YEAR 3 FOUNDATION CLINIC 015/016 Overview The Year 3 Foundation Clinic (Klinik Asas) aims to reinforce students basic clinical skills and information for use in their subsequent postings. It provides an excellent opportunity for students to further familiarize themselves with aspects of clinical as well preventive and community medicine and the Malaysian healthcare system. At the end of the rotation, students are expected to be able to competently obtain history, perform out physical and formulate basic provisional and differential diagnoses. Dates: 17 August 015 11 September 015 Venues: Department of Medicine, Department of Surgery, Department of O & G, Department of Medicine & Society, PPD Unit Objectives: Revisiting and reinforcement of Clinical skills Learning, Medicine and Society and Personal and Professional Development in Years 1 and. Assessment: Attendance and log book MEDICAL POSTING Basic Clinical Skills Program Year III 015 016: Teaching-learning activities Time/Day Monday Tuesday Wednesday Thursday Friday 8.00 am- 9.00 am Briefing by Year III coordinator (Seminar room) Grand Ward Round (Seminar room) CPC (auditorium) Department CME (Seminar room) PPD common lecture 9.00 am - 10.00 am Video session 1. Upper limb. Lower Limb 3. Cardiovascular 4. Respiratory (Seminar room) Upper limb Bed-side teaching Lower limb Bed-side teaching Cardiovascular Bed-side teaching Respiratory Bed-side teaching 1 P a g e
10.30 am - 1.30 pm Ward orientation and briefing on aseptic technique 1.30 pm -.00pm: Lunch break.00 pm - 5.00 pm Upper limb Bed-side teaching Lower limb Bed-side teaching Cardiovascular Bed-side teaching Respiratory Bed-side teaching *Self-directed learning Ward orientation: To be conducted by Ward Sisters (Ketua Jururawat). Students will be divided into 4 groups Aseptic technique briefing: To be conducted by ward Staff Nurses. Students will be divided into 4 groups The afternoon sessions in the ward are to be used for clerking and examining patients by students on their own Venues: Medical Wards 6 th Floor 6B 6E 6F 6G 6H 6J Seminar Room 8 th Floor Lecturers commitment 1. Minimum of sessions of bed side teaching within 1 week.. Each session is a minimum of 1 hour 3. Monitoring of student via checking i. Attendance ii. Log of cases examined (minimum 1 per system) Students commitment 1. Attend all video sessions P a g e
. Be present at all bedside teaching sessions with lecturers 3. To practice clinical on at least 1 patient for each system 4. To present log book at end of week to respective supervisors. 5. To be pro-active in self teaching and self learning activities Ward / Clinic orientation 1. To familiarize students with ward / clinic layout. To formally introduce students to ward/ clinic staff 3. To be informed of rules and regulation in ward / clinic with regards to : I. Students conduct in ward/clinic II. Relationship with ward/clinic staff III. Relationship with patients and relatives of patient IV. Proper use of medical documents in ward/clinic Topics covered for ward/clinic orientation 1. Ward/clinic and floor layout patient cubicles, nurses counter, treatment room, seminar room, tutorial room, pantry, toilets. Organization/hierarchy in ward medical, nursing, allied health and support staff 3. Dress code clinical white coat with proper identification 4. Medical documents handling of patients case notes. 5. Disposal how to dispose various types of item (sharps, clinical waste, non clinical waste) 6. Student-patient relationship a. proper bedside manner of clerking and examining a patient (esp female patients) b. patients right to refuse c. patients right to confidentiality d. protection of patients modesty 7. Student-staff relationship 3 P a g e
a. Proper manner in relaying / exchanging information b. Aware of ward/clinic staff s responsibilities towards patients Briefing on aseptic technique 1. To learn definition of aseptic techniques. To observe proper methods of conducting an aseptic procedure 3. To learn about surgical instruments commonly used for an aseptic procedure Topics covered on aseptic briefing. 1. Defining aseptic procedures. Proper hand washing / scrub 3. Wearing of gloves 4. Disposing and clearing up after an aseptic procedure 5. Methods of wearing gown / apron 6. Introduction to aseptic solutions 7. Introduction to surgical instruments used in aseptic procedures 4 P a g e
SURGICAL POSTING Basic Clinical Skills Program Year III 015 016: Teaching-learning activities Time/Day Monday Tuesday Wednesday Thursday Friday 8.00 am - 9.00 am PPD common lecture 9.00 am - 9.30 am Briefing by Year III coordinator SDL SDL SDL SDL (Stargate) (Stargate) (Stargate) (Stargate) (Stargate) 9:30 am - 10.30 am Video session Abdominal and hernia Neck Breast Lower limbs and vascular Lumps and bumps Abdominal and hernia Head and Neck Breast All Systems (Stargate) 10:30-11.00 am Tea break 11:00 am- 1:30 pm Briefing on Aseptic technique Abdominal and hernia Lower limbs and vascular Breast All systems (Surgical Wards) 1:30 am-.00 pm Lunch break :00-5.00 pm Ward orientation Head and neck Lower limbs and vascular Lumps and bumps All systems Activity: SDL: Self directed learning 5 P a g e
Aseptic technique briefing: To be conducted by Ward Staff Nurses. Students will be divided into 4 groups Ward orientation: To be conducted by Ward Sisters (Ketua Jururawat). Students will be divided into 4 groups Venues: Surgical Wards 5 th Floor, - Wards 5B, 5C, 5D, 5E. Stargate 8 th Floor, Lecturers commitment 1. Minimum of sessions of bed side teaching within 1 week. Each session is 1 hour 3. Monitoring of student via checkingi. Attendance ii. Log of cases examined (minimum 1 per system) Students commitment 1. Attend all video sessions. Be present at all bedside teaching sessions with lecturers 3. To practice clinical on at least patients for each type of systemic 4. To present log book at end of week to respective supervisors. 5. To be pro-active in peer teaching and self learning activities Ward orientation 1. To familiarize students with ward layout. To formally introduce students to ward staff 3. To be informed of rules and regulation in ward with regards to i. Students conduct in ward (including attire and attitude) ii. Relationship with ward staff 6 P a g e
iii. iv. Relationship with patients and relatives of patient Proper use of medical documents in the ward Topics covered for ward orientation 1. Ward and floor layout patient cubicles, nurses counter, treatment room, seminar room, tutorial room, pantry, toilets. Hierarchy in ward management nursing and medical doctor 3. Dress code clinical white coat with proper identification 4. Medical documents handling of patients case notes. 5. Disposal how to dispose various types of item (sharps, clinical waste, non clinical waste) 6. Student-patient relationship: a. proper bedside manner of clerking and examining a patient (especially female patients) b. patient s right to refuse c. patient s right to confidentiality d. protection of patients modesty 7. Student-staff relationship: a. Proper manner in relaying / exchanging information b. Aware of ward staff s responsibilities towards patients and not hindering their responsibility. Briefing on aseptic technique 1. To learn definition of aseptic techniques. To observe proper methods of conducting an aseptic procedure 3. To learn about surgical instruments commonly used for an aseptic procedure Topics covered on aseptic briefing. 1. Defining aseptic procedures. Proper hand washing / scrub 7 P a g e
3. Methods of wearing gown / apron 4. Wearing of mask and gloves 5. Introduction to aseptic solutions 6. Introduction to basic surgical instruments used in aseptic procedures 7. Disposing and clearing up after an aseptic procedure 8 P a g e
OBSTETRICS AND GYNAECOLOGY POSTING Basic Clinical Skills Program Year III 015 016 : Teaching-learning activities DAY ACTIVITY VENUE Monday 8.00 am - 9.00 am 9.00 am-10.00 am 10.30 am - 1.30 pm Tuesday 9.00 am - 10.00 am 10.30 am - 1.30 pm.00 pm - 4.00 pm Wednesday 9.00 am - 10.00 am 10.30 am - 1.30 pm.00 pm - 4.00 pm Briefing History- taking : Obstetrics (lecture & video) Ward orientation and briefing on aseptic technique History- taking : Gynae (Lecture & Video) Clerking patients Session with supervisor Physical : Obstetric & Gynaecology (Lecture & video) Clerking patients Session with supervisor Lecture Hall, Dept of O&G Lecture Hall, Dept of O&G Wards Lecture Hall, Dept of O&G Wards Lecture Hall, Dept of O&G Wards Thursday 10.30 am -1.30 pm.00 pm - 4.00 pm Friday 8.00 am - 9.00 am 10.30 am - 1.30 pm.00 pm - 4.00 pm Clerking patients Session with supervisor PPD common lecture Clerking patients Session with supervisor Wards Wards Students will be subdivided into 4 small groups and will be assigned to 4 lecturers. Lectures on history- taking (Obs & Gynae), physical (Obs & Gynae) will be conducted during the posting. These lectures will be in the form of videos and live concept lectures Students are expected to practice obtaining history and performing physical on their own. Dedicated sessions with the supervisors will be conducted during the posting whereby the lecturers will take the students to the wards and clinics to refine their skills. A log book will be given to the students to ensure that they have performed history taking and physical in Obs & Gynae, which will be counter-checked by their supervisors and ward registrar. 9 P a g e
Lecturers commitment 1. Minimum of sessions of bed side teaching within 1 week. Each session is 1 hour 3. Monitoring of student via checkingi. Attendance ii. Log of cases clerked and examined (minimum 1 per system) Students commitment 1. Attend all video sessions. Be present at all bedside teaching sessions with lecturers 3. To practice clinical on at least patients for each type of systemic 4. To present log book at end of week to respective supervisors. 5. To be pro-active in self teaching and self learning activities LECTURERS Week 1: Assoc Prof. Dr Shuhaila Ahmad Assoc Prof. Dr Norzilawati Mohd Naim Assoc Prof. Dr Nur Azurah Abdul Ghani Dr Rahana Abd. Rahman Week : Prof. (C) Dr Mohd Hashim Omar Prof. Dr Zainul Rashid Mohamad Razi Assoc Prof. Dr Ahmad Zailani Hatta M Dali Dr Lim Yun Hsuen Week 3: Dr Lim Pei San Dr Ixora binti Kamisan @ Atan Prof. (C) Dr. Muhammad A. Jamil Yassin Assoc Prof. (C) Dr Norazlin Mohamed Ismail 10 P a g e
Week 4: Dr. Mohamad Nasir Shafiee Dr. Nirmala @ Chandralega a/p Kampan Dr. Aqmar Suraya Dato' Sulaiman Dr Yulianty Arifuddin 11 P a g e
BASIC CLINIC TIME TABLE MEDICINE & SOCIETY III WEEK 1 Time Title Lecturer Hours Location 17/8/015 (MONDAY) 8.30 10.00 AM MES: Community Survey. Introduction to research methodology: Information gathering Proposal writing 10.00 1.00 PM MES: HIRARC: Hazard Identification, Risk Assessment and Risk Control Dr Norfazilah 013-3551610 Dr Rosnah Ismail 013 686079 1.00-1.00 PM MES: QAP in environmental health PM Dr Rozita 019-6073701 1.00.30 PM BREAK 1.5 1 Dewan Kuliah Blok Pendidikan 18/8/015 (TUESDAY) 19/8/015 (WED) 0/8/15 (THURS) 1/8/015 (FRIDAY).30-4.30 PM SLP: Malaysian Healthcare System History. Current implementations Private and public services. OPD and inpatient services. 9.00 5.00PM Student Self Learning 9.00 5.00 PM Student Self Learning 9.00 1.00 PM MES: Introduction to data analysis MES: Descriptive and inferential statistical analysis Dr Taufik 019-3105 PM Dr Azmi Mohd Tamil 019-307073 1.00.00 pm BREAK.00 5.00 pm MES: Computerised statistical analysis PM Dr Azmi 019-307073 9.00 1.00 am MES: Nutrition problem MES: Methods of nutritional assessments PM Dr Zaleha Mohd Isa 019-309456 3 3 MAKMAL KOMPUTER TKT 5 3 Dewan Kuliah 1 Blok PRAKLINIKAL 1 P a g e
3.00 5.00 pm MES: Health promotion & Education Its importance and type of outreach Dr.Faiz 019-71008 WEEK Time Title Lecturer Hours Location 4/8/015 (MONDAY) 8.30 10.00 AM 10.00 11.00 AM MES: Community Survey. Introduction to research methodology: Information gathering Proposal writing SLP: Malaysian Healthcare System History. Current implementations Private and public services. OPD and inpatient services. 1.00-1.00 PM MES: QAP in environmental health Dr Azmawati 019-3131340 Dr Taufik 019-3105 PM Dr Rozita 019-6073701 1.5 1 1 Dewan Kuliah Blok Pendidikan 1.00.30 PM BREAK 5/8/015 (TUESDAY).30-4.30 PM 9.00 1.00 PM 1.00.00 pm BREAK 3.00 5.00 pm MES: HIRARC: Hazard Identification, Risk Assessment and Risk Control MES: Nutrition problem MES: Methods of nutritional assessments MES: Health promotion & Education Its importance and type of outreach Dr Rosnah Ismail 013 686079 PM Dr Zaleha Mohd Isa 019-309456 Dr.Faiz 019-71008 3 3 Dewan Kuliah Blok Pendidikan 6/8/15 (WED) 9.00 5.00 PM Student Self Learning 7/8/15 9.00 5.00 pm Student Self Learning 13 P a g e
(THU) 8/8/015 (FRIDAY) 9.00 1.00 am 3.00 5.00 pm MES: Introduction to data analysis MES: Descriptive and inferential statistical analysis MES: Computerised statistical analysis PM Dr Azmi Mohd Tamil 019-307073 3 MAKMAL KOMPUTER TKT 5 WEEK 3 Time Title Lecturer Hours Location 31/8/15 PUBLIC HOLIDAY 8.30 10.00 AM MES: Community Survey Introduction to research methodology: 1/9/015 Information gathering TUESDAY Proposal writing 10.00 11.00 AM SLP: Malaysian Healthcare System History. Current implementations Private and public services. OPD and inpatient services. 1.00 -.00 pm Break /9/015 WEDNESDAY Dr Azmawati 019-3131340 Dr Taufik 019-3105.00-4.00 pm Student Self Learning 9.00 1.00 pm MES: Introduction to data analysis PM Dr Azmi Mohd MES: Descriptive and inferential statistical Tamil analysis 019-307073 1.00.00 pm Break.00 5.00 pm MES: Computerised statistical analysis - 3 1.5 1 Dewan Kuliah Blok Pendidikan MAKMAL KOMPUTER TKT 5 3/9/015 THURSDAY 9.00 11.00 am (3/9/15) MES: HIRARC: Hazard Identification, Risk Assessment and Risk Control Dr Rosnah Ismail 013 686079 1.00 -.00 pm Break.00 4.00 pm MES: QAP in environmental health PM Dr Rozita Hod 4/8/15 (MONDAY) 019-6073701 4.00 5.00 pm Student Self Learning 3 Dewan Kuliah Blok Pendidikan 14 P a g e
4/9/015 FRIDAY 9.00 1.00 am MES: Nutrition problem MES: Methods of nutrition assessments 3.00 5.00 pm MES: Health promotion & Education Its importance and type of outreach PM Dr Zaleha Mohd Isa 019-309456 Dr.Faiz 019-71008 3 Dewan Kuliah Blok Pendidikan WEEK 4 Time Title Lecturer Hours Location 8.30 10.00 AM Student Self Learning - 7/9/015 (MONDAY) 10.00 11.00 AM SLP: Malaysian Healthcare System History. Current implementations Private and public services. OPD and inpatient services. 1.00 -.00 pm Break Dr Taufik 019-3105 1 Dewan Kuliah Blok Pendidikan 8/9/015 (TUESDAY) 9/9/015 (WED).00-4.00 pm MES: HIRARC: Hazard Identification, Risk Assessment and Risk Control 9.00 1.00 am MES: Nutrition problem MES: Methods of nutritional assessments 3.00 5.00 pm MES: Health promotion & Education Its importance and type of outreach 9 1.00PM Student Self Learning 1.00.00PM BREAK.0 5.00PM Student Self Learning Dr Rosnah Ismail 013 686079 PM Dr Zaleha 019-309456 Dr.Faiz 019-71008 3 Dewan Kuliah Blok Pendidikan 10/9/015 (THURSDAY) 9.00 11.00 am MES: Community Survey Introduction to research methodology: Information gathering Proposal writing Dr Norfazilah 013-3551610 1.5 Dewan Kuliah Blok Pendidikan 15 P a g e
1.00 -.00 pm Break.00 4.00 pm MES: QAP in environmental health PM Dr Mohd Hasni 019-061654 4.00 5.00 pm Student Self Learning 3 11/9/015 (FRIDAY) 9.00 1.00 pm MES: Introduction to data analysis MES: Descriptive and inferential statistical analysis PM Dr Azmi Mohd Tamil 019-307073 1.00.00 pm Break.00 5.00 pm MES: Computerised statistical analysis PM Dr Azmi Mohd Tamil 019-307073 3 3 MAKMAL KOMPUTER TKT 5 16 P a g e
PERSONAL AND PROFESSIONAL DEVELOPMENT Basic Clinic Year III 015-016 : Teaching-learning activities Time/Day Monday Tuesday Wednesday Thursday Friday 8.00-9.00 am Lecture series Lecture topics will include: 1. Patient privacy. Informed consent 3. Bedside etiquette 4. Medical documentation 17 P a g e