ADVICE FROM THOSE IN SAINT VINCENT'S
The purpose of this page is to relate advice
from those in terms five and six back to us
who are still in Grenada. Read what they have to say, and feel free
to write them:
Reid Boyce, term six, and my favorite Grenada EMS partner, submitted:
"My advice- choose your books carefully. I have three medicine books and
Harrison's
CD. The only ones that are useful are the Merck Manual and Harrison's.
Do not buy
big Katsen. The smaller review book is much more representative to what
you are
required to know."
Patrick Greiffenstein, term six Columbian bagpiper, states the following:
"Don't bring any books from Grenada except a good
medical dictionary. I like to use
lots of sources but the notes are very complete and additional resources
are readily
availible in the library so I find I hardly ever crack open my own books.
Don't count
on the book store to supply you your books on time. If you really
want a book, get it
in the states and bring it back...but buy the Pharm course syllabus...it's
essential. I
highly recommend picking up First Aid for step I if you don't have it already,
and a
"Pocket Pharmacopia" as it's what you will be using from now on, especially
in the
wards. This is a very challenging term but just think of all the
dribbling idiots and
dolts who have completed it successfully before you and you realize it's
entirely within
your reach."
William Duggan, EMC President in the Fall term of 2000, now term six states:
"For those coming to Grenada - You are a guest in a foreign country
so act like that to its
citizens. Join all the clubs, you will have enough time for them
all. Don't let people
pursuade you from attending a foreign school. Stay away from people
named
Bizzaro. Get involved with community events. In other words
give back to the people
who live in Grenada what you will learn at St. George's."
"For those going to St. Vincent's - People should know the drill
by now. People in St.
Vincent's are much nicer than those in Grenada. Get as much out of
the hospital visits
as you can. All the physicians are always eager to teach you.
Buy the Merk Manual
and Lippincott's Pharmacology (red book). Those are the only books
you need. And
don't bring your path book except for baby Robbins. First Aid for
the USMLE is good
too if you want to get a head start for the BSCE or USMLE."
"Oh and of course....Get a hair cut."
Marko
Bukur, term six, and probably the hardest working MD student I have
met here,
submits the following:
"In general I have found this
to be the most demanding term thus far in my medical
curriculum. Not that material is hard, it is the voloume plus all
the extra-curriculars
(hospital, pharm small group, waste of time PD) don't let the above
statement
discourage you...if you stay focused and caught up, there is no reason
why your
performance should drop this term. Classes rock cause you are learning
to treat,
instead of ok this is out of whack, but what am I going to do about it...
Advice that may/may not help learn pathology, if you don't you are up the
creek
for pathophys - about 50-70% is what you have already learned in your path
class.
Take advantage of the professors there. They are outstanding and
really want you to
succeed. If you can really master pathology and start thinking in
a clinical way, it
will really reduce the amount of work you have to do for the 14 credits.
Read your micro/immuno review over the break...why the hell should you?
Cause they
don't teach you what you need to know in the micro department. Maybe
this
changed this term, but I doubt it. Case in point...our ID hotshot
from Cornell
commented "you did have microbiology in Grenada, didn't you?"
Should be self
explanatory.
For pharm...really treading new ground here. However, if you know
ANS
(sympathetics,parasympathetics), receptors (nicotinic, muscarinic, adrenergic,
etc),
signal transduction (2nd messengers, G-protein coupling,etc), math, and
physiology, you will have a huge jump on the class. This class is
not difficult
if you are a thinker, if you like to memorize you may be SOL.
Books... forget this Cecil's and whatever crap. Buy Harrison's
if you can. Consider it an
investment...you will be using it for the rest of your life anyways.
The Merck
Manual is great as well. Pharm books are good. I bought all
of them and have used
them all. Rest of books you can probably do without. Fluids
and electrolytes in the
surgical patient is an excellent book. They hammer this stuff in
surgery, so if you
are considering this as a career you should buy it - even if not it would
be excellent to
have. FIRST AID IS A MUST. Your boards are coming and it would
not hurt you to
thumb thru this, plus it is great for pharm. You should be using
this book already
other books...at your discretion, you should know by now what resources
you need at
your disposal.
Work on you history taking if you can, this is paramount if you have not
figured that
out already. Don't be shy about it...the only way to get better
is to practice.
In the hospital don''t be afraid to answer the doctors questions but at
the same time
don't be afraid to admit you don't know the answer. remeber
you are only
second year's and will not know everything.
In general this term will well prepare you for your clinicals and
the usmle if you apply
yourself. best of luck to all of you...
READ THE DES PACKET PRIOR TO COMING..."
Kelly Garrett, term six's radiation of beauty,submits the following:
"Definitely don't bring too much stuff.
I shipped stuff home from Grenada with DHL
and it was kind of expensive but you can pay by credit card and my box
was waiting
on my porch when I got home. I thought that the container thing was
going to be a
nightmare - like having to wait forever and not being able to find my stuff.
But, it was
fine. The only thing is that the container didn't arrive until after
a week of being here
so come prepared with at least a weeks worth of stuff. As far as
bank, phone,
transformer, and car go; its the same as Grenada. Don't really need
a car unless you
like to go out to dinner and you don't like taking taxis. The bus
is a pain I guess but it
works. Oh, and you can rent a transformer for the semester from this
guy. He also
rents TV's and VCR's and blenders and microwaves and coffee makers, etc.
Yes, there really is a casino but casino night was much better. The
casino only has a
couple of blackjack tables and slot machines. No craps tables
or anything like that.
As far classes go, I don't know what Marco is talking about. This
term is challenging
but if you do well in Path and keep up in Micro most of the stuff is review.
Yes, you
have forgotten it all but it comes back. And the classes are well
taught because there
are mostly visiting professors. The hospital is really great.
If you want to do extra
rotations (which I think is a good thing to do to prepare for next year)
do them early
in the term before everybody else catches on. Nothing changes - believe
me. Its a
new island and a new campus but you still see the same people every single
day.
And you still see the same people that walked into class late in Grenada,
walk into
class late in St. Vincents. Oh and if you have time (if you don't
have time - try to make
time) do some travelling on the weekend. This is the last time for
a long, long, long
while that you will be in the Caribbean (I'm sure most of you are saying,
"Thank
God.") Trust me, take advantage while you still can. If you
want to know about Chris
Boyes - haven't seen him in two months. I think he is permanently
stuck in front of
the television.
Find out before you come down here what kind of kitchen stuff your landlord
has.
So, you will know what kind of plates, pans, pots, etc to bring from Grenada.
Also,
the supermarket is worse than FoodFair so be prepared. And I found
a worm in my
lettuce the other day so beware. If you have really bad allergies
to mold - if you
thought Old Lecture Hall was bad, the lecture hall in St. Vincent is 100
times worse.
I hear at least 400 sneezes during each class. Multiply that by 4
classes a day, thats
1600 sneezes a morning, so bring your claritin. As far as the gym
goes, there aren't
any stationary bikes or stairmasters or anything like that but there is
an awesome
aerobics class twice a week at the Prospect Raquent Club."
Deena Athas, term six's New York connection, submits the following:
"What
to bring? Path notes, especially Dr. Green's hematology and some
kidney stuff.
Also, passport photos (2). some longsleeve shirts - the lecture hall is
chilly. and
dress clothes/shoes or hospital.
How to ship? Do it through SGA (I am biased, OK?) but, its easy,
cheap, and organized.
What about the bank, phone? Scotia bank is a good choice. My phone
is is my
landlady's name, so i pay her every month. Most students do that
- it saves a trip to>
C&W. But i set up the internet acct in my name, which requires
you go to town to
pay it. I didn't have an acct in grenada, but it seems cheap
here (about
$140EC/month for 50hrs service).
Do I need a transformer? Most likely NOT. Most appts have them
provided by
landlords or past students.
Where do I get a beer? I like the scene @ Mariner's Hotel, but students
will tell ya
aquatic club, Dry dock, or lime 'N pub.
How is the hospital? Awesome!! I did my first vaginal/pelvic
exam yestreday. It has
been a great experience - no complaints here.
BAD NEWS: no places to rent DVDs (at least i have not found one yet) but
there's a cool
little movie theatre...w/ good movies...and beer...
What should I do this summer to prepare?? party like a rockstar, and get
a chick to take
you shopping for some fly dress clothes for the hospital."
Chris Boyes, term six's Prarie Fox gives the following advice:
"Here's my nickels's worth of advice. Take advantage of your hospital
rotations here and
practice your history taking and presenting. The physicians here
are very helpful and
understand that we are only second year students so they don't expect to
much from us.
Many of them are SGU grads so they empathize with our conditions.
However, they do push
you to think. As SGU students we aren't as experienced in the clinical
setting as our
colleagues in the States. I know the history taking and examinations
get monotonous but
that's all you're going to be doing for the next two years. So practice
now so you don't screw
up later.
Next, I'm sure you've heard it before but here it is again. Bring
a USMLE First Aid book. Also,
I've found the Rapid Interpretation of EKG's by Dubin to be very helpful
for Cardio. Some
have found the Pathophysiology for the Boards and Wards to be helpful as
well. I would also
suggest to bring your Micro/Immuno book down. As Marco stated before,
the Micro
department doesn't really prepare you enough for what you need to know
in a clinical
setting. This book might be a useful reference. Another useful
reference book is
Harrison's. Other books from Grenada are just dead weight.
Lastly, the professors here are VERY good. Most of them are MD's,
so their topics of
discussion are more practical and easily applicable to a clinical setting.
It's a nice change
from the "why the hell are we learning this" we've been use to for the
last year and a half.
So take advantage of what they have to offer. Also, get your noses
out of the books and
enjoy what many refer to as a Caribbean paradise. St. Vincent's and
the surround islands
are aesthetically breath taking. Get out and take advantage of your
last four months in the
Carribean. It will probably be your last visit down here for many
years. The next time you're
down here you'll be big pimpin' on your yacht."
THANK
YOU to all of the above SGU students, who have now finished their terms
in St.
Vincent's, and are making their ways out into the real world of clinical
medicine. Good
luck to you all on your boards, and have a great time doing your clinicals.
I wish I was
there with you guys like I should be.
Do
you have some words of advice that you would like to pass on to other
students that you feel could be of assistance to them? Drop me an email...