Operation Twitter

Hi, general public. I'm sorry to ignore those who don't understand this issue. But clinical year students who don't have facebook should generally understand what this is all about. So UPM med students, I'm talking to you.


Regarding our twitter plan to have an impact on the Prime Minister starting next Wednesday:


To get to be the Trending Topic we have to have at least 5000+ tweets. I dunno how correct this estimation is. I really hope everyone will participate. I can't force you all, but I hope you all care enough about UPM to do it. 


Please start a twitter account. If you didn't join Pagoh/upcoming Pasir Gudang program, it's the least you can do!


1. Not welcomed at Serdang Hospital - tell yr experience of how doctors/nurses/MA at HSDG treat you (in a nice way 


pls)
2. Unable to review patient’s notes - lack of student ID
3. Competition - get teaching experience, OT exposure,
4. Teaching and student facilities used by others
5. Wasted travelling time - lecturers can't practice here


Just talk about HSDG is basically ours, build on our land, has a bridge to our faculty but it's not ours.


how to tweet
Register with yr email and log in
Go to PM’s account and follow @najibrazak
Tweet to @najibrazak regarding issues in previous slide
Use the hatch tag #HOSPITALUPM
FEEL FREE TO CREATE YR OWN HATCH TAGS AND GET YR FRIENDS TO USE IT


how not to tweet
Use vulgar/rude/defamatory words when tweeting
Incorrect spelling, unprofessional tweets
Repetitively tweeting the same thing
Talking about banal thing (i.e the weather, breakfast) or unrelated topics (i.e politics) with the hatch tag



The Facebook fanpage will be up soon. And a write up about this issue will hopefully be up soon.


Nazirah, 4thyr 2011/2012

Suggestions of books to read for clinical year students

So these are the books that I have used when I was a clinical phase student. The books that I used may be different from other people, and may not be what other people ‘prefer’, but u may use this list as a guide to know which books to refer to when studying

Medicine

1- Sarawak handbook of medical emergencies (This is a very useful book, esp for final years. Trust me)

2- Oxford handbook of clinical medicine (Again, very very useful)

3- Pocket clinical examination by Talley & o’connor

4- Case files Internal medicine by Lange publications

5- Making a neurological diagnosis at the bedside (UM press)

6- X’press revision in short cases (UM press)

7- Clinical examination by Talley & o’connor

8- The ECG made easy by Churchill Livingstone

9- 250 cases in clinical medicine (W.B.Saunders)

10- Hutchison’s clinical methods (Saunders)

11- Kumar & Clark clinical medicine

Surgery

1- Schwartz’s manual of surgery (Personally I prefer this book compared to Bailey & Love)

2- Bailey & Love’s short practice of surgery

3- Hamilton Bailey’s physical signs (Hodder Arnold)

4- Surgery at a glance

5- Churchill’s pocketbooks : Surgery

6- Browse’s introduction to the symptoms and signs of surgical disease

7- Lecture notes on General Surgery (Blackwell)

Orthopaedics

1- Physical examination in orthopaedic surgery (Longman)

2- Pocketbook of Orthopaedics and fractures by Ronald McRae

3- Clinical Orthopaedic examination by Ronald McRae

4- Apley’s system of orthopaedics and fractures (Hodder Arnold)

Paediatrics

1- Paediatric problems in Tropical Countries (Pelanduk publications)

2- Paediatric protocols for Malaysian Hospitals (KKM)

3- Illustrated textbook of Paediatrics (Mosby Elsevier)

Psychiatry

1- DSM criteria book (mine was DSM-1V-TR)

2- Pocket handbook of Clinical Psychiatry (Kaplan & Sadock’s- theres a bigger textbook version of this but this pocketbook should be sufficient)

3- Psychiatry (Oxford)

Obstetrics & Gynaecology

1- Obstetrics by ten teachers (Hodder Arnold)

2- Gynaecology by ten teachers (Hodder Arnold)

3- Essential obstetrics/essentials of obstetrics by Sabaratnam arulkumaran (Can't remember the title properly but go look for the guy mentioned above its his book.this book is a bit postgrad but I find it really useful and a joy to read)

4- Essential gynaecology/essentials of gynaecology also by the guy mentioned above

Ophthalmology

1- Lecture notes on Ophthalmology (Blackwell publishing)

2- Ophthalmology : an illustrated color text

ENT

1- Essential ENT practice (Rogan J Corbridge)

2- Ear, Nose and throat and head and neck surgery : an illustrated color text

Others

1- Physiological basis for explaining the signs and symptoms of endocrine disorders (UM press)

2- The little book of causes (Don’t let the name deceive you. It may read ‘little’ there but to remember the stuff inside is a pain in the ass. lol)

3- Churchill’s pocketbooks: Differential diagnosis

4- Pharmacotherapy handbook (McGraw Hill)

5- Review of Medical Physiology (Lange)

There are alot of other books I've used other than the ones stated above, e.g. textbooks, seniors's books etc so get your hands on them too! And when you go to year 5 you will have anaesthesiology and a&e so make sure you get some too concerning these topics. I just borrowed from the library since everything’s there. For those who are about to enter year 4 please please make your own notes. Suffer a bit during year4. Its OK, so that when you go to year 5 you have your notes with you and your life will be made much easier. Trust me, in year 5, you don’t have the time to make short notes and everything will seem so fast and you're expected to knw everything right from what's important in the history until the management.besides various management modalities available for that particular patient. Oh and I forgot one thing. Read CPGs (clinical practice guidelines) and hospital protocols since those are beneficial too. So goodluck guys! 

Syafeeq Faeez, 5thyr 2010/2011

Laporan Hasil Lawatan Tinjau Ke Pagoh (6-7 Mei 2011) Sempena Program Juara Rakyat Pagoh

Program: Program Anak Angkat bermula dari 21-27 Mei 2011 diikuti oleh acara kemuncak iaitu Program Juara Rakyat pada 18-19 Jun 2011 yang akan dihadiri oleh Timbalan Perdana Menteri.

Objektif Program: 

Mendapatkan data bagi tahap kesihatan penduduk kampung di kawasan Pagoh serta memperbaiki tahap kesedaran dan pengetahuan tentang kesihatan penduduk kampung di kawasan Pagoh.

Tempat:

Pagoh, Johor

Melibatkan 2 dun  iaitu Dun Bukit Serampang dan Dun Jorak  (5 buah kampung dipilih dari setiap dun).

Dun Bukit Srampang: Kg. Parit Medan, Kg Parit Tepi, Kg Parit Simpang, Kg. Parit Tunggul, dan Kg Parit Sawah.

Dun Jorak: Kg. Parit Raja, Kg Parit Bengkok, Kg. Parit Pelampong, Kg. Bukit Rahmat dan Kg. Tiong Baru.

Anggaran purata bilangan rumah dalam setiap kampung ialah 63-65. Ini menjadikan responden dalam survey ini ialah > 3000 orang.

Pihak yang Terlibat:

Program ini melibatkan 150 pelajar daripada semua kursus FPSK UPM untuk dijadikan anak-anak angkat penduduk kampung manakala doktor-doktor pakar perubatan UPM daripada pelbagai bidang akan menyusul pada Program Juara Rakyat. Para pelajar yang terlibat akan dijadikan anak angkat untuk 5 buah rumah yang terpilih bagi bagi setiap kampong. Oleh itu setiap rumah akan mangambil minimum 2 dan maksimum 3 orang anak angkat.

Semasa lawatan tinjau yg berlangsung pada 7 Mei 2011, kami menemui ketua-ketua kampung yang terlibat untuk menerangkan serba sedikit tentang program ini, melangsungkan kerjasama bersama mereka serta mendapatkan informasi terbaru tentang keadaan terbaru kampung-kampung tersebut. Kami juga telah melawat tapak sekolah yang akan dijadikan tempat bagi Majlis Penyerahan anak Angkat bersama Penduduk Kampung pada 21 Mei 2011 ini dan juga pada acara kemuncak Juara Rakyat Pagoh bersama Timbalan Perdana Menteri.  Biik-bilik dajah, makmal dan juga kantin akan gunakan pada hari program bagi memudahkan doktor-doktor pakar membuat konsultasi percuma kepada orang kampung. Selain itu, kami melawat tempat-tempat tumpuan penduduk kampung iaitu masjid, dan kedai makan kerana ia penting dari aspek publisiti.

Gambar: Bersama Puan Hajah Istiqamah yang telah menumpangkan kami semalaman untuk lawatan tinjau ke Pagoh.

Gambar: Perbincangan bersama ketua Kampung Parit Bengkok/Pelampong, Tuan Hj. Emran B Hj. Hashim

5th year: the UPM experience

Hi juniors and colleagues who might be reading this! Ok first things first, I’ve never written an article for a blog or whatever and I don’t even have a blog myself so I guess I can call this article my first ‘entry’? Haha. I was approached by Nazirah this past Friday (yesterday actually) to write about ‘experiences during 5th year’ to be shared with juniors so that you guys may have a basic idea of what’s it gonna be when u guys come to 5th year. Hmmmm 5th year? what about 5th year ey? I guess when you first come to 5th year you’re kinda gonna feel good about yourself (yelah dah senior kan, royal senior plak tu among all the UPM med students :b) and plus you get to ‘interrogate’ your juniors during senior day (which has been a tradition ever since UPM started its med program, but no offense juniors it’s just for entertainment we’re all good people at heart actually haha).

But along the way, as you go through all the postings during 5th year (Medicine, Surgery, Senior Psy, Dermatology, O&G, Paeds, Ortho, Anaes, A&E) you’ll realize that whats important during 5th year is for you to so called ‘connect the dots’ or ‘put the pieces of the puzzle together’. You see, when you come to 3rd year to start your clinical phase it’s about you learning how to take a history, and how to examine patients and talking to them. That’s about it. 

But when you come to 5th year, it’s a totally different story. When you’re a 5th year med student it’s all about you getting a thorough and good history (or as we like to write it ‘hx’) so as to sorta rule out all the possible differential diagnoses (or the short form ‘ddx’) and at the same time arranging and presenting the hx to hopefully impress the lecturers/examiners. The same goes to when you do a physical exam, it’s all about showmanship and how you interact with the patient in front of the examiners, and how thorough you have been examining the patient for the current problem (the so called chief complaint a.k.a c/c) and also complications (short form : cx) that may arise. 

Its different from 3rd yr in a sense that when u get e.g. a cardio case, you may have to do a cranial or peripheral nerve exam as well as fundoscopy to detect possible signs of complications, as may occur in a patient with longstanding diabetes, hypertension, and hypercholesterolemia. So again, it’s all about you being able to diagnose the current problem as well as considering possible complications that may arise (don’t worry guys I was not a good student myself during 3rd year as I spent most of my time just playing around but I started to see the ‘art’ if I may of hx taking and examining during 4^th year and from then on I kinda improved dramatically, but it all comes down to you're willing to put effort or not to achieve it). 

Plus it is during 5th year that you start to learn how to manage the patient’s disease and problems, and what are the things u need to do (referral etc) in order to achieve just that. And whats more important, with all the info you have managed to gather, you’d want to train yourself to be less nervous when presenting and be confident. Trust me guys, when you get nervous everything you may know before entering the room to present to the examiners/lecturers will somehow conveniently disappear, and you’ll only realize that you know the thing AFTER you get out of the room after you have finished presenting. Trust me I know. So please control your nervousness ‘cos it's gonna be a waste if you present badly when in actual fact you know for sure you can do better. Practice presenting to friends from now, so you’d get used to presenting and hopefully you’ll get less nervous when the time comes. 

And people have asked me, ‘Is it stressful being a med student, a final year some more when you need to know everything before going to the exams?’. Truthfully it is stressful, even more when we’re just 7 weeks away now from Professional 3 (ok today is 26th Feb 2011) but remember, other people have passed, so why can’t you, right? Whatever it is you can only put effort into revising and remembering all the things you have learnt for these past 5 years (and concentrate on the more common diseases encountered first) and hopefully you’ll do ok during the exams. 

Ok enough about exams lol (now I'm getting stressed out writing this ‘entry’ haha). Apart from the countless exams you’ll encounter during  5th yr (yes you do have exams at the end of each posting excluding senior Psy, Anaes, and A&E) what you need to do is enjoy your life more, huhu. ‘Cos when you're a student you have more time, and you get to socialize and meet friends more so you better make use of the time you have and just have fun ok? Loosen up, life is much more than just about exams and everything. ‘Cos it’s no use if you just dedicate your whole time to just reading and and studying, you’ll be what Malays say ‘Katak bawah tempurung’. Get to know whats happening in the world around you, make friends and have fun, and enjoy life more (I personally find that if I don’t do things other than studying my brain doesn’t get the creativity and fun it craves on a daily basis lol). Reward yourself after you have been putting a lot of effort studying. This is what keeps you going. If you just study and study and study, you’ll get fed up and you may lose interest altogether. 

And remember this, great doctors are not the most knowledgeable people, but those who know how to talk to patients and have good rapport with their pts. This is just basic human to human interaction. Most of the time the patient feels ‘cured’ and relieved just by getting reassurance from time to time from his/her doctor. What I'm trying to say is you can memorize a whole textbook, you can be a so called ‘gold medal’ student or whatever but when it comes to real life what counts is how good you interact with the patient and his/her family, and how well you show to the patient that you care like hell about his/her problems. Medicine is a life-long learning process, and even when you start to work you’ll still be learning. More so ‘cos that’s the time when you’re actually practicing.

So I guess the take home message that I want you to have is continue to learn and learn, and develop that sense of empathy and giving a damn about the patient’s problems, ‘cos when you're able to do all that you’ll be just fine. Trust me. Have a good day guys and good luck!

Syafeeq Faeez, 5thyr 2010/2011