Assalamu Alaykum! (Peace be with you!) I just realized... I haven't talked much about my videos about Sulu in this blog. I have a playlist which you can watch if you are interested in seeing (or maybe visiting?) my dear homeplace. Just check it out here: JOLO, SULU PLAYLIST You can watch this instead: Yup, that is all for today. PS. I am mulling over the idea of transferring my blog from blogspot to wordpress... hmmmmmm
Internship in Ophtha
Internship Day 1 to 14
Weeks 1 to 2
From July 1 to 14, 2016
The sign at the back of SOJR: The setting for this awesome two-week rotation!
(Grabbed from Mike Mondragon :) will replace this once I get a better photo)
General Info:
Duration of Rotation:
2 weeks
Number of students:
10-13 (depends on number per block)
Important hours:
Time in: 7:00 AM
Time out: 5:00 PM
Wearing coats
REQUIRED on OPD! Allowed to be removed when on ER/Ward
Duty.
Duties:
Two posts: One Ward Intern-on-Duty (WIOD) and one
ER Intern on Duty (EIOD) from 7AM to 7AM the next day.
How often?
Depends. We were 10 in our block, and there were
only 2 interns on duty per day, so we have 5 pairs rotating “duties” every 5
days. So chill!
True Posts?
Nope. But post-duties can go home early (12noon) if
allowed by consultants/residents.
SIC work:
Only WIODs do the SICs of 12-20 patients in the
ward.
With clerks?
Yes. But we were the unfortunate (or fortunate) interns who had no clerks yet on our first month in internship.
Residents/Fellows
Very approachable (most of them save one
particular resident—I won’t name him/her! Haha!) They really teach if you ask
questions. Very notable are sir Tonici, sir Babs, and sir Chan (fellow).
Call room
Yes. Pretty decent. (+) 1 double-deck bed (only
the one below is used). (-) aircon but with lots of electric fans (donated by
previous batches). Wi-fi is not always accessible. Rest-room is at the other
end of the hallway.
What’s unique?
·Half-day duties if with clerks (depends on
your agreements)
·You have a separate building that does not
feel like PGH at all!!!
·SOJR is love!
·No more senior endorsements! Yeay!
·No more subspecialty rounds. *sad*
What to watch out for:
Conducting patients from ER to SOJR is always
exhausting. But consider it the least thing you could do for your patients :)
Required Paper works:
·Index card/attendance
·SGD Grading sheets and Consultant evaluation
Expected/Required Skills and equipment
·The 5-point eye exam (see video below)
·Basic PE skills
·IV line insertion and blood extractions
·Ophthalmoscope
·Penlight, pinholes, Jaegger charts
Other activities
·2 graded SGDs, 1 each per sub-group with a
consultant.
·Written examination by the end of the
rotation. Non-MQS non-samplex (for higher learning! Yeay!)
Toxicity level
5/10
Make the most of your time/stay in SOJR!!!
Trivia:
Ward duty in SOJR is among the notorious places
of common “sightings” of supernatural beings. So watch out for a running child/lady
along the hallways… Just don’t follow them! Enjoy sight-seeing!
The Index Card:
Kindly prepare the following:
One 8x5 Index card with 1x1
Recent ID picture.
Written on it are: The intern’s
complete name, Block, and date of rotations/posts with another column saved for
the residents’ signatures. This will also serve as their attendance. [See photo below]
PS. I was the LO in ophtha both
last year and this year :D Not that I am considering the specialty already, it
just so happened that fate made it happen that way. QadaraAllah.
Pre-Duty
Call time is 7AM at General Clinics (GC). All preduty
interns will examine the new patients (7AM to 12NN) and follow-up patients (1PM
to 4PM). Everyone is expected to at least conduct a short yet concise history
and brief systemic PE, coupled with the 5-point eye exam as described and
taught in this video:
The 5-point Eye exam by Dr. James Abraham Lee
After charting, the papers are
for evaluation by the residents. A patient interviewed by the intern/clerk will
be called and re-examined by the resident for further evaluation (usually
for IO or indirect ophthalmoscopy). There are times that an intern/clerk will be
called in for other questions regarding his/her patient, so still be ready.
Clinic Manager. Every day, there will be one Clinic manager who
will—well—"manage" all the extra paperworks in the GC. Patients asking for
Clinical Abstracts, laboratory and imaging requests, and other “teach me how”
things are all under the responsibility of the Clinic Manager. He/She is
actually exempted from charting both new and old patients, but he is free to
do so whenever he is free. The LO can assign who will be the Clinic manager for
each day or the group can agree on this matter beforehand.
The General Clinic.
Someone's pretty busy catching up on his patient charts.
The pre-duty team is expected to
stay until all patients (especially follow-up) are seen and examined by the
Residents in GC. If they are done charting, they are free to ask their
residents to teach them how to use the IO or the slit-lamps. They are free to
go once all patients are seen and their attendance sheets are properly signed.
Duty
The duty team will be divided
into two: one WIOD and one EIOD. The WIOD is expected to be at the Charity Ward
(3rd floor, SOJR) at 7 AM to receive the endorsements from the
previous WIOD. He/she is expected to do chart rounds at least 4 times: two
times in the day, one in the evening and one in the next morning before
shifting. All backlogs from previous duty should be carried out immediately. There
is a Ward Logbook where the WIOD will write down all new orders and their
status for every rounds.
The WIOD is expected to do the
usual SIC works for all patients. That includes: Preparing lab requests,
referral forms, clinical abstracts and discharge papers. Most procs are now
done by the phlebotomists except stat labs. He/she also helps in inserting IV
lines once in a while.
EIOD on the other hand will stay
at the ACU-Ex (Acute Care Unit-Examination room) in the ER complex. Their “territory”
is the rightmost (leftmost when inside) of the three “O-Departments” found in
ACU-Ex: Ortho-ORL-Ophtha. The EIOD will receive all referrals and admissions
from the ER, see and examine all patients referred/admitted, then if needed,
conduct these patients to SOJR for further evaluation or examinations (usually
slit-lamp and IO). Aside from that, we all do the usual stuff.
Tip#1: Text your ER ROD whenever
you receive a new patient, especially if they are toxic or really emergent.
There are only two ophthalmologic emergencies. Study them and learn to detect
and manage at an acute setting, then call your ROD ASAP.
Tip#2: It’s hard to conduct your VA
tests (Snellen) when your patients are bed-ridden, so always prepare to bring a
Jaeger as an alternative.
SPECIAL: Ophtha Interns on Duty
(WIOD only or both IODs) will be in-charge of the Adult ER Triage from 10PM to
1AM.
Post-Duty
Post-Duty WIOD will be assigned
in Eye-Instrument Clinic (Opthalmic UTZ, etc.) at the 2nd floor while
the Post-Duty EIOD will be assigned in the OR at the 4th floor. They are
expected to participate or/and in the procedures. Some fellows/consultants
would conduct teaching sessions once in a while so it’s always helpful to be
prepared. So read ahead when you have free time.
IMPORTANT TO HAVE:
1.
UP-PGH Self-Instructional Material in Ophthalmology (or simply the "Ophtha SIM") – this is a lifesaver! If
you have the money to buy, do not hesitate to do so! This is among my greatest
mistakes in medschool! I didn’t purchase one in LU3 as I consider it too
expensive! It may be so, but it is so helpful from LU3 to LU7!
2.
An Ophthalmoscope – It is not required but it is always better to have your
own.
3.
Penlights and a set of spare batteries – You do not want to further blind your
patients with your phone’s LEDs! (Technically, they won’t get blind by it, only
irritated.)
I think that’s all I can share about my
experiences in Ophtha. It is really awesome with high-yield learning while
being chill. So make the most of it. Everyone loves the Ophtha rotation :D
Memoirs:
Photos
Orientation day = first day meeting our PGIs!!!
The awesome team is finally complete (oh wait, may absent pala!)
Preparing my 'weapons'.
First day high! (May absent na naman sa group pic!)
Observing a very delicate operation on-screen. Captured with permission.
Alone in the dark. Tried searching for ghosts, but failed.
When they left a 'toxic-magnet' intern manning the Adult Triage... Wrong move guys... wrong move...
When there are no more patients... Interns are just chilling around.
Last day Block Pic right after exams! With our course coordinator Dr. Tonicci Paulino!
(Guess which of the guys here is the real deal)
And we are still NOT complete! haha
yeah it was my turn to be late that day -_- Sorry!
It's very nice to see how amazing an internship may be! I'm now applying for my first clinical internship. I will have an interview so I'm now reading random medical books, even a catalogue of medical equipment just in case they'll ask me "what this is meant for" showing a thing I've never seen before :D I think I've never been this scared! However, I really hope that I'll succeed and my memories will be just as good as yours!
That's good to hear! I am sure you'll get by and pass it! break a leg! (It's never easy but if others can do, I am pretty sure you can too!) Good luck!
Assalamu Alaykum! (Peace be upon you all!) [NOTE: This is a really, really old post! For those applying to UPCM for school years 2021 and beyond, it is best to visit the UPCM website for updates. Download and read the latest primer here . The details in this blogspot may not be applicable anymore. Read with discretion. You can send me a message on my FB Page here : Thanks!] This post was originally published in January 2015, almost two years after I entered the great hallways of Calderon in UPCM. Now, it's January 2018: roughly 6 months since graduation, and here I am, a full-pledged UPCM Alumnus and now a licensed physician! Wow! Then I realized in this blog that this post reaches more hits that the other posts I have published , and I know I badly needed to update this...And so I did. I tried... And so... To those aspiring future martyrs amazing medical students who will sacrifice their social lives really enjoy learning the wonderful world of medicine: he
By Ahmad Musahari Free lance Writer anakiluhmd@gmail.com What is the use of knowing the history of other countries if you don't know your own country's? This is my sole impetus of studying little by little the almost-forgotten history of one of the magnificent Sultanate of all seas: the Sulu Sultanate, my homeland of course! But even though my few researches have only reached few results as well, I am still nevertheless excited to share what I have discovered; small pieces of puzzles are parts of a big picture. This blog is about one of my great adventures in finding the remaining historical landmarks in Sulu (even us Tausugs never knew it was there!) Join me, lets explore once more and find out where the smallest WALLED CITY is! (PS: as you can remember, I have blogged about the "Moro Consciousness week" wherein I promised to fill in the entry about the 'walled City' in Sulu. And here it is: a promise is still a promise ;-) link ==================
SOME USEFUL TAUSUG WORDS YOU CAN USE. [this is a veeery old posts -_-] Please our blog TAUSUG 101 for more tips and lessons on Learning Bahasa Sug (ust click the image below) Tausug English In ngan ku hi ____ My name is ___ Naghuhula’ aku ha___ ‘I am staying at’ or ‘I live at’ ____ Maunu-unu na kaw? How are you? Marayaw (da isab) I am fine, (too) Yari aku ha bay. I am here at the house. Yadtu siya ha iskul. He is there, at school. Hiyapdih aku. I am Hungry. You can use the following exch
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