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So it has been quite a while since I’ve blogged anything at recent times. So lets start with some of the exciting things that have happened at work.

For starters, going into work, I was constantly plagued by news reports often times stating the bad state foreign medical graduates were in. Let me just say, after joining the work force in Klang GH, I must tell you this doesn’t hold any weight, at least in the Medical Department.

There are so many MO’s and HO’s from Russia, and Ukraine who are bloody good at their jobs. It’s a bit inspiring really, truth be told. I’ve seen a Moscow graduate do Bone Marrow aspiration and trephine whilst teaching it to another MO and myself. Another Moscow MO casually handling a patient crashing and successfully stabilizing her. While he’s intubating, and pushing in medication, he’s explaining it to all the HO’s helping him. Imagine that. Here we have a patient with SVT, and he’s explaining everything that he’s doing, even before cardioverting.

Basically, what I’m trying to say is, don’t be disparaged by the numerous reports you’re reading online. I am not doubting that there are plenty of HO’s that don’t give a shit, but if you do give a shit, you’ll learn. Whether you learn as fast, or at a slower pace is irrelevant, as long as you learn. Just the other day, our good Uncle Sam from Surgery referred a case to the medical ward for hypoglycemia, and the Medical MO was rushing to push D50, our uncle Sam just provided Kit Kat and rectified the situation. Of course he was hyper later, but that’s not a problem. Just keep your cool and you’ll be fine.

The biggest obstacle we will face is clerking new cases and learning our medication name and doses. You’ve probably learnt it in trade names, or generic names, and the hospital you may work at is probably using the other. Tough luck, all you can do is to learn it as you go. Learn the doses, it’s just a matter of practice, and soon it will be finger tips. It’s not too hard, you’ll see the same cases quite often, so you’ll have plenty of time to learn the management.

As for clerking case, it gets a bit trickier. All those years you’ve been copying and pasting your history bolezni makes this even more daunting. However, it’s a real simple procedure. Clerking and Presenting cases can’t be taught per se, but something you will learn as you practice it. Of course there are some guidelines you can follow to make it easier for you, so if I ever find the time, I’ll make a post about how to clerk and present. Whilst it may not be the best way to do so, it seems to work, at least for me.

Final word of advice…whatever you do, go to a computerized hospital. Do not be a smart ass and opt for one that isn’t. It’s asking for a shitload of work, and becoming Kerani Kerajaan. If you want to finish your work on time, and fast, computerized hospitals are the way to go. Otherwise, you’ll find yourself running to the records department to trace a patients old notes, running to the Echo/USG/CT/MRI room to get appointments, and even then you must present the case to the MO/Specialist there to convince them to give you an early appointment. If you suck at presenting that case, bye bye early appointment .

Another thing is to not get discouraged for getting yelled at. In my first two weeks, whilst I wasn’t getting “yelled” at, some MO’s and Specialist did indicate what were my shortcomings in my clerking and presentations. Over time, I suppose I’ve improved, as criticism has reduced on their side. Reduced, yes, but not completely stopped. However, make a mistake once, and don’t repeat it. If you repeat the same shit again, then you’re just asking for it.

Klang GH Medical is known to extend HO’s left and right, and recently a few of my colleagues were extended. These are competent, hardworking, and pleasant colleagues who do not play truant, finish their work and help out others. The day I started work here, everyone told me how Medical in Klang is. So all I can do is do my best, hope to be competent enough when assessment comes and see what happens.

P.S. Fill up your log book. Having an empty log book is also grounds for extension. Not 1 week or 2, but a 3 month extension!

This entry was posted on Tuesday, November 29th, 2011 at 5:46 am and is filed under Uncategorized. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.