My Public Health final experience

Had public health final this morning. At around 09:00 Prof. István Kiss called me on teams, after having examined a few other students. In the voice call were me, Kiss, and a co-examiner I didn’t know.

He is sitting outside on his terrace, and as the exam starts he says that it starts to rain. After moving under the roof, the co-examiner asks me to show ID.

Kiss says that he has three envelopes, and that he will draw topics from me. He showed me as he reached into the envelope and drew a topic. My first topic was

21. Ecological studies. Immigrant studies

He wants me to start to talk about the topic. I begin by explaining that ecological studies are studies where we look at ecological factors like geographic and demographic factors and try to relate them to risk factors and disease. I give him the example of John Snow and the water pump contaminated with cholera, and how he used the geographical information of the cholera-infected people to determine that the water pump was the source.

Prof. Kiss responded by saying that my description of ecological studies was not correct, and that John Snow’s study is not an example of an ecological study. I immediately panic a little inside. It was the first question of my exam and I had already answered wrong. Searching my thought for alternative explanations of ecological studies yields no results.

I stay quiet for a while, trying to think of something. After a few minutes of silence I seem to recall that ecological studies are on the populational level while other studies are on the individual level. He tells me that it’s correct, and wants me to once again try to explain, from the beginning, what ecological studies are. I try, but can’t really find an explanation he is satisfied with.

Eventually he asks me about the strength and weaknesses of ecological studies. I say that conclusions drawn on the populational level can’t always be applied on the individual level, which is the ecological fallacy. He asks me for an example of this fallacy. I don’t know any, and can’t think of any.

He tells me that he will give me a research question which can be solved by an ecological study or by an individual-level study, and asks how I would conduct the studies. The question is “how would you determine whether fluoride intake protects against dental caries?”

I tell him that it could be determined with a field trial, where you have two groups and give one group extra fluoride intake and measure the differences in caries incidence between the group. With an ecological trial, it could be determined by looking at the difference in incidence of dental caries in two populations, where one has higher fluoride intake than the other. He asks how I would measure the difference in fluoride intake between the populations. I say that a major source of fluoride is in drinking water, so we could measure the differences in fluoride in the drinking water of the two populations.

We finally move on to immigrant studies. I explain how they allow to compare how genetic and environmental factors influence the incidence of a disease by comparing immigrants and their descendants to the general population.

He asks the co-examiner whether he has any questions, which he doesn’t. Prof. Kiss reaches into envelope number 2, and picks out my second topic:

57. Epidemiology and prevention of airborne bacterial infections

I begin by listing airborne bacterial infective agents, diphtheria, haemofilus influenzae, pertussis, meningococcus, tuberculosis, pneumococcus, legionella, etc. He asks me about prevention of these agents. I say that many of them have vaccines, but general hygiene is important, like hand washing, staying away from symptomatic people, staying at home if you have symptoms, etc.

He says that he will asks more specifically about some of them. First he asks about TB and it’s prevention. I say that it’s a prevalent disease in developing countries, and the BCG vaccine is the most important preventative measure. He asks me what type of vaccine it is, and I say live attenuated.

He asks me about pertussis, and what the causative agent is and the symptoms. I say bordetella pertussis, and that it causes whooping cough. I asks about prevention, and I say the acellular pertussis vaccine. He asks me why it’s lethal, and this is where I get stuck. I try to guess some causes, and I did say respiratory failure and breathing problems, but I never said apnea, which I think is what he wanted to know?

We move on to diphtheria. He asks me about the causative agent and the symptoms. I say corynebacterium diphtheriae, and that it causes pseudomembranes in the pharynx, with fever and pain. He asks about why it’s lethal. Once again I’m stuck, and after some poor guessing he tells me that he has to stop the exam here. He tells me about the diphtheria toxin, and how it causes kidney problems, myocarditis, etc. I knew of the toxin of course, but I couldn’t recall it. The vaccine is even against the toxin, which should’ve reminded me of its existence. Oh well.

So I failed ph final. Didn’t even get to draw the third topic. Shit happens.

I’ll update my notes to correct the part about ecological studies and add more about the symptoms of the infectious diseases. I’ll also look at other students’ exam experiences and try to make sure all questions are answered in the notes. I’ll do that on Monday probably, as I have surgery tomorrow and trauma on Monday, and I’ll probably retake ph on Wednesday.

Is Greek Doctor on an oral exam failing spree? Stay tuned to find out!

I tried, I really did..

Last updated on May 18, 2020 at 21:12

I really tried to study for public health final by just reading notes. I tried for 2 days, before I had to admit to myself that I didn’t learn anything by just reading. So I had to make my own, like always. Public health 1 + 2 done, public health 6 next.

If only I could learn by only reading notes like everyone else appearently can..

Edit: Public health 6 is now also done

Pling! The cardio is done.

18696 words later, cardiology notes are done. Onco next! Hope to be done some time before the test.

Also, greek.doctor has a new member on the team, G cobra (real name Jørgen)! He has been part of it for some weeks now, and I’ve told him to write a post introducing himself, but he never did, so I’m doing it for him.

G has patho 2 now and contributes to the patho 2 notes while he is studying. He also responded to his first comment yesterday! Welcome <3

Another thing; would people be interested in having study sessions with me on Teams?

Commentary

So I made a small recording of myself writing cardio notes. I’ve thought about doing it for a while, so people could get an impression of what I do when I write.

The video is quite long (40 min), but it spans almost three hours of writing. You can find the video here.

Surgery 1 notes

Surgery 1 notes are done, mostly, and are uploaded. Some topics, especially among the cardiac surgery ones, are short because the lectures don’t contain much information about it.

Surgery 1 is the only subject we must pass in fourth year to continue, so I figured it was a good place to start. Cardio is next.

I’ll continue to update the notes if necessary, during the semester.

Important update! Please read!

The COVID-19 crisis needs no introduction. I’m sure you all know the economical situation the crisis has brought with it. We are looking at a second economic depression, equal to or worse than the one in the 30s. This crisis affects all levels of the education, and now also greek.doctor.

Because of this, I’ll now have to start taking payment for the use of greek.doctor. The price of running the website has increased with the crisis, and I also need to afford rent, food, heat and masks for my whole family for the foreseeable future.

Like all hospital and health institutions, greek.doctor will also change to code red, by changing the colour of the website from the familiar golden orange to firetruck red. This will remain until the COVID-19 crisis is over. I apologize for the inconvenience. I know it is quite the eyesore, but it’s important to signal the severity of the situation.

My intention with greek.doctor was never to make money, and my philosophy has always been to keep knowledge free and available. However, desperate times require changes. I cannot afford to continue to pay for the website in addition to my expenses, and it’s time I get something in return for spending all this time helping people.

Because the payment has to be delivered in person, from now on the website can only be used by residents in Pécs. I apologize for this, but I will have to be strict to uphold this rule. I have systems in place ready for this change. If you are a student at POTE but not currently in Pécs, you have to contact someone here who can deliver payment for you.

Payment has to be made up front on a per-day or per-week basis. I will not issue monthly access tickets, for safety concerns. Unfortunately, this is non-negotiable. I can give close friends a discount, but only up to 15%. Less close friends can get a discount of 5%.

Greek.doctor aims to be a legal business, so I have to write receipts. Receipts will be written in person and on paper. I have a pen but you have to bring the paper, as I can’t carry that much around (I suspect that a lot of receipts will be written). For the receipt to be official and follow regulations the paper has to be of high quality. Please refer to the copyshops and ask them for high quality, receipt-approved paper. I’ve already talked to the officials in the government to get a license to sell this product.

Due to virus transmission fears, and in accordance with the curfew, a minimum distance of 1,5 m must be kept when standing in line for a receipt. Please uphold this rule so we can avoid problems with the police. We don’t want that, and after all, it’s not really allowed to meet anyone during the curfew, so all of this is kind of shady. Please avoid taking space in the road while standing in line.

If you have questions regarding this, please send a letter adressed to me to Student Parcel Point, Szigeti ut 12, 7621 Pécs. I know this is a huge hassle but unfortunately I cannot afford to pay for my hotmail so I won’t be able to respond to emails. I have gotten special permission from POTE to collect any letters sent to the university adressed to me.

Domain names (like greek.doctor) cost money, and some are more expensive than others. The .doctor suffix is especially expensive, considering it’s meant for doctors. If the economical situation doesn’t change I might have to change the domain name to something cheaper. I have some ideas, but I won’t share them now. I will say that the cheaper domains are those that end in .xxx and .gay, so I might be forced to choose something like that. If you have good suggestions, share them in the comments.

Anyway, the price will be as follows:

– for one day of use: one kiss to my forehead

– for one week of use: two kisses to my forehead

These changes will take place from today (April 1st) and indefinitely.

I apologize for the inconvenience and I beg of your understanding.

Love

greek.doctor