Housemanship era's (Part 2)

Bismillahirahmanirrahim

Alhamdulillah berjaya habiskan housemanship for a complete 2 yrs,without being extended.I wont say it was smooth sailing,im grinding sebenarnye especially when i had to start fresh every time i entered a new posting.Tp pape pun daku berjaye menghabiskan tempoh latihan tersebut.

Some say the most difficult part of being a doctor here or elsewhere was during residency.
Sbb time tu lah kita nk mempraktikan ape yg dh belajar,n time tu lah nk kena sesuaikan diri dari zaman belajar ke zaman bekerja,masa tu jugaklah kena berhadapan dengan 'gergasi' system malaysia beserta budaya hospital dan perangai org2 sekeliling.

Utk adik2 yg nk grad,i'Allah jgn risau.Sebab i am the average type of person in everything i do,and in terms of knowledge,if i want something,i have to work extra hard to get it.So if i can do it,so can you guys.Lagi2 yg super smart and sentiasa rajin n bagus2 tu kan..saye ni 'pomaleh skek' kate org melake ehehe..So chill.

Housemanship di Malaysia ni senang je nk lepas sbnrnyakalau ikutkan.Bkn nk ckp lagak tp tips n pengalaman yg daku belajar adelah,do as you are told,then you'll be safe.Yes i think i am the 'under radar' type of house officer without me noticing it.Know your job,do it,and jangan jangan jaangaannn susahkan your colleagues.Sentiasa tolong mereke2 yg korng rs agak terkapai2 (1st posters/department newbies).Extra mark to yourself if sambil2 amik kesempatan utk belek buku nota n belajar,be proactive dpn MO's and specialist/consultants..Org2 cmni sure akan jd superstar n fave kat department2 tu..For me,i dont look for fame,xreti pun sbnrnya,and sbb tau diri xde la sebagos mana,and would be lucky enough if i dont harm people!Aim nk jadi yg bagus tp waktu tu, benchmark daku adelah 'be a safe doctor'.Tu je.(Cakap mmg senang kan sbb saye dah lepas stage tu! :p)Struggle jgkla nk lepas,air paras idong,doa xmo kne extend n nk abes cepat je time tu.. *breathe breathe*
Alhamdulillah,benda tu dh jdi zaman lampau pon sekarang.

Time ni jgklah korng akan berkenalan n bekerja dgn org2 yg pepelik dan normal yang akn menguji tahap kesabaran n keimanan kamu sume.Kongsi cerita sket,2nd poster daku kerja kat medical ward,terpaksa cover kerja sorng minah ni sbb dia EL x tau sebab apa,n tau dia EL time nk dekat ward rounds.So terkapai2 lah kite nk kena tau n jaga case dia..And tht wasnt the 1st time.Cuba husnu dzon (sangka baik).Husnu dzon pon sebab daku ada pengalaman rakan sekerja yg lebih kurang sebegitu masa 1st posting..At the end of the day,we made it..mmg penat x terkata sbb kerja bertambah dan buat kerja org lain plak tuh..mmg rs nk nyumpah2..Percayalah,u'll face this not only during housemanship,lepas jadi MO or Specialist pon ada,cuma tahap kesan severity nya mungkin agak berbeze..Kesimpulannya,janganlah EL sesuke hati tanpa sebab atau sebab yg boleh dielakkan,kmudian mnyusahkan org.If x menyusahkan org xpe,nk EL seumur hidup pon den x kesah.

Ha,yg cerita masa 1st posting tu,dpt sorng colleague ni,sama2 masuk as 1st poster kat dept sama,beliau siap dilantik sbg ketua houseman..tp towards the middle till end of posting,jarang npk dia during ward rounds,and selalu perasan dia curi2 tdo rehat2 dalam bilik...Mula nk rasa semacam sbb rkn2 yg selebihnya akan kena cover kerja dia..Tp setahu kami semua beliau mmg seorang yg berpewatakan bagus,cheerful and very helpful,cuma ada masa2 nya begitulah..Waktu tu,jarang nk rasa apa2 sgt sbb jarang dok satu ward n kerja dgn beliau..
Who knew tht she was fated dgn a very severe illness...And on one gloomy day,daku dtg kerja pagi tu..tb2 suma org kecoh kwn ku itu disahkan meninggal sbb pancreatic cancer.. :'(
Since then daku bersumpah sepanjang hayat esp dlm bidang pekerjaan ni,mmg daku takkan buruk sangka lagi dan cuba mendoakan kebaikan utk mana2 mmber / colleague yg EL dengan alasan " sakit/x sehat/ade hal".Moga Allayarhamah ditempatkan di tpt yg tertinggi di sisi-Nya...Al-Fatihah. :((

Ok cukup part yang itu.

Survival Tips serba serbi dah boleh agak dri previous entry.Xde cara lain dh rasanya nk survive HO-ship..Dan mmg akan ada mini tests jugak occasionally campur viva in each posting to test your skills and level of knowledge.So part2 ni mmg kne betul2 belajar n kawtim lah kaw kaw masa viva.Part viva ni mmg klaka utk daku,sebab maser tuh daku mmg x tau ape tu viva..1st poster,dgr2 senior ckp dorng kne viva smua pucat lesi..and i was like "heh?viva?mende?".Viva ni oral exam la,same cm time kite student dlu..I'm like "ooo...igtkan if dh kerja xde exam dh..rupenye kne oral test skali lagi?jem btol.."Bisik hati kecil ku..
Sekarang setiap posting total training duration 4 bulan kan? So usually viva dorng akn bagi dlm the 3rd month depending on the examiner's availability.Viva pon sehari tu je and will take no longer than 1 hour.Dorng bukan tnya ape pun,cuma since dh nk abes posting dorng akn tny balek ape yg korng dh belajar sepanjang berada dlm department tu sebelum memberi kelulusan utk tamat latihan..Dan viva ni ade dlm setiap department supposedly sbb nnti konrg kena sign dlm log book latihan house officer.
Honestly,nak tercabot gak la jantung sebenarnya evrytime kena viva dpn your consultants..daku ni bukannya pandai pun,merangkak time belajar..tp alhamdulillah Allah mudahkan..Honestly,i am never good in writing format sgt,,i prefer secara lisan,senang sket nk bgtau examiner ape yg kita tau dengan cara sempoi,siap boleh tunjuk2 cara2 dengan megunakan sign and body language,eg CPR/defibrillation,karang ayat medic sket2.. :p baru fefeeling sket org ckp hahahh..Sungguhpun ada masa2 waktu viva kne maki hamon dgn examiner,tp mungkin Allah lembutkan hati org tersebut,daku lepas pon akhirnya.Papepon,setiap maki hamon examiner anda kena igt dan dijadikan iktibar ye.Pastuh bgtau ilmu tu kat kawan2.Sgt berguna di masa akan datang.

Oh,lagi satu,kena carefull dgn ur superior yg sukeee mark org.If ada superior yg suka anda,mmg dia akn suka anda sampai ke hujung hayat,x kiralah buat salah ke jawab memain ke,mmg OK punye la..tapi...if mereka dah mark anda n aim nk buat hal dgn anda,berjaga2 lah waktu viva or ward rounds..even if towards the end of posting you are getting better and improving a LOT,mmg superior2 jenis ni tetap xkan suka..dh ada beberapa org colleagues ku yg kena..mmg kesian,Caranya nk hentam superior tu,adelah ILMU dan SABAR.Mmg xde cara lain melainkan hentam mereka smula dgn jawapan yg bagus dan bernas.Bagus juga kan kena aim?Kita akan jdi lebih bagus dari yg kita sangka...Allah punya kerja.

Cukup part viva,Ok skrng ringkasan psl house officer training bg yg xtau.
Standard training 4 months for each 6 main core department.
Hence,standard total house officer training duration: 2 yrs if no extension period.
For each departmental training,bg yg problematic sket,it is extendable up to another 4 months + another 1 month in probation,kalauu x lepas jgk,then kne kick out from the hospital and kena repeat the same department in another hospital,tak perlu repeat dri 1st posting.Cuma kena repeat department je.And nama pun jadi sebutan lah ye.Femes x bertempat.

1.O&G -- 4 months training
2.Medical -- 4 months training
3.Surgical -- 4 months training
4.Paediatrics -- 4 months training
5.Orthopedics --  4 months training
6.Emergency/Anaesthesiology --- 4 months training

* Ada circular mengatakan psychology pon termasuk salah satu core training jgk utk houseman,but tht i am not sure. Psy..agknya org malaysia ni byk saket mental kot.*angkat dan jatuhkan bahu*

Stiap kali masuk new department,anda akn diberikan buku log (warna mngikut department).Eg cm O&G buku log nye pink,ortho buku log warne biru..Habit time hosmen dlu,suke sakat mmber2 tny,next posting ko nk pink ke kuning ke ape?kikiki..And yes,boleh request kat opis sumber manusia(HR) ur wishlist nk masuk deparment ape for next posting,ikut availability and keperluan.Buku log ni buku activity,dalam tu penuh dgn senarai activity ape korng kne buat,cth: venopuncture/central line insertion,suturing,intubation ,assisting procedure/operation etc etc.Korng kena isi nama pesakit n nombor identity mereka.Belakang log book tu akn ada markah viva dan comments by examiner.Kena cop by supervisor/specialist n submit pada HR seminggu sblm tamat 4 bulan training tu.And ofkos daku htr sebulan lepas tamat training LOL! Ade yg dh nk final posting baru nk htr 2nd posting nye logbook.Jangan tiru aksi kami ye adik2.

Kita sambung final entry berkenaan HO-ship di lain hari..

Till later ~