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28 December 2008
Tahun Baru
27 December 2008
Lessons Being a Medical Student
After 4 years being a medical student, they are few lessons I got throughout the years, but pretty much important for everyone in medical line to look and take care of. Being a medical student..
1. Do not attempt
This is the very first lesson I’ve been thought. Thru the specially designated MCQs question, you are certainly wrong if you attempt to answer (and get the answer wrong off course), mark will be deducted though. So no points you answer the others correct. So the moral is :
a. Answer only those you know you will get it right
b. Attempt on those question that you did not know all the five stems (a,b,c,d) at all. Whether you attempt 1 stem or attempt all 5 stems ‘true’. Owh, there were actually so many formula and tips from your lecturer on how to answer.
But you can attempt during your clinical year, especially during the clinical parts. (Not in MCQs). But beware, certain lecturers dont like it. Unless you look confident or act as if you are confident, they surely accept your answer.
2. Do not assume
You might failed if you have this ‘assuming’ syndrome. No one should possess this syndrome. It is so dangerous in your clinical years if you assume your patient to be this, to have that. I learned this the hard way too. Not every “Ahmad” is a non drinker, and not every “Saleha” is ‘not sexually active’. Also not every ‘Cheng’ is a smoker, and not every pregnant lady is a married one. You ask them to make sure, not to assault or stereotype them. Those information are damn important in the medical aspect.
So ask them in the most appropriate, non judgemental way.
Watch your manner. Explain why you need to ask so.
Because patient is your priority and you need to respect them.
Sometimes patient get angry when suddenly you ask, “Akak ada merokok, minum-minum arak?” Well, I myself might certainly get mad too if somebody ask me those kind of question. “Hey I’m Malay, and look at me, I wear scarf, is that not enough to tell you, young doctors, that I’m not smoking?” this is what should have take place in my broken *sigh* heart if I become that patient. Well, how to ask and how to explain is also thought and done differently by everyone. This is my style;
“Pakcik, mintak maaf kalau saya tanya soalan ni, tapi saya memang kena tanya jugak ye. Soalan perubatan ni pakcik. (Pause for seconds) Emm, pakcik ada merokok ke, (pause) minum-minum, (pause) ambil dadah?” with serious intonation and voice, and at the same time put my pen on the paper, ready to write, and direct my eyes straight to the skecth paper after asking the patient. Well, so that they saw that I’m serious, plus I dont want to be judgemental too. This is when it will be the most crucial, serious part in the history taking.
“Tak buat semua tu. Hmm, takde.”
“Ok ok. Saya memang kena tanya semua ni dengan semua pesakit ye pakcik. Bukan saje-saje tanye.”
Pakcik angguk.
After that the situation back to normal again.
Sometimes patient laugh and said “Minum ape? Akak minum air masak.” (They made jokes, perhaps) Then we will laugh together and, as usual sometimes I told them how uneasy it is to ask them those question. They replied me, “Biaselah tu dik.” Well, not all patient is like this. Ups, that’s enough I think for this point.
I’ve listed other lessons I learned being a medical student down here.
3. Straight forward, keep short, simple and sweet
4. No cheating
5. You are always wrong
6. You start, dont wait them to
7. Anticipate
8. Confident but humble
9. Either eat more or no time to eat
10. Punctual. (Be first and last out)
But I decided to keep them unexplained yet. I will do that if I have time later. Pray that I have some. ~Well, the lesson you get from me. -Medical students always look very busy eventhough sometimes they are absolutely not-
“Serulah semua manusia kejalan Tuhanmu secara bijaksana, dan berilah peringatan secara lemah lembut, dan berbahaslah dengan jalan yang paling baik” – Qur’an 16:125
7.43 a.m