Original post by KatieBloggerI'm a qualified Nurse about to start my MBChB this Sept. I've worked in healthcare for quite a while, first as a HCA, then as a Nurse and soon as a med student.
With regards to ethics, I know plenty of HCPs with zero ethics - they tow the line and do their work by the book but outside of work they're as ethical as a chair leg and wouldn't know their Diogenes from their Comte if it hit them square in the face. Med students and other HCPs do not study ethics in an academic sense - they don't study it anywhere near to the level that Law students, for example, do (as per their chosen course, it's more vocational than academic).
Clinical skills/building rapport with patients/good bedside manner is not something unique to Medicine or being a doctor and it doesn't take a genius especially if you're a naturally empathetic and tactful person. I've met dozens of HCAs, care support workers, ALPs etc with excellent patient rapport, clinical skills, bed side manner and professionalism.
As for a Ddx not matching with OHCM, no, of course they don't all present in an obvious way. Same as when I take my car to a mechanic I don't expect them to whip out Haynes and point to the problem straight away. No job has a handbook that will spell everything out for every problem (case) they have - not for a checkout worker, a teacher, mechanic...doctor. If life worked that way, we wouldn't need doctors at all. Everyone has to use their brain/initiative/common sense etc to apply their knowledge.
Medicine is massively competitive because it's oversubscribed, because it's NHS funded, because it's seen as 'prestigious', because it's a well paid career, because it's an attractive career, because it's a worthwhile vocation etc. It's hard to get a place due to those things and due to the fact that universities have increased the grade requirements substantially to cope with the number of applicants and added extra entrance testing (UKCAT/BMAT/GAMSAT...). The fact is - people got in to med school with ABB in the 1980's (now you can argue all you like about the devaluation of A grades but I won't and don't buy it). Medicine is just simply no more academically challenging than say, Physics. In fact, I would argue that it is less so.
Yes, Medicine is more likely to be much more emotionally/personally challenging than an academic non-vocational course, that's hardly up for debate though and not anything to do with the point that the other user made - which was simply that Medicine is overrated (I assume they mean academically) because it is mostly memorizing.Of course doctors need to be emotionally resilient and have good clinical skills etc- but the same can be said for Nursing. OT, ODP, PT, Paramedics etc and that has nothing to do with whether Medicine is really as academically challenging as most people assume.
Exactly. HCAs see the full reality of patient care practically as soon as they start the job and are thrown into the deep end with minimal training or support, med students are practically wrapped in cotton wool in comparison especially at schools where the first year is mostly lecture based. As an example, I did some manual handling training (1 day course on how to hoist, use slide sheets etc) as a HCA before bed bathing a dying dementia patient on my first shift. No info about dementia, end of life care, personal care, etc. That kind of emotional roller coaster didn't take me 5 years of med school to come to terms with/prepare for - I just had to get on with it.