My 2 ringgits' worth on SIP
All in all, SIP has sparked off a series of discussive emails from the class - i frankly never have seen the class this strongly opinionated. Well as usual we get the usual emails with lofty ideals - the kind you read and wonder whether the composer has ever experienced life back down on earth. well thankfully for most of us humans, the emails were very real -- no altruistic or idealistic borderline bull, but just a very sincere , balanced opinion on SIP.
While I did enjoy the rush of excitement of carrying out my own duties during SIP, and being respected as a member of the team, that feeling has long died out and the bothersome worry of the MBBS has started to trickle in. After all, SIP was chiefly meant as a "orientation to HO" life, and certainly we can't learn everything a HO is required to know within these 6 weeks. The lack of a MCR number often makes us disadvantaged when performing certain duties with medico-legal implications -- like inking out prescriptions and accompanying DIL patients. It's like this is meant to be a "junior HO" thingy but we definitely can't experience the "full thing" as yet.
As such, it's meant to be a taste of HO life and to prep us physically and mentally for the life that beckons next year. But of all things, because of the demands of the curriculum, I question the need to have 6 weeks of Medicine SIP PLUS 4 weeks of Surgery SIP, while cramming the revision periods of Orthopedics and Paediatrics into 2 short weeks. Emergency medicine is mentioned again and again as a critical aspect of Medicine, and yet it's allocated just 2 weeks.
I think ppl should just wake up to the idea that lengthening postings doesn't necessarily increase your knowledge or exposure proportionately. Take Psycho Medicine - it's a dreary horrid 4 week 3rd year posting + a even more terrifyingly weary 2 week 5th year posting. I cannot deny PsychoMed is a very important discipline but what could have been done in 3 weeks has been unnecessarily stretched to 6 weeks. I think they should taken a leaf from O&G's book and realise that a revision M5 posting isn't always necessary depending on the context. .. Unless there's a lot of pride/ego in exerting the importance of one's own specialty.
Granted, life isn't just about academia but let us get 2 feet flat on the ground. YOU need a license to practise "practical medicine aka HOship and above", and the only way to do it is to pass your MBBS competently. Since the MBBS is still being entrenched in our old British colonial roots, there's still a lot of rote-learning and hypocritical examination drills that have to be drummed into us a la "I would like to examine for this and that to rule out".
These kinda examination drills aren't often experienced in practical medicine, because it's tedious, time-consuming and often unnecessary with hi-tech radiological equipment. It's ideal to continue being thorough during HOship, but this drive often falters under the pressure of time.
Oh well just my two ringgit's worth opinion on this.
While I did enjoy the rush of excitement of carrying out my own duties during SIP, and being respected as a member of the team, that feeling has long died out and the bothersome worry of the MBBS has started to trickle in. After all, SIP was chiefly meant as a "orientation to HO" life, and certainly we can't learn everything a HO is required to know within these 6 weeks. The lack of a MCR number often makes us disadvantaged when performing certain duties with medico-legal implications -- like inking out prescriptions and accompanying DIL patients. It's like this is meant to be a "junior HO" thingy but we definitely can't experience the "full thing" as yet.
As such, it's meant to be a taste of HO life and to prep us physically and mentally for the life that beckons next year. But of all things, because of the demands of the curriculum, I question the need to have 6 weeks of Medicine SIP PLUS 4 weeks of Surgery SIP, while cramming the revision periods of Orthopedics and Paediatrics into 2 short weeks. Emergency medicine is mentioned again and again as a critical aspect of Medicine, and yet it's allocated just 2 weeks.
I think ppl should just wake up to the idea that lengthening postings doesn't necessarily increase your knowledge or exposure proportionately. Take Psycho Medicine - it's a dreary horrid 4 week 3rd year posting + a even more terrifyingly weary 2 week 5th year posting. I cannot deny PsychoMed is a very important discipline but what could have been done in 3 weeks has been unnecessarily stretched to 6 weeks. I think they should taken a leaf from O&G's book and realise that a revision M5 posting isn't always necessary depending on the context. .. Unless there's a lot of pride/ego in exerting the importance of one's own specialty.
Granted, life isn't just about academia but let us get 2 feet flat on the ground. YOU need a license to practise "practical medicine aka HOship and above", and the only way to do it is to pass your MBBS competently. Since the MBBS is still being entrenched in our old British colonial roots, there's still a lot of rote-learning and hypocritical examination drills that have to be drummed into us a la "I would like to examine for this and that to rule out".
These kinda examination drills aren't often experienced in practical medicine, because it's tedious, time-consuming and often unnecessary with hi-tech radiological equipment. It's ideal to continue being thorough during HOship, but this drive often falters under the pressure of time.
Oh well just my two ringgit's worth opinion on this.
posted by James Huang at 9:39 PM
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