preHO Crash Course

Assalamualaikum and hi,

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.

1. Try new things
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!

Working hours:
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

Shift:

• Mon: AM 
• Tues: AM
• Wed: AM
• Thurs: ON(on night) 4pm-10am tomorrow 
• Fri: NO(night off)
• Sat: Day off, but still kne attend CME at hosp
• Sun: AM

Tagging:

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

-Procedure

-Admission

-Discharge

Common mistakes:

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. =)