Thursday, August 13, 2009

Semester 6

Half a year ago, I was totally dreading it. The start of clinical school. I even went to the extent of saying that it was my 'death sentence'. I imagined pure torture, no life whatsforever.

Now, half a year later, I'm still alive and well, thank you. Clinical school is certainly not as bad as I originally expected. Sure, there might be some busy times, but I can cope with it.
My housemates and I still have the time to go out for neals together and movies during the weekends. Workload....not so bad, we only have on call once a week (not including covering ward for case presentations). Lecturers, most of them are fine, some lecturers are nice even! The most they would say is 'What have you been learning for the past 2.5 years?'

My first posting was Surgery. We were thrown into the wards the very first day itself. So of course we were a bit aimless for the first couple of weeks. Clerking surgery patients, witnessing endoscopy and surgeries....learning about the entire GI system, breasts and thyroid. The only lecturer to watch out for....he's not that bad actually. We learn a lot from him.

Second posting....Internal Medicine. A bit more busy compared to surgery, as we have to make it a point to clerk patient's daily. Case presentations almost every day. But IMO, we learn the most from this posting. The lecturers taughts us every single system, and many common diseases. And we were taught how to perform thorough physical examination of every system in the body.
Most of my friends I know enjoy this posting the most. It is fun to come up with differential diagnoses for a patient, because one single symptom can lead to many different possibilities. Some lecturers in this posting are nice too.

Third posting....Family Medicine. The supposedly most relaxing posting of all. Well, the first four weeks were certainly not that relaxing, we had to follow the lecturers clinics. But this posting is the most planned and structured posting of all 3. I wish I had started with this posting first, because this lecturer made it a point to lead and guide us along the way, so we wouldn't be lost. If only we had this sort of guidance for the other postings....
Anyways, I enjoyed this posting a lot. I loved sitting in the lecturers air-conditioned clinics, I loved observing how the lecturers deal with patients. I love how in the primary healthcare system, the patient is looked as a whole, and not as a disease. I think that prevention is better than cure. Maybe, just maybe, I would become a GP in the future, we'll see. ;) And yes, like I mentioned in my previous post...I recall fondly the Kampung Angkat project, the school health visit, the MCH and MO clinics....
And of course, during this posting, I had the time for other things as well. The trip to Malacca, the eating out, the Gala dinner, the trips down to KL.....

Yes, so now I've officially completed one semester of clinical school. :) 4 more to go, I graduate and real torture begins!

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