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

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limeuu
post Apr 15 2012, 06:51 PM

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QUOTE(podrunner @ Apr 15 2012, 06:38 PM)
What would be the percentage, say of a new cohort?
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there has always been a few who have problems, even in the past.....

there is no statistics now, but a few years ago, the moh quoted a figure of 15% or so who were having problems.....whether this figure has gone up, nobody knows, but anecdotal accounts from consultants supervising them gave figures like a quarter to a third fresh housemans have problems fitting into the system.....the consultants were told to 'retrain' them.....ie, do what medical schools should have done in the first place....

they can't get a proper history, can't make sensible working diagnosis, have no experience in simple procedures, display very poor basic medical knowledge, etc....

michelle au described a typical medical student environment in the us....where students are exposed to a fair bit of hands on work.....in some countries, they graduate with very little clinical experience.....everything is theoretical.....
Crypt
post Apr 15 2012, 07:22 PM

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QUOTE(limeuu @ Apr 15 2012, 06:51 PM)
there has always been a few who have problems, even in the past.....

there is no statistics now, but a few years ago, the moh quoted a figure of 15% or so who were having problems.....whether this figure has gone up, nobody knows, but anecdotal accounts from consultants supervising them gave figures like a quarter to a third fresh housemans have problems fitting into the system.....the consultants were told to 'retrain' them.....ie, do what medical schools should have done in the first place....

they can't get a proper history, can't make sensible working diagnosis, have no experience in simple procedures, display very poor basic medical knowledge, etc....

michelle au described a typical medical student environment in the us....where students are exposed to a fair bit of hands on work.....in some countries, they graduate with very little clinical experience.....everything is theoretical.....
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How is it even possible for this graduate to pass? If the med school wanted money then they should never let such med students graduate and repeat the year until they pass...

I think university should have (or already have) OSCE test every year to test their basic clinical skill before graduated.
onelove89
post Apr 15 2012, 07:56 PM

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QUOTE(podrunner @ Apr 15 2012, 04:21 PM)
OH wow... the interns need a house mother??
How can even one start to equate a hospital with a boarding school???


Added on April 15, 2012, 4:32 pmAll medical students, this book is highly recommended.

http://www.michelleau.com/

An excerpt here: http://www.michelleau.com/p/excerpt.html

You can go check out the fb page as well

https://www.facebook.com/ThisWontHurtaBit

Even better if at least one parent read it as well, wink.gif

p/s Get used to being scutmonkeys for a long while. wink.gif
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sounds good, will try to find a copy. I've another to recommend: "how doctors think"

QUOTE(limeuu @ Apr 15 2012, 06:51 PM)
there has always been a few who have problems, even in the past.....

there is no statistics now, but a few years ago, the moh quoted a figure of 15% or so who were having problems.....whether this figure has gone up, nobody knows, but anecdotal accounts from consultants supervising them gave figures like a quarter to a third fresh housemans have problems fitting into the system.....the consultants were told to 'retrain' them.....ie, do what medical schools should have done in the first place....

they can't get a proper history, can't make sensible working diagnosis, have no experience in simple procedures, display very poor basic medical knowledge, etc....

michelle au described a typical medical student environment in the us....where students are exposed to a fair bit of hands on work.....in some countries, they graduate with very little clinical experience.....everything is theoretical.....
*
That's interesting. I just had a chat with a canadian exchange 5th year med student from UBC, and she said that the students in US now are pretty much 'studying' to pass the exams only. I'm not too sure how that'll affect the quality of the care given in the future though, but that's situation now in US apparently according to her.

I've just finish med rotation, and I had my fair share of gunshots from consultants during the teachings. But it gave me things to reflect on and improve. For what I see, interns are mostly learning the admin sort of things like writing discharge, scripts, and things like that. they should have a comprehensive understanding of the basics already.

It's kinda sad to see so many med schools popping up like mushrooms in msia, and their substandard entry requirements are allowing mediocre students to be future 'doctors'. to be honest, even till now, I still am scared that i'll be an incompetent doctor in the future. Just being on the ward, I feel that i only know a tiny portion of what's out there.
Huskies
post Apr 15 2012, 07:59 PM

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QUOTE(Crypt @ Apr 15 2012, 07:22 PM)
How is it even possible for this graduate to pass? If the med school wanted money then they should never let such med students graduate and repeat the year until they pass...

I think university should have (or already have) OSCE test every year to test their basic clinical skill before graduated.
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Quality essentially becomes a non-issue for medical schools in say, Russia, since they know well enough that foreign graduates (mostly Malaysian) will never work for the Russian medical system. They have very little reputation going for them anyways, so why bother retaining students when they can allocate the slot to more gullible students? Also it speaks volumes for the quality of doctors in Indonesia when you see the number of Indonesian patients seeking treatment in Malaysia - and yet we send our students there for medical training. It would be the funniest/most ironical thing ever if an Indonesian travels all the way to Malaysia only to have an Indonesia-trained Malaysian doctor treat him or her laugh.gif
podrunner
post Apr 15 2012, 08:27 PM

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QUOTE(onelove89 @ Apr 15 2012, 07:56 PM)
sounds good, will try to find a copy. I've another to recommend: "how doctors think"

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Oh that's in my basket! I was deciding between that and "On Call - A Doctor's Days and Nights in Residency" -Emily R Trunsue, and decided on the latter.
One funny one, by a brit, is "Confessions of a GP" - Benjamin Daniels.


Added on April 15, 2012, 8:46 pm
QUOTE(Huskies @ Apr 15 2012, 07:59 PM)
Quality essentially becomes a non-issue for medical schools in say, Russia, since they know well enough that foreign graduates (mostly Malaysian) will never work for the Russian medical system. They have very little reputation going for them anyways, so why bother retaining students when they can allocate the slot to more gullible students? Also it speaks volumes for the quality of doctors in Indonesia when you see the number of Indonesian patients seeking treatment in Malaysia - and yet we send our students there for medical training. It would be the funniest/most ironical thing ever if an Indonesian travels all the way to Malaysia only to have an Indonesia-trained Malaysian doctor treat him or her  laugh.gif
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Those were my exact thoughts when I first heard of JPA sending medical scholars to Indonesia, and they're not exactly doing the medical course in Universitas Indonesia, which is reputable in this part of the world, but also not recognised by SMC.

This post has been edited by podrunner: Apr 15 2012, 08:46 PM
cckkpr
post Apr 17 2012, 03:08 PM

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"Specialist lecturers to offer services at 22 hospitals". How can a Utar lecturer serve in Tapah hospital unless clinicals are done there and even then what can students learn from such a small hospital currently without a specialist clinic.
podrunner
post Apr 17 2012, 03:25 PM

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Seems like a potential good resource for medics...

http://www.fastbleep.com/

One of the founding members, Lucy Hollingworth was in BBC's Junior Doctors Series 2.

limeuu
post Apr 17 2012, 03:54 PM

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these websites allows medical students and junior doctors to share their experiences......

but i just wonder, how really useful they are to potential medical students...

it's like watching a movie like the titanic, or battleship....all in the comfort of home, or a cosy cinema...the experience is virtual....

nothing beats reality....like following a real houseman on a night duty, and NOT sleep for a night, and then continuing work as normal the next day.....
podrunner
post Apr 17 2012, 04:03 PM

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QUOTE(limeuu @ Apr 17 2012, 03:54 PM)
these websites allows medical students and junior doctors to share their experiences......

but i just wonder, how really useful they are to potential medical students...

it's like watching a movie like the titanic, or battleship....all in the comfort of home, or a cosy cinema...the experience is virtual....

nothing beats reality....like following a real houseman on a night duty, and NOT sleep for a night, and then continuing work as normal the next day.....
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Not sure about to potential students, but for medical students perhaps.

Thought the Notes sections can be useful summaries, coming from a non-medical person.. tongue.gif


Noel94
post Apr 18 2012, 06:34 PM

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guys..help me man..u guys have experienced this asam garam in medical profession right?

u guys have opinion which uni/country provides excellent training for budding doctors? like how is the quality of IPTA grad med students compared to IPTS?

i'm in dilemma..If I don't get accepted into local IPTA (I applied for UM), then which IPTS should i enroll? Other choice, how about UK? I heard many doctors complain about the incompetency of UK grad med students... -.-

oh yea, i dont want to hear that 'it depends on the individual, not the uni he/she graduated from'. I heard it 109497381x
podrunner
post Apr 18 2012, 06:59 PM

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QUOTE(Noel94 @ Apr 18 2012, 06:34 PM)
guys..help me man..u guys have experienced this asam garam in medical profession right?

u guys have opinion which uni/country provides excellent training for budding doctors? like how is the quality of IPTA grad med students compared to IPTS?

i'm in dilemma..If I don't get accepted into local IPTA (I applied for UM), then which IPTS should i enroll? Other choice, how about UK? I heard many doctors complain about the incompetency of UK grad med students... -.-

oh yea, i dont want to hear that 'it depends on the individual, not the uni he/she graduated from'. I heard it 109497381x
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Pray tell, what were the complaints? And you heard correctly, that it's UK, yes?
onelove89
post Apr 18 2012, 07:54 PM

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QUOTE(Noel94 @ Apr 18 2012, 06:34 PM)
guys..help me man..u guys have experienced this asam garam in medical profession right?

u guys have opinion which uni/country provides excellent training for budding doctors? like how is the quality of IPTA grad med students compared to IPTS?

i'm in dilemma..If I don't get accepted into local IPTA (I applied for UM), then which IPTS should i enroll? Other choice, how about UK? I heard many doctors complain about the incompetency of UK grad med students... -.-

oh yea, i dont want to hear that 'it depends on the individual, not the uni he/she graduated from'. I heard it 109497381x
*
I'm pretty sure the standards are there, and it should be much better than msia.

the 2nd bold statement is true to some extent. The individual has to play his/her part in active learning and being enthusiastic. But lecturers and clinicians are VERY VERY important. I've learnt so so much in my 8 weeks of general med rotation. So long your enthusiastic and keep asking questions and don't be shy, you'll learn heaps. Our education system encouraged us to be spoon fed and accept whatever was given to us. That's really not the ideal way to learn.

so, back to the topic. have you done your tertiary education ie STPM/A level/ IB/ matrik/ Pre-U/ AUSMAT/ etc? If so, which one? if you're competent (in money as well), head overseas. I didn't regret doing so. If not, get into IPTA. Or at least one of the better established med unis in msia eg monash, imu.

This post has been edited by onelove89: Apr 18 2012, 07:55 PM
Noel94
post Apr 18 2012, 09:17 PM

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QUOTE(podrunner @ Apr 18 2012, 06:59 PM)
Pray tell, what were the complaints? And you heard correctly, that it's UK, yes?
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that they lack the necessary practical skill like taking patient's blood. What I heard from people.So, they replied they were never asked to carry out such procedure back in UK. So is this a skill that only were only taught to nurses.?
Exactly --> UK. Why? U studying in UK?
No, you see. I find it odd why prestigious medical schools in UK produced such mediocre doctors.

Share your opinion please. rolleyes.gif


Added on April 18, 2012, 9:22 pm
QUOTE(onelove89 @ Apr 18 2012, 07:54 PM)
I'm pretty sure the standards are there, and it should be much better than msia.

the 2nd bold statement is true to some extent. The individual has to play his/her part in active learning and being enthusiastic. But lecturers and clinicians are VERY VERY important. I've learnt so so much in my 8 weeks of general med rotation. So long your enthusiastic and keep asking questions and don't be shy, you'll learn heaps. Our education system encouraged us to be spoon fed and accept whatever was given to us. That's really not the ideal way to learn.

so, back to the topic. have you done your tertiary education ie STPM/A level/ IB/ matrik/ Pre-U/ AUSMAT/ etc? If so, which one? if you're competent (in money as well), head overseas. I didn't regret doing so. If not, get into IPTA. Or at least one of the better established med unis in msia eg monash, imu.
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so better off oversea, eh? Can we can adapt easily once we do our internship in malaysia? hmm.gif

This post has been edited by Noel94: Apr 18 2012, 09:22 PM
tqeh
post Apr 18 2012, 09:29 PM

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QUOTE(Noel94 @ Apr 19 2012, 02:17 AM)
that they lack the necessary practical skill like taking patient's blood. What I heard from people.So, they replied they were never asked to carry out such procedure back in UK. So is this a skill that only were only taught to nurses.?
Exactly --> UK. Why? U studying in UK?
No, you see. I  find it odd why prestigious medical schools in UK produced such mediocre doctors.

Share your opinion please.  rolleyes.gif


Added on April 18, 2012, 9:22 pm

so better off oversea, eh?  Can we can adapt easily once we do our internship in malaysia?  hmm.gif
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QUOTE(Noel94 @ Apr 19 2012, 02:17 AM)

No, you see. I  find it odd why prestigious medical schools in UK produced such mediocre doctors.

Share your opinion please.  rolleyes.gif
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You gotta be joking if UK is producing mediocre doctors. Being competent to take blood does not equate to being a good doctor. Any human being, also can take blood after a short 5 days course. urgh.

And since when a doctor's job is to take soo muchhh bloooodddd. There are much more things to do than taking bloods, unless they are urgent.
podrunner
post Apr 18 2012, 09:32 PM

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A phlebotomist takes blood (among other things)...unless the houseman's job in Malaysia is just to take blood, then I have no comments.

BUT I have seen an endotracheal intubation done wrong by an IPTA grad houseman....


Added on April 18, 2012, 9:43 pm
QUOTE(tqeh @ Apr 18 2012, 09:29 PM)
You gotta be joking if UK is producing  mediocre doctors. Being competent to take blood does not equate to being a good doctor. Any human being, also can take blood after a short 5 days course. urgh.

And since when a doctor's job is to take soo muchhh bloooodddd. There are much more things to do than taking bloods, unless they are urgent.
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LOL! Actually I think am fairly confident I can do that!

This post has been edited by podrunner: Apr 18 2012, 09:43 PM
Noel94
post Apr 18 2012, 09:56 PM

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QUOTE(tqeh @ Apr 18 2012, 09:29 PM)
You gotta be joking if UK is producing  mediocre doctors. Being competent to take blood does not equate to being a good doctor. Any human being, also can take blood after a short 5 days course. urgh.

And since when a doctor's job is to take soo muchhh bloooodddd. There are much more things to do than taking bloods, unless they are urgent.
*
imagining myself as a doc not being able to draw blood more than 5 times already just bcause that patient's vein is hard to locate. then nurse got annoyed and had to barge in and manage to do it in 1 successful attempt. well, gotta face the humiliation wub.gif
podrunner
post Apr 18 2012, 10:00 PM

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QUOTE(Noel94 @ Apr 18 2012, 09:17 PM)
that they lack the necessary practical skill like taking patient's blood. What I heard from people.So, they replied they were never asked to carry out such procedure back in UK. So is this a skill that only were only taught to nurses.?
Exactly --> UK. Why? U studying in UK?
No, you see. I  find it odd why prestigious medical schools in UK produced such mediocre doctors.


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Or maybe, just maybe they said UKraine, and you heard UK, or they were pronoucing UKraine wrong (raine being silent) deliberately. tongue.gif
Noel94
post Apr 18 2012, 10:03 PM

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QUOTE(podrunner @ Apr 18 2012, 10:00 PM)
Or maybe, just maybe they said UKraine, and you heard UK, or they were pronoucing UKraine wrong (raine being silent) deliberately.  tongue.gif
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how did it enter your mind it might be Ukraine?
tqeh
post Apr 18 2012, 10:03 PM

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QUOTE(Noel94 @ Apr 19 2012, 02:56 AM)
imagining myself as a doc not being able to draw blood more than 5 times already just bcause that patient's vein is hard to locate. then nurse got annoyed and had to barge in and manage to do it in 1 successful attempt. well, gotta face the humiliation  wub.gif
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It should be the other way round. The nurse should have done it before bugging you to take bloods!!!
Noel94
post Apr 18 2012, 10:06 PM

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QUOTE(tqeh @ Apr 18 2012, 10:03 PM)
It should be the other way round. The nurse should have done it before bugging you to take bloods!!!
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so u never see a doc draws blood?

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