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Things I learned during my first year of medical school

I cannot believe I’ve finished my first year of medical school already! Wow! 

Warning: long Parks and Rec gif-filled post ahead (90% of these are cheesy but I am pizza levels of cheesy when I’m reflecting):

1. Do your thing

The first semester of med school was a weird time of looking and seeing what other people were doing to study and wondering if I needed to do that too. 

I wondered, should I get a bunch of colored highlighters? Make a million flashcards? Am I behind because I haven’t studied that lecture yet? Should I stream instead of go to class because that’s what other people are doing?

My advice? Try new things out but once you figure out what works for you, don’t be afraid to stick to it. Some people found out that they study best in groups. I found out I study best by myself. I don’t like highlighting but I do like writing down things I need to know in a spiral so I can review/remember them better. I also like doing as many practice questions as I can get my hands on. I like going to class and taking notes on my computer. 

I didn’t know any of that until I got here. And that’s okay. But don’t stress about what other people are doing - you’ll find what works for you. 

2. Don’t try to study 24/7 

Seriously. Don’t. It’s not worth it. You’ll burn out and realize you could have been more relaxed and focused if you took a break. I try to take a couple minutes of break every hour and a bigger break every few hours whenever I’m studying. I also try to take at least one day off per weekend and do something fun (even if it’s small). I also know I study best during the day so I usually take the evenings off as well unless it’s like crunch time. 

3. Investing in dress clothes is a good idea

Inevitably, you’ll forget that you have yet another clinical skills class that requires white coat attire (aka business casual) and only remember last minute, without time to do laundry. It’s way less stressful if you have a few possible outfits. Even easier? If you wear dresses, get some nice professional dresses. Nothing better than only picking a single thing out of your closet to wear! Also, along with that, make sure you have dress shoes that fit and are comfortable. I learned that I need to break in new flats sometimes before I wear them or I will get really bad blisters. 

4. Laughter is the best medicine

As cliche as it sounds, I could not have gotten through this year without laughing. Laughing with new friends, laughing at ridiculous situations, laughing at silly gifs posted in our med school’s FB group specifically created for that purpose (it’s the best, highly recommend. Our class has 3 facebook groups - one for class announcements/club things, one for study materials, and one for laughing. The silly one was started by an MS2 (now MS3 I suppose!)). Laughing is seriously therapeutic for stress. Also some of my classmates just happen to be hysterically funny. Also A+ to tumblr for keeping me giggling. Also, Broad City (put it on your list of shows to watch!) 

5. The days are long but the weeks/months are short

I still cannot believe it is May and I’m already done. I’m grateful that I’ve been able to reflect on my experiences on my tumblr so I can remember them (because sometimes it feels like my memories are getting squeezed out to make room for new knowledge). Journaling here allowed me to process this year in a way that I wouldn’t have otherwise. I would highly recommend it to anyone about to start school (of any kind!). 

6. Make new friends but keep the old

Yes, I am quoting a Girl Scouts song. Because it’s true. I am so very thankful for the technology that has allowed me to (try to) keep up with my college friends. Life is busy for all of us but it’s always nice to chat with old friends (and hang out, location permitting!) Also my med school class is filled with the most amazing people and it’s been so fun getting to know them :) I love my girls so much, they truly are my ride or dies. Med school is quite a bonding experience.

7. You’ll do things you never imagined you could

For me, that was anatomy and clinical skills. I was a bit nervous about dissecting and the whole experience but I was pleasantly surprised. It was not as weird as I thought it would be. In clinical skills, I was terrifyingly nervous about standardized patients and being filmed and getting feedback and learning how to do all the exams. We all got through it and now I feel much more comfortable. There are still hard days (like a couple of weeks ago) but I am not as nervous. I also learned how to do the male GU exam and it wasn’t as bad as I thought it was going to be. 

 I also can’t believe that I went from knowing nothing to taking a history and doing a physical on a real patient all by myself AND presenting them to my preceptor. I still have a ton to learn and say stupid stuff sometimes but it feels like I’m on the right track. 

8. While sometimes first year feels like this:

You’ll have moments where you feel like

And one last bonus lesson:

Can that be the medblr motto? Also shoutout to medblr for being such an amazing and supportive community. Could not have gotten through this year without y’all!!!! 

Congratulations to all the other first years who are finishing up school or already done :) And welcome medblr class of 2020!!! So excited for y’all. 

What studying Maths at uni is like:

1. Very different to A-level. There is more emphasis on proof, theorems and definitions so expect to be learning these lots. Even in modules like Probability and Statistics, not just Pure. 

2. What is called Further Pure at A-level is not actually much like Pure maths at all. So if you’ve got a module with Pure in the title, don’t expect it to be second order ODEs, polar coordinates and complex numbers. It’s very much here’s a definition, here’s a theorem, here’s how to prove it (from my little experience of it). 

3. Very algebra heavy. There are lots of questions that take a lot of rearranging and it gets very messy at times. Don’t be afraid of messy algebra, attack it.

4. Things start to become multidimensional. Like, most integration becomes stuff like surface and volume integrals. In my course I started multiple integrals in first year an then began applying them in second year. Even Statistics uses vectors more than scalars as you progress through the years. 

5. There is a lot more focus on how you write maths. It’s like a language in itself. You can get a correct answer and still lose marks because you’ve used = instead of ~ or not connected your working with implication symbols. It gets easier as time passes. 

6. You’ll have a variety of lectures (lecturer talks at you), problems classes (you work on problems with help from postgrad students and the lecture), examples classes (lecturer works through practise questions on whiteboard/projector) and tutorials (small group working through pre-completed questions with a tutor). From my experience, examples classes are more useful than lectures and problems classes are best when you’ve done the questions beforehand so you can get help on what you’re stuck on right away.

7. You probably won’t enjoy all of it. Most people enjoy either Applied, Pure or Probability/Statistics. Myself, I hated Pure. Some people love it. You can drop what branch you don’t like after first year. 

8. It is stressful. The modules contain A LOT more content than A-level modules. It is difficult. Especially after first year when all of the stuff you’re learning is new. But it is manageable. 

9. It is tiring. Having to concentrate in lectures for (about 22 hours in first year, 20 in second year, 12 in third year…) a week is hard. And then going back to halls/house and doing more work makes it harder. 9ams are difficult to get up for even though at school you probably did it every day with no problem. 

10. It is satisfying. The best thing about it is being able to solve a problem you never dreamed you could do. That is rewarding. It makes it worth it. 

If anyone wants to chat about maths at uni, feel free to send me a message. I’ve only done a BSc but have a few friends doing an MMath so I know a fair bit about it. 

Does Zapping Your Brain Increase Performance?

Here is a picture of the nine-dot problem. The task seems simple enough: connect all nine dots with four straight lines, but, do so without lifting the pen from the paper or retracing any line. If you don’t already know the solution, give it a try – although your chances of figuring it out within a few minutes hover around 0 percent. In fact, even if I were to give you a hint like “think outside of the box,” you are unlikely to crack this deceptively (and annoyingly!) simple puzzle.

The Nine Dot problem: connect the dots by making four lines, without lifting your pencil from the paper

And yet, if we were to pass a weak electric current through your brain (specifically your anterior temporal lobe, which sits somewhere between the top of your ear and temple), your chances of solving it may increase substantially. That, at least, was the finding from a study where 40 percent of people who couldn’t initially solve this problem managed to crack it after 10 minutes of transcranial direct current stimulation (tDCS) – a technique for delivering a painlessly weak electric current to the brain through electrodes on the scalp.

How to explain this?

It is an instance of the alleged power of tDCS and similar neurostimulation techniques. These are increasingly touted as methods that can “overclock” the brain in order to boost cognition, improve our moods, make us stronger, and even alter our moral dispositions. The claims are not completely unfounded: there is evidence that some people become slightly better at holding and manipulating information in their minds after a bout of tDCS. It also appears to reduce some people’s likelihood of formulating false memories, and seems to have a lasting improvement on some people’s ability to work with numbers. It can even appear to boost creativity, enhancing the ability of some to make abstract connections between words to come up with creative analogies. But it goes further, with some evidence that it can help people control their urges as well improve their mood. And beyond these psychological effects, tDCS of the part of the brain responsible for movement seems to improve muscular endurance and reduce fatigue.

It’s an impressive arsenal of findings, and it raises the obvious question: should we all start zapping away at our brains? That certainly seems to be the conclusion reached by the growing DIY community experimenting with home-made tDCS headsets.

But, while the list of supportive studies is far longer than those linked to here, the overall state of the evidence nevertheless continues to occupy that frustrating scientific limbo of being ultimately ambiguous – especially when we take into account all those comparatively boring, non-headline grabbing studies that found no significant effect from tDCS. In fact, a meta-analysis of tDCS studies – one of those laborious studies that study the findings of other studies – found the technique had no effect at all on a wide range of cognitive abilities. Yet that review in turn has been criticized as being too conservative and potentially biased in its own analysis.

More to the point, few of these studies have yet to be replicated, and most of them rely on a handful of unrepresentative people (US undergrads) who are asked to undertake the kind of lab-controlled tasks that usually share a questionable (at best) relationship with real world activities. And as for the long-term effects of tDCS use, or even how it affects brain function exactly? It’s not clear.

Yet none of this haziness has deterred start-ups from developing a slew of commercial tDCS headsets targeting home-users. Primary among those is Foc.us, which started off with a headset that allegedly enhances gaming ability before expanding to ones that improve learning speed as well as athletic endurance. There’s also Thync, a mood-enhancing headset that’s been described as a “digital drug” that can help users “energize or relax without drinks or pills.” While not quite based on tDCS, it uses pulses of electricity to target cranial nerves just under the skin to supposedly induce various moods.

Another such start-up, Halo Neuroscience, recently introduced its own headset, which stimulates motor neurons in a way that supposedly accelerates the strength gains and skill acquisition of athletes.

The firm reports on its own unpublished “preliminary results” with elite Olympic ski jumpers showing a 31 percent improvement in their propulsion force, with significantly less wobble when airborne. Even if a far more modest result than 31 percent turned out to be true, these sorts of findings could mean that tDCS is set to become a significant performance enhancer in the sporting world. Will its use in competitive settings be considered cheating?

In academic contexts, some universities are already trying to curb the off-label use of prescription drugs to enhance academic performance, with Duke University explicitly considering such use as “cheating.” Similarly, the Electronic Sports League, which holds massive gaming tournaments with million dollar prize pools, has started randomly testing players for so-called “smart drugs” that may give e-athletes an edge over their non-doping opponents.

Would using Foc.us’s GoFlow to “learn faster” be considered a similar instance of academic dishonesty by Duke University? Or what about using Foc.us’s gaming headset in the context of shooting down virtual enemies? If these devices give any sort of a boost, it’s not clear why their use should be considered any different from drugs like Adderall or Ritalin, at least in regards to cheating.

In non-virtual sport, the World Anti-doping Agency (WADA) prohibits substances and methods when they satisfy any two of these three criteria: 1. they confer a performance enhancement; 2. they pose an actual or potential risk for athletes; and 3. they violate the “spirit of sport.”

If the preliminary findings from Halo Neuroscience on ski jumping are even remotely valid, the first criterion would certainly be met. On the other hand, it’s not yet clear if tDCS poses a noteworthy potential risk for athletes – though any such risk would almost certainly be smaller than the one involved in soaring over 100 meters through the air, as in the case of ski jumping. But does it violate the difficult to define “spirit of sport”? It’s a question that WADA may wish to avoid: to answer yes may commit it to trying to ban the unbannable. As far as we can tell, tDCS leaves no uniquely detectable impact in the brain: a ban would not be enforceable.

On the other hand, tDCS may simply be construed as not “artificial” enough to threaten our (often arbitrary) notions of fairness, whether in sports or academic settings. Unlike injecting or ingesting a synthetic drug, many may have the intuition that a weak electric current is comparatively “natural” or “clean.” For instance, even though the effects are similar, WADA currently tolerates athletes who increase their red blood cells (and therefore, presumably, their performance) by sleeping in a tent that simulates high altitude, but not those who do so by blood doping or EPO. Something about sleeping in a tent to enhance performance does not strike us as suspect in the way that drugs or blood transfusions do. Perhaps tDCS will be occupy the same corner as altitude tents: for the rule makers, both can be convenient inconsistencies in the rules, as both elude detection anyway.

An yet, while we can question the evidence for the actual efficacy of most performance enhancers currently used, tDCS in particular stands out in calling for more data. Unlike Adderall or anabolic steroids, at the moment anyone can get their hands on a tDCS headset by legally ordering one online. And even if these headsets become more closely regulated, people can still cheaply make their own using common items found at electronics stores, stimulating any part of their brain, or their children’s. Given the current hype around it, it would be good to know more about how exactly it impacts the brain — and the long term consequences.

Top Image: These are increasingly touted as methods that can “overclock” the brain in order to boost cognition, improve our moods, make us stronger, and even alter our moral dispositions. Credit: Fabrice Coffini/GettyImages

Source: Scientific American (By Hazem Zohny)

i cannot stress this enough

if you are an eligible voter in the US this coming election and bernie sanders does not have the democratic nomination

you. have. to. vote. for. hillary.

i am not fucking messing around

i am not gonna sit here while you write in names or go on some fucking strike. hillary is not on the same level as donald trump. all of you who act like that’s a hard choice are ridiculous. you vote for hillary clinton if she gets the primary. if you don’t, you give trump the presidency. clear and simple. normally i would not advocate against writing in names, but at this point writing in names would take away from hillary’s vote if she is the nominee–EVEN IF YOU WRITE IN BERNIE SANDERS, YOU GIVE TRUMP A HIGHER CHANCE AT THE PRESIDENCY, AND YOU DON’T WANT THAT.

not even a year ago y’all were laughing about donald trump. don’t fuck this up. in no world is hillary clinton as bad as donald trump.

Yeah, but instead of signing away your voice for a dude, you’re signing away your your future paychecks for a piece of paper that theoretically qualifies you for said paycheck.

Of course, when you’re drowning in student loan debt, you have absolutely no right to speak up because you took out those loans dammit, and it’s not like credentialism and economic inequality, coupled with rising higher ed costs had anything to do with your choice because reasons and bootstraps. And a crippling recession that has you competing with a whole different class of older, experienced, more educated workers for entry level jobs, well, them’s the breaks, kid. Also, the depressed wages of the bottom 80% of Americans definitely didn’t influence your inability to pay on this debt with a higher interest rate than what the big banks pay for their bailouts. Nope. Not at all.

In a sick way, I suppose you’re signing away your voice in order to place a bet on a rigged roulette wheel overseen by plutocrats drunk on crony capitalism, who, while on an epic bender with the political class, managed to socialize the house’s risk and privatize its profits. Sorry, plebes.

At least the eternity part is 100% correct. Sallie Mae will follow you to the grave. Shit, they’d probably put a lien on your headstone and the plot in which you are buried.

Your time is limited, so don’t waste it living someone else’s life. Don’t be trapped by dogma – which is living with the results of other people’s thinking. Don’t let the noise of others’ opinions drown out your own inner voice. And most important, have the courage to follow your heart and intuition.

Steve Jobs (via beinchargeofyourlife)

I know from personal experience that sometimes sitting down to study sometimes means just staring blankly at a screen or notebook for a few minutes before ‘giving up’ and logging onto tumblr or facebook instead. I’ve been asked a few times about how to avoid wasting time and studying effectively, so here’s what my advice would be: 

What kind of learner are you?

Something that is only just starting to be understood by schools is that people learn in different ways. Just because you struggle to take in information when it’s written down in front of you, it doesn’t mean you’re ‘stupid’ or bad at revising. It’s important that you find out what methods work for you, because you might be any one of these learners, or a mixture of a few!: 

Visual Learners

If you’re quite a fast talker, or you get impatient during your revision, you might find that you are a visual learner. This means you take in information by looking at it and visualising what it is. Ways that you can revise that will encourage your visual learner traits would be:

Present your information with colourful charts and graphs. 

Use flashcards with pictures to learn vocabulary. 

Create powerpoint presentations with animation to explain key topics. 

Watch educational Youtube videos. 

Auditory Learners

If you’re a natural listener in conversations and find it easier to have things explained to you verbally, then you might be an auditory learner. This means that it’s easier for you to take information in by listening to it. Ways that you can revise that will encourage your auditory learner traits would be:

Record yourself saying your notes and listen back to them. 

Listen to educational Youtube videos or podcasts. 

Learn songs or poems in your target languages.

Read-Write Learners: 

If you enjoy reading and writing in all forms then you’re likely to be a read-write learner. This means you work well when interacting with a text. Ways that you can revise that will encourage your read-write learner traits would be: 

Take part in written tests that you make yourself or past papers. 

Summarise notes from a textbook.

Create your own handouts based on youtube videos or textbook chapters.

Kinesthetic Learners

If you prefer the more hands-on approach to learning, then you might be a kinesthetic learner. You learn best by doing the task at hand and practising! Ways that you can revise that will encourage your kinesthetic learner traits would be: 

Roleplaying or doing mock walkthroughs of tasks. 

Practising your languages by interacting with other speakers. 

Memory games and interactive ways of learning work well. 

BBC Key Skills has a test that you can take to help you work out what type of learner that you are! 

Other tips?

Avoid distractions

A proper revision session is rarely done with the TV blaring in the background or twitter open on another tab. So I would suggest trying applications like the StayFocused Chrome Extension if you can’t be trusted to stay on task when revising. I know that lots of people can’t stand silence, so try classical music or music from video games on a low volume in the background if you want to avoid being caught up in the lyrics. Get that phone on silent or airplane mode! 

Don’t overwork yourself

There’s very little point in sitting for hours and hours revising. You’re not going to take everything in and you’ll be very bored in the process. Tackle a few tasks, then take a break before revisiting them to ensure that they’ve stuck in your head. ‘Take regular breaks’ is a mantra I find myself repeating a lot. 

Have fun! 

The best encouragement for studying is by doing it in a way that you enjoy. If you’re arty, make your own posters or infographics that clearly display your topics. If you work well by interacting with others then organise a study group with some of your friends. Resources like educational youtube videos or memory games are perfect for keeping revision lighthearted. 

3 SUPER QUICK STUDY TIPS

1. Everyone is different, but find a good rhythm to study in. What I mean is find a good time increment to study in, and a good time increment for breaks. For me, I like to study in 45 minute bursts and take 15 minute breaks. 

Note that it doesn’t have to be constant. Sometimes I’ll plug away for two hours and then run for an hour. There isn’t a set technique that works for 100% of the population, so you do you ☺

2. Stretch!!! This is important not just for exercise but for studying as well. Stretch before, stretch during, stretch after. Especially if you’re sitting on your butt for a while. This will be good for your joints, and also to get your blood pumping when you can’t break out and exercise.

3. Have snacks and water. Keep the snacks minimally messy, or eat with utensils so that you don’t make a mess all over your notes/textbook/laptop. Snacking healthily will help with metabolism and with keeping your focus on what you’re studying, NOT on food.

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A-Level students right now