And off we go!

I've got to say, the standard of teaching seemed to have increased dramatically from second to third year. That, or my attention span increased as well, because there were few times when I actually caught myself not paying attention - which was just as well, given the important details that we covered over our first Conference Week.

Conference Week was not as crazy as I first imagined; we did get breaks for lunch and there was a good balance of workshops (small group and practical learning) and lectures. The workshops were overall a fantastic experience - we covered lots of practical things from reading ECGs and X-rays to revisiting resuscitation, physical examinations and oxygen marks, and definitely were the highlight of the week. The lectures were overall pretty great as well - interesting and important stuff on managing fluid levels, suturing, communicating with Aboriginals, and shock, and filled with case studies to increase clinical relevance - the only ones which I thought could be improved were the cardiac lectures, in which a lecturer was droning on and on, reading off slides. Which brings me to another good aspect of the conference week - the last half-hour where our Year Co-ordinator hosted a feedback session on everything done in the conference week; great to hear the whole grade (in one of the rare times we're together) chip in on what could be improved and what should be included, and an excellent demonstration that the School held our feedback in high regard.

In contrast to the brilliance of Conference Week, O-Week for the Medicine in Context (MiC) students (i.e. me) wasn't so flash. Maybe it was because we had, in effect, two days off (one day, as you know, was Australia Day; the other was a 'call-your-MiC-supervisors-day'), or maybe because the E-learning lab that we were in was freezing (I brought a jacket with me the next day, people that saw me on the train probably thought I was crazy because it was so hot, even at 9am). Whatever it was, it wasn't as inspiring as the Conference Week. Nonetheless, there were some key highlights - a seminar on Child Abuse which was very well delivered and gave us a lot of new information, presentations by a fourth-year student on MiC, and a rather amusing session on grammar and the use of apostrophe to indicate possession (in amongst how to write academically, of course - grammar was not a lecture by itself). These were the only real gems I could remember from the week, however, as the remainder was about library resources (an important thing to know about, but rather droll and not as informative as we would've hoped - there was also another session on this in Conference Week), and why MiC was so great. The consensus opinion seemed to be that they could've packed a lot more into this week for us, as the students starting Medicine and Surgery rotations were going right into their teams from mid-day of the Monday of O-Week.

These couple of weeks, I was also hard at work co-ordinating O-Week efforts for Campbelltown campus. The student society at Ctown, Engage, finished technical details with setting up a web presence (at engageuws.com.au) and so I was busy updating that and working out details in our forums on Australia Day. We also had a couple of meetings to determine activities for O-Week, and I also had the UWS Chess Club (which I also run) to concern myself with. Both of these (and the Chair position I have with the student union) will be dropping off in the next couple of months, as I cannot see how this is very sustainable; but it's still an exciting thing to be part of, and if I could go back a year, I wouldn't have changed a thing. These efforts, though, conflict with me reading a 70-page document on guidelines to treating hypertension. Which is rather droll, I might add (and you might expect) - and which I should be finishing off now. These two weeks mark the end of the orientation, and so for the next ten weeks I'll be on my rotations for disability and mental health respectively - and am looking forward to learning a lot more about the services that cater for these tremendously important areas of health. So, until next time :)

Conference - Where kids can come to act smart

Only a couple of days out from finishing with the last of exams for this year, I was celebrating hard-stylez by attending the wonderful Victor Chang Cardiac Research Institute conference titled "Charting the depths of RNA". I must've been off my head or something, but I was really quite keen to attend this, listen to some awesome international speakers and generally learn something new. Once again, the experience of this conference was quite similar to the ISAN experience I blogged about more than a year ago; this time, without the good night's sleep, thanks to several friends (who don't do med) kindly playing Trivial Pursuit at my place till 1:30am - although I should be also to blame, I didn't have the heart to kick them out earlier...
At any rate, the conference was quite interesting, if you were a researcher in all the new and wonderful types of RNA around - microRNA, snRNA, and some other RNA's with small-letter prefixes that I couldn't remember. For the average medical student (and I didn't spot many, most seemed to be science students), it was next to useless, with perhaps the very interesting exception about novel therapies for Duchenne's Muscular Dystrophy (one to look up if you don't know what it is) and other clinical applications of microRNA. This was more focused on the variants of RNA rather than the old regular RNA that you read in the textbooks - it seems that, for the last few decades, we've getting it rather wrong and have not realised the importance of these microRNA things, which do not contain genetic code to translate into proteins, per se, but instead modify expression of regular DNA. A prime example of why this was important was given in the introductory speech by a Head of Science in UNSW, whereby it was noted that the number of DNA genes that coded for proteins (what we focus on in med school) did not necessarily correlate with complexity, but the number of genes not coding for proteins and instead doing something else, DID correlate with complexity - i.e. humans had more than, say, the fruit fly. This, I thought, was a rather succinct point which helped me concentrate through the first couple of talks, then fall asleep at some of the others and generally lose focus. The technical detail in the conference was enormous, and most of it went right over our heads (went with a friend, who was equally keen on this), but it was an interesting experience nonetheless.
The food was of average standard; to me, a rather undistinguished eater, the party meat pies were the most delectable, followed (by a long way) by this random ball of what tasted like cooked self-raising flour (with no eggs or milk), and then some rather unsavoury sandwiches. But hey, we didn't come for the food. Another aspect of the conference were the sponsors, which were very nice people - they handed me pens (they should upgrade to BIC promotional pens or something, pens aren't much good if they can't write), much needed Post-it notes, and even a thing that blocks out light from your eyes when you sleep - can't remember what it's called, unfortunately. That was a fun part of the conference.
In all fairness, as I stated above, I thought it was a great conference for those involved in the field. For us, the relevance is still there, but the clinical talks were few and far in between, it was very clearly pitched to scientists, as they were revising how the heart worked in one of the talks on Atrial Fibrillation. In contrast, they glossed over the basics of microRNA and did not mention the basics on the techniques used to extract RNA and assess it. Overall, I thought it was a good day out, a nice way to celebrate the end of exams, and a great way to give you a headache were you unfortunate enough to try to pay attention whilst not knowing what in the world microRNA was.

School's Out

Hmm. I was struggling to find an appropriate title for this post, but I guess this one suits, since the day is *sort of* over.
Alright. ISAN09! Some stats: 2 day conference, 8 Symposiums (lecture sessions) running through the two days, 2 Symposiums running in either of our 2 lecture halls at any one time, 30 presentations (one presenter unfortunately was not feeling well), and a cumulative 9 hours of total hard-core concentration. Phew.
The symposiums I attended were Microneurography I (Chaired or introduced by our own Vaughan Macefield, UWS Represent!), Gravitational Stress, Imaging Central Autonomic Control in Awake Humans, and Clinical Applications of Neurotransmitters. Impressed? Yes, I was blown away by the average IQ in the conference as well :)
First one; Microneurography is a method of measuring electrical impulses in nerves all around the body (but mostly in the arm and leg since they are the easiest to access). That symposium was all about refinement of techniques in using this to record activity in nerves - actually quite difficult to concentrate in, but I managed to get most of it down in notes.
Second one; Gravitational Stress - this was all about research regarding nerve activity in Space and microgravity (i.e. zero gravity). Sounds exciting, yeh? Unfortunately, the presenters from Japan and France were difficult to understand, and the material was (in my opinion, anyway) rather in-depth and specific. It was still interesting to find out how they simulated microgravity on Earth though; and some of the gadgets they used in space to record vitals.
The third and fourth were just yesterday; the Imaging symposium was pretty full-on, whilst the Clinical Applications of Neurotransmitters was more interesting for me since it had some clinically relevant stuff - such as reducing High Blood Pressure in individuals by de-activating the nerves in the kidneys, with some pretty dramatic results. So I thought that was really worth looking into; and in reality all of the research presented at this conference was pretty cutting-edge; we had information from studies which had not even been published yet, and was still in the process of submission. So yep, chance of a lifetime.
Meeting some of the researchers was interesting too; I met this person from Canada who actually held an Engineering degree, and was applying mathematics to the waveform model of nerve activity! Since this conference wasn't strictly medical, it was great to see the mixture of scientists and clinicians from all around the world, sharing information but also quite enjoying themselves in Sydney :)
The conference ended with a brilliant idea from one of my friends who suggested to Vaughan to take a picture of all the delegates. They were all quite game to take a few (ok, many, since there were numerous cameras) happy snaps, and nothing completes a meeting quite like a happy group photo with one particular scientist's taste of The Beegees playing on his iPhone. Nothing. Well, almost - Vaughan then introduced his iPhone (or iTouch?) and played The Presets, then suggested a breakdance party. Professor Macefield Rules :D
Today, in comparison, was not as exciting. Our PBL group assigned EBM roles, discussed a little bit, and went off on our merry way; PBL this week was quite interesting though - for once we didn't have a concrete diagnosis by Monday - which means some sleuthing around for the week! Aweeeeesome.

ISAN09! Rawwwrrrrrr

I'm pumped for Sept 5&6, because UWS' School of Medicine is hosting a satellite meeting for ISAN09! ISAN is short for the International Society for the Autonomic Nervous system, which has it's biennial congress in various cities - this time around it's in Sydney. If you have no idea what the Autonomic Nervous System is (which is in the second week of our PBL), it's the part of the nervous system that controls all the non-voluntary, or autonomous actions; such as regulating blood pressure, sweating, etc - essentially keeping our body's internal environment constant (a concept which is also introduced at about the same time as the ANS). So, being a first year med student with little idea on the ANS, I jumped at the opportunity to attend this meeting, as well some 20-odd students from our course, which our school provided complimentary registrations for. Happy happy happy :)

In other news, I'm always constantly surprised at how med students manage to keep the drinking culture alive, whilst learning about the very unpleasant side effects of binge drinking (defined as 6 or more standard drinks, which, ironically, seems to be about standard for a regular meddie's night out). We were introduced in ICM today to the alcohol screening test - a quiz with some quite heavy-hitting and personal questions (such as: how often do you drink 6 or more standard drinks, has anyone been injured due to your drinking), which may be a non-issue for non-drinkers (like me! yay!) but a significant issue for those who've relied on that 'liquid gold', as we discovered during patient rounds...
It's not like alcoholics don't know what they're doing; its just our culture; our 'mates' positive perception of alcohol, it's place in common culture as a synonym for a good time. Unlike the smokers who get really bad rep, the alkis are getting none. And, sadly, its always 'I am going to stop' and meaning it, but much of the time, being unable to stop the cycle until they meet a doctor, or the pearly white gates.

Anyway, anatomy practical tomorrow! Yippee! Nothing like a quick (2 hours?) squizz at cadavers to brighten a week up :)