My patient hugged me goodbye :)

For the past two weeks, I have been placed in Infection, and this final week I have been placed in the wards. But I’ll write more about this Infection placement some other time.
During the entire week, I have been in charge of a patient ever since he came into the ward. I was there when he came in, and watched him improve with the antibiotics as the days went by. I was sent in to take a quick history with him alone, and I even met his wife in the corridor. She was looking for him, and luckily I knew where he was.
Today, his infection had improved so much, that he was ready to go home.
I typed out his discharge notes, and came to him with the doctor in charge. Since he was my patient, I was going to discharge him. I gave him my papers, explained what we had done and asked him if he had any questions. At the end of the consultation, I stretched out my hand to say goodbye and to wish him well.
He took my hand and shook it, but then afterwards, he pulled me in for a big hug, thanking us for taking good care of him during his stay.
“I have felt very well taken care of during my entire stay here! At first I was quite angry about it, but you all have been so nice towards me. Thank you very much!”

It is not always you actually manage to reach out to a patient, and for them to understand that you want what is best for them. But when you do reach out to them, the feeling of knowing that something you have done has helped someone else feel better, and for that person to actually appreciate it, is priceless.

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One month in, I’m a step closer to my MD PhD dream

In high school, I remember my schoolmates and I dreaming to become doctors. About a handful of us specifically dreamed to become double doctors, aka MD PhDs. Combining clinical practice and research, that was our shiny dream in the stars.

During my first research internship at Stockholm university when I was 16, I mentioned our dream to my supervisor. She then asserted me that doctors are primarily meant to be clinicians. The doctor interviewers at Karolinska (the most difficult medical school to get into in Sweden) were tired of hearing applicants say they want to do research she told me. They want doctors who want to be doctors. But what if one wants to be both?

Maybe this MD PhD dream was just a naive, juvenile dream that will disappear over time.

Call me doctor Sam first lab internship as a 16-year old at Stockholm University

Self-proclaimed nerd since 2010, at my first lab internship as a 16-year old at Stockholm University

Medical school applications started coming up, keeping in mind the primary focus of doctors, I didn’t mention my shiny dream. I started medical school with the same mindset, keeping away from the lab. Two years into medical school, somehow something made me explore my research curiosity. I was back in the world of academia, and haven’t left ever since.

I started with a summer research internship within genetics in Karolinska, which then continued to a genetics publication in St Andrews. The following summer it was working with drosophila and cancer therapy in France. When I started my clinical years, it became clinical trials within brain cancer therapy. At The same time during all those years, I started presenting at student and national conferences in the UK, then proceeded to international ones. Last March, I was presenting at a conference once a week. I guess you could say I was hooked.

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However, throughout my years of medical school in the UK, although they encouraged my research interest, they couldn’t do more than give me projects to do on the side to satisfy my curiosity – without pay of course. Apart from the lack of financial compensation, I felt that something was missing. I wanted more. This, among many others, contributed to my decision to move back home to Sweden.

I made the bold move of moving back to Sweden to finish my medical studies, hoping to get more and bigger research opportunities. I was accepted and warmly welcomed to Linköping, and continued where I left off from the UK. A month in (last week), I decided to look at the research groups available and sent an e-mail to the one I found most interesting. I received a reply within a day, met the Professor a few days later, the research group a week later, and now, I have taken my first few steps towards my MD PhD.

You know that feeling despite things going well, it still doesn’t feel right? Like as if you’re meant for something else? That’s how I felt anyway, and luckily, my gut feeling was right.

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One month into Linköping, somehow I’ve taken a step closer to realising my shiny dream in the stars. I don’t know how it happened, but I do believe in fate, destiny, God’s plan – or whatever you want to call it. Turns out, this MD PhD dream wasn’t just a phase after all.

Watch out, in a few years, you can call me Dr. Dr. Sam! 😀

 

Being a medical student in the UK vs Sweden

Third medical school, third country. Third time’s a charm, right?

Two weeks has passed and I’m slowly transitioning from being a British medical student to a Swedish läkarkandidat. Slowly, I’m leaving the feeling of being a tourist only observing from the outside, to being a part of Linköping’s Läkarprogrammet T7. On good days when I overcome the language barrier of course. It’s okay, I didn’t expect the transition to be easy. But so far, I’m happy. And that’s what’s important.

Nevertheless as expected, I can’t help notice differences between my previous British medical education to my current Swedish one. So far, this is what I’ve noticed during my two weeks of Swedish medical school.

1. People don’t judge you if you admit you didn’t understand

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Sweden: Someone in my class raised their hand up during a lecture and said: “Sorry I didn’t quite understand that, could you explain it again?” and no judgemental murmurs were heard in the room. I was shocked. In a positive way of course.

UK: You don’t understand something? Tough luck, go over it on your own later. Or ask the lecturer on your own time, and not waste precious lecture time.

2. Student life is based on a lot of singing

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Sweden: Aside from the alcohol of course, a lot of the traditions are based on singing. It is even a requirement for the main event organisers to sing. It doesn’t matter if you have a good singing voice or not, but you sing anyway. And everyone knows the lyrics. If not, there’s a songbook.

UK: Traditions differ, but it’s all based on doing silly things with alcohol, and not that much singing. Unless you call drunken screaming singing. Not as melodic.

3. Breaks are a necessity not a privilege

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Sweden: For every lecture we have that is over 2h, it is a MUST to have a break in the middle. Otherwise the lecturer gets a negative comment for forgetting on the evaluation form. Also, every time the lecturer asks whether we want him/her to continue the lecture without a break but a longer lunch break instead, that suggestion is always quickly shut down. Breaks are sacred. They’re for stretching your legs and getting coffee.

UK: “Oh look, we have a short break in between our lectures! I’ll just put my head down for a few min and then I’ll look over the next lecture.” Breaks were a privilege, and such a privilege must be used wisely. For the past few years in medical school in the UK, I haven’t had a lunch break. Lunch break for me has always meant quickly eating then studying. Or eating whilst studying. Now breaks in between lectures/classes/for lunch are for socialising. And additionally for my case, fighting my urge to take a quick nap or running off to the library.

4. Taking an interruption during one’s studies is normal

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Sweden: Apparently I wasn’t the only one who was new in our class because many returned from their leave of absence(s). Also, many in my class have told me that they too have taken a break from their studies in the past. Some are even planning on going on another semester’s leave. When you ask what they did during their leave, a common response is: “travel, work, have fun.”

UK: You can only take a break from medical school if you have a valid reason such as taking a Masters, illness or personal/family issues. Also, your application on taking a leave of absence has to be assessed and evaluated, with reasonable documented evidence. I recall seeing several doctors at the medical school about mine. The final being the medical school psychiatrist assessing whether I was “mentally stable” to make such a decision.

5. It’s okay to admit you didn’t prepare for the session

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Sweden: I had a meeting with the co-director of the medical program at Linköping, who explained to me about their medical program. When she came to the part about our group sessions (PBL sessions like in Manchester), she said: “If you didn’t prepare, just say so. You may have had an event in the weekend and didn’t have any time. It’s okay, we all have bad days!”

UK: In St Andrews, if you came unprepared to a session you get a “yellow card.” Three yellow cards means a meeting with the disciplinary head. So if you’re unprepared, fake it until you make it!

6. Exams are 6h long

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Sweden: 100-something point exams are normally 6h long and most use up the entire time.

UK: We have 2.5h for our 130 point test? Perfect, that gives us just about over a minute for each point!

7. You failed? Just take the resits like the other 30%

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Sweden: To pass, you need 65% and above on the exam, and it is normal for 30% or even more to fail. It is actually expected. And if you fail, it’s okay, just take the resits. If you fail the resits, just take them again. And again. And again. Until you pass.

UK: Passing depends on how the rest of your class does. So if you’re in a pretty studious class (my class in St Andrews broke records for having the highest averages…), you better study. Because if you fail, you only have one chance to redo the exam, otherwise you have to repeat the year!

8. Internationalising is encouraged

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Sweden: Within my two weeks of medical school in Sweden, I already applied for going on a semester’s exchange (with scholarship of course) and also got my application for doing a clinical rotation in the US signed and accepted. I got my application back with a note saying: “Happy trip and placement!”

UK: Doing clinical rotations abroad or even at a different hospital in the UK was basically impossible, unless special circumstances like in my case. I was doing medical French as a part of my European Studies, so I was allowed to do a clinical placement in Geneva. Otherwise, you have your final semester of medical school after finishing your final exams to do a clinical elective abroad, not earlier!

9. Group work is actually group work

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Sweden: Group work (in this case I mean PBL sessions) means discussions and encourages inquisitive thinking, and everyone contributes with something. You think together and share ideas, and together come up with a conclusion. Also, you don’t look at your notes because if you forgot a detail, someone else probably remembers it and fills that detail in.

UK: Group work (PBL sessions) was an opportunity to show off the random rare things you learnt from books with complicated names and from newly published research. Did you actually memorise that? No one knows, since you’re just reading from your notes anyway.

10. Medical school isn’t a competition, but team work

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Sweden: As a final tip, one of our lecturers said: “Do not compare yourselves to your classmates, because you will all get there in the end”

UK: I used to describe entering the lecture theatre as entering a battle field. Your grades depend on your classmates, and your rank in your class will determine your future. Like what a classmate told me, “We’re all on the same race, and our goal is to come first.”

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Both systems are different with its own pros and cons. Looking back, my years in the UK were difficult, but until now, I still say that my first three years in the UK are the best three years of my life so far. The British system had its own hardships especially coming as a Swedish student. However, through my years there, I feel that I was hardened. I learnt self-discipline and how to work hard. Now, I’m hoping I can use my four years worth of experience in Sweden. I am grateful for the past four years and am looking forward to my final two years of medical school. Doctor Sam, finally, here I come!