text: Gurindam Jiwa: 2016
  Alhamdulillah dpt pegi preHO crash course last weekend. totally recommended and worth the money. The course helps us to know the bigger picture and setting a positive mindset before entering housemanship especially for overseas students. First and foremost, have a positive mindset even before starting HO. Set the right intention.
  So, let me share a few important tips to excel in housemanship so that it will stick in my brain better and for others to benefit from it.
  2. Ask to the right person
  3. Never defend yourself. Boss is always right!
  4, How to cope with anger: Breathe, Let go and Smile -BLS
  5. Aim to become an independent MO at the end of housemanship. so, learn as much as possible to assess and manage patients competently.
  How to choose hospital?
  -choose the nearest one to your family.
  -secondary hosp have less HO, so more chance to perform procedures
  -hosp uni usually HO are very less, so there's a lot of work burden and less chance on hands on skills to do procedures because sometime only MOs are allowed to do certain procedures like LP.
  HO system in Msia:
  These are the flow, we will either being posted to do Medical first, surgery, O&G, paeds, ortho.or Paeds, ortho, O&G, medical, surgery.
  1. Medical/ Paeds
  2. Surgery/Ortho
  3. O&G
  *make sure no extension in the first three departments and hopefully none!
  Oncalls:
  1 week, 70-75 working hours
  less than 24 hours stretch call
  proper day off
  usually oncall when there's not enough HO
  rate ikut flexi hour
  Mon: AM
  Tues: AM
  Thurs: ON(on night) 4pm-10am tomorrow
  Fri: NO(night off)
  Sat: Day off, but still kne attend CME at hosp
  Sun: AM
  We are expected to be a functioning doctor from day1. So learn as much as possible during the tagging period; hosp system, write patient notes, order bloods, which bottle for which test, clerk patients and know the patients in the ward eventhough they are not assigned to our cubicles. We need to be proactive and train ourselves. Ask around whenever in doubt. Always remember to introduce ourselves. Learn to organize and prioritise the work.
  Time: 5.30am - 10pm
  after 2 weeks, there'll be offtag assessment- to prepare ourselves to do oncall/shift on our own
  Ward routine:
  -blood taking
  -Rounds: do review, latest inv, progress/deteriorating, doc, PA
  1. Don't know the cases
  2. Round not finished
  3. Order not done
  4. Important result/progress not informed
  There's more on tips2 and job scope of a HO in the book "I am a housemen". Totally recommended reading! There's a lot of blog that shares the experience and advice to survive housemanship. one of it http://successful-housemanship.blogspot.my/2013_12_01_archive.html and https://wani-z.blogspot.my/2014/01/salam.html
  Utk preparation awl, things to buy for HO.
  Bole search kt sini jgk. https://hanzmedshoppe.com/ , kamal bookstore etc
  Highly recommend utk beli buku preHOcrash course book. Dorg ade bgtau common cases that we should know, how to write patient notes, record medical review, list of abbreviations, tips2. Ni bole search kt group Medicorp Pre HO course https://www.facebook.com/preHOcrashcourse/?fref=ts
  Some of my friends also suggest bce Ampang HO guide book..ni pdf online https://myhow.wordpress.com/ho-guide/ . At least we can get use to the msia terms. Like RP, CBD etc.
  "The best preparation for you all bakal HO ni is mentally prepared. Sbb the most important thing during housemanship is having good attititude. And bole start revise common cases." Quoted by senior docs.
  #preHOcrashcourse#excellentHOnowadays #wecandothis💪💪
  Dari Abu Hurairah radliyallaahu 'anhu, ia berkata bahawa Rasulullah ﷺ bersabda, Allah سبحانه وتعالى berfirman,
  أَنَا عِنْدَ ظَنِّ عَبْدِى بِى "Aku sesuai dengan persangkaan hamba pada-Ku." (Muttafaqun 'alaih). .
  Hadis ini mengajarkan bagaimana seorang muslim harus husnuzon pada Allah سبحانه وتعالى dan mempunyai sikap berharap pada-Nya.
  Mengenai makna hadits di atas, Al Qodhi 'Iyadh berkata, "Sebahagian ulama mengatakan bahawa maknanya adalah Allah سبحانه وتعالى akan memberi keampunan jika hamba meminta keampunan. Allah سبحانه وتعالى akan menerima taubat jika hamba bertaubat. Allah سبحانه وتعالى akan mengabulkan doa jika hamba meminta. Allah سبحانه وتعالىakan beri kecukupan jika hamba meminta kecukupan. Ulama lain berkata maknanya adalah berharap pada Allah سبحانه وتعالىdan meminta ampunannya." (Syarh Muslim, 17 : 2)
  p/s: Counting days to working life.. Bismillahi tawakal tu 'alallah. =)
  Selawat dan salam pd junjungan Nabi Muhammad SAW. Alhamdulillah ats segala nikmat yg Allah kurniakan pd kte sume. baru perasan setiap tahun semakin bekurang blogpost, dari memula 76 sampi 3 post je utk 2016! haha..So, here's some update for ye. campur satu, dpt la 4. kiki
  It has been almost 4 months since I said goodbye to Ireland. missing everyone, every little moments spend together kt Ireland, magnificent scenery and everything that could not be expressed by words. kemain rindu.. Alhamdulillah, I have graduated on the 27th May 2016. Words can't described how grateful I am after checking the results. Because every medical student would know how hard, intense, mentally, emotionally and physically draining course it is, to go through every little test, to preservere until the end, to still hope for the best when you have doubt on yourself and every other struggle that only Allah knows.
  For my dearest friends who are still struggling to finish their final exams, I wish you the very best, May Allah grant you perseverance, patience, strength and sabar to go through this final hurdle in this part of the journey. Cikit je lg tau. Stay strong and keep it going. La hawla wala quwwata illa billah. Same doa goes to all the final meds..besar da korg sume, nk jd doc da.. Keep calm and do your very best. Help each other and doa byk2 dgn penuh pengharapan pd Allah. Allah Maha Mendengar.
  Back to the updates, so before my parents and I went home, we went to a few places in Ireland, London and Scotland. It was just a short trip but it's full with important lessons in life. Because it's a different experience to travel with your parents compared to your friends. Not saying I don't enjoy travelling with them, but it has different story and struggles in it's own, which I could sum up into my elder brother advice: Sabar seperti mana mereka sabar jg kte sejak dalam kandungan hingga besar ni. Syahdu plak.. But, I am glad they enjoyed their trip.
  Since we just stayed for one night at London, we just went to the sightseeing tour around London naik hop-on hop-off. Visited Big Ben for the first time, naik river cruise, tgk Tower Bridge of London, visited Buckingham Palace and some other places.Last stop p Trafalgar Square and skali ade Open Air Orchestra free admission.. best sgt tgk dorg perform. Mlm tu, Qasim my cousin and his wife, Nawal bwk kteorg dinner at Burger and Lobster near Soho London. actually, den yg request! haha.. .abah terpikat dengan kesedapan and freshness lobster dorg. sedap and recommended!
  The next day, we took train from Kingscross to Edinburgh Waverley. We really enjoyed the scenic view along the way. lawa sgt. ni bukti. hehe..Kat scotland and London, we stayed in Travelodge. sgt selesa and at reasonable price. We then walked around Edinburgh city and took the hop-on hop-off jgk. bus bwk jln2 smpi Edinburgh castle and all the interesting places in Edinburgh(xingt da nama tmpt dia). For lunch, kteorg mkn buffet makanan Pakistan yg sedap. abah puji beriyani and kari dia.
  Alhamdulillah syukur for everything.. Jazakumullahu khairan jaza' (May Allah reward you with goodness in abundantly) to everyone especially mama abah, abang2, saudara-mara, housemates, friends, seniors, juniors, teachers from SKTRJ, SMK KGV, KYUEM, UCC, all the doctors who taught us and all the patients who contribute a lot to this humble journey.Thank you so muchh..=smoga kejayaan di dunia ni lebih membawa diri dan ummah dekat kpd Allah..Aminn.. =)
  Blk je cork, rehat, went to graduation dinner and graduation ceremony the nest day tu. All ready, capturing moments of happiness with family and friends. Settlekn kotak shipping and amek translated degree kt Brookfield. terkenang2 jgk memori dari first year jln kaki p Brookfield.
  Going to Ring of Kerry for the fifth time makes me falling in love with Ireland even more. Then, we went to Cliff of Moher with Paddywagon tour. It was a day trip for each place and very convenient kalau mls nk drive around. lpastu, jln area Cork city je, beli some souvenirs and we flew back home.
  Currently, kt umh baru je lps interview SPA last wednesday. Quite relieved it's over, hopefully dpt posting awl. xtau nk wt ape da kt umh..hehe..nk jd cikgu tuisyen xapply2 lg. ahaha..cuma, ade la tlg2 mama abh jg ank buah..part time babysitter and full time daughter. hee.. Some simple tips for those yg akn interview:
  1. Prepare resume and other docs as early as possible.
  2. READ current issues, revise your medical knowledge. Very important to cover Zika, denggi in and out and cover the main topics in your interest.
  3. Practise speaking. (kalau spe xbiasa cm I ni)
  4. Doa and tawakal. Dress well and be confident.
  5. Research and keep on searching. I just http://jonayyf.blogspot.my/2016/01/how-to-apply-housemanship-in-malaysia_26.html as a guide start from applying sijil sementara MMC, KKM until interview SPA. really detail and very informative
  Sharing my questions during the interview [LTD 6 Seremban]:
  1. Why ireland?
  2. In what way do you think msia should follow ireland in terms of the healthcare system? Diff between msia n ireland healthcare system?
  -I said psl pharmacist dispense meds etc in Ireland. So, dato' tu keep on asking in msia who should dispense the meds, pharmacist or doctors? Why? Dia mcm argue yg pharmacist pn know their job and bg scenario:
  "Patient came with cough and she asked the patient is it wet or dry cough? (meaning ade kahak ke x?) konon mcm provoke la pharmacist know their job too."
  I answered, "That's true, but only doctors know about the disease. for example the cough could be due to TB, asthma and other serious condition which only doctors can rule out safely. Hence, doctors should dispense the medications in Malaysia. Bla bla bla"
  3. Posting yg plg suke/ minat utk further specialize? Why?
  4. Case scenario sbb pilih O&G:
  As a first poster HO, patient dtg with 10 weeks pregnant comes with vaginal bleeding. Wat you gonna do?hx, differentials, mx?
  5. Kalau 3rd trimester comes with vaginal bleeding, ape ddx and management?
  6. Stress reliever?
  7. Why there are many male O&G now?
  Kdg2 dato tu provoke ckt2, so kne stand firm la.. Anyhow, in shaa Allah baik2 je..All the best sume
  Till then, there goes my 4 months updates. Take care everyone. =)
  p/s: kenal untuk cinta
  It's been 2 months since I left Ireland for good and it's August now. Before I forgot, let me just give some tips and tricks for final years UCC. Although, I'm not the best person to give advice, but just take it as a sharing experience for those who like to benefit.
  Study hard, pray harder. First and foremost, congrats for making until this far. Just a few more months to go, keep striving hard to improve yourself. So, this post is dedicated for ye guys, hopefully it will benefit ye. Plan early and try to stick to it or at least improvise the plan.
  Before going to each module, let me give a brief overview how final year gonna be like. Quoting from one of the senior, "In final year, you are learning the same thing from fourth year but a lot more stressful". It's because everyone is having high expectations on you including yourself. You have to start thinking like an intern now. Learn how to prioritise the differentials, management plans etc. Ask and you will get the answer. Don't be afraid making of mistakes, because you will learn better from that. Be afraid of being complacent! Always challenge yourself.
  "And the Hereafter is better for you than the first [life]." Surah A-Dhuha:4
  During the rotations, be friendly and try make yourself useful to the team. Aim to present cases to consultants, registrar or interns every week so that you will get a hang of how to present cases concisely and from that you will know how to tackle the history and examinations better next time. Yes, you need to polish your examination skills thoroughly! Open up your heart and mind to critics, I know it's hard. But, just take it positively for your own personal growth.
  It's a huge module with the biggest credit, meaning you have to pay extra attention to it without neglecting others. There are General Practice, Geriatrics and Clinical Practice. Follow ward rounds and get involve in the team. I used OHCM, Pockets of General Practice(Prof. Bradley) and ABC Geri. Being a textbook person, I try to complement the big topics by reading Kumar and Clarks/Davidson and make some notes because I learn better when I make my own notes. But, it depends on your style of learning. (tp, kne speed reading ckt sbb panjang kn). Assesment is mostly from your consultants so, be proactive and impress them.
  Further info psl assessment, please refer to the ucc module websites. In brief for finals, practise a lot for short case, long case, MCQs, and data interpretation. Find a partner to correct you and vice versa. Better if you make friends with the interns, and ask any patient with good findings. Mse nk final tu, survey from previous years what kind of cases yg usually came out. Usually lebih kurang je.
  Mine, I got Mallow University Hospital for short case. Dpt A.fib, aortic stenosis, consolidation and MS. Doa byk2 consultant lembut hati and dpt case yg bole jwb.
  Try settlekn data collection and analysis as soon as possible especially gang yg away tu. So that, bole focus on the hosp rotations. Ble da siap sume, aim utk siapkan slides for presentation and REHEARSE EVERYDAY at least for those like me yg tak suke public speaking ni. Mintk advice kwn2 utk komen stle presentation and hntr kt supervisor utk cek slides for improvement. Then, you can focus on the write up which has 70% weightage. So, wt leklok ye? Lit review kalau sama dgn tajuk FYP, copy paste je xpe.. jgn wt last minit, nt cuak plk.
  3. Obstetrics and gynaecology:
  The content is exactly the same dgn 4th year except that you will have to focus more on the favourite topics and read the guidelines. Read from RCPIàRCOGàNICE. The MCQs after rotation quite specific because they expect us to know the details. So, bce guidelines. Kalau xsume page pn, bce summary da ckp n hafal. Siapkn logbook n present case kt consultants every week. In the finals, jwb essay and ade long case. Again, practise makes perfect. I like to spot question based on the trends from previous years. Tp, risky ckt. So, ikt instinct msg2 la.. I used Impey for 0&G, pocket O&G and guidelines.
  4. Paediatrics:
  Challenging because the content is very wide, just like adult medicine but in kids. So, plan carefully or else nt xsmpt bce ble msk finals. I used Sunflower (Illustrated Paediatrics) and pockets paeds mse ward rounds. Very handy to refer. For osce, practise and practise with your friends. Make sure to cover the history and master examinations thoroughly. Look at previous years and practise them. Make sure to master all the common conditions but not neglecting the serious ones like child abuse, neglect etc. During the finals, practise all the past years or at least read the feedback that Prof gave because it will gives you an overview of how Prof want the students to answer the questions. One page of answer per question, so no room to 'goreng2'if you know what I mean. Memorise the differentials for common topics and the investigation and management plan. All and all, they just want to know how safe are you handling kids as an intern.
  Surgery in finals focused more on abdominal and vascular as well as other topics. So, read all of them because the MCQs are very specific. Follow all the ward rounds and ask questions. I used Alisdairscott notes, OHCM, and other books too(xigt plk). It's better if you practise answering data interpretation questions too. The most important topics that there want you to master is how to resuscitate patients, especially scenario like post-op patients etc. In the finals, make sure practise a lot of potential short cases. For me, I got CUH, and the cases are paraumbilical hernia, mastectomy male patient, ascites and incisional hernia. Brush up your examination skills. For long case, kne make sure cover the history in sequence, mention all relavant positive and negatives. Mcm patient presented with abdominal pain, list of the differentials git, urology-uti, gynae etc. Last but not least, know the first line investigation.
  Quoted from kak zay:
  Favourite questions for short case surgery:
  A) ulcers: every type B) drains, tubes, lines C) stoma - diseases yg ended up dgn stoma whether temporary or permanent, ileostomy vs colostomy, loop vs end D) types of incisions/ scar Ulcers n stoma very common. X-rays n ct Abd pun kena biasakan describe. Akak dulu dpt 2 stoma, 1 ulcer, 3 pics with ortho n ent cases, thyroid exam. Ada station yg examiner suruh describe je cthnya stoma
  Medicine can be varied. Tp for each sub specialties tu mmg ada at least satu disease yg almost every year keluar..tp depend dpt hospital mana gak. Summer: av fistula + history, neuro exam for stroke pt, Parkinson's, ECG for MI Winter: AS (cardio exam), CCF (respi exam on pt with pacemaker/defib), neuro exam on pt with hemiparesis, gi exam on jaundiced pt with ascites
  buku short cases yg ramachandran n xpress tu hafal n practice. Short cases ni mmg kena biasakan exam pt dgn cepat n bg spot diagnosis. What is common in Irish people kena tau. Prof tony obrien suka tanya "if u can ask one question to this pt, what would u ask"..so kena terus ckp yg relevant cth for case of ascites due to liver disease, most common cause for Irish population is heavy alcohol intake. Most of the time mmg xsempat nk fikir jawapan pun..mmg kena bg jwpn terus bila examiner habis je bg soalan
  Some extra tips from legend Bopek:
  Spend time wisely kt hosp. bopek kata 2 minggu b4 finals, dia g hosp cari positive findings from patients..eg: renal transplant post-op pt. dtg kt pt, introduce sume, n tros inspect scar n palpate..krenye wt focused examination. so, dia advise start awl. study group from awl. final year mmg kne wt study group..2x sebulan.. doa3x..doa dpt examiner yg baik, dpt jwb dgn baik etc
  Most importantly, betulkn niat selalu.. Begin with the end in mind bak kata Steven Covey.
  Mistakes are your best teacher
  Alhamdulillah for everything.. for the good that make us happy, for the bad that makes us stronger n hopefully brings us back to You. Alhamdulillah for the good health, for the supportive family and friends that we are blessed with and for every single thing that happened in our life.
  So, our final exams just finished today. Hopefully, everything will goes well and we will all graduate together In Shaa Allah and become a great doctor to the ummah...Aminn. keep on praying for everyone...Smoga Allah cukupkn ape yg kurang..Aminn..
  Today I'm so happy to get Mr Na*m as my examiner for short case surgery. not that I could answer every single question, but the fact that he taught me so well during the attachment in Clonmel.. the best teacher whom at first I thought would be so pushy and strict, but it all end up to be the best experience to me. because it's preparing myself to be better..to keep pushing myself to always improve my knowledge. admit your mistakes.. I still remembered he said in one of the short tutorial along the corridors after the ward rounds, he asked questions. and when we couldn't answer it properly he will scold as just like a father scold her daughter. and he said;
  "Don't be afraid to make mistakes now, so that you know it now before you realised it in the exams". "You need to speak up, Latifah. or else people would not know what you know. so keep practising talking to your friends" "Clarity of your words show the clarity of your mind"
  I can get intimidated easily especially when there's someone else better than you. I became inferior. but, then I realised, there must be reasons for everything that happened. everyone that we encounter in life is actually for you to learn from them. you can choose to either become passive or active learner. to remind yourself how little you are, and the ultimate Knower is Allah, Al-'Alimm..
  "Berbaik sangka selalu dgn Allah" pesan abh everytime.
  True indeed. Positivity and hope are the most important thing in life as a Muslim. ble rse sedih, anxious, doa byk2..zikir n selawat selalu..sbb tu sume permainan syaitan nk bg kte rse doubtful, but we need to always remember Innallaha maana (Allah bersamamu). Don't let your fear overcomes your faith.
  Last but not least, now I need to clear up all the stuffs, do some proper plans for holidays etc. counting days for mama abh dtg Ireland.. yeay..can't wait to be reunited...hopefully, I'll bring good news to them.. take care everyone. I wish you all best of luck for those having their exams especially all the 4th years. =)