'a little refresher': Introduction to MIMS
Summary
This on-demand teaching session provides medical professionals with an introduction to the fundamental cellular and biochemical processes of Men's (Biochemistry), how the materials are delivered in the course and what to expect in terms of exams and practicals. Whether you're a new medical student or a medical practitioner looking to refresh your knowledge, this session will offer useful insights into the processes involved and how best to approach the material.
Learning objectives
Learning Objectives:
- Understand the basics of men’s biochemistry and how it relates to clinical medicine.
- Grasp how men’s materials are delivered in lectures, supervision, and practicals throughout the year.
- Be aware of the key concepts and topics covered throughout the series.
- Make connections between the biochemical cycles taught and the clinical medical space.
- Develop a better understanding of the exam format and what kind of content and detail it is expecting.
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Computer generated transcript
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The following transcript was generated automatically from the content and has not been checked or corrected manually.
um, There we go. Uh, so Good evening, everyone. Welcome to the last lecture in the Ed Med socks. A little refresher series. This one's an introduction to men's, um, which will go through in some detail. And, um, so I'm loosely in case you don't know who I am and one of the fifth years, and we also have George. You want to quickly introduce yourself too? Uh, yeah, I'm sure it would be nice. Um, and so the thought is going to be about an hour long and you'll be able to access the slides and the recording afterwards as well, after coming out of the platform. Um, and please do feel free to just send questions through the chart and stuff. Georgia Keep an eye on it because I'm presenting. I might struggle to see them during the presentation, but we'll both be chipping in and answering questions as we go along. Um, so, yeah, we'll get started. So if it changes, there we go. So brief overview what we're talking about this evening to take about an hour in total. But that's not all the content that makes sense. Most of it will be questions. Um So first question is what it means. And then we'll talk about how the materials delivered a list of the key concepts and then a bit about exams. I appreciate this is quite early on, considering you guys haven't actually started first year formally. Um, but it might be quite nice to know what you're getting into and to know what the kind of the end product is going to be and then a bit about what I wish I knew. And I'm sure yours would be able to check in with his his wisdom as well. Um, and then a quick note about Practicals, because I felt especially when I was in first year, that wasn't always covered in a lot of detail. And, um, it's good to know from the outset like what's expected on that part of names and then also questions. But that can be throughout as well. So, first of all, what is my mom's? So name stands for molecules in medical science. It's basically just a fancy name for biochemistry. So if you go to, if you look at other medical schools around the country, they would have a bio chemicals, which we call from it, sometimes for no reason. Really. Essentially, it's just learning about a lot of biochemical cycles and understanding how cells work at a molecular level. And then how that translates to clinical applications as well. I say from the outset, that means is very kind of pure science. So it might be difficult to see how it relates to clinical medicine from the beginning. Um, but just hang in there because it does, like bits and bobs do do filter in throughout your clinical clinical course years. So in terms of how the materials delivered, usually at least for us, we had around 2 to 3, um, lectures a week. But this can vary especially towards like Easter. So your last term and towards exams, Um, usually PowerPoint slides and handout will be available for each of the lectures, and they will usually be recorded as well. Um, so it's always good to check that when you hopefully you'll have access to muddle slash Already do is you'll be able to see those, um, supervision wise, they they'll be organized by your college for me. Um, we had one, uh, supervision a week. George, is that the same for you as well? Yeah, same to me. I think it's pretty standard across the colleges. Yeah. Yeah, exactly. And then Practicals we had one per term. Um, and then there was a P B. L. A problem based learning exercise. Um, so this is from when George and I were in first year. So I think it's it's stayed the same because the courses tend to be quite consistent. Um, so for us, we had one in, like, almost so first term, the one in length, second term. And like, for example, in like, almost time, we were put into groups, and the theme was the nutrition. So we had to make a presentation on a specific topic that was kind of biochemistry slash nutrition related. So for us from my group, we were asked to make a presentation on the weight loss and illness and eating disorders. Um, so then I think it was like a 15 minute presentation. Um, yeah, George, Anything else that they're all good. I think mine was about cachexia. Maybe a similar topic. I think we must have had the same one. Yeah. So there are only, like, I think, 56 step topics and yeah, you kind of did them in. This is a good way. So key concepts. So, yeah, I I kind of this involves me dressing back all of my notes from the first year to try and work out. Um, what topics were covered, but quick, run through. So you just have a bit of an idea. So first term Nicodemus, you have a quick introduction. Two diabetes, which is very clinically relevant. Um And then we follow on swiftly with kind of the pure biochemistry stuff. So protein structure of function also enzyme function and control there as well and a bit about the kind of bio kinetics of enzyme activity as well in the bio energetic and metabolism. Very vague name. That's basically why are mitochondria the powerhouses of the cells, like explaining how that works? You go back to glycolysis the link reaction. Except we don't talk about the link reaction for some reason, the Krebs cycle equivalent to the citrate cycle, which you memorize, like 100 times and forget 100 times. Um And then there's also stated phosphorylation as well. And then you learn in depth about the electron transport chain and how basically how ATP is made and then also stuff about glycogen, um, as a storage molecule. And then more stuff in more, much more detail. How fat is metabolized gluco neogenesis. How's how's glycogen made ketogenic cysts And, you know, acid metabolism, how fatty acids are made and then your your your cycle as well. So just by me listening that you can see there's a lot of different biochemical cycles that you're taught and are expected to learn as well and then a bit about membrane dynamics and function, Um, and then hormone signaling and cells, which is kind of related to the membrane function as well. So there you learn about different types of receptors and also some intracellular signaling pathways. You expect a lot of stuff to do with calcium because one of the lecturers really, really likes his calcium, so you'll get quite a lot of detail on that. And then, um, I think the last lecture, that little muscle to do with protein recognition and a bit to do with antibodies so once again, clinically relevant. Um, George, anything is out on that slide. No, I don't think so. I think it sounds like a lot, but I guess right now it's very kind of worthy information heavy. But actually, it's quite a diagram friendly term. I think so, Yeah, yeah, 100%. And we can talk about that later as well. And if you guys have questions or queries about how best to approach meant because it's one of those I think I completely agree to, or just one of the very diagram. And, like visually heavy modules compared to the others, in my opinion, so and then we go into length or second term, which, if you want to describe it for all intents and purposes, is the genome and cancer term you can. So you learn a lot more detail about DNA replication and repair a DNA transcription RNA translation into proteins. And then you go through some disease genetic stuff. So monogenic or single mutation diseases versus complex diseases, Um, and how they are inherited and things. And then the latter part of this term you cover the cover the the cell cycle and cancer. Um, so, uh, and how, like the cell cycle becomes dysregulated in cancer, and in addition to this, you learn a fair bit on cell death I think in our year we had a lot of lectures to do with cell death. Probably too much. So maybe they've changed that for you guys. Um, you learn about the kind of program side of things. So apoptosis versus the non program cell death, which is like necrosis keratosis and and so forth. So, like a lot of new terms. But don't worry, it's very much broken down into chunks, and you will you will be covering, you know, everything in in one lecture is very much based on the lecture series and the lecture. Who's delivering it as well. And then in Eastern terms, provided it's still the same as when we had it in our first year. There's no new content, Actually, um, it was we just had a few random lectures on imaging. Um, and some of the lectures kindly organized, like revision sessions where they basically it was the same setup. So you go into the lecture theater, and then they kind of went through the lecture again, but in a more kind of like, information dense way. So I think we had three in total. One was on genetics. One was on protein sorting and one was on self signaling. And then, of course, you have exams. Um, So and I think that I've missed from those two terms, Georgia, or we could No, I think that's everything. Yeah, I guess. Just a friendly reminder to double check on mood or that that is everything. Because there might be some very slight changes. Yeah, for sure. Um, and then so moving on to exams. Um, I appreciate that. That was a bit of a whistle stop tour through the content. Um, and we're really going to give you quite a whistle stop tour through how the exams work as well. Essentially. So you have three exams in total called Section one, Section two, Section three. And it's it's a very similar set up to go home and kind of fading away as well. So Section one and two are actually taken as one single a single three out of paper. And that's where you have your multiple choice question paper, which is one hour plus your practical paper, which is two hours. So you just sit through that, um, and I'll show you some examples of some MCQ, um, questions or sorry. Any questions. And, um, some example say questions as well. And in section three is the s a paper which is based on the whole course, and that's two hours long. Um, so in case you did go to George and Serena's lecture on the exam side of things, so only section one and two count towards second M V, whereas all sections So 12 and three count towards your tri pro's. Um so, yeah, that's a breakdown of how the exams work and then just a few examples of MCQ. So I just took this from a random year to put in one of the passed papers. So you can kind of see that surface level knowledge, like, as with much of the stuff in this course, doesn't really work. Like you really need to get into the nitty gritty details to be able to kind of, uh, I guess the answer, the answer, the questions and from, um in case you guys had come to the fact that introduction to talk as well a really good point that finance made So um, the Red Sox committee member who was leading that one, he was like, not try to get the right answer, of course, but also try to understand why the other answers are wrong. Um, so, for example, if we look at in case, if you look at the top right questions, so which of the following statements about metabolic pathways is correct? So for this one, D is actually the correct answer, which, if you like, even with like, I guess what you guys know at a level or equivalent kind of makes sense, right, because insulin you produce when there's high levels of glucose. So that's basically when you're in the Fed fed state, so you're you know you don't need to. You're not starving. You don't need to produce loads of glucose from your existing glycogen stores. Um, and it's a very worthy kind of answer once you break it down and work out with each of the words mean basically means that you're trying to synthesize new molecules because you have enough glucose around to make you know the glycogen and the lipids and stuff. And then, but understanding why the other questions the other answers are wrong is also important to see in case you're wondering the question on the left hand side is the correct answer is is. See if I remember correctly and then for the one on the bottom bottom, right. I suppose this isn't I chose this one because it's a good example of where, uM, kind of lecture handout detail comes into play. So the correct answer here is D, which is Do they curl in receptor? And you can see that this is more structural stuff that has to do with how the receptors open. It's not just, I guess, what you might read in the text book at, um, you know, a level or equivalent, which is like, you know, you have the lesion, which binds the receptor, and then the receptor opens. It's like understanding how the channel actually opens, or like how it's structurally form that how many units there are. That's more the detail that we're looking at with men's. So those are some examples of the MCPs and then some example essay questions. So So this is how it actually looks on the papers, provided they haven't changed it once again. So I think this is from 2013 and you see there's three subsections so a, B and C and um, they're they're kind of like George. Correct me if I'm wrong, but my understanding was that kind of based on the different terms. So you can see that subsection A is more kind of relevant to what you learn in the first, the first term. And the C section B is more what you learn in the second terms of the cancer genome one. And then you kind of get a mixture of everything. That's quite a vague way of describing it. Essentially, you need to know the whole course to be able to answer one question from each section. So because the S a paper is two hours, um, so you have to basically split that time for these three for these three s a questions, So they're really quite short essays. You don't have long to elaborate on points and things, so yeah, it's like high high volume information that you need to and like, condense information that you you need to memorize. I know that looking at this, it might it might be a bit like, Oh, gosh, like, how would I even how would I even start answering that? But don't worry. You know, you haven't even started the course yet. So with time and with your super visions and exposure to like practising essays or like perhaps reading some from, you know, the older generations of medical students and your college and stuff, you'll you'll slowly get to understand, Like how how the essays should be answered. George. Anything to add from that? I realize I've spoken for a little while about exams. Um, yeah, I guess. Like stuff like this can quite intimidating? Um, I don't know. I guess they're kind of different strategies as to how you can approach learning. I think probably the most useful one is to actually learn the principals in my mom's home. Whatever. And then kind of use those to answer the example. MCQ is, for example, or answer the essays. Um, and you also find that I don't know. When I approached it, I kind of just started looking at M. C. Q. S first, and that really helped answering essays anyway, because you do just develop that knowledge. But another thing you can do is kind of spam passed papers. I wouldn't recommend it for essays because they can be quite random questions, but definitely the MCQ. You know, there's some similar themes coming up, and it can get to a point where actually you do Look at a question. Sometimes you're like, I don't even need to fully understand this, You know the answer. And I know that can be a bit of a relief. Sometimes when it's quite difficult to grasp why the MCP is correct, which does happen a few times. So don't worry if you're one of those people that kind of really struggles to understand, like, loads of complex things, because it is really high volume because they do provide a lot of passed papers which can really help guide what you need to know. Uh, yeah, everything Nice. Thanks. George. Um, so next part is just a quick list of what? The stuff that I wish I knew which I think we've kind of touched on briefly. So, um, I'd say, remember, it's a marathon, not a sprint. The entire course is a marathon and not a sprint. So, you know, don't don't go at full speed and then find yourself kind of yeah, struggling with the volume of content and stuff. Um, I This is just me personally I'd say Try not to miss the lectures where you can always find it. Good. If I if I attended a lecture, I was like, at least I know that I've done that bit. And even if it even if it takes me, you know, several months to come back to this content At least I know that I've gone to a lecture and tried to absorb some of it. At least, um may have attended our first talk, which is to do with, like, how to make the most of lectures. And we talked a bit more about how to take notes and absorb the information that you are being taught. Um, so hopefully, if you didn't manage to make it to that, the recording should be available to you at some point. Although we're working on that still as well. I think George mentioned this, which is, um I'm summarizing key concept called key concepts really important and useful because there's, you know, the volume wise. There's so much coming at you from each of these lecture series and each of the individual lectures as well. Um, you can always see them as, like, kind of little standalone chapters in the book. And if you're trying to approach it from like, I guess top down like I need to memorize all of this, it can be very overwhelming. So perhaps, you know, after each lecture, say, you know, with a lecture where you discuss how gene is transcribed into RNA. If you spend a bit of time afterwards drawing out the diagram or like working out a flow chart such that you can remember the different steps and what happens first, what happens next? Um, like all the different intermediary molecules that are involved, I found that that was really useful, and it was a good I'm quite a visual learner as well. So I found it really helpful to go back to picture those kind of flow chart diagram versus just picturing blocks of text where it's just, you know, sentences after sentences, Um, so that that's something that I would recommend and something that I didn't do but wish that maybe I wish that I had, I guess, in retrospect, it may be making a small list of like ky learning points from each lecture after the lecture had finished, because it's because there's quite a few concepts that come out from each of the lectures, particularly in like the bio energetic and metabolism one. You know, you'd be covering quite a few different biochemical cycles per lecture, particularly towards the end. And I thought that in, like once again, in retrospect, if I had spent some time to go through the lecture afterwards and, like, work out what the key points were and the stuff that I needed to remember then revision would probably have been a lot easier, as I could have just basically, like, scanned through what I needed to learn, rather than just trying to approach the lecture materials in one go and then practice is always really important. So as early as you can if you try practicing, um, multiple choice questions. And then, as George kind of mentioned in doing So, you also, um, learn the essay content as well. Um, practicing essays difficult, and I'm sure that will come with time as well. Some people prefer to, um, write essays out fully, but then, because of time, other people prefer to do say plans whatever you prefer, as long as you get some time in to to kind of practice, doing questions and working out a structure to how you're going to write your essays. I think that's the most important thing with the practical papers as well. I think practice is really key there, and you should be able to access passed papers on model. Um, you know, reach out to your peers, reach out to all the medics and your college and stuff because it is. It is a very difficult exam, the practical paper one not meaning to bring anybody out. It's just it's a very different type of exam, as I'm sure George can also agree with as well. It's It's one of those really hard papers. So having earlier exposure to that and just being aware of what kind of questions come up, we'll only stand you in a good position. Um, so those are the kind of main points that I I wanted to relate to you guys, but I don't know. Is there anything else that you'd like to add on to that? No, I think I I agree with with a lot of it. I think it's definitely like a marathon. I think a good kind of check point is after Christmas, most colleges would have marks, and I think it's quite a good opportunity to see if you kind of been learning the key points when I guess. Yeah, as in learning The stuff that the university wants you to learn I think is a better way of putting it. Um, I agree with Lucy is to try not to miss lectures, because you'll find that you do just take stuff on board if you're there. But remember in in second day, I had to miss quite a lot of lectures, and I ended up they weren't recording or anything, so I had to just go through the notes and that ended up being okay. And actually, the handouts aren't too bad. So don't worry too much. If you if you miss something, just try and go through the handout as well as you can. Um, yeah. And I guess the other useful thing about the diagrams is that they're very useful in essays, and so you can cut out a lot of the bulky writing. Just buy some arising with the diagram. So that's another good use of them other than just learning what it is. Also kind of using it in essays to save you a bit of time. And yeah, I agree. Like, practising is probably the key thing. Just do quite a lot of passed papers. I would also try and ask the above for any hints that they have about the kinds of questions that gets in there and take us. I remember in our Yeah, quite a lot of people thought that wouldn't be too much like cell death and sell programming stuff, because that just works so complicated. But it ended up being quite a few questions on it. And luckily, one of the medics in the year above told me like, I don't know, like, a month before that, there were quite a lot more than they expected. So it can be quite useful getting the you're above perspective on their paper. Uh, yeah, I think that's it. Uh, just onto the last slide. Now, Really. So if you have noticed a few questions that come through, um, feel free to send it directly to me or to Georgia or two. Just everybody. Um, And once we finish, also very welcome to meet yourself as well. Ultimately, this this presentation is is not meant to be like one way is really to help out you guys and see if there's any questions that you have, which we weren't answering about the course because it's Yeah, I think it's if the only thing you know is like it's biochemistry, it can be quite a lot to take in that first, Um, so, yeah, just a little bit on Practicals. Because it's something that I wish I had been talking about. So, um, we had one per term, um, as I mentioned before, So the first one, I assume you haven't changed, but as we mentioned multiple times now, please do check model. Um, so the first one was to do a protein as a diagnostic markets for disease. Now, do you want to do the mitochondria metabolism? And number three is bioinformatics much 100% sure what the bioinformatics one was about because my memory from kind of late second term too early third term of first year is quite hazy because exams were soon approaching. Um, but I really do remember finding the practical is quite challenging. Um, mainly because there's just a lot of new biochemical techniques. You're you're expected to just pick up like, for example, that you have to learn how to use an oxygen electrode still evades me to this day. I don't really understand how it works. And I remember really struggling to get my head around it at the time of the practical too. So I would really recommend doing some pretty reading for the Practicals. You get a separate book, a little booklet, basically, um, and you also get like, a lab coat on goggles and stuff, and your practical will be in the biochemistry department. Don't worry about that. I will see you back, um, to assume the company when you when you arrive. Um, so, yeah, I would say that, um, spending some time kind of getting getting your head around what the two hours of that practical and will involve will be really useful compared to just trying to decipher it all on the day, Which is what I did. I think for the first one, um, so, yeah, that that's that would be my main kind of piece of advice and Practicals content wise, I think, you know, just approach it as as you do on the day, um and if you're confused and definitely speak to the demonstrators as they were really helpful. Yeah, George, Any advice on on Practicals as well. But you don't really remember them like me. I think I purge them from my memory. To be honest, I just remember that you'll do a paper or like, a practice paper, and you'll be like, Oh, that was That was really, really hard. But then the past market something like around 50%. I think so. I wouldn't be yourself about it if you're funny. It really changed the Yeah. Okay. Thank you for that. So I think that is the end of the presentation. Okay. Thank you for listening. Um, you don't have to feel like feedback for me right now, but just so that just so it's on the screen, just feel free to sound like you're going to put in the tiny URL. And then you'll be able to request the catch up content. From this, I'll get the recording uploaded ASAP as well. Um, so I see there's quite a few questions that have come through on the chat. Georgia, have any on your side that you like that you can shut out. No, no, no, That's okay. I think I will come to me directly. So firstly, the question first question was, Do passed papers have marked schemes. Do you want to answer this one? I think the answer is no, but I think a lot of colleges would have made, like, basically answer. Sorry question to answer banks. So, you know, there is There is hope. Yeah. Yeah. Unfortunately, it's going to be a negative from us that the universities really specific about it that they don't actually release. Um, past four passed papers with mark schemes. The only release the past papers. Um, and I think it's because they sometimes particularly towards, uh, the more recent years they actually recycle the question. So if the, you know, it basically prevents the Examiner's from having to write completely new questions every year so they can kind of recycle a few, but maybe the last 23 years, and it's a it's a bit of work as well. Um, you, as George said that you'll find that most colleges have some kind of like, as an old years have compiled, like, a kind of answer comparison, things like in my year um, I think for this is for our second year, though for pathology. I do remember that we basically made a Google sheet and shared it with each other myself and the other seven medics in my college. And then we kind of, you know, write down year and then all the numbers of the questions and then, you know, a B, C, D e, and just compared and then wrote comments on the like, the right hand column to see, like where we agree to disagree. Um, so hopefully that answered your question. Um, another question was, Do passed papers come with fully explained solutions or just answers. Uh, sorry. Yeah, you don't get either. You don't get fully explained solutions or answers. You just get the past paper. But there is hope, as we've said, as you know, older years, but also in supervision and stuff, you'll likely be set some questions towards the end of the year, especially coming towards exams. And then you might discuss them during the supervision with the supervisor. You should know the answers. Um, so yeah, don't worry too much about that. Um, okay, a question. Another question was, um what do you think about watching lectures at home versus going in person? George. Want to answer this one and then I can check in. I think for me, I find watching them at home has it's like has its benefits. I presume you were talking about the recording because you can't just always rewind, double check things that have been said and make notes. But I do find that if I do electrical, it takes me, like three times, as long as just watching it in person. And when you're in person, I think you are still taking on the knowledge as well. Um, I would say, probably. As I said earlier, I think going a person is preferable, especially because we get a handout anyway. So it's not that important that you get everything written down because all the salient point will be on paper or like virtually anyway. So, yeah, I think that's my answer. Yeah, I'd say that it's really up to you if you have good discipline and you know that you're not going to start watching Netflix halfway through the lecture. Yeah, like you know, you're actually going to pay attention, then watching the sugars at home shouldn't be like recordings and stuff should be fine. Um, I find that my mind wanders very easily if I'm not like, forced to focus. So I always try to attend lectures in person. And it's in a way, it's a very kickbox kind of thing. And you're likely. I know that I've been to this lecture in this lecture series, and I know that I try to write some notes and then at least there's something to work for when you come to revising, Um, and there's also a social side of it that I guess people don't always talk about. But it's actually quite nice to be sad and like a lecture theater with fellow medics. And that's like, No, you're the only one who's struggling through this really dense lecture content and, you know, just catching up with people and stuff. So, yeah, it's it's really a personal preference. Um, but I'd say I always prefer to going to lectures and person, and then if I didn't need to rewatch them, then hopefully the recording will be available. Um, so hopefully the answer is that, um, the same person actually asked weight. How is their limbs practical paper if there are only two Practicals in the year. Yeah. Do you wanna do you want to answer this and I'll check it as well as some thoughts. The questions can kind of vary a bit from the stuff you've learned in Practicals. Anyway, they're kind of like practical adjacent at times, and so they'll use like, very, very similar concept, but not necessarily the exact same thing. So they're kind of concept you take away from the practical can be used to answer the question still, But that way they can kind of come up with new questions. Yeah, exactly. And I say when we say amens practical paper, we don't mean that you're examined on the content from the members Practicals. You know, it's, uh you won't have one question on, like the proteins, as you know, by by bio markers of disease. And you won't have one question on the electron oxygen electrode and and mitochondria and stuff. You kind of have the techniques and skills that you've learned from those lectures appearing in the practical paper, which also draws on the other parts of the course. So other, more practical side of things. Um like with complex disease, genetics and stuff. You might be asking you questions on that, too. That's something that you know, by practicing the practical papers and see what they look like from not not too early on, I say, probably after you've done at least the first, the first practical. But that's really good to just give yourself a heads up of, like what it actually entails. Um, I did think about including the, like an example question, but it's kind of the questions are very peculiar when you first look at them. Um, and it only makes sense once you've learned some of the course. So I thought I'd leave it and just stick to the MCQ and s questions. Um, so, yeah, but on my mood or you'll be able to access the past practical papers as well. Um, And then another question was, um who is the best person to talk to if you're having trouble understanding a concept? Hm. That's a good question. Um, my first reaction would be like your supervisor for that topic, Um, or sorry for mmse. Um, and that also extends to any other aspect of the course as well. You know, if you're struggling with the concept of harm, like the kidneys, that makes sense. Then speak to your home supervisor about it. Just pop them an email, maybe catch them at the end of the supervision. Um, because ultimately they are the one who's responsible to for making sure you do understand the content and you have a ways of understanding it. If if the lecture, if the lecture, this method doesn't you know, click with you immediately. Um, I suppose you know, also asking other medics in your year, especially if you're doing well with them. Um, you know, like asking them how they understood something would also be something I'd recommend. I definitely did that, especially in second year. Um, with the neuro kind of neuroscience course, Um, remember asking my friends about the visual pathways? I found it really hard to visualize part of the plan, but like, yeah, I found it difficult to understand. So I think that's always good to to do that, too. And also medics in the older years as well. Um, particularly those who have more recently been through the pre clinical course. Um, and if you try and ask one of the six years, perhaps they'll be very centered on the clinical side of things. Um, so, yeah, those will be the main, the main ports of cool. Um, any anything to add their board? Uh, no, I agree. I think probably approaching a supervisor is the best. The best, uh, the best first action. But, uh, I think just ask a whole bunch of different people, probably your college cohorts. The best option. Because the more kind of ways that you hear an explanation, like the different kinds of ways you can kind of pick one that sticks with you the best. And even if the explanation isn't like 101 100% correct, as long as you know, like kind of the answer from it, I think that's the most important thing. So I just think hearing it in a bunch of different ways is quite useful. Nice. Also, any direct questions to you at all? I don't want to miss out anything in case. Yes, there's some to everybody. So do they put the hand out, or do we have to do that ourselves before going? Um, they don't print the handout for you, so if you do want to have a physical copy, then you'll need to print it out before you go or afterwards. I don't think that has changed, right? They printed out for us, right? But oh, that was a while ago. That was a while ago. Apologies. I don't know where I was under the impression that they didn't. Yeah, maybe check that one back. Check my They were wanting to move away from printing out because, as you guys can imagine, it's a It's a lot of paper, but yeah, when we're doing the lectures, they printed out the handouts. Yeah. Um, sorry for misleading everyone there. Any more questions on your side? Um, our flashcards useful for men's revision. So for me personally, I actually started using flash cards in second year. So that's where we had, like, the We have pathology and human reproduction and those those courses. Um, and I think if you want to use flash cards, go for it. But try and work out how to use them first. Because when I first tried using, So I use Anky, which you guys may or may not have heard of. It's basically like a flash card system such deck where you can put your questions like put your flash cards in and then it will. The questions will come up according to how well you answered them last, if that makes sense, um, so that only works. I think if you don't write too many flashcards and don't write to few, because if you write to you, then you will have none to review. And if you write too many, you're constantly learning new flashcards and have no brain space to kind of learn the relearn the old ones that you've forgotten. Um, just because there's a lot of diet like I think, for me means is very diagram heavy. Perhaps, you know, like memorizing how to draw them out. Like George mentioned as like a very efficient way of kind of answering stuff in essays rather than having to write refills of kind of those and those sentences to explain the same thing. I'd say, you know, learning those diagrams and learning those cycles would probably be a very efficient way of learning names compared to just using flash cards. But I think a balance and everything is good. Um, I didn't person use them actually in first year. I don't know if you did, George. Whether you have any other thoughts on that. Yeah, I've used flashcards since since first year. Um, I think it was quite useful for, like, factual knowledge. And therefore, sometimes it lends itself to answering MCQ s. But what can be quite challenging is that kind of fitting everything together in a big picture because you are seeing things and just little chunks. So I think that's what kind of writing essays or practicing writing essays, uh, comes into play because it can be really useful to kind of consolidate and gather all of your ideas into into, like, the big the big picture rather than just seeing things as individual facts. So I think that's my only warning against using flash cards is you might become very good at reciting facts, but not very good at linking the facts together. But that makes sense. Yeah. Yeah, so really good point. Um, yeah. I also realized that we haven't been mentioning the names of the people who have answered the question who have sent questions through. We're just working through them systematically, so hopefully everyone's question will be answered. by the end of the session, and we still have, like, another 20 ish minutes, depending on how many more questions come in. So hopefully everything should be should be started by the end. Um, another question was, if we really need to Are we allowed to leave practical slightly early. I think a student mentioned this before. Um, I'm actually not sure about that. Um, I guess it depends on why. Why you need to leave early if you have, like, a gp appointment or something. I don't think there'd be an issue with that. Um, but equally if you if you finish early, you can also go. But they did tend to kind of, um, give quite thorough explanation after everyone in the in the cup and basically in the class is finished. Um, or like they go through some of the questions in the booklet. So I think it's if you can try and stay for the for at least that part. It's good to kind of review what you're basically done in the last hour and a half or whatever. Um, anything to add to that? I think you know, as long as your name is on the register through one way or another. Then it looks like you've attended. So that is one way to think about it. But also, I think this is right in that the explanations in the names particles were quite good, and the demonstrators have a lot of expertise. So maybe the best way would be to try and stop your practical to a different session if you can. And, uh, I think that'd probably be possible. And then hopefully you can attend whatever other thing you need to go to. Yeah, exactly. Also, they're very, um, infrequent. So it's not like you have a practical per week and you have a pattern like so hopefully that means that it's not too much of a fast to try and attend that one, like in it's totality. So, um but yeah, as George said, if you do struggle with other commitments and and go into the Practicals and just make sure, um, you know you can try and start with somebody, um, and somebody else asked, Does the whole year attend the lectures together or in their separate groups? You attend lectures as a whole year and Mimms um, because you also have lectures shared with the vets as well. So it's going to be quite a bit a lot of students to um yeah, it's not in separate groups. The Practicals will be in smaller groups and your problem based learning. You know, the the presentation's. There are also some groups as well, but you'll be emailed about them separately and you'll find out who's in your group and stuff prior. Um, yeah, And then someone asked, You use the same lab coat for both five and limbs, Or do you need to get separate lab coats each? Um, do you want to answer this one? Yes. So, uh, that provides you with the lab coats in the in the dissection rooms? I don't think you want to wear those anywhere else at all. And then my mom's side of things. You You do need to get your own lab coat for that, and I think that's sorted out at the very start of the year. And also you get like a pretty standard, cheap pair of like lab goggles as well. Just have them tucked away someone your age. I think I put mine like a test about something and just stayed underneath my bed until I need it for my mom's Practicals and then just never reappeared. Um, so you don't need to the only ones you need to worry about them inside of things Fab you'll be You can just take a lab coat and then return at the end and I'll wash men's that. And then this is also a fab related question. So somebody's asked, What is the steeplechase? I've seen it on Rudolph the Fab very briefly. Well, we might as well explain it. Um, feel free to to correct me if my explanation is not great. Um, basically So at the very end of the year, your sexual one and two papers and fab combined into one big steeplechase. So for us, it was in person, Um, for you guys likely still online, Although I think that's we're still not 100% sure on that. When we were discussing it in the intro to Fab Lecture earlier in the week. Basically, the way they work for myself in Georgia we were in last year is that we went around stations and kind of like, I guess in a clockwise man or anti clockwise depending on how you look at it. Um, and each station you had, like, a protection, which is a pre dissected part of the body. So, for example, it could be, I don't know, like like someone someone's arm, which has been dissected. And then there'll be pins in different structures. So, for example, one could be a muscle. Um, one could be on, like some a specific, like group of of the of the radius, for example, which is one of the bones in the forearm. And then another one might be, I don't know, um pointing at one of the joints in the hand, and then each of those pills will be labeled a B or C, and then you have to answer a question on your exam like paper sheet with regards to eat structures, you might say, like with regards to muscle a which nerve which of the following nerves innovates it and then you have a list of five different nerves and you have to be like Obi. It's the median nerve and then and then yeah, so that that's how the steeplechase work and you go around multiple of the stations which are times as well. And the point is that you can't go back to the previous one. And once you finish one station, you move onto the next one. If I remember correctly, it was kind of one minute per question. So you have three minutes per station. If that makes sense that you had three different pins. Um, so, yeah, hopefully that kind of explains it. If it still doesn't make sense, um, feel free to message again. Or we can, um, or we'll make make sure that the intro to grab um recording is made available to ice. You can really watch that because I think finance given much better explanation of what the steeplechase is. Um, yeah, that makes sense. Hopefully, um, and then another question was, um will will you get to know all slash most people in our year for medicine across colleges. Hmm. Um, George, I will leave you to answer that one. I think I know everybody's faces by now. What are we in fifth year? But there are many people that I can't name, so I think we also must depend on what kind of person you are as well. I think you're very for the individual, but there are loads of people. 300 doesn't sound like a crazy number, but it's a lot of people. Um, and if you don't have, like, Practicals together and for example, if you just sit on the opposite side of the side of the lecture theater, there is like a chance that you just like, won't talk to a person for a few years. I think six years is enough that you will basically talk to to everybody, but probably not in the first year. I think that's my opinion anyway. You know, I completely agree. I think, um, you know, obviously this is still a few years ahead for you guys, but once you finish your pre clinical years, so once you finish part part to see your third year, you go into clinical school bright eyed and then you won't recognize like anyone. You will recognize some people, but most of the faces you seeing that that lecture theater in the clinical school you'll be like, I don't know if I'm in the right place because I don't recognize anybody, and that's completely normal, because it's very, very much unlike school or sixth form. You know, you guys may have come from big schools, but, you know, I guess being an electric theater of to 250 plus people, there's a lot of faces. Um, so you will, of course, get to know the people in your year in your college Really well. And some colleges, maybe because of, like, geographical proximity, get to know each other really well. But then I'm sure, like when you guys doing different societies and that kind of thing, you kind of get to know other people from other colleges. Um, you may or may not be studying medicine, too, so yeah, and another way of getting to people is also from your dissection table, um, to spend a lot of time together. Um, so, yeah, like, one of my really good friends is someone I met, I guess, like during dissection. Um, and I just I guess by complete, like, pure luck, I suppose, um, so, yeah, hopefully that answers that one. And then I think we're nearing the end of the questions. We only have two more. So if you do have any more and we can finish a little bit early, but Yeah, if there's any more, just feel free to pop them in the chart and just, um, you know, as we go along. Um, so someone asked, Is mom's more biology or chemistry? EKG? Is it more focused on biological process and structures or chemical reaction slash organic chemistry? And don't worry, I have seen the other two questions you asked. Actually, we should have answered them. Um, I was saying, Is is more biology based on what you just based on that question in that there's more of a focus on the actual kind of like Sure, sure, there is some there. There are some chemistry aspects and, like, you know, working out which groups that added in which groups come off during particular reactions. But it's more the kind of the biological processes and like how they they're important within the cell and like what? The outcome, what the function is and what happens if they go wrong or what happens, why they upregulated why they're down regulated. But then equally, you are asked to memorize quite a lot of, I guess, by like chemical detail and, you know, like molecular level stuff. Um, it's quite difficult to say whether it's just solely focused on more than one, I'd be more inclined to say Biology versus chemistry. Um, because ultimately you guys are training to become medics. So biology is is really the important one. They're all the chemistries, supercool. So it's Yeah, it kind of It's a difficult question to answer. Um, yeah, anything to add to that. I think that's a very long winded answer. I think I would agree. Probably say it's like mostly biology, and then you'll be expected to know the details of some molecules will be quite clear. Which molecules those are. So yeah, yeah, 100%. Um, and then I think. Okay, so someone has asked, Is that the lecture handout that has everything you need for exams? Or is it the lecture slides? Noodle seems to have both, um, Jordan, my hand it to you and then see what you think. And then I'll answer it to you. Um, I think you'll be fine by just using the lecture notes. I guess the only thing is, there might be some diagrams in the slides that are useful to help. You better understand the notes or learn the notes or as I said, maybe help for essays, but generally all the information is there that you need. It just kind of depends on what kind of learning you are. But I would still say you can probably take some stuff from the slide and add it to the notes for the kind of the best outcome. Yeah, definitely. I think most people use a mixture of both. I can certainly do that for myself in that, you know, having a lecture slides there was useful because you can kind of remember, you know what the letter talked about in each side. And what would the salient point to take away, But then equally, um, the having the lecture handout? That's where it's much more information dense. You find that it's just like there might just be, like three bullet points and maybe a diagram, whereas on the handout will just be pros and pros and more pros. And then you'll you'll just get full sentences of like what's basically what's going on and explaining each of the pathways. Um, and sometimes the electrodes will include their own diagrams for like the particularly like the biochemical cycles and stuff. Um, so Yeah, that's kind of try and use both, but if you want to just stick to one, I'd say probably the handout. But then the slides will also have useful diagrams and, like, 10 points as well, which might not necessarily be mentioned in huge detail in the handout. Um, so thank you. You're welcome. Um, and then this is a great question. Is learning all the bits of memes harder than memorizing the colors of the transition metals and chemistry? A level? Um, I think I would say with certainty. Yes. Um, it is harder than that. And I'm sorry. Um, I don't if you do you agree Or do you think it's It's equally as hard as memorizing. Um, how do you remember what Scarlett was now, anyway? The colors of the transition vesicles. I can't remember either one now, so maybe I don't know. Maybe they're both equally hard. You know, I I do think this is a bit harder, but just because of, like, pure, pure volumes, I think was in memorizing. Everything is kind of difficult. There's no kind of logic behind it, but there's just quite a lot in them, which I think makes it a bit more challenging. Yeah, I think you'll find a lot. This is like a common theme with each of your modules. The content itself may be difficult. Some of it may be less difficult, but the main problem is it's just so much content that regardless of whether it's easy per se or not, um, it's difficult to kind of take on that volume and be able to, you know, apply it two questions, um, slash write essays based on them. So that's more, at least for me, that's that's more where the struggles and the difficulties came from. Um, so somebody asked, Would you would you keep leave our folders for each of your modules? Um, I think I did. In the first year. I think I had, like, physical folders, really big ones and I W. Smith for my because I I hand my hand, wrote all of my electric notes in retrospect, probably a bit of a waste of paper, and I probably should have stopped that electronic notes, and I know that a lot of people use them one note and and and noted that kind of and and that kind of stuff so I think it depends on whether you really like, right in my hand whether you prefer kind of transferring everything onto, you know, like an electric electronic copy. Um, so, yeah, if you do get leverage to get different colors of the modules and then it looks very aesthetically pleasing from personal experience. Um, So, yeah. Um, another question was, what is PBS that can like, um, Georgia? You said you kind of do. We both agree We don't really remember our PBS very well. It was just like the mini presentation. Yeah, I think it was just everyone sat quite a small room and then listen to other people's presentations. I think you don't get much choice is the as to what you do quite limited topics, which you can do. And I guess if you find them interesting, then it could be quite fun to the PBL. And if you like presenting, then it's also fun as well. But it's a bit of practice, like presenting like, scientific evidence and stuff, and I guess it's like a deeper exploration into some of the minimum topics which might help with essays, but yeah, I think it just depends what kind of person you are. Yeah, definitely. I think part of the point of the problem based learning exercise the PBL thing is is meant to be slightly more clinically based as well. So, like the one that George and I did with separately was to do with Cachexia and, like, I guess, the metabolic state of the body during malignancy. And that's something you do actually see clinically as well. Like a clinical sign would be, you know, kind of gel, generalized muscle wasting. And it's a very characteristic feature of someone who is who is fighting cancer. So, you know, I think the others were equally kind of clinically relevant. So it was It was useful. Um, it does take a bit of time to kind of coordinate your group. I think it's for people per group. So, um, yeah, let's take a bit of emailing and sorting out like he's going to present what you do have quite a long time. Um, and I think somebody asked something about how you accept you access stuff on model, but another kind persons answered that. So that's all good. And then random question. But just wondering which of the three modules is your favorite. Which one do people like the most? Hmm. Did you have a favorite? Did you love all of them? Equally? I I would say that most people's favorite is home. I think that would be my guess. And I think it's because it's quite conceptual. And so as soon as I can kind of get everything sort of clicks after that and everything makes sense, what's the fab? It is what it is, you know what I mean? So, yeah, I think that would be my guess as com being most people's favorite. I mean, I would agree Mom was actually my favorite. So, you know, and it was one sample here. Um, I think it's because it was the most like, If you learn about physiology, then you can work out what happens when things go wrong. So, um, that's kind of clinical medicine in a nutshell, right? Like you want people to go back to the physiological baseline. But then things go awry because, you know, people get dehydrated and their kidneys like acutely injured and stuff. So I think for me home was the most like, clinically applicable, and because I was like, why am I even studying this bio chemistry stuff? And I just want to be a doctor. So that was probably my favorite. But then I know that some people really love love and fat and really wanted to the surgeons and still do, um, some people really enjoying them as well, So yeah, it's regardless of which one you like the most. Unfortunately, you have to learn the content for all of them. So, uh, it's fine. Then we'll pull through, and I'm sure you will as well, so I wouldn't worry too much. Um, And then I think the last question. What, George, have you been sent anymore, or are we on to the last one? I think this is the last one. Yeah, I think so. Yeah. Nice. So it's just where does knowledge of physics help in medicine? Uh huh. That's a hard question. Um, no. I mean, I wouldn't say any specific concepts that you learn in physics. Maybe bar some, like some of the biological membrane, Um, stuff where you can kind of talk about like, um I guess electrical charge and transfer across memories and that kind of stuff. That's maybe physics related. But other than that, I can't think of too much. That's directly from physics. Clinically. Sure. You can talk about, like, pet scans and ct MRI and, like, how old that works, which is kind of medical physics. Um, but yeah, I do a physical at a level, and I can I can assure you that none of the, um, electromagnetism and that kind of stuff came up, and it probably won't, um, so yeah, George agree, Disagree. Nothing to add there. Yeah, I agree. I was talked into doing a level of physics by my teacher on the premise that it would definitely help with the medicine, But so many people didn't do physics. And there's so much better than me a medicine that it must be It must be a lie. Um, I think the main ones that might link home and maybe like the neurophysiology aspect of N h b, which is the second year module. So you don't have to worry about that right now, but I'm sure it's useful in some way. But it definitely won't hinder you if you haven't done physics as well, so I don't know. It seems kind of yeah, I don't think it's like, Really, That's awesome. Yeah, And one last question that just come through, actually is. How old do you remember pre clinical knowledge in clinical years? And will you be tested on your pre clinical knowledge in clinical years? Hopefully, we'll have the same answer. This, um, your I don't remember much of three clinical years. I'll be honest. Home was probably the most. Um, I think that's probably the thing that comes up most regularly for me as like as in fifth year. Um, but to be honest, the foundations that you build ASM at the core science you build through 1st, 2nd and 3rd year, that's that's what's important. And, you know, sure, you might not be questioned on the Krebs cycle every time you walk into clinic. But you know, the stuff that you learn from your pathology like that comes from infectious diseases, Um, and then the stuff that you learn in your like neurobiology and human like behavior. Of course, that comes up in psychiatry. It comes up in, um, your like neurology blocks, which you're doing 50 years, so it's all relevant. It's just it kind of kind of comes up in different and weird and wonderful ways. That makes sense. Would you Would you agree to it? Yeah. My pre clinical knowledge is gone. It's very, very little of that relates to clinical stuff in that clinical just feels like learning it. It's basically a new degree again. I I think you just understand some of the words a bit better now, but yeah, I wouldn't worry about preclinical leaving. I think it's one of these things that you do the exam and you cram everything before the exam. And then once the exam is over, it just slowly leaves your brain. And I think that's fine. Yeah, exactly. And just on the dot Actually, at seven o'clock, um, one last question. What college is do we go to out of curiosity? Look at this. Yeah, I'm a I'm a glutton. Uh, I'm at Pembroke. Maybe we'll see some of you guys around if you are our colleges. So yeah, I'm just conscious. That is a Friday evening, and it is seven PM so thank you very much for joining us. I'll stop the stop recording that