Gretings,
Pejam celik, pejam celik dah masuk tahun akhir.
Perasaan teruja dan nervous mestilah ada kan.
Tak tahu nak expect apa melainkan masa semakin hampir.
Tahun ni kami 16 orang saja satu posting. (kumpulan)
dan dari 16, hanya 3 sahaja lelaki.
Bermula dengan;
ORTHOPEDICS
PSYCHIATRY
INTERNAL MEDICINE
SURGERY
....
EMERGENCY MEDICINE
ANESTHESIA
PEDIATRICS
OBSTETRICS & GYNAECOLOGY
What a nice way to start your final year.
Saya memang tak suka surgical based. Lagi-;agi orthopedics.
I just cannot lah with tulang-tulang ni.
But somehow sebenarmya ortho nistraight je.
start dengan diagnosis terus boleh manage.
Unlike medical based which i love.
Kena duk fikir macam2 sampailah dapat jawapan.
...
Jadi untuk tahun 5 ni, USM telah redesign the curriculum.
Called as Shadow Housemen Officer Training Module (SHOTS)
Yang mana kami akan menyerupai housemen.
Patient masuk sampailah discharge kau sahaja yang akan clerk dan uruskan.
Segala mak nenek berkenaan that patient you have to know.
Every morning akan ada AM round with consultant. so present your patient to that particular Dr.
I like this new system.
i started to feel more responsible and learn better about the disease, management and medical clerkship.
Contohnya,
Saya berada di Internal Medical posting.
My first patient is a 50 y/o male, an alcoholic drinker since 15 years came with complaint of abdominal distention, reduced urine output and yellowish discolouration.
So, i have to reclerk that uncle, dapatkan full and detailed history.
Do the physical examination and then start to think about how do i want to manage this case.
Start dari imaging like CXR, ultrasound sampailah choice of drugs.
Kena fikir kena nak buat, kenapa nak refer, kenapa nak bagi ubat ni.
Dont look at the file!!
Sebab... kadang2 pesakit tidak dirawat seperti teori yang kita belajar. Financial issue adalah kayu ukuran bagi choice of treatment in this patient di India. Im not sure dekat tempat lain macam mana.
Tapi satu yang pasti MALAYSIA sangatlah pemurah, ubat bagi macam tu saja without looking at social class. Drugs dekat Malaysia oun bukan lah murah ya,.
And then bila patient discharge, you have to prepare the discharge summary.
Yang olok2 lah. Bukan official punya.
i do enjoy pagi2 ward round sebab kau aka feeling2 real HO yang ready untuk di-soal siasat aka torture depan kawan2, real HO and even MO dekat ward tu.
So, datang awal, clerk pesakit, reason out kenapa still bagi ubat ni, kenapa dia develop complaint baru, kenapa nak order other investigation.
Dan kami year 5 ni baru saja habis clinical elective dekat hospital di Malaysia. Jadi dah nampak macam mana situasi di Hopsital Malaysia yang sebenar.
So, this is the time to practice.
....
to be continued.
Pejam celik, pejam celik dah masuk tahun akhir.
Perasaan teruja dan nervous mestilah ada kan.
Tak tahu nak expect apa melainkan masa semakin hampir.
Tahun ni kami 16 orang saja satu posting. (kumpulan)
dan dari 16, hanya 3 sahaja lelaki.
Bermula dengan;
ORTHOPEDICS
PSYCHIATRY
INTERNAL MEDICINE
SURGERY
....
EMERGENCY MEDICINE
ANESTHESIA
PEDIATRICS
OBSTETRICS & GYNAECOLOGY
What a nice way to start your final year.
Saya memang tak suka surgical based. Lagi-;agi orthopedics.
I just cannot lah with tulang-tulang ni.
But somehow sebenarmya ortho nistraight je.
start dengan diagnosis terus boleh manage.
Unlike medical based which i love.
Kena duk fikir macam2 sampailah dapat jawapan.
...
Jadi untuk tahun 5 ni, USM telah redesign the curriculum.
Called as Shadow Housemen Officer Training Module (SHOTS)
Yang mana kami akan menyerupai housemen.
Patient masuk sampailah discharge kau sahaja yang akan clerk dan uruskan.
Segala mak nenek berkenaan that patient you have to know.
Every morning akan ada AM round with consultant. so present your patient to that particular Dr.
I like this new system.
i started to feel more responsible and learn better about the disease, management and medical clerkship.
Contohnya,
Saya berada di Internal Medical posting.
My first patient is a 50 y/o male, an alcoholic drinker since 15 years came with complaint of abdominal distention, reduced urine output and yellowish discolouration.
So, i have to reclerk that uncle, dapatkan full and detailed history.
Do the physical examination and then start to think about how do i want to manage this case.
Start dari imaging like CXR, ultrasound sampailah choice of drugs.
Kena fikir kena nak buat, kenapa nak refer, kenapa nak bagi ubat ni.
Dont look at the file!!
Sebab... kadang2 pesakit tidak dirawat seperti teori yang kita belajar. Financial issue adalah kayu ukuran bagi choice of treatment in this patient di India. Im not sure dekat tempat lain macam mana.
Tapi satu yang pasti MALAYSIA sangatlah pemurah, ubat bagi macam tu saja without looking at social class. Drugs dekat Malaysia oun bukan lah murah ya,.
And then bila patient discharge, you have to prepare the discharge summary.
Yang olok2 lah. Bukan official punya.
i do enjoy pagi2 ward round sebab kau aka feeling2 real HO yang ready untuk di-soal siasat aka torture depan kawan2, real HO and even MO dekat ward tu.
So, datang awal, clerk pesakit, reason out kenapa still bagi ubat ni, kenapa dia develop complaint baru, kenapa nak order other investigation.
Dan kami year 5 ni baru saja habis clinical elective dekat hospital di Malaysia. Jadi dah nampak macam mana situasi di Hopsital Malaysia yang sebenar.
So, this is the time to practice.
....
to be continued.
Comments
Post a Comment