Long day. In at 8 for an introduction to the concept of MECC (Make Every Contact Count). This is all about using contact between doctors and their patients as an opportunity to promote good health behaviours. This is done in conjunction with working out how motivated people are to change certain behaviours (for example giving up smoking), trying to progress them towards taking action if it would generate a positive health outcome, and signposting them towards services that can help them achieve those changes. Before leaving I retrieved a chocolate from the grotesque advent calendar my mum left when she visited.
This was followed by six stations on cardiac anatomy, and today was one of those rare circumstances where I'd managed to complete all of the set work as well as a bit of pre-reading. It feels so good to be able to confidently point to things for a change when prompted, rather than waving in a general area and looking confused enough for the demonstrator to take pity on you. After that came a radiology session, and a very interesting cardiac embryology seminar. This focused on the formation of the premature heart, with specific attention paid to the septation processes of the atria and ventricles. This was then related to pathologies such as Tetralogy of Fallot (a congenital heart defect with numerous associated symptoms that can lead to heart failure if untreated).
Instead of clinical skills in the afternoon we again focused on MECC and societal factors that play into disease, such as workplace environments, relative poverty and chronic stress. Kind of fluffy and difficult to quantify, but important to discuss. We're going to attempt to begin the househunting process tomorrow and sort something out for next year. It might seem early, but the undergrads have started and we really don't want to be doing this during Block 3 after the break, which is reputedly the hardest part of the year.