THE AURICLEVOL 3 EDN 3

July 5-12 2015Melbourne Convention & Exhibition Centre

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letter fromtheeditorsThe year goes by so quickly.

We’ve just whizzed past the halfway mark, with AMSA and GHC behind us and our annual Medical Ball right around the corner. Exams are on the horizon, too, but let’s try and forget all that until SWOTVAC begins.

In this edition, we’re looking at the extracurricular lives that medical students lead. Some are humanitarian in nature, such as the TeamMed trip to Tonga, while others are aimed at gaining an insight into the important area of Indigenous health.

The most popular option of all is clearly AMSA. With a jam-packed academic—and an unforgettable, but highly forgotten, social—program lined up over the course of a week, it was an experience not to have been missed. We’ve got all the highlights and some handy ‘remier tips to boot!

This is our third edition of the year.

For our next—and final—Auricle, we would love for you to come on board with some of your own contributions.

The possibilities are endless! And there are great prizes up for grabs.

Here are some starting points: share a memorable experience you’ve had on the wards, write about an issue about which you are passionate, list funny anecdotes about certain specialty stereotypes, reflect on your personal experiences with student mental health or consider the impact that recent legislation can have on us.

Send all queries and submissions to:publications@mumus.org

We look forward to hearing from you!

Michelle Li and Elizabeth Low

tableofcontents*

Tonga: Non-CommunicableDiseases in a Developing World ...................5

An Insight Into Indigenous Health................8

AMSA: Adelaide 2014................................11

One, Two, Three, Bon Jovi.........................14

Quilled Paper Anatomy (series)Sarah Yakawonis

Cover and throughout

TONGANON-COMMUNICABLE DISEASES IN THE DEVELOPING WORLD

Each June, TeamMED sends a group of medical students from various year levels to the island of Vava’u in Tonga.

Susanne Kitching (II) and William Cranwell (IV)

This year, the group included William Cranwell, Marcus Yip, Johnson Ja (Year IV), Madeleine Palamara, Lucy Taylor (Year III) and Susanne Kitching (Year II). The aims of the trip include assisting medical officers at the Prince Wellington Ngu Hospital, conducting free health checks in the community, promoting healthy living, and developing an appreciation for non-communicable diseases (NCD) in the developing world.

With the kind support of Insulin for Life, Roche Accu-Chek, the Wong family, the Alfred Hospital and the Monash medical student community, the team raised more than $4,000 for the purchase of medical equipment to assist the hospital and conduct the health checks. Without this support, the trip would not have been the great success that it was!

The hospital experience was certainly eye opening, with students involved in diabetic, wound, and antenatal clinics, surgical ward rounds and immunisation school visits. The medical officers were very welcoming and were keen to teach students how they cope with a lack of resources. For example, without an ultrasound machine, the doctors are forced to rely on clinical examination and the results of very basic blood tests, which have only been possible in the last twelve months. The ingenuity of the medical officers was on full display during our second day at the hospital, when a baby was born at 29 weeks gestation. The severely preterm infant was treated in an isolated room under a heater with a makeshift “helmet” delivering oxygen.

One of the highlights of the trip was accompanying the doctors and nurses on their weekly outreach clinics. The medical staff visit each village every three months for review. These clinics and home visits, performed in the area on the same day, are the only contact for many patients

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on the island who are unable to visit the hospital in the main town. Patients with existing illness-es, including diabetes and hypertension, were monitored and their medications altered if required. Given that NCD screening was one of our main aims, the opportunity to help run this clinic so early in the trip allowed us to understand the hospital referral process and gain an appreciation for any cultural factors. Ultimately, this made our own screening clinics much more efficient and effective for the community.

The Tongan people were extremely keen to participate in the free public health checks that we offered in the Vava’u community. We conducted our clinics with the help of the NCD nurses in order to communicate in the native language and book high-risk patients into the following week’s clinic at the hospital. A number of patients were likely to have been suffering undiag-nosed hypertension and diabetes, and were referred to the doctors at the hospital accordingly. Discovering these patients early hopefully reduces their likelihood of developing complica-tions of hypertension and diabetes. During the screening, we encouraged people with a large waist circumference and high BMI to reduce their weight, increase their daily exercise, and present to the hospital for regular health checks. There is a huge cultural barrier to encourag-ing health promotion and preventative medicine, and this is certainly something that is not easily fixed. Our educational brochures, written in Tongan with information about diabetes and lifestyle, proved to be an immensely helpful and popular tool.

If you are interested in becoming involved with TeamMED and want to learn more about our global health initiatives, please visit www.teammed.org or like our Facebook page – “Team MED”.

6

an

into indigenous

health

Natalie Ngu (IV) GPSN Monash Vice Chair

insight

gpsn monash were lucky enough to secure Carnegie’s very own Breslin Café and Art Gallery for our inaugural Indigenous Health evening. The event took place on Friday 18th July, 2014 and despite being a wet, wintry night was a great success in bringing together like-minded students and staff for a social yet educational cause. Canapés, coffee and drinks all around made sure that all attendees were refreshed and ready for the evening activities.

The aim of the event was to provide students with an insight into the opportunities and challenges of Indigenous health, recognising that the area forms a significant portion of the Australian healthcare system. In discussions prior to the event, we found that students were very interested in learning about Indigenous health however had little idea on how to find educational opportunities and also what needs to be different and the same when working with Aboriginal patients.

Our three guest speakers were therefore crucial in delivering these key messages to students. We heard from Mary Guthrie from the Lowitja Institute – Australia’s national institute for Aboriginal and Torres Strait Islander health research, Leanne Sumner, Aboriginal Hospital Liaison Officer at Monash Health and from Associate Professor Karen Adams, newly appoint-ed Indigenous Engagement Officer at the Faculty of Medicine, Nursing and Health Sciences. Each of the speakers gave us a slightly different perspective as to what they believe are the current barriers to equality in healthcare and what we as students and as future doctors can do to improve the situation.

An aspect of the night that really struck a chord with students was the passion demonstrated by each speaker, as they spoke about topics close to home. Another highlight from the evening was an activity run by Prof Adams where the audience were given verbal instructions to draw a sketch, thus demonstrating the potential for miscommunication in so many situations.

The night concluded with a series of short films, on loan from Black Screen Australia, part of the National Film and Sound Archive. The films were all by Indigenous directors and included live action and animated comedies and documentaries. We hoped to use the event to showcase just some of Australia’s talent in both the arts and healthcare fields, while providing students with a chance for broader learning.

GPSN Monash would again like to thank our three guest speakers, the Faculty and Prof Wright for their support in putting together this event and to Jason Kwok for photographing the night.

Thanks to all our guests for their attendance and participation and we look forward to collaborating with you again in the future.

If you would like more information about GPSN or their future events, please find their page on Facebook or ask your GPSN representative.

9

Above: Associate Professor Karen Adams, Mary Guthrie and Leanne Sumner

Below: Testing communication skills with a drawing activity

THE AUSTRALIAN MEDICAL STUDENTS’ ASSOCIATION55TH NATIONAL CONVENTIONADELAIDE 2014

The 6th to the 13th of July this year was always going to be an exciting week. Convention! The word itself strikes absolute, unopposed enthusiasm and passion into the hearts of every Monash Ranger. With more than 150 Monash delegates making their way, this was the biggest delegation that we have ever delivered to a Convention. Kicking off in Adelaide to the sultry voice of Hugh Jackman, the week was sure to be unlike any other.

This year “Anything Could Happen” was the tag line of this Unconventional Convention – with competitions abounding, speakers astounding, and Vic Pride resounding. The conglomerate of Monash, Melbourne, and Deakin universities put up an amazing fight against the likes of UQ, Adelaide, and Flinders to great success, and with great respect from our medical brothers and sisters around Australia.

The Academic Program this year left us feeling inspired, frightened, and at times confused with the likes of Patch Adams, Bob Brown, and Dr Vyom Sharma giving us entertaining (and sometimes incredibly scary) lectures in the plenary sessions. Workshops this year didn’t cease to amaze us with a wide variety of options available. Whether you wanted to learn how to take blood and insert an IV cannula, or just learn how to make a cocktail – there was something for everyone. Finally the Careers Expo, always a welcome addition to Convention, introduced our delegates to the many medical colleges, all of whom were seeking their hand for their futures.

The research and debating competitions included amazing Monash participation. For the 3 minute thesis, congratulations go out to Naveen Tenneti for winning the competition, as well as our other finalists Tricia Chung, Toby Vinycomb, and Emily Jenkins. Debating was a brilliant show this year, with each Monash debate being filled with supporters from the Victorian Universities. Congratulations again to Naveen Tenneti (captain), Shagun Narula, Toby Vinycomb, and Stephen Schultz for taking down ANU in pleasurable style! Finally in the ultimate test of academic prowess, Isabelle Hau represented Monash in Australia’s Brainiest Medical Student.

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The Vic Pride, however, did not stop there. Sports Day was full of competition – from physical prowess to medical skill. Monash proudly wore its new uniform, as the newly inaugurated Monash Marines made their debut. Our brawniest medical students, Storm Holwill and Arveen Kalapara, showed that they were a force to be reckoned with their unrelenting push-ups.

Our EMC Team, led by Emily Jenkins – and supported by Lukas Sahhar, Stephen Surace, Julien Nithianandan, Tim Lee, and Patrick Tang made an impressive effort to compete in the grand final.

Our Cascade and Pipps cup teams also made a splash, but with minimal spillage – and I congratulate them in their efforts. Always an amazing time, the Victorian Pride was strong, and we enjoyed much success in our State vs. State competitions, and our State vs. State banter.

We couldn’t possibly forget to mention the Social Program, where we experienced some of the finest areas clubs and hotels in Adelaide. Monash this year appeared to rise from the dead and let loose all their inhibitions at Tuesday night’s “Unleashed” as Zombie Jocks/ Cheerleaders (and not necessarily gender stereotyped!). Thursday saw all of Victoria exploring the “Unexplored” and designing their own Treasure Maps for their costumes. We hope that future delegations from Monash display this fine form and camaraderie that our amazing delegation showed this year.

Finally we ended with the Gala Ball. Returning to the Adelaide Convention and Exhibition Centre, we travelled “Under the Rainbow” to a transformed venue. Full of amazement, it was a memorable night for all involved.

Special mentions this year go out to Enis Kocak who received a Medal of Honour, for attending Convention in every year of his medical course. Furthermore the Royal Australasian College of ‘Remier League inducted two new Monash Fellows – with congratulations going out to Daniel “JIF” Epstein and Peter “Herculean” Lioufas for ‘assing their examinations.

A massive thank you goes out to the hard working Adelaide Convention Committee, the AMSA Executive, the sponsors, Daniel Epstein (AMSA Rep) and Matthew Kang (MUMUS President) – who kept our delegates together for much Vic Pride and amazing times. Finally thank you to all the Monash Marines who made the long trip over to Adelaide, and hopefully those who took the party bus up didn’t have too many issues on the way back!

The 2015 Convention is being held in Melbourne, 5-12th of July! Get amongst it everyone, it will be a monumental occasion! I have thoroughly enjoyed leading our Marines into the Convention battlefield this year, and I hope that next year’s delegation surpasses the number of delegates we brought along this year!

Peter “Herculean” LioufasMUKEG ChairFRACRL

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ONE, TWO, THREE, BON JOVIA ‘REMIER LEAGUE ‘RIMER

Time out, time in, all ‘layers around the ‘able! The name of the game is ‘Remier League and the ball is in your court.

The noble art of ‘Remier League is one that has ‘ervaded MedSocs around Australia from the very beginnings of the 21st century onwards. It is a game unlike any other, made by medical students for medical students – and appears at first glance to be devoid of any logic or ‘resence of mind. If you have ever seen an ‘able in action, I would not blame you if your first instinct was to start timing the apparent seizure occurring in front of you.

Historically originating in the lands of ‘Erth and Adelaide, it has now spread to over Bon Jovi states, and most notably has garnered some ‘opularity in Victoria. Whether you choose to get amongst it or not, even if your skill level matches that of the NHA, or you can’t tell your Takahashis from you Iku Jos, it’s up to you – but take a step inside, time yourself in, and you will find yourself in a world unlike any other.

In 2013 the Royal Australasian College of ‘Remier League inducted its first Victorian Fellows and Member, to much applause and Vic’Ride. 201BJ ‘roved no different, with the induction of two further Victorian Fellows, and one Member. The future of ‘Rem in Victoria is bright, and I encourage you all heartily to get amongst it!

Through my ‘ersonal ‘Rem experiences, I have enjoyed many successes and failures – the number of interpretations and variations of the game are simply enormous. With every state having their own way of ‘laying the national game (beware the QLD Zoom Battle, the cruellest of japes) it is a truly unifying sport between students.

You might ask, how do I ‘lay such an amazing game? I would tell you, but that would be against the spirit of the game and the number one rule of them all. I can give you this one for free – and make sure to learn it well.

‘Rink and Learn.

I hope to see you all at an ‘able soon – for the more keen of you I enclose a series of short-hand ‘Remier ‘Uzzles for your ‘erusal.

If you wish to have your attempt corrected, ‘lease email me at palioufas@gmail.com (the author consumes) and I will be happy to help in advancing the educative ‘rocess.

Get amongst it, fellow Rangers, I hope to ‘lay with you soon!

Chow!

Peter “Herculean” LioufasMUKEG ChairFRACRL

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‘Uzzle 1C: FTBWRPNGI: ‘RemBCO: Lily’Ad1: Zo (Hyst)2: ?3: FuBJ: Sp (-h), Sp-Sp (+h)5: An (Hyst: A-h/HCL: A+h) Ch-Ch CBg (Hyst [Lind: Cs / Incptn: Cs])6: Sp (-h)7: CS

Questions:1. In whose court was the ball on line 3?2. Who made the error?3. What was the error?4. What are the words of the song that would be sung in this instance?5. What would the offender be required to do?

‘Uzzle 2C: HCLWRPNGI: ‘RemBCO: C1: An (Lindt: A-h / JIF: A+h) Sp (+h)2: Sp-Sp (+h)3: 1 (-h)BJ: Wz (+h)5: Wz (+h)6: Wz (+h)7: βb: Wz(+h)-Bg-αp Tk: An (Hyst: A+h) 9: CS

Questions:1. What are the conditions for the initia-tion of the oft forbidden beelzebub-bub-bub?2. List all the moves that can technically ‘recede a beelzebub-bub-bub.3. What were the errors, and who made them?4. What are the words of the song that would be sung in this instance?

‘Uzzle 3C: FTBWRPNGI: ‘RemBCO: C1. Ch-Ch-Ku (HCL)2. Ku (Incptn)3. Xi (Lindt)BJ. Wz (-h)5. Bg6. Bn7. BnTk. Ch-CBg9. CS

Questions:1. Who made the error and what was it?2. If Lindt received the Ku in line 2, would this constitute an error and why?3. If Lind had received a CBg instead, would this constitute an error and why?4. In whose court was the ball in line 7?

‘Uzzle BJC: JIFWRPNGI: ‘Rem -WhizBCO: C1. 1 (-h)2. 2 (-h)3. 3 (+h)BJ. Zo (HW)5. Fu6. ?7. FuTk. ?9. BsqIJ. CS

Questions:1. What was the error made?2. Who made the error?3. What is the function of a botsquali?4. Who ‘layed the move in line BJ?5. Who had to consume and why?6. If one were to Bsq in a game of Cowboy ‘Rem – what would they say?