What To Expect in 4th Year Medic UCC

Assalamualaikum wrt wbt.


Perkongsian ini ditulis pada 27 May 2015, dan insyaAllah hanya akan dipublish setelah keluarnya result 4th year pada 4 Jun 2015.

Pertamanya, tahniah akak ucapkan kerana akhir korang masuk ke tahun 4 juga... Bukan nak takutkan, atau nak psychokan korang, just nak warning, tahun 4 adalah tahun yang sangat-sangat-sangat susah. So, jangan banyak buang masa. Be serious in lectures, in tutorial, in hospital rotation and in your own revision time. Takde masa nak play around throughout the year, otherwise, you're gonna regret later own bila nak dekat exam summer. I learnt my mistake, so I don't want to repeat the same thing again, okay?

Secara ringkasnya, perjalanan tahun 4 dibahagikan kepada 7 rotation. Macam akak dulu, rotation akak macam ni.

Rotation 1 : 2 weeks Research + 2 weeks Emergency Medicine

Rotation 2 : 2 weeks General Paediatrics + 1 week Neonatology + 1 week Community Paediatrics

Rotation 3 : 1 week tutorial + 3 weeks rotation Psychiatry

Rotation 4 : Mixed Surgery (Opthalmology + Dermatology + Surgery (orthopaedics) + Anaesthetics)

Rotation 5 : Medicine ( AMU + Endocrine + Palliative Care + Endocrine) - semua orang dapat lain-lain

Rotation 6 : Surgery (2 weeks ENT + 1 week Vascular + 1 week Urology)

Rotation 7 : Obstetrics & Gynaecology

So, boleh nampak kan betapa hecticnya rotation fourth year? Ada hati nak main-main lagi? And another general advice, when you are already fourth year, people expect you already know the diagnosis, give different diagnosis, how to investigate and how to manage the patients. So, expect more from yourself!

Okaylah, without further babbling, meh kita review module yang ada dalam fourth year satu persatu.

BH 4005 : Psychiatry

Paling penting kena baca buku, fahamkan dan kalau boleh practise jawab soalan essay masa rotation psychiatry tu sendiri. So bila nak dekat exam, takde lah baru waktu tu nak praktis jawab essay. Masa tahun-tahun sebelumnya, soalan essay banyak repeat dari past papers. Tapi zaman kitorang, harapan je lahhh, it were all new brand of question sets. So expect the unexpected. 

Korang akan ada tutorial masa the first week of psychiatry, and attendance sangat penting and jangan nak ponteng-ponteng. Lagipon kenapa nak ponteng, tutorial tu semua best kot! And in term of during rotation, depends on consultant. Ada yang dapat schedule tak busy, so rezeki lah boleh balik awal.

And nak pesan lagi, simpan energi banyak-banyak bila duduk kat OPD klinik atau jumpa patient psych. Sebab some of them, really drained you mentally and emotionally. Tapi jangan sampai korang pulak yang depression, okay?

Suggested books : Psychiatry at a Glance & PRN Psychiatry

BH 4006 : Behavioural Science

Akan ada beberapa lecture, briefly pasal biospychosocial punya stuffs. Kena buat learning logs and reflection and jugak essay berkaitan dengan one the case korang encounter masa rotation and kena kaitkan dengan biopsychosocial model.

Suggested books : Nil

CP4003 : Reproduction, Pregnancy, Child Health and Development 

Secara ringkasnya, ini modul gabungan Paediatrics dan Obs Gynae. Untuk Paeds, actually dia lebih kurang macam Medicine jugak, tapi kena lebih fokus pasal common disease among kids lah. Rotation Paeds ni agak mengujakan lah sebab dapat jumpa baby baby. Haha. So, again, praktis lah ambik general history and developmental history. Untuk Paeds, sangat sangat penting korang kena hafal developmental milestones kanak kanak. Contohnya, by the age of 1 year old, budak tu dah kena boleh pincer graps, dah ada berapa banyak words, dah boleh etc etc. Sebab at the end of developmental history, kita nak tahu whether progress kanak-kanak tu "age appropriate" tak dengan umur dia. Generally, nak detect budak tu ada delay ke tak lah sebenarnya.

Untuk Obs Gynae, jangan ponteng tutorial. And ada tutorial yang banyaknya takde slides, so saling lah setiap perkataan yang diorang cakap. And ada slides yang takde kat blackboard jugak, so salin! Sebab bagi akak, tutorial Obs Gynae semuanya bagus bagus. So if you focus during tutorial, plus top up from baca buku macam Impey, dah cukup bagus dah. Nak lagi advance, rujuk Guidelines (nanti consultant akan banyak mention suruh tengok updated guideline tentang certain procedures etc). Sebab rotation akan untuk Obs Gynae adalah masa last rotation, so banyak skip tak ikut Registrar. But I don't want you to do like what I do, please ikut Reg korang okay, you may learn a lot more and remember well the disease that you encounter when you are with them. And lagi satu, history Obstetrics and history Gynae adalah berbeza dengan history yang kita selalu ambil, sebab ada set of questions yang penting nak kena tanya, jadi praktis praktis lah selalu, jangan liat nak jumpa patient!

Suggested books : Paediatrics at a Glances, Sunflower Paediatrics, Impey Obs Gynae

CP 4004: Fundamentals of Adult Disease

Haha ni lah modul yang macam sepuluh kali ganda dari patho yang korang belajar tu.. Sebab tu akak nak tekankan, sila lah khatamkan OHCM korang masa cuti summer. At least baca sekali round to get brief idea about everything first. Sebab korang kena ingat, rotation Medicine hanya 4 minggu, dan semua orang akan dapat specialties lain lain untuk setiap minggu.. So kena study awal-awal for medicine and surgery

Okay, ini a brief idea about how Medicine & Surgery punya paper:

So, bayangkan medicine yang consist of cardio, respi, gastro, endo, haemato, infection disease, renal, rheumato pastu plus plus yang lain-lain, it is a huge amount of stuffs to study kan??? So, again, baca OHCM okay?

Now just nak go through some specialties in medicine..

Vascular and Urology Week

• korang akan ada satu week untuk vascular dan satu week untuk urology
• jadual lebih kurang sama je, yakni ada ward round pagi, ada clinic and ada theatre, so jangan miss okay sebab for me, vascular and urology week adalah sangat best lah and banyak belajar

ENT

• korang akan ada 2 weeks ENT kat SIVUH
• pagi-pagi korang akan ada like 1-2 hours tutorial and then afterward ikut lah korang attach dengan consultant mana and follow jadual yang dia akan bagi
• so akan ada klinik, theatre and ambik history
• jangan lupa practise guna otoscope otherwise kalo kurang practise nanti time osce, examiner catch you yang korang tak biasa guna
• ENT pun best jugak, among my feveret rota

Dermatology

• 1 week rotation
• ada klinik, ada tutorial, ada one day surgical unit yang u got to see how they ambik skin biopsy
• tutorial and klinik jangan ponteng, that's the only way you got to see the real skin disease live

Opthalmology

• 1 week rotation
• at the end of the week kena buat case presentation based on patient yang korang jumpa kat klinik and juga ada mini-osce on eye examination
• ada very proper jadual, so ikut je lah jadual and jangan ponteng

Anaesthetic

• 1 week rotation
• if you got anaesthetist yang rajin mengajar - you're lucky, tapi kalo yang jenis tak nak mengajar - then ringankan mulut tanya tanya soalan dekat trainee diorang
• i know it is kinda boring, tapi kalau korang dah prepare siap-siap apa nak tanya, the you're gonna fine anaesthetic rotation ni best and banyak boleh belajar

Emergency Medicine

• 2 weeks rotation sekali dengan 2 weeks rotation research block
• if you going to do this rota in CUH, all the best
• semua orang kat A&E sangat sangat busy, your are like halimunan, they didnt see you, but you should be SUPER DUPER proactive, approaching the team or the doctors sama ada diorang busy ke tak, just approach and introduce yourself
• kalau macam nak ambik blood, buat ECG, boleh juga minta kat nurse

Suggested books: OHCM, Talley O Connor, ICT ENT, ICT Opthalmology, Dermatology Lecture Note Black Willey, OHCS

FM 4005 : Forensic Medicine and the Coroner's Court 

Honestly, I think the paper is quite tough, soalan dia agak details jugak, but don't worry, if you prepared well, baca buku forensic versi PDF, you may score first honours for this paper. Nothing much to describe. Paper forensic ni masa winter anyway.

MX 4090 : Research and Professionalism in Medicine I

Untuk modul ni, prepare untuk your Final Year Project or famously known as FYP. Ada dua benda, first kena buat research proposal and then presents which worth 30 marks, and then kena buat Literature Review which worth 70 marks. So, nanti masa rotation korang, akan diexplain dengan lebih lanjut macamana nak buat research proposal and literature review. 

In case kalau korang punya rotation for research block yang first, kena tabah sikit lah nak cari tajuk, nak cari supervisor. Tapi those yang lain, jangan bertangguh-tangguh pulak. Sebab kalau lagi cepat settle dengan supervisor, lagi cepat boleh hantar untuk CREC Ethics and lagi cepat dapat approval, lagi cepat korang boleh start dengan projek. Otherwise, you might need to stay during summer time untuk buat projek korang. So handle your stress and manage well your stuffs!

So, harapnya dapat lah membantu korang sedikit sebanyak tentang fourth year. It is indeed a tough year!

Seronok tu memang seronok sebab setiap rotation belajar benda-benda lain, yang tak seronoknya bila nak dekat summer exam, korang akan rasa sangat pressure sebab banyak benda nak kena khatamkan...

So, please, make sure, for example, bila rotation ENT, make sure korang khatam ENT during that rotation, bila rotation Opthal, khatam Opthal, bila rotation Anaes, khatam Anaes, bila rotation Derm, khatam Derm, bila rotation Emergency Med, khatam E-med, bila rotation Psych, khatam psych, bila rotation paeds, khatam Paeds, bila rotation ObsGynae, khatam Gynae.... so bila kata khatam tu, kena study betul-betul la, otherwise jadi macam akan, nak dekat exam lupa, pastu gelabah nak tengok balik apa yang pernah belajar. So, belajar lah dengan enthusiasm yang tinggi! Semoga Allah kuatkan daya kefahaman dan ingatan korang, ameen!

And please, do spend some times untuk try jawab soalan.. So, masa exam, your brain dah have enough training untuk process your knowledge and apply those in exam settings. 

And please, rajin-rajinkan ambil history and FULL examination is a MUST! Korang bukan lagi 3rd year yang just focus on history. In 4th year, consultant ke Reg ke expect you to present a proper history and examination finding as well!

So, I guess tu je kot nak pesan.. All the best, if you have any other questions, feel free to ask any final years, insyaAllah, will be happy to help you people. May Allah bless you guys and girls!

Sekian, wassalam..