Stand up for yourselves

Working at a KKM hospital is satisfaction 5% and heartache 95%. It’s not because we got no satisfaction treating the patients, but from up top to down bottom, rotten apples are everywhere. In government service, everything is about seniority. Everything is about hierarchy. Everything goes by what the boss says.

This system of hierarchy actually serves to protect the main KKM clients – the patients. A specialist with 15 years of experience certainly would give much more accurate and decisive treatment than a one-month old houseman. But the system also opens up another door – bullying. Bullying has been a culture of KKM doctors since forever. The main reason for this bullying – for YOU to learn. Whether it’s really the best teaching method, nobody can say.

A houseman does not outrank the nurses. The nurses rule the ward, they know how the works are being done all this time while the houseman keep changing every few months. They determine whether we had done things correctly or not, whether this form and that form are filled in correctly, whether our work is complete or incomplete, whether we can have meals or breaks during our shifts. I certainly don’t remember myself outranking the PPK because last I heard, I was told to “Jangan kacau saya boleh tak? Kalau doktor nak urgent, pegi hantar ABG ke lab sendiri lah! Saya banyak kerja ni!”

Snippets: Tagging in Obstetric and Gynaecology department

I just started O&G as a 5th poster. I’m quite freaked out because it seems that I am one of the most senior ones in the department. If I were to be in this department 3 months ago, I would be a tagging MO already. I am freaked out because my last exposure to O&G was like what, 2-3 years ago?! I have not enough knowledge, a little bit dependent on my junior colleagues to teach me. And I don’t even like O&G. I wanted to take A&E (Accident and Emergency) posting, but they are closed to 6th postings only

Snippets: Last Day in Orthopedic Department

Today is my last day as a 4th poster in Orthopedic department. Ortho in my hospital is known as the most chillaxing (chilled and relaxing) department for housemanship. No official tagging period, not so much workload, reviews are not complicated, rounds are fast and decisive, patients do not easily collapse, orthopedic emergencies are far less than medical or surgical emergencies, MOs are helpful, specialists are not as malignant as one could imagine, plus with the start of shift system and lessening of working hours – really made this a honeymoon posting. Everything’s heaven, but I just have no interest in bones and smelly feet.

I did however sort out many personal things in my abundance of free time to make up the loss of time for the previous one year (three postings) of my housemanship. I even went for my honeymoon.

Dividen ASB 2011 dan pengiraan

DIUMUMKAN,

 KUALA LUMPUR: Amanah Saham Nasional Berhad (ASNB) anak syarikat Permodalan Nasional Berhad (PNB) mengumumkan agihan pendapatan sebanyak 7.65 sen seunit dan bonus 1.15 sen seunit bagi tahun kewangan berakhir 31 Disember 2011.

Agihan pendapatan berkenaan lebih tinggi berbanding tahun lalu yang sebanyak 7.50 sen seunit.

Pemegang unit boleh mengemaskinikan buku pelaburan mulai 3 Januari 2012.

Ramalan Dividen ASB 2011

 

 

UPDATED: ASB 2011 announced! Dividend 7.65%, Bonus 1.15%! Read more HERE!

It’s almost new year. The most-awaited announcement of the year is the ASB dividend and bonus for the year 2011.

Let’s see how ASB fared for the past few years:

Protected: Gaji doktor SBPA – no more speculation??

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Gaji doktor – spekulasi SBPA

JPA dah mengeluarkan formula pemindahan gaji bagi SSM ke SBPA. Mari kita lihat formula:

Ok, kalau tak faham, ikut je anak panah dia tu. Saya simpulkan macam mana pemindahan gaji dari SSM ke SBPA.

Houseman shift system (part 2)

There is a lot of talk about the houseman shift system lately, and I heard a lot of feedbacks be it from the mouths of the doctors, the newspapers, social media like facebook, twitter, and blogs. I am one of the lucky few houseman who has got chance to experience housemanship in two ways; first half of my housemanship doing oncalls and second half doing shifts, equally divided three postings each. And I have the privilege to make a comparison between the two.

  A tired doctor = excellent doctor?

Since the beginning of an era, the main complains of doctors anywhere in the world are that they are being overworked and underpaid. Now that houseman are not overworked and underpaid anymore, why do we still complain? We should have been grateful that the whines of the past 50 years have finally realized in 2011! I really really bet you that all those who have been thru housemanship would really wish that their work hours were less back then. Heck even I wished for lesser work hours when I was in 1st till 3rd postings, when the oncall system was in place.

Good things about shift system

I was quite antagonistic towards shift system earlier, but lately I found that shift system did me some good. Not in terms of personal only, but in terms of clinical as well. How come? I thought on-call was much better… Here’s why.

With shift system I work more frequently – I am currently in ortho department. During the heydays of its oncall system, a houseman in orthopedic department did 3-4 calls only in one month. With this shift system, a houseman must do 8 shifts in one months. Yes it might be equivalent to 4 oncalls only, but it’s different in so many ways.

Speculation – SBPA (Saraan Baru Perkhidmatan Awam)

I have been looking for this for almost a month, always end up with disappointment because government websites haven’t update anything about SBPA new salary scheme. But today I got something better, but only at speculation level, not definitely true. The calculation was made based on PM’s budget speech on teacher’s salary scheme, but it may apply to doctors as well because we have the same grades as theirs.

UD41 aka House Officers