Dietetic Placement Experiences

In this episode, Aaron is joined by Suyin and Claire. Suyin is about to go on placement and Aaron and Claire are sharing their experiences to help Suyin prepare for placement.

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Episode Transcript

Aaron (00:00):
Hello and welcome to the first episode of the dietetics
digest podcast.
This is a monthly podcast thatseeks to explore different areas
of nutrition and dieteticshosted by me, Aaron Boysen.
This episode focuses on dieteticplacement.
Throughout this episode we willdiscuss various different
aspects of placement.
We mentioned things likelearning outcomes.

(00:21):
Now that was something that wasused at the specific university
that we all went to that wasused to assess us and our
progress through placement.
Finally, one more point beforewe get into the episode.
It's important to remember theideas and experiences discussed
in this episode are that yourexperiences may vary.
However, we seek to provide anhonest discussion of our own

(00:42):
personal experiences so thatlisteners can benefit from it
and help them to prepare moreeffectively for their placement.
So without further ado, let'sget into the episode Okay, t hat

(01:08):
we're ready to go.
Thank you all for coming todayfor the first sort of recording
of I’ve, called it dietetics digest.
So y eah, i t sounds good.
I'm not too creative with thetitles, but I try my best.
Got a little bit of a rt w orkready so that m ight be released
sooner or later.
So we wanted to focus thispodcast on something I felt that

(01:28):
I maybe missed starting myplacement and we had certain
tutorials i n university wherewe had our fourth year students
come to us and discuss with usexactly what was required for
year f or placement.
And I just wanted to add to thatwith a little bit more.
So I've got a few people withme.

(01:49):
So I've got Claire with me who Iknow from, she's in my year a t
university, w e're on placementtogether and Suyin, she's also a
member of the BDA YorkshireBranch and she's one of our,
she's our treasurer, but alsostudent.
So, u m, thank you.
Thank you both for be willing todo this, u h, with such sort of

(02:11):
an amateur set up.
U m, a nd I would say so myself,

Claire (02:15):
shall I introduce myself, introduce yourself

Aaron (02:21):
and I'll steal from those ideas and introduce myself.
So,

Claire (02:23):
uh, my name Claire, I like, as Aaron said, I'm in
final year and doing dieteticsat Leeds Beckett and I'm 28
years old.
And I chose to move to dieteticsbecause I worked a lot with
children in the past and I'dseen like the difference between
their nutrition and sort oftheir concentration levels and I

(02:46):
guess like fussy eating as welland how it was affected from um,
from nutrition and cooking pointof view.
And so yeah, that's why I chosedietetics, I guess one of the
reasons.

Aaron (02:56):
Thank you.
And uh, Suyin.

Suyin (02:59):
U m, yeah.
U h, I'm Suyin and I’m adietetic student as well at
Leeds Beckett.
So I'm my second year.
Um, so I'm originally fromSingapore as you can tell, I'm
not a british citizen and yeah,I just had a background in
finance in Singapore and I justdecided to do a bit of a career
change from finance because Ihave a previous degree in

(03:20):
accounting and just to changeand move over to the UK to study
dietetics.

Aaron (03:25):
Thank you.
Thank you very much forintroducing yourself.
My, my name is Aaron Boysen.
I am in the fourth year as well.
I have done both of myplacements.
That's where my expertise inplacement lies.
But I've only done my placementso I can't speak for everybody
else.
And everyone else's experienceis different because every place
is slightly different.

(03:46):
Um, and I originally sort of, Ichanged a little bit of my
career trajectory, so I changedfrom being like a, an English as
a second language teacher tomove over to dietetics cause
nutrition and food was somethingI was interested in from a young
age and I just wasn't beingfulfilled by my current career
at that point.
And I was always rabbiting onabout nutrition and health and

(04:09):
my sister said, why don't youbecome a dietitian?
And I was like, I don't knowwhat one of those is but I'll
have a look.
So I went back and sort of didone of those foundation degrees
or access courses people callthem.
And obviously five years later Iam here right now and I have my
expertise in placement as we'regoing to discuss today.

(04:29):
So, um, I mean, so me and Claraboth been on placement and Suyin
has been on a placement, so weboth have expertise certainly on
placement.
So the first thing I wanted todiscuss today was a little bit
around preparation forplacement.
So things that you would do toprepare in advance or things you
would do, sort of, to get readyto go on placement.

(04:50):
Firstly, I want to kick off withis still the easy one was the
first thing I found on placementa, it was really, really easy
was choosing if you have to moveaccommodation going for
accommodation that is close toyour placement as possible
instead of going for one thathas all the bells and whistles
and has the good night out.
And the the amazing.
Personally I was short of timeon placement because not only

(05:14):
are you there full time, youalso have stuff to do maybe in
the evening you have reflectingon your days learning and
cutting out that commute wasreally valuable to me.
On my first placement.
I didn't know if the different,even with a short commute on um,
a B and c placements, which werecommutable.
So I did commute.
But I definitely, that'ssomething that I've taken from

(05:35):
it.
So you want to move over to youguys and anything you can do to
prepare for placementbeforehand?

Claire (05:40):
Yeah, I definitely agree with Aaron on that point.
So for example, before my Aplacement, um, I was looking at
places that already hadaccommodation attached to them
because I thought it was myfirst placement.
I don't know what to expect.
I don't want to be travelingaround.
I don't want to be late.
I want to try and put my allinto this.
Um, and I felt like being onsite, like at the hospital

(06:04):
accommodation, it would then beeasiest for me.
And also because it was onlythree weeks long, it wasn't too
bad.
I know that sometimes if youhave like a B placement or C
placement there like 12 or 13weeks long.
Yeah I think it can be a bitdull for some of the students,
cause you might not, you don'talways have internet or TV.

(06:24):
Um, so I chose that for my, aplacement cause I thought it
would get me.
So have a good head start Iguess.
And then it gave me sort ofideas of how I would then want,
like where I would want to livefor my B and C placements so
then for my B placement.
I made sure that, as Aaron said,that I was in walking distance
from the hospital and that Icould easily travel in between

(06:47):
the two.

Aaron (06:48):
Could I just go back to your A placement so; I remember
something I wanted to ask you aquestion.
So I remember in a placement youwere actually bunking so I don't
know how you say it you hadroommate or rooms next to
another dietetic student.
Yeah.
Did you find that beneficial ordid you add, this is the thing
I've always wondered.
Was it beneficial for thecomradery, you're going through
the same thing or was itliterally like a distraction.

Claire (07:08):
No I've always been on placement with someone, so my a
placement, um, I was with aclose friend of mine and then on
B placement and on c placementas well.
And I felt like it was reallygood because sometimes it's very
emotional, the whole placementexperience and stressful.
And if you can offload that tosomeone, but it's just nice

(07:28):
sometimes to feel that you'renot the only one that's feeling,
sort of, stressed or underpressure.
And I know that if you can stilltalk to people, obviously over
whatsapp and things, but ifthey're like living with you or
if they're on the same placementas you I think is a really good
support network from myexperience anyway,

Aaron (07:46):
and you build that, build that bond with the other person.
Yeah, definitely placement withyou build that sort of really
tight knit bond, because you'vebeen through something together
because it's difficult, but itis great as well.
You do learn a lot and whileyou're learning a lot, you also
fail a lot.
I think the negative is justwhen you're comparing yourself
against someone else, I thinkthat's when it falls into sort

(08:07):
of pitfalls.
But I think there is a definitebenefit to that.

Suyin (08:10):
Yeah, just good advice actually.
Just because, um, placement Ame, I just chose the closest
place, so I've had, and for meit was just walking to the
hospital, but placement A isn'ttoo bad.
I feel like I'm in terms of theworkload is not as bad as what
it will be for placement B orPlacement C, but I've never
really considered like livingwith another dietetic student.

(08:33):
I mean that's a really goodidea, just so that you don't
feel as lonely and you are ableto like bounce ideas and
questions with each other.
So that would be something Iwould consider maybe for
placement c but for placement Bfor now, I've just decided to
commute.

Aaron (08:49):
Thank you.
Thank you for sharing yourinputs.
I think that's, that's reallyvaluable as someone preparing
for placement might wanna knowand things like that.
So now I want it to move over toa little bit about sort of,
we're going to shift gears alittle bit and Suyin's going to,
sort of, take the role asinterviewer and Claire.
Claire are going to be takingthe roles interviewee.

(09:13):
So obviously Suyin is going onplacement.
Pretty soon in a couple of days.
Is it?

Suyin (09:17):
So yeah.
So I start next week.

Aaron (09:20):
Next week.
So from when you hear this,she's probably already already
there working hard because ifever anything I know about Suyin
already.
She is a hard worker so thedietetic department that is
getting her they’re going to belucky people.
Lucky, lucky people.
You've got an easy job on yourhands.
Okay So, I remember, I'm goingto start this off with a little

(09:42):
bit of a sort of a introductionto how I was feeling before
placement B and I rememberhaving a lecture with one of our
lecturers and how was asking, Ithink everyone was on the same
page and they were justmortified because they were
like, Oh why don't I dosomething wrong?
What are the say somethingwrong?
What have I done?
I don't ever can remembereverything I've done for the
exams.

(10:03):
I don't know if I can doeverything correctly.
I don't if I don't remember thisspecific, this specific
condition anymore.
It's been so long.
How did you feel Claire?

Claire (10:12):
Yeah, I was like Aaron said, I was really scared.
I was really worried that when Iget to placement that expect me
to do things like full feedingregimes that expect me to know
like the dietetics manual, likestraight out of my head.
So I was really worried that Iwasn't going to be up to scratch
with like their knowledge andtheir expectations.
But actually when I startedplacement that was completely

(10:34):
opposite of what I was actuallythinking.
Oh man, my thoughts were, um,which was really reassuring and
for me, I didn't really feellike that throughout my
placement I felt they werereally supportive all the time
and it was ever really steppedapproach into going onto
placement as well.

Suyin (10:53):
Yeah, that's good to know actually.
Just because I mean like you'vementioned Evan, like everything
that you said, I'm just worriedabout it.
I feel like, like in our, um,studies, um, apply clinical
dietetics, we learn a lot aboutclinical conditions and there's
just so much like liver disease,kidney disease, and just like,
I'm not going to be able toremember everything when I get

(11:14):
into placement and just aboutputting theoretical knowledge
into practice and it's justgoing to be quite difficult and
I'm quite anxious about it and

Aaron (11:23):
everyone feels sort of that way.
And yeah, everyone's not.
Sometimes I feel like, I dunnowhether I get the same
reception, but possibly theonline conversation among
student dieticians, if you'rewatching it, everyone's quite
positive.
I was like, Oh, I'm so pumpedabout placement and all of that
in the background go.
Actually, I'm actually reallyterrified.
Like I don't know if I'm goingto do it well.

(11:45):
And I think understanding that alot of people do feel the same
way is important.
Um, I think from my ownexperience when I first arrived
on placement, obviously in theweeks before, I was like, okay,
I've got to, I've got to look atthe, um, the pocket guide to
print, um, the clinicalnutrition dependence booklet.
I was looking through here,practicing the equations, got a

(12:05):
few case studies ready and thefirst week week they go, okay,
you're in pediatrics.
So, uh, you need to get rid ofthose, get rid of those Henry
equations that you had, thosestress factors.
We've got this other book thathas all the child things in and
the children are completelydifferent than adults in various
different ways.
And I was like, oh, okay.

(12:26):
Um, but from my own experience Ifound they like Claire, they did
ease me into it.
They did start off a little bitslower.
Um, and that helped me to sortof get, get used to it.
Um, I was even terrified goingfrom pediatrics to adults cause
it'd been so long since hadactually done adult stuff.
But Ah, that's a story probablyfor a little bit later.

Suyin (12:48):
Um, yeah, that's good to know.
So, um, just a few of myconcerns.
Maybe I'll just share some of myconcerns.
Uh, going to placement B.
So I know that the learningcurve is going to be steep, but
now that you've mentioned it,it's going to be stepped
approach and makes me feel alittle bit better.
And I know like when I was incounseling placement as well,
there was a lot of stuff aboutabbreviations and reading

(13:10):
medical notes and I just, Icouldn't get my head around it.
There's just so manyabbreviations and I couldn't
even understand.
Simple sentences.
And do you have any like, ideasor any way to help me to v
medical notes better?
Is there any, anyrecommendations?
Yeah,

Claire (13:29):
I guess when I, one of my first few days my supervisor
took me to the ward and she gotout, um, a patient's medical
notes and then a blank recordcard.
And she was like, okay, whydon't you start reading through
this and like tell me like whatyou think, what you should write
down and things.
Um, and I had so many questions,I felt kind of, I have actually

(13:49):
felt really stupid cause I waslike, oh, what does this mean?
Abx and it means antibiotics.
And I was like, like thinking,oh my gosh, I don't know
anything.
Um, but as you go along and asyou make, you can have like a
little lists, for example, offabbreviations.
So obviously CVD is likecardiovascular disease and you
can keep them like on a piece ofpaper in your folder that you

(14:10):
can take around on the wardswith you.
So if you see something youdon't know, then you can look
back at it.
But also, I know some truststhey have, um, they're only
allowed, they only allowedcertain abbreviations, so they
have like a required, uh,required like abbreviations,
trust policy list.
So they could only use those andsometimes dieticians will print
that out for you or you couldask about it and you can print

(14:31):
it out and take up onto thewards.
Um, well in terms of readingmedical notes, how to make that
easier.
Aaron, do you know how to make[inaudible]

Aaron (14:39):
Short answer...
No.
Uh, it's skills.
Something that does actuallyscare me and makes me feel
nervous.
Um, reading medical notes causeoften, but I think that one of
the hardest things is readingthose notes and keep developing

(15:00):
like a crib sheet for theabbreviations.
Yeah.
Or depending on the rules ofyour trust.
I don't know if it's the sameevery way.
You can just whip out your phoneand Google it.
Yeah.
You can go back if you, if you,if you want to just Google it
then you can just Google theabbreviation medical afterwards
and go, oh okay that makessense.
And as you do that you'll learnit.
Um, some trusts don't allow thatso I am, I am aware of that.

(15:24):
So developing like a crib sheasking a supervisor developing
in your booklet like popularmedications as well and popular
abbreviations.
Yes.
Yeah.
Is I have one of those smallbooklets.
Yeah, pick those up and put itin your little tunic thing.
And Yeah,

Claire (15:40):
I had a file that I took around to my placement and I had
like, you know, the Pollypockets and I had a four pieces
of paper in there and I had likelittle charts.
So, for example, the medication,the name, the abbreviation, the
group and what it did.
And so that really helped mebecause my supervisors were
quite keen on me knowing, um,the medication of what effect

(16:01):
that would have, for example, onthat intake and the bowels and
perhaps their feed as well.
If they're on a ng feed, even ata certain point, they don't
expect you to know like thecrazy metlife, not crazy, but
like the, the really obscuremedications.
Yeah, just a few common ones,like in that certain area.
For example, if you're inoncology, it might be like some

(16:21):
chemo radiation.
So like anti sickness,medications, diabetes, often
from ureas you need to know, beable to identify those.
Um, I think the hardest thing is, uh, just oh, you'll get used
to it.
And sometimes brand names canset you off.
Yeah.
Sometimes I've written as brandnames or not.
It is tricky.

(16:43):
Um, but you can always[inaudible]

Aaron (16:45):
just, if you don't know what something means, just pop
it into a search engine and havea quick look.
If they use electronic knows.
I don't know if the place you'reusing, you're using up, you're
using electronic notes, you canoften like right click and, but
for those who are, um, you canoften like right click and see
that what the medication is orall the terms red cause it might
be like, um, for example, onethat is used a brand name, a

(17:09):
metformin Sokola was one of thebrand names I think I remember,
I only ever read it, I don'tever want to say that out loud
cause you always refer to it asyeah.
Forming.
But yeah.
Yeah.
And I don't think that'sanything to be afraid of either.
Cause I remember on my cplacement I was asked, I think I
asked one of the Dietitians, oh,what, what does that medication
do?
And she's like, Oh, I'm not sureif she had right.

(17:30):
Did the right click and thenread it.
And she's like, oh, that's howyou can, an easy way to work
out.
So yeah, it's nothing to be tooworried about.
I don't think, especially on Bplacement, you're just getting
used to everything and you'venot been in such a big like
acute hospital before.
So yeah, I guess you sort of, asyou more exposed to it, you get
more familiar with it.

(17:51):
So it shouldn't be.
Yeah, you get used to themedical, the medical, the way
the medical notes werestructured, the way people write
, and then you move to adifferent section of the
hospital and you have to learnit all over again.
And I found that the hardestactually moving to a different
part of the hospital.
I was in quite big places and I,and they obviously give, gave me
loads of experience in loads ofdifferent areas.

(18:12):
But the double edge sword ofthat is you get loads, different
experiences in loads ofdifferent areas, which is
fantastic.
But also when you move toanother area you're like, oh, um
, I think, ah crap, I can'tremember.
I can't remember exactly whatthe scores or anything like
that.
Cause it was so long ago andyou'd been trying to learn loads
and from my own experience it,they were actually really

(18:34):
understanding about it then.
Yeah.
That especially if you just movethere, they would help you and
show you the way around.
And um, often they'd give melike a few days to sort of find
my feet in that area, which wasoften helpful, especially on
placement B.
Um, so that was my experience.

Claire (18:52):
Yeah.
And um, usually they give you atimetable before hand, maybe
sometimes before you startplacement or in your first week.
So then you can see which, eh,which specialties you're going
to be going into.
So maybe like the weekendbefore, what I would do is then
I would prep for that likespecialty for the week.
Um, I kind of put the rest ofthe back of my head so I could

(19:12):
just focus on that for thatamount of time.

Aaron (19:14):
Not all trusts do that though.
I'm not sure.
The one, yeah, I think yours,the one you're going to do is
we're not, well, I know othersdon't.
Um, so for those listening, someof them don't.
So to be honest I would just asklike I would, I would go up to
them.
Obviously I've never been inthis situation but I would just
try and, cause obviously theyare busy.

(19:34):
Um, they've got lots of thingsto do but I would just ask a
couple of days beforehand.
Yeah.
Or even if you have a time tablelike I did in both of my
placements possibly if it's abig place you're going is big
hospital email the personbeforehand and say hey I'm
coming to you and explained thesituation.
I'm nervous.
I may not just I think beingopen and honest first of all is

(19:59):
the best policy.
Like going in instead of likefaking it till you make it.
You really just can't if youdon't feel confident.
Yeah.
I just go in be honest.
Say I'm feeling really, reallynervous.
Yeah.
I would like to look at somethings.
What do you suggest that I lookat?
Yeah.
And some of them moving sent melike packs over like little PDFs
or one of them, which is, whichis, which is really, yeah, some

(20:22):
of them are quite long.
So if they do that, just say,just tell him like, could you
narrow it down to a page or twoor a couple of pages of what
should I look into the most outof all hundred pages.
Um, but, but to be honest, yeah,learning to read a hundred page
document might be useful for oneof your modules next year.

(20:44):
Clara agree with that.
Yeah, definitely.
Yeah.
Um, so yeah, that's, I mean it'sgood point.
I guess like just emailing andasking, is there a point where
students can be a bit annoyingwhen he asked too many
questions?
You think?
Um, I don't think so.
I think I was always trying toask questions because I think it

(21:04):
shows that you're introducingmastic and that you're wanting
to learn things.
I think if you're sometimessitting back there might think
that you're not that interestedor you're not that enthusiastic
and you don't want them to thinkthat.
Yeah.
So I would say just ask thatthere's no harm in asking.
Yeah, yeah.
I think Clermont know this.
Um, from my personality, maybelike his names I am, I'm a

(21:28):
nightmare asking questions, Iask questions about everything.
Sometimes I even, and this isprobably a warning for people, I
ask questions to see if theycontradict anybody else.
Um, probably just, I like tothink it's to aid my
understanding and develop myknowledge.
But I was, I was nervous aboutnot being able to ask questions

(21:50):
cause I might bug them.
But I think the important thingabout questions and talking to
supervisors and people that inthe BDA branch we, we know and
we relate with, it's reallyabout the timing of the
questions.
If you ask the questions at anappropriate time, um, like maybe
not while they're trying to dosomething in their quite urgent,
it might be worth, worth notasking a question, writing them

(22:11):
down.
But maybe at the end of the dayor a quiet time back in the
office.
Go insert supervisor's namehere.
I've got a few questions.
Do you mind if you are?
I ask them and I think they'd behappy with that.
Definitely.
And I think if you're, forexample, on a ward and it's
quite busy and you're thinking,oh I have, I don't understand
this.
You could always say to them onthe ward, oh could I, would you

(22:32):
mind if I asked you a fewquestions about this later or
when we get back to the officeand they'll be more than happy
to help you.
I think they should be.
Anyway, that's my experience.
So yeah, mine too.
Sounds good.
Yeah.
So another concern I have, Isuppose it's just about meeting
patients who are quite complex.

(22:53):
Cause I remember when I was inplacement aid, there was a
patient who had, who hadundergone imputations and it was
really like complex patient witha lot of issues and I'm just
afraid of meeting these kind ofpatients and like I don't know
if I'm going to be confused andlost and so sue you and they
expect you to do everything allby yourself, especially on the

(23:15):
complex patients.
So they expect from you.
Obviously I'm being sarcasticthat if anyone is not realized,
um, it's important.
I think from my own experience.
They, they don't expect you todo everything.
They understand the limitationsof your practice.
And I think that's, that's alsosomething that I learned from

(23:35):
placement.
I learned that, I actually don'tknow a lot.
It sounds really weird.
It's like dunning Kruger effect.
It's like you get, you get whenyou're at literally know
nothing, you, you're a genius inthe topic.
You know, a little bit ofinformation.
You think you're a geniusoutside of all the self style
gurus online or all think thegeniuses.
And then you'd go down likethat.
You'd go down on the graph, youget people that can Google this.

(23:56):
It's called the dunning Krugereffect.
You go down and you actuallythink, oh, as you learn more,
you're, I know absolutelynothing cause you learn how much
you actually don't know.
And I think that's sort of whatI'm, I'm sort of in that dip, uh
, that I was on on placement.
You say you sort of realized howmuch there is really to learn
how much there really is toknow.
And I think the supervisorsreally realize that as well.

(24:17):
And I don't, from my ownexperience, they didn't put me
in any situation where I waslike, Ooh, I don't know what to
do.
And then leaving me to makedecisions.
Oftentimes they would put mesomething that was completely in
my scope, um, and I was able todo and I knew they might let me
see how they would handle it ortalk through a complex patient
with me, like support me throughthat.

(24:39):
But I didn't feel like I was, itwas all up to me or this
patient's care home in mybalance, anything like that.
What about Claire?
What was your yeah, I agree withthat Aaron.
So I was just thinking that Ican remember a time I hot the
first time I would have had totell someone that they might
need an ng feed.
I was really nervous about luckbecause that patient was quite

(25:02):
there.
They weren't happy there in ahospital.
They're really unwell and Ijust, it was the first time,
it's obviously a sensitivesubject and I was really worried
about it and I said to mysupervisor, I'm not too sure
about it cause I don't reallyknow what to say.
Can you help me?
And she was kind of explainingto me what I should say, et
Cetera, et cetera.
But because I didn't feelcomfortable, I said, would I be

(25:23):
able to do this?
Like next time someone needs anng feed?
And she said, yeah, that's fine.
You can just observe me and thennext time we'll try it again.
So I think, again, going back tothe being honest and open
policy, how do you feel about Ngfeeds now?
Claire, are you scared aboutdoing them?
No, I really like ng feeds now.
Yeah, that was a plantedquestion.

(25:44):
Yeah.
Cause I knew she, yeah, sheliked to um, calculate those
requirements.
[inaudible] scam me a bit.
I've done like a feeding regimenas part of one of my modules and
it just seems so intimidatingand so complex.
I mean, I think that module isnot completely realistic of what
it's like on the wards.

(26:05):
Um, because every Dietitian,every supervisor has their self
own way of doing things andevery hospital does as well.
Um, so what you learn here atuniversity isn't, it doesn't
exactly mirror what you do onplacement necessarily.
Every, every place has differentprotocols, different things in
place.
Even one placement doesn'texactly mirror another placement

(26:27):
because they have different,different things in place.
They might have a differentcompany providing their feeds
for them.
Understanding that everywhere isslightly different also is
helpful as well in that respect.
Yeah, there's not one right wayto do it and I think they tell
you that in university, but it'sreally hard to get it.
Like you're like, yeah, butyeah, what's the right answer?

(26:49):
You Go, what would, what wouldyou do?
And so I think there is oneright answer, but there is so
many ways that you can, you cando something.
Um, and there's, there's just avacation for those and it is
about justifying it and toptips, top tips, placement or
placement.

(27:10):
Placement is an illustrationplacement point is point.
[inaudible] did you ever get todo one-to-one consultations with
patients at[inaudible] or was itnot?
It depends on your trust.
I did.
Um, I'm not sure.
Erin, did you want one to one?

(27:30):
What languages you and thepatient without any, so my
experience, so my placement was,I never was, no, not really.
My supervisor was always there.
Um, and as I went through both Band c placements, they took
different levels of role, likethey make take them more, even

(27:53):
on B, sometimes I could do theconsultation myself.
Um, and they just sat back andwe reflected afterwards and we
talked about where I was maybecould improve or what I could
improve on.
And yeah, so no, that wasn't myexperience, but, um, sorry.
So yes, so I was alwayssupervised, but I could do the

(28:15):
whole consultation by myself.
Um, so it was almost like I wasthere with the patient, but they
were observing me.
And to be honest, I preferredthat because what if I hit the,
what have I hit the consultationout of the bag?
And it was amazing as a bestthing in the world and no one's
[inaudible] I couldn't do an ITIor reflect on it because I want
all the recognition for my hardwork.

(28:37):
So I want someone that to see myamazing work.
So yeah, possibly a, that was myexperience.
So how about you Claire?
Um, on B placement, when I didthat, first of all, I, it
started off with me.
Um, obviously this is not in thefirst few weeks is quite late on
and B placement.
And I would go in and see apatient and the dietician, she
might be seeing a differentpatient or writing up the notes.

(28:59):
And so I would gather like allthe information, um, what they'd
been eating in the day, if therearen't any supplements, all the
different bits and bobs likethat.
And then I would say to thepatient, I'm just going to
discuss with my supervisor aplan.
And I would go out with theroute out of the room and ask my
supervisor any questions that Ihad.
And then we would either go intogether to discuss the plan or

(29:20):
I could go and by myself andthen, um, a few weeks after
that, then I would call her onthe phone.
So I'd be on the wall by myselfand then I'd call her on the
phone, ask her any questions.
And then in my last few weeks Iwas able to do it by myself.
So, but it totally depends onyour trust on the CFIs and the
department and I think sort ofhow busy they are as well.

(29:44):
Um, and the amount of studentsthat they have,

Speaker 5 (29:46):
I don't know.

Aaron (29:48):
I'm just thinking like what if you give advice to a
patient?
Like I dunno, I'm not sure whatkind of scenario that will be,
but so I don't think, I thinkyou could do that.
You could definitely give wrongadvice to a patient that is,
that is possible.
But if I ever gave wrong adviceto the patient, I wouldn't do

(30:10):
what would happen then mysupervisor would go, actually,
you know, he's a student that'snot right.
And he would just correct me.
So I was being observed and theyjust got Ha, you know, he's not
right.
He's wrong.
Um, and I don't think I have itdata actually because I think as
I said before, you've got thatsort of on placement within the
first couple of weeks, you'llprobably hit this wall and

(30:31):
probably think, ah, I knownothing.
I'm not as my work learning isworth anything.
A joke.
It obviously you learn a lot,but you start to learn how much
you don't know.
And I think overcoming that formyself was more important than
being overly confident and justrolling out advice here, left,

(30:51):
right, right.
Left and everywhere.
So I think I, I don't think thatwould be too much of an issue.
I was scared about it as well.
But because of those protectionsin place and because you have
actually learned quite a lot,even though you may not think
you've learned quite a lotbecause there is so much more to
learn.
Yeah.
I, yeah.

(31:11):
As my perspective.
Yeah.
Um, I guess it's a situationthat could be possible, but I
think there's a lot of things inplace to stop that from
happening.
So for example, before you goand see a patient and even if
you were going by yourself, youwould still like ask any
questions, you would hand overto the supervisor, ask them any
questions and they usually askyou what advice do you want to

(31:34):
give?
Or what is your plan do youthink at this moment going to
be?
Um, so I guess there is wherelike any problems can be ironed
out and if you are really stuckon what advice to give and
thought is, am I going to givethe right advice to this
patient?
You could say, you could justsay, I need to, is it okay if I
talk to someone senior or mysupervisor and I get back to
you?

(31:55):
Um, or you could ask yoursupervisor to come in with you
if you were by yourself.
But I think, I don't know ifthat will happen.
In fact, I was so scared onplacement, be nervous, scared,
whatever.
Semantics really, I can sayscared.
I don't know.
It was like shaking in my boots,but I was, I was just nervous.
I actually said, to be honest, Inever actually gave advice

(32:15):
without discussing it with mysupervisor first.
I always said to the, to thepatient, I said, I'm a student,
obviously.
Thank you for sharingeverything.
I don't get a collection.
So I'd collected all theinformation about how that,
what's been happening, howthey've been doing, all that
kind of stuff.
Then I went away and actuallytalked with my supervisor about
the plan and yeah, especiallynear the end, I knew what to do.

(32:37):
Like I knew exactly what placeyou were going to go and I think
in the[inaudible] you actuallydidn't need to discuss this with
me, but I was still nervous.
Yeah.
So they still gave me thatopportunity and it was just then
to go.
Yeah, that's right.
Yeah.
And it just filled me with sortof a bit of reassurance and I
could take that into myplacement, see experience.
I can tell you that into myplacement c experience and it

(32:59):
was, I could build on that and Icould build up that confidence.
I hope that's answered yourquestion.
Yeah, it's really good.
Yeah, it's good to hearperspectives from people who
have undergone that, you know,and obviously the, our
perspective, it's not likeGospel and this is what every
trust will do and yourexperience will be exactly the
same as ours.

(33:20):
But I think gathering on otherpeople's experiences before you
go and do something is valuable.
Yeah.

Suyin (33:25):
So what happens?
Um, you know, I'm just alwayslike concerned it that patients
are sleeping and like having towake patients up.
I Dunno.
I feel like I don't want reallywanting to wake them up, but I
have to wake them up.
Like, is it an issue?
I know it's a minor issue, but Idon't know.
I'm a bit concerned about thatFascia question.
What did your supervisor onplacement do?

(33:49):
Um, yeah, I mean he mentionedthat sometimes.
I mean, if it's necessarily hewill wake them up, but if it's
not here, try not to wake themup.
So, yeah.
So I think,

Aaron (34:00):
I think that's probably what I would say my experience
was like if it is necessary, youmight have to wake them up and
yeah, I was always a bit nervousabout that.

Suyin (34:09):
Yeah.
I don't know.
I'm just, I feel like nervous wecan people up.
It's like bothering them.
And what if they get mad at mefor we can them up from their
neck.

Aaron (34:17):
Yeah.
I mean sometimes if it wasn'ttoo urgent, I would just sort of
go see another patient on thesame ward or yeah.
While they were sleeping andthen come back later.
But I think it is one of thosethings you might have to just,
yeah, I think you get used to itas well.
Like when you first start beposting, you're so scared to

(34:38):
even like say hello to a patientor introduce yourself that by
the time that you finished yourplacement, it's so natural.
Because I think at the start youthink, oh, they're gonna think
I'm, I'm a student.
They might think I'm not goodenough, blah, blah, blah.
And you're really self consciousand nervous.
Um, but I think as you get usedto it and you see patients in a
lot of, I guess it comes easierreally and a bit more part of

(35:01):
normal hospital life.
My experience is the majority ofpatients are really nice and
lovely and, and even the onesthat possibly get angry, they're
not really angry at you.
They're obviously going througha lot of stress and a lot of
things are happening, have thatcurrent period of time and

(35:21):
they're in sometimes in a bit ofpain.
So it's important to alsoremember that often it's not,
even if they do get angry atyou, which actually never
happened to me, it's importantto understand why they're
getting angry.
Might be, it might be also otherreasons as yeah.
Um, but just be as respectful aspossible.
Don't shout out to them all,just try and wake them up with

(35:42):
stuff.
Um, yeah.
So that, I think that is, um,that is a good question.
I think really importantquestion.
Question, did you, did you everencounter like cases of the
feeding?
You know, that's quite complexto me.
And Yeah, I think a lot of thetime, I think maybe more, well I

(36:04):
think maybe more than youexpect.
It depends which kind of um,waltz you are on.
For example, I was on a lot ofoncology boards, so a lot of the
people there weren't eating muchfor long periods of time and
they'd lost a lot of weight andthey had really low BMI eyes.
So they was quite out for me.
Am I experienced?
I had quite a lot of experiencewith re feeding.

(36:26):
Um, but it also depends on thehospital you are at.
For example, if you're incommunity based or if you're
more clinic based, for exampledoing diabetes clinics, I think
it's rare that you would comeacross, um, we feed in, but the
trusts do have policies and yoursupervisor is definitely going
to be there so you candefinitely discuss it with them.
And um, there were a number oftimes where I would like forget

(36:50):
that there could be at risk ofre feet in and the supervisor
would remind me like, is thereanything else?
Is there anything else do youthink are risk of reef?
He didn't have a, Oh, actually,yeah.
Um, but I guess when I wassaying you have your, like your
files to carry around, you couldwrite it down for, for me, I had
it brought in like big capitalletters, like re feeding in star
so that I would remember toaddress it with patients so I

(37:12):
wouldn't forget it.
Yeah, it is, it is somethingthat you are, because you've got
so many other things toremember.
It might be quite easy to maybeforget.
I'm not sure.
Perfect.
Of course.
Um, um, so it's one of thosethings that maybe as we have
this conversation, you'll bejust like hearing these bells in
your way.
A guy in refitting wifi light.

(37:37):
Um, and it's probably a goodidea, but I think it is
something that you will learn tonotice and you will need to
notice.
Um, so that's, that's a really,um, so you do see cases of it or
people that are at risk of itand you mitigate those risks by
implementing the, uh,appropriate strategies.

(37:57):
Um, one more question.
I think, um, so did you ever getthe chance to participate in
like MTT meetings and did youhave to, you know, voice out any
opinions or anything?
Tazza I did actually.
Oh, and do you know why intakewas it, it was, um, it was, I

(38:17):
want to explain the scenebecause I think it really does
help.
I want to try and be as detailrich but as information poor as
possible.
Um, so it's on a, it's on award.
It's really see various,obviously locations anonymous,
none of us work.
Okay.
So it's hidden and there's areally serious, um, surgeon and

(38:39):
they're quite stern and quiteprobably you described them as
intimidating.
And I was in first couple ofweeks and I, uh, he asked a
question that was nutritionrelated in their sort of meeting
that they were having.
And my supervisor, my, uh, um,my supervisor looked over at me
and she was just outside so shecould hear what was going on.

(39:00):
And she sort of nodded at mecause she knew that I knew the
answer but I was obviously too,obviously we've already
established, I was scared ofeverything.
Um, I was scared to give theanswers.
She nodded at me and Iunderstood that to mean go say
it and I just said it and saidthe information that was needed
and he goes good.
He didn't find.
But for me that was the way forme to refer and it was an

(39:21):
achievement for myself because Ifelt quite chuffed myself.
Um, but that there isopportunities like that and you
can I think looking to seizethose opportunities.
I think it's a learning outcomeas well.
I think it was a learningoutcome six.
So yeah, I think planning forthose things and inputting them
into MDT as useful, it can bequite nerve wracking.

(39:44):
But remember that you know moreabout nutrition than the other
people in that MDT apart frommaybe your supervisor and a few
others that are there toremember.
You still have gone throughquite a lot of training and
quite a lot of experience.
So you're able to give themsomething, they're obviously
more knowledgeable you in otherareas, but you can still give
them information.

(40:04):
So I think understanding yourscope of practice is important,
not in a limiting sense, but inlike an empowering sense to
actually, you can, you can offerhelp to them because they,
they're actually asking, theyneed that help.
It's not, it's not somethingthat you're just being a
nuisance by they to give thebest care.
They need your expertise.

(40:25):
Yeah.
I didn't get, I didn't speak inan MDT meeting from Walker, I
remember.
Um, but obviously I spoke tomedical staff and other nursing
staff and allied healthprofessionals on the ward.
Um, and there was a time where Idid not, um, for example, they
wanted to remove their patientsand g feed and I didn't think

(40:47):
that was the right thing to do.
And I discussed it with mysupervisor and, um, she, like,
she just told me to like, goahead and speak to the doctor
about it.
So I think if you just, it'sjust like a confidence thing,
really just building on yourconfidence.
Try not to be afraid to speak topeople on the ward, um, at all.

(41:08):
And then I guess when you're inthose situations where it's more
intimidating, you've sued.
So I've got like a baseline.
They have confidence there, Ithink.
Did you speak to the doctorabout it?
Um, I th I think I did.
Or maybe it was the nursingstuff.
I can't remember.
But I explained to them becausethey weren't eating enough and
um, they, I think their sodiumwas high and they were at risk

(41:31):
of dehydration and they hadn't,yeah.
They hadn't been on a food shoplong enough for me to see if
they could eat by themselves.
So they didn't come off the NGO.
Yeah.
I always feel that just becausethey're doctors, they're not
everything.
We're all working to help thepatient and you[inaudible].
Yeah.
Yeah, definitely.
Um, so that's at the end of yourquestions then.
Yeah.
Yeah.

(41:51):
So more or less, yeah, I thinkit's time.
I mean maybe me and Claire canrun through a few things that we
possibly think may be importanttips.
One that was, I was actuallyasked by a friend the other day
who was going through anexperience and I think would be
valuable to point out onplacement.
Quite often you with a lot ofdifferent supervisors and they

(42:11):
might say something slightly inconflict with one another.
So one supervisor might saysomething in conflict with
another and um, obviously your,as a student you're like, oh my
goodness, oh my goodness.
That conflicting with eachother.
Let's let, let's break the newsto the entire department.

(42:33):
Um, this dietician, thisdietician said something
different.
However, what I found reallyhelpful for my learning, that
was my immediate reaction.
Um, and I think it is a lot ofstudents' immediate reaction.
What I learned from actuallybeing on placement is they,
they're allowed to conflict.
And I think phrasing thequestion is not in a sense of

(42:57):
put such and such as this, butphrasing it in a question of
like, oh, that's different thanthe way such and such did it.
Have I missed something?
Is the context different?
Is there something that Ihaven't quite grasped and
phrasing it in that kind ofsense.
One helps you to understand alittle bit about difference of

(43:19):
context.
So a patient being in acompletely different situation
and understanding how contextmight change things slightly in
advice and secondly also is aslightly more polite in less of
a way of Oh I've got yeah or atrip chair or whatever.
It's, it's been more inquisitiveand really asking why instead of

(43:41):
saying ha you're wrong or ohthis is conflict cause you might
actually be wrong.
There might be a certain levelof information that you might
have missed that might be acompletely different context or
such and such.
Told me differently.
Yeah.
Because the patient had acompletely different condition
so therefore the recommendationsare different or it was a
completely different stage ofthe condition.
So I think it's important toremember, um, that and the way

(44:05):
you ask questions is importantas well and being sometimes as
respectful as possible.
Yeah, I think that's a good tipparent.
I think you have the mostexperience regarding that.
I don't know if I can add onanything to that.
Um, but I guess one of my pointsI would say, um, as a tip for
placement would be try and be asorganized as possible.

(44:28):
Um, so on my seed placement wehad, there was a a period about
three weeks.
That's why we just had clinicsand I didn't have a car, so I
was relying on public transport.
So I had to plan out my routesto make sure that I was on time
for the clinics.
I left the clinics at the righttime.
Um, and I think for me that wasa key thing for the placement

(44:49):
and not being stressed outbecause the last thing you want
to do is be rushing aroundworrying which bus to get or if
you're lost.
And I think just planning thosethings really helps.
[inaudible] preventing extrastress.
Yeah.
Google maps is a, is, I haven'tseen other mapping software is
available.
Okay.
Were you ever late for anyclinics?

(45:12):
I'm never really late.
I'm just obsessed with being ontime, so I'm oddly like, that's
good.
I think I have been like, um, I,my own experience was yeah,
follow the policy of the trustthat was basically like, cause
the thing is what can you dolike Eh, while I was on

(45:35):
placement, we had winter monthsand it was snowing and that
affected transportation intouniversity.
A lot of people, no universityinto placement.
Um, a lot of people didn't comein and just making sure, one of
the Times I was calling up andobviously no one was in the
office because the snow was sobad.
So I was calling like differentDietitians around the office and

(45:55):
I was like, in the back of myhead I was like, at least they
know if I leave a message andeveryone's cancer machine.
I tried, I tried to contactthem.
Um, Saturday night, that'sbetter than doing nothing.
But I think, I definitely thinkthey appreciate that.
I definitely, yeah, I definitelythe instead of just turning up
and say, oh I tried to call onedietician.
Yeah.
And then it failing clients tocall, like try your best, try

(46:19):
the best possible way you can doand contact them as early as
possible.
Saying I actually might be late,um, because of this reason or
this reason.
Um, and just calling them or andt and the number beforehand, um,
in case something like thathappens.
I was going to say, I guessanother tip, um, I was thinking

(46:41):
about is when you're onplacement, as Aaron said, you're
there until about half past fouror five o'clock and then when
you go home you've got extrawork to do.
Um, we have a[inaudible] nineoutcomes and we have different
pieces of evidence for in eachones.
For example, learning outcomeone, they're not be five mini
outcomes within that and youmight have to either get one

(47:02):
piece of evidence for each ofthose mini ones or multiple
ones.
Um, so I think what I did on myc placement was I had a look at
which areas, um, on my timetableI would be able to meet.
He used to meet those outcomes,if that makes any sense.
Um, so that I would be able tocollect the evidence in a timely

(47:25):
manner for like my halfwaymeetings, my final meeting.
Um, so that you're not sort ofscrabbling around in your final
few weeks try and piece bits ofevidence together.
Um, what do you think from thatAaron?
Yeah, I think that's a planningout.
I actually, that's a really goodidea and I didn't do that.

(47:45):
Um, to a certain respect andobviously it is, it is important
to plan out where you can getcertain pieces of evidence and,
and I think I didn't do thatuntil later weeks to be honest
on seed placement.
And I think I did feel for acouple of weeks there was a mad
rush.
Um, so I think that reducingstress would be to look at your

(48:07):
timetable or look at what'sgoing to happen in the future
and plan out what sort ofoutcomes you can hit, what kind
of situations you're going toget into that will allow you to
achieve those outcomes and youmight not have specifics on your
timetable.
Um, that's why doing itregularly book like a little
weekly planning session.
Uh, and then a nightly planningsession, like little goal if you

(48:32):
like that kind of stuff.
You might be one of those peopleat like nine o'clock.
I always do my nightly planningbefore I get ready for bed.
I sit down for half an hour,plan out your trips for the next
day.
You could do something like thator you could just do it at the
end of the day in the office ifyou wanted to do it, get it done
them.
So it doesn't take much time toplan everything.
Like it depends what you do inMaili.

(48:53):
Yeah, I mean I didn't do all mybee placement.
I was just kind of winging,collected the evidence I guess
by worked, but all my CEplacement, um, it was kind of a
step up in terms of evidencecollection.
So I was like, right, I need tobe focused here.
Um, so I would, I think I lookedat all the outcomes until week
six and then sort of wrote downwhich areas I could get things

(49:16):
in.
For example, communication on,you'll be able to get that in
diabetes.
So some you just can't get untilyou're in that setting.
Um, but I just looked atstep-by-step.
So from example, between weeksone to three, I thought, which
ones can I get this week?
Um, which ones can I get nextweek?
And then I looked from weekthree to six and 69 and then

(49:36):
nine to 12.
So I just kind of did lot likethat.
Rarely.
Yeah, I think that he's betterthan the way I did it because I
didn't do that.
And the way I did it was I'dasked, attacked it and thought,
what evidence can I get?
And I wasn't thinking about itin the case or learning
outcomes.
I was thinking about what toolscan I complete?
So I did a consultation.

(49:56):
I was like, oh, let's do an ICAPfor that one.
Let's do another cat for thatone.
Let's do it.
Let's do a reflection for thislesson.
What happened in the end?
From what I can remember, I gotloads of pieces of evidence that
I didn't quite need.
So I did a lot of work thatreally wasn't needed.
Um, so I definitely thinkplanning out would have helped
me to eliminate that extra workthat I had to do.

(50:21):
Yeah.
And I think in terms of, okay wehave to get so many different
outcomes.
I think if you have one ofevidence you want it to try and
match a lot of differentoutcomes more than one.
Otherwise you're just doing it.
For me it's kind of pointlessreally.
There's no point in doing it ifit's just for one cause you're
going to end it with so muchpieces of ever and so many

(50:41):
pieces of evidence it's going tobe too hard to track and for
supervisors to sign off.
You mentioned like before westarted recording about like a
celiac consultation as well.
Oh yeah.
Yeah, yeah.
A quick tip for that one is it'sa plug for a Sila.
UK actually have like a resourceof everything you should mention

(51:02):
in a consultation with a newpatient.
So they literally have a biglist of everything.
So that I found really useful tomake sure I covered everything
that I needed to do.
And I obviously adapted it andadded things to it and change
things and make customized itmyself.
But it ensured that I gave thepatient all the information that
they needed in that firstappointment.

(51:23):
Cause there is a lot to cover it.
It's very much informationdelivery appointment.
So see that UK do have thatresource.
Um, and uh, if I can get thepodcasting sort of things right,
I will put it in the show notes.
It's helpful.
I'll put a link in the shownotes and I can find it again.
Uh, maybe just a quick question.

(51:45):
Like, so Claire, if you couldhave one tool on placement, okay
.
Right.
One thing you just sort ofcouldn't live without that you
probably wouldn't have expected,what would it be?
Uh, so Yanna I'll ask you thatfor a placement.
I'll ask it for myself.
I'm just going back to thetables I had in my Polly pockets
again with my medication andalso what one of the Dietitians

(52:10):
they printed out for me.
It was um, all the differentfeeds they had, their had per
hundred meals, the amount ofcalories, protein, um, potassium
and sodium and it was per photoper 500 mils, 1001.5.
Um, and that really helped mebecause then I could, I'm not
that confident with math.
So when I was doing my feedingregimes and I could definitely

(52:32):
check that everything that I putdown was right.
And that really helps me Ithink.
So in, in, in brief his cheatsheets basically.
Yeah.
A lot of cheat sheets.
So yeah, he could spend yourfirst couple of, in fact on the
first couple of weeks you mightnot get any evidence.
Yeah.
It might be worth on the firstcouple of weeks thinking about
what sort of cheat sheets can Imake, what do I need crib cheeks

(52:56):
for?
And then use your time outsideof that to make those cheat
sheets.
Cause in later weeks when you'retrying to call off minutes in
your compensation, makingquicker, make yourself more
efficient, those cheat sheetswill come in handy.
[inaudible] and also I hadanother kind of cheat sheets.
It was split into a, B, c, d, e.
Um, for people who don't knowwhat it means.

(53:17):
So a means anthropometry B isbiochemistry, CS, Clinical Diaz,
dietary and ease environments.
And I had this for like astandard o and s patient and
under mia box I would havedifferent things of which
measurements I could ask for orcollect like wait history,
current way, um, most weightloss.

(53:39):
And then I would do that foreach single box and carry that
around with me on the wall.
And you use that as like alittle checklist to make sure
I'd got everything at the end ofeach consultation.
One of the things I found usefulactually was, it sounds weird
thing, but I found do you havethe feed companies?
They make their ownapplications?

(53:59):
Ah, yeah.
I really, you know what theNutricia did not work on my
phone.
Okay.
So there's lots of differentfeed companies and obviously it
depends on the place where youare.
So having a printout or havingthe application, the application
is good because it's updatedregularly.
Um, but I, I am aware that notall trusts allow you to use the

(54:20):
application on your phone,printing off things like that or
having the application and a lotof the applications they have
extra features like calculatingrequirements.
Um, and obviously things likethat can, I found it quite
helpful, especially for the, forthe feeds and it can change and
things like that and pop andthings like that, you know,

(54:41):
really quite useful.
So they have applications in areavailable on Ios and I think
we've got an android user overhere.
I'm not gonna, I'm not gonnadisclose who that is.
Um, but uh, definitely availableon android all day.
Yeah.
So just cause they're taught somany different kinds of like
feeds and stuff that you getconfused was really useful to

(55:04):
disc, something like that.
Yeah.
Yeah.
I think another one might bejust to cancel your plans.
Yeah, that's actually true.
Don't try and plan anything.
Bake during the placement periodis to try to cut your workload
down as possible much aspossible.
And to be honest, sometimes Ireally could do things that I
didn't expect.
I was able to do but other timesI would have worked to do that.

(55:27):
I didn't realize was as muchwork as I needed to do.
So is it a lot of work, like douse like burn weekends and
stuff?
Preparing for placements?
It depends.
It depends on the trust, dependson the trust.
Depends on you.
Depends on, yeah.
Your confidence depends on howmuch you want to wing it, how
much, how confident you are,how, how, how long it takes you

(55:51):
to write.
I think.
Yeah, everybody's different.
Yeah.
It's intense.
That's all I want to say.
It's intense one because you'relearning so much one because
your, you're also um, basicallylike you reflecting on
everything and you're going deepinto your weaknesses and your

(56:11):
shortcoming.
That's really true actually.
I actually started like doubtyourself a lot on place and I
think Aaron said to me onplacement, it's really hard when
it's not only you critiquingyourself, but it's the dietician
and multiple people and that'severy single day for six months.
It is really hard.
Um, soft emotionally as well.

(56:32):
Um, yeah, I think, I think thatis the case.
And I'm not saying that anyonewas particularly nasty about it,
but that constant thing issomething that I'm, I would just
wasn't used to and I don't thinkevery single consultation you're
reflecting on your going reallydeep into it.
You're talking about it withanother person and that is quite
an adjustment and it is quitedifficult.

(56:56):
Um, so I think the point ofmentioning this is just to
understand that if you're onplacement right now we are going
on placement.
Remember that you're not alonein feeling that way.
You're not the only person whosort of, yeah, definitely talk
to other students or if if youdon't want to talk to other
students, maybe your like tutorfrom university.

(57:18):
I definitely think you need totalk about it.
Otherwise it just make thesituation worse.
Really.
Yeah.
I have not seen a good thing butI also just don't come.
Yeah.
I think one thing, don't compareyourself to anybody because one
thing that I learned is everyone is different in a different
situation, in a different place.

(57:38):
Like from it from my own exampleweek for placement B, I was
terrified of doing a calculationcause I had not done an adult
calculation on either placementyet by seven weeks into place.
I had not seen an adult patient.
So I was on a pediatric[inaudible] placement and then I
was on p in the pediatric wardfor the four first four weeks of
my B.

(57:59):
So I was terrified.
But nobody else could relatewith that.
So you've got to make sure thatyour not comparing apples to
oranges.
Yeah.
You know, you've got, you canpair, you're not, you're not
overly being critic critical ofyourself and remembering
everyone's different.
And even if someone was in thesame trust as I was there, I've
been in pediatric for fourweeks.

(58:21):
I had a completely differentexperience and where that when
they're in pediatrics on thelast week, they don't have a
clue about calculatingchildren's requirements.
Whereas I'm a whiz.
Like, you know, everyone comesat things slightly differently.
Yeah.
And I think when you compareyourself, you can often be over
critical of yourself and undercritical of other people.

(58:41):
Um, and just remembering that Ithink on one of the dietician
offices they had on one of thewalls is comparison is the thief
of joy.
And which I think is a reallygood, I'm saying especially for
placement.
Yeah.
Um, I think it's important totalk with other students, but
try to avoid an, oh, even if youdo remember what I said here,

(59:04):
what class at here?
Yeah.
Every situation is different.
Even if someone is in the sametrust.
Yeah.
Perspective.
Yeah, I agree with that.
Um, yeah.
I don't compare yourself.
Yeah.
That's a good advice.
Even for life.
Nice and fine.
Yeah, definitely motivational.
Yeah.
It's not, listen, put it onYoutube, like motivation.

(59:25):
I should've got the video weapon, they couldn't really see my
face during that, during thatemotive sequence.
But I also wanted to clarifysomething.
So throughout the podcast we've,maybe you could construe it as
we've been sort of, we've talkeda little bit about the struggles
placement, but I just wanted toconclude with the fact that I
actually, looking back now, Ilearned so much.

(59:48):
It was difficult.
It was hard, but I learned somuch.
I developed relationships withfellow students that are really
strong cause we've been throughthat.
Um, I also looking back, Iactually sort of have really
fond memories of it.
Like I remember certain thingsand you're like, oh, remember
when we did this or lot more wedid this.

(01:00:09):
It's actually quite enjoyablelooking back.
Um, and you have moments whereyou cry.
Well, I had a few moments whereI cried, um, because it's just
really difficult.
Um, and I don't want to shy awayfrom that, but I also don't want
to shy away from it is a reallybig learning experience and a
really positive one for myself.

(01:00:30):
So, um, I just wanted to makethat sort of final remark and on
a positive note, I'm lookingforward.
Yeah.
Yeah, you pumped kind of pumped,you know, to be honest, I think
it's normal to be nervous aboutthese things.
Um, but remember that again forCNN, anybody actually, to be

(01:00:54):
honest, most dieticians thatI've talked to who've been
through placement recentlyunderstand and if you message me
on any of the social into webplatforms and that kind of
thing, I'll message back in it.
If anyone, I don't know, youmight want to talk, I suggest
someone in your sameuniversity's going through the
same thing, but anyone iswilling to, if you just want to

(01:01:16):
message me or open up to anyone,it's perfectly fine and a, if
you want any advice or help, Ican offer it.
But remember when the offeradvice is only by advice based
on our own perspectives and it'snot to be taken as Gospel for
all different situations andlisten to your supervisor and
the trust where you are on whatis required for your placement

(01:01:37):
as a doc student.
Um, just to make that clear.
Um, the thoughts and opinionsshared in this podcast.
So false and opinions.
I'm not officially endorsed bythe beat or anyone affiliated
with the, um, yeah, I'm going tosee really good.
Yeah, Aaron for providing allthe equipment.

(01:01:58):
You a great set up.
Yeah.
I also thought be really good inthe future to get back together
and uh, probably be remote.
Um, uh, but to get back togetherthat when me and Claire have had
experience of[inaudible] yeah,that's true.
Wow.
[inaudible] been on placement.
That was really good idea.

(01:02:19):
And then be like, how have ourperspectives change?
Because obviously they're justopinions based on our
experiences.
So when we've had experience, Iactually supervising people, it
might change.
Um, so I think we might be ableto offer something in a slightly
more, as we get more, yeah.
Get a different perspective.
Yeah, definitely changingperspective teaser for the

(01:02:41):
future.
So, uh, thank you all forlistening and a goodbye.