From Med Student to FY Doctor: 10 tips from Dr Kishan Rees
1. Don’t try to be all things to all men
A wise old proverb that couldn’t be more truthful for first year medical students… You simply can’t be all things to all people and you can’t do all things all at once. We can sometimes behave this way to help us cope with the many demands as Doctors, as we try our best to meet and exceed expectations and standards.
You’re just setting out on your journey, you’re a first year medic with your own thoughts, beliefs and behaviours. Though you’ll want to prove yourself early on, keep grounded, focused and concentrate on being a good doctor.
2. Be efficient and organised
3. Soak up every minute as a valuable learning opportunity
You’ve been to medical school; you’ve worked hard for this opportunity. The learning never stops. Make the most of every minute of every day to learn even more from those around you. Your working experiences are invaluable; you’ll learn things you never even touched upon at medical school. These are your ‘real-life’, eye-opener experiences, your memories, your lessons learnt.
4. Organise leave among your peers early
Every NHS employee is entitled to take annual leave. Foundation Year 1 Doctors are entitled to five weeks annual leave and Resident Doctors’ input into rota design is encouraged to ensure better working relationships. There will potentially be resistance to changing set annual leave dates so be sure to organise yours as early as possible. Explore the possibility of organising annual leave with your colleagues as hospitals’ leave terms vary. The ideal situation would be to come up with a rota that enables you to take your leave entitlement in a more flexible manner.
5. Have a meeting at the start of every shift with colleagues
6. Document, document and document
It is part of your duties in delivering patient care to write everything down. Although you’re sometimes encouraged in medical school not to write when seeing a patient, it’s probably a skill worth honing.
Accuracy and timeliness are absolutely imperative to documentation for effective communication between you and your patient, from your clinical notes, lab results, to consent forms – the list goes on. Also, by documenting, your colleagues can effectively and confidently pick up where you left off.
And remember, your notes could be used in a court of law. If you don’t write it down, it didn’t happen. Poor documentation is a major factor in litigation cases. Patient notes will be examined and negligence may be considered as the cause of patient morbidity, and/or mortality.
7. If you are unsure – ask
Don’t put too much pressure on yourself early on. There is no such thing as a silly question and asking for help is important as a Junior Doctor. If in doubt, approach senior colleagues; they were once in your shoes and will be expecting your queries.
You’re not going to pick up absolutely everything in the first few months and put every piece of theory into practice. Asking that question is certainly more favourable over making a glaring error, especially in such a crucial stage of your career. It’s better to be safe than sorry.
8. If it’s something your patient needs – make it happen
9. Deliver a comprehensive handover
As a result of increasing workloads and changing work patterns, delivering a comprehensive handover has never been so important, especially handovers for the next batch of Resident Doctors. Ensure details included within the handover are of the key pieces of information your colleagues will need to know about.
Handovers that miss vitally relevant details could impact quality of care and have a negative effect on staff in terms of stress and tension. It is advised that medical students attend handovers to learn the necessary skills. I will often cover handovers within my lectures and clinical skills workshops.
10. Make appropriate people aware of things at appropriate times
During pressured periods (which we know is pretty relentless in the NHS working environment), emotional intelligence will direct how, when and to whom you will deliver specific information or highlight particular issues. Though there is no right or wrong time to make your colleagues aware, you can assess the situation, assess your environment and make a justified decision.
About Dr Kishan Rees
Dr Kishan Rees has been working as a locum doctor with ID Medical since 2011. His educational enterprise, WatMed Educational, is a community for junior members of the medical profession and aspiring doctors (A-Level students). Visit WatMed Educational’s YouTube channel and pose your questions to Dr Rees on Twitter @Prepare4FY1.