QUOTE(limeuu @ Feb 28 2010, 12:34 AM)
these things should be done in med schools, not service gov hospitals.........
it is not the job of busy service orientated gov hospitals and staffs to re-run med schools all over again for these people......how to take history, exam patients, which investigations are relevant (some just order everything for all patients, so they don't get scolded!).....service needs to be provided, and lives are at stake.......
in any case, if the basics are not there, one cannot 'mentor' them to the next level.........
oh well, i guess people will not understand the dilemma and difficulties unless one actually is working in that environment.......and the people on the ground just bypass the problem as they have no time for this, they just pile more responsibility on those who can function, and sideline those who cannot.......
finally, it appears that the blame for doctors who should not have gone to med school, are poorly trained and become non functional junior doctors, has now shifted to seniors doctors.........for not helping them become competent.......!!
dude, i agree with u there, but what's the scope of power does a houseman / intern has in msia? coz over in Aussie, an intern should always run a pt through with a senior personnel, be it a resident, a registrar / specialist trainee, or the specialist...so no actual decision is being made by the intern, however the intern must have had all the info at hand alrdy prior to discussing it with a senior person, info like History, Examination findings, probable investigations and next step managemnt....so it is just like having a senior person to agree with what u've done, and if they disagree, will tweak it...ie ask for some missing info that might have been missed from the Hx / Ex due to inexperience, or change some of the investigations and management...
jsut wanted to know if the interns in Msia make these calls or do they need a green-light from a senior person like in Aus?
btw Starghazzer! r u an intern now in Aus?! still in Melbourne? which hospital?!?!