Star ting Med Guide 2019 - AN OFFICIAL AUSTRALIAN MEDICAL STUDENTS' ASSOCIATION PUBLICATION - Australian Medical Students' Association
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AN OFFICIAL AUSTRALIAN MEDICAL STUDENTS’ ASSOCIATION PUBLICATION e d G u i d e Starting M 2019 1 Supported by
Copyright 2019, Australian Medical Students’ Association Contributing and Reviewing Authors: Zainul Azhar, Denise Chia, Dayna Duncan, Angela Guo, Linna Huang, Elli Izrailov, Eliza Metz, Gihani Senadeera, Jeyln Thong, Clare Vincent, Calvin Xu, Jessica Yang Editing & Proof Reading: Jessica Yang Design & Layout: Linna Huang 2
Table of Contents “Starting Med Guide” 2019 Welcome to Medicine 5 Academic Resources 6 How to Study 8 What to Expect from Clinical Placement 10 What happens after Medical School? 12 University Life 14 Medical School Finances 16 Moving Out of Home 18 Metro Guide to Rural 20 Rural Students 22 Mature Students 23 Medical Student Parents 24 International Students 25 Maintaining Your Wellbeing 28 Reasons to have your own GP 28 Life Tips: 5 things Medical School did not teach me 29 AMSA 30 Your MedSoc Links 32 3
Don’t Le ave Yo Career ur To Fort une The AMA Career Advice Service, however, seriously understands the profession and its challenges. It can help you prepare for your post-graduation years. It will assist YOU to achieve your goals by providing you with advice and support on: l Surviving medical school and your intern year l Looking after yourself l Building and maintaining a current and relevant CV l Addressing selection criteria l Preparing for and performance at interview For more information contact: Anita Fletcher (Career Adviser) careers@ama.com.au Career 4 Advice Hub: ama.com.au/careers/ Career Support: careers@ama.com.au
Welcome to Medicine Congratulations on getting into medicine and starting what is sure to be an amazing new chapter of your life. Starting medicine can be pretty overwhelming but this guide will help you sort out the basics of what you need to know. My first year in medicine was spent finding my feet, forming friendships and get- ting involved in opportunities outside of just studying. If I had to go back a few years, I would tell myself to stress a little less about that first round of exams, and that medicine has the advantage of being incredibly flexible to whatever interests you have, academic or otherwise. Attending your university events, or getting involved with initiatives at a medsoc, state or national level, can help put you on a path towards what you are passionate about achieving. The Australian Medical Students’ Association exists to represent the 17000 strong cohort around Australia. If you need advice, support or are enthusiastic about a particular cause, we are here to help. I hope this guide sheds some light onto the exciting journey you are about to undertake. Good luck! Jessica Yang 2019 AMSA President For more information on what the Australian Medical Students’ Association does, look out for our Orange Guide during your O-Weeks and online! 5
Academic Resources With seemingly endless medical databases, journals and libraries, and the entire internet’s worth of knowledge at your fingertips, it can be hard to know where to look when you’re first looking for academic medical resources. With so much content offered, it can be overwhelming at first, however as you start to sift the diamonds from the rough when you start your degree, searching for information using your favourite resources becomes easier and easier. Your first year of medical school is the perfect time for you to get familiar with popular and niche resources alike and see exactly what works for you. Do you prefer reading or watching information? Do you need those extra questions and quizzes to ensure that you are as confident as you can be in that semester final? These are all questions you can start answering now through trial and error, and trust that you will adapt as your course goes on as you find your study groove. To help you along, AMSA has compiled a short list of resources that could prove a good starting point for you. Books Databases and Guidelines Textbooks are a very traditional resource for Being enrolled at medical university often entitles academic information and can be a fantastic you to free access to many online medical way to gain a foundational understanding of academic websites that otherwise require course content. It is, generally speaking, not expensive subscriptions. Keep an eye out in your necessary to purchase textbooks before you have university Medical Databases for these gems! started medical school on your first day unless • eTG (Electronic Therapeutic Guidelines) specifically told by your university. Textbooks can An Australian independent resource be an expensive investment, and you may find that provides up to date treatment that you often find cheaper alternatives once you recommendations and comprehensive start university (such as borrowing them from background information on a variety of your university library or obtaining them from medical conditions. older year groups). • UpToDate An American website that provides That said, here are some textbooks that many summarised articles on various medical students use in their foundational (and even later) conditions and topics using up to date years. evidence based medicine. Note that some • Talley and O’Connor’s Clinical Examination treatment recommendations vary between Comprehensive explanation of clinical the US and Australia. examination and medicine. An excellent • BMJ (British Medical Journal) Australian resource for the entirety of A British website that provides fantastic medical training. summaries of medical conditions with • Tortora’s Principles of Anatomy & Physiology background information, diagnostic A basic, but easily read textbook that is guidelines, and management. perfect for understanding pre-clinical year anatomy and physiology foundations • Guyton and Hall’s Textbook of Medical Physiology A more comprehensive textbook for medical physiology, that also has an accompanying question booklet. • Netter’s Anatomy Flashcards A great starting resource for first years to 6 learn and retain basic anatomy.
Apps and third party websites There are a number of study apps and third party websites that aim to be your centralised resource in anatomy or medicine. Some of these can be quite expensive, however many of them offer free trials, so make the most of it! Here are some examples that some medical students use: • Kenhub An anatomy focused resource website that goes into extraordinary detail. Their website allows free access to their anatomy atlas and articles, and paid membership allows access to videos and quizzes. • AMBOSS A digital learning platform for medical students for all year groups. The program is a useful compendium for many physiological and pathologies. AMBOSS Podcasts and Youtube Channels also has a unique question bank, useful Youtube videos are a fantastic visual and for solidifying knowledge during pre inexpensive way to consume medical exam preparations. knowledge, and are often a great starting point when starting to research a particular topic. There are many free apps which facilitate study • Osmosis that many medical students use such as Anki Osmosis’ free Youtube videos provide and Quizlet, which are flashcard apps that allow comprehensive 10-15 animated you to review your own notes (an excellent tool summaries on certain conditions and to help you retain knowledge). diseases and is a great clinical resource for visual learners. • Khan Academy AMSA Resources AMSA also creates medical resources for all Khan Academy’s Youtube 10-20 minute medical students, and often have discounts for videos provide lecture style content that third party medical resources for AMSA members explains in detail certain conditions and only. bio-medical concepts. • AMSA Med Ed https://amsamoodle.org.au/ • Armando Hasudungan Provides a variety of resources including Armando is an Australian doctor that a newly released National Question Bank, makes education videos that explains Fact Sheets on common Australian certain medical conditions and concepts medical conditions, and academic by drawing on a large piece of paper - modules, that are a fantastic resource to fantastic for piecing together medical nourish university course learning information for visual learners. • AMSA Academy https://amsamoodle.org. au/ If research takes your fancy, there are plenty of Provides education on important podcasts released by medical journals that are Australian health issues that are not fascinating and illuminating especially if you’re often covered comprehensively through doing a research project as part of your degree. university curriculum e.g. LGBTQI+ health, and Refugee health. 7
How to Study You’ve studied so hard to get into this degree - Understanding knowledge, is power whether it was through high school or a previous Take the time to understand what you are studying, degree; but now you’re here, it’s time to get ready through actively engaging with the content, as this to study medicine! Whilst there are many ways will increase long term retention of information people can tell you is the right method to study significantly [1]. medicine, the best method to study is the way • Find a study group that best suits you, the way you will adapt it over Find a group of like minded learners as the next few years, and that gives you the best yourself (this may take some trial and error) outcome. The following are just some tips that and study together. Make a chat group so have worked fantastically for some, that you you can ask each other questions when you can give a go too! don’t understand something. Test your knowledge • Attend PASS sessions One thing to keep in mind is that the easiest way Most universities offer PASS (Peer Assisted to pass medicine is to study to pass exams. Study Sessions), or a similar tutorial It can be difficult for the more inquisitive of program. Attending these sessions gives medical students to avoid falling into medical you a chance to ask questions, identify rabbit holes and end up in PBL reciting the problem areas and understand information proteins and enzymes only a PhD student needs in a new way. to know. Though this makes you a passionate • Ask questions medical student, to save time and sanity, it is Your lecturers and tutors are there to teach often more useful to cover your course learning you and help you understand content. objectives first, and even better: gauge exam Approach lecturers after lecturers, or email questions before studying for exams. them if you have questions, and more often • Your faculty may provide you with a few than not they will be happy to enrich your practice questions, or you might even get understanding! a hold of a past paper. Knowing how your • Docendo Discimus - by teaching, we learn exam questions are formatted gives you an Take the effort to teach something to idea of what you need to study and to what someone else, without notes. This has depth you need to study it. proven to be an extremely effective method • Start viewing testing as a part of learning, of teaching yourself, and you will test better not just the looming finish line you get to because of it [3]. once you’ve finished learning. Testing and • Relate information to the bigger picture retesting your knowledge is a more effective Understand why you are learning this in way to recall information, and recall for the your course. Why does it matter? Apply long-term, than simply studying it over and whatever medical knowledge you learn over again [1]. to a case study patient to create mental • Doing questions before you study is a hard links which will additionally help you retain thing to do, as you will most certainly do information. poorly the first time and us medical students are terrified of failure. However the direction these questions will give you is invaluable Should you need extra questions to practice on, head over to AMSA’s National Question Bank through AMSA’s MedEd Moodle (https://amsamoodle.org.au/) 8
Repeat stuff, repeat stuff, repeat stuff. References Sometimes, medicine can just be gruel and cruel 1. Augustin M. How to Learn Effectively in Medical memorization. From the order of the cranial School: Test Yourself, Learn Actively, and Repeat nerves to the anatomy of the femoral triangle, in Intervals. Yale Journal of Biology and Medicine. 2014;87(2). somethings just need to be remembered, and 2. Study Tips [Internet]. General Practice Students repeating what you learn is one vital way to Network. 2018 [cited 8 December 2018]. Available achieve that. from: https://gpsn.org.au/advice/study-tips-for- • Spaced repetition, is a method by which you medical-students/ learn something, leave it for some time, then 3. Jarrett C. Learning by teaching others is extremely effective – a new study tested a key reason why. come back and repeat it. Research Digest. British Psychological Society The best proven method to do this, is to [Internet]. 2018 [cited 8 December 2018];. Available repeat what you’ve learnt a short period from: https://digest.bps.org.uk/2018/05/04/learning- after learning it (e.g. a day after) then maybe by-teaching-others-is-extremely-effective-a-new- a week after then again a couple of weeks study-tested-a-key-reason-why/ later. This is expanding retrieval practice and is very effective at helping you recall information that is at risk of being forgotten [1]. • Apps that can help with this are Anki which allows you to repeat flashcards on weaker topics at more frequent intervals whilst still testing your stronger knowledge, and Quizlet which is a flashcard website. 9
Preparing for Clinical Placement Going on clinical placement for the first time can What do I wear? be very exciting and scary. As a first year student, Clothes for clinical placement should look you will spend most of your time on campus in professional, such as business style attire - think a lecture/tutorial/lab based setting, depending chinos and a collared shirt/blouse, or a nice dress. on your university. Most medical degrees can • Wear closed-in comfortable shoes you’re be thought to be divided into “pre-clinical” and happy to walk around all day in. “clinical” in that the latter years of your degree will • Wearing a tie is unnecessary and unhygienic, primarily be based in a hospital or another clinical and it is recommended that your sleeves are setting with much teaching taking place on the above your elbow to maintain hand hygiene wards. However, before you can get to that point standards. “ you spend a few years learning the basics and • Hospitals are a fairly constant cool the science behind it all, so... temperature, have a cardigan or jumper in case you get cold. ...Don’t stress too much about clinical • If you’re unsure, it’s often helpful to dress placement, you’ve got plenty of time more conservatively on your first day and then to work it out! gauge what others are wearing to determine the style of clothes. In your first year, you’ll probably spend small period of time at the hospital, so it’s good to know What do I need? the basics, but remember, you’re only in first year! If your clinical school has a common room you People know that you have a lot to learn and can access it can be useful to leave lunch and any the focus will be to get a basic understanding study material there if you are at the hospital for a of how the system works, and to practice full day, rather than carrying it around. It is easier patient interaction to develop history taking and to just take a small bag or utilise pockets to get examination skills. around on the ward. Here are the facts about what to expect and what These things are by no means necessary so don’t to know for clinical placement. freak out and spend too much money yet, but you can consider bringing these with you (especially Before your first placement in a few years when you’re on the ward often): • Eat a good breakfast! • Phone • Try and find an older student to ask about • Stethoscope parking if you want to drive - some hospitals • Penlight torch don’t have much around them. • Study notes or handbook • Give yourself plenty of time to get to the • Small notebook and black pens hospital, and make your way to the correct • Some change for a coffee or two! (and a ward. keepcup) • If you are struggling to find a particular ward, the main entrance of the hospital will have an information desk. Once you get there, introduce yourself to the nurse in charge and see if anyone will give you a quick tour, and then find the team or doctor you are assigned to. 10
What should I do on clinical placement? Who’s Who? Remember, this is your first year, you will not be There are a lot of people involved in keeping a getting overly hands on experience yet and you hospital functioning, and many different roles will not be expected to know everything, or much within the teams you’ll work in. This is a basic at all really, so take every learning opportunity guide: you can • Intern: Post-Graduate Year (PGY) 1 • Ask questions • RMO/HMO: Resident Medical Officer or • Focus on learning how the doctors around Hospital Medical Officer, PGY 2 you conduct themselves and take note of • JMO: Junior medical officer, can be intern or skills you want to emulate in the future resident • Meet patients and learn from them! • SRMO/Unaccredited registrar: Senior • On a more practical note, there may be various resident medical officer, PGY3+ forms you need signed off at the hospital, and • Registrar: On a specialty training program it’s a hassle if you lose them! The moment • Advanced Trainee: Almost finished training you get a form signed off, take a photo of it program on your phone, or use an app that converts it • Fellow: Completed specialty training into a pdf. Remember that the hospital isn’t • Consultant: Completed specialty training necessarily a safe place and to look after your and has extensive experience; one of the belongings, not leaving them on the wards or bosses for that department in theatre. • NUM: Nursing Unit Manager/Nurse in Charge (boss of the nurses on that ward) Finally, enjoy yourself! Med School is a wonderful experience, many people will tell you it’s some of the best years of your life and they aren’t wrong. Clinical placements can sound scary, but are very exciting when you meet people and see cases that bring all of the textbooks to life. Patients are incredible resources to learn from and anyone from the intern through to consultant can help you on your way. Good luck! 11
What Happens After Medical School? Studying medicine opens the door to a huge Medical Specialties variety of careers! Most medical graduates go There are over 64 medical specialties to choose on to specialise and practice clinical medicine, from in Australia, all of which involve between 3 while others pursue careers in research, medical and 6 years of training and fall under one of the administration, public health policy, teaching, or specialist colleges: some combination of all of the above! • Australasian College for Emergency Medicine (ACEM) www.acem.org.au The following is a rough guide of a pathway • Australasian College of Dermatologists (ACD) after medicine and your options: www.dermcoll.asn.au • Australasian College of Sports Physicians 1. Internship/PGY1 (ACSP) www.acsp.org.au • Australian and New Zealand College of Once you graduate, you’ll receive provisional Anaesthetists (ANZCA) www.anzca.edu.au registration. If you want to fully qualify to • Australian College of Rural and Remote practice clinically, you need to enter the Medicine (ACRRM) www.acrrm.org.au workforce as an intern/PGY1 (post-graduate • College of Intensive Care Medicine of Australia year 1) and complete a mandatory 47 weeks and New Zealand (CICM) www.cicm.org.au full-time to receive general medical registration • Royal Australasian College of Dental Surgeons from the Medical Board Australia (MBA). (RACDS) www.racds.org • Royal Australasian College of Medical 2. PGY2/Resident/HMO Administrators (RACMA) www.racma.edu.au • Royal Australasian College of Physicians Most people then go on to complete a PGY 2 (RACP) www.racp.edu.au year before applying for vocational training • Royal Australasian College of Surgeons (RACS) (AKA admission to a specialist college). This www.surgeons.org involves spending more time gaining clinical • Royal Australian and New Zealand College of experience and taking on more responsibility in Obstetricians and Gynaecologists (RANZCOG) areas of interest. Some people do 2 or 3 years www.ranzcog.edu.au as an HMO. • Royal Australian and New Zealand College of Ophthalmologists (RANZCO) www.ranzco. 3. Registrar or CMO edu.au • Royal Australian and New Zealand College of The next step involves choosing whether or Psychiatrists (RANZCP) www.ranzcp.org not to specialise (vocational training), which • Royal Australian College of General is required to obtain a fellowship and allows Practitioners (RACGP) www.racgp.org.au you to practice medicine independently. The • Royal College of Pathologists of Australasia alternative is to not specialise and become a (RCPA) www.rcpa.edu.au non-vocational Career Medical Officer (CMO) • The Royal Australian and New Zealand College instead. of Radiologists (RANZCR) www.ranzcr.edu.au For more information see: 1. https://ama.com.au/careers/becoming-a-doctor#five 2. https://ama.com.au/careers/doctors-training-and-career-advancement 3. https://ama.com.au/careers/pathways/select 4. https://www.myhealthcareer.com.au/medical-career 12 5. http://www.otheroptionsfordoctors.com/
CHOOSE GENERAL PRACTICE TRAINING WITH THE RACGP Become a specialist in life. As a leader in the provision of general practice education and training, Choose the RACGP for your Australian General the RACGP represents more than 39,000 members and has supported Practice Training and become a specialist in life. over 23,000 GPs in achieving Fellowship since 1958. Find out more at racgp.org.au/agpt GP training is funded by the Australian Government through the Department of Health 13 6214
University Life University is a huge milestone in our lives. It’s Maintaining a Work/Uni/Life Balance the best opportunity to meet people from all Whether you’ve just come from high school or walks of life, form lifelong friendships, discover another degree, studying medicine can be a new hobbies, and the list goes on! Despite being huge change from the amount of freedom you one of the longer degrees, these few years of have in your education, and the amount of self- med school can fly by. Here’s a few tips on how directed learning that is involved. Medicine is to maximise your time at uni. notoriously workload heavy and it can be very easy to find yourself swamped with work and burning Get involved! out. Maintaining a good work/life balance is so One of the greatest things about university is important for your wellbeing and making sure you the amount of freedom and diversity of choices can enjoy your time at uni. you have in pursuing your interests. Learn to prioritise Join your local MedSoc We are all guilty of procrastinating, especially Getting involved in your MedSoc can be a highly when our favourite TV shows are back from hiatus. rewarding experience. It’s a great way to meet However, it’s important to remember that some people in other years outside of labs and tutorials things do actually need to get done. Prioritising (and notes from older years are invaluable!). your tasks is a good way to clearly set out what There are also heaps of opportunities to learn needs to be done, and gives you a rough idea of new skills, like project management, or indulge how much time you should dedicate to those tasks. in your talents by performing in MedRevue. Many MedSocs also run wellbeing initiatives Develop a routine or charity drives, which are fantastic ways to Getting into a habit of doing things will make life engage with your local community. easier in the long run. Things that initially feel like an effort, like going to the gym, eventually become Become an AMSA member a staple part of your day. It’s also so important to AMSA is the national representative body for maintain a regular sleeping pattern to keep yourself medical students across Australia. We connect energised, happy, and not late to class. all medical schools to form a unified voice. Flick Read more about sleep hygiene here: over to Page 30, and read more about how and https://amsa.co/2Fp87Du why! Look out for our Orange Guide which will give you the lowdown on all things AMSA. Set personal goals as well as academic If you have a hobby or an outlet, set goals for those Sign up for sports and Uni societies as well e.g. cook dinner for family once a week. It’s While life in med school is an amazing time, a nice little reminder that you have a life outside of it’s also a good idea to give yourself a break medicine. from medicine from time to time. Signing up for sports and societies is a great way to meet people outside of medicine and discover new hobbies. Many universities have a huge number of societies for basically any interest you can think of - food, gaming, scuba diving, you name it! 14
Forgive, and take care of yourself The most important thing to remember is to look after your own wellbeing. It’s so easy to become overwhelmed, especially in the first few months of uni. During this time, try not to beat yourself up if you aren’t meeting academic or personal goals and remember that starting medicine is a huge task, and everyone needs to adjust in different ways. Be aware of your own signs of burnout, and remember that it’s okay to take the time to take a step back, talk to your peers, find something you enjoy, and then come back and adjust accordingly. FUTURE PRESCRIBERS SHOULD BE SUBSCRIBERS An independent, peer-reviewed, bimonthly online journal providing critical commentary on drugs and therapeutics for health professionals. PODCAST PODCAST Listen to Follow us on twitter our podcasts @AustPrescriber SUBSCRIBE FOR FREE nps.org.au/apsubs 15
Med School Finances Some students are fortunate enough to have Working through your university provides you got on the bitcoin train early or have an unlimited with student-geared jobs that generally provide line of credit with their parents on the completely more flexibility, and sometimes allow you to unsubstantiated promise that “I’ll pay you back revise and consolidate your learning content when I get onto the Neurosurgery program”. For (e.g. tutoring, research assistants; others include those of you still unsure what a cryptocurrency hospital technical assistants and Red Cross blood is or less skilled in the art of deception, you will collection). Evening jobs away from university need to think about your finances carefully for the hours can generally be found through hospitality. duration of the long and time intensive course that is medicine. We’ve collated some relevant Scholarships and Grants information as well as some handy financial tips You are fortunate enough to be entering a to aid your journey through the mi goreng and degree that, by virtue of the nature of industry, single-ply toilet paper life that is student living. is generally well supported at a University level and comparatively well-funded. This means that there are a host of scholarships available Working whilst studying to students at all levels of the degree, some of Whether you are considering earning money which require little more than a written application to make ends meet, or to consider buying that and sometimes go unallocated. Better yet, many unnecessarily expensive cardiology registrar of these scholarships are linked with rural or standard stethoscope, trying to work whilst in overseas placements meaning you can acquire a medical school can seem like a bit of a juggle. host of clinical experience and travel opportunities in addition to funding. Check your State funded The ability to work either casual or part time grants, University website scholarships page as during your medical degree will entirely depend well as the following: on your individual circumstances. Many students do manage to hold down jobs in addition to AMA Indigenous Peoples’ Medical Scholarship managing the coursework, but the majority of • Value: $10,000 lump sum programs are 5 days-a-week commitments with • Eligibility: Must identify as Aboriginal or Torres variable and unpredictable hours, so keep that in Strait Islander, and have been completed at mind when applying for jobs. least their first year of medical studies • Applications close 31st January Your ability to work in conjunction with study will https://ama.com.au/indigenous-medical-scholarship-2019 greatly depend on your individual circumstances and previous experience. For instance, a recent Bendigo and Adelaide Bank Scholarship for Rural school leaver may require more time to digest and Regional Australians the course content in the first few years as • Value: $5,000 per year compared with a student with a completed • Eligibility: Australians living in rural/regional medical science degree. Courses also generally Australia attending university for the first time, require more time commitment towards the end studying full time of the degree with commencement of clinical • Applications close 29th Janurary placements. https://www.bendigobank.com.au/public/community/ scholarships/bendigo-bank-scholarships In general, the best work for medical students are jobs that are predominately evening or weekend based with flexible time commitments and allow you to revise or learn new content 16 relevant to the degree.
Centrelink Relocation Scholarship • Value: $4,553 for the first year; payments qualify for Youth Allowance if your parent’s assets ranging $1,338-$2278 yearly (depending on and income test is below the threshold. circumstances) • Eligibility: Those moving from rural to metro *You may stay on Youth Allowance after you turn OR metro to rural, for study; AND who receive 25 years of age until you finish your course. Youth Allowance/ABStudy • Apply whenever you become eligible. Austudy Austudy is the equivalent of Youth Allowance for https://www.humanservices.gov.au/individuals/services/ centrelink/relocation-scholarship older students over 25 years of age. Additionally, you’ll need to come under the income and assets John Flynn Placement Program test limits in order to prove your requirements for • Undertake fully funded block placements of 8 the benefit payments. weeks in total in a rural or remote area where you will be mentored by an experienced rural *You can only get Austudy for a set amount of time doctor in that community. (allowable time). If you’re a full time student you • Eligibility: You will need to be able to undertake must make satisfactory progress in your course placements over 3-4 years of your degree to keep your payment. (usually over semester break) • Applications: TBC https://www.jfpp.com.au/ Rent Assistance Rent assistance is paid in addition to Youth Australian Defence Force Education Funding Allowance or Austudy for those students not living • In exchange for your commitment to serve at home with regular rental payments. in the Navy, Army or Air Force after your graduation, have your university fees fully To find out more about your eligibility or to make a paid for and earn a salary whilst you complete claim head to www.humanservices.gov.au. your degree. • Eligibility: May apply at any point in your Handy tips and tricks for your wallet degree Walk or Ride https://www.defencejobs.gov.au/students-and-education/ Cardiovascular fitness is the single greatest defence-university-sponsorship/ predictor of ALL-CAUSE mortality across the developed world. Why not get in shape, reduce Centrelink – Youth Allowance, Austudy emissions and save a few dollars by walking, and Rent Assistance running or riding to Uni or placement. Many students are reliant on government benefit payments to meet the demands of daily living Budget and rental expenses. In order to qualify for The Barefoot Investor is a fantastically these payments, you must meet specific criteria recommended money guide book that is very easy in addition to passing the income and assets to follow, can help you manage high expenses with assessment. low income, and help you kickstart your financial planning. Youth Allowance To access youth allowance as a student you A number of apps are also available online with need to be studying full time and aged 18 to 24. ready-made budgets and direct syncing with your If you’re under 22 years of age you will also be online accounts. Try one of these for free: required to prove your independence through 1. Mint evidence of full time work, relationship status, 2. Level money having a dependent child, or inability to live at 3. Penny home due to extreme circumstances. If you’re considered dependent (under 21 and not independent as described above) you can still 17
Moving out of Home Whether you’ve just gotten an offer to study Moving far, far away medicine hundreds of kilometres away or you’re If you are moving to a university particularly far planning to move to be just a bit closer to your away, you may have particularly unique concerns new medical university, moving out of your surrounding how to pick up your life and not only family’s home for the first time is a huge change. move out, but move out across the country: There are a lot of things to consider when • If you are choosing to study at a university thinking about moving out of home, so here’s a interstate and are thinking of living on list of things that will hopefully help you out! campus, be sure to research living options as soon as you can! Residential colleges tend to Choosing where to live fill up fast, and some can even fill up before On campus vs off-campus living interstate offers come out. • On campus living is a fantastic stepping • If you have the luxury of leaving items back stone if you are moving out of home for the home (e.g. if moving out of your parents’ first time. home), resist the temptation to move ‣‣ You will not need to worry about things everything in your life all at once. On your such as internet connection, water, first trip to your new residence, you only need power and gas bills, which you would if to bring enough to tie you over till the first you were leasing your own property. university break. ‣‣ On campus living can be very social. • Remember that heavy or bulky items that are Living in close proximity to many troublesome and expensive to transport can students and friends can be very fun be bought at your local Kmart or Big W once and help immensely with homesickness you arrive. • On campus living tends to be more expensive ‣‣ Once you go back home for your first compared to living off campus holidays, you can get a better sense of • Living off campus means more what you have missed from home independence! • Items that are consumable (such as ‣‣ This means more control over the way deodorant, pads, food etc.) can be bought you live (no curfew!) but also means once you arrive! If you have that extra space, separate bills to add to rent, and consider using it for things that could make maintenance to make sure you keep your new place feel a little more like home. your rental bond. • Buy check-in luggage for any extras, if you ‣‣ Independence of choosing who you get are planning on flying to university. It is much to live with avoids the problem of living cheaper than posting it (which is priced per on college where university students kg) can be known to be disruptive at night • Try to have a list of big events of the year on occasion when sleeping before a big (check your local MedSoc calendar!) so you exam! know what dress code items to bring from home before you come back again. This way you do not need to rush to find the perfect cocktail dress/suit or tux last minute. 18
Moving house hacks Keeping yourself alive and fed Not only useful for those who are moving away • Find simple meals you enjoy such as for university, but useful for moving away for spaghetti and stir frys.Though you should placements that can take you all over your state definitely try being adventurous in the kitchen or the country! Here are some tips when moving every now and then, have some simple meals house from seasoned experts: you can do without a recipe quickly for when • Plastic tubs are your friend! They are cheap you are tired. and great to pack heaps into, sturdy for the • Cook in bulk and freeze meals. Doing this a trip and easy to pile on top of each other month out from exams means you have plenty during car tetris. They can also be stored of food when you’re exhausted and stressed. on top of cupboards or under beds. Perfect • Winter soups are great! They are filling, cheap for extra bedding or swapping winter and and can be made in bulk. Add some toast summer wardrobes. or another snack and your uni lunches are • Garbage bags! While a good clean out of sorted. your life before a move is recommended, Visit subreddits r/eatcheapandhealthy and these have a different purpose. Get the r/mealprep for some inspiration! black ones with a yellow tie. Keep all your hanging clothes together by placing 5-8 Making new friends items together with the garage bag, using • Realise that most people are in the same the yellow tie to secure the clothes hangers boat. Often people have moved from home together. It keeps your clothes protected as well so are keen to start making their med during the move and when you get to your family. Just smile through those nerves and it new home you just hang everything back up will all work out. - simple! • Attend events and volunteer for fun • Pack delicate items in your clothing opportunities. This is a great way to get to suitcase rather than their own box. This know most of your cohort and find like-minded saves you having to buy heaps of bubble people. Med schools often will have a global wrap and protects them during the move. health group, GP interest group and rural • Label all your boxes! This is time consuming health club for you to get involved in and make at first but a massive lifesaver when you new friends. arrive tired and all you want is a knife to cut • Med camp! This is a great way to bond with up a snack. your new cohort and meet some from the • Utilise old blankets and towels as protectors higher years who you can ask all your burning of TVs and mirrors during the road trip to questions to. your new place. • If you’re feeling homesick utilise technology! Have a skype coffee with your parents or Tips for living with other people facetime with your dog. Do something to help • Keep shared spaces clean. Do your dishes you get through the next day and know it gets promptly and don’t leave shoes and clothes easier with time. through around the living room. • Open communication is key. Have a polite conversation with your housemate about issues rather than stewing about them and disliking being at home. • Have a cleaning roster. This makes you accountable for a section of the house and means it’s always nice coming home to a clean bathroom or kitchen. • Choose your housemates carefully. Living with your best friend isn’t always for the best. Choose people who are considerate and tidy and if possible come recommended from a previous household. 19
Metro guide to Rural Life Article by AMSA Rural Health (Elli Izrailov) Congratulations to all the new metro students writing, drawing, exercising, socialising, exploring, across Australia! Here at AMSA Rural Health we whatever – remember to find time to do it! already have an article for all the rural students If you’re at a rural university hit up the local clubs going to metro for the first time (see page 22), and societies to see what piques your interest. If but there are still heaps of you from metro going you’re at a rural hospital on placement see what into a rural med school or placement for the first local activities, sports, or groups you can join. And time. That’s why we’ve collated a list of tips and one more time so the message is crystal clear; tricks you should know before embarking on what is sure to be the adventure of a lifetime. Your Mental Health is Important! Making New Friends Easing the financial burden The most important part about any med school Moving into the country! While living in rural is having a good group of friends. That’s at Australia is inherently cheaper than living in the least 10x more important when you’ve moved cities, paying rent and bills still isn’t easy. For out into the country. Now the cities and towns that reason there are scholarships and bursaries are pretty nice! Some of them are going to be that you should consider looking into to ease the bigger, others smaller, and all pretty much either financial burden! Whether you’re moving out to have a local Woolies or a Coles. However, you’re your new university or onto placement, have a definitely not going to have the same hustle and look on your university website to see whether “ bustle you get in the city, and that’s why making friends is super important, because they will be your life for the year, or two, or four. In 2018 I lived in a small town called Churchill, Victoria (pop. 4,568). The cohort of students with me there are any relocation or placement scholarships available. Centrelink can also assist by way of their Youth Allowance and other available scholarships. Most importantly, your student union should have a financial advisory service to point you towards other resources and assist with applications. “ unanimously agreed that they loved being at Churchill for the people. That’s not to say that Churchill is a bad town, it’s quite beautiful, it’s just... See our Med Student Finances article on page 16 for more details. ...the people around me definitely made getting through Transport and carpooling rural medicine so much easier! So this is a big one, getting around! When in rural Australia, everything is naturally pretty spread out between towns but pretty close within towns. Don’t just focus on Medicine Keep in mind that public transport in rural Australia Living in a rural town can be very isolating, can take a while, or in some cases may be non- especially when your entire life is back in the existent. So for efficiency, driving is the way to city. That’s why it is 100% therapeutic to pick go. But today’s handy tip is to get onto carpooling! up something outside of Med to keep you If you’re on placement, try and organise a roster sane. Medicine is tough, and everyone has system to save up on fuel, as well as reduce your the capacity to get through it, but your mental carbon footprint! Because why should five medical health is so important, which is why it’s vital to students drive to one hospital/uni in five cars remember to do the things you love! Whether when they can just do it in the one? It’s fantastic that’s joining the local footy or rugby team, for the environment, and your wallet! Also for the bringing a musical instrument from home, international students or the younger folks who may not have a car or a license, they may be reliant 20 on you for getting to and fro!
Explore the region! Maintain your support networks Ah finally! While rural Australia lacks the upbeat Medicine is daunting on its own, and if you’re a tempo of the cities there’s still heaps to do. If city slicker moving out into the country it’s equal your town has a local info centre hit it up and try parts exciting and frightening. Throughout the year to see what the local sites are. Your affiliated you’re going to have your highs and lows, which university may also have a list of activities and is why it’s vital to have a strong support network places that are nearby that are a must see. These you can rely on. Some of you may be lucky enough sites can be bushwalks, waterfalls, lakes, rivers, to make the commute back home for a weekend mountains, hills, trails, beaches, you name it. So where you can catch up with friends and family. to make the most of your time out in the country Others however won’t have that luxury and sadly check them out! will feel isolated. That’s why it’s so important to look after one another when you and your cohort Australia is a beautiful country, and people from are out together living the rural life. So regardless around the world come to see what we take for whether you’re on placement or studying at uni, try granted. Explore your country’s backyard and keep in touch with your fellow students who are in make it your own - after all, you will be in the the same boat. It’s a great way to bond but really it prime location for it! provides you with a sense of place and belonging. Derwent River (TAS) Jacoba van Wees Lighthouse Beach (NSW) Andrew Baker Morwell National Park (VIC) Elli Izrailov Mt Oberon Summit (VIC) Lauren Frisken /yourAMSArural To stay up to date with AMSA Rural Health in 2019, make sure to follow us on Facebook and Twitter for ways to get involved and to see all the @yourAMSArural great opportunities that arise when you #gorural! 21
Rural Students Article by AMSA Rural Health A very big congratulations to all new rural Your student union should have a financial advisory students from far and wide! The prospect of service to point you towards other resources, and starting med school may be equal parts daunting can assist with applications, however see our Med and exciting. Here at AMSA Rural Health we Student Finances article on page 16 to see more are thrilled to welcome you to the next cohort on this. of future doctors and have put together some tips and tricks that we would have liked to know Living in the city/commuting before we began. So whether you’re from Port If you’re fresh from the country you may find Macquarie or Port Hedland, Hamilton or Humpty there’s a lot more hustle and bustle, and everyone’s Doo, hopefully this will help ease the transition in a hurry. Remember that you don’t have to keep for you. up with everyone else’s pace - there is so much to do you can’t possibly experience everything in your Making new friends first year, but pushing yourself a little outside of You may be off to a new city and university where your comfort zone to try new things is something you know very few people or no one, let alone you won’t regret. You’ll have the opportunity to anyone else in your course. However, it’s likely meet people from a huge variety of backgrounds the majority of your cohort are in the same boat. and try an amazing variety of food. For ideas on So, although you might feel a bit shy, saying “Hi!” what’s trending on the food scene check out your to the person next to you in a lecture could be the city’s broadsheet. If home isn’t too far away and beginning of a wonderful new friendship. Your you’re still commuting, it can feel isolating. There new friends could be the colleagues you call on may not be time to fully embrace social events or refer to in years to come. Another great way when it’s still 2 hours home and the trains stop to meet people is through activities and social early! Try to stay in touch with any fellow students events organised by your university MedSoc. in the same boat - you may be able to carpool, and you’ll have a sympathetic ear as well as a potential Don’t just focus on medicine study buddy. Whilst the expected study time during medical school can seem gruelling it’s super important The Rural Advantage to maintain some work-life-balance. Making Your clinical years may seem a way off yet, but time to do something you love (other than med) being of rural background can help, particularly is incredibly beneficial. Whilst O-week is in full if you’re part of your rural clinical school. Your swing, go check out what other non-med clubs experiences will give you a foot in both camps and and societies are on offer. Getting involved in help you relate to more of your patients. activities outside of medicine is another great way to meet new people and an even better way Maintaining your rural ties maintain your sanity. Many of you will be entering medical school with the view to returning to the country once you’ve Easing the financial burden qualified as a doctor. Another great way to meet Moving away from home and paying rent and your like-minded rural colleagues is to get involved bills can be costly. There are a number of with is your Rural Health Club. You can also get scholarships available for all students and involved with AMSA Rural Health through social some specifically for medical students from a media and attendance at the annual Rural Health rural background. This includes the Centrelink Summit, to be held in Cairns in 2019. Relocation scholarship, and the Bendigo and Adelaide Bank Foundation scholarship. 22
Mature Students Coming into medicine, regardless of your way to accomplish this is to treat medicine like a background, is difficult. full-time job. Depending on whether your degree Let’s be realistic, you’ve probably researched is undergraduate or postgraduate can affect the “mature age medical student” or something number of contact hours you have per week. For along those lines to try and work out: example, on Thursday’s you may have lectures that start at 11am and finish at 4pm; why not get 1. Am I too old for medicine; on campus by 9am and prep for your upcoming 2. Can I do this; and lectures or work on PBL learning objectives that’ll 3. Do I have to have a science based you’ll discuss next week? Not only would you degree? start your day productively, it would also increase the amount of time you are able to relax on the The answers, put simply are no, yes and no in weekend. that order. Often the hardest part of your medical school experience is getting in, after that you Things to remember just have to focus on passing your exams and • Not everyone has come into medicine graduating. wanting to be a doctor since they were little. Depending on who or what you read, there are Life aspirations can change. If you come from a number of different definitions and terms a background of arts, law or agriculture, for associated with mature aged students. The example, but have decided medicine is for you; most common definition you’ll probably come that’s ok. If you have wanted to be a doctor for across is an individual who is or older than 21 as long as you can remember, but maybe didn’t years of age, but this changes depending on who get the marks; that’s ok too. Everyone has a you ask. Likewise, a mature age student may different story but we all graduate as doctors also be referred to as a non-traditional entrant, in the end regardless of the progression to get non-school leaver or a graduate entry student. there. Australia currently has 21 medical schools, of • Medicine is all about balance. Find what works which 11 are graduate entry and of the rest, for you and don’t be afraid to change it up if several are undergraduate universities who your circumstances change. The advantage accept non-school leavers. Food for thought: of previous study allows you to have a greater this equates to more than half of Australia’s understanding of what works for you, so that medical schools having mature students. you don’t have to spend time trying to figure it Two studies in Ireland found that graduate out. students with a “scientific background at time • There may be times where you feel like a fraud of entry … confers no significant advantage in or imposter due to the assumption that age final year clinical assessments”[1] and that any correlates to knowledge and experience. It’s ok advantage they may have had when starting the not to know. Just like there are really no dumb degree “diminishes as the course progresses.”[2] questions, not knowing is an opportunity to That’s not to say the first year isn’t difficult, there find out what you don’t know so you can learn. is a steep learning curve. Most mature students Isn’t that why you go to medical school in the come into medicine with varying life experiences, first place? but are also faced with the adjustment back into • Medicine and self-directed learning go hand in full-time study, having a family or a mortgage. hand, so embrace a schedule that works for you and your circumstances. So how do people manage? References: Balance. 1. Byrne, A., Arnett, R., Farrell, T. and Sreenan, S. (2014). Comparison of performance in a four year graduate entry medical programme and a traditional five/six year programme. BMC Medical Education, 14(1). 2. Sulong, S., McGrath, D., Finucane, P., Horgan, M., O’Flynn, S. and Find a way that allows you to enjoy and embrace O’Tuathaigh, C. (2014). Studying medicine – a cross-sectional questionnaire- your family while managing your studies. One based analysis of the motivational factors which influence graduate and undergraduate entrants in Ireland. JRSM Open, 5(4), p.204253331351015 23
Med Student Parents With the increasing average age of medical • Studying medicine will mean making difficult students in Australia, and the advent of choices regarding mothering, particularly postgraduate medical training programs, many breastfeeding. However, most health services medical students are entering medical school and universities have policies in place that with varied commitments including work encourage and protect time for breastfeeding and children. You may already have several mothers. children, be expecting your first child, or thinking • Pregnancy exposure to anatomy wet labs, of starting a family. Either way, the thought parental leave, breastfeeding and expressing, of balance your role as a parent and being a university childcare and leave for sick children, medical student can be a daunting proposition are all pertinent issues for med student parents. and challenging at times. However, with good The most pressing advice that our existing support it is achievable; plenty of us are already cohort can offer is to speak up, ask for advice, doing it. and understand reasonable entitlements for students who are studying medicine. Here are some initial pointers to help you on • Your family will always be the most important, your journey: and being a parent will add more to your journey • Studying medicine will mean time away from of becoming a doctor than any book or lecture your family and can be unpredictable. One could ever possibly Achieve. Overall, raising major concern for medical student parents family while studying medicine can at times is that of attendance at lectures, tutorials be overwhelming both physically and mentally. and other mandatory activities, particularly However, it is a privilege to be a parent and to those that fall out of normal work or school be a medical student, so how lucky are we?... hours. Many universities have flexible access we get to be both! to lectures with online recordings or video- conferencing facilities, but it can be variable, Join the Med Student Parents Facebook Group and medicine is traditionally taught by face - a supportive online network to help you through to face. The balancing act of meeting your medicine! timetable with that of your child’s daycare or school can be challenging, but many Feel free to contact our group facilitators: students make it work. Meleseini Tai-Roche (MSP NSW) at ‣‣ One successful approach is to treat meleseini.tai-roche1@my.nd.edu.au medical study like a fulltime job, by Peter Morris (MSP QLD) at nominating a start and finish time five peter.morris2@my.jcu.edu.au days per week, ie. 8am – 5pm Mon- Fri, and arrange your life and children around this. • The chance is there will be other parents in your cohort, if not there will be other students that can understand your commitments and be supportive. It is important to understand early that you need to be realistic with what your study schedule will be like, compared to your pre-child life, and compared to your peers. This is ok. You will work differently, in a way which will suit you and your family. 24
International Students G’day mate, and welcome to ‘Straya! By now you’ve probably realised that not all of us ride kangaroos to uni (you need a permit) and the odds of being eaten by our native wildlife aren’t really that high, but here’s just a few tips to help you get accustomed to Aussie life. Australia’s culture is incredibly diverse, so you’re sure to find people with similar interests and fun things to do. We’re so stoked to have you here, and can’t wait to show you what Australia has to offer. If you’re looking for more information, studyinaustralia.gov.au and studiesinaustralia.com are pretty good places to start, and always feel free to ask your local peers! Tip #1: Making friends Tip #3: Explore your new home and it’s A large proportion of your cohort will be from all history across Australia (and the world). Most haven’t Aboriginal and Torres Strait Islander people are met anyone else in the cohort before, and they’re the First Australians, and are recognised as the as keen as you are to make a friend! It may look traditional owners of the land. Aboriginal and Torres like everyone else seems more confident than Strait Islander people have inhibited Australia for you, but behind the façade everyone is nervous thousands of years, and while now only comprising about meeting new people. of 3% of Australia’s population, continue to retain a deep and profound connection to country. So don’t be afraid, and any time you see someone you haven’t met just say hi, introduce Australia is a fascinating country, with tourist yourself, and find out things about them like attractions just about everywhere. TripAdvisor is where they’re from. And who knows – you may a great way to get started, with tripadvisor.com. have just met your next best friend! Friends are au/restaurants providing reviews on local places fantastic for having fun with, providing support to eat, and tripadvisor.com.au/attractions helping when you need it, and group studying. you explore some things to do. theurbanlist.com is also a good place to discover new places and Tip #2: Get involved! activities in your respective cities. O-Week can be a little daunting, especially at some of the larger universities, but it’s the Tip #4: Learn about Aussie Lingo and perfect opportunity to explore some of the Foods best things your uni has to offer. Don’t be Much of this you will learn over time, but if you afraid to venture beyond the academics – join want a head start classic Australian foods to try societies and social sports teams, go to events include lamingtons, Anzac biscuits, pavlova, Tim (especially those run by the Australian Medical Tams, meat pies, and vegemite on damper if you’re Students’ Association (AMSA) and your medical game. Learning some of the Aussie slang would society - they’re designed just for you!), and also be helpful: you’ll meet some amazing people with similar Australian English English interests to you. Arvo Afternoon It’s important to venture beyond your comfort Bottle-O Bottle shop zone, and you’ll find new and exciting things you never thought you’d like. Getting involved is also Mozzie Mosquito the easiest way to make lifelong friends you No worries No problems can’t believe you’d ever lived without. Sunnies Sunglasses Thongs Flip-flops or jandals Yeah nah No Nah yeah Yes 25 Out in woop woop In the middle of nowhere
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