SQUUEEEEEE

And so begins my long-awaited holiday for the year :) Exams overall were fairly solid; we had four written exams and one anatomy spot test; the four writtens included an MEQ (mini-essay question 10-20 marks/question), SAQ (short-answer question anywhere from 2-10 marks) and 2x MCQs (multiple choice question, 1 mark each) tests; they were pretty difficult compared to first semester, and I'd say a fair bit more difficult than HSC exams (speaking of which, everyone finishing up secondary education in NSW this year should be done with exams - hoorah!). There was a significantly increased clinical/diagnostic focus in the written exams this semester, which may or may not have caught people off guard, but I was happy with the general gist of them. What was disappointing was the reuse of questions from multiple choice - leakage of questions to some students and not others by means of connections meant that some were aware of a few questions (and answers) that were in the exam, and some were not. I doubt it can be avoided, since it's only natural for upper years to leak exams to lower years, but nonetheless.
The anatomy spot test was, in my opinion, fairly difficult - not particularly because of the level of detail required, but more because of the rather... disfigured cadavers/specimens being used in the exam. I struggled to identify a pancreas that looked like it was cut in half and strewn across the tray; only by looking at the only organ attached next to it (a spleen) and the texture of the organ was I able to realise what it was. Ambiguity regarding the level of detail was another hallmark of the test, although not entirely foreign to us thanks to a formative anatomy test prior; a label would indicate a heart valve, but may be closer to a particular cusp of a valve; what to write down was an internal debate in itself. Despite this, the use of models did help those who had little experience looking at cadavers (i.e. most of the cohort) and more experience looking at diagrams and illustrative atlases - and apparently the pass mark for the spot test is going to be below 50%. Hmmm.
A post-exam party/bash at either the city or the beach concluded the final day of exams; and goodbyes were said as we looked back at our first year of medicine; and look forward (hopefully) to our second. And by look forward, I don't mean, 'be eager to undertake' - thanks to warnings from a notable third year, half our grade is now planning to study in our holidays, including myself. *sigh*
Farewell, first year. May I never be associated with you again.

Post #1 of October

Ah. Next week will be a PBL-free week, due to Labour Day. This is good; not because I have less work to do, but because I have more time to catch up. Oh, how perspectives change...
This week was pretty unremarkable - I guess that after 25 or so weeks of uni, things seem kind of like the same. We had another respiratory case this week, but an even more complex multi-factorial one; and we started on basics of the neck and breathing anatomy. Then we had various lectures on respiratory control and drive, and finally, to wrap up this wonderful week, we had our formative anatomy spot test, which went by very quick (10 minutes - essentially identifying various structures) and an Evidence-Based Medicine lecture (on the difference between causality and simple association/link between two things - say, smoking and lung cancer), which, I admit, was pretty good - lecturer was well-spoken, well-dressed, well-prepared; which made for a very easy lecture to understand and take notes from. So, after reading this recall, you're probably just as bored as I was during this week - and for no reason; I mean, hey! Medicine! Prestige! Wealth! Awesomeness! Around the corner! Should I not be excited at every twist and turn, every avenue of discovery that awaits? Well... sort of, but it doesn't really lend itself well to being interesting reading.

I, however, was firmly reminded of a very important concept in medicine, this week - the concept of "medicine-is-not-static" (for lack of a better concept name). One of the more popular physiology books (although we're lead to believe there are only two that ever exist), Guyton's Medical Physiology 11th Edition, was published in 2006; fairly recent, one would assume. This is the latest version of Guyton - and since it is fairly readable and in general quite a good text, many in the course often refer to that, and nothing more, treating it as the authoritative textbook on physiology. However, during our PBL we had found that:
1) one area of the brain stem that was apparently very important in inspiration (in breathing) is now not very important at all
2) another area of the brain stem that seemingly only dealt with expiration, dealt with both
3) there was utterly no mention of the current leading thinking regarding a very important specific part of that area of brain stem.
In short, if someone were to use this textbook, and this textbook only, they would be out of step in regards to how we breathe. It's the first time that this has actually happened to me; reading a textbook and finding that there are contradictions from lectures and other texts - but I have a feeling I'll be expecting a lot more. This is not to knock Guyton (which I again emphasise is an excellent textbook); just that 3 years can already be considered outdated in physiology. I've been told that this 'outdated-ness' varies wildly with various parts of medicine though.

Well, the long weekend awaits. To be productive, or not to be... I'll see.

Out of Breath

The first time I've ever wanted to really be over 18 was yesterday, when I was in the city meeting up with some friends from other uni's. Until then, I saw no reason to be over 18 - I have a debit card, eBay account and Paypal account all *supported* by my father, and voting isn't too big a deal for me (although I do pay attention to politics, ironically). But when there was only me and my friend who came from Perth left, we went to look for dinner, and saw "$10 Buffet!" which, you know, was kind of enticing. Until we saw the bouncers.
Who directed us to another bar (which also mentioned "$10 meals") which apparently allowed under-18s...
Which rejected us again.
And so forth and so on ($6 steaks) until we couldn't take it (well, I couldn't) and we went to eat something else.

Anyway.
Formative exam was a massive screw-up; unlike last semester's formative which was a breeze, this formative was a lot closer to the difficulty of mid-semester exams - and since I winged this one, chances that I pass are not good. PBL was interesting - we just started the respiratory system and will finish it off by the end of this semester (surprisingly close - I can't believe the academic year is nearly over!)
We had updates on our anatomy spot test (where you identify various parts of a cadaver) which was to be summative (i.e. counted) and our OSCEs, which are formative (i.e. not counted). Apparently we'll be getting a practice run for the spot test, but not for the OSCEs - fair enough.
We have a one-week break now though - time to do some revision and catch-up, so I don't fail the end-of-sem exams. Aren't I lucky.