Taking things for granted

I suppose at this time of year I'm bound to become reflective. I think back on the year gone by, look forward to the year ahead and get planning. There are some things I assume are taken care of or are guaranteed - unfortunately, that isn't always the case.

For the last few weeks things haven't been quite right with me.  Early in December I developed a cough. Initially I thought it was no big deal, everyone is ill at this time of year. I thought I would cough and sneeze for a couple of days, sleep a lot and then be right as rain. Uni would be rubbish but then I'd bounce back and get back to hardcore revision for finals. However, a week later after downing a bottle of cough mixture, drinking my body weight in lemon and ginger tea and sleeping for 14 hours a night every night I wasn't any better.

To be a good surgeon... it's a good idea to play some sort of video game

A quick PubMed search reveals there are at least 53 publications relating to the topic of video games and surgical skill development.

In a very recent review article (Lynch et al, 2010) 12 research papers were discovered relating to different kinds of keyhole and robotic surgery on different parts of the body.  The findings from all of these papers were analysed and it was found that there was a link between gaming and increased performance in keyhole but not robotic surgery. The increased performance was only seen in basic tasks. For more complex tasks and in robotic surgery the most important factor was experience of the specific surgical technique. All of the studies involved very small numbers of people and short periods of game play (between 2 and 5 weeks) and more subtle differences may not have been seen, differences that were seen may have been exaggerated and the effect of long term gaming (years) or gaming in childhood cannot be examined.

It must be noted however that there is much more to being a good surgeon than being good with your hands. Surgery, like all medical specialisms, is a team sport. Communication skills within that team, both in theatre and in follow up is vitally important to patient outcome. So is good clinical knowledge and judgement.

References
Lynch, J., Aughwane, P. & Hammond, T. M. (2010) Video games and surgical ability: a literature review. Journal of Surgical Education, 67 (3), 184-189. 

Let’s play the Plagiarism Game: the cite is right!

My university have an incredibly boring plagiarism lecture every year for which attendance is compulsory. A register is taken. During the lecture we have to complete exercises where we look for evidence of plagiarism in (supposedly) real submitted pieces of work. At the end of the torture we have a quiz (oh joy!) that you have to pass. It is two hours of your life you are never going to get back.

So during this last torture session I had an idea for fresh new delivery of the material.

Introducing (drum roll please)…‘The Plagiarism Game: the cite is right!’

You play the character Student [insert your name here] as you struggle through the perilous terrain of coursework-land battling the evil plagiarising creatures therein. The twin demons of ‘copy and paste’ shall fall before your sword of citation and your quiver of quotation marks. Beware the deceptive mist of’ just-rearranging-the-words’ though that will confuse your avatar and deplete your timeline more quickly. Traverse or avoid the murky swamp of ‘misinterpreting-common-knowledge'. And finally battle the most difficult enemy of all the shadow avatar of self-plagiarism’. It knows all your tricks, all your moves. How will you fare? With your arsenal of appropriately sourced references nothing should stop you from attaining your goal of a publication in a prestigious scientific or medical journal however you must get through the game first.

Let’s be honest though, this would only really appeal to people who would be into games though. Oops! I forgot what field I’m in.

There may already be an app for that.

To be a good surgeon...you must play 'Call Of Duty'?

Apparently doctors that end up being surgeons are more likely to be male and play video games. Particularly with keyhole surgery, playing video games can apparently help to build the brain's ability to integrate and understand a 2D image on a screen and how it relates to a 3D response with the hands and fingertips. That's not even mentioning the manual dexterity it helps with.

I'm not sure if there are studies to confirm this idea, but in my opinion, it might also help with getting used to seeing blood, guts and gore on screen.

Being more of a Nitendo Wii girl myself, does that mean I should abandon any dreams I may or may not have of becoming the world's greatest brain/heart/any-kind-of surgeon just because I'm not addicted to 'Call Of Duty' or other console games? The fact is I'm just not very into gaming as a past time although from time to time (mainly when I supposed to be revising) I do become engrossed in the sims.

Is that just me? Or is that a female predicament? I haven't done any rigorous investigation into the topic but from anecdotal evidence it seems that more men than women play video games? I know for a fact that the games industry has a 96% male workforce. Maybe they are just not designing games I want to play? Or maybe the games that I would play won't sell? Or maybe I'm just not interested in gaming as a pastime?

There are many questions. And many possible answers. (Sounds like something for some bright medical student to go and research)

Just as a closing thought, there's often another person in the operating room who has to hold the camera during keyhole procedures. That person is often a more junior doctor or at times a medical student. Now you may think that holding a camera is an easy compared to the difficult job of doing a whole surgery inside a tiny space. However I can personally say that it is in fact quite tiring doing it for hours on end without moving or changing position much. My question is: does doing an activity like yoga, which strengthens core muscles, help with doing this task? Or does the ability to enter a zen-like trance at will help make the hours fly by? Who does more yoga men or women? Could this mean that women are more suited to assistant type roles?

Very controversial I know.

Either way, I think it raises lots more questions.

I’m a medic, get me out of here!

Why does your job take over your life? I recently went to an event where most of the people there were doctors. (I’m not quite there yet). To be honest I think we medics are the worst. When in the company of other doctors we can’t seem to talk about anything other than medicine. I felt for the poor non-medics dotted around the room. (There weren’t many of them I don’t think). I can imagine if I were in their situation I would feel rather left out. We as a group must seem very dull. We seem to have no other interests than our job. Indeed our jobs are our lives. Of course, being interested in your job is a great thing however; having nothing else in your life I think, is a great shame.

Ok, I suppose I exaggerate. I’m sure all of these people have other interests, hobbies and past times but I really do think that the world of medicine is a bit of a bubble. It’s isolated from the rest of the universe with their acronyms and abbreviations and jargon. It really does seem that way. And I’m on the inside.