Huntleigh Healthcare’s Post

Today marked the end of my first week as a medical intern at the Hospital Calixto Garcia, in Havana, Cuba and here’s some of what I have learned: 1. Being prepared is never a bad thing, it could be anything as tiny as having a spare pair of latex gloves to give to a colleague, something as simple as ironing all of your batas (white coatish type uniform shirt with short sleeves), but it makes a difference. 2. Meal prep literally saved my life, big up rice and beans and chicken, they could never make me hate you. 3. I will never know everything, it is okay to not understand something and the best thing to do about that is to ask a question. I was blessed enough to be stationed at a ward where both the residents and the specialists delight in clearing up my dudas. 4. Coming directly from 2 months of R and R and diving head first into Internal Medicine, is not for the weak, come to think of it, it is not for the strong either! 5. Apparently I can function on only 2 hours of sleep during a 28 hour shift. 6. I was traumatized in my 3rd year by my first pass through this Internal Med rotation and while this second walk through is a lot less traumatizing, I still do not see myself as an internist. 7. I delight in attending to patients, a lot of times, especially in this rotation, things are hurried and rushed, and a lot of information may get lost in translation, but one on one time with patients always excite me in a way that I cannot explain. 8. The most important point; I realized that I can want something my whole life and still be overwhelmed by it all once I get it, it does not mean that it is not the right fit, it does not mean that I should call it quits. All this means is that there is a lot more work to be done. I can't wait to see what the next 9 weeks bring. #MedicalStudent #EstudianteDeMedicina #InternalMedicine #MedicinaInterna #HavanaCuba #MedicalIntern

Hi IMGs! So yesterday, I mentioned that to stand out during clinical rotation, you want to: know your patient, provide solid presentation, and think like attending. There is a real problem in those 3 recommendations. The main problem is, you need to be able to extract information from the EMR. If you are Non-US IMG, chances are, you probably never work with an EMR before, and even if you did, it’s not going to be what it looks like in US (typically in the US we use EPIC or Cerner system). I found that this is the main struggle for Non-US IMG. (and it was my main struggle!) In addition, let's be honest, the above recommendations are easier said than done. These are skills, so it require practice for you to get to that level (hence, why some people even fail to get LoR during USCE) However, there are still ways for you to stand out during clinical rotation, without relying on the 3 things I mentioned above! These tips give you an instant win! 1.     Be punctual and generous with your time. This is the simplest thing yet still very powerful. Comes 15 min before, home 15 min later. You can even go home later if there are still things that you can do to help! 2.     Show intellectual curiosity during rounds. Here is what my attending taught me during residency: there is always a question to be asked in every patient (quoted from Dr. Arnold Berns). Which means, no matter how simple or straightforward a case is, there is always a question for every patient. You might think this is another case of stable angina, or another case of alcoholic pancreatitis, but believe me, there is always a question that you can ask, which means, there is always new things to learn, every single time, no matter how advanced you are! (even for me who has been attending for almost 4 years). So, find those questions, and ask, these showed intellectual curiosity 3.     Don’t forget to connect. People tends to forget this. They focused on: presentation, showing that you are knowledgeable, showing that you are dependable/reliable. Yes these are important, but connection is what makes you human. When you are doing rotation, make sure you provide time to connect with your colleagues. Have a casual conversation, get to know them, allow them to get to know you. I have more tips inside my USCE Essentials free guide. Get it in my website yuliusharyadi.com Good luck everyone!

It is revealed that junior doctors undergoing specialist training, a.k.a. junior residents, in Indonesia, are required to spend IDR 40 million (approx. SGD 4K) a month to pay for their senior residents' expenses. Luckily, as a medical student, the residents only ordered me around to drive faraway from hospitals to buy their favorite foods. And luckily, I eventually went to Singapore for my post-graduate training and ended up spending a decade in Singapore public hospital system. Otherwise, I would have got into huge debts during my residency training, paying for all my seniors' living and travel expenses. In other parts of the world, doctors undergoing residency training get paid salaries. In Indonesia, not only do residents have to pay for "tuition fees", but their seniors also extort them for money! SGD 4K a month just to spend on their seniors! Poor thing! But, after that they also bully medical students, by making medical students pay for their meals! So, it's not so poor thing, after all! https://lnkd.in/gtH6bFcS

Posted are two related articles on different aspects of Item Analysis for those interested in quality of items, associated standard error of measurement and IF-AT (Immediate Feedback Assessment Technique).......... 1st Article, "Use of Item Analysis to Improve the Quality of Single Best Answer Multiple Choice Question in Summative Assessment of Undergraduate Medical Students in Malaysia"

I have been discussing about USMLE for a while, so every single day for the next 2 weeks, I would like to teach you how to be successful during your USCE rotation! As a reminder, I am Non-US IMG, English is my 2nd language, I come from completely different culture, different medical systems, and now I have combined experience in US healthcare system for 6.5 years (residency + attending, both inpatient + outpatient settings)! So, first of all, let's talk about how to stand out during your inpatient USCE? You want to stand out because you need the Letter of Recommendation. Unfortunately I did hear from some people that they failed to get LoR during the rotation, because they perform poorly. Now please note, everyone will have a slightly different experience during USCE, but even if you are doing just observership, chances are, you will have some form of access to EMR and get the chance to review the patient’s chart and provide presentation to the team. These are 3 things that would help you stand out during you rotation 1.     Know your patient’s The whole 1 year of being an intern, this is actually the skill that you are trying to master. Knowing your patient in and out : chronology of admission, their lab and imaging changes, their social issues, the discharge plan, or any new updates. The attending and your colleagues will be very happy and impressed if you really master your patient. 2.     Provide solid presentation during rounds This comes along with the point no 1. When you know your patient well, you will be able to present more confidently. This is what finally gives me the Letter of Recommendation when I did my first inpatient USCE. The attending was really happy because I was able to provide solid presentation of the cases during round. 3.     Think like an attending This is certainly not easy for people who just started. As I mentioned above, you spent the whole year as an intern to gain the ability to extract information as accurate as possible. The next level , is to have the ability to synthesize the information that you got, to manage the patient. Even higher level than that, is the ability to individualize patient care. Meaning, your management will change depending on the patient condition; not all NSTEMI treated the same, not all unstable angina treated the same. However, when you are able to show that you can manage patients by considering their condition/comorbidity, you have showed a much higher level of thinking. More tips coming tomorrow! If you are going for USCE, make sure to grab my Free guide : USCE Essentials for Non-US IMG. You can get it from my website! yuliusharyadi.com

There is a big difference in how you interact with patients in the US In the US, we are committed to do patient-centered care. This means, the patient is in the driver seat, not the doctor. We give suggestions and recommendations, and the patient has full autonomy to decide if they are going to follow our recommendations. The patient should agree with the treatment plan, make sure they are on board with it. In step 2 CS First Aid book, they used to have this phrase: Do you agree with the treatment plan? For me, this sounds weird and robotic. In my practice, I usually simply say “ sounds like a plan?” to see if they agree with the diagnostic test or treatment that I recommend. Also, understanding the principles of patient-centered approach is important to make sure that your patient has high satisfaction during your overall interaction A quick simple tip would be to always ask: How are you doing? Or, How are you feeling? when you start your encounter then always close the encounter by asking “is there anything else I can do for you today?” That's it for today's tips! Just a reminder, if you are looking for more tips, you can go to my website yuliusharyadi.com and grab my free USCE Essentials for Non-US IMG. The common brand name drugs list is included, once you put your email address, it will be emailed to you automatically!

Malaysia may relax medical practice permit for international students Catering to the local medical graduates might hamper the aspirations of Indian students who are planning to study medicine in Malaysia Read full Article on - https://lnkd.in/gn8gBbES #MedicalEducation #FMGE

Discover the top nations housing the most medical schools and their WFME accreditation status in 2024. Explore Japan, Indonesia, Mexico, Brazil, and India's medical education landscape, including accreditation timelines and institutional numbers. Stay updated on global medical education trends with this insightful breakdown. #MedicalSchools #WFMEAccreditation #MedicalEducation #GlobalHealthcare #MedicalInstitutions #EducationRankings #JapanMedicalSchools #IndonesiaMedicalEducation #MexicoMedicalInstitutes #BrazilHealthcare #IndiaMedicalSystem #WorldHealthOrganization #EducationalTrends #HealthcareProfessionals #InternationalEducation

Breaking barriers in Multiple Sclerosis (MS) education!🎗️ 🗣️ Rotary Club of Klang Valley, alongside MS Society Malaysia, orchestrated a panel discussion not only emphasised the urgent need for awareness and early education but also garnered support from the Malaysian Medical Association. Discover the intricacies and valuable insights on Sokong: 🔗 bit.ly/48TUsxR #SokongArticle #RCKVxMSSociety #MultipleSclerosis

Many countries are experiencing shortages of health professionals. 🌍 One of the professions they are looking for are #pharmacists 💊. ❓Are you looking to work abroad and need the #OETexam to show your English proficiency level for licensing? ❓Not sure where to start preparing for this exam or what the requirements are for the country you are looking at? ❓Do you know your level in the listening, reading and writing sub-tests of the exam? We've created the OET Quick Start - Pharmacy to help you get started right away and know what you have to do to reach your goal. The OET Quick Start includes a one-on-one session with one of our experienced #OETpreparation teachers. It's a great opportunity to get answers to your questions as well. What questions do you have about the exam? #medicalenglish #inglesparamedicos #workabroad #ielts #onlinecourse #onlineclasses #inglesmedico #inglesonline #oetmedicine #oetnursing #oetpharmacy #oetdentistry #oetveterinaryscience OET Exams Madrid Cambridge Assessment English Authorised Exam Centre ES459 Exams Catalunya - Cambridge English Platinum Exam Centre ES439 Madrid Sur Exams Centre Exams Andalucia Lingua Connect - Come learn with us! https://lnkd.in/dyWn8XvT