[Music]
what is up guys karma medic here and
welcome back to another
dose if you're new to the channel hi my
name is nasser and i'm now fourth year
medical student studying at king's
college london
in today's video i'm going to be
studying and preparing for my upcoming
osce exams here in medical school so
those are objective structured clinical
exams
and i'm going to be using this book here
to do it i'm using this book because it
was recommended to me by a bunch of
older years they said it's very very
helpful
and i can completely agree i've been
going through it for a couple of days
now and i think it's fantastic i've
recently come to a bit of a crazy
realization so let me tell you guys
about that
my two big upcoming exams in may and
june
one is a written exam so a normal
multiple choice test and the other one
is an oski exam
those two exams count for 50 of my
entire time
in medical school so how i'm breaking
this down every day is that i'm still
studying in my four hour blocks i'm
spending two hours in the morning
working on oski-related things
the oski exam is broken down into many
sub-sections there's communication
stations there's actual exam stations
clinical procedures
explaining of diseases etc etc and then
i'm spending another two hours going
through practice paper questions on my
computer
using notion and past medicine as you
guys will have seen in a previous video
linked up over here all right guys
that's pretty much it i've got my coffee
and i'm good to go and now because i've
already made this schedule
i don't have a difficult time about
figuring out what it is that i need to
do because i've already told myself what
i need to do so i look at my schedule
and it says that today i'm going to be
studying vivas or vivas
from my oscar book so i'm going to turn
to that chapter and continue where i
left off last time pro tip if you're
having difficulty starting studying or
starting a studying session
always decide what you're going to do
before you actually sit down it's not
when you sit down there's nothing to
think about there's no
like deliberating process you just sit
down and you're already being told what
you need to study all right so i'm gonna
whip out my thousand colored pens
because everybody knows you need a
thousand colored pens in order to start
studying and be productive i'm gonna get
started with pulmonary fibrosis i'm
gonna do this for an hour and then for
the second hour of my two hour session
focused on oscis i'm gonna focus on
examinations and i have something
interesting to show you guys with that
so we'll get to that in a bit
[Music]
all right so i've just finished going
through two sections and i thought it
might be interesting to show you guys
how it is that i annotate these pages
and what my thought process are as i go
through them so here's a bit of an
overview of what my note-taking looks
like
most of this is just repetition of what
is already written down
i do a lot of things like over here
write down sort of silly ways to
remember the thing that i'm trying to
memorize for example the ways that i
remember the causes of upper zone
fibrosis they're all the things that i
would naturally think of as being lower
or down towards the ground
for example silica and coal are found
down towards the ground and closings on
the lightest causes lower back pain so
low towards the ground radiation comes
from the earth's core so low towards the
ground so all these things that are low
low low low cause
upper zone fibrosis and so anyways it's
kind of just more and more of that
i go through all the different notes and
i try and write down and recall as many
things as i can from memory
i try and rewrite the information that's
already there from my memory to see if i
know it
step one step two step three the color
coding system is not as strict as it
used to be back in the day but i still
use different colors for different
things to help me memorize information
all right hope that was useful i'm gonna
continue on with this until that first
hour is over and i'll catch up with you
guys after that
all right so the second thing that i
want to do for osuki practice today
is clinical examinations now usually
without cronovirus i would be meeting up
with some of my friends and we would be
practicing these examinations on each
other in person
but since i can't do that i've come up
with an alternative
which is this guy over here so this is a
hedgehog that i won
maybe two years ago at a huge festival
in london called winter wonderland
and it's basically been collecting dust
for a long time waiting for oski
practice
so finally his time has come he's about
to be useful finally and so basically
instead of practicing my examinations on
another human
since i don't have one i can practice my
examinations on this hedgehog
and i can listen to his heart and all
the different places that i need to i
can also take his lungs
for equal and bilateral air entry gonna
listen to his bases
etc you guys get the idea so i actually
got this idea from rachel suthert she
uses a winnie the pooh like toy to
practice her oskis on i think it's a
fantastic idea and i actually haven't
named this hedgehog so i'm gonna let you
guys name it so leave a comment down
below saying what we should name this
guy and you're probably gonna see him in
future videos as well
anyways for now i'm gonna throw him on
the bed i'm gonna take this off
and prepare for the exam so the exam
that i'm gonna prepare for today is the
abdominal exam now
that hedgehog over there doesn't have
much of an abdomen so i don't think it's
going to be very easy but
we can use as a general replacement for
a human for this
all right so that's all the reading done
and the theory prepped for now what's
left to do is to actually examine
mr hedgehog over there i'm going to put
this out of sight so i can't cheat let's
put this here
all right so usually for our exams we
have six minutes to do these
examinations i'm gonna set it anyway
just to get a general sense of the time
all right
good morning my name is nasser karma i'm
one of the fourth year medical students
here on the ward today could i please
confirm your name and date of birth
fantastic thank you so today what i've
been asked to do is come and do an
abdominal exam on you or a tummy exam
what this is going to involve is me
having a look listen and feel of your
hands
your arms your face and then your tummy
area as well would that be okay with you
perfect thank you or before we start
it's okay if i explain what i'm doing to
my colleague here
my examiner perfect thank you
can i ask you to hold up your hands like
this straight ahead and then your
wrists back and just hold them their
feet
[Music]
please
[Music]
thank you very much mr hedgehog that
brings us to the end of the exam i'm
going to sit you back up in your chair
good timing i'm gonna sit you back up in
your chair and you can get dressed now
thank you very much do you have any
questions
no okay thank you for your time hand gel
and scrub out whoa
i know that probably looked crazy you
guys probably think i'm crazy but it's
very very helpful to actually practice
those things out because imagine without
mr hedgehog
what would i be doing i'd be talking to
my chair and i would just
do a pretend to palpate an abdomen here
pretend to percuss something
it's just very very helpful when you
have a physical object to do it on so
yeah
uh leave me a comment down below let me
know what you want to name him i'm gonna
reread
through the theory over here to see if i
missed anything
i forgot to palpate for lymph nodes and
more specifically the supraclavicular
lymph node here on the left
which is a sign of gastrointestinal
cancer most commonly gastric cancer so i
think now i've done enough oski practice
for the morning so i'm going to switch
over to doing past paper questions on my
computer now usually i go through past
paper questions by myself
i have my past medicine on the right
hand side of screen and my note taking
on the left hand side of the screen
but recently when preparing for exams
i've been meeting up with either one or
two classmates over zoom
and we're going through the questions
together now the benefit of this is that
we explain to each other the reasoning
behind how we arrived at the answers for
the different questions
and this kind of just forces me to think
a little bit more about why i'm choosing
what i'm choosing
and that thinking process that thought
process of recalling those in
pieces of information is really really
helpful when it comes to consolidating
your knowledge and so that's what i'm
going to do right now i've recruited one
of my friends to go through these
questions with me so i'm going to call
her on zoom and we're going to go
through them together how's it going
yeah good thank you
so georgina welcome to my video thanks
i was talking to the camera before and i
was saying like you might remember
georgina from like a really old vlog
i think in like second year or something
i briefly said hi to everybody
in your halfway
[Music]
have you clicked start test yeah oh lord
all right
fair enough okay yeah have you got an
answer yeah i've got an answer so the
question is asking how do we know that
this is bulimia not anorexia so i think
bmi of 25 right yeah exactly so it's
like a core feature of anorexia that's
missing in uh bulimia
nervosa that's bmi less than 18. the
calluses on the hands what are they
caused by
the is it because you're putting your
fingers in your mouth yeah
exactly so purposefully trying to
regurgitate and you can also get like
erosions in the mouth from the acid as
well oh erosion of teeth enamel
so sometimes they'll come in complaining
of like difficult like painful
eating in the teeth and that's like
another song
let's move on to the next one yeah
what are we thinking is the organism
here well i'm thinking well
what what i eat what do each of these
organisms cause so
gram negative dip crochet is gonorrhoea
absolutely
yeah does that the symptoms sound like
they could cause gonorrhea
yeah that's my top choice what do you
know what the others cause
there's a lot of flagellated protozoa i
think they're thinking of trichomonas
there
which causes like a vaginal infection
that has like yellowy this yellowy green
discharge
like besides that it's the only reason
i'm going for a gram-negative diplococci
because i know it's treated with
ceftriaxone but what is the rectal pain
i didn't know you could get rectal pain
with gonorrhea
you can get rectal gonorrhea oh okay so
okay i think go for it are you confident
in it
or is it sickness yeah i'm confident
should we go for it
yeah go fine yes
i always hear your reaction before your
computer shows me the answer
i have a disproportionate sense of
victory when i get these questions right
[Music]
all right so very solid past paper
question session with georgina
now it is 1 20 so definitely time for
lunch
noor and i are having this amazing food
it is orzo and beef stefado
tell me that doesn't look amazing
all right so that actually needs a bit
more time in order to boil off some of
that water so in the meantime
i just received a notification that a
very fun package has arrived
so let's go get that
very big package i can barely hold this
with one hand
oh all right now as much as i want to
open up that package
i'm pretty hungry so i think i'm going
to have lunch first
and then we'll do that alright guys so
food is at the ready you and i
have been watching this show called
murder among the mormons it's okay we're
only about one episode in
and that's what we're gonna watch with
lunch also got some cheeky cheeky
parmesan throw on top mostly because i'm
a cheese monster
absolutely love eating cheese not
because it particularly goes well with
this dish no do you want some parmesan
he told me on this toy
all right guys so we're done with food
and in classic nora knight fashion
we're in a post food coma so we set a
four minute timer on my phone
and then scroll tik tok for four minutes
and the timer's there to make sure we
don't stay here for hours on end
[Music]
this guy's hilarious
all right timer has rung that's it
gotta close tick tock real fast
otherwise you'll be here for a while
okay gonna put the food away and come
get you in a sec all right guys
food is over i've got my coffee to help
deal with the post food coma
as promised i'm going to open up this
package over here
so this package was sent by a company
called grovemade in the united states
full disclosure this was sent to me for
free but this is not a sponsored video
they haven't paid me to talk about it or
say anything about it or anything like
that i just think that they're going to
be very cool and i'm excited to share
with you
so i'm going to open it on camera
i feel like maybe i should make a p.o
box and start like a mail time
segment on my vlogs i feel like that
would be really fun oh my gosh where do
i even start
okay nice this is to put a little
a little plant inside of oh nice this is
an
ipad stand put my ipad on on the desk oh
wow this is a lot larger
than i thought it would be this is a
stand from my macbook so yeah i've
decided to replace
the metal ones on my desk so i think
these wood ones look
a lot better and more professional more
dulty and more mature this is huge
so this is actually really really nice
this is something to put by the door
as you're about to leave the house and
you can hang your keys down here
they've got these three little hooks
inside and then up here you can just put
everything that's in your pockets as
soon as you enter the house that looks
amazing i'm impressed
very very nice
oh i like that so this is a pen holder
super super aesthetic in my opinion
matte black with the dark walnut and it
just sits on your desk so you always
have a pen at hand
probably my favorite thing now i feel
like i just need a bigger desk because i
feel like i have no space to put them on
on my desk right now all right and then
this
is a desk mat which you roll out and it
sort of neatly organizes your keyboard
your mouse and your trackpad
so they all kind of know nowhere to go
on your desk and i think it looks kind
of cool that is a lot of stuff
nasser thanks enjoy your new setup
cute oh my gosh i've made such a nice
jesus all right give me a sec to clean
this up
all right so i've got a couple of things
on the desk but i think for the
remainder of the items we're gonna have
to wait
until i get a bigger desk because it is
as crowded as
can be right now but i quite like this
it gives a lot of visual
visual spatial organization nice all
right and i'm back at my desk ready to
get some work done
a mighty fine looking desk if i can say
so myself so what i've been trying to do
is meet up with two friends
once a day or as much as we can but
around once a day in order to have
practical talking communication history
taking sessions with each other so we've
got this online resource with hundreds
of different scenarios that might come
up in our oski exam and we sort of pick
one for each other and then go through
it as if it was a real life
osce exam and that way we get in the
actual talking and physical
communication practice in so the first
friend is georgina who you saw earlier
in this video and then the second one is
kenji from kenji tamita vlogs i'll leave
a link to his channel in the description
down below
he was my very first friend at king's
college london so check out his stuff
and support him over there
and that is him right now inviting me to
a zoom so let's get
started let me actually uh put my
background as blood man
[Laughter]
i think we can just do the same that
we've been doing individually
so we'll just have two sets of feedback
it's that work sounds good
sounds good hi good afternoon my name is
nasser i'm one of the doctors here at
the gp practice
how are you doing today i'm good thank
you how are you i'm fine thank you um
could i please confirm your name and
your date of birth
yeah so i'm mr concert uh my basic birth
is
20th february 99 okay thank you very
much and i understand that you've come
in today uh for your son max
yeah that's right okay could you tell me
what's been going on
[Music]
so today i took a collateral history
from mr carter
who came in with his one-year-old son
max
their chief presenting complaint is that
max has been
not gaining weight he's noticed no
changes to max's
feeding or drinking his urinary habits
or opening his bowels
[Music]
yeah and what was your boyfriend uh
saying about today how is he responding
to all this well he's brought me here so
he's obviously not happy
[Music]
catch you tomorrow maybe if not have a
good run see you later thanks georgina
have a good night
bye see ya okay that was
long took a lot of cognitive effort and
pretty draining i'm
kind of tired right now but very very
helpful this three-person system that we
have where
one person is the doctor one person is
the patient and one person just listens
takes notes and gives feedback at the
end
is very very useful find yourself two
friends that you trust that you know
will tell you if you've done
something wrong or if you had a very bad
history taking session or whatever
you need people who you can trust who
are gonna tell you that you're doing
things wrong
otherwise there's no point if they just
keep telling you yeah you're good you're
good you're good i don't know what i'm
gonna do now i think i'm gonna take a
small break and then study for a bit
more and then call it a day
so i'll catch up with you guys when i'm
sat back at my desk for that
and otherwise peace
all right guys so i'm back hasn't been
that long
and like i said i'm feeling a bit tired
not really that motivated to sit down
and do a little bit more studying
and so i've tricked myself i'm gonna
reward myself with some coffee and my
favorite thing of all time
sour candies oh that is the good
stuff right over there these are the
methods of incentive that i'm using to
get myself to do
a little bit more work maybe half an
hour 45 minutes something like that and
then i'm gonna call it a day
all right i think i'm going to call it
here
that was a good set of questions i am
happy with that i think it's been a
pretty productive day honestly
i'm just going to relax and chill for
the rest of the evening probably edit
the upcoming video for next thursday and
then
hopefully play some video games with
either my sister or a couple of friends
chill have some dinner watch something
it's gonna be a good night very very
soon
i will be moving to a another city
outside of london for my next placement
block
so you guys are going to get another
moving vlog and a moving out vlog and a
moving in vlog so yeah lots of good
content coming soon
lots of vlogs study with me talking head
videos whatever you like just let me
know in a comment down below all right
and i think that's it
if you guys enjoyed this video please
don't forget to leave a like on it and
also subscribe to my channel see more
content from me in the future
and if you really want to help out you
can share this video with any of your
friends
and yeah i think that's it for me i'll
catch you guys in the next one
peace
we're trying to do a smooth transition
turn and this
is not working out all right see you in
a bit oh my goodness it has just shed
so much hair all over my desk all right
buddy
wow it's literally like a real animal
because i have i'm out of practice for
quite so long
why can't i say this right
oh that's completely fogged up my lens