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 CALLING ALL MEDICAL STUDENTS! V2, medical student chat+info center

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StarGhazzer
post Jun 29 2010, 09:40 AM

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QUOTE(Ibrahimovic @ Jun 27 2010, 02:16 PM)
Anyone know about which university recognized by Singapore (SMC). Is Monash or Newcastle University recognized because of the twinning?

I only know IMU-PMS is recognized. Any other?
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QUOTE(Ibrahimovic @ Jun 27 2010, 10:07 PM)
Hehe. Yes, I'm actually a Singaporean studying in Malaysia from kindergarten. But sadly 2 years plus suffering (physical training etc.) really make me feel sad not being a Malaysian.Since I only scored 3.5 CGPA, I thought I might get in Monash or Newcastle. Anyone know the recent cut-off point?

I'm eligible for next year intake. I canceling out IMU since I think I'm not good enough.

P.S: wgy589, nice being a Singaporean female huh tongue.gif
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I cannot believe this. tongue.gif laugh.gif First time ever that I heard a Singaporean wanting to be a Malaysian. sweat.gif
Just try your luck with all the universities. If you meet the minimum requirements then there's no harm putting in the applications - the most they can do is reject you. Gotta be in it to win it.... sounds like lottery advertisement but applying for med school is like buying lottery.

Anyway, the below is the list of SMC-recognised foreign unis.
http://www.smc.gov.sg/html/MungoBlobs/538/...lifications.pdf

Generally speaking, if you graduate from Monash Australia, Newcastle Australia, or Newcastle Upon Tyne UK, you're safe. However if you're a grad from those universities but completed your clinical training in Malaysia, there's a possibility that it won't work. Check with SMC to be sure, drop them an email or give them a call for official confirmation - we're in no position to speak on their behalf.
StarGhazzer
post Jun 29 2010, 10:35 AM

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QUOTE(Ibrahimovic @ Jun 29 2010, 10:09 AM)
Wooo... but looking at the requirement(Monash Australia, Newcastle Australia, or Newcastle Upon Tyne UK), I don't think they accept ABB.

No university with SMC accreditation accept ABB huh?
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Use the alternative route... IMU->PMS. That's probably your best bet for now if you do not meet the minimal requirements for the aforementioned foreign unis.

If you're planning on staying in Malaysia then there's lots of private institutions available which you probably know more than I do.
StarGhazzer
post Sep 23 2010, 07:06 PM

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QUOTE(onelove89 @ Sep 22 2010, 08:55 PM)
From what I heard, each med school in aus guarantees a spot for the grads, meaning they've allocated seats for them in the local hospital. At my place, we don't even have that system >_<

well its kinda weird cos in lecture today we learnt about the low doctor/10k in aussie, and now they say that doctors are gonna crowd the whole place up. I reckon there's a crowding of docs in the metropolitan areas like syd and melb, and no one wants to go to the rural communities.
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There are still people who are willing to go to rural areas, but generally speaking not many, even the locals, want to do so due to limited specialities/training positions.

And no, unless you are a Victorian Resident, i.e. Australian citizen or PR, you are not guaranteed a job upon graduation (in Victoria that is, dunno about other states). We, the international temporary residents, are tier 2 candidates in terms of the matching process which means we are the "dan lain-lain" group. Good thing however is that in Victoria, securing a job is usually much easier compared to other places such as Queensland.

QUOTE(limeuu @ Sep 22 2010, 09:45 PM)
however, i am not aware of any monash msia graduates getting internship in oz, so i think these students are somewhat unlucky, graduating as they did in the middle of a glut.....

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Acutally there are quite a few.
I too was initially surprised to find out that Monash M'sia graduates were accredited and recognised by Victorian Medical Board as a Victorian graduate instead of being grouped as a International Medical Graduate, but after learning the fact that the Monash M'sian syllabus is actually identical to the Australian one, it is indeed understandable and acceptable.

QUOTE(zstan @ Sep 23 2010, 03:06 PM)
just back from gleneagles hotel kl..it was like a 5 star hotel.. biggrin.gif
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Wait till you see Mount Elizabeth in Singapore.
Right in the heart of Orchard Road... better than a 5 star hotel.

This post has been edited by StarGhazzer: Sep 23 2010, 07:11 PM
StarGhazzer
post Feb 21 2011, 05:15 AM

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QUOTE(NatBass @ Feb 21 2011, 04:41 AM)
Anyways - Seniors , im sure you'd heard of mantoux test right. 10mm is the normal reading for a person with tb negative? So anything more then 10mm is positive? how do one confirm that he/she has tb? besides chest x-ray? im sure mantoux test can go false-positive due to BGC injection and the air you breathe?
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Quantiferon-TB gold assay. Look it up.
You'll need a sputum AFB + culture as well for active disease, but it takes hell long for results to come back.

Mantoux is rarely used nowadays apart from screening tests, which if they are positive you'll need additional investigations (plus history) to determine its significance.
StarGhazzer
post Feb 22 2011, 05:10 AM

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QUOTE(NatBass @ Feb 22 2011, 03:39 AM)
would it make a difference if the doctor didnt wait for 48-72hours before analyzing the mantoux test?
It can be detected by ESR too right? if im not mistaken for males in general the esr reading is 10< female 20 < ? and in general if you have an active lung infection the level of haemoglobin is lower compared to normal , no?
Speaking about  pulmonary TB here.

Dont get me wrong , im not trying to be a pain in the butt here , its just that a cousin of mine was suppose to go to australia this friday and unfortunatey we found out that he had active lung infection. I followed him around during my free time , we had like 4 opinions. 2 gp said he had nothing and perfectly fine. 2more said otherwise. Today he went to umsc , to get a respiratory professors final confirmation. He has to go for CT-scan later in the morning. No symptoms of tb are shown. No weight loss or whatsoever. I'll try to post up the pictures of the x-ray once i get a hold of it for the fun of it smile.gif
I've heard of stories like the medication of tb last for 4-9 months and side effects are insane. Liver failure , jaundice and so on?
Cyber - thanks for being so proactive and posting up a picture. I cant wait for my time in med school smile.gif
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ESR is non-specific, and should never be used as a sole investigation to diagnose any disease.

If you have been exposed to someone who has active TB, you should be worked up for possible infection as well. Mantoux's going to be pretty useless for you since we've all got BCG as a kid.

TB meds can last for long periods, with possible side effects eg liver dysfunction. But almost every drug in the world has side effects - you just need someone to monitor you while on treatment.
StarGhazzer
post Feb 22 2011, 07:59 PM

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QUOTE(CyberSetan @ Feb 22 2011, 05:03 PM)
As a matter of fact - i remembered back when I was training in a Govt.Hospital pathology lab (Likas Hosp.) in Sabah that ESR should not be ordered as part of TB investigation.

That circular was even pasted on the laboratory wall.


Added on February 22, 2011, 5:07 pmThat Quantiferon-TB gold assay - isn't available in Likas Hospital (although big as it is). The basic AFB staining is still practiced there~

I'm not sure if it is available in Queen Elizabeth Hospital either (Main Ref.Hosp. for Sabah)...
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QfTB gold is a fancy test (and pain in the arse to collect - 3 special tubes !). I wouldn't be surprised if it wasn't available in smaller institutions in M'sia.

Sputum AFB/culture +/- PCR is still often required to effectively rule out active pulmonary TB. Patients who are suspected of having this are often quarantined with contact precautions until at least 3x samples are negative.

ESR, like CRP is only an aid for diagnosis. It's more useful as a monitoring tool eg in rheumatological diseases/infections. We normally do more CRPs than ESRs (except for patients known to have rheumatological problems) since the CRP can be done on the same tube as routine biochems. Again, not sure how is it like back home or in India.

StarGhazzer
post Feb 23 2011, 08:39 PM

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QUOTE(limeuu @ Feb 23 2011, 12:50 PM)
that is not correct.......cultures and afb have excellent positive predictive value, but poor negative predictive value.......

ie, if you get a positive result, it probably confirms active disease........if you get a negative result it does NOT confirm you do NOT have TB............

up to 50% of patients undergoing treatment will be based on presumptive diagnosis, taking in the whole clinical picture.......in many cases, you will NOT find the organism even in patients with very classical clinical picture........
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Right. My bad.

Yet most of the time once the sputum is cleared patients are allowed out of isolation.
Diagnosis of course, is always based on history + examination + investigations as a whole clinical picture, not a sole test.

This post has been edited by StarGhazzer: Feb 23 2011, 08:43 PM

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