Isnin, 9 Ogos 2010

Do I care or ada aku kesah!!

I have a terrible reputation to leave on. I am labeled as a nasty HOD who loves to extend houseman when they come to do their posting to my department. Even, the news spread to the other hospitals. They said that I am the most fierce person in town.. tigerest. Worse than a real tiger. Yes, I was born in the year of a tiger and I have extended 7 HO so far. Mind you, I was accused to be racist as well. Ada aku kesah?!! As far as HO is concerned, I have done my duty. I teach and guide them to be safe and competent doctors. If they cannot perform and unsafe, I will extend them for sure. The decision to extend HO is not an easy decision to make. Many procedures to be followed including take them for a viva session. It is done based on cumulative decision by all the specialists. Not my decision alone. Majority of our HOs nowadays. based on the one that I have. have poor knowledge including basic pathology, physiology and worst, anatomy. Poor in problems solving, no analytical thinking and have tunnel vision. Don't mention about bad attitude, so many of them. Psychiatric illness also have....They are crazy, in turn make you crazy too. Poor coping mechanisms. They just like robot, in fact worse than robot. Robot will do whatever you ask them to do because you programmed them that way but my HOs, most of them, no matter how many times you teach them, they still never learned and do the same mistake again and again until you yourself will develop epilepsy (sawan) trying to make them understand. You asked questions, you have to answer back otherwise, I have to continue doing my round forever. So difficult stimulate them. I am tired, really tired. Sometimes, we have to teach them from the basic. I wonder, if they can't learn in 5 years in medical school, do you think my specialists and I can do it in 4 months. By right, my duty as clinician is to teach them in the application of their medical knowledge to the clinical situations and patients. Who to be blamed? The parents who forced their children to take up medicine even though the child didn't want to, or the medical schools that rise like mushrooms with insufficient lecturers to teach the students in order to meet the demand to increase the quantity and ignoring the quality of the students produced. Is it something to do with the students selection? People have the perception that to be a doctor you must get very good result in the exam because the IPTA or IPTS will only take the cream among the cream. Well dear friends, it is only true for local universities but it doesn't really applicable to the "foreign universities". Not only the cream, the base of the cake also can become a doctor. Don't ask me how. I guess the issue is too sensitive . However, these cream also failed to be good doctor. Indirectly saying, to be a doctor, you must be good in all areas and aspects, not only in academic. For example, an 18A1 student also can become a prostitute, mind you. I feel parents and teachers must put other values in the all the best academic performers such as soft skill, stress coping ability, critical and analytical thinking processes, social, religious and cultural values and many others so that they can survive in this demanding world. Otherwise, our psychiatrist will be very busy treating and counseling these doctors like what happening now. Therefore, I will continue to extend them if they deserve to be extended. No mercy because I do this for the sake of our generation...... and for them as well. You have to be cruel to be good.

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