Quick revision on Professional Communication as HO 👨‍⚕️👩‍⚕️;

Presenting & Referring Cases

This is one of core skills for tagging ⚠️

Bila saya buat survey di kalangan HO dah dah mula kerja, apa yg paling challenging bila mula-mula kerja dulu?

‼️ Presenting 😷

‼️ Presenting 😷

‼️ Presenting 😷

Present macam ni salah,
macam tu pun salah jugak.

Waktu medical school dulu,
Bukan ke kita baca je semula case note tu?
.
Haa, ini yg silapnya ‼️

1. Bila dah jadi HO, superior kita (MO & specialist) biasanya tak ada masa nak dengar kita baca semua case note tu sebijik-bijik balik (baik waktu present new case, mahupun present review waktu round)

2. Waktu student dulu, kita mention diagnosis last kan?

Tapi bila dh dekat wad nnt, biasa kita akan mulakan case presentation dgn diagnosis & reason for admission

Bila jadi HO, ingat formula ni;

💠USSA💠

Understand

Select

Summarize

Adjust

(Source; PreHO #Advance Online by Medicorp)

1st 💠 UNDERSTAND;


Mula2, fahamkan semua abbreviations & fahamkan case as a whole.

Remember, you can’t tell a story that you did not understand it yourself 😶


2nd 💠 SELECT;

Pilih apa bahagian penting dari history patient yg kita nak sampaikan pada colleague/MO.

Biasanya, kita akan pilih ie select chief & associates complaint, significant P/E & Investigation findings.

& kita akan deselect past medical/surgical, social & family history (unless clinically relevant)

Ingat balik format clerking case di sini; https://t.me/driliana9/2715

3rd 💠 SUMMARIZE;

Bahagian yg kita select td, cuba summarize kan. Dari satu perenggan, cuba summarize kan jadi satu ayat.

Bila ada numbers, instead of baca nombor2 tu, interpretekan all the numbers so your presentation is more concise.

Contoh, jangan baca satu2 vital signs patient, tapi summarizekan;

“Vital signs stable since admission/overnight”

“FBC, BUSE, LFT send on admission was normal”

Saya bagi satu lagi contoh di bawah ni;

Part ni, kita boleh summarizekan jadi;

“Patient presented with typical anginal chest pain since 3 hours ago”

(Ikut kita present pukul berapa, kirakan siap2 dah berapa hours/day from onset)

4th 💠 ADJUST;

Ok, yg ni paling challenging. Adjusting your presentation to meet the style/expectation of your superior.

Ya, lain MO/specialist, lain style & expectation mereka.

Kena ambil tahu & adjust accordingly.

So sebagai HO, mmg kena pay attention bila senior HO atau MO present kepada specialist.

The more cases you listen to & practice, the better you’ll become at presenting cases.

Kena marah sket2, biasa.

Just improve along the way 😇

InsyaAllah malam nnt saya share on Referring Cases 🌟

Nak belajar lebih lanjut tentang Presenting cases?

Nak tengok contoh & cara present case di department berlainan?

Register for PreHO #online Advance here?

https://medicorp.onpay.my/order/form/flashsale

From one of our #Mentorship participants tonight 😂

Haa time med school dulu bolehla present sampai 15-30mins satu long case,

Ni dah jadi HO, biasanya case2 yg common & clear cut diagnosis, kena present in 3-5 minit je 👍

Takdenya MO nak dengar korang present satu case panjang2, sebab banyak lagi cases nak kena attent lepas tu 😅
.

Sebab korang kan dah Dr sekarang, dah kena tahu mana yg clinically relevant or not,

and it's your task when clerking to detect issues in each patients & highlight them in your case presentation 😉

Read more here on presenting cases, a very good guide from our surgeon, Dr Aimir Ma'rof; https://m.facebook.com/story.php?story_fbid=10153996949444888&id=625724887&sfnsn=mo

Saya share on referring esok ya, maaf kurang sihat sket hari ni 😅

Ok, utk Referral plak, formula dia,

💠 ISBAR 💠

Source; PreHO #Advance Online by Medicorp

Lebih kurang sama macam presenting saja, cuma kena Introduce ourself & state our situation (sebab selalunya refer case over the phone, bukan berdepan macam presenting case kan)

Dkt background & assessment tu, macam presenting jgklah.

USSA kan je ✅

Then tutup ayat dgn ulang balik request/recommendation kita.

Tu je principle dia, agak simple je sebenarnya 👌🏻

Cuma kena faham apa concern the other party & adjust the referral to meet their concern/expectation

Boleh tengok contoh di sini;

Referral to Paeds from Labour Room

https://www.facebook.com/photo.php?fbid=3655876501106283&set=a.815716601788968&type=3

Referral to other department
https://m.facebook.com/story.php?story_fbid=3386251151393136&id=100000248545939

Take note that both guide actually follow the ISBAR format 😇

(Both MOs were #Medicorp PreHO alumni too, please pray for them to become specialist soon)

Today is the final day to register with #special discount for Medicorp's prerecord online courses;

🌟 PreHO #Advance; How to execute daily as as HO; review, present, refer, request scan, do discharge summary

🌟 Medical #Emergencies & ABG; how to attend common emergencies in ward as HO; high BP, high GM etc

🌟 #ECG; must know ECG interpretation & management for HOs.

Find more info on these courses here;
https://medicorp.onpay.my/order/form/flashsale

P/s If you've enrolled to these course & find them helpful,

Please help us by #forwarding this msg to your batchmates, juniors & colleagues who will report duty together at your hosp later 🌟

I'm starting the 2nd batch of Mentorship revision tonight, so they still can join the revision for FREE if they enroll into any of above online courses today 😉

⁉️Soalan; Lepas dapat result lab investigation, kena inform MO ke?

Jawapan;

It depend. If it is a STAT ie urgent investigation, you need to inform the MO as soon as the result is out -whether it’s normal or not.

But if routine investigation like daily blood, klu normal inform waktu round saja.

If tak normal, depend whether its live threatening or not. Contoh macam hyper/hypokalaemia, kena inform trus & correct immediately

🌟🌟🌟 Kepada Alumni Medicorp yg baru pilih hosp hari ni melalui system E-HO,

Sila submit #Mentorship Form sebelum 5 ptg ni.
(Kalau xjumpa link dlm email boleh PM saya)

Pukul 6 kita trus start revision ya, dah tak banyak masa before PTM ni 😅

Yg belum pernah join mana2 program Medicorp tapi nak join jgk Mentorship revision,

Boleh register mana2 Online course & dpt Mentorship revision free dkt sini; https://medicorp.onpay.my/order/form/flashsale

🔼 A concise video on conducting SVD (spontaneous vaginal delivery) - how we do it in Malaysian hospital setting😇

Must know for all HOs,
sebab klu nak OFFTAG in O&G kena conduct 5-10 SVD ⚠️

InsyaAllah nanti saya share few O&G protocols pula ❤️

Coming soon, 2nd batch of O&G Online Course 🌟

Registration will open tomorrow morning at 11am!

We have special #earlybirds BONUS this time 🎁

P/s yg dah daftar O&G course sebelum ni, jgn risau, akan dpt access & revise juga sekali dgn 2nd batch ni 😁