Junior Med

Good day to 2k15,

in regards to the Junior medicine rotation.

this rotation comprises of an MCQ paper and an OCSE.   the things to
take from this rotation include:

1. your ability to examine a patient.  This is probably the most
important thing about this rotation. It is in the rotation u acquire
most of your skills in examination of the patients. Please i plead
with you to practice on as many patients as you can, because after
this you will not get another chance to learn.  In the senior
rotations you will not have the time to learn these thing again.
Stick close to the seniors who will be REFINING there skills.  Also
please expose your self to the different signs you can find using your
examination.  NOTE: If u cannot identify a murmur you 1st few times,
please don't get frustrated you just need to be able to appreciate it.
  i have attached a fwe pdf's about examination... use it as a guide..
and u will learn the uwi style with you consultant .... there is a
document with the "uwi Style" but i can't find it right now... i will
forward it to u at a later date...

ALSO to practice taking a patients history (you may or maynot )

2. there is a list of topics to cover in a document in the attachment.
 Please use this as a guide to study.  but wen you have a patient with
a disorder take the initiative to read about that illness as this will
be what your consultant will ask you on rounds. (i personally used
EMEDICINE to read through... wikipedia is questionable on a few topics
and i am a bit hesitant about using it and will always double check
with emedicine ... they give you a good break down about the disease.)

3.your procedure card: this is very important and you should read
around the procedures and things that need to see that are on that
card.  the exams may ask you about what is one your card.  for the
procedures read indications, the procedure and complications. the
completion of the card is not a must you will not see everything on
it, but try and do the things you can, such as IV's etc.

4. the MCQ and OCSE. the difficulty of this varies greatly... just
study and you should do fine... the OSCE is a reflection of your
practice.  they are accessing your style how smooth you are and if u
miss out anything in the examination. the Aim is to finish every exam
in 5 mins and the following 3-4 mins you have a discussion. If u don't
finish in the exam you can tell them what you would do  and you will
be fine
5. your case notes are very important for thie rotation... i can't
remember the actual percentage... but u can ask... so  make an effort
to do the S.O.A.P for your patients daily....and try and write a good
discussion....

Resources

THIS IS NOT A DIFFICULT ROTATION IF U MAKE SURE U KNOW YOU
EXAMINATIONS AND ARE ACTIVE ON WARD ROUNDS AND PAY ATTENTION WITH WHAT
IS GOING ON AROUND YOU
ENJOY IT AND MAKE THE BEST OF IT

REMEMBER PRACTICE THE YOUR EXAMINATIONS!

Krishna Mani
Class of 2k13
PS: if i remember anything else i will tell you

Emails can be sent to dukekm@gmail.com if there are any questions. But I'm a final yr student and time is limited, but I'll do my best to help.

this is a very good book for medicine... you should also take the time to go through this book
Book