Sunday, November 30, 2008

Depressing Batu Pahat

This is wher i have been for the past 3 months and this is wher im going to be for the nex 3 months.

Things havent been great. During the first month, i went back for 3 weekends couldnt stand the fact that im stranded in this town. And mind u i am not from the metropolitan city of kl, penang or jb.

Of course my fellow batchmates(60+ of us) decided then we shouldnt go home or head towards kl that often as we have so many portfolios to do.We have 4 main posting in this FINAL semester namely internal medicine, obgyn, surgery and peadiatrics.. In each posting we are required to do 2 - 3 portfolios.

What is a portfolio?
It is writing a case of a patient from the day admission throughout his hospital stay and until discharge. This include the interviews the examination the management plan. Then, we are expected to constructively criticise the inadequacy of the management and how we could make it better. At the same time, it has too also be supported with evidence base medicine-meaning going thru as many medical journals as possible. After that, we are required to come up with learning issues regarding to the patients and discuss it maturely.

On average each portfolio is 20-30 pages long, and during ourfinal exams with have oral exams regarding our portfolios

IN the mornings we are all at the wards, covering the beds assigned to us, trying to do as many procedures as possible, go thru ward rounds with the doctors here and assist or observe in the operating theatres. IN the afternoon, its either ward work again or classes in the campus. Then after 3 hours of break, we head back to the hospital for our night calls.

Symptoms of depression among us:
  1. PT: had diarrhea on each and every day wher she is in Batu Pahat without fail. When she goes back to her hometown, her stools consistency reverted back to normal
  2. FS, AK, JK, JY, CT: home sick.keep thinking of home. dont have the motivation ot study or do anything
  3. AK, FS: Acne flare up.
  4. AK: Heavy menstrual bleeding, assocaited with blood clots and dizziness
  5. FS, CT, BM, AM: Worsening of the allergic rhinitis
  6. Evrybdy: You tubing fever seen we r deprived of entertainment here
  7. Evrybdy: During the obgyn posting, all 18 of us finally showed our true colours, We all broke down under the stress and the long 8 hours of nite call and coming to work again the next day.
  8. 50% of us: the backstabbing, the kiasu attitude, the wiping lecturer's ass attitude developed just to get good remarks in the logbooks

++Our motivation to pass our exams now is to get out of this place fast. Cant live another 6 months here. We do not wan to be on anti depressants!++

Thursday, November 27, 2008

Semester 10 is not fair


every 5 weeks we change postings and the lecturer is expected to write something in our logbook
and how many times does the lecturer sees us in a week and for how long. Most of the time we are on our own and doing our on calls on our own. How would day knw how we have performed in a clinical setting next to the patient. How genuine we are and not just acting in front of the lecturers when the lecturer is around next to the patient.How would they knw abt our people skills in the clinics because at that ime many student would wan to examine the patient. Wat about those who have empathy.not coming forward to examine and talk to the patient when evrybdy else hav because she thinks abt the patient. If she was in the patient's place she wouldnt wan to be harassed as such.

Some people shine in class because of their knowledge. some ppl just happen to be lucky to get easy questions. Some people are so kiasu that they wan to present their cases in every teachign session with lecturers. Just to give the impression that they are well read and good in their knowledge.

How are these lecturers gi vent he authority and right to jot down comments in our logbooks when they do not knw if they limited time he has with us potray the true person each student is or not.
Those who suck up get excellent-because they critic evrything evrybdy else does.and report to the lecturer about evrything ,even things which are not right and alrd corrected. wat the hell?
Those who are good-some do deserve it and some just dont
Those who get satisfactory- those who hav potential but because of this excellent ppl, they are just labelled as satisfactory.

Im so pissed off.this lecturers think they knw a lot abt us. Nobody can rate a potential clinician. Their work should onli be rated by the patients. A clinician's overall assessment should be longstanding in 20-30 years down the road.NOT NOW.

Dear lecturers..do u knw u have made many ppl here depressed..lost the interest in continuing studies and make us feel worthless, like we dont even need to attend our exams to knw that we have failed? The portfolios are killing us too.Why do u burden us so much?