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Ward Round: Sometimes its all a bit too much!

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I'm feeling a little bit sorry for myself at the moment. I hope some of you will sympathise! We've rotated round now and I'm now studying paediatrics and working in the paediatric unit. This is my 11th day "working", without a break (I use the work working loosely, as that implies I get paid!). Tomorrow is my last day on and then I have the weekend to recover.

I'm feeling seriously burnt out. What kind of hours do other students do? My clinical partner and I worked with the on-call team over the weekend and we had a full week of teaching and ward time the week before and the week after. The past two weeks it feels like my life has just been non-stop, get out of bed, go to the hospital, come home, eat, do some studying and then go to bed.

We only have to do one on-call weekend per 6 week block, however that does mean at some point, you will be working 12 days in a row! Am I the only one to feel really sorry for myself and exhausted at this point? I am positive the FY1s and FY2s at my hospital do not have such long shift patterns. I'm so tired that I have done literally no studying and I managed to crash my car today (only minor, no one hurt). Now, I know bumping the car is entirely my fault, however I have to say the fatigue was a massive contributing factor.

Also, with me feeling so wretched and tired I'm really not trying my best or learning very much to be honest.

How much time did you spend at the hospital as a medical student? How much time do you think students should be spending at the hospital?

Oh and final question, what do you think of a uniform for medical students? Do you wear one already? Would you welcome one? Watch this space for my next post!
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DrS wrote:
Congrats on another good blog ZebyK. But I hate to break it to you that 12 days in a row is not unusual for doctors. As an FY1 in paediatrics I worked 4 x 9-5, followed by 3x13hrs (9-10) followed by 5 x 9-5 one week in 6. As an FY1 in general medicine I worked 4x 9-5 (M-T) then 7x 13 hour nights (Fri-Fri) then the weekend off to recover and back to work on monday. I know it seems to unfair but try to look on an out-of-hours experience as just that - an experience. At nights and weekends the hospital becomes a different place - fewer specialists to ask, fewer tests immediatley available and quite often fewer staff to help deal with the sick. Theres also no GPs to contact to check collateral history or confirm medications with. With pharmacy shut you sometimes have to improvise with what meds the ward has, or beg and borrow from neighbouring wards. Nights and weekends are the time that the medical student can step upto the plate and start to get a feel for these differences. Otherwise the first time you experience this is when you are there for real. And trust me... thats no fun. Think of it as a challenge, not a chore - offer to help the doctors with blood tests and paperwork to get a feel for how it works. Spend some time with the nurses and support workers and see what they face at out of hours. Take sweets / chocolate / crisps to share with the weekend staff and become part of the team, rather than an observer. And at the end of the day one weekend in 6 isn't really that bad once you get into the world of work. In an A&E job I worked we worked 2 and a half weekends out of every 4 and a half week of nights every other week for 4 months. And we all came out the other end with our sanity in tact, and better doctors for having treated patients despite the hurdles of out-of-hours.
13/10/2011 10:42 PM BST on bmj.com
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umm im a medical student in iran...5th year...we work at least 15hrs a day and 3 day in a week! and we have round in the ward and visit all patient with our attend all mornings!! im realy tired and feel sorry cuz i dont have time to study! we dnt have special uniform for med students but while we are in hospital we have to wear white cote... yes i think i whoud like it!
2/11/2011 12:46 PM GMT on bmj.com