.ent.ophthal.anaes.

this post was actually inspired by this and this

but this one will be much much longer since triad means THREE in ONE

so bear with me :)

first and foremost, triad consists of 3 different postings *refer post title*

the duration was 3 weeks for the first 2 and 2 weeks for the latter

basically it covers problems of the eyes, the nose, the ears, the throat and last but not least how to put patient to sleep

all three postings has more or less the same requirements

so this post will elaborate on each requirement particular to that posting

the requirements are as follow :

- briefing

- log book

- case write up

- clinics

- operation theatre

- pbl

- mini clinical examination

- ppd component

so lets go one by one

1. otorhinolaryngology 

or ENT in short

i did this one in england

so i'm not really sure how this posting was carried out in UKMMC

i'll try nevertheless

and those who did triad with me, correct me if i'm wrong

briefing

i guess briefing is done in the department. so sorry since i didnt do my ent posting here :(

logbook

as usual, this need to be filled within 3 weeks in order to pass the continuous assessment

case write up

there is one case write up to be written and sent to respective supervisors by the end of the posting

*i didnt send mine, but we have case presentation there in england  in which the content was more or less the same* 

clinics

i dont know how ent clinics were carried out

but i supposed everyone need to attend their supervisors' clinic, clerk cases, present and all

*i went to clinic every single day when i was in england and we attend them individually*

operation theatre

since ent is a surgical specialty, attending operation theatre is a must i would say

you got to see operations as simple as grommet insertion up to as complex as mastoidectomy or parotidectomy

*i went to theatre every single day in england and i observed 6 tonsillectomy per day :)*

pbl

if i'm not mistaken, there were 2 pbls for ent.

i didnt have any pbl there in england, so i'm afraid i cant really elaborate on this

mini clinical examination

this one i did in clinic when i was in england

there isnt much, just simple nose examination, throat examination, otoscopy and stuffs

ppd component

i didnt do any assignment for ent when i was in england

so i guess it will be better to find my friend who did this

if i'm not mistaken, the topic was about laryngectomy

2. ophthalmology

briefing

the briefing was carried out in bilik nor marahakim in the department of ophthalmology

basically you will be told on what to do, what to complete and the visit :)

logbook 

this one as usual

i know all of you know what to do with it :)

anyway, in ophthal, there will be 20 funduscopy to be performed, presented and drawn in the logbook together with the ophthalmology colour coding

so make sure you have a box of colour pencils in ophthal :)

case write up

there is one case write up to written, presented, corrected and sent to the department within the 3 weeks

basically you will have session of presentation of your cases with your supervisors and correction will be done

the send in the correct version of the case write up by the end of the posting :)

clinics

ophthal clinics session were tremendously havoc

you'll be lucky to have your supervisor in the clinic since most of them will want their students to be with them

so normally, one specialist will have 3 days of clinic

*mine : tuesday, thursday & friday*

so we will normally attend clinics according to our supervisor's schedule

however, it is NOT wrong to attend clinic everyday if you want to :)

operation theatre 

the theatre was forbidden to medical students

haha :)

pbl

we have one pbl for ophthal consisting of 2 sessions

refer to the pbls we have had in preclinical years and it didnt really differ from that

just prepare prior to the session :)

mini clinical examination

basically, for mini cex, each student will have to perform a funduscopy examination either in the clinic or ward

then proceed with presentation and some q&a

for this purposes, read in detail about diabetic retinopathy, armd, hypertensive retinopathy and glaucoma

ppd component

in ophthal, we have a speacial visit to the school for the visually impaired

and reflective writing was to be written based on that experience

but it depends on your supervisor

some supervisors want you to write reflective writing on a blind patient you've clerk instead of the visit

3. anaesthesiology & intensive care

briefing 

the briefing was carried out in bilik siswazah lanjutan in the department of anaesthesiology which is located in the bridge connecting the cinical and academic building

logbook

in anaes, logbook is important since everything need to be signed in it including lectures and tutorials

besides, there are a few procedures that need to be performed such as iv cannulation and intubation

there are also a few procedures that required us to observed namely the epidural and spinal and what not

case write up

in my experience, anaes case write up was the simplest one

we have to write one case write up focusing solely on the anaesthetic component of the patient

the pre-operative assessment, premed, intra-operative monitoring, and post-op management which stopped after the patient was sent back to the ward

clinics

no anaesthesiology clinics :)

operation theatre

in anaes, theatre is most of the time the only place to be

it is not the surgery that is important, but the preparation of medications, the patient, putting the patient under and waking up the patient after the surgery are important

it involves multiple procedures depending on the type of anaesthesia given to the patient

it would be better to read and get used to the drugs available and their uses

besides the theatre, we also need to attend the icu

basically for the rounds :)

pbl

there's no pbl for anaes :)

mini clinical examination

basic life support

there's no mini cex for anaes

however, there's one special component of this posting that need to be passed in order to pass the posting

it is the basic life support course

it consists of the cpr and heimlich manouver and infant cpr

there will be theory test and practical test

certs will be given once passed :)

ppd component

for ppd component, one reflective writing was to be written based on the visit to the icu :)

that basically concludes triad

the things mentioned above were just guidelines which may change in time or based on your supervisors

all in all, triad was fun :)

p/s : there will be seminars and lectures for each postings which will be compulsary for all