Categories
The Application

Finishing the 2019/2020 Application Cycle – My First

My first application cycle for medicine truly came to a close on Friday, when Nottingham released their waiting list rankings.

I opened the email and expect the words “you are 156th on the waiting list”. Scrolling through to the very bottom, I was instead met with the words “you are 25 on the waiting list”.

At first I felt relief. It wasn’t as bad as I’d thought. Then the self-doubt set in and I accepted that although it was better than I’d expected, it would never be good enough to meet an offer.

I did my usual routine of informing those nearest and dearest and viewed The Student Room. My placement on the waiting list seemed relatively average. There were other people who were pretty much guaranteed an offer and those who were resigned to not getting one due to the sheer size of the list. Everyone was very supportive and open about their rankings.

It was only then that someone mentioned that last year there were 96 people on the Notts waiting list and people in the last 20’s – early 30’s were given offers. I also always remember the story of someone getting an offer in September!

This application had started out as being a practice run. I then ended up scoring well on the GAMSAT. I then got selected to complete the Nottingham work experience questionnaire. I then got my interview invite and I finally got told that I would be waiting listed. Absolutely not bad for a first time, ‘practice’ application!

I’m now in limbo and I’m having to decide if I pay/ register for the UCAT and GAMSAT. I am thinking that I’ll register the sit both and cancel if I need to. The UCAT is fully refundable yet the GAMSAT is a bit particular so will have to try and be strategic with that, although I may not sit it again at all. I don’t want to do it at home and my score can be used from last year.

Throughout I’m remaining optimistic and hopeful. The journey this far has been tough and has been a lot of blood, sweat and tears. The waiting list has moved since Friday and a few offers have been given out, meaning I should have moved up a few places. Time to keep my fingers crossed and prepare for the worst but hope for the best!

Categories
UCAT

UCAT 2019 Final Scores

On the 7th October, the UCAT Consortium released the final statistics and results for 2019 testing. As the interim results had shown, 2019 took a slight decrease from the average and the 2018 scores.

The 2019 scores are as follows:
Verbal Reasoning: 565
Decision Making: 618
Quantitative Reasoning: 662
Abstract Reasoning: 638
Total Mean Score:: 2483

My Scores:
VR: 580
DM: 640
QR: 670
AR: 660
Total: 2550

Compared to the mean:
VR: +15
DM: +22
QR: +8
AR: +22
Total: +67

My percentile was calculated at 62%, meaning that I scored higher than 62% of the 29,375 candidates who stat the UCAT this year – a total of 18,213 people.

That’s great right?!

Yes, it’s great. For a first time UCAT taker and Grad Med applicant, that is a good score. My only Uni choice that will take the UCAT is Warwick and whilst I was close to their lowest cut off last year, there is still a chance that I won’t make it for this year. The positives that I have are that I am above the average for VR. I will then be scored on being in the 62nd percentile and given extra points for holding a masters qualification. Hopefully, this will give me an advantage over those with a slightly higher UCAT score and only an undergraduate degree.

 

What’s Next?

My reference came back earlier this week and I only need to perfect my personal statement and then submit my application to UCAS. After that, it’s a waiting game! I’m confident with my work experience and I have met the required minimum hours that Warwick are looking for, this will need to be submitted before selection takes place. Warwick have confirmed that selection dates for interview between the 17th-19th December. Of course, Warwick and the UCAT are only one of my options. I still have 3 GAMSAT universities in play although I do NOT feel confident about my GAMSAT score! I fully expect 3 outright rejections and should the case be that I am also rejected from Warwick (which is highly likely) I’ll be more than happy to admit defeat for 2020 entry. I will however, be back in the running for another application cycle for 2021!

Keep positive, realistic and work hard!

Categories
gamsat

The end of GAMSAT 2019

As many of you will be aware, GAMSAT testing for 2019 came to an end with the September sitting on the 11th. I booked the exam and felt optimistic that this would be my chance to see progress from March. I booked for Liverpool as I had sat there previously and had been advised that they use the same venue consistently for the GAMSAT testing – this saved me hunting for a hotel when the admission tickets were released and paying almost double the price. It also saved me making a gamble that might not pay off and having to travel to the venue in the morning, which again, could have posed a problem/ delays.

The Day Before:
As with March, I was in work the day before the exam. I work full-time and hadn’t wanted to take unnecessary time off that wouldn’t have been productive. Other than travelling down to Liverpool early, I wouldn’t have spent the day prepping or doing any further revision. Work kept my mind off the exam and the day went quite quickly. Now, I could tell a significant difference in my stress levels. Whilst in March I was quite tense and was obsessing about the exam, I managed to get through the day with my only concerns being related to travel.

It must have been a sign as I made the first half of my journey to find that Northern had cancelled my second train with very little notice (it wasn’t showing online and the station admitted that it had only just been relayed to them). This meant that I had over an hours delay/ wait before I could continue my journey. It wasn’t the smoothest of trips but luckily I did manage to navigate via an additional train journey and got into Liverpool just after 9pm.

I headed straight to the hotel (conveniently passing the nearest McDonalds), checked in and got everything sorted for the next day.

GAMSAT Day:
I got up and went for an early morning run around the streets of Liverpool before returning to the hotel for breakfast, which I had booked in advance. After plenty to eat, I checked out and made the walk down to the test centre. Registration opened at 8:15am and I arrived just after 8:20am. Registration was very quick and a smooth process. After depositing my bag and getting settled in my seat, there was still time to kill.

Once 9am approached, we were all eager to get started however there was delay due to travel (there had been a train broken down on the rails near Lime Street) and the weather wasn’t particularly good so the invigilators were allowing extra time; especially as candidates were still due to arrive.

At roughly 9:15, the announcements began.
“Hello and welcome to GAMSAT”.

The Morning Session:
Section 1 was relatively typical of what I expected following on from March. The texts covered medical labeling and autism diagnosis. Poems comparing nature and death. Themes of war posters and their meanings. Poems highlighting how underappreciated poetry is and a Greek comparison of Athens and Alexandria.

Overall, I didn’t find this section too challenging. It had been similar to previous tests and didn’t throw too much text heavy passages. Very light on the cartoons for interpretation. My only worry (which I realised later on during Section 3, did I put my signature in the ‘candidate signature’ box? Who knows? Definitely not me but I’m hoping for £262, my name and identifiable information will be enough for them to justify marking it).

Section 2 began straight after section 1 was completed. Topics weren’t great. Comments relating to taxes and tolerance.

Taxes touched on how tax policies are a reflection of a countries values. Tax evasion and tax avoidance. How if people are not relying on support from others (government/ society) then they will support themselves.

Tolerance was based around whether there should be limitations on tolerance and whether society is too tolerant.

Again, this was manageable and whilst I didn’t enjoy the topics, I was still able to write good amounts.

LUNCH!:
My favorite time of the day. Luckily, next to the venue in Liverpool, there is a little Tesco which must make it’s fortunes on the sheer number of GAMSAT-ers twice a year that frequent for much needed snacks.

At this point, my appetite was rather small. I knew that this was half of the testing day over. I also was well aware that this lead on to the dreaded Section 3 which was my downfall last year. In all honesty, I had very little hopes for this next half of the exam and again, I wondered why I had bothered to sit it in the first place.

The Afternoon Session:
After joining the queues and replicating registration again, it was time to be seated back in the exam hall. The afternoon session is Section 3 – Sciences.

As reading time commenced, I skimmed the paper and began starting to read through and work out some of the questions. At first the paper seemed overwhelming. So. Many. Questions. So. Little. Time. Where were you supposed to begin? I don’t even understand the question, let alone the answer!

I began by really concentrating on the questions – these are supposed to be answerable with actually very little science knowledge which meant that the answers were actually in the question somewhere. Look closely or you’ll miss it.

I set off at good pace and started to tick the questions off. I felt joy and relief when my questimated/ worked out answer was one of the options provided on the multiple choices.

2 hrs and 50 minutes goes incredibly quickly when you’re concentrating and giving your all to the questions. Inevitably, I began to run out of time. I was rushing towards the end to ensure that I at least had an answer marked on the answer sheet for every question. I went back and made somewhat educated guesses (let’s hear it for letter C!).

Before I knew it, we had the final time warning. I did what I could in the time and with a sense of accomplishment and relief, GAMSAT 2019 was done.

What I Leaned:
Sitting GAMSAT as a trial run/ more than once is absolutely priceless for expelling the stress and uncertainty of the exam. I was incredibly calm in comparison to March and I could definitely tell the first time exam takers.

GAMSAT is a gamble. You really don’t know what you’re going to get. After the curve ball of an exam in March, it would be easy to assume the same would be applied for the September sitting. This is not the case. Acer are cruel and they make you work for it. Don’t underestimate the exam.

So what? It takes you 8 attempts to ‘pass’ GAMSAT? I remember being told that someone had sat GAMSAT 8 times. Regardless of the financial element to this, 4 years of GAMSAT testing is hard going but not impossible. The majority of people who sit GAMSAT do so multiple times before they are ‘happy’ with their score/ get into University.

You’re never ‘too old’. I hadn’t really noticed in March but certainly in this sitting, there were a few people sitting who were middle-aged/ older than your average graduate at 22/23. Let that be a lesson that you’re never too old to attempt to follow your dreams or make a drastic career change. Life experience is why Grad Med doctors are so fantastic.

I made the right decision to sit the UCAT early and to not book it for after GAMSAT. Before most people had even booked their UCAT, I had sat mine in July. Whilst I felt out of the loop and extremely premature with testing (one of the first people to take the test at my chosen test centre), it helped hugely to get it out of the way. After the stress of GAMSAT, the last thing I wanted to have was the stress of having to cram for my UCAT, whilst having to finish off my application. It hugely paid off for me and I ended up scoring well in the UCAT despite being an early tester.

You never know how you do. I left the exam and felt that it was tough but I also felt a lot more confident than I did with the March sitting. I know many other GAMSAT-ers that felt it was the most brutal, soul-destroying exam that they have ever taken (including multiple GAMSAT attempts)! Acer will email to confirm that results have been published online but if you have applied, you will also get notification from your Universities as to how you’ve done.

Overall – I felt as content as I could be with the September 2019 GAMSAT. It was by no means an easy test nor an easy option. I’m applying for this year’s applications so will know when my Universities know. Am I worried that I might not get in? Absolutely not. Am I worried that I might get in/ an interview? Absolutely!

I have a personal statement to polish off and I’m awaiting my reference to be completed. It’s a month to go until the calm before the storm. I’m cramming in some extra HCA shifts to help wish the time away, my sister is also getting married between now and the 15th October.. Wish me luck!

Categories
Uncategorized

Let’s Talk Mental Health

I’m a big advocate for mental health. I have been through my fair share of breakdowns, I’ve self-harmed and I’ve hit (what I thought was) absolute rock bottom.

Recently, I’ve felt as though my mental health was taking a bashing. I’ve been concentrating on work (I work with vulnerable people within the NHS’s mental health system and community services) and have recently taken on an additional full-time service to my current full-time service. Alongside this, we have had a patient in crisis and suffering from suicidal thoughts and attempts. I’m preparing for my UCAT (previously UKCAT) which is booked for the 27th July and have felt like if anything, I’m getting worse rather than better. I have felt tired all the time and spend very little of my social life with friends, having any aspect of a dating life, or any activities at all.

At that moment, I felt like I was worthy of nothing, that I had completed and achieved nothing. That I would never amount to anything. Why was I even bothering with Medicine when I would never get there?

What I did next:

As bizarre as it may be, I posted to Instagram about my spell of depression. I wanted my studygram to be as real as possible. It’s so easy to get caught up in the happiness and perfection on social media, especially in Medicine. The truth is; life is messy. Medicine comes with setbacks and rejections.

I was overwhelmed by the supportive comments and messages that I received. More importantly, I had messages from other pre-meds or med students who have been in the exact same position.

We are all human, we all suffer the downfalls and relish the rises. We swear to live by the life quotes. Want to meet our soulmates. Live for the moments. Reach the dreams.
We’re hit by heartbreak and disappointment. We fail. We’re rejected.
And this is okay.

My tips for mental health care:

Remember what’s important.
Remember that YOU are important.
Your goals are achievable.
Everyone has been in your shoes at some point.
AND they’ve overcome it just as you will.
Find your passion again.
Take time to be you.
Find silence and peace.
DON’T recluse.

 

 

Categories
Work Experience

GP Day Wednesday

I apologise in the delay for the last end of the week, here’s Wednesday in surgery.

Wednesday in surgery and it would be assumed that a morning shift for a GP and student would be relatively quiet considering I was only scheduled to be in for a few hours…

We saw a 5 year old boy with acute tonsillitis. His Mum told us how he had just got over his last case and was suddenly suffering again. A quick check over and all seemed fine in his observations, his chest was clear and he wasn’t struggling for breath. We took a throat swab just to confirm if the infection is bacterial. All, in all, it was apparent that this young boy had seen his fair share of GPs, even his throat swab didn’t phase him! He currently already had a referral back to ENT so we didn’t have to do any referrals this time, although it was discussed that the possibility of having his tonsils removed maybe the answer. He was prescribed with antibiotics as it was fairly certain this was an ongoing bacterial infection, despite the swab, and they were advised to come back if symptoms persisted, deteriorated and to call for his results.

An elderly gentleman attended surgery for a check up on a boil that was present near his stoma site. He had previously been in and started medication to help clear this up. The difference after his short course of medication had been noticed immediately and the boil looked very minimal, swelling and redness weren’t visible and it was healing nicely. He still had 4 days worth of his medication so was advised to continue and if he had any problems, he was to come back in, although we didn’t anticipate there would be any.

A middle-aged woman came in with persistent headaches, her temporal pulse was stronger on her right side, the side associated with her headaches. She said she suffered from similar symptoms expected from conjunctivitis – matted eyes in the mornings although, on seeking advice from an optician, her eyes were given the all clear. We performed a short eye exam and put dye into her eyes, examined them under UV which showed no fluorescence. We checked all her reflexes, BP and temperature. She was booked to get bloods taken as the Dr was concerned that the headaches could be something more serious e.g. query tumor on the blood vessel that supplies the brain and optics.

A male presented with a moles on his back that his wife had noticed some colour change. He had a history of BCC so they were of course being cautious. We examined the moles and all looked normal in appearance, were soft and squidgy to the touch. There were no signs of malignancy. After informing them that they were benign they were happily sent on their way but ensured that if they had any doubts, to return.

MDT Meeting:

Every week, the practice holds a Multi-Discipline Team Meeting. It gives the opportunity to discuss patients with District Nurses, OT, Physio, Safeguarding, Care and the Cumbria ICC (Integrated Care Communities). Patients are brought to attention and any concerns that are currently held for the patient raised. This can be as simple as discussing the fact that a patient has been admitted to hospital and is due discharge, the discussion of why they were admitted and what help; if any, that they require in place for discharge.

Patients raised today were:

  • A gentleman was discussed regarding his dementia and history of falls. He is often confused as to who visits him and when, does not know who his help is and there are cognitive concerns raised by his daughter. He has a history of strokes.
  • A breast cancer and Alzheimer’s patient who’s primary carer is her husband who is battling with bowel and ? bladder cancer. It is known that the wife is palliative. Concerns for her care as her husband is also in a position of needing support, himself.
  • A male who has been involved in adult social care, DN have noticed his right leg has been swollen, he is not eating or drinking and also appears to be wearing the same clothes he was wearing last week on their visit. He lives alone and is showing signs of self-neglect despite being supported by care 4 times a day. He is housebound and is very adamant that he does not require help and will decline it rather sternly when it is offered.
  • A patient being discharged from hospital imminently of spinal stenosis and is currently catheterised. She will be followed up but the discussion was surrounding her further care at home of which, she currently has a hospital bed at home and care being provided for her.

Home Visit:

Our home visit was to an elderly gentleman who’s son had requested the visit. We arrived and it was already apparent that this gentleman was struggling. He was extremely weak, pale pallor, visibly struggling for breath and breathing laboured. His oxygen saturation was low, his chest incredibly crackly and overall presentation poor. It was apparent that he would be an admission and due to his condition it was to be via ambulance. It was explained to his son that he should get things ready for an admission and that he was query chest infection that had progressed to pneumonia. Due to the lack of landline and being in an incredibly rural area, the call for an ambulance had to wait until we were able to get back to the surgery. Not ideal but overall the better option than hunting for somewhere with signal, risking it cutting out when the time taken to get to surgery would be quicker.

Overall:

For a short session, there was an awful lot covered. It was great to meet with the other healthcare and social care that work behind the scenes of patient care but are ever bit as important as any other.

What I learned:

  • It is important to build good relationships with other health/social care professionals – it gets jobs done quicker and is much more friendly.
  • Rural house visits are rural. Be prepared to travel.
  • You may also pass the ambulance that you’ve called for on your way home from the surgery.
  • When patients come back to see you again, it is not necessarily because you’re doing a bad job, it can also be to review how well treatment is going.
  • Your patient may be a young child but the majority of the time it may feel like their parents are the patient – they worry.
  • Patients do often take your advise and do visit when they are concerned about something as trivial-seeming as a mole – it can be really important that they do and you praise them for it.
  • Your instincts are not to be ignored in medicine.
Categories
The Application

The Journey Begins

I’m one of many UK Graduates who are looking high and aiming for Medicine.

I work full-time in the NHS, volunteer as a Community First Responder for the North West Ambulance Service and balance studying in between!

Currently, I’m focused on taking the GAMSAT and UKCAT in 2019 for September 2019 application to Med Schools.

My choices:
Nottingham
Swansea
Warwick
St George’s London

Trying to keep motivated with study and hoping blogging alongside will help!

Follow my updates on Instagram: @graduate_medic 🙂