I had a few people ask me about my experience at Princess Margaret Hospital this past week so I figured I'd do a whole post about it!
For those of you who may not know in 4X at Ross we do two hospital visits to the main hospital in Dominica - Princess Margaret Hospital. The hospital is located in the capital of Dominica Roseau - about an hour drive from where the school is.
For this visit I was in the Dialysis and Oncology units in the morning and then I did a mock OSCE in the afternoon.
For those who don't know what OSCE is - it's a clinical exam we take - Step 2 CS. For the real exam, we go through 20 rooms, each with a standardized patient, and we perform an interview and physical exam and then we have 10 minutes to write a SOAP note after each room. The standardized patient grades us along with doctors who watch the video recordings of us in the room. Ours was not as intense (it still was though don't get me wrong - I definitely had my adrenaline pumping) we had 3 rooms instead of 20. But essentially everything else was the same. Even though it was very stressful I'm happy we were given the opportunity to practice our skills and go though a mock Step 2 CS exam.
As for the hospital itself - it looks nothing like a hospital you would imagine back at home. It was essentially blocks with covered walkways connecting different wards together. So we first went to the dialysis unit where patients come on two different regimens for their treatment; Monday, Wednesday, Friday OR Tuesday, Thursday, Saturday. Since these patients have kidneys that are functioning at very low levels they need to come three times a week so the dialysis machines can filter their blood for them. We had the honour of meeting two patients who allowed us to talk to them and learn more about their back story and how they ended up on dialysis.
We met one pleasant woman who was from the same area as Ross who allowed us to palpate her fistula (the connection of a vein to an artery) and it was different than a normal pulse that's for sure - I'm not even sure how to describe it. I've never been in a dialysis unit or palpated a fistula so this was all very new and interesting to me.
Next we went to the Oncology ward - unfortunately it wasn't a very busy day but we had the amazing opportunity to speak with one of the doctors, Dr. Malakar, who actually helped to find the discipline of Oncology in the medical field. I personally gained a lot more insight into Oncology and how doctors manage patients with a large team.
My next visit is on February 14th (Happy Valentines Day to me) and I will be going into two specialities for the day which I am very excited about. I'm crossing my fingers hoping I'm able to go into the OR or go into the Orthopaedic ward.
Jen
