20/12/2015
" As a young novice in philosophy, the solution to eliminating the mind body dualism, the remedy to close the biases incurred by monetary considerations , I used to remove the money factor and then decide what my heart truly desires. The finalists were medicine and psychiatry. To be honest, the last thought was that although medicine has all the virtues of an amazing speciality but for me the psychiatry had a little extra enigma.
I was not very strong individual as an adolescence. I would say, I had lot of flexibility and an primitive ability to think neutrally without interference of emotions. I felt I had minimum biases against others of any sort and am still amaze at how easily we let the rationality go out the window in face of an emotional crises. So while going to a specific rotation , I could feel literally by imagining day and night how it be to lead a life of that specific specialty. Again, I did not let the effect of teachers influence my choice of career as i felt that was a modifiable variable.
The experience at KEMU was being nostalgic, amazing.
The flaws are inherently in the education system and I feel we are the survivors. As we did manage to go and face whatever came our way. The problems were very basic and they are the ones which are being now addressed efficiently by the department of medical education. The emphasis on concepts rather than tons of knowledge, improved testing, modules etc. will hopefully make things clearer.
It is easy to look back and criticize. Just to be objective, I had shortcomings too. The faults were sometimes getting advice from wrong sources and getting stuck to them. The seniors I looked up to were not the most academic rather the ones with more balanced approach to life. I did sometimes wasted time on trivial things. We always have a choice to take a road at each point of our lives. That choice in turn becomes our destiny. My one advice would be to live life mindfully rather than passing by thoughtlessly. It simply means to reflect, to think about one's life. To self evaluate each decision and action and the guiding principle should be the rational argument.
I took interest in swimming and bodybuilding. I contested twice at a bodybuilding competition at KEMU. I was also the swimming captain and color holder and represented KEMU at the university level. My friend Dr Shoaib Bajwa was the best athlete of the college.
I would often be found reading irrelevant material before the test date, as I simply tried not to cram anything before paper. Be careful with that it has consequences. The principle is try to find out one's unique method of working efficiently.
Generally the students go through different stages while in a medical college. A role of a good student mentor system cannot be over emphasized.We have recently started to welcome the new students by an orientation week and at the same time introduce our psychological support system for the young minds. It has been reasonably effective. In these times, everyone desires to get the maximum output of their intelligence. So a need is there , we try to vacuum this bridge.
One way forward is to strengthen our medical education department. That has the capacity to overcome the changes needed to create an efficient learning environment. Aga Khan University has created a good example by establishing a dynamic medical education department. We are trying to grow on similar lines.
In our last lecture of surgery, Prof T A Shah said in closing remarks that FCPS is the most difficult out of USMLE , PLAB , and others etc. Probably at that time the examinations were not fully structured and examiner biases was there. Things took 180 degree turn. Now even FCPS is fully structured , so examiners have virtually no power to influence a candidate. There were some confusions as usual while ending my MBBS. I thought about USMLE, as everyone was doing in those days. But when I would question the real reason behind my pursuing for it, I never had a strong argument. I started house job at Dr Faisal Masud's unit at Services. It was an excellent experience. Next i chose to go to psychiatry to explore my inclinations towards it. It took me sometime to evaluate the depth and vastness of psychiatry. I found its unique relation with both psychology, neurology, medicine and philosophy.
Making the money variable neutral, I would contemplate that the burden of psychiatric illnesses are staggering. I felt I had the gene for it. I never felt at work. I remember first few days doing house job at a psychiatry department. I used to take extensive histories on the day of a patients admission once it were about 14. It just made me more excited as I felt I have the first hand narration of the illness and I could try to find solutions. At that time there used to be only one house officer seat in the psychiatry department of Services Hospital. That made me get tremendous attention and good learning experience. It was by the end of the rotation, I felt I would like to continue the same.
So any choice could be right or wrong. It depends upon you. The questions you ask will shape your decision. My advice is follow no advice than yourselves. Do ask yourself though what need to be asked. And if you don't know how to explore your mind, psychiatry department can help you with that. As awareness of mind is what makes us primarily - human. "
( Dr. Usman Amin Hotiana is the graduate of batch 2003 . He received his post-graduation training in psychiatry from Services Institute of Medical Sciences . He is currently working as Assistant Professor of psychiatry in King Edward Medical University / Mayo Hospital Lahore )