Shortlist of common disease & emergencies you need to as HO;
ππ» All posting (esp medicine, surgical & ortho)
- hypertensive urgency & emergency
- hyper & hypoglycaemia
- hyper & hypokalaemia
- fluid resuscitation in unstable/patient with shock
ππ» medicine; AEBA (asthma), COPD, dengue, ACS
ππ» surgery; acute abdomen (appendicitis, choledocholithiasis, PGU), sepsis, UGIB, LGIB
ππ» ortho; open fracture, DFU, fat embolism, compartment sindrom
ππ» O&G; intarpartum management & complications (1st, 2nd & 3rd phase of labour), GDM, PIH
ππ» gen paeds; AEBA, dengue, AGE, febrile fit
ππ» neonatology; NNJ, neonatal sepsis, IDM & hypoglycaemia, respiratory distress in newborn
Reference; any book you already have, yang penting baca π
.
Kalau rasa2 nervous sgt tak masuk dah kalau baca buku, atau nak input baru,
bolehla tengok
Semua video team dah edit pendek2, jadi mudah nak tengok trus specific topic π
.
Alhamdulillah ramai senior HOs bagi feedback online course ni membantu mereka utk prepare &
Boleh tengok more info here; https://medicorp.onpay.my/order/form/3in1combo
Senang kan boleh study tanpa buka buku π, lebih mudah faham & ingat sebab tengok video + slides yg MO & specialist explain ππ»
ππ» All posting (esp medicine, surgical & ortho)
- hypertensive urgency & emergency
- hyper & hypoglycaemia
- hyper & hypokalaemia
- fluid resuscitation in unstable/patient with shock
ππ» medicine; AEBA (asthma), COPD, dengue, ACS
ππ» surgery; acute abdomen (appendicitis, choledocholithiasis, PGU), sepsis, UGIB, LGIB
ππ» ortho; open fracture, DFU, fat embolism, compartment sindrom
ππ» O&G; intarpartum management & complications (1st, 2nd & 3rd phase of labour), GDM, PIH
ππ» gen paeds; AEBA, dengue, AGE, febrile fit
ππ» neonatology; NNJ, neonatal sepsis, IDM & hypoglycaemia, respiratory distress in newborn
Reference; any book you already have, yang penting baca π
.
Kalau rasa2 nervous sgt tak masuk dah kalau baca buku, atau nak input baru,
bolehla tengok
online course Medicorp β€οΈ, insyaAllah lebih mudah faham & ingat sebab MO/ specialist yg explain & ada case discussion sekali. Semua video team dah edit pendek2, jadi mudah nak tengok trus specific topic π
.
Alhamdulillah ramai senior HOs bagi feedback online course ni membantu mereka utk prepare &
pass both off offtag & end of posting assessment ππ»Boleh tengok more info here; https://medicorp.onpay.my/order/form/3in1combo
Senang kan boleh study tanpa buka buku π, lebih mudah faham & ingat sebab tengok video + slides yg MO & specialist explain ππ»
One of the most important traits for any clinician, esp new HOs - is resilience.
Letβs learn from the expert tomorrow night!
https://academy.locumnet.com.my/resilience-live-webinar-by-dr-rostam
Letβs learn from the expert tomorrow night!
https://academy.locumnet.com.my/resilience-live-webinar-by-dr-rostam
Forwarded from Channels
Nota Perubatan
After some time I've been working with HOs, I realized few of them were not able to complete the offtag assessment because they are still lacking of some basic knowledge. Hence, the specialist gave them another date for re-assessment.
Some of the important questions / basic knowledge (especially for internal medicine):
1. ECG: inferior MI, anterior MI, lateral MI, anterolateral MI, reciprocal changes of ECG in MI
2. ACS
- Medications for ACS (including doses)
- How to classify ACS?
3. DKA
- Criteria (must know the exact value / cutoff point for each)
- Principle of management - what to start
4. Hypo & hyperkalaemia
- ECG changes for each
- Definition for each
- Treatment for each
- Formula for calculation of potassium deficit (during assessment, you can only use a simple calculator π)
5. Hypoglycaemia
- Definition
- Treatment
6. Dengue
- Warning signs
- Features of compensated shock VS decompensated shock
- How to monitor dengue? (haemodynamic and what blood parameters?)
7. Tension pneumothorax
- Clinical finding (chest examination)
- CXR of tension pneumothorax
- Treatment
Others
- If you are HO in the ward, patient complaining of chest pain / SOB, what would you do?
#GIM
@nota_perubatan
https://t.me/nota_perubatan/774
After some time I've been working with HOs, I realized few of them were not able to complete the offtag assessment because they are still lacking of some basic knowledge. Hence, the specialist gave them another date for re-assessment.
Some of the important questions / basic knowledge (especially for internal medicine):
1. ECG: inferior MI, anterior MI, lateral MI, anterolateral MI, reciprocal changes of ECG in MI
2. ACS
- Medications for ACS (including doses)
- How to classify ACS?
3. DKA
- Criteria (must know the exact value / cutoff point for each)
- Principle of management - what to start
4. Hypo & hyperkalaemia
- ECG changes for each
- Definition for each
- Treatment for each
- Formula for calculation of potassium deficit (during assessment, you can only use a simple calculator π)
5. Hypoglycaemia
- Definition
- Treatment
6. Dengue
- Warning signs
- Features of compensated shock VS decompensated shock
- How to monitor dengue? (haemodynamic and what blood parameters?)
7. Tension pneumothorax
- Clinical finding (chest examination)
- CXR of tension pneumothorax
- Treatment
Others
- If you are HO in the ward, patient complaining of chest pain / SOB, what would you do?
#GIM
@nota_perubatan
https://t.me/nota_perubatan/774
Semalam, saya sempat follow up HOs yg baru start tagging last week (intake Bil 5/2022).
Jom tengok apa feedback diaorang lepas start #tagging beberapa hari;
ππππ
Jom tengok apa feedback diaorang lepas start #tagging beberapa hari;
ππππ
1st day as taggers dah kena buat ward work, procedures semuaπ
So tagging bukan masa utk #shadow senior HOs atau tengok2 saja ya. Jadi sebelum start HO, dah kena ambil tahu & practice macam mana nak buat semua ward work & procedures ni semua πͺπΌ
So tagging bukan masa utk #shadow senior HOs atau tengok2 saja ya. Jadi sebelum start HO, dah kena ambil tahu & practice macam mana nak buat semua ward work & procedures ni semua πͺπΌ
Saya perasan sejak awal tahun ni, banyak kali dapat feedback yg tagger terpaksa jaga the whole ward sorang-sorang! (berlaku di department & hospital berbeza)
Nampaknya kebanyakkan department memang betul2 tengah tak cukup HOs π
Jadi yg masih menunggu posting HO, kena betul2 bersedia sebab bila senior HOs tak cukup, taggers kena independent banyak buat ward work sendiri nanti π
Nampaknya kebanyakkan department memang betul2 tengah tak cukup HOs π
Jadi yg masih menunggu posting HO, kena betul2 bersedia sebab bila senior HOs tak cukup, taggers kena independent banyak buat ward work sendiri nanti π
More sessions available this #Thursday & #Sunday β€οΈ
For those starting HOship soon (esp intake Bil 6/22), this is your final chance to prepare yourself before #tagging soon πͺπ»
To those who has joined the session before, you can come again for FREE as facilitators to practice again π so yg baru grad, saya recommended untuk join awal supaya boleh practice lagi sebelum start HO nantiπ
.
βΆοΈ Clinical #Skills Workshop;
29th Sept (Thursday)
2nd Oct (Sunday)
βΆοΈ #Episiotomy Workshop;
2nd Oct (Sunday night)
Find more details on each session here;
https://medicorp.onpay.my/order/form/clinicalskill_suturingworkshop
For those starting HOship soon (esp intake Bil 6/22), this is your final chance to prepare yourself before #tagging soon πͺπ»
To those who has joined the session before, you can come again for FREE as facilitators to practice again π so yg baru grad, saya recommended untuk join awal supaya boleh practice lagi sebelum start HO nantiπ
.
βΆοΈ Clinical #Skills Workshop;
29th Sept (Thursday)
2nd Oct (Sunday)
βΆοΈ #Episiotomy Workshop;
2nd Oct (Sunday night)
Find more details on each session here;
https://medicorp.onpay.my/order/form/clinicalskill_suturingworkshop
For new HOs- how to prioritize your ward work?
https://www.facebook.com/100000248545939/posts/5774652389219655/?sfnsn=mo
Lots of extra tips from excellent HOs & MOs at the comment section π
https://www.facebook.com/100000248545939/posts/5774652389219655/?sfnsn=mo
Lots of extra tips from excellent HOs & MOs at the comment section π
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βAre you happy with your #sutures?β
βYes! Dari tak tahu macam mana nak pegang surgical instrument to knowing how to make interrupted 1οΈβ£, continuous 2οΈβ£ & subcuticular sutures 3οΈβ£,
Yes Iβm definitely #happy walaupun sutures tak cantik sangat macam surgeon π
Takpe sebab dapat suturing kit #free lepas ni boleh practice lagi dekat rumahπͺπ»β
Sharing from one of Medicorp #Episiotomy & Suturing workshop β€οΈ
βYes! Dari tak tahu macam mana nak pegang surgical instrument to knowing how to make interrupted 1οΈβ£, continuous 2οΈβ£ & subcuticular sutures 3οΈβ£,
Yes Iβm definitely #happy walaupun sutures tak cantik sangat macam surgeon π
Takpe sebab dapat suturing kit #free lepas ni boleh practice lagi dekat rumahπͺπ»β
Sharing from one of Medicorp #Episiotomy & Suturing workshop β€οΈ
Must have #book/references for medical graduates & HOs
β‘οΈAmpang HO guide for all dept. Download for FREE here; https://t.me/nota_perubatan/164
β‘οΈstate/hosp #O&G protocol. Download here & print for revision; https://t.me/driliana9/4156
β‘οΈPaeds πΆπ¦π»
-malaysian paediatric protocol 4th edition
-Aliaβs NNJ & TFI workbook
Can get the books here; https://www.medicorp.store/
β‘οΈJB manual of #surgery (awaiting new printing batch in soon)
β‘οΈ #medical;
-sarawak handbook
-CPG made easy for HOs (1st edition dah habis, 2nd edition will be available soon in end of Oct)
β‘οΈ#Ortho; Melaka orthopaedic HO guide & Xray guide. Bolah order dua buku ni dekat https://t.me/themedicalbooksPS
.
I highly #recommend medical students (during your clinical years) to get these books too, especially those who graduated outside Malaysia ππ»
β‘οΈAmpang HO guide for all dept. Download for FREE here; https://t.me/nota_perubatan/164
β‘οΈstate/hosp #O&G protocol. Download here & print for revision; https://t.me/driliana9/4156
β‘οΈPaeds πΆπ¦π»
-malaysian paediatric protocol 4th edition
-Aliaβs NNJ & TFI workbook
Can get the books here; https://www.medicorp.store/
β‘οΈJB manual of #surgery (awaiting new printing batch in soon)
β‘οΈ #medical;
-sarawak handbook
-CPG made easy for HOs (1st edition dah habis, 2nd edition will be available soon in end of Oct)
β‘οΈ#Ortho; Melaka orthopaedic HO guide & Xray guide. Bolah order dua buku ni dekat https://t.me/themedicalbooksPS
.
I highly #recommend medical students (during your clinical years) to get these books too, especially those who graduated outside Malaysia ππ»
Pukul berapa nak kena #punch in as HO?
Macam mana nak #prioritize ward work?
ππ» The time of clock in varies as according to your confidence of finishing your job on time. If you can't perform your duties due to inadequate preparation, then you come earlier the next day to spend more time to prepare.
Prioritize your job. For starters, your usual daily ward work after the ward round should be prioritized as per the following order:
1. Emergencies
2. STAT blood investigations/Blood cultures
3. Referrals
4. Requests for services (eg. Early CT scans)
5. Discharge summaries
6. Documentation
The order above merely acts as a guide & you should always prioritize your work as per the circumstances with justification.
That includes but not exclusively limited to, A. work smart with your team (eg. Send the blood samples for your teammates too if you are taking it down to the lab)
B. Plan your work ahead (eg. If your CT suite is next to the lab and you have only one blood to take, might as well send the blood to the lab, then head to the CT suite to do your requests to save some travel distance)
C. Call for help if you need to.
D. Don't be too #calculative.
E. Aim to finish AM ward round work before PM rounds.
F. Be responsible. You are what you do.
Long story short, housemanship is just training you to be efficient.
I would advise not to aim to become anyone's asset. Your aim is to become a trustworthy MO who can be there for your patients.
If you have extra time, strengthen the basicsππ»
#FAQ-HO
Macam mana nak #prioritize ward work?
ππ» The time of clock in varies as according to your confidence of finishing your job on time. If you can't perform your duties due to inadequate preparation, then you come earlier the next day to spend more time to prepare.
Prioritize your job. For starters, your usual daily ward work after the ward round should be prioritized as per the following order:
1. Emergencies
2. STAT blood investigations/Blood cultures
3. Referrals
4. Requests for services (eg. Early CT scans)
5. Discharge summaries
6. Documentation
The order above merely acts as a guide & you should always prioritize your work as per the circumstances with justification.
That includes but not exclusively limited to, A. work smart with your team (eg. Send the blood samples for your teammates too if you are taking it down to the lab)
B. Plan your work ahead (eg. If your CT suite is next to the lab and you have only one blood to take, might as well send the blood to the lab, then head to the CT suite to do your requests to save some travel distance)
C. Call for help if you need to.
D. Don't be too #calculative.
E. Aim to finish AM ward round work before PM rounds.
F. Be responsible. You are what you do.
Long story short, housemanship is just training you to be efficient.
I would advise not to aim to become anyone's asset. Your aim is to become a trustworthy MO who can be there for your patients.
If you have extra time, strengthen the basicsππ»
#FAQ-HO
JB manual of Surgery (can be used all over Malaysia) - NOW ready stock at https://www.medicorp.store/ ππ»
Dengue CME tonight at 9.30pm!
Register here for FREE to join the #live session or get access to the #recording;
https://medicorp.onpay.my/order/form/dengue
Feel free to share/fwd this to your colleagues & working group ππ»
Register here for FREE to join the #live session or get access to the #recording;
https://medicorp.onpay.my/order/form/dengue
Feel free to share/fwd this to your colleagues & working group ππ»