Sunday, January 25, 2015

Housemanship, With LOVE

Finally... I decided to put it up on my blog. This post have been long overdue, I could say I'm too tired to post, too busy, I have better things to do and all other available reasons, but mainly because I don't know how and where to begin with. 

It has been 5 weeks for me in Pediatric department. How time flies! I tagged for 3 weeks, and have been a functional houseman for two weeks now. Long story short, within the first month, I have found myself considering quitting, offered permission to quit by my mother and decided not to quit, instead I now find myself considering Paeds as an option to be ventured further after finishing housemanship. I know what you're thinking; crazy right?

Housemanship, with love.

After a week of tagging, I was bestowed the opportunity to meet and greet our HOD, who turns out to be such a humble and inspiring person. 

Of all the wisdom he passed on to us on that evening, I am most affected when he said "God loves everybody". The discussion went on about how we should love those who hurt and wronged us too, because no matter what they did, God loves them and who are we to hate somebody whom God loves. 

He also told us that the best way to approach our colleagues who went MIA - missing in action - is to ajak them go for makan. Because food brings people together, helps people to open up a bit more to you. Amazingly, makan is also the way to build teamwork. So if you're a houseman, and reading this, you should initiate lah this makan-makan agenda.

Amazingly, after few weeks of struggle early on, I now can actually picture myself enjoying Paeds rotation. I even requested for a mentor to optimize my training process. I realized that you can choose what you want out of your training, whether you want to learn as much as possible to equip you to survive out there, or you can just follow what everybody is doing and pass the rotation and end up mismanaging your future patients.

I am not an excellent student in med school, so it is only natural that I have to work extra hard these days. My reference is Paeds protocol, and Mary Rudolph. I find the Mary Rudolph textbook very easy to understand and puts me at ease. You know lah, some  text book makes you pening-pening lalat and serabut kan... Mary Rudolph dengar nama pun macam ahhh soothing nya... Baca pun senang terlelap.. hihi.. 

Support System

I cannot stress more on the importance of having a good support system during housemanship. My support system involves the whole household. Abah is in-charge of my transportation for the first month until I have the confidence to drive to work recently. Mama provided me with the emotional support lah obviously, she would come along with abah to pick me up from work late at night during my tagging period and listening to all my jibber jabber and giving me advice. Every morning, I get to salam both my parents - which is something you would appreciate after being away from them for 7 years and tell them to make doa for me. I strong believed their doa is a huge portion of making this possible. I am thankful for each and every person- family, the significant other and my friends who showered me with their love and support through out the journey so far.

Toxic Working Environment?

The only thing I want to say regarding this matter is that sadly, it is the housemen themselves creating this toxic working environment. By thinking only about their asses, wanting to pass the rotation, and just that. Refusing to take responsibility because takut buat salah, kena marah and got extension. If everybody accepts that it is okay to make mistake and learn from it, working would be much better experience for everyone. The long working hours, workload is not so much of a problem. But rather the attitude of your co-worker is the one that kills your passion in medicine.

What makes a good houseman, good?

I owe this to a senior houseman.

" A good houseman is the one who thinks. Who offered his/her plan to the MO when they ask something, instead of just waiting for the MO's plan."

so now you know lah.

The day my mother told me it is okay for me to quit medicine was the day I realized I really am doing this for nobody but myself. I finally understood why some people decided to quit medicine - and they are not doing anything wrong. It is better for you to do something you love, for you and not for any other reason because housemanship is harder than med school definitely, and if you don't have a good "WHY" you may find it difficult to endure.

Ok lah. That's all for now. See you soon with my NNJ 101 project . :-)

thehappyhouseman
postnight.

Tuesday, December 2, 2014

Pre-HO Crash Course 3.0


Assalamualaikum folks!

Alhamdulillah I was given the opportunity to join the Pre HO Crash Course 3.0 in International Youth Center, Cheras - organized on the 22nd and 23rd of November. 

I must say it was a good program, money well spent, definitely! A friend posted the ads on our facebook group and I took a peek at the page. At first I was like, mehhhh RM280 (RM 230 if you register in a group of 3) for a program that does not offer clinical skills slot? I'd pass. But one fine Monday morning I discovered that I got in for the December intake of housemen... I decided to go. After all, I am going to KL anyway for one last babysitting job before switching career!

Let's cut to the chase.

1. What did I learn in the Pre-HO Crash Course?

A lot of things I didn't expect to learn. Like, how to write in a patient's BHT (haha I've listened to my mom using this short form BHT or "ticket" a lot but I just knew it stands for Bed-Head-Ticket), how to draw your physical examination finding. How to clerk a patient the Malaysian hospital way, I supposed?

Definitely a lot of other abbreviations commonly used in local hospital - well, you might as well find this on the internet or other housemanship guide book but, this is where you'll find the motivation to take the time and actually do something with the list of abbreviations. We were also briefed about how to present a case the way our superior wants it to be presented, how to refer cases and a selayang pandang of the forms in the hospital. Also important lab values, and interpretation of other investigations. 

2. What was the most appealing feature of the program?

For me, it was the follow ups. You see, this is the only prep course I've attended pun, so I really could not compare. But I love that we have a facebook group where Dr. Iliana - oh, she's our main speaker cum organizer of the course - would discuss findings with us. She'd also post reminders, motivations and I believe the network we built from the program would make a good support system for future needs. 

3. Who should attend the program?
Any medical graduates from outside Malaysia who intended to work in Malaysian hospital. This program will equip you with a decent, if not sufficient amount of exposure of what to expect as a houseman officer. 

4. How did I feel after the program?

Excited and eager to learn and work! 

5. When is the next pre-HO crash course?

Lucky you, there is another round of pre-HO crash course this January!!! Even if you're not going to be posted in January, I believe it is best to attend this course as soon as possible. Because some extra time to do your preparation would be nice. Before attending this course I basically don't know what to do, where to start, but after the program, I go into this "Wahhhh so little time so much to do" mode. 



Basically anyone who had ever went through housemanship can tell you the things you'll learn in this prep-course. But no one would spend two days with you to tell you all these stuff, organize it in this manner, under the assumption that "Alah...this one you will learn during your tagging period..." and also "this one so simple and easy, no need to tell you lah.." 

By the way, InshaAllah I will be sharing my notes with you on my housemanship experience. Ye la I kan nak jadi the happy houseman and make friends with many other happy housemen as well! 

Ok lah, so if you're interested. Here's the link to the Pre-HO crash course for further details.


one of my favorite thing from the program. at first i thought of printing the oath and adding some of my own positive affirmations on it and i plan to recite it every morning before work. apparently Dr.Iliana had prepared this cute oath cards for everyone - i have 2 extras if you want one! ;-)


I also bought this Najibah notes. I encountered mixed feedbacks regarding the notes - and I have yet to go through them myself , so will see lah about that. RM 70 for 4 subjects. 

The participants received two RM15 vouchers to be used to buy books, tools or white coat from Hanz Med Shoppe and F.A Signature. I used mine to buy a coat and got my stethoscope engraved.

After the Pre-HO course.

I have been busy and also pretending to be busy with unimportant stuff. But I'm finally going out for a walk (well, I wish I could jog, but I have been severely inactive this 6 months, I don't think running would do me any good tomorrow). I'm starting slow. I am also going through the ultimate handbook we got from the program - which listed topics we have to master, and list of abbreviations. I'm going through the list and hopefully actually reading the topics soon!!! 

Disclaimer : This is not a sponsored post. I'm writing this because I think everyone should know about it, benda baik kita kongsi, tak gitu? 

Till next time, :-)

Tuesday, September 30, 2014

pre-housemanship MMC. SPA registration and interview [links included]

After finishing medical school [congratulations!] this is the step you need to take to become a houseman in Malaysia. Recently the Ministry of Health had announced the waiting time for housemen is between three to six months. I am one of those who get to wait for 6 months and I suggest you complete the necessary procedure ASAP once you have the required documents.

Registering with SPA.

This is a very easy step. Just go to Portal Rasmi Suruhanjaya Perkhidmatan Awam and complete the registration. Once you're done, call SPA or email them to book for your interview date. For an updated contact details, click here. 
  1. Go to the post office and get RM20 money/postal order payable to The Registrar Medical Practitioner or Pendaftar Pengamal Perubatan.
  2. Fill in the forms : also  available here  
    • Tambahan : Borang yang perlu isi - it comes as a set from the link above, just make sure you complete all forms la.
      • Borang 4 : (Peraturan 20) Akta Perubatan 1971
      • Borang Pengakuan
      • Borang Maklumat Tambahan
      • Fitness to Practice Declaration
      • Borang Pengakuan Pengenalan Saksi - Saksi isi
  1. Get your documents certified.
  2. Go to MMC or you can also mail it to them. Refer here for their SOP and timeline. (I was told you could get your MMC registration certificate the same day you hand in your application - well, this is defintiely not the case nowadays. Expect 1-2 weeks processing time. With the 6 months waiting time, no need to rush lah!)
  3. Get your certificate by hand or you can also opt for the certificate to be posted to you.
Going to MMC by public transport?

Easy peasy. Take the train to Stesen Kuala Lumpur from Platform 1 walk to the right uphill until you pass a paid car park and you'll see an underground tunnel. Don't get confused as there's two tunnels, you're heading for the one AFTER the car park. Do not under any circumstances walk alone in this tunnel cuz it's super scary. Once you got out of the tunnel, tadaaaa MMC building is the one in front of you (opposite to the school).


SPA interview.

Now that you have the MMC registration number, you can now proceed to the interview. My advice would be to study the common diseases in the country. A good concise reference would be The Malaysian Medical Gazette, But really there's nothing to be afraid of, if your degree is acknowledged by MMC, you will get job. I got my appointment letter the same day of the interview but the group interviewing weeks after me did not get the letter and it was posted to them.

What to bring to the interview?

i)Kad Pengenalan
ii)Sijil Kelahiran
iii)Sijil SPM
iv)Ijazah/transkrip penuh atau surat pengesahan tamat pengajian dari universiti
v)Sijil pendaftaran sementara dengan Majlis Perubatan Malaysia dan
vi)Gambar ukuran passport.
 
  

Interview questions?

You're gonna do well, don't worry about the questions. ;-)

Now that you have completed the 3 steps, you can join us in the waiting game. Enjoy the holidays!

p.s. Don't forget to send your your Borang Maklumat Diri to KKM. You can definitely mail the form as sending it by hand is quite tricky - and you're going to put it into a document tray je pun so no need to bersusah payah to go to Putrajaya.