From then to now

02 November 2021
Volume 13 · Issue 11

Abstract

In her last NQP column, Mahdiyah Bandali reflects on her surprise foray into paramedicine, her journey thus far, and what keeps her motivated to carry on in the face of various obstacles

Growing up, I never considered being a paramedic as none looked like me or shared my faith and I felt like I couldn't relate. But when I was applying to medicine and compared my personal statement to the description of paramedicine, it seemed almost word for word. ‘Emergency medicine’ with a ‘hands-on approach’ won me over and I took the plunge without any of my family or friends knowing. Fast forward a few months, I secured an interview and after some further research, my heart was set on it.

Once we all came to terms with my last-minute 360° decision to become a paramedic, I began the first moments of my future vocation and I knew this path was right for me. While as an 18-year-old, it was more than terrifying to be seen as a figure of trust in a time of need when out on placement, I loved the thrill and constant application of knowledge. I was introduced to the ever-growing scope of prehospital care in the ambulance service and from then on, I made paramedicine my passion.

My first year was more of an introduction and acclimatising into the hopeful future. However, in my second year, I started to find more of my niche. I became part of the High Achiever's Recognition Scheme within my University where I gained additional mentoring and training into finding methods of improvement within myself—work which I still participate in as an alumnus. This year was the busiest but it was pivotal in paving my foundations and shaping my goals in my third year. I became more confident in my abilities as a student paramedic, leading cases and having little help or support from my mentor or crewmates however still relying on them to justify many decisions.

By my final year, I enjoyed exploring the different routes I could take as a paramedic. The minor injuries and illnesses module helped me see the profession in a different light and I began to not only independently manage patients, but also start evaluating the wider perspective of an illness. Initially, I focused on what was immediately needed for the patient and getting it done as swiftly as possible. However, at this stage, I began to evaluate the interventions they would receive in hospital, how it would affect their other conditions and quality of life and what steps I could do to reduce the impact. This was helped by my elective placement to New Zealand where I was presented with multiple differences in treatment to what I was used to in England.

All these experiences and methods of growth became key points for me to start building on when I qualified. Working in unfamiliar environments and being exposed to alternative treatment pathways made me more confident working in new areas and taking on the multiple roles I fulfil now from primary care to frontline. The additional training and mentoring I received during my studies gave me the drive to become a vocal changemaker in the future of the ambulance service. While my journey has flown past, I still vividly remember my first day as ‘clinical lead’ in the ambulance, the pressure I felt and the many times I have had to admit that I don't know all the answers, relying instead on someone with many years of experience. The journey seems long, tiring and tedious with so many obstacles and pressures—however, continuous learning and self-development are the motivating aspects that keep me carrying on.