Medicine and beyond

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Andrew Lindsay gave a presentation as part of the 2014 Careers After Biological Sciences at the University of Leicester. Having graduated from the University in 2002, with a degree in Medical Biochemistry, Andy went on to study Medicine at Newcastle. He is currently a Specialist Registrar in Emergency Medicine in London. His talk included anecdotes from the various roles he has carried out since qualifying as a doctor, as well as offering advice for anyone interested in becoming a medic.

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Medicine and beyond

  1. 1. Medicine and Beyond Dr Andrew S. Lindsay Emergency Medicine SpR North East and Central London 12th February 2014
  2. 2. About me…  Emergency Medicine SpR – North East and Central London  Currently working at University College Hospital (London)  Graduated MB BS Medicine from Newcastle (2007)  Particular interests are;  Pre-Hospital Emergency Medicine  Paediatric Emergency Medicine  Medical education
  3. 3. So what do I do??
  4. 4. What I actually do…  Medical practitioner for 7 years, (6 within the NHS)  Part of a total of 1.3 million NHS Employees  UCH Accident and Emergency department has 135,000 patients per year, (370 per day)  Initially assessing and treating the most critically unwell or injured adults and children  Directly helping the most dependent And vulnerable people in society  Often in charge of supervising medical / nursing care within the entire department
  5. 5. My average day…….  No two days are ever the same, always depends on what comes through the front door  Have to be prepared for anything – No matter how weird or wonderful  Often very physically and mentally demanding on 10-12 hours shift  Can be exciting edge of the seat stuff like “ER” on TV!!  Heart attacks, meningitis, strokes, car accidents, Haemorrage, burns and cardiac arrests  But can be very unglamorous and harrowing  Drug overdoses, potentially abused children, random bodily fluids, boils, bugs and bums, and drunks, lots and lots of drunks….
  6. 6. How did I get to where I am now??  Started at Leicester University September 1999  Graduated - BSc (MBioChem) - 2002  Moved to Newcastle and continued Medicine September 2002  Graduated MB BS (Medicine) – 2007  Foundation training (F1/F2) at Durham University Hospital  Moved to London for registrar posts  Emergency medicine & Acute medicine  Anaesthetics & Intensive Care  A&E at the Royal London Major Trauma Centre  Year out - Olympics and Australia – (2012/2013)  Returned to London – SpR in Emergency Medicine
  7. 7. Why pursue a career in medicine?  Rewarding career  Helping to care for the vulnerable and unwell  Providing support to patients, families, the desperate and terminally ill  Challenging and stimulating  Many career options and specialties  Opportunity for foreign travel and practice  Respected profession  Similar opportunities throughout the UK  Quite well paid compared to many other careers  High level of job security
  8. 8. Disadvantages to medicine  High level of pressure, particularly with time pressures and targets  Very strict codes of conduct and professional ethics  Can be extremely physically and mentally draining  High levels of stress, long hours and can be hard to plan things around the job  Decisions are often life changing and can be difficult to deal with if you get it wrong  Can see some of the worst sides of human nature  NHS is ever changing environment, particularly because of multiple changes in DOH / Government policy  Never ending requirement for further professional assessments, exams and revalidation
  9. 9. How do you get into medicine? The Application bit…  Decide early as possible  Get any kind of work experience possible (or volunteering, SJA, nursing homes)  Choose medical schools wisely (Graduate course / entry requirements / Bursaries available)  26 Medical schools now require the UK-CAT (UK-Clinical aptitude Test to apply)  Get input from someone in the profession on your UCAS personal statement (if possible)  Get someone good at English to proof read and check it
  10. 10. How do you get into medicine? Prepare hard for the interview     Medical stories in the media Current NHS / DOH / Government policies Know course benefits / structure / ethos at your chosen university Modernising Medical Careers (MMC) and foundation programme websites to understand current career path and training  Obtain a person specification from the MMC website   Slant your personal statement to show those qualities Same qualities in potential medical students as required in junior doctors to training posts  Good communications skills are vital   Find anything that demonstrates you have excellent communications skills Involved in everything we do
  11. 11. Other medical opportunities (1)  Medical research  Teaching activities and medical education  Life support instructor  Formal links with university institution  Medico-legal and private practice  Shaping health care organisation and services      Clinical Commissioning groups (CCGs) Hospital Management and executive activities Public Health DOH / Government advisory roles Major incident planning and management  Charities  MSF, Red Cross, cancer research, British Heart Foundation
  12. 12. Other medical opportunities (2)  Working abroad  Australia  New Zealand  Canada  Middle East  USA / South Africa  Pre-Hospital Care  BASICS  HEMS  Ambulance services  Aviation medicine
  13. 13. Other medical opportunities (3)  Expedition medicine  Event Medicine  Motor racing  Sports medicine  Medical writing, media and journalism
  14. 14. Medicine and beyond (1)  Life support instructor  ALS  APLS  MIMMS  BASICS  Major incident management  Receiving hospitals for  Hackney riots - (August 2011)  Tottenham Court Road fire - (December 2013)  Apollo theatre collapse - (December 2013)
  15. 15. Medicine and beyond (2)  Expedition medic  Mount Kilimanjaro  Successfully summited x 2  London 2012 Olympics Field of play medical team  Equestrian  Velodrome  BMX  Basketball  Football
  16. 16. Medicine and beyond (3)  Lead event doctor for Wakestock festival (July 2012)  Wembley medical team  CMO for London 2012 Olympic football gold medal match  International and FA Cup final football matches  Pop concerts  American Football (International series)  Rugby Leagure World Cup (2013)  Australian Safari motor racing  International off road racing (Motocross, 4WD and Quadbikes)
  17. 17. Medicine and Beyond (4)  Medical Officer for Royal Flying Doctors Service (RFDS) – Western Australia  Pre-Hospital Care (PHC)  Aeromedical retrieval  HEMS with FESA helicopter team  Police helicopter  Air-Sea rescue  Remote area medicine
  18. 18. Summary  Medicine is an exciting and varied career  Different specialties and opportunities allow many different career paths  Its very demanding but the benefits massively outweigh the downsides  Plan any application as early as possible  Tailor it to demonstrate the attributes medical schools are looking for  Work experience is a MUST!!!  Prepare well for the interview  Know the course structure  Recent developments in medicine and within the media
  19. 19. THANK YOU Any Questions??

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