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April 23, 2024, 11:54:54 pm

Author Topic: The reality of medicine  (Read 34758 times)  Share 

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brightsky

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The reality of medicine
« on: December 24, 2011, 11:58:33 pm »
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so...enveloped in the perpetual hype surrounding the medical profession especially amongst parents of asian descent (trite but as far as i've observed true for the most part), i would love it if current med/biomed students could reveal their experiences of the science at a uni level. also, for those of you who've talked to others who have gone through the med path already and/or are currently doctors/surgeons, would love it if you could share your findings on what exactly the career in medicine entails.

thanks in advance.

to mods: not sure if this is the right place to put this thread, so move it as you see fit.
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dc302

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Re: The reality of medicine
« Reply #1 on: December 25, 2011, 01:01:09 am »
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Most parents know jack about what medicine entails so don't listen to them.

And, are you asking about the science specifically or medicine in general?
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brightsky

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Re: The reality of medicine
« Reply #2 on: December 25, 2011, 01:05:23 am »
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Most parents know jack about what medicine entails so don't listen to them.

And, are you asking about the science specifically or medicine in general?

hmm..not sure i understand your question, but i guess medicine in general?
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dc302

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Re: The reality of medicine
« Reply #3 on: December 25, 2011, 01:09:16 am »
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Quote
i would love it if current med/biomed students could reveal their experiences of the science at a uni level.

I was referring to this. But as for medicine in general, I would only be able to give you second/third hand information... although I'm not sure how many actual doctors would frequent this forum. :P
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EvangelionZeta

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Re: The reality of medicine
« Reply #4 on: December 25, 2011, 01:15:11 am »
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Lots of repetitive work and long hours.  Both of my parents are doctors - any specific questions?
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brightsky

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Re: The reality of medicine
« Reply #5 on: December 25, 2011, 01:15:21 am »
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Quote
i would love it if current med/biomed students could reveal their experiences of the science at a uni level.

I was referring to this. But as for medicine in general, I would only be able to give you second/third hand information... although I'm not sure how many actual doctors would frequent this forum. :P

haha yeah true. i just wanted to get some first-hand information as to what medicine, even at an undergraduate level, involves; my understanding of it is nigh-non existent (not taking into account the generalised comments made by certain adults).
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ninwa

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Re: The reality of medicine
« Reply #6 on: December 25, 2011, 01:35:20 am »
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On being a doctor from my mother, who was vehemently against my trying for medicine and celebrated when I didn't get in...

- long, thankless hours
- some doctors hate having to take interns around so you're treated like shit
- angry irrational patients
- have fun dealing with blood, human waste, vomit etc.
- things she saw on emergency medicine rotation still haunt her today

On studying medicine (although she did this in China): memorising. Lots of it.
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nubs

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Re: The reality of medicine
« Reply #7 on: December 25, 2011, 01:38:02 am »
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Well my dad is a doctor, but he went to med school in India so I won't talk about that
He did all his training and did his internship here in Australia, however
He said the first few years were extremely tiresome and stressful. Very long hours, not enough sleep, and he was kept away from his family and friends a lot. He basically had no social life whatsoever.
But he said that was only for the first 2 or 3 years at the very most, and once you begin to specialise it becomes a pretty relaxed and rewarding job. He also said that first period in his career, although it was very demanding, it was still interesting and a decent experience. He would never go through it again though if he had the choice.

Something else I just remembered:
When I went to UoM for the open day, some British guy came up to me when I was talking to a med student. The British guy just went on and on about how med students have no sex life at all, and that will continue on for a while when they start working... he also said he graduated from Cambridge school of medicine or something like that, but yeah he just stressed how difficult it was for students to maintain a decent social life when studying for medicine - but he was old so yeah i dunno
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shinny

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Re: The reality of medicine
« Reply #8 on: December 25, 2011, 01:43:01 am »
+25
Not particularly sure what aspects you're asking about but I'll just give an overview from as far as I've seen it. Keep in mind that I've only been through three years, with two of them at actual university and not in the hospital. Also keep in mind that this is a Monash perspective of things.

University - non-clinical years
Overall, pretty much what you expect. Lots of lectures and lots of tutorials. It's fairly slow to start (first few weeks are just on things like communication, and you'll spend an entire two hours learning how to just ask a few simple questions to patients etc), but it builds up in speed eventually and second year can become a bit overwhelming for some. Be aware there's more to Medicine than just the biomedical sciences - you'll have to deal with epidemiology, law, sociology and such during these years too. Anatomy is quite a grind, basically just heaps and heaps of rote learning. The dissections are a bit confronting for some. I remember hacking apart a skull with a vibro-saw, so be prepared for this sort of thing. While many think they wouldn't be, you eventually just get desensitised. You'll also have a few assignments here and there as well, together with a few clinical placements to familiarise yourself with what it's actually like out there. Rural weeks are a particular highlight - one week in first year and two in second year. Plenty of clinical exposure, but also great fun (they provide you accommodation and it's pretty much a party every night). Second year has a research project where you'll spend a day a week for pretty much the entire year with a community service (e.g. I worked with the Royal District Nursing Service). With them, you'll have to run a full research project, complete with writing up a report of it and such. You'll then have to present your findings to the heads of Medicine and whatnot so it's quite an experience (albeit tedious) overall. Essentially, be prepared for a lot of rote learning throughout these years. I find whether or not one can juggle part-time work and other things in their life really depends on the individual. It definitely is possible though.

University - clinical years
If you're intending to go to Monash, make sure you have a car available. It's quite likely that you'll struggle to survive without it in these years. Anyway, these years revolve mainly around three things, lectures, clinical learning (seeing patients and being on the ward), and of course, self-study. You'll be put in many awkward and uncomfortable situations initially, but you'll eventually start to develop confidence. Be prepared for many quite invasive things such as breast and rectal examinations, and even urinary catheterisation (basically inserting a tube up the penis). I had to perform these and get them signed off to pass the year (except for the rectals - managed to dodge that :P). Nowadays, the whole patriarchal nature of Medicine often portrayed in TV shows such as Scrubs is mostly gone. The majority of the consultants are really nice, and will often let you sit in on their clinics, and some will even allow you to take your own consulting room by yourself to see their patients in.

Career-wise (some details may be slightly wrong - I get fragmented accounts and different stories from different doctors, and of course, the experience always varies depending on the individual)
From being at the hospital and having talked to doctors this year, basically you start to see what Medicine is really like. And well, I guess it's not a nice image - not for a while at least. While life as a consultant seems good (this is the side of Medicine you mostly hear of), the steps before that seem pretty bad. Internship mostly entails being a glorified paperwork bitch - I had an intern who hadn't really examined a patient properly for over 8 weeks. Residency can be a bit better, but you'll have to return to many intern roles anyway if the work gets heavy enough (and it will). Overtime is expected, and you won't have time for much else during these years. Eventually you get to your registrar years where you start to study for the exams to specialise. This is where things seem to get pretty damn bad. You have the responsibility of running the majority of the hospital as consultants are only in for an hour a day or so to check how things are going. Now with this responsibility of your shoulders, you still have to study for your exams which are pretty damn hard. It's not just about passing anymore - it's about beating every other specialist-to-be. Then there's the job interviews you have to pass even if you pass the specialist exams. If you don't get through them, bad luck, gotta try again next year. And apparently it costs about $2000 each time you try to sit these exams. Many doctors undergoing physician training said to me up-front to not go through it. I'm not kidding when I say most of the doctors in this position are actually depressed - not your typical VCE student saying they're stressed, but actual complete emotional exhaustion. Seriously, imagine studying like that after doing some of the most emotionally and intellectually challenging work for an entire day. I don't think I need to go into the specialist side of things too much. There are problems, but life is mostly pretty good from then on as far as I can see.

Overall, the benefits of Medicine can be found in many other careers. If what you want is money, do dentistry. Seriously, you'll earn heaps more than Medicine, and you start getting it immediately after you graduate. For helping people, there's other ways to do it. If all you like is the idea of Biology/science, then pursue an academic career. Clinical medicine actually comes down to a lot of common sense/rote learning and less actual science and such than you may think. What medicine does do is perhaps combine all the above elements into a single career, and that's the main reason why you should consider even going through this mostly hellish path. Anyhow, I've left heaps out and I could keep going, but I'll leave it here and await more specific questions/clarification perhaps.

EDIT: Oh and yes, one thing I forgot to mention. Medicine is pretty much all about old people. Unless you become a paediatrician, be prepared to be dealing with old people the majority of your life. On the plus side though, the elderly are lovely. I much prefer having an elderly person than a young patient. Young patients can be quite bitchy. The elderly are much more appreciative and pleasant to deal with :P
« Last Edit: December 25, 2011, 01:47:24 am by shinny »
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nubs

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Re: The reality of medicine
« Reply #9 on: December 25, 2011, 01:44:46 am »
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On being a doctor from my mother, who was vehemently against my trying for medicine and celebrated when I didn't get in...

- long, thankless hours
- some doctors hate having to take interns around so you're treated like shit
- angry irrational patients
- have fun dealing with blood, human waste, vomit etc.
- things she saw on emergency medicine rotation still haunt her today

On studying medicine (although she did this in China): memorising. Lots of it.

Long thankless hours? I'm not too sure about that. My dad gets gift baskets all the time, and he got a fuck load of Christmas cards. I think that a lot of people out there are very appreciative of doctors
Treated as shit as an intern: Yeah that sounds about right (But the internship only lasts one year, yeah?)
Angry irrational patients: There are a lot of different kinds of patients, so yeah it's not like every single patient will be angry and irrational, there are bound to be delightful ones in the mix
Blood, human waste, vomit: Don't necessarily have to deal with those when or if you specialise, would you?
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dc302

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Re: The reality of medicine
« Reply #10 on: December 25, 2011, 01:47:49 am »
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@ Eva, ninwa, Nirbaan, mind saying what kind of doctors your parent(s) are, and maybe how they feel about their specialty?
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dc302

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Re: The reality of medicine
« Reply #11 on: December 25, 2011, 01:50:45 am »
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@ shinny, dentists make more than doctors, really? What's a dentist's salary like then? Also, you also start earning as soon as you graduate from med school.
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nubs

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Re: The reality of medicine
« Reply #12 on: December 25, 2011, 01:52:48 am »
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Sure
Dad's a GP, which is a specialisation contrary to popular belief
Hours are up to him, pay is high, the work itself isn't the most interesting though. Every now and then he sees something or does something exciting (exciting when compared to all the other boring stuff he does), but for the most part it's as if he goes through the same old routine, day in and day out.
I haven't asked him directly, but I'm pretty sure he thinks it's boring
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nubs

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Re: The reality of medicine
« Reply #13 on: December 25, 2011, 01:53:57 am »
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@ shinny, dentists make more than doctors, really? What's a dentist's salary like then? Also, you also start earning as soon as you graduate from med school.

Dentist at my dad's clinic makes upwards of 250k a year, working 3-4 days a week
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shinny

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Re: The reality of medicine
« Reply #14 on: December 25, 2011, 01:59:41 am »
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@ shinny, dentists make more than doctors, really? What's a dentist's salary like then? Also, you also start earning as soon as you graduate from med school.

Can't give you figures, but you're essentially in private practice immediately since there's no dental Medicare. Doctors can only go off the public system after they specialise, and after they get themselves a nice patient base. On the other hand, my friend's brother is third year out of Dentistry and owns two dental clinics by borrowing from the banks (i.e. not spoon-fed from a rich family). If you know how to play your cards right, heaps of money to be made as far as I know. And yeh, of course you start earning after you graduate from Med school, but I meant in terms of those significant numbers every keeps bringing up. At the moment, an intern pay packet is about $60k - nothing glorious really for 5 years of study. The benefit is that it's a guaranteed job by the government though, unlike commerce where I've had friends stranded without a job even after graduating.

Sure
Dad's a GP, which is a specialisation contrary to popular belief
Hours are up to him, pay is high, the work itself isn't the most interesting though. Every now and then he sees something or does something exciting (exciting when compared to all the other boring stuff he does), but for the most part it's as if he goes through the same old routine, day in and day out.
I haven't asked him directly, but I'm pretty sure he thinks it's boring

Ah yes, the 'boredom' factor. Yeh, after watching things such as House, you think medicine is incredibly exciting with heaps of rare diseases and such. But yeh, it's really not like that. Be prepared to see the same things over and over again as a doctor. A large majority of patients are only there for check-ups and things such as that. Don't think every day is going to be an awesome game of diagnosis. However, when you do get the chance at diagnosis and get it right, it's the best feeling ever, seriously.

Blood, human waste, vomit: Don't necessarily have to deal with those when or if you specialise, would you?

Blood depends on what speciality I guess. But unless you're a surgeon, as a physician you shouldn't be seeing it a lot (maybe just in bags or tubes), but it really shouldn't be spurting out at you by any means within your clinic or a hospital. For human waste, once again, depends on the speciality. I was on colorectal surgery this year so obviously the surgeons in charge of that will have to deal with it a lot. Other than that, for most things, the nurses take care of it. For vomit, after the amount you'll be expected to drink through Med school, cleaning vomit will be second nature :P
« Last Edit: December 25, 2011, 02:02:34 am by shinny »
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