Aku dan Statistik

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16 April 2012

Aku dan Houseman (2)

Anda kata hidup Houseman stressful?
Cuba jadi Medical Officer.
Ditempatkan di hospital daerah.
Tiada lagi senior MO.
Tiada lagi Specialist.
Tiada lagi Consultant.
Anda seorang diri on call menjaga seluruh hospital.
Semua kes di wad, di unit kecemasan juga di bilik bersalin.
Anda yang menjaganya.
Hidup mati semua pesakit di tangan anda.
Macam2 pesakit ada.
Yang mabuk,
yang schizophrenia,
yang putus tangan dan kaki,
yang nak bersalin songsang,
yang tumpah darah,
yang berhenti bernafas,
yang demam dan kekejangan,
yang dah mati menunggu di bedah siasat.
Semuanya anda yang kena jaga.
Anda kata hidup Houseman stressful?

Aku setuju sangat pendapat MMC Past President ini.
Kehidupan Houseman tak se'stressful' dulu.
Houseman dah berlambak2 dalam wad.
Siapa yang stress?
  • Yang buat Medik kerana emak bapak
  • Yang buat Medik kerana glamour
  • Yang buat Medik kerana wang ringgit
  • Yang practical skills cukup2 makan sahaja
  • Yang clinical knowledge pun cukup2 makan sahaja
  • Yang masa student dulu tak merasa susah
  • Yang terkena kejutan budaya
Aku tak nafi,
tak semua MO juga Specialist tu bagus2.
Yang ilmu dan skil lebih kurang HO pun ramai.
Yang suka membuli, mengherdik dan memaki hamun pun ramai.
Yang suka menjerit2 pun ramai.
Yang bila menjerit sampai satu hospital mendengar pun ada.
Yang anggap HO patut setaraf dengan mereka pun ramai.
Yang anggap HO macam budak suruhan pun ramai.

Kesimpulannya,
Kalau takut dilambung ombak,
jangan berumah di tepi pantai. 

Internship is crucial

I WOULD like to give my views regarding the recent issue on housemanship for doctors. Just looking into the work load for houseman is not enough.

Housemanship nowadays is in fact less stressful than before as there are now more doctors with the influx from so many new medical schools. In the past, there were fewer doctors and each houseman was responsible for many patients and had more responsibilities.

The amount of training for housemen should not be compromised as once doctors finish housemanship, they will be on their own, and patients’ lives will depend on them.

In fact, the Government must seriously look into the declining standards in the training of housemen as the quality of medical care in the future depends on them.
Internship is crucial to allow graduates to put medical training into practice under the supervision of senior doctors.

There are many ways to help houseman cope with their very stressful jobs.
> The authorities must be understanding and listen to the housemen when they seek help.
> Housemen should be properly supervised and given opportunities to learn and not be neglected or just relegated to do chores.
> Only those who are able to cope with the stress of a doctor should take up medicine. Do not take up a medical career just for the sack of financial gain, but only if you have the interest and willingness to work hard.

While good academic results are important, these alone are no guarantee one will become a good doctor. Selection of candidates for entry to medical school is therefore very important.
Very stringent screening (via interviews) to find out more about the personality and psychology of the applicants is essential to ensure that the medical schools take in only committed students who are likely to devote themselves to medicine in the future and able to endure this stressful profession.
At the moment, there are housemen with mental problems – but only few – and the MMC (Malaysian Medical Council) is dealing with such cases.

To avoid stress, doctors should be encouraged to take up hobbies, such as reading, photography, music, etc, so that they can unwind after work.

I remember one houseman whom I was training broke down and confessed to me (after my pushing him to work harder and learn more) that he took up medicine only because of his parents’ wishes. That is not right. Students who want to take up medicine should be devoted, caring, non-business minded, and able to take stress.

They should also have a keen interest in the medical profession. No one should take up medicine just for monetary gain as the medical profession is no longer that lucrative.

I personally was very stressed when I was working in the hospital, thinking of my sick patients in the middle of the night and often losing a lot of sleep.

I thus decided to take up many hobbies – reading, music, photography and gardening – which have helped relieve much of my stress. I therefore advise young doctors to do the same.

DATUK Dr LEE YAN SAN,
Council Member, MMC,
Past President, MMA.





1 ulasan:

  1. One of my friend.. dia cakap dia jadi doktor sebab nak title "DR" .. kalau tidak, kena dpt PHd baru dpt title tu.. Now dia tgh sambung Masters sbb nak keje dalam bidang management, xtahan keje di hospital katanya..

    BalasPadam