A little Refresher 2024: Intro to the core modules (FAB, HOM and MIMs)
Summary
This on-demand teaching session offers a thorough discussion and immersive insight into 'FAB', which stands for 'Functional Architecture of the Body,' a medical course focused on anatomy. Apart from covering most parts of the body, such as the upper and lower limbs, chest and thorax, and the abdomen and pelvis, the course also educates learners on the male and female pelvis and the complex systems therein. Attendees will also have the opportunity to delve into embryology - the science of fetal stages growth. The learning experience extends beyond textbooks, as practical clinical cases and different conditions are investigated, including biceps ruptures, pneumonia, hernias and varicose veins.
The course makes use of effective teaching methods including lectures, dissections, peer-based learning, and interactive presentations. Students will have the chance to learn about detailed examination systems implemented at Cambridge involving steeplechase (image based questions), embryology, applied anatomy, and essays that require holistic knowledge about the particulars of body anatomy. By the end of the course, medical professionals will be equipped to tackle anatomical complications and cases with comprehensive medical knowledge and hands-on experience.
Learning objectives
- Understand and explain the basic functional architecture of the human body, focusing on the anatomy of various body parts such as the upper limb, chest, thorax, abdomen, pelvis, and lower limbs.
- Develop an understanding of embryology and its application to human anatomy, learning to trace the stages of development from the fetal stage onward and how it contributes to the structure and function of the human body.
- Familiarize with various clinical cases, relevant diseases, and conditions related to each section of the body being studied with a focus on applied anatomy.
- Gain practical exposure and application skills through participation in dissection sessions, being able to relate theoretical knowledge to actual human anatomy.
- Prepare for examinations, including multiple choice and essay questions, by synthesizing knowledge from different sections of the course, allowing students to demonstrate their understanding of the functional architecture of the human body, embryology, and applied clinical cases.
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That to me. And um so we have uh so first medicine, we do three modules, ba home fab home and Mims and my colleagues will talk a bit about home and mims. But now I'll start showing my screen and tell you a bit about what fab actually is. So you should be able to see my screen now. Um So fab is essentially functional architecture of the body. It is just anatomy and you can read what the official definition is and we cover lots of, we cover pretty much the entire body except head and neck, sorry, head and neck, which is in second year. So the, so we have three times at Cambridge, my Lent and Easter in my term, you'll cover upper limb and chest and thorax and Easter term, you'll cover abdomen and pelvis and lower limbs. So in um in the first time, so what exactly is upper limb? So upper limb is pretty much your entire arm. Um So as you can see from this very good diagram, we'll be looking at the entire skeleton, the muscles, the nerves and um and all the tissue and pretty much everything. And then in the same time, we also look at chest and thorax, which as it suggests is your chest. So we look at the muscles of the chest, for example, the pectoral girdle, we look at the shoulder muscles and we look at the thorax as well. So your larynx, your pharynx and so on in er I found out of these two, I thought chest and thorax was easier to cover. Um but again, that's just personal preference. Some people find upper limb easier and others find chest and thorax. And in lent term, we do abdomen and pelvis and lower limb abdomen and pelvis, I'd say is probably the hardest of the four. And I think most people did not enjoy that that much either. I remember pelvis as well. It's um you cover both the male and female pelvis and there's lots of complicated systems and it can be quite a lot but you will, you will, you will find out a as you, as you go through the year. And then um alongside this, we look at embryology and embryology is uh how the body, how from your fetal stages, how you grow up. And this is another big part of your examinations at the end of the year. And um I find it quite difficult, some people find it intuitive. It only really clicked for me when I started looking at animations and actual videos and how the growth occurred. But before then, reading just some textbooks makes it, it's not very easy to kind of um put, put the pieces together and alongside all of this. While we look at the pure anatomy, we also look at clinical cases and that is what happens in applied anatomy. And so applied to that to me, we will look at different cases. So for example, in upper limb, we look at uh biceps ruptures. So we look at Popeye's muscles and we look at diff lots of different conditions, chest and thorax, we look at pneumonia, um, abdomen and pelvis. We look at uh hernias, lower limb, we look at varicose veins. So there are multiple different cases we look at and these are all tested upon. We do these on a weekly basis during our dissections, which I'll talk a bit about now. So how exactly are we taught? So, if you have 21 hour lectures every week and these usually cover embryology or applied anatomy, that's not in the dissection manual. We also have the most, I'd say my most enjoyable part of the week was the er, that's the dissection room. And in this, you will have your donor and you will be in groups of four and you'll be, you'll be dissecting the part of the body that you were studying that week. So when you first off, for example, you'll be looking at the upper limb. So first one of the first cuts to do if I remember correctly was I think it was uh the, the, the biceps and the triceps. And so initially, it is very intimidating to go into the, er, for the first time. See your, your, your donor, which is essentially another human being who's long dead. But as you progress you, it becomes more like a classroom and it is very enjoyable and a lot and it helps you really understand everything you're learning on paper and in your textbooks and Snell's Anatomy and Grey's Anatomy. Um We also have some clinical applied anatomy sessions. These happen after your actual dissection room and everyone in usually in groups of two, we present all dissection cases, sorry, I anatomy cases and everyone takes notes. So it's, it's very much a peer based learning where you go in groups with people from your college or other people in other colleges and you make presentations that not only help you understand, but also clarify the topic for others. And then supervisions are usually very useful. These happen in, in colleges and it can really depend on the frequency of supervisions. So I study at go with and Keys and we had weekly fab supervisions versus, and then we had additional supplementary supervisions every other week on weekends versus some other colleges had only and they didn't have the extra supervision only for, for every other weekend, for example. So examination, I know you probably don't want to hear about examinations when you've not even started the course yet. But that's just Cambridge medicine, I'm afraid. So, um if it is, so your exams are in Easter terms. And so you've finished the dissection manual, which is uh the dissection manual is essentially what you learn in your entire entire um course from you finish that in Lent term. And then Easter time you're revising and the way we usually examined is by steeple Trace. People Chase are essentially images of the, the the donor and of of sorry, of certain of of topics being studies. So for example, one question could be, they show you a bicep and they ask you to identify the muscle. Obviously, it's a lot harder than that, but you, you can, you can kind of get the gist and there are, there are multiple questions and each, each one has lots and lots of different subsections. And then um you also have 20% of your grade will come from embryology and from applying that to me. Um embryology. Again, I found quite difficult because you want to finish, you want to prioritize finishing dissection manual. But then you remember, you also have to look at entire embryology. So I remember what was quite difficult, for example, was um what came up last year. For example, there was a bit on the diaphragm development of the diaphragm. And um yeah, so there's just lots of different bits. So you will have to learn and then the final section is essays. I personally find these easier to revise for, than, than steeplechase and uh essays. You have, you write two essays in fab, it's different for home and mims. But there are two hours. So one hour, each one is a functional essay and one is a clinical essay. Your functional essay. Um I'll, I'll show you examples of what like, I'll give you some pulse papers in there, a few slides. But one is about as it would suggest some part of the body, but there's one clinical essay. So I remember the one I wrote a few months ago was on hernias and inguinal hernias. And um so that's the importance of apply to that to me is that you really have to know the course inside out to be able to write a thorough essay. And so we have, and you'll learn more about this in your first few weeks here. But section one and two. So these steeple chase your multiple choice questions. I think I forgot to mention the one and two are just section one and two are just multiple choice questions these down towards your second MB, which is what you have to pass in order to move on to second year. And then tripos is the also overall you get. So 1st 2122, et cetera that um requires the waiting of the essay and you can see what the waiting looks like. 5050. So I'll I'll give you just, just, no, not too many but just a few questions just so you kind of get the idea of what the all the work you do kind of leads up to. So this is what prosection based questions look like. So I obviously, I can't show you due to the due to the uh like the privacy issues, but you will you the images will be in the past papers. And for example, this will probably be a prosection of an abdomen. And these are the some of the questions. So for example, um the following organs lie in region mark a except and that could be for example, your periumbilical region and then you have to find out everything that lies in it or doesn't. And so these are just, this is I think from a quite recent paper as well. I remember doing these past paper, questions, I cannot, I cannot tell you the answers now. But um but yeah, and then I'll give you the few example of the functional essays. So functional essays are usually your embryology or your um or your applied anatomy essays. So your one of the essays functional you will be either you have the choice of three and one will be embryology based. So for her, for example, question three and the other two will be um based on the uh the the dissection manual content. Um So for example, compare and contrast the muscle compartments in the upper and lower limbs. So you talk about the different compartments of each limb, you talk about the muscle. So the biceps, the hamstrings, the quadriceps and so on. Um describes similarities and differences in the structure and function of venous and lymphatic systems. Again, same type of thing. It is these are, these are very um these try to encompass the entire course content to combine both mickus and lent term contents. So you do need to know both upper lower limb, chest and thorax, abdomen and pelvis. You need to know that quite holistically and then bones grow. This is another one I remember. So I can tell you what came up. So 2024 it was about development of the diaphragm and that was uh it was a bit of a tricky essay because there's not that much content. So you really need to be very precise in what you talk about and know inside out what you, what it is, how the diaphragm develops and how the development of the pericardium happens and so on. These are some clinical essays. So as you can see, these are very much like the cases you'll get as a doctor and these, they may seem like a lot now, but I promise you would do study lots of these kinds of cases and they will become very clear. So for example, the first one refers to a man. So you do you look at his age, you know, 25 year old man, young man suffering some chest trauma. So this will be chest and thorax assay and then I can, this will be, I'll probably talk about the lungs that affected the, the pericardial cavity. Uh A and so on. Um sorry, the pleural cavity A and so on and, and yeah, these, they do make sense as you learn each, not only each section of the body, but as you learn the relevant clinical cases as well. The second one, baby presents with some vomiting and distension. This is I think it might be an omphalocele again. I don't remember. But these, these, these seem hard now but you will learn to understand them. Um The third one is on the passage of urine. So you can see elderly man um there's probably a blockage of his urethra and so as you can see each questions are quite similar, there is one type of man. Oh, sorry, there's a patient uh different ages. They, it, it gives us symptoms and then you have to make uh you have to reach a conclusion and discuss it in, in good detail. So now I'll just give you some, some of my tips I think um sa is is quite difficult but it is definitely very enjoyable. It's completely different from anything you've done at school. So for example, I did biology, chemistry, maths a level and it's nothing like biology or chemistry. It's a completely new subject, but it is, I think like the like this, like essence of medicine. I think I know there's a lot of fun. I think the dissection room initially can be a very scary place the first few weeks. But yeah, I did learn to enjoy it a lot and it is a great uh a great resource to supplement your learning and really visualize everything you learn in textbooks and all the questions you see. And it again is one of the reasons why the final final examinations, why you do require, why you, why you are tested on dissection images. I think a lot of people um use AKI and because there is so much content, it's just easier. I think a lot of, I didn't, I personally didn't use AKI that much until Easter term. But I know a lot of people who were using it from Mickle. So I think it depends on person to person. I found using making notes. I found that very helpful and just trying to summarize the each section of the manual in my own way. I found that quite good. The manual um I keep talking about is a dissection manual. It's about 200 pages I think. And it's all your content es es especially um pretty much summarized. It's like your spec, pretty much, I think the biggest thing though I'd say for anatomy is to invest in a 3D software. I bought Q by digital. I think it was like 20 lbs for the year but it was the by far the single most useful resource because when you're learning, for example, that Pim and you want to, to know how the muscles, the veins, the arteries and everything kind of fits in. It just, it's just so much easier. The uh the diagrams are very good, the animations are very good. So Human BD Dial is something I would 100% recommend getting as early as possible, pretty much and make sure you, period, period will probably make each dissection room and your lectures. They'll make them a lot easier. And yeah, that's, that's, that's all for me. I think I'll, I'll pass on to home now. But if you guys have any questions then uh let me know at the end, uh I'm just gonna share my screen, everyone. Uh can everyone see my screen? I'm gonna take that as a yes. But um hi, I'm Sandri. I'm a second year medic at Keys. Um And I'm gonna be giving you a talk on ho uh So first we're just gonna go through what ho actually is. So hom stands for homeostasis, um homeostasis basically means physiology. But Cambridge liked to use weird terms to describe subjects and apparently the name came about because the Natural sciences course also has a physiology module. And so the medicine course organizers wanted to be a bit more creative. So we've got home instead. Um So in terms of what you actually learn about, it's essentially the study of the function of organ systems and how that like how that works to, oh, sorry, just need to go back and how, how everything works in order to maintain a constant internal environment. Um And in terms of how it fits in with the other subjects you just looked at, it's quite nice to think of fab as looking at the whole body with the naked eye. And then physiology is uh zooming in on certain organ systems. And then biochemistry is zooming in even further into a cellular level. So you're looking at cell receptors, cell trafficking, cell signaling, et cetera. Um in terms of the course structure, you're going to have uh three home lectures every week. Um you'll also have a home practical every week. Um and you'll have a histology practical every two weeks and histology is just looking at cells from different organ systems under a microscope. Um So the lecture topics that you're gonna cover. So my or miss, you're gonna be kicking it off with cell to cell communication. That that's a nice, easy, quick topic. Er, and then things get a bit more er heavy. So you'll start with er, muscle, er, and then you'll move on to the circulatory system, then lent, you'll start it off with the respiratory system. Uh and then you'll be looking at the kidneys and the digestive system. And finally, in Easter term, you'll look at um metabolism and thermoregulation and then you'll sit your exams on all of those topics. So, what I'm gonna do is just quickly give you an overview of, uh, we're gonna do like a whistle stop tour of the main topics in Mle Miss and Lent. Uh, just to give you a bit of a head start before you come to Cambridge. Um, so first, let's look at the types of homeostatic control. So we've got negative feedback, positive feedback and feed forward control, which you probably have already come across in your a levels. Uh ballistic control might be um a new term for some of you. So in terms of what a feedback er control system actually is, you've got a variable, which is what is going to change. You'll have a stimulus that might cause a variable to change. You'll have a sensor that will detect changes in the variable. You'll have a control center. So that could be the brain that will actually coordinate a response to that uh change in variable. And then finally, you're gonna have effectors which will carry out that response. So, zooming in on negative feedback in negative feedback. Let's take the example of um core body temperature change. So let's say that your core body temperature increases, your, your brain is going your, so your family receptors are gonna detect that and then the brain is gonna coordinate a response to that and the response might be vasodilation, uh sweating or A B or a behavioral change like taking some layers off. Uh And then positive feedback is uh different because it's basically trying to amplify a change that has already happened. So it's best understood with the example of uh labor. So during labor, the baby's head is hitting the cervix of the womb which stimulates the release of Oxytocin. Um And Oxytocin stimulates uterine contractions which cause the baby's head to hit the cervix even more, which releases more Oxytocin. And that continues until um the baby is born. Uh And then we're gonna look at feed forward control. So feed forward control is basically um an anticipatory response that happens even before the variable has changed. So if we look at it in the context of eating, um when you eat, obviously, your blood glucose concentration is gonna increase because the carbohydrates you eat are gonna be broken down into glucose, but the body has learned that that's going to happen. And so insulin is released as soon as you look at food and start salivating to prevent like a really dramatic spike in blood glucose concentration. Um And so that's feedforward control. Er, now, ballistic control might be new to most of you. And ballistic control is basically um where the action to produce a certain um effect it all done in one go. So think of it like um throwing a dart or a ball, like once you've thrown the dart, you can't do anything to change the outcome or change the quality of the action like it is what it is basically. Um So in the context of the body, think about eye movements. So your eyes, if you want them to move to the left and then to the right, you'll have very jumpy movements rather than quite smooth movements. And we call those eye movements circa. Um And the body basically learns exactly how much contraction is needed to move your eye a certain distance. Um And it really produces that each time you need to replicate that movement. Basically. So yeah, we've been through all of the types of homeostatic er control. Um We're now quickly gonna look at action potentials. Um So action potentials as you've encountered at a level, it's basically how individual nerve cells communicate with one another. But if we look at them in a bit more detail, when your cell isn't signaling, it's at resting membrane potential. Um But what happens is that because you've got more potassium ions inside the cell than outside potassium ions are gonna start leaking out of the cell through potassium leak channels. And in order to counteract that you've got your sodium potassium pump which works using ap er So in an action potential, what basically happens is that when one neuron is stimulated, sodium and potassium channels are going to open and sodium is going to flow into the cell down an electrochemical gradient and that's gonna cause depolarization and then the rest the membrane potential is becoming more positive. And if the stimulus is strong enough and enough channels have opened and enough sodium ions have entered, then you've reached your threshold potential and that's when you've got voltage gated sodium channels that start to open. Er and so you get even more depolarization and then once you've reached another er you, once you've reached um a certain er er membrane potential which varies according to the cell type. Um your voltage gated sodium channels close and your voltage gated uh potassium channels open, your potassium ions are gonna um leave your cell down an down an electrochemical gradient. Um And what happens is that you actually reach a state of hyperpolarization, er because too many potassium ions have been lost. And so we've got the sodium potassium pump that works to restore resting membrane potential. Um Now, on two muscles, uh there are three main types of muscles that you're gonna be looking at. So smooth muscle, that's muscle that just lines the inside of organs like uh the stomach or blood vessels. Er cardiac muscle that's obviously found in the heart. And then you've got skeletal muscle which er produces voluntary movement of the skeleton. And these three types of muscle, they are either smooth or striated. Er so cardiac muscle and skeletal muscle are striated just because under the microscope, the anisotropic bands and the isotropic bands, they give like a stripy appearance. Uh When you're viewing it under the microscope uh, now we're gonna quickly go over the heart. So the function of the heart is to pump blood around the body. And in order to do that, it needs plumbing as well as wiring. By plumbing, I mean, the veins, the arteries, the capillaries and the chambers of the heart and by the wiring, I mean, the electrical activity of the heart. So, looking at the plumbing really quickly, uh, deoxygenated blood is gonna enter from the body via um the inferior and the superior vena cava, uh that's gonna enter the right atrium, then the right ventricle and then it's gonna be pumped out to the lungs by the pulmonary arteries, er, where the blood is going to be oxygenated, it's then going to return to er the heart via the pulmonary veins uh into the left atrium, left ventricle and then finally out through the aorta and then systemic arteries that the aorta branches into will deliver that blood to ensure like full perfusion of the body occurs, er, now quickly onto the wiring. Um So the heart is myogenic, which means that it generates its own electrical activity and that comes about because of specialized cells in the sinoatrial node um in the right atrium. So the sinoatrial node generates a wave of depo that is going to spread across the atria. The atria are gonna contract simultaneously. Um That wave of depolarization is then gonna hit the ATRIO ventricular node um where there's a pause to make sure that the atria finished fully contracting before the ventricles contract, then the electrical signal is gonna travel uh through the bundle of his uh through the left and right bundle branches and finally through the purkinje fibers er, to allow the ventricles to contract. Um, so the lungs, if we wanted to um model the lungs, we'd use balloons to represent the lungs themselves. We also need to account for um the plumbing of the lungs as well. So, you know, the veins, arteries, et cetera. Um, we also need respiratory muscles. So the diaphragm, the the external intercostal muscles to actually bring about changes in volumes. Um er, yeah. Er, and um, again, as with the heart with the lungs, you need to consider ventilation and you need to consider perfusion. So, ventilation is like where you actually get air into and out of the lungs and perfusion is where you're making sure that deoxygenated blood from the rest of the body actually comes into contact with the alveolus. Um And so when you're looking at lung diseases, it's really important that you consider, is it a problem with the ventilation or is it apa problem with the perfusion? If you've got a blood clot, for example, that's gonna affect the perfusion. Whereas if you've got um excess build up of mucus, for example, in airways, then that's an issue with uh ventilation. Um This diagram, you're definitely gonna come across it in your uh home Practicals. Um And you uh you achieve this diagram using um spirometry. Uh so the volume of air that you're breathing in and out uh at rest, that's just your tidal volume. Uh Now, if you're gonna take a big deep breath in, then you're gonna take in more air on top of your tidal volume. So the total volume of air that you inhaled, that is your inspiratory capacity and that extra bit of air that you inhaled on top of the tidal volume, that is your inspiratory reserve volume. Um and the total amount of uh the total volume of air that you could breathe in. If you took a really deep breath, that is your vital capacity. Um When you're breathing out after a particularly deep breath in, then you're going to breathe out a bit more air than normal. Uh And that is your expiratory reserve volume. And basically, after you've exhaled as hard as possible, the air that is still left in your lungs, that is your residual volume. And it's essential that we have this to prevent the lungs and the alveoli from collapsing. Um And your functional residual capacity is basically your residual volume plus your expiratory reserve volume. Uh Now onto the kidneys. So, consider the kidneys as uh sort of cie blood enters the kidneys. Um and this blood needs to be filtered um and any toxic substances or excess substances that we don't need, that's gonna be er released as urine and then the filtered blood is then going to be returned to the rest of the body. And it's important that this filtration process occurs because we want to ensure that we've got the right concentration of uh different ions in our body. Uh and in our blood, because that is going to help you maintain the correct ph for enzymes to work. And also it'll prevent cells from shriveling up or uh swelling up. The kidneys will also produce important hormones that you'll learn um in a lot of detail and these hormones contribute to uh controlling BP, uh contributing to bone density. And they also influence new red blood cell development. And this is just a diagram of a Nephron, which is just the functional unit of a kidney, which is um er and we've got about a million of them in the kidneys uh working together all at once. Uh And finally, we're gonna take a quick look at the digestive system. Uh Again, we can simplify the digestive system into a long tube that goes from your mouth to your anus. Uh You've also got um important organs that aren't actually part of this tube, but still contribute a lot to digestion. And that basically is your uh salivary gland, your gallbladder, your liver and your pancreas. So in um when you start eating, obviously that that process starts in your mouth, uh you've got your salivary glands which release enzymes into the mouth er, to er, help break down the food. Uh, the food is then gonna enter the esophagus from there. It's gonna go into the stomach. Um, and in the stomach basically more because it, the stomach can churn and more enzymes are present in the stomach. Further breakdown happens. Uh The same happens in the small intestine, um where further breakdown happens. But because in the small intestine, you've got secretions into the small intestine from the pancreas. So you've got enzymes coming in from the pancreas. You've got um bile coming in from the gallbladder. Um And that's really important for, so bile, you'll need that to break down fats and also to create the right ph for um uh for certain enzymes to work. Um And the enzyme released from the pancreas is also really important. Uh Then you're gonna, then the food's gonna enter the large intestine and in the large intestine, uh water and ions are gonna be reabsorbed back into the bloodstream and then anything left over that's gonna go into the anus and it will be stored as feces. Um And then any products of digestion that's gonna be uh that's gonna be sent to the liver and the liver will uh metabolize and process um uh all of the products that it received. So, yeah. Um I've given you an overview of Mick or Miss and lent topics. Uh We haven't done metabolism and thermoregulation because we don't want to spoil all the fun. Um, but yeah, uh, if you've got any questions, please, uh, unmute yourselves or send it on the chat and we'll be more than happy to answer anything that comes our way. Thank you. Ok. Uh, hello, everybody. I am gonna be talking about MS or biochemistry. Uh, I'm Rory, I'm a downing medic and I'm just going into second year. Uh, I'm gonna try and share my screen. Right? Uh, ok. I shouldn't do it. Mhm Yeah. No, not present to me. My bad. I don't know I should do it like this. OK. So brief overview. Um this is what we're gonna be talking about today. First we're gonna speak about what exactly MS is, is biochemistry. Um How you're gonna be taughtt biochemistry over your first year. Um Then we're gonna briefly rush through the concepts and talk about how exams work and then quite a bit of time I'm gonna spend on what I wish I knew at the start of the year. So w where you guys are now. Um And then just a bit about practical and then after this, we've been through the main bulk of what you're gonna be learning this year and we'll, so we'll go on to questions. OK. So what is MEMS? It's a fancy name for biochemistry. It stands for Molecules in medical science. Um So basically what you're gonna be doing is cell biology. So first term MS term gonna be learning all about. Um Yeah. I don't know, cell biology. And then second term Easter term is where it goes on to like, genetics. Really? Um, it's interesting. I can promise you that MS ended up being my favorite one. Although it was like, I think it's a lot of people's least favorite as well. I think it's quite a polarizing subject. Um, I just like, it's com, it's very complex and that's why it's so polarizing. I think some people really enjoy that. Um And like can get quite fascinated by it. And I think it is fascinating if you actually really immerse yourself in the content. How's the material delivered? Um 2 to 3 lectures a week. So it's the way that MS is kind of taught is a lot less complicated than ho and, er, fab. So it's ba, it's just all lectures except for three Practicals. That's one a term. Um And then problem based learning as well, which is j um like kind of two, a couple hour long sessions. Um And then we'll talk about that a bit later. But, yeah, lectures. Um you get planned outs and slides and some are better than others and some are uh some, you kind of have to like, focus more on the slides if you're like revising content supervisions are organized by college. So we've spoken a bit about those already. Um But for me at downing, I had just one a week. Um that was enough for me a word on supervisions quickly. Um, I would absolutely advise, keep, like staying on top of content basically. So, supervisions are not where you should be learning, er, the content for the first time. Like, II dunno, there's times when I've gone into supervision and haven't managed to get some of the work done and it's basically just much more beneficial if you use supervisions to revise and ask questions more than uh, than the content Practicals. So we'll definitely talk more on Practicals. That's because they take up kind of a disproportionate amount of the exams. So for physiology, you have like a practical or histology every week. But biochemistry, you just have one a term but you actually uh it's like it counts for half of all of your second MB grade. So it's like you have to pay quite a lot of attention to Practicals. So we'll speak about that. And then PBL um II think like mores more cynically this is where Cambridge gets. It's like required hours of um teamwork that the GMC gives it, I think. But actually it ends up being quite like the most clinically relevant content that you learn and some of the most interesting bits that you learn all year. So definitely pay attention in those sessions. OK. List of key concepts. So this is my mouse. Oh Yeah. First of all mood, all this is in bold. This is like where you, where everything is, this is where all the um like if lectures are prerecorded. No, no. After they've been recorded they'll be put up here. Um, hand out slides. Everything will be on mood all like you. Yeah, you'll come to, you know, that'll be your, go to page for everything. Medicine in first year. Um, right. So my, first of all, we learn a bit about diabetes. I think this is, I, it's kind of a nice introduction, isn't it? They don't like hit you hard, like too hard with anything massively technical. Um So that's nice, I think, yeah, 22 lectures by Giles. Yo, if it's still the same thing uh as last year and then you quickly move on to proteins structure and function. This kind of feels a bit a levelly. Um but it's obviously advanced. So it like this is the the structure throughout the whole mims. The lecture structure is general principles and then some examples and this is definitely the case in protein structure and function. Um biologics and metabolism. Uh This is kind of an essay favorite like this is this will take up a lot of your brain power in my. It's quite difficult or at least I found this is what this is. Um Yeah, the key thing to remember about this is that you don't need to know this whole thing. Like I think you can get quite, I certainly was, I was quite like arrogant at the start and I thought, no, no, I'm just gonna memorize the whole thing because because II want to and it's good for my learning. But actually you need to remember that just knowing the key regulatory steps is all you need for this. And like it's all that's actually important and relevant to you as a doctor or even as someone in research for the most part. So yeah, uh membrane dynamics and function. This was a good one. I dunno um hormone signaling in cells and then protein recognition and a bit on antibodies. Uh This is the same, this was very similar to this one and I think it's the same lecturer still Helen Mott. Um right then the lent term. Um yeah, like I said, the genetics kind of area. Uh this was, yeah, this is definitely my favorite of the two times. So DNA and RNA A, you guys would have learnt a little bit about this at a level. Um It turns out that it is unfortunately a bit more complicated than that. Um which is probably a slogan that biochemistry could use on the whole. Um And then disease genetics. I think a lot of people didn't like this one. I couldn't really see why I th I thought there was lots of clinically relevant things there. Um So yeah, we learn about uh complex diseases. So yeah, you know, diabetes, things like that and then versus single mutation diseases. Um There's, I think I've missed out a point here like ano another one, but there's two kind of main genetics um lecture series and then cancer in the cell cycle and then cell death. Um cell death. It's like, like what they actually teach um changed quite drastically. Like the, yeah, the content changed quite drastically, I think last year. So just if you're gonna use old resources, just be aware of that. If you remember until end of Lent, you probably might not. Well, that's fine. Um Good news is Easter. There's no real new content. Um This took me like, wait, I think it took me until halfway through lent till I realized that you, there was actually no new content cos I was, I was basically freaking out loads when I saw how much biochem content there was and I thought we had a whole more like a whole another term of it. But no, you've only got the first two terms. The one thing is there's a few lectures on imaging. Um This is quite good to get semi comfortable with because it's like at the, we'll talk about exams but it always comes up basically. Um, or like one or two questions at least. Uh, some will. Ok. Revision lectures. Cool. And then exams? Yes, that's, that's great exams. Ok. Um, three exams total. Yeah. Like we've uh touched upon half of it is second MB. So your first two papers, they each count for T um Well, right. 25%. Anyway, 25% of second M no, of all of tripos, but it's 50% of tripos. The practical paper. No, no, sorry. It's 50% of second MB. The practical paper. And so is the multiple choice paper. So, um all three papers count towards tripos. So this is where you decide again, first to want whatever. Um, but if you, if you're just keen to pass medicine, all you need to do is really, is do well on this and this. So, yeah, again, like I touched upon or began to, the practical paper is half of your second MB. Which is strange because you only have three Practicals over the course of the whole year where you have something like, I don't know, 12 to 15 physiology ones which, along with histology together count towards 20% or 40% of second MB. No, no, 40% of tripos. Oh my God. 40% of second MB. Um, and 20% of the heart overall tripod. So it doesn't really make much sense. Uh, I never really liked this system, but that's fine. Um, so, yeah, multiple choice. This is like, I think it's about, works out to be about a mark a minute. I can't remember exactly. But it MC Qs, you'll be familiar with this practical paper. A lot of people find this quite difficult. Um, and that's another reason why it's such an annoying paper. Um, but along with paper, one practice is very important for these two And that's because I think a lot u unlike physiology, um there's kind of a very similar question style and questions tend tend to repeat themselves on occasion. So practice papers for these two are very important. Um Essays were my least favorite thing about all of first year. Like this is where I think Cambridge becomes quite different from other unis. So um like you can answer multiple choice questions fine, like when you've got all the um all the options are in front of you, that's easy. But then when you, it comes to, OK, can you sit down and write 1000 words on one particular topic that we've given you? I think that's where it becomes like you actually really need to know your stuff. Um So that's, yeah, that was a challenge but that just comes with practice and you'll get lots of help. Um If you don't do any essay subjects at school, that's fine. Neither did I um you get lots of help from the very start. Your supervisors are very helpful with this as well. So do not fear example Mc Qs. Yeah, these are Mc Qs, you know what these look like and we are not going to go through them because I will not remember example, essay question. So, right. Um You can see we've got section A B and C, it's nicely laid out. You've got plenty of um options. So you're gonna be writing three essays within your two hours. Section A, you're gonna get an essay on er, term one, MS content. Section B term two content. Then section C is like a like uh synopsis essay. Like uh can you tie together both turn one and turn two? And it, a lot of people dislike this one? I think we got some quite nice questions this year. Um So I didn't mind it but I think this can be quite a difficult one. So yeah, tying together both turn one and turn two. That's what subsection C is for. OK. What I wish I knew how much time. OK. Yeah. What I wish I knew uh talk to those in the above you throughout the year, especially at the start, like see what they did. Basically, I think if I had listened to them better at the start, I would have been in a much better spot cos I had like I did quite a lot of work in my and not a lot of it was actually that useful in the end uh balance. So yeah, it's a marathon or sprint. Um First year is all about balance and like settling into college, making new friends. Um you know, doing all sorts of activities that aren't medicine. So yeah, just try and just try and keep that in mind. Um Try not to miss lectures where you can or at least adapt accordingly. So like you gotta be realistic and life does get in the way. And actually I found sitting, sometimes, sitting down with the handout was just as effective. Um, but, yeah, abso, but go to, go to lectures for sure. But if you don't, if you miss them, it's not the end of the world. Um, as some, some handouts are better than others, that's important to remember as well. But plenty of people, plenty of my friends. We just like, oh, I, um, yeah, II go to lectures just to kind of get out of the house and like um yeah, to get me to get me up. But I don't really like Pain II don't really, you know, I find myself zoning out all the time, but that's like, that's just so counterproductive if when you go to lectures actually stay switched on cos otherwise there's just no point at all. Um Figure out how to learn, this is my number one like kind of point from this whole thing. Um And it's especially important to biochemistry because of it's is very different now. Like I've, if I had just worked the way I had during a levels. So like, right, uh like summa making notes from the hand out and then like summarizing again, summarizing again, I just like there's way too much content, especially in biochemistry to be able to do that. So you need to figure out how you're going to learn at UNI because it's definitely a very different style and this links in with the talking to the E above. Um So yeah, a few suggestions are summarizing key content um concepts, rather making small lists of key learning points. Then Anki question mark. So I can talk about Anki for ages. Basically, it's a s you might have heard of it already. Um It's like a Flashcard software. Um And there's lots to say about it again. Some people really like it. Some people really don't. I personally really did and I ended up using it for everything. Um, just cos I found it really efficient but this is what I mean about f, figure out how to learn is different things are gonna work for different people and you don't really try and learn early, figure this out early because you don't really have the time to, to waste on ineffective like methods. So, yeah. Um, and then practice, practice, practice, especially for MC Qs and especially for practical, er, papers obviously for as well. But these two, especially in Mims, certain questions come up again and again. Ok. Right. A little bit in practical is, I think this is just, again, I'm trying to emphasize the importance of them and how they account for 25% of tripos and like half of your second MB trying to pass medicine this year. So, yeah, I think I'm hopefully I'll stress that enough now. But pre reading again, kinda like sus you should be treated as revision. But I think Practicals if you preread the Practicals. Um You're gonna be in a much better spot because you'd rather be trying to understand and, and revise content here, like, really understand it in the Practicals than like just learn it for the first time. Um So, yeah, that's the la my last point. That's all I've got. So I think we're gonna go on to questions now. I think I can see some in the chat though as well. So I think I'll hand back stops. Share. Yeah. If the three hosts just on to like open up your video, that will be great. Um As I sit here as well, I can ask, I can answer questions too. Um, if there are any deeper questions, but I don't know much about your first year. Um So there are any unanswered questions in the chat if you guys would like to an oh, if there are any new questions, uh I think someone's just asked if there's anything we recommend doing now. I mean, personally I just did like the work that was set by my college and then just enjoyed the rest of my summer holiday because it's gonna hit you really hard. So I think relax while you've still got the chance to don't stress about like learning things now. Yeah, I can second that for sure. Like I was trying to like read books and stuff. But as soon as like actual the uni work hits you, you're gonna be slightly humbled. So, relax while you can, without trying to scare you too much, I think for an cards you usually use your college parents. That's all I did anyway. And most colleges have good resources. And so that's something that's definitely easier. There's no point wasting your own time writing your own cards, I think. Yeah, that's something I've f, I figured out way too late. So all of my, I wrote my own cards, um instead of actually revising them. So I was, I just ended up copying and pasting from handout. So this is what I mean about um trying to figure out what to do early on. It would have just been infinitely better for me to use someone else's deck that has, that's gone in, in years, gone by and just start revising from the, from the get go and just because it ended up being quite a big waste of time for me. So, yeah, um do use an to revise content or learn it, definitely revise. So you should be learning content from lectures and handouts and then once you're comfortable with it, you start testing yourself on AKI. So yeah, I was just saying lectures are recorded. So, um if you don't wanna wake up at 9 a.m. on the second day, then it is definitely ok. But as long it's just you have to make sure you do watch all of them because it is every, you get tests, every lecture so definitely not what suggested to skip lectures. Uh I think someone asked how to make notes during lectures. Personally, I try to make notes at the beginning, but like sometimes a lecture just goes so fast that you've only got time to like jot down the odd thing. So honestly, I just recommend like taking it all in and then at the end of the lecture, uh start making your own key and everything you need is on the handout anyways. So I don't really see the point in making notes. I don't know what you two think. Yeah, I agree. I, yeah, exactly. Um So II never ended up making my own notes, but I know for like I had a friend who did really well and he, he made all his own notes. Um So it's, it's just all about different styles. But yeah, for me, go to a lecture again. II didn't bother to make notes in lectures, take it all in like actually just try and understand things for the first time. Um and then go back, read the handout again and do my and then yeah, do some ki I think to make the most of the sections I'd say do do the prereading um and cover the content. So usually cover each one section of the manual before each session. Definitely look at that. Look at your anatomy software kind of visualize where everything is. And then even if it's only about like 1520 minutes, then you get a much better idea when you are under the dissection room rather than just, just walking around trying to figure it out as you, er, for the supervisions question. Um, our supervisions simply to revise lecture content or will we be taught extra content? Um I think medicine supervision seemed quite different from other subjects in that mainly. Yeah, the bulk was to just revise lecture content. One thing supervisors might do is give you a like a couple of extra examples to put into essays that will get you like better marks. Cos they're not on the course. It looks like you've done an extra reading. But for the most part, yeah, it's just rev revision of content from the lecture series as someone who is a supervisor um supervision is a great place to bring your questions. So if you come with a preset list of questions, like don't just expect the supervisor to answer your questions if you're not asking them just, yeah. Uh I think someone asks what subjects or degrees are available for third year. I mean, I think the question really is like, what isn't available? You have so much on offer. You can even do like classics or like history and philosophy of science if you're not that interested in research, but you can also do things like uh PDN which is like neuroscience and physiology. But yeah. Um yeah, I can't really think of anything else. The third year, there's some subjects where, like, you have to pass an exam to be able to do them. So, like engineering, you have to get 60% on the maths, paper to be able to do it. So it's like things like that um, for the paper, laptop or tablet question for me. Like, it ended up just being all my work was on my laptop in the end. But II don't know, I think I had started doing this during a level as well, but I think it's, I don't know, send me the, the way that you have to start doing things. But again, if you, i if you're finding that paper's working better for you. Absolutely do that. II mean, I remember still like when I'd go through my flashcards like jotting things down on paper just to like help me think and stuff, but it's whatever works for you at the end of the day. But just, yeah, explore, explore that. Oh, so we're gonna finish in like a couple of minutes. Um Just to be clear, there's gonna be a panel on Monday. Um So like the gen if you bring us any, like more general questions to that and I'm sure people would be willing to answer your questions there. Um And the question about, are you sending the slides, um We're currently gonna, we're gonna upload all the recordings onto Medal. I sent the link in the email. Um So yeah, um, for the, do you guys learn content during term or understand during term? Go to lecturer lectures, essays, et cetera and the revision on the holidays. Pretty much. Yeah. Like, I think there is a lot of new content that you, that's getting, like, fed to you. And I did as much work d unfortunately during the holidays than I did as I did during term time. Maybe that's cos I did it wrong but I think that's what most people end up doing. Unfortunately. I don't know about the other two. But yeah. Yeah. No, I was the same like, I it's so like I was really idealistic going into it. I was like, oh I'm gonna get all of my work done but you just end up like there's just too much to learn um uh over the holidays. Um and also someone else. What stationary would you recommend we bring? You do have to do quite a lot of diagrams for your essays. So definitely bring some paper and um some pens for that. Other than that, I can't really, I don't think there's anything else that you really need to bring uh youtube channels. I thought that um for biochemistry, especially metabolism. Uh Yeah, yeah, metabolism. Um I thought Ninja Nerd was a really good one. I dunno like, yeah, although I think maybe it went into too much depth sometimes and we need to know, but I used his videos a lot to revise Yeah, the anatomy. I found this guy called Sam Webster. I thought he was really good. He just had models and the actual skeletons and he was really easy to understand and he was very clear in his examinations. Ok. Um Thank you to all our speakers. Um We're gonna end now. Um And thank you for attending.