Passed two out of five postings in Year 3 :)
Each posting only has 7 weeks + 1 week for exam, which is quite short to learn that much.
In clinical posting, classes are different
there is no lectures, instead we have task-based learning (TBL)
Before the TBL, we have to prepare slides about the topic and present it during the class
There are about 2-3 TBL a week. Lecturers will comment on our mistakes and add on the information we missed.
Besides TBL, we have Bed Side Teaching (BST)
before BST, we have to clerk the patients in the ward and present the interesting case to our lecturer during BST
Then, we will discuss the everything about the cases and perform physical examination if needed.
Other than these, we still have ward work, clinical skills practice, evening duty, clinic duty and operation theatre duty. Ward work is the time we go to the ward to clerk patient. Clerk patient means to obtain a detailed history of the patient and also perform physical examination.
It wasn't easy to clerk a patient especially if they are uncooperative. Some of them were really nice and friendly when I approach them, they are willing to tell me everything and be patient throughout the examination. Some of them rejected me when I first say hi with some excuses. Some were too talkative until they tell me their 'grandmother story' for one hour. Haha.
PAEDIATRICS
I was really excited for this posting because it's my favourite haha
To see children every day
play with them
look at their smiles, their innocence
never failed to melt my heart.
Although they always cry whenever I want to do physical examination on them
they stopped crying when i take out my toys :D
it's so much easier to communicate with children than adults.
Children in the ward are so cute that I can't restraint myself from going to the ward to visit them everyday, even though I haven't finish my task.
There were a lot of things to study but the cases we can see in the ward were very less
and most of them are the same, asthma or pneumonia or bronchiolitis
mostly respiratory cases.
There was a child, stayed in the hospital very long
he drowned few years ago and had brain damage
the incident left him with cerebral palsy
he can't walk, can't talk, can't even move any of his limbs
but he can open his eyes, he can listen to what we said, he knows everything that is happening around him.
Feels sad whenever i see him in the ward, lying on the bed and can't do anything
He was once a healthy child, but now...
ORTHOPAEDICS
Orthopaedics is something I don't really like
But I can't give it up just because I have no interest in it :)
It was quite tough at start because everything sounds very strange
The types of fracture and their classifications on different bones..
Spine problem, bone tumour, infections, diabetic ulcer, nerve injury..
Too many things to study, especially anatomy.
the nerve, the blood vessels, each part of the bone
and still have to learn the different technique of physical examination for each parts of the body.
Even the treatments are so different
We have to decide what to use to fix the fracture like nails, screw, plates and arthroplasty
Feels like a mechanic/carpenter in orthopaedics HAHA
Saw a lot of patients with their amputated leg, mostly due to diabetes
Diabetes is a really scary disease ._.
I think the hardest thing for a physician working in orthopaedic department is to tell their patient they have to amputate their limb because it can't be saved, and I had witnessed an old lady making the decision for her foot, begging the specialists for other options..
Next posting is the hardest of all, Internal Medicine
hope I'll get through it :)
才知道自己
錯過了那小幸運
對這一切
真的衹能用心說
文字并不能表達
現實生活 總不會如心所愿
都過了那麽久
到現在依然搞不清楚。
你説那是錯的時間
這是對的時間?
我希望不衹是因爲錯的時間
真的不明白你在意的是什麽
希望不是我想的那樣
不小看
你的心有多大。
還是想對你説 對不起
我知道 我做錯了。