how to survive on board your guide to surviving the high seas
TRANSCRIPT
HOW TO SURVIVE ON BOARD
YOUR GUIDE TO SURVIVING THE HIGH SEAS
HOW TO SURVIVE ON BOARD
HOW TO SURVIVE THE WARDS
The Good News...
Pirate skills are medical student skills too...
YOU WILL SURVIVE THE WARDS!!
The Bad News...
You can’t dress as a pirate
Treasure MapsX MARKS THE SPOT
• Right place at the right time• ‘Home’ ward• Accident and Emergency• Medical Admissions/Assessment Unit (MAU)• Surgical Admissions/Assessment Unit (SAU)
You are the cabin boy
• Patients and their families• Consultants• Nurses• Registrars• More junior doctors• Other staff (ward clerks, health professionals)• Check with nurses before seeing patients
Know your crew
• Firm• Year group• Clinical school staff
Dr Jonathan Silverman
Long John Silver
Be Prepared
• Non-pirate clothing (bare below the elbow)• ID• Stethoscope• Pens• Notebook• Oxford Handbook of Clinical Medicine• Other • Tendon Hammer• Pen torch
Pirate-Patient Patter
• Your introduction • Practise!• Clinical and Communication Skills
Bravery
• You BELONG on the wards• Be confident and self
assured• Don’t be put off by set-
backs
Perseverance
• You don’t find the treasure on your first voyage
• And as obvious as it may sound, you will not be suturing and saving people from day one
• Some days are slow• Maximise breaks• Use time efficiently
Politeness
• Do not ‘arrrrrr’, or address people as ‘me hearties’ on the wards
• Give people an incentive to help you• Don’t eat all the chocolates!
All hands on deck• Clerk and examine lots of patients• ‘First telling’• ‘Home’ ward• Clinics• A&E • MAU and SAU (particularly in DGHs)
• Practice forming differential diagnoses• Practice clinical skills –be brave!• Follow patients to procedures
Teaching
• Formal teaching: lectures, seminars, ward based, clinical supervisions
• Informal: FYs, registrars, consultants, specialist nurses,
and your lovely stage 3s• Broad and simple • Overviews
Ask stupid questions
• It’s probably not stupid• It’s always better to know than not to know
Ship’s Watch
• Your timetable• Protected patient time• Hospital at different
times of day• Know when to go home
Everyone needs a parrot
• Have someone to share experiences with• Personal perspective• Peers• Senior people• DOS• College tutor• Supervisor• Firm consultant
Grog Fests
• Clinical school • Doctor’s mess and Firm
Parties• And if grog and sea shanties
aren’t your cup of tea...• Sports teams• Pantomime• Choir• Other societies
Feel like you’re sinking?
• Don’t panic!• Overview of the systems • Examining• History taking
Non-Piratey Summary
• Familiarity with people and places• Preparation• Bravery• Perseverance• Politeness• Get stuck in• Don’t panic .... Have fun!
If we’ve taught you nothing else...
At least you’ll know how to be a good pirate!
Questions?