How To Apply for Housemanship In Malaysia | My lessons - MMC/PTM /Ehouseman

If you're reading this,first of all congratz.Now let's get into business.What I'm going to share here is basically my mistakes and lessons that I learnt during the process without much guidance hence I decided  to help the rest like me by sharing my experience.I might be wrong in certain part,but once I enter the hospital ,I will update this post..I'm not going to spoon feed every steps since all of you are a fucking Dr and it's 2018.The world is in our hand(your smartphone) so we can learn everything right at the entrance of MMC but for god sake,please don't do that if you're not from KL.

The first lesson,the system will keep on changing.So be aware of it and ask your six month senior if there is any changes with the system.

My seniors went for spa interview,submitted their form to KKM,their banker draft  fee was RM20 ,but for me,(in 2018 Nov) it was RM100 ,bla bla bla. Luckily there's no interview,KKM submission etc but unfortunately I found out about it at last minute after a lot of mental strain.

The problem is,all the seniors that are houseman right now will be super busy and they can't reply your messages right on time.Can't blame them either.

Ok ,before we start,this is MMC.The block at the right is KKM it seems.I have no idea if this is the only KKM or there is another KKM at Putrajaya.Whatever it is,it's not relevant for us,so chill. 

And when you first search MMC website,you can see lot of comments saying that they were not answering the phone.I felt like,they changed their number.So I included the phone directory as well and they were really kind and answered their phone.(from what I witnessed).

Part 1: November 2018

Block B

Dress up well.

Waiting room.

Their Address.

Aras Bawah,Block B

Kompleks Kementerian Kesihatan

Jalan Cenderasari,50590 KL.

Tel:03-26912171

Faks:03-26912937

Http//www.mmc.gov.my

Their office hours.

Additional Phone Number(Majlis Perubatan Malaysia)

APC

-0162946947

-0163261751

-0163264763

Sementara

-0163264985

Logs

-0163268542

Penuh warganegara

-0163268542

Penuh bukan warganegara(🤔 what's this)

-0163269354

Ok,the first step,go to MALAYSIA MEDICAL COUNCIL (MMC) or 

MMC Web

For the location,use your Google Map,Waze or  Grab.

(It's just behind the KL train station,also behind the KL Pos office)

If  you're traveling by train,get down at KL station,use your map or take a Grab or bring an umbrella along and walk there.It's not far.

If you're coming by bus,adjust your timing according to their office hours,please take note of their lunch break as well.

You can take a komuter or LRT.

If you take a komuter ,you will get down at  Kuala Lumpur KTM Komuter station .

If you take LRT,you will get down at  Pasar Seni LRT station(  LRT station in Kuala Lumpur that is served by Kelana Jaya Line) .

If I'm not mistaken,it's abit far,like you have to cross the main roads to reach here,KL Sation is nearer.

So,use KL station (not KL Sentral) or Pasar Seni LRT as your final pit-stop. From there you can walk or take a Grab.It's just walking distance.

Application for Provisional Registration Form 5

Sec 12 Med Act 1971,Regulation 25,Med Regulation 2017

Download this form.The checklist isn't correct (not an updated version I guess)..When I asked the MMC employee,that was their answer..That form just required you to verify few things but when I went there,It was totally a different scenario.Let me show you.

This is what they want  and this is the order how you should arrange them.

This is what you need.The verification from a commissioner for oaths.

Example of additional document from your University.

And remember,you need to verify this shit as well ,so look for anything like this at the back part of your certs.You need to photocopy them as well and get them verified .Ignorance caused me a lot of trouble..Verify everything that have been attested by your respective University (if you're not sure,check with MMC and do it later.They use senior student's applications and their documents from the same University  as a preference and guideline.What they submitted,the order etc,you have to submit it as well)So double check with them , otherwise you have to go again like me.

The nearest commissioner for oaths was at the first floor of nearby  KWSP building and I had to pay Rm7 for Grab from MMC..So do it at your hometown itself to avoid the trouble.

Let say your Malaysian IC have A/L or A/P but your certs don't have it(like my case),then you have to do this as well.For every certs without A/L ,you must include them  in this surat Akuan like this ,otherwise be ready to go back again.

See my name up there..There's no A/L there.So when you do your documentation at your University,include A/L or A/P to avoid this trouble.

Ex of Addition Certs that you have to submit.

And remember,everything else will be verify by a commissioner for oaths except this.This part should be verify by a doctor.One of my last minute mistake.

This is how you include the banker cheque and your passport size photo at the front page of the application form.The form says they need only 1 picture,but when you go to MMC,they will ask for  2 photo.So,bring extra..

For the banker cheque,you need an account in that bank itself to do it,otherwise you can't.If,you don't have a job,offer letter,or an existing acc in Maybank,then don't waste your time there.They won't allow you.Go  some other bank and get it done. 

Do a RM100 fee(in 2018)in the form of bank draft,money order or postal in the name of Kumpulan Wang Majlis Perubatan Malaysia)

On the day of successful submission,you will receive this. 

A week later ,you will get this,at the top right is your MMC number.

You will fill this form using your MMC number while collecting it.Just for a reference of collection.

Now ,the next step.SPA application.

Go to 

SPA(click here)

SELURUHANJAYA PERKHIDMATAN AWAM (SPA),

to register employment in public service SPA8i

(Pendaftaran Pekerjaan Dalam Perkhidmatan Awam).

You must do it online

One of my local friend told me to do it way earlier even before you get your MMC number so that your application will be at the top of the waiting list.

For an example,when you fill it up,you will get a validity date for one year.Let say you do it in 9th May 2018,so the validity will be until 9th May 2019.(1 year)

Later when you get your MMC number,you just need to update it and send it; he said.

I realized it wasn't true.It save some time but it never make any difference.

Even if you fill that online form in May,when you get your MMC number few months later,let say 11 October 2018,the moment you update it and click 'hantar',the validity date changed,

not from 9th May 18 to 9th May 19 but will be from  11/10/2018 to 11/10/2019.

So,just do it after you get your MMC number.

1.Use Google Chrome,explorer or mozilla.Never try it using your phone,the page will crash halfway and increase you BP.So do this with a desktop .

 .

2. Open the SPA official website, Click on Permohonan Perkerjaan/Click on Daftar Akaun Baru at SPA8i Login. Fill up all the details and click 'Daftar'.

MAKLUMAT PEMOHON. 

*car driving licence, tick 'D'

 *motorcycle licence, tick 'B2'. 

        Once done, click 'Simpan'.

 Then Maklumat Akademik 

*fill up 'PMR/SRP/LCE'.

          Once done, click 'Simpan'.

For SPM/MCE/SPM(V,those information were already filled up for you.

 Next 'Pengajian Tinggi'. 

For Pegawai Perubatan Gred UD41.

    Peringkat Kelulusan : SARJANA MUDA DLM BDG PROF

    Bidang : PERUBATAN

    Pengkhususan : PERUBATAN DAN PEMBEDAHAN for MBBS and without the PEMBEDAHAN and only PERUBATAN is for MD.So choose accordingly.For me,it's MBBS so I choosed this.For the Insitute yang mengeluarkan sijil,choose accordingly .If your college or University is recognized ,then it will be there.

In my case,even my college is Chittagong Medical College,the institution that will be there that provided my certs was University of Chittagong.

    cGPA (PNGK) is no needed if your university isn't using this as

    marking system(like my case).

 Once done, click 'Simpan'.

'Profesional/Iktisas'.

 This is where you will use your MMC number.So this part can only be done when your have that sijil pendaftaran sementara.

Type Berdaftar dengan...and you will see this

      BERDAFTAR DENGAN MAJLIS PERUBATAN MALAYSIA. (at the left)

      Fill in  your MMC registration number and registration date(at right)

 click 'Simpan'.

 If you add this

      information afterward like I mentioned above,then go to  'Pengakuan Pemohon',

      tick 'Saya Setuju' and click 'Hantar' again.

Now Maklumat KoKurikulum.

Then Maklumat Tambahan.

 Then click on Jawatan Dipohon and 

 choose Pegawai   PERUBATAN GRED UD41.

 Once done, click 'Simpan'.

Click on PENGAKUAN PEMOHON.

 Check every detail  and tick the box 'Saya Setuju' and click 'Hantar'. Click

   PRINT the resume.

When you Click on SEMAKAN PERMOHONAN. There will be 'Tiada

      Maklumat' at this moment.After this it's all about waiting game.

Log in SPA8i from time to time and check on

      SEMAKAN PERMOHONAN. 

So far,I just reached here,but the moment you receive your mail,you have to log in ehouseman web and there is where you choose your hospitals.

If you check the web now,it will be unavailable because they will only open it at a specific time.So,wait for your mail.Check them from time to time.Once I experience that part,,I will update about that process and my lessons .Mean while,you can download this pdf and go through it.It might be useful during the day when that web is available.

While waiting and checking it daily 

You might came across this.

Don't get panic.If you failed in all 3 part then you might missed something while filling up the form.If num 1 is successful but 2 and 3 'tidak melepasi tapisan' then you just have to wait for their mail.

Nothing to worry (that's what the spa workers told me when I called them.If you want,you can call  and recheck with them )

03 - 8885 6000

1 to 2 pm is their break hours.So don't call at that time.

Part 2: September 2019

You will receive this mail and all the information will be there.

Friend that graduated from Malaysian University 3 4 months back.

I waited for 10 months. 😒

Download this pdf and read.

If you received the mail as above, you can register prior. You don't have to wait for that specific date and time.

Click here to register.

Fill this up and you will receive a mail like this.

So next,wait for the date.

You can read the pdf copy and learn how to fill it up.What I'm going to share was the mistakes that I did.

First I didn't log in at 2.30pm.

I waited till 2.31pm.

Click here to login

October 2019 intake.

The list of hospitals.As you can see and compare the picture below, there's no more column of details about family.

So I went back to recheck.

Wasted few more seconds and of course,taking pictures to share it here was another worthy mistake for my juniors.

😅

In a second,no more vacancy at kulim gh.Tried Penang,full.

Tried Taiping,full.

The only vacancies :Sabah Sarawak and Klang.

So..

I clicked and universe placed me here.

Then

Print all four of them .Read and fill up the forms.

Download and print this 4 documents listed below. 

-Surat Tawaran (print 4)

-Surat Setuju Terima Perlantikan asal (page 4 of surat tawaran)

 print out 3 copies,no need photocopies for this,use original.

-Borang Kontrak Perjanjian ( print 4 must original,this is the one you will matikan setem)

-Syarat-syarat Kontrak (one is enough)

-Panduan Mengisi Borang Perjanjian (one will do).

-Surat PTM (print 2 if you want but actually one is enough)

-Lampiran A(print 2 if you want but one is enough)

Later you can photocopy them as many as needed.It's kinda confusing tbh.From no where something new wil arise.😤

Pic a

Pic b

You see,in this form(pic a)they asked ori for some,3 ic photocopy etc but  your hospital's requirements will be totally different.For an example,HTAR(pict b)needs 7 ic photocopies.They didn't ask for any original MBBS cert etc..So wait for the mail from HR Department of your hospital.Bring original as well just incase.

And remember, don't get panic if you didn't receive the mail from your hospital because they won't send to all.They will randomly select few emails and send to them expecting those people to spread the info.So the number of copies that I have mentioned here is just the basic.The number could be varies according to your hospital requirements.

Then,

Go to spa website.Click here 

Download this 2.

- Akuan Berkanun(print one )

-Borang Permohonan Pemeriksaan (print one will be enough)

Let me simply it.

1, 2, 3 from E-housemen website.

4, 5 from SPA website.

6, 7, 9 with us.

8 you will get from MMC.

10  from E-houseman website,a week before PTM.

MMC will update the date for us to collect our provisional registration certificate on their main website. 

Mine

Check you name there.Usually there wil be 3 copies means 3 dates.

Surat Tawaran

Ori plus photocopies.

Let me explain how many copies you need.

2 copies for the senarai semak to lapor diri

-One  copy for LHDN (need  for registration of new LHDN account but for me,they didn't ever ask)

-One copy for medical check up, again they didn't even bother about it because I did at private.

-MMC one copy( I printed out extra and certified it.If you want you can photocopy it and certify it.

I will go mmc in two days so let see if they only need photocopy or they accept original as well.

Will update it soon.

Hopefully they won't make me go here and there again.

-One  copy for PTM ,this one no need any certification .The only certification of surat tawaran needed is for the copy that you will submit at MMC,rest all no need.

Example.

This 3 pages are the one that you will submit to MMC.

A part from gov mo,these people too can certify your offer letter.

Who else can certify your certs

You can see the confusion yourself.

Actually MMC was very friendly.

I saw one of the girl didn't bring her transcript.So the staff asked if she's came from far and she said she's from Sabah.

Hence the staff said, certify it and mail to MMC with some details.So you can ask them if anything.

During this whole process, I learnt one thing.

Everything is figurable.

If it's isn't, then it's a fact like gravity and death.

So chill.

1.COLLECT PERSONALLY

Bring a certified true copy 

- Surat Tawaran(certify each page 1 to 3 )

-Exam transcripts (if you have not submitted before but I guess we will definitely submitted it when we wanted to  get our temporary mmc number right?

-MBBS certificate (if you haven't submitted it prior)

Let me update it when I went there myself.

                                                                    

2.IF SOMEONE IS COLLECTING FOR YOU

- Surat Tawaran(certify each page 1 to 3 )

-Exam transcripts 

-MBBS certificate

A Letter of authorization

At MMC

Okay I went to MMC just now.Now,waiting for my ETS,so let me update what really happened there.

I will include details about ETS as well.I went to KTM ,parked my bike there.

Took 5.26am train, reached KL Station at 9.20am.(Not KL Sentral,MMC is just few hundred meters from KL Station,I mentioned it in part one.)

I went up,exited the station took left ,way to parking.

Don't take the right.

At the parking you will see a door at the corner connected to staircase.I went down,walked to mmc.Just be careful when you pass through the tunnel because it's dark inside and narrow.

Switch on your phone's flashlight and walk in the opposite direction so that you can see the car coming towards you and they can see the light as well.

Bike was safe.

15hours without food,yet biceps survived from atrophy.🤭

If you're free you can watch the whole journey to MMC .

Click here

Then I went to MMC.I went to the counter and submitted my  first 3 page offer letter with the certification on it.They never ask my mbbs cert or anything etc because I submitted it last time,during part one.

They gave me a number,asked me to find my name in the list and asked me to sign there.

I was waiting and they called number 121 to 140 to bilik mesyuarat 2.

We all went inside.

I gave the number to them and they gave few forms to me asking me to fill them up..

One is Surat  Akuan Terima another one is Perakuan Pendaftaran Sementara which will be an orange color cert.

If you haven't submit your transcript and mbbs or md cert,there will be a blue paper along the other papers.That's an indication that you have to submit your transcript and mbbs /md cert.

Make sure you certify them.

On that perakuan penerima form,you must fill up your name,no fail mpm (this will be the last 5 digit of the second form,see the picture below.),no Pendaftaran Sementara(look for it at the orange cert),dates ,time and your signature.Submit to them and they will return your orange cert and you can go back.

By 1050 am, I finished everything.

This means if your print the offer letter and certify it or you photocopy your offer letter and certify it,it doesn't matter.

No fail mpm,last 5 digit.

Perakuan penerima form.

No Pendaftaran Sementara

Now how to get your KWSP number.

Go to nearest KWSP office.

There will be machines at the corner.

Insert your ic and follow the instructions.

Must put your thumb print,fill up your phone number and email etc.If you don't know,there will be officers to assist you.

When you're done,look at the bottom,the machine will print a copy of details about your id etc to login.I didn't notice this and went away initially and when the officer asked,I rechecked and saw the paper was still there . 🤭

The temporary password will be sent to your number.

I didn't notice that I took a shitty photo.Sorry for that.

Then go to the computer area, register and change your password etc.

Then they will print a copy for you and you can submit it at your hospital.

Keep one original and two photocopies just in case.

LEMBAGA HASIL DALAM NEGERI (LHDN)

I registered for the tax number online and I printed it ou.That's one part.

Second we have to matikan setem.

Before you go,fill up your borang perjanjian kontrak.Don't fold,dirty or staple them.I did all 3 and had to reprint them.😒

And remember,the date of perjanjian will be the date you matikan setem.Don't fill that date part early.

You can buy  4 setem hasil RM10 at any post office and bring them to LHDN.(if can don't do that unnecessary extra  work.Just go there and buy it.)

Ask the main counter the location and she will direct you to the computer section.

You will fill up things online.An officer will be there to assist you what to write ,where to click etc.

When you're done she will ask you to go and take your number at the main counter.

Then you will go to the office area inside,when they call your number,you will submit the 4 borang perjanjian kontrak at one counter,you will pay the money at another and finally you will take it from a different counter.It's all nearby and will be done within 2 3 minutes.When she /he gave your forms with the stamp,you will write you name,ic phone and dok number at a book.That dok number,she will tell you there.

To get your income tax number online,go to this website.Click here.

Click that link and fill them up.

Write your name as per your ic otherwise it won't accept.

That work details,you just click doctor and leave the rest empty.

Submit it.

My twin sis is a  tax accountant,so I asked her if this is my tax number and she said yes, it's the final code.If any changes,I will update it later.

So that's your income tax number.

One original and two photocopies just incase.

MEDICAL CHECK UP

Go to government clinic(KK) because they are more familiarised with the process.

This is another mistake of mine.I went to private and she caused me unnecessary extra work.She wrongly wrote something and used white liquid paper to correct it.😒

I had to reprint that part and went again.

Bring along 1 copy of Borang Permohonan Pemeriksaan Kesihatan and Surat Tawaran. 

You need  3  stamps in that form.  

1.Witness (not your attending doctor) Find another MO , government MO if not mistaken to sign for that saksi component.

2.The attending doctor stamp 

3.Stamp from the lab .Since i did at a private clinic,I had to go and find that lab and get it again from them.So now you know why KK is better..And I paid RM 20 for that urine test.

Only UFEME(urine test:sugar and albumin needed).

You can ask the attending doctor to certify the Surat Tawaran(the first 3 page) needed for MMC at the same time.Make sure it's not just their stamp but have that word 'disahkan oleh.'

Borang medical check up 

(1 original and 2 copies for the checklist and one copy for PTM)

Another mo's stamp

Lab's stamp

Attending dr's stamp

The mistake that she corrected

Hence I had to reprint it and went again 

Attach the lab's result as well.

AKUAN BERKANUN

Bring along your Surat Tawaran 

Either a Magistrate (free of charge) or any Pesuruhjaya Sumpah in private firm ,it would be RM 4.

There are 2 required addresses in the form:

Above (your address)

Below (the firm/majistrate office address)

One original and two photocopies.

BANK STATEMENT

Any bank account that you owned

Bring along your IC and bank card and inform them that you have been offered a government job and need a letter for the confirmation of account.I didn't do this actually..I just used the one when I opened my account.I had a statement as well..

Anyway,

The letter should have your name, account number, signed by the bank officer.

As you can see, I don't have any signature. Lazy to go and do it.

One original and one photocopy just incase.

SURAT PANGGILAN PROGRAM TRANSFORMASI MINDA (PTM) and LAMPIRAN A

Log in into the eHouseman website one week prior PTM date.

Fill in the details on your family background as well as your own and download it. This is the 'Lampiran A'

Print out 2 copies of Surat Panggilan PTM and Lampiran A and two photocopies of each.

Click as per the numbers.1 ,2 and 3 first.After you finish then go back and click 4.

We already printed the one on the left.Now we only have to print the one on the right.Print it and go back and click number 4.

Click that to add details about your family members.

Sijil perakuan pendaftaran sementara

(1 original and 3 copies for the checklist,one for PTM)

Let me share with you what they will ask so that you can prepare it if your siblings are married and living at a different locations.

Now let me share with you what documents you need to submit on your PTM day and what things you can bring and cannot bring there...

Documents

Things

Final product

Prepare 2 files

Arrange accordingly.

So basically my hospital is at klang,this ptm hotel is at kajang and my bike will reach at petaling jaya.🤪

About sending my bike,you can watch this if you're free 🤗

P/S

Not relevant to HO, it's only about my bike. 😛

Click here

When I wanted to send using pos laju,it was RM185 but they said it will take 1 to 2 weeks.

When I used M Express,it was RM 200 for bike less than 150 cc but it will reach the next day..The only thing is,it will be at their centre and we have to collect it.Bring your grant and make sure the petrol is less.

Bring grant and ic photocopy

Received the next day.

I won't stop here..I will try to teach what kind of preparation you can do 

before you start as HO.

(Read below)

Personal preparation.

From here..

Byeeee

To here.(Looking like just came out from pusat serenti. 😒

So before you go to hospital,you need to prepare your rubber stamp.

Get the pre-inked type.

Do it in blue colour.Double check with your seniors if they using blue or black.

Use this format.

Don't have to include your University's name.

Use your temporary mmc number.

Don't use short cut for your hospitals name.

HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG

Not HTAR

Some said no need to add that Klang so double check with your seniors.

Example

DR.LAKDHESWARAN MBBS /MD

NO.MPM(S): 23456

HOSPITAL TENGKU AMPUAN RAHIMAH

Kinda cool na.. 👆🤭

Start finding room asap.

Check your hospital's hostel as well.

HTAR,you can only apply once you join.

Rm375 if not mistaken.

No cooking,no washing clothes and no internet.

👎🏻

Stamp and Name Tag

RM10

RM35

Lab coat 

Then you need to stitch your lab coats and prepare your name tag prior.

Lab coats,short sleeves should be fine.The buttons,use white color.

Up one pocket,below 2 pockets.

If you have the material,you can stitch it..

But when I tried,it was RM 80 for one and he said it will take 2 weeks.

Problem with last minute work.

Material

So no choice, I went to Wahab,they have the ready made type.

XL RM55

And join this group.

Click here.

Will be useful.

Stethoscope

If you want to buy a stethoscope,try this site.Kinda better price than the rest.

Click here

Scrub

Check with your Hospital.

If you want to buy,click here.

Well,I want to share something for your preparation.

IMPORTANT THINGS :

1. RUBBER STAMP

- beli yg kecik, yg boleh sangkut kat lanyard.

- Klau korg letak dlm beg or poket, lambat. Nk kne amek lg, pastu kne pikir klau tercicir pulak. Klau sangkut kan senang. Komfem xhilang. 

- Beli yg ada one piece. Klau jenis yg kne bukak penutup dulu, baru cop, kan lambat. Pastu penutup ntah mne2 hilang.

2. STAPLER

- beli yg kecik comel

- Jgn lupa beli ubat jugak bnyk2.

- Beli yg boleh sangkut kat lanyard sbb xnk hilang.

- Stapler sgt perlu, sbb nk staple borang2 patient, bnyk mak aiii.

- Standby ubat stapler, letak dlm beg.

3. GUNTING

- Beli yg kecik, yg boleh lipat2 tu.

- Make sure boleh sangkut kat lanyard.

- Guna utk gunting stickers branula.

- N jugak ada kegunaan2 lain.

4. CALCULATOR

- Ni tgk department.

- Klau peds mmg guna.

- Klau nk beli, beli yg kecik comel je.

- Lg best klau ada yg boleh sangkut kat lanyard. Kat MR DIY ade kecik comel.

5. NOTEBOOK

- saiz kecik : utk tulis sgala formula, normal range hb ke ape ke, or glasgow score ke, score2 lain ke, jenis2 ubat ngn dose ke.

- Saiz sederhana : nota during teaching with specialist.

- Ni cadangan. Optional je. Ikut korg.

- Nota2 ni boleh simpan dlm poket labcoat, or beg silang (if department korg xde pkai labcoat)

6. PEN 

- pen dakwat hitam tlg lah beli bnyk2. Beli 1 box tu. 

- Sbb pen korang mmg akan hilang, skejap kang nurse tu nk pinjm, kang specialist pulak nk pinjm, ntah mne2 korg letak nnti kang.

- So klau xnk bg hilang, sila tag setiap pen korg dgn nama korg. So, kau kenal mne satu pen kau. Org pun kenal, n boleh pulangkan. Nk bg power lg, letak no fon siap. Haha 🤣.

- Beli dakwat yg pekat, bukan jenis yg sendu2 tu, pastu jgn pulak yg pekat smpai boleh tembus paper blkng contoh mcm dakwat cair tu. Please dont. 

- Pen pastikan beli yg tekan je, xyah ada penutup2 ni, leceh.

- Beli yg boleh sangkut kat lanyard. Sangkut lah smpai 3 btg kat situ. Kan senang hilang.

8. STETOSKOP

- jgn lupa letak tag nama, department mana, no telefon. 

- Kadang2 specialist/ MO suka pinjam, sbb dia lupa nk bwk, pastu lupa pulang. Makanya letak lah no telefon.

9. JAM TANGAN

- penting sgt2 bila specialist on the spot suruh kira RR dan HR patient. Tak kan nk kluarkan fon kan, tak kan nk panggil nurse pulak sruh ambik machine. Take note guys.

10. KASUT

- please2 beli yg selesa, yg berspan power bagai.

- Korg nnti kne diri lama, pastu kne berlari pegi jabatan xray lah, gi lab darah lah, gi tingkat 4 naik tangga lah, gi klinik, jauh2 jalan. Nnti sakit kaki, melecet, merah2 kat hujung jari. Maka jaga lah kaki anda dgn sebaiknya. Maka spent lah skit kat kasut. 

- Contoh paling senang kasut sketchers lah. Diri lama pun xde masalah, sedap je pijak tapak dia. 

11. BAG SILANG

- ni jenis klau department yg xperlu pkai labcoat. So agak susah lah klau nk simpan brg kan. 

- So beli lah bag silang yg kecik molek, xyah lah yg gedabak besar mcm kau nk simpan purse kau yg besar2 tu. 

- Beli beg yg sekadar muat utk kau letak buku nota kecik, purse kecik, ubat stapler, torch, measuring tape, dan lain2. 

- Tp kadang2 HO ni dia perlukan bag ni bukan utk letak brg dia, utk letak botol darah patient, sementara dia nk berlari pegi lab pathologi tu, makanya dia letak lah dulu dlm beg dia

Batik,you only will use during PTM,only on Thursday.

So let me share some medical abbreviations .Will be useful on your first day .

I intentionally writing this instead of just sharing the pictures because it will be useful for me as well.

A/B - antibiotic 

ADL - activity of daily living

ANA- anti nuclear antibody

BKA - below knee amputation

BP- blood pressure

BPH- benign prostate hypertrophy /hyperplasia

Cm -coming/come morning

FFP- fresh frozen plasma

GXM-group cross matching

HD-haemodialysis

MCL- mid clavicular line

NBM -nothing by mouth

O/E - on examination

OT- occupational therapy

PR-pulse rate

RA- rheumatoid arthritis

RTF/RT-ryle's tube feeding/ryle's tube

SOB -not son of B*, it's shortness of breathing

STI-soft tissue injury/infection

STO-suture to open/off

TRO-to rule out

Tx- transfusion 

U/S-ultrasound/ultrasonography

A/E -air entry

Bil-bilirubin

BPPV- benign paroxysmal position/postural vertigo

CECT-contrast enhanced computerized tomography

Cigg-cigarette

CRT-capillary refilling time

DFU-diabetic foot ulcer

DIL-death in line

DRNM- dual rhythm no murmur

(cardiovascular examination findings)

HAP- hospital acquired pneumonia

ICD-implanted cardioversion defibrillator

ICS-intercostal space

IVI-intravenous infusion

K/C/O - known case of

KUB- kidneys ureter bladder

LTOT-long term oxygen treatment/therapy

MTF-metformin

MZ-mid zone

N&V- nausea and vomiting

N/A- no abnormalities

NKFA-no known food allergies

NKDA-guess...correct..no known drug allergies

NPO2-nasal prong oxygen

OHA- oral hypoglycemic agent

P/w- presents with

RN- runny nose

RRT-renal replacement therapy/treatment

SNT-soft non tender

U/L-underlying

W/ out- watch out

LKZ- lakdhesz ,optional if you want to remember .

AFNT – Anterior Fontanelle NormoTensive

AGE – Acute Gastro Enteritis

ARF – Acute Renal Failure

BE – Base Excess

CBD – Continuous Bladder Drainage  (sustain a urinary catheter)

CBS – Capillary Blood Sugar

CKD – Chronic Kidney Disease

CLD – Chronic Liver Disease

EES - Erythromycin ethyl succinate

EMCS – Emergency Caesarean Section

FTSVD – Full Term Spontaneous Vaginal Delivery

JE – Japanese Encephalitis [PDF]

KIV – Keep In View

NNJ – Neonatal Jaundice

OA – Orang Asli

PCM – Paracetamol

PD – Peritoneal Dialysis

SCR – Subcostal Recession

SGOT - Serum Glutamic Oxaloacetic Transaminase. Another name for AST (Aspartate aminotransferase)

TCA – To Come Again. 

UFEME – Urine Full Examination Microscopic Examination

UGIB - Upper Gastrointestinal Bleeding

FBC- full blood count

CBC- complete blood count

ABG-arterial blood gas

BUSE-blood urea and serum electrolytes

Coag Profile- coagulation profile

ECG-Electrocardiogram

CXR- chest xray

If it's confusing or you feel irrelevant, double check with the doctors or nurses because

-MCL can mean mid clavicular line or medial collateral ligament.

-Tx can means treatment or transfusion.

-OT can means occupational therapy or operation theater

-STI can mean sexually transmitted infection or soft tissue injuries.

FBC
1. Hb (Men: 13-18, Women: 11-16)
- low --> bleeding. <8 consider hemotransfusion
2. HCT/PCV ( >40%)
- High --> dengue fever, dehydration, polycythemia vera, COPD, high altitude
- Low --> anemia, leukemia
3.TWC (4-11)
- High --> infection. Neutrophils - bacteria, Lymphocyte - virus
4. PLT (150-400)
- Low --> dengue, chemo, splenomegaly
- High --> chronic infection, malignancy, hyposplenism

LFT
1. Protein (60-80)
2. Albumin (35-50)
- Low --> liver disease, malnutrition, nephrotic syndrome
3.Total Bilirubin(3-17)
- High --> HBS disease
- Conjugated high --> obstructive jaundice (cholangitis, choledocholithiasis)
- Unconjugated high --> hemolytic anemia, hepatitis, cirrhosis
4. ALP (30-150)
- high --> obstructive jaundice
5. ALT & AST (5-35)
- high --> liver disease (hepatitis, cirrhosis)

BUSECr
1. Urea (2.5-6.7)
- High --> kidney impaired, hypovolemia, bleeding
2. Creatinine (70-150)
- kidney impaired (more specific than urea)
3. Sodium (135-145)
- Low --> Syndrome of inapropriate antidiuretic hormone(SIADH), hypothroidism
- High --> hypoaldosteronism, diabetes insipidus
4. Potassium (3.5-5.0)
- hypokalemia --> lead to seizure, so bgi K+ supplement
- hyperkalemia --> lead to arrythmia, so bagi lytic cocktail
5. Chloride (95-105)

Coag Profile
1. PT (10-14)/INR (1.0 for healthy pt)
- extrinsic pathway. Monitor Heparin
2. APTT (35-45)
- intrinsic pathway. Monitor Warfarin

UFEME/Urine Biochem
1. Leucocyte (negative)
- if positive --> pyuria, ada UTI
2. Nitrites (negative)
- if positive --> presence of bacteria, so UTI
- dalam kencing ada nitrates. So bact akan tukar nitrates jdi nitrites.
3. Urobilinogen (small quantity)
- if increases --> hepatitis, hemolytic anemia, malaria
4. Protein (negative)
- if positive --> early sign of kidney disease, injury of UT, bladder atau urethra
5. pH (4.5-8)
- if acidic --> metabolic or resp acidosis, DKA
- if alkaline sgt --> UTI (bact tukar urea dlm kencing kpd ammonia, sbb tu kencing jdi alkali), metabolic or resp alkalosis
6. RBC (negative)
- if positive--> UTI, kidney stone, UT injury ke
7. Specific gravtiy (1.001)
- Low --> fluid overload, renal failure, acute GN
- High --> dehydration, liver failure, ADH
8. Ketone (negative)
- if positive --> DKA
9. Glucose (negative)
- if positive --> DM, pregnant

One form and combined form
1. Fbc (purple) /coag (l.blue) /esr (black)
2. Rp/LFT/Ca+Mg+Po4/ CE/CRP (yellow)/FBS (add grey tube)/FSL(yellow)/c3 c4 (yellow)/amylase(yellow), lactate(grey)
3. Hba1c (purple) (for medical, mention ward)
4.uric acid (yellow)
5. Serum osmolality (yellowtube)
6. Vbg (abg bottle)
7.rbs(grey)

Double form (means includes history)
1.TFT (yellow)
2. ANA/dsDNA (yellow)
3. Viral screening (write HepB/HepC/ HIV) (yellow)
4. Serum mycoplasma (yellow)
5. Tumour markers (write Ca19-9;alpha AFP;CA125;CEA) (yellow)
6. D-dimer (blue tube)

Needs specqialist stamp (ask right away during rounds)
1 TropT (yellow)
2. Serum cortisol (yellow)

Anemic workout means
1 do PR
2. Iron studies - double form(mention in form - b12/folate/ferritin/TIBC/ IBC/iron ) yellow bottle
3. FBP  -double form purple bottleq

Double form+ hist;
Coombs test purple 2cc bloodbank
Cold agglutinagion 2cc bloodbank
Mycoplasma yellow

This one for HTAR.

Things that you have to prepare.

Basic management.Prepare yourself.

PTM

Day 0:Sun

Day 1:Mon

I came here one day earlier.Checked out the place,all the shops around this area.Nice hotel indeed.

But initially I went to uniten branch.Luckily before make the payment I double checked with them.

There's a special discount if we submit our offer letter.

First day if PTM.

I checked out from hotel. Registration was at 2pm but at 1pm the hotel administration gave us our rooms.

You can stay with your friends (2 in a room).

If you came without any friends like me,you will get a roommates that comes later.

Arrange your documents accordingly.

They asked us to came at 2.30.Mean while you can go wherever you want.

  There were so many many.

I was the last person there.At the time I entered,it was 4.20pm.

Once you submit your forms,you will be given this.

And this file.

You will be given this file.

Okay I will give answers as well,write them on the blank a4 papers during your free time before friday.

The last 20 set of objective questions,read them.That's what will come for you exam.

If it's mixed up,see the number.

The schedule,few forms and a list of question will be in it.

You have to submit all on the last day.

Then talkimat abt PTM started.What is PTM,how you can postpone it,hiw you can fail it,yes you need to pass it(passing mark 70 above I guess).

If you failed,how to repeat etc.

Before that you must sign at your  name on a form there.Remember your temporary mmc num because you need to write there.

One thing about going in late.Since it's free sitting, everyone filled up seats at the back.Only one that was available was the first row.

Tea break.

Then sesi kenal diri.

You have to introduce yourself, your college and your hospital.

Then they select the leader and assistant for the whole PTM and divided us into groups and we have to select our leader and assistant as well.

Then we will be given our group work etc.

Then dinner.

Then another ceramah of jpn.

Here they let you know about your paid and unpaid holiday.

25 days a years,around 2 days in a month and you cannot apply more than 2 or even if you carry forward,you can't apply more than 10.

You can claim your travel hotel bills for coming to PTM.Prepare all the receipts except your foods.

If touch n go,print from their web.

If grab,print the email bill .

You can letak jawatan 2 times and apply again.

You have to finish this housemanship in 5 years.

And remember if in your health check up previously you have any problem lets say diabetes,you must do a new check up and submit the result otherwise you can't start your ho.They told this during this session.

Then sesi kerja kumpulan and go back to room and sleep.

Basically from 2.30pm to 10.30pm.

Next day,6am to 11pm.

It's 5.45am already.Let me share what happened today later.

Day 2:Tue

Only 3 hours of sleep.
The whole day seems way too long.
Same thing,ceramah mainly about how kkm could terminate your contract.
Then analysing your personality test lecture.
Finally lecture on how to handle patient,break bad news etc.

Group work

Group 7

Day 3 :Wed

Sleepy ,same like yesterday.

First lecture: About cyber crime,what you should and shouldn't do with social media etc.

Remedy for my sleepiness.

Tea break.

As usual,last bencher.🤗

Then more lecture about spa.

We learnt about epsa.gov.my

And

Kahoot.it

I think today we would be able to go to room early.

Ho's from gh serdang,ampang,kajang and ktar.

Sesi 5/2019

Day 4

Same , remedy for sleepiness.

Dialogues for our drama.

Same lectures , nothing new.

Day 5

Last day,senam aerobik was cancelled.

The food was excellent but I only ate during the last day.

Otherwise I my packs will gone.

For your first day, usually hr of the hospital will mail someone of you and that person will share the info to the rest.

First day in hospital.

Half day finished just by filling up the forms.

If can do your evetting prior.

Click here to the evetting site.

Met pengarah and we left at 5pm.

For htar,we are allowed to choose our first posting.I took o&g 

Day 2 in Hospital

Nothing much.. Lecture after lecture.

After lunch,must fill up forms and go for tb (Mantoux test)and hep B antigen check up(blood check up).

Be ready for needle.

Day 3

Nothing much..lecture ,lecture, lecture.

How to write prescription,how to write patient discharge data and how to take blood c&s.

At last our log book for our respective ward were given.The moment I saw it,i thought,each student that wished to study medicine should first go for a seminar,see all the documentation that they have to do before joining the hospital and the most important,must see the log book.

Trust me,you will stop there itself and study something else.

That's what I felt.

Found a gym already.

During tagging period,work start from 6am to 10pm.

3 weeks later,if you finish 7am to 7pm.

If you couldn't finish tagging in 3 weeks,then extra 1 week.If still can't,auto extension.

It might be varies according to hospitals and wards.

Day 4

Lecture and then we were brought to radiology  and pathology department .They taught us how to approach for xray,mri and ct scan.

For pathology,they briefed where to go for histopathology, cytology etc.

Last lecture about blood transfusion.

Tommorow is the exam and cert giving ceremony.Let's see how it goes.

Hopefully it won't grow more than 15mm tomorrow.

Day 5

Luckily it was only 10mm.More than 15mm,then it's a problem.

Library was okay.

Well last day here,the exam wasn't hard but at the same time wasn't easy.It's kinda tricky but don't worry,if you failed,they will observe your progress during each  posting because your marks will be sent to KKM.

I couldn't share the questions here because it was a confidential questions.

Basically it's from your previous lectures about patient safety goal,safe surgery,high alert drug etc so don't worry.

 From Monday onwards my posting will start so this is the end of this post.I'm going to write more about my experience and thought regarding this whole process but it will be a new post.I will put the link here so if you wish to read,click it.It derived from yesterday's self motivation lecture.

On last day,you will do bsmp, which means blood smear malaria parasite.

Luckily mine was successful and i passed the exam as well,84%.

Passing mark is 80%.Lucky enough.

Signing off.

Do follow my Ig for live udates.

All the best.Take care

If I'm not replying here,then message me there.

At times I won't check my mail notification.

https://www.instagram.com/lakdhesz/

All the best.

And if you want to know my first week experience as a ho,

Click here to watch.

Lakdhesz