Oxford
Freshers week is a brilliant, but uncertain time. You are thrust into a new world, knowing nobody, as though just birthed. I was lucky and so made good friends fast, as well as enjoying the course at its early stages.
Very early on, I realised the high calibre of lectures, some of which are tipped to win Nobel prizes. To this day there remains a certain sense of awe in some students of our lecturers. There are, in my mind, three big differences (besides the course style) between Oxbridge and other medical schools: content, contact and essays.
Content-wise, the first year of the course is split into three subjects: organisation of the body (OB), biochemistry and medical genetics (BCMG) and physiology and pharmacology (PnP). In OB the focus is learning about the structure of the body as well as basic function. There is a lot to learn in OB, making it not perhaps a course for someone who doesn’t like rote learning. In BCMG we learn about genetic replication and associated conditions, as well as many of the core biochemistry pathways. For PnP, we are taught about the normal functions of the heart, kidneys and circulation. The broad structure is similar to other medical schools, but the level of detail is far more.
Occasionally I wondered quite what the point was of all this detail, leaning about every ion channel type in the kidney, and each enzyme of the Krebs cycle. More recently, the advantage has become absolutely clear because as I began working on research projects and reading more journals, I find that base of knowledge incredibly helpful. It is, however, often not necessary to simply becoming a doctor. First year content is thrown at you at an alarming rate, probably at the rate of an A-level’s worth every 3 weeks (a rough estimate). However, you do not have to be superhuman to survive, you simply find yourself adapting to the pace. Similarly, when we all saw our first prosected head, we were alarmed, but have now grown used to the idea.
For me a large downside for the first year was that the brain was almost entirely exempt from the curriculum. Neuroanatomy and physiology come in second year.
Contact hours also differ massively, not just from other medical schools, but from other subjects at Oxford. Many humanities students have a couple of lectures, a class or two and a tutorial a week. As medics we are subjected to around three lectures a day, with two hour labs on half of days. On top of this, we have just under three tutorials a week on average. So overall contact hours are probably upwards of 25 hours a week. This is more than almost all of the subjects at Oxford and more than what my friends at non-oxbridge universities experience.
The reason for this it to fit in all the content set, which, as I say above is not necessarily relevant to becoming a doctor. For these reasons, some might quite rightly conclude that Oxbridge is not for them. In defence of this system, I would argue that the majority of these contact hours are very engaging and push your thinking. However, I did not always think that at 10pm, when I had two essays due the next day.
This other core difference, having to produce essays, is likely also going to turn off budding scientists. But in truth, the essays we produce may start off a little messy in first year, but week by week they turn into something progressively more like an academic paper. For those interested in academia, learning to write in this way helps turn you into an effective communicator. I do, however, still hate essays. Unlike most medical schools, our end of year exams, which have to be taken essentially in black tie (except confusingly the tie is white), are largely essay based.