On the contrary Limeuu... Housemen are posted to ICUs.

I've done my compulsory rotation in Anesthesiology Department.
I was posted in ICU for several weeks apart from my regular operating theater duties (ICU is under Anesthesiology department's jurisdiction).

housemans are not supposed to be in icu...anaesthesia is not supposed to be part of the 6 rotations specified in the medical act....

however, some hospitals have so many housemans, they do not know where to post them and some end up in anaesthesia....the instruction is however, they will be closely supervised with restricted responsibilities....in the 2nd half of the 2 years...and should not be in icu...

however, knowing some msian hospitals, that is not enforced...

This post has been edited by limeuu: May 7 2015, 07:07 PM

the fact that there are housemans in icu is another indictment of the mess the msian medical education and training system is in...

you have not been keeping up to date it seems.

Now the 6th rotation can be chosen from the following list:

- Emergency Medicine
- Psychiatry
- Anesthesiology
- Primary Care (eg Klinik Kesihatan)

...and yes, Housemen are in ICUs.

EM is always in the original list....so they have expanded the departments to accommodate the tsunami of housemans....psychiatry and primary care are okay....but i have reservations about icu....

well, not my decision to make....

i should tell you also that in medical department, housemen are also in charge of Medical HDU (ICU)... not only in Anesthesiology...

Agree. I also believe one must be genuinely passionate about being a doctor to start with. Don't study and be a doctor for all the wrong reasons can be. I always tell people.

A council member from the pharmaceutical society confirmed the immediate freeze of new prp. That should apply to housemen as well. Those that will be graduating in the next few months would not get an interview session with spa

They are in charge, but is there supervision? OMG this is scary!

They are Houseman, of course they will be MO around most of the time.

This post has been edited by CyberSetan: May 9 2015, 11:08 PM

is this waiting period standard 9 months for every one?.
local grads eg those under JPA scholarship also have to queue and wait for 9 months
for their 1st posting?

So NOT really in charge, then! Phew!

That depends on how you interperate 'in-charge'...

HO are supposed to look after, review, take blood investigations, do certain procedures (eg; LP, setting arterial line, PICC, IJC, etc) as per MO/specialist instructions.

They also present cases, refer the patients to other departments and give latest updates on ICU patients to the MO/Specialist.

So in that sense - they are in-charge, especially when MO are nowhere to be found (also when HO screw-up things, MO will say - you are In charge of these patients etc etc)

You should see for yourself in any major govt hospital's ICU department...

This post has been edited by CyberSetan: May 10 2015, 08:09 AM

I wonder how much training they had before they are thrown into the depths doing LP/arterial line/PICC/IJCs. If you ask me to do a PICC line myself now, I can say I wont be able to do so without supervision. Salutes if they had the chances to do all of these more 'complex' procedures during med schools.

Those in anesthesiology/Emergency dept rotation are usually in their final posting with some already obtained their full mmc registration and basically MO level already...

(By end of 5th posting one should have already sent application for full registration with MMC or be penalized for delaying it)

However... they are still Housemen as far as the department is concerned and will require supervision from time to time by MO/Specialists.

yeap. for now. thanks to the incompetency of our government. well at least for pharmacist's case. it's not like there are no positions available but the transition from pre-reg to full-reg is taking too much time.

The ICU department that relative is currently in has only 1 houseman and this is her first rotation!

the nurses will be more experienced, and teach the houseman what to do....

this situation was common in the old days when there was a severe shortage of doctors....while there is a tsunami of fresh graduates, there is still a shortage of middle ranked doctors...

peculiar to msia, we have another angle to this problem...unlike developed countries...20% of doctors are incompetent, poorly trained, weak academically etc...

ICU is somewhat broad term...

Some hospital the ICU includes, Medical High Dependancy Unit (MHDU), Neurosurgery High Dependancy Unit (NHDU) and Intensive care unit (ICU under Anesthesiology department)...

If the Houseman happens to be from medical or surgical rotation... Then it is possible for that houseman to be placed in MHDU or NHDU (usually senior enough in that particular rotation)...

But a first poster will never be in ICU under Anesthesiology department. (Reason? - see previous posts)

This post has been edited by CyberSetan: May 11 2015, 08:36 PM

Well there's still CCU and neonatal ICU..