EPQ@WKC Plan and Diary Task Look at mark schemes and past EPQ projects on the OCR website and on YouTube. Talk with my allocated supervisor - Mike Proposed completion date 18th September 22nd September Proposed actions Outcomes Comments Look at mark schemes and past EPQ projects grades C to A* to see the difference and understand what OCR is looking for and what I need to do to achieve a top grade. Also, to search on YouTube for past EPQ short films to decide whether or not I would like to make one. Mike encouraged me to go to his office for help at any time so I felt it was imperative to inform him of an idea for my project and to also get his opinion. It didn’t take me long to realise the amount of work I had to put into this project. I didn’t find YouTube very useful as it only had a few videos; in addition I did not find making a film very appealing as I noticed the amount of time they took to make: time I do not have. Taking into account that I prefer writing, I decided I was better off writing a dissertation. This research I did at home really helped me further learn what the EPQ was about, beyond the classroom. I am extremely glad I did this as reading past projects really motivated me to start my own project. I informed him that I really wanted to base my project around the exciting field of medicine. I explained how during the summer I watched an interesting documentary on the bubonic plague, its cause, and what a great catastrophe to the world it was. This has fascinated me ever since primary school. He told me it was a great idea and he would organise a trip for me to go to the science museum to see bones from people who died from the plague, and where I would have the opportunity to talk to some scientists in a laboratory there. I really benefited from his advice and help and felt even more motivated and confident that this was an excellent topic idea. Task Proposed completion date 23rd September Proposed actions Outcomes Comments I intend to begin with some simple research of the disease itself; firstly by looking on the internet and to also reassure myself that I am 100% certain this is what I want my EPQ to be about. I was not happy and slightly concerned because I needed to think of a new project fast as I was already starting late and was running out of time. Discuss this change of plan with Mike at the group meeting. 28th September I will present to my class and Mike where I stand, with no title and still only knowing I want to base my EPQ around medicine. I also want to hear my classmates’ opinion and to see how they were progressing. Researching about the black death was, in fact, more bleak than I imagined. Upon reflexion I came to the conclusion that I wanted to deal with something a little more current rather than on the history. There is no doubt that the bubonic plague was a highly interesting topic, but due to the simple fact that I no longer felt like continuing reading, made me realise that I did not want to do my EPQ about it. I preferred basing my project on the ethical and social issues relating to ongoing debates such as euthanasia, which I was learning about in Spanish A-level. As I explained my difficulties for researching the black death everyone agreed it was not a good topic for me. Mike suggested I do my project on traditional medicine as he explained how surprisingly useful, if not better in some respects, it can be compared to modern western medicine. Furthermore, I discovered that no one in my class had thought of a title either, this was a relief as I knew I wasn’t the only one in this situation. Complete my verification of topic title meeting document. Re-do verification of topic title 1st October I have to complete my verification of topic title and send it to Mike. I completed this document with no difficulties and sent it off to Mike swiftly. 3rd October Mike said my verification of topic title lacked detail and needed a specific title. This took me some time as I thought through everything carefully whilst answering all different types of questions on a photocopy Mike gave us in class. I sent it off to Mike. Search the internet for the history of the bubonic plague. I thought Traditional medicine was a brilliant idea as my uncle is a hepatic doctor in Colombia and I knew I could definitely ask him for first-hand information. I was surprised I did not think of this earlier and decided to do my project on this interesting ongoing debate between traditional medicine and established current medical practice. This was just the type of debate I was looking to do. Task Begin research on the internet and phone uncle. Think about alternative ideas and come up with a new title. Ask friends and family for advice. Proposed completion date 5th October Proposed actions Outcomes Comments Begin research again but this time on traditional medicine and to also call uncle. Having lost 3 hours and feeling greatly concerned and confused, I decided to leave it for the day and do some A-level revision instead. 12th October Talk to my friends at school and outside of school to get their opinion about what they think I should do next, or if I should just stick to traditional medicine. Whilst researching I found out that many prospective medical students had also done their EPQ on traditional medicine compared to modern medicine. I really wanted to stand out and therefore I felt like changing my topic again. I also found the topic slightly boring partly because I did not come up with it myself. In A-level Spanish we had discussed euthanasia because we were studying a film called “Mar adentro” by director Alejandro Amenábar for our exam essay. During my class debates and after watching the film, I realised I was very much intrigued by this topic and wanted to look into it further as it clashed with my religious beliefs as a Christian. I was already up to date with the ethical debates on quality of life versus length of life from previous university lectures. That same day I had bible study with a Jehovah’s Witness couple. I briefly got their opinion on euthanasia. I found this very useful as I clearly distinguished the controversy between respecting sanctity of life and patient autonomy. I had a lot of information on the religious point of view which has at times shaped my thoughts about this topic. Task Talk to Mike Change my Verification of topic title. Proposed completion date 15th October Proposed actions Outcomes Comments Tell Mike I was thinking about changing my topic again. He was surprisingly pleased about this as he said the project must be something I enjoy and find truly interesting so that I don’t find it a burden but an enjoyable project I am doing out of free will, which is what it is meant to be. However he informed me that euthanasia was also quite a common project addressed by medical candidates already. I am glad he told me this as it sprang to my mind to make my project more specific to something around the field of euthanasia. I had been having discussions with atheists and people of other religions about blood transfusions throughout the week and I realised how this was a big debate. I only knew what the Jehovah’s Witnesses had told me with texts from the Bible but I lacked scientific/medical knowledge. I realised I wanted to base my project on this. It was something I wanted to know more about, not only to help me to one day become a first class doctor, but to help me decide whether or not I would receive a blood transfusion. I promised myself to not change my mind again and to keep this idea for my project. 20th October Complete my final verification of topic title document and send it off to Mike and apologise for my lateness. Start planning and create a timetable so that I am clear as to when I am going to finish thus organizing myself by sticking to it and having my own deadlines. Also to create a spider diagram. This took me a while because I wanted it to be perfect in as much detail as possible. I also noted the skills I needed to work on. 24th October Start planning and do spider diagram This did not take me long and I am planning on finishing my project by the 10th of February. I had difficulties doing my spider diagram because I did not know in how much detail this had to be. I should have made my plan earlier and then gotten on with the work more quickly, nonetheless, I did it and it gave me a rough idea on how much time I would have and would take researching. Task Proposed completion date 10th November Proposed actions Outcomes Comments As I had difficulties with making my spider diagram, I want to inform Mike and ask him how detailed it has to be. I did not struggle as much as before to get my ideas together. Talk to Jehovah’s Witnesses about my final topic idea. 15th November I want to inform them to see if they can lend me a hand by providing me with some information about blood transfusions they might have and see their point of view, other than looking on their website. Research ideas for my topic title 16th November I know what I want it to be about, now all I need is an adequate title for my EPQ. He helped by doing a rough sketch of a spider diagram which was very useful as it gave me an idea. I got home and did my own detailed mind map of what and how I will research. This was excellent because one informed me she had a DVD on the alternatives to blood transfusions that she said she would bring next week and some articles of cases where Jehovah Witness patients have refused blood transfusions. She also said she would put me into contact with other Jehovah witnesses who work in the medical field in Bethel, which is a place where some of them work and live. I realised I wanted it to be purely on the debate of the surgical/ethical challenge. The debate and controversy between whether they are good or bad and if they should be used or not. To debate that they are bad I wanted to back up evidence with some alternatives to blood transfusions. To debate that they are good I wanted to include facts and stats on how they’ve saved lives. Talk to Mike about my spider diagram. At first I kept changing my mind and could not come to a conclusion as to what to put as my topic title. I wanted it to be scientific, concentrating on the alternatives but I also wanted some sort of debate so I could make a decision. I decided to include both but to mainly concentrate on the debate. Task Proposed completion date 23rd November Proposed actions Outcomes Comments I wanted to hear and learn what doctors and medical students think of patient autonomy and blood transfusions. I enjoyed forming a part of this debate because I shared my views and appreciated others opinions. I realised the debate is still going on as to whether or not a doctor should give a blood transfusion without respecting the patient’s wishes. Whilst there I thought of a title: Blood transfusions: the surgical/ethical challenge and a possible subheading title: is it ethically right for doctors to respect a patient’s decision to refuse a blood transfusion? Research what blood transfusions are. The history of blood transfusions. 12th December Search the internet for information on how and why a blood transfusion is given and what are the procedures before and after receiving one. Also to research when and how they first came about. Surgical problems and identify the health risks. 15th December I want to research on the disadvantages and the hazards of blood transfusions Unsurprisingly the controversy on euthanasia and the moral issues regarding blood transfusions came up. The lecturer was giving us examples of cases where Jehovah’s Witnesses have refused blood transfusions and died. She wanted us to raise our hands if we thought it was right or wrong for the doctor to respect the patient’s decision. Most of us in the lecture theatre thought it was wrong because a doctor’s job is to save someone’s life not let them die. I put my hand up and said it is not letting them die but asking the doctors to use a different method. She asked another question: What is the difference between euthanasia and blood transfusions? I did not know the answer. I discovered that most of the websites describe blood transfusions as a safe, common procedure. Firstly, your blood type is tested and matched with a donor’s blood by cross-matching, however, although fatal risks are rare, for every 1 million units of blood transfused, getting the wrong blood type happens four times. I also read how mistakes do happen resulting in a severe haemolytic reaction. During an emergency you will not be tested and given Rh negative. The history of blood transfusions was straight forward with the timeline dating from 1800 up until 2002. I found basic information on the NHS website but I felt I needed more information from other sources as well as this was not enough. Attend a lecture at Kings college on the ethical issues in medicine. I Found the internet very useful with fascinating, grabbing and up to date information. I couldn’t stop reading as one website took me to another. I ended up taking longer than I thought; in total this research took me four hours. Task Proposed completion date 16th December Watch the DVD on the alternatives to blood transfusion Visit the British library and borrow books on blood transfusions such as the history or the alternatives. Use the internet, books and articles on the difference between Euthanasia and not accepting a blood transfusion. 20th December 12th January Proposed actions Outcomes It is important I watch and make notes on the DVD so I gain a better understanding on the alternatives to blood transfusions and their advantages compared to the advantages of using blood. I intend to watch all three videos on the DVD which includes real life Jehovah witness patient’s cases and the wide range of methods used to treat them without the use of blood. I believe it would be a great idea for me to use other resources such as books and articles. I intend to get a readers pass at the British Library and see what they have. I need to ask start researching the “ethical challenge” section for my dissertation and make notes on the differences between euthanasia and refusing blood transfusions. I watched the first video on the alternatives and it was quite complex learning about the range of blood transfusion alternatives. At first it was quite difficult to understand because of the scientific jargon used but taking notes really benefited me and I could relate much of what I learnt to A-level Biology. It was extremely intriguing and I especially enjoyed watching videos of the operations and expanding my knowledge. Comments It took me a while to get my readers card but when I did, I ordered some books swiftly and looked around in the science department. I found a book on the history of blood transfusions and read the first few chapters. I found a large number of real life case studies on the internet and realized that most doctors see euthanasia and the rejection of blood as the same thing. But I mostly found a lot of criticism online concerning Jehovah Witnesses and could not help but read through, because of my curiosity, but did not find this very useful information for my project. Therefore I checked www.jw.org website to see the JW’s point of view. Their website gave me a better understanding as to why they do not accept blood and how they do not wish to die, as opposed to euthanasia. I did my own comparison since the internet could not answer my question on the differences between the two. I used the definition of euthanasia and used my opinion to expand my notes from there. Task Proposed completion date 15th January Proposed actions Outcomes Comments I want to ask if they could put me into contact with someone from Bethel in charge of providing information on blood transfusion alternatives. I was very lucky as one of them, Jonathan, knew a Jehovah witness who was a member of the Hospital Liaison Committee and so I made a questionnaire for him to hand over to them. Send an email to Jonathan so he can hand in the questionnaire to the hospital liaison committee. 16th January I wanted to thank him once again for helping me and send him the questionnaire. Start reading over the documents Jonathan sent me through the mail. 20th January After waiting anxiously for the documents to arrive through the post for days, compared to finally having them in front of me motivated me to begin reading them. Unfortunately the HCL could not fill out the questionnaire. Jonathan explained how he might have overstepped himself by saying the HLC could give an interview (or fill out the questionnaire) as they don't offer interviews. However, he explained how they'd love to do all they can to help me gain the information I need and have sent him me a pack of helpful documents written by professionals in the medical field regarding ethical procedures, etc. of bloodless surgery, and leaflets written by Jehovah's Witnesses’, but everything else had been produced by other sources/professionals. I was eager to get started and enjoyed reading through, highlighting and trying to understand the extremely complex medical jargon. I did have to research many words such as autologous, phlebotomy and erythropoiesis every few minutes in order to understand what I was reading. The questionnaire was very good as it asked questions I genuinely wanted to know about. I figured it would be interesting to ask things like: how long you’ve worked in the HLC and how many patients have successfully undergone surgery without the use of blood. I was a little disappointed they could not fill out my questionnaire as I needed it for qualitative primary research. However, I know I will be able to use all the documents they’ve sent me for secondary research, as it is filled with information from a non-biased point of view, as well as religious, which is just what I am looking for. Talk to Jehovah witness couple again for advice on my project and for any more information they could provide. I knew I couldn’t understand many sentences as it was quite complex written by doctors for surgeons, therefore I decided to contact my medical school friend who agreed to try and go over some of it with me sometime next week. I want to see if two people can understand better than one. Task Continue reading through the pile of documents I had to see if some were easier than others. Proposed completion date 22nd January Invite my medical school friend to my house. 25th January Think of primary research I can do to add more depth to my project. Send survey to all my contacts and post on Facebook. 2nd February 10nd February Proposed actions Outcomes Comments I didn’t want to waste time waiting till next week so I took the initiative to continue reading and researching words I did not understand and looking for images to help me comprehend. We need to meet up to see if we could work together to try and understand everything. I still struggled although the images did help and I realised that once I understood key words the sentences were starting to make sense but I thought I could still be interpreting or understanding it wrong so I felt it would be best to get a second or third opinion. I came to the conclusion that I also needed to ask my biology teacher at school to see if he could maybe explain some things I didn’t understand. I was right. It was much better working together as we tried to explain things to each other. We really analysed information and did extra research on google to see if one of us had understood it wrong or right. We did not move on until we understood everything and the teamwork was really helpful and fun. As my friend was much older they taught me tips and tricks on skim-reading and learnt to take shorter notes selecting key words instead of copying most sentences down again in my notes because that just proved that I didn’t understand anything. I decided to create a survey of 11 questions. It did not take me long and it was free. This is the link: https://www.surveymonkey.com/s/M2F5TXW When we finished my friend told me she quite enjoyed my project as it was interesting and learnt new terms and words and she became more aware of blood transfusions. This reassured me that I had indeed picked an exciting topic and that once my project is done, could perhaps help people learn a little more about the alternatives to allogeneic blood transfusions. I need to think about how I am to going to gather primary information now since the hospital liaison comity interview did not work. I have to send the questions out and wait for responses to come in. It was hard to get people to fill out the survey I posted it on my wall on Facebook and had to at times contact my friends by text individually and ask them to pass on the link to their other friends and family. In the end I got 22 responses, although it was small it was better than nothing and it was enough data for me to interpret. It was extremely exciting reading people’s answers and helped me to write my dissertation and include people’s thoughts and opinions in mind. Task Proposed completion date 14th February Proposed actions Outcomes I have to meet with Mike to schedule a mid-term review before half term. Look for information on how to write a dissertation. 19th February I need to know how to structure a dissertation and how it differs from a normal essay. I could not find Mike at college and so decided to send him an email instead. I explained to him all I had done up till now and it was very helpful as he told me I was doing well with my research and gave me clear answers. Although he told me I needed to start with the dissertation and start the introduction and possibly parts of the main body depending on what I was researching on. I searched the internet and found good websites designed for university students explaining clearly the different sections of a dissertation that I didn’t know about like for example what the methodology was. I also read examples of other university students’ dissertations and began to get a feel of how to I need to write one myself. I managed to finish writing my introduction. Re-draft EPQ and start presentation 23rd March . Up until now I had been working hard on my dissertation and I had finally finished the 5,000 words. Now all I need to do is edit it and make sure it reads nicely and begin working on my PowerPoint slides. Meet with supervisor Mike I read through my dissertation numerous times and looked for any errors. I also ended up changing my sentences as some did not make sense, however, doing this ended up cutting my words down. After I re-drafted it I decided to print it off and read through it again out loud this time. I could not however start my presentation. I decided to do it tomorrow and complete it during the next couple of days. Comments I quickly realised I needed to add references as I noticed I couldn’t help but add quotes from all the articles I had read that the hospital liaison comity had given me. I called a friend who was quite good with computers and handling Microsoft Word and asked her how to insert footnotes for my references. Task Continue working on my presentation slides. Put all my work into one document and send it off to Mike to check for me + practice presentation. Proposed completion date 28th March Proposed actions Outcomes Comments My aim is to complete my presentation today so that I can start putting all my work into one document. Thankfully I have managed to finish my first draft of my presentation and meet my deadline. It is 13 slides long and I want it to last around no longer than 15 minutes as I tend to talk a lot during presentations and I don’t want it to get tedious for the audience. 26th April I would like for Mike to have a look at my EPQ so far and see what he thinks. I sent it to him by email and he said he said he would get back to me by tomorrow. Meanwhile today, I practiced my presentation out loud numerous in front of my friends and family to see what they thought and get feedback from them. They all looked as though they were enjoying my presentation and said I did a good job. Some of my friends even said they wouldn’t want to accept someone else’s blood anymore and would prefer their own stored blood. This did not take me long as I am quite familiar with PowerPoint and I have always used it for all my presentations. I have added effects with the letters and colours to make it livelier and not become boring and because I personally enjoy adding effects to my slides and it has always caught the audience’s attention. I am so pleased I have managed to achieve my goal which was to get them thinking. However I feel that I had too much text on some of my slides so I decided to cut down and add more pictures. I was told to also maybe add more examples and to speak louder tomorrow. Task Give presentation in front of class Write up audience reaction sheet and re-draft dissertation Proposed completion date 28th April Proposed actions Outcomes Comments The time has come to present all that I have researched throughout these past 8 months. Mike told me I have to present my EPQ at 3:30pm today after college. One thing I could have perhaps done better was add videos to help the audience understand complex bloodless procedures in a much more visual way. 29th April Last thing I need to do before I am ready to submit my EPQ is write up my audience reaction sheet. Then I need to re-read my dissertation one last time to make sure there are no silly mistakes. I need to print off all my work for Mike and submit my EPQ. Overall, I am pleased to say that my presentation went better than I expected. Although I was nervous (and as a result got very thirsty at the beginning), I kept my bottle of water by my side and spoke loudly and confidently the more I got into the presentation, on a topic I had passion for and knew so much about. My classmates said it definitely got them thinking about blood and that it was a great topic I had picked in the end. I believe this EPQ was a success because of the effort I put in and the skills I have learnt. This project has made me change my whole view of blood and whether or not I would accept a transfusion, if I were ever in that situation. I absolutely enjoyed this chance to get a feel of what I will be doing in university and it has greatly prepared me for this, when comparing to other students who will be new to the idea of dissertations. Therefore I am very grateful and glad I made the right decision to do one. I read over Mike’s suggestions and considered them whilst re-drafting. I made sure everything was in place and that I felt confident and happy with my EPQ. In the end there was not much to be changed, just some of my graphs on Excel and other typos I hadn’t noticed. 30th April Submit project I printed off all my work and handed it over to Mike for submission. My EPQ is finished.