & Gynaecology

 

My experience in Nigeria was a wonderful experience, although I have visited Nigeria several times before, this elective period was my first experience of living in Nigeria independently and working in a healthcare setting. Starting at the beginning, I arrived in Gwagwalada on Monday and met with my supervisor Professor Ekele, who briefly described what was to come while at AUTH. I was introduced to the head of the O&G department and the senior class representative from the University of Abuja Medical school, a young man called Etuk, who assisted me with settling in. Etuk showed me to my accommodation and was kind enough to take me to a few places to buy some food, utensils, etc. My accommodation, was a 2-bedroom flat in a block of flats containing only medical students, I had my own bathroom and I shared the kitchen and living room with my flatmate. The accommodation was a few minutes from the hospital, but still on the hospital grounds. The flat was clean and well kept, with good space and the basics. Later that day I met my flat mate Tolu, who was a lovely young woman in her penultimate year of medical school.

                                           

During my 8 week placement, I was allocated to one team for 4 weeks, where I joined them on their ward rounds, gynaecology clinics, antenatal and post-natal clinics, theatre sessions and on-call duties. Every week day morning began with a morning meeting, cases that were managed the day before were discussed and assessed. I spent 2 weeks in the labour ward, observing and assisting in the management of labour and Caesarean sections. I spent a total of 2 weeks in the gynaecological emergency unit and special care baby unit. During my elective I was taught how to perform vaginal examinations and perform a pelvic examination using a speculum. During antenatal clinics I had the opportunity to examine numerous women at various gestations. I attended to a few patients independently under the supervision of consultants in the gynaecology clinics. I performed investigations such as pap smears, endocervical swabs and high vaginal swabs. I observed cases that are uncommon in the UK, such as large uterine fibroids, primary presentation of metastatic endometrial cancer and the management of labour in a patient with sickle cell disease. I understand the Nigerian Healthcare system consists of both a private sector and national health service insurance scheme, both with their own advantages and disadvantages. The use of traditional medicine also had an impact on health, I often observed patients with advanced disease because they delayed their presentation to the hospital because they sought cheaper traditional alternatives. I had theopportunity to complete a cross-sectional study titled, ‘The Perception of pregnant women about Caesarean section at the University of Abuja Teaching Hospital, Gwagwalada’. It consisted of 131 pregnant women presenting to ante-natal clinic. I was granted ethics approval for this study. I used interviewer-assisted structured questionnaire to collect data. The acceptance rate was 70%, other literature quoted acceptance rates of 7-30%. The study showed a higher acceptance rate amongst pregnancy women who were older, married, multiparous, educated and have had a previous Caesarean section. This developed my research skills; it also exposed me to the difficulties of international research such as language barrier and limited resourced such as electricity, internet and time constraints.

                    

 

I enjoyed the food to the absolute maximum, I probably ate grilled catfish at least twice a week and utilised the hospital canteen and ate pounded yam with egusi (my favourite) often. I definitely ate well while in Nigeria. The heat Gwagwalada was a different experience entirely, one I have never experienced before, I learnt to avoid being outdoors between 9am-4pm, to be well stocked up on bottled water and bought a mini-fridge as soon as I arrived (to the manifold wisdom of my mother).

 

                                                 

 

When not working at the hospital, I often enjoyed myself in Abuja with my cousin and the new friends I’d made. I appreciated the order and subtleness of Abuja, in comparison to the hustle of Lagos.

I also had the opportunity to visit Kaduna, which was just a 2 hour drive away from Abuja, or an hour flight from Lagos. I also visited an orphanage a couple of times and gave some assistance.

            

I wish I had taken the opportunity to visit Jos, a popular city known for their cool climate, internationally known for their medical education at the University of Jos, as well as other things. Once my elective was complete, I travelled to Lagos to spend some time with friends and family.

                                      

 

My elective has enriched my undergraduate education, I developed basic obstetric and gynaecological skills which will be useful throughout my career. I have improved my knowledge and skills in maternal and foetal medicine. It has also given me an appreciation for the healthcare system available to patients in the UK. I have experienced another element of medicine that I will always be  grateful for.

My experience has made me more passionate about pursing a medical career in Obstetrics and Gynaecology. It has also exposed me to potential opportunities in the Nigeria, especially for someone like myself – young, ambitious and open-minded.

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Medical School Can Be Tuff


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Medicine is similar to other professions is many ways, but it is also different from other professions in many more ways. The hustle of medical school is like no other undergraduate course. As well as studying for a degree, you have begun your training for the career. Your career starts now.

You have now adopted a culture where juggling numerous extracurricular activities is the norm; you turn down more social events than you’d like; your term/semester begins with, is interrupted by or end with 1-3 assessments or exams! The list goes on. Only other medical students/student doctors understand this way of life. Although your family and friends are very proud of you, there is an air of disappointment. Even though you try to explain the structure of your course, the emotional demands, the time constraints, your goals and aspiration, “they just don’t get it”.

But remember you are not alone on this journey, there are hundreds of students just like you in the country, and there are thousands of students around the world in your position (some worse off). Stay true to your convictions and try to maintain a healthy balance of things. Know your priorities. Remember, medical school is but for a season; how you handle medical school is an indicator of how you will handle life as a doctor.

Medics’ Inn

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Medical Student Experience: Enthusiasm


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Photo credit: PhotoPin

I was given the opportunity to be the surgeon’s assistant for a left inguinal hernia repair procedure. I felt honoured because I had no previous experience with the surgeon but nevertheless gave me this opportunity. This opportunity sowed a seed, I have discovered my interest in surgery and as I have progressed through the Junior Medicine and Surgery unit I have seen this interest develop even more. This is one of the few occasions since the beginning of my clinical placement that I have more than a mere medical student but part of the medical team.

Although this opportunity was given to me by a senior surgeon, I had to enthusiastically seek out this opportunity and make myself available. Enthusiasm is most certainly a tool that every medical student should possess, as well as a stethoscope.

I hope to explore this interest even more and seek such opportunities as I progress through the medical programme.

 

Anonymous, 3rd Year Student Doctor

 

 

Photo credit: PhotoPin
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Medical School:Have A Kit Kat…Take A Break!


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In medical school, you adopt the ‘work hard’ culture, but it is equally important to remember the culture of relaxation. Sometimes, the moment you sit still, you feel a sense of guilt for not doing ‘something’. The truth is, in Medical School, there will always be ‘something’ for you to do. There is always work to do; this could be revision for an up-coming exam, research for a written assignment, follow-up work in the lab, staying after working-hours to practise a particular clinical skill, spending some time in theatre, preparing for your next tutorial/lecture/lab project – these demands do not include the extra-curricular activities you have picked up along the way or paid work. Sports, dance classes, creative workshops or conferences that require the submission of a paper/abstract/poster, etc. The list is endless. The list will continue to be endless. So it is import to relax and truly switch off. Put to one side the daily, weekly and monthly demands of medicine for a moment and just relax.

Have a break. Enjoy the break.

 

Photo Credit: Photo Pin

Medics’ Inn

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My Clinical Experience So Far


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I really enjoyed the experience of working in a clinical environment. I was excited because it felt unreal, I’d fought hard to get into medical school and I was potentially standing in the environment I would be working in in the near future. It gave me that extra encouragement from time to time when I doubted if being a doctor is the right profession for me. A lot of the time it did make me upset, I spoke to a lot of people who suffered with chronic illnesses and the description of their physical and emotional pain made me feel down. A lot of what I thought about medicine came from the media; there are also times when the doctor has to tell family members of their recent loss. Speaking to someone who describes their chronic pain really hits home how emotionally draining this profession will be and medical school can be. In a way it has taken me from childhood to adulthood, my faith also. There is so much pain and suffering in the world, it reinforces my belief that God really has a plan.

Photo Credit: PhotoPin

Anonymous

Year 1 Student Doctor

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Starting Clinical Placements – What to know


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Here are 3 things you should know before you venture into the practical world of clinical medicine. If you’re already on the wards/theatres/etc., it’s not too late – this will still help!

  1. You are a valuable member of the team! It’s easy to feel insignificant on a busy ward, ward round, clinic or theatre. But remember you are a valuable member of the team! With this thought at the back of your mind, stir up the courage to approach a member of staff (it doesn’t always have to be a doctor) and let them know who you are and what you want to do. E.g. “Hello, My name is Leo/Liz, I am a medical student in my third year. I will be spending the morning with the doctors and learning on the cardiology ward round. How can I help and get stuck in?” You will be pleasantly surprised with the responses you will receive.

 

  1. Be early, not on time, but early. Getting to your location 10-15 minutes early keeps you calm and prepared. You’ll also notice that, just because you arrived several minutes earlier, you will have greater learning opportunities.

 

  1. Remember it is a learning process; you are in a safe and perfect environment to learn from highly skilled professionals and kind patients. You will not be an expert at lumbar punctures, diagnosing aortic stenosis, taking a history or examining a patient on the first day! These are skills you will learn and continue to master throughout medical school and even after you start working as a doctor. Do not be too hard on yourself, enjoy it.

Medics’ Inn