Student Trainee Packet: Fill & Download for Free

After MBBS what?Of course, the best option is without any doubt is doing PG.After all only the best students after scoring high marks in XII board exams and in NEET entrance join MBBS. Basically, they are focused and hard workers, right from their childhood. Even after completing MBBS, they wanted to do PG in their dream branch and in their dream college.While preparing for NEET PG and when they are solving MCQs, they realize how much time they wasted in their college life. When they sit for mock tests, suddenly they start coming to reality. Now they start shifting the goalposts.Initial goal: Dream Branch, Dream CollegeDream Branch, any government college in my cityDream Branch, any government college in my stateDream Branch, any government college in a nearby stateDream Branch, any government college in our zoneDream Branch, any government college in the countryAllied branches in dream collegeNext best-allied branch in the dream branchAny branch in any college.This is happening because of the cut-throat competition. So many are not willing to take the risk of giving one more attempt, they start compromising. Instead, it is always better to have Plan B in place.Let me share our own experience of Plan B.When my daughter got 10919 rank in NEET PG 2017. She was so upset, she was not coming out of the room and not talking to anyone. Switched off the phone, deleted Whatsapp and out of facebook.I thought I should support her now more than ever, as she was at the low point of her life. Though she got seats in the branches that she was not interested. I told her not to take those seats. She said she will work and prepare. I said “NO”. You simply focus on your goal and don’t bother about anything.I just google to find if there is any career opportunity for MBBS students. The first thing that the search engine showed me was “UPSC CMS”. I searched more about CMS, where can they get jobs, their role, the salary, the career growth etc. After two days, there was a notification for “UPSC CMS 2017”.She had low morale at that time, “Dad, you have seen my rank na, just forget it, waste of time and waste of money.” I told her that there is no fees for the girl student and you can use this exam as the mock test. Just give a try. Very reluctantly, she said yes.She was getting back to her form and started preparing for her goal (PG General Medicine) very seriously. By the time of August, she was in good nick. UPSC CMS Exam was in August 2017. She did not prepare anything extra for UPSC CMS.How did UPSC CMS things happen to my daughter?No exam feeFull day exam and during lunch break, free lunch packets were distributed to students.Written exam results declared, she was shorted listed for interview.DAF filled and after a lot of research we preferred Railways as the first choiceCalled for the interview (not willing to attend as she didn’t prepare and felt it was the waste of money for flight tickets. As luck was with us, here interview date was next day after PGI entrance test. So she agreed)Luckily for her, no general knowledge questions were asked. Only on subjects for 40 minutes(as her preparation was at the peak, she was able to answer almost all the questions) Interview board, one IAS officer and 4 specialty doctors.After the interview, she was asked to give the PNR no. of the ticket, she said she was not having that and did not submit.After a few months, reimbursement in the form of money order for her tickets.UPSC CMS rank list announced. Her rank was 149.Called for a medical checkup. (She already joined PG(medicine in her dream college)Received appointment order with 6 First class pass.Dec 17th, 2018, asked to report at NAIR academy.Reported and applied for EOL (extraordinary leave for 3 years to complete her PG)Back to her PG duties.National Academy of Indian Railways (NAIR), VadodaraNot the 5-star hotel reception, reception of NAIR training centerNot an international university classroom, NAIR’s classroomHostel for traineesTTSnookerBasketballMessGood pay, good perks, good working atmosphere and above all professional and personal work balance.For those joining railways after MBBS, you will have a quota at AIIMS PG.For those joining after PG, you will have sponsored seat for the super specialty.For those doing PG, will be given 3 years EOL.Some of the best doctors have come from Indian Railway Medical Services.So, while preparing for your goal, have UPSC CMS as Plan B. You don't need to prepare anything extra for that.Two years from now, there will be a lot of people retiring, so there are going to be a lot of vacancies. So all the 4th year MBBS students, keep this in your mind too.I am timing this post as a morale booster to all those who are going to appear for NEET PG 2019.Be relax and be composed. All the best for the NEET PG. But remember that first attempt is not going to be easy. Don't compromise on your branch, have your plan B.Good Luck.

Let me first explain levels of expertise - then a value someone might want to put on it.How long does it take?Since the dawn of time, in any activity that a human can become skilled in, and which involves a mix of knowledge and physical skills:It takes 3 years of training and practice to gain enough skill for basic competence. You are not an expert by any means; but are now proficient, adept. Others, though, will regard you as an expert, at this stage - and compared to them: you are.Technique is always important to beginners and novices, so we can mention this specific aspect as it dominates the landscape for novices. This applies whatever art or trade we are talking about. At 3 years in, your technique is good but it occupies a lot of your thought - as it should at this stage. A basic grasp of tactics is now achievable.(See note #1 for what happens at the 2-year mark or thereabouts.)It takes 7 years to become an expert. This stage can also be referred to as having mastered the art, skill, trade or profession involved. You are not a master at this stage, however - just someone who does it very well, and knows enough for expert competence.By now your technique is very good, though it still owns plenty of your thinking time. Now, the strategy and tactics are important too.It takes about 15 years to become a master. A master is someone who has gone beyond proficiency, to action without thought; and to understanding the ‘why’ of it. At this point you realise that even if you spend the rest of your life at it, you’ll never know it all; that there are many ways of approaching the same goal; that simple is best because the whole is so complex that if you pursue all knowledge, you end up with something too complicated to work - for whatever it is you’re doing.A master has no need of technique, it is an unseen link between strategy and the goal; it runs itself. In martial arts this is 4th degree level. In fighting, it is ‘open class’ or top end. The technique is as perfect as it will ever be, though not something the exponent thinks about when it is being used - it is like breathing, and virtually autonomous.After 30 years you have to laugh at those who take it too seriously. It’s life, and life is a cruel joke. When you finally understand what is important and why things are the way they are, you’re too old for it to be of any real use if the art is one in which physical dynamism is required (e.g. fighting or competition of any kind). The upside is you now teach masters, in arts, trades, and professions.The young can be a trial because they insist on making everything far more complex than it needs to be. In the end you might even go with the flow, and do things in a complicated way: people certainly seem to appreciate it more.It is a long time since you thought about technique, except from the students’ standpoint.After 50 years, you have learned to live with it all. Maybe you found one or two useful things to pass on that nobody else seems to have realised. It may not seem like much, but it’s all you can do.It’s been like this for as long as we know, for anything skill and knowledge based. For example it applies to doctoring: you get to basic level in 3 years and expert level in 7. Some call it being a master at that point, I don’t - it takes 15 years to become a master. At 7 years in, you understand it well enough to do it well, and that’s all.Another example: learning the Irish harp. Apparently, it took 7 years to expert level in 800 CE, and it still does today 1,200 years later.Combat systems are the same: 3 years to proficiency, 7 years to expertise, 15 years to master.What to call it?You can call each stage whatever the hell you like. In the medical profession they call a 3-year student a trainee doctor, and at 7 years they’re a doctor. A musician is competent at 3 years and expert at 7; a master of their art at 15. In fighting methods you know enough to begin fighting at 1 year, and to be an intermediate level fighter at 3 years, and after 7 you are either pretty good at it or retired and teaching others - or both; but note that fighters who teach others generally get worse at fighting as they need to be training not teaching - I’ve seen some good fighters go downhill fast after starting to teach independently at their own gym (though it’s fine, and usually beneficial, to coach occasionally in your trainer’s gym). In martial arts, by 3 years in you are probably being encouraged to open your own school and pass it on. You know nothing, but can teach others the basics and the fitness side of it.Where your rank is validI started in boxing in the mid-1960s, went through a lot of martial arts, got all sorts of belts and certificates with funny-looking squiggles, and finally went back to boxing, kind of.So I’m familiar with all kinds of belts, some valid, some farcical; and no ranks except respect.All I can tell you is that a rank, belt, distinction of some kind or anything similar is only valid within the four walls of your school ( and group, if there is one). Outside of that, it is meaningless. Some teachers will only give rank X (black belt or whatever) to exceptional students, perhaps after many years (might be 7…). In other schools, you can get one in 12 months. And in yet others it’s about the same as getting it in a cornflake packet, the standard is so low. The rank or title is meaningless outside of your gym family, because only they know what it represents - and that value differs from place to place.Martial arts people obsess over the ‘value’ of a black belt. It is a worthless worry, a pointless obsession, and perhaps a sign of not having real goals. It mostly applies in the West, since in the Far East a 1st degree BB is a beginner grade. Because the standard applied varies from excellent to ridiculously low, there is no possibility at all of any kind of standardised measure of achievement.What do you want out of it?It’s hard to know what the questioner wants out of it. The rank; or the skill; or the knowledge; or what?In combat methods, there are a lot of options. Often we don’t know what our goals are anyway, when we start down that long road.I’d probably suggest you train for a year or two, visit lots of schools, contests, and formal establishments; travel to another country or two and see what they do there - then take stock, and decide which fork in the road to go down.To present a sort of analogy: French cooking isn’t better than Indian cooking or Italian cooking or Chinese cooking - they are just different. One is probably going to suit a novice cook better than the others. You may not know which will suit you best when you are starting out. Become competent at one, and then you’ll appreciate the others. There is never any harm in being good at two schools of anything; or being really good at one and with a working knowledge of several others.Belts and anything of that ilk are irrelevant to knowledge, skill, ability and understanding. A person who knows and understands their art and can do it or teach it well in the eyes of experienced peers is better than another who practiced a few months then got a certificate out of a cornflake packet that says they are an expert.I suppose it is worth mentioning the obvious, just in case there is someone who hasn’t grasped it: belt ranks have nothing to do with real-world fighting ability.PerspectiveWhen you’re starting out, a black belt seems of great importance. After 30 years, belts or ranks are of no importance at all; and if they are, perhaps it is because you made a business out of it.[1] That dreaded 2-year pointThere is an unfortunate symmetry to life, sometimes. Parents know about the ‘terrible twos’, the painful toddler years: tantrums, entitlement on steroids, and all the rest of it.In martial arts the same issue presents at the 2 year point for a while: typically, brown belt to 1st degree black belt (which on average seems to be about the 3 year point). At this stage they know everything, and they are always right.There’s an explanation for this now: the Dunning-Kruger effect.

My own awkwardness has diminished over the years. You get to a point where nothing is surprising or embarrassing, because you’ve seen it or asked it before, or you’ve asked questions so far over your “line” that this little bit further isn’t a problem. But lots and lots of things are awkward the first time around.So, in no particular order:Once, I had an elderly foreign patient whom I thought had a bowel obstruction. One of the questions you need to ask is if the patient is still passing flatus (farting) - if not, it’s very worrisome that the bowel is blocked because not even air can get through. The patient’s daughter was translating as I asked questions. “Has your mother been farting?” “My mother does NOT fart.” I tried to get around this particular block to no avail. Apparently, her mother has never farted, and never will.Sure, first rectal exam, first genital exam. We learned these in medical school. Fortunately, we had “SPI’s” (Simulated Patient Instructors) for this - people who let medical students practice these exams on them (and were well-compensated). This is a big step up from the prior practice of having medical students practice on each other. It was still awkward, though, and these folks were just TOO helpful. Imagine your first time with a finger up someone’s rear, and they’re going “nope, you’re not quite at the prostate yet. A little further… now to the left. There you go. Now, sweep with the finger…” And this, in a room with 3 classmates, all waiting to do the same. A few weeks later, we did genital exams on male and female SPIs.but wait, there’s more… combine all of the above and check a bulbocavernosus reflex. From Wikipedia: “The test involves monitoring internal/external anal sphincter contraction in response to squeezing the glans penis or clitoris, or tugging on an indwelling Foley catheter.” To put that in English, one finger goes up the butt and with the other hand you reach around & squeeze the head of the patient’s penis (or stimulate the clitoris), paying attention with the butt hand to see if the anal sphincter contracts. Yep, it’s about as awkward as it sounds.Or the time I had to have “the talk” with an 80-year-old gentleman and his ladyfriend. They had met in an adult home, and she had come in for a vaginal discharge, which was an STI. So we had to chat about condoms and keeping safe. It’s a talk I have a lot with 19 year old college students…Lots and lots of awkward questions, mostly of the format “how did [that] get in [there]?” There’s a first time for everything. “Do you have sex with men, women, or both?” “Have you ever traded sex for money or drugs?” “Have you been inserting anything into your rectum?” “Has anyone else been using this dildo?” “How many beads do you think there were? We got 4… but it looks like the string holding this together may have broken”With trauma, there are inevitably clarifying questions: “at what point did the dog stop licking the peanut butter and start biting?” “So, was just your head between the driver’s legs when you hit the other car, or had you maneuvered your shoulders and torso in between him and the steering wheel?” “So, where exactly was the M-80 when it went off?” Lots and lots of questions. And I don’t usually ask the questions I really want to ask…Then there are fun procedures. if you’ve never reduced a rectal prolapse, you should try sometime. One “trick of the trade” is to apply granulated sugar to the prolapsed rectum (it draws fluid out, decreasing the swelling, and making it easier to push the rectum back into place). imagine walking into a patient’s room with a bag full of sugar packets from the cafeteria, getting ready to dump them onto an inside-out rectum. Try not to hum “Pour Some Sugar on Me” while you do this, or at least only sing it in your head, not out loud. Aspirating the corpus cavernosum in a patient with priapism, especially if it’s the patient’s first time (“you’re going to do WHAT with that needle? I hope you’re putting me to sleep for this!”)What’s better is that since I work with trainees, I get to ask them if they asked awkward questions or did things that are awkward the first time you try them, and get to experience that awkwardness all over again.