Thursday, November 26, 2009

where should I go?

InsyaAllah, my housemanship will end some day, and i'll keep my spirits up till then.
My senior, kak sal, is actually an mo in my kampung's hospital, it was pretty cool since i heard my relatives talk about this dr salina, then i found out about it a few months ago when i chatted with her on facebook.
Tomorrow i'll be going to pahang again with my siblings for aidiladha with our extended family (i have a few days off)
long term plans seem to bug me these past few weeks, starting my fourth posting made me think again about what i want to do when i finish my housemanship...
What would you guys think? So far i've gone through medical, o+g, and ortho..
I thought medical was not meant for me for a certain personal reason, but the past few weeks working in the general paediatrics wards, and a question by my specialist about what i wanted to do made me realise my curiousity of how things work, and joy in getting to the diagnosis might be suited for a ward like in the medical department. Also an mo i know (who i think initially hated me) also asked the same question, and when i asked him whether the dept itself would accept me, he said why not?, i guess i'm as eligible as the next houseman in the hospital at least.
So far paediatrics is great too, the workload (for housemen now, at least) is a lot lesser than our medical wards, the kids are cute, and i might have a certain affinity to them, and most of the discharges are all smiles and happy faces..of course, this is not always the case with the nicu and phdu...
O+g has a strict dept policy, not unlike peads, probably due to the medicolegal issues, but again, here, almost all cases are just normal happy people having a baby or two. The workload is a bit tough, but i might like that, just like the labour room, where the adrenaline rush makes you like it or hate it.and i'm not hating it. Again i'm not denying the general medicine department also has this rush.
I always thought I wanted to end up in a surgical area of expertise, as you can get to do something with your hands, and I like the OT environment since the first day I set foot on that tiled floor during my medical student years – again , I think it’s the adrenaline rush – the things that make you or break you. And probably coz it sounds cool... I bet a lot of you can say the same thing right?

I even asked around the Mos’ opinion if I could actually join orthopaedics. They gave the same answers, they find nothing that seems to stop me from asking the HOD to put my name there if I’m really interested. In the end I still didn’t ask the HOD..

There was a time when I got really interested in anaesthesia. At that time I spent a lot of time in the OT. I would talk with the anaesth MO or specialist, and got to see what their job was like, from getting the consent to managing the patients at the recovery bay. They even taught me how to intubate a few times, correcting my techniques, a specialist also encouraged me to join when i finish my housemanship, as they were short.

Another option is A & E. There are no calls, which means you can be at peak performance throughout your shifts, and the diagnosis there is really a challenge. Also, you will be the first to meet the acute presentations.I heard a lot of stuff about the A+E in Malaysia, but my friend is an MO there, and it’s the individual who makes all the difference.

In the meantime, I’ll just enjoy my Housemanship while it lasts, there are risks, the calls are as bad as you think it is, and you have to work 7 days a week. But who says being an MO solves everything? Your responsibilities are higher, you are expected to know more, your workload (currently) is actually more, and your calls are worse. Also, I wont have a good reason not to worry about my career as I’m not still stuck doing my housemanship. At least an MO’s working hours are less and you get weekends and public holidays off. I guess it’s just the job, being a doctor and all..

me assisting an amputation in my student years

No comments: