The posting list is here along with the groups. Below are the list which I have retyped for your convenience (Click on image to enlarge). For your specific group's academic posting schedule, please refer to HERE.

The list is available in pdf format without the watermark. Just go to the downloads section, and you'll see it there, named as Year 4 posting.

All the best everyone!!

Here is a case from Med Case Reports with some addition of questions, and we'll include our discussions here before revealing the answer. Try cracking your rusty head. :P

A 26-year-old female student presents with a 5-day history of cough, low-grade fever (temperature 37.6 C), sore throat, and coryza.
On exam, there is mild conjunctivitis and pharyngitis. Tympanic membranes are inflamed, and one bullous lesion is seen. Chest exam shows few basilar rales.

Laboratory findings are as follows:
Hct: 38
WBC: 12,000/μL
Lymphocytes: 50%
Mean corpuscular volume (MCV): 83 nL
Reticulocytes: 3% of red cells
CXR: bilateral patchy lower lobe infiltrates

1.The sputum Gram stain is likely to show

a. Gram-positive diplococci
b. Tiny gram-negative coccobacilli
c. White blood cells without organisms
d. Acid-fast bacilli

and what is your reason?


2. This patient is likely to have

a. High titers of adenovirus
b. High titers of IgM cold agglutinins
c. A positive silver methenamine stain
d. A positive blood culture for Streptococcus pneumoniae

And the reason being? What are the other diagnostic tests?

3. Treatment of choice is

a. Erythromycin
b. Supportive therapy
c. Trimethoprim-sulfamethoxazole
d. Cefuroxime

Dosage, mechanism of action, side effects?

4. Further Management and possible complications?

5. Last but not least, what are the general investigations done for patients with suspected pneumonia, and its indications.


Now, take a deep breath, and only check the answers once you've given this a try.

Source: Med Case Reports

Well, since to "orientate" the new Year 3 students on their clinical postings, this index post is started for convenience purposes. You might want to contribute to the index by submitting your blog permalinks or articles to kong1ming2-at-gmail-dot-com. We will gladly help to post it here to share our experiences to our juniors. The links stated would be from Med PBL unless specified otherwise. Enjoy!

General:

• 1st Day of Clinical Posting - by Koh Ging
  
• Introduction to Year 3 Clinicals - by Jeffrey (Int Med 3)
• Jeffrey's recommendations of booklist for Year 3 - by Jeffrey (Int Med)
• Stella's (Ching Yeen) recommendations of booklist for Year 3 - by Stella

Internal Medicine Posting:

• Essentials of 3rd Year Internal Medicine - by Jeffrey (Int Med 3)
• Long Case Short Case - by Jeffrey (Int Med 3)
  

Surgery Posting:

• Surgery - An Overview - Jeffrey (Int Med 3)
  

O&G Posting:

• O&G Introduction - by YM
• O&G : Places You should Know - by YM
  

Medicine and Society Posting:

• Medicine and Society posting - by Jeffrey
  

Well, for those who haven't watch this short, this is a rather heart warming ala-PPD story produced in 2004 by Rob Pearlstein . It is an Oscar-nominated short in 2006 and won a few film-festival awards. This is about a therapist, and perhaps what may be the irony of doctor-patient relationship. So, let's just sit back and watch this, and tell us what do you think?

*Warning: This short needs to be watched with an open-mind as it contains controversional topics.

(30th April 2009):
Course registration for the Year 4 Degree in Medicine for 2009/2010 would commence from 5th, 6th and 7thMay 2009. All Year 4 medical students are required to register on the stipulated time(?) and date. A late fee of RM15 can be charged for late registration.
*And there's no stated place of registration, whether in counter or via online. Anyone can confirm?

Below is the original notice:

(click to enlarge)

(27th April 2009)
All UKM Year 4 medical students for the session 2009/2010 are required to attend a briefing on Special Study Module (SSM) which will be given by Prof Dr. Ruszymah on:

Date: 7th May 2009 (Thursday)
Time: 2.30pm
Venue:Auditorium, PPUKM

Below is the original announcement seen on the notice board in Academic Dept:

(click to enlarge)

(27th April 2009)
There is also a briefing for all UKM Year 4 medical students for the session 2009/2010 from the Dean & Director of UKMMC which will be on:

Date: 14th May 2009 (Thursday)
Time: 5.00pm
Venue:Auditorium, PPUKM

Attendance is compulsory.

Below is the original notice:

(click to enlarge)

Source: Academic Notice Board Year 4

Alright, here's another recommendation of books by one of our authors, Stella (Ching Yeen) for Year 3. Hopefully, this would be of help to the coming Year 3 who might be having a tough time choosing books from the vast collection from Kamal bookstore.

This is a list with pictures, so there'll be a download link for it at : 4shared

Alternatively, you can view the list here in JPEG lossy format (you can click to enlarge) which may suffer a bit from the quality, nevertheless useful for those who wish to avoid the hassle of downloading.

And special thanks again to Ching Yeen for her contribution to MedPBL.

As promised, here is the "orientation" for the O&G posting for you to get a general idea of how each place is being run. I hope this would be able to help medical students who are going for the O&G posting. For any correction, kindly leave a comment here so that I can make the appropriate amendments.

1. O&G Department Office
2. O&G Clinics
3. O&G Wards
4. The Labor Ward
5. O&G Operating Theatre
6. First Stage Ward
7. OGAC (Obs and Gybe Admission Center)
8. Colposcopy room
   

All UKM Year 4 medical students for the session 2009/2010 are required to attend a briefing by the Forensic Department on:

Date: 5th May 2009 (Tuesday)
Time: 10.00am
Venue:Auditorium, PPUKM

Please be reminded to bring along 2 passport-sized photos to be submitted to the department.

Source: Academic Notice Board Year 4

I believe many would have been curious about the Year 3 horror posting, which is the O&G posting. So, here I am trying to give a general idea on how is it like to go through this posting. O&G is a posting where your nightmare comes true, but it is also a posting which you’ll learn the best, and fun to think of after you passed through it. In short, it’s a fun posting which you’ll never want to go through twice if you are given an option to choose.

Generally, all the students in a posting would be assigned into 4 different wards, namely Red Ward and Orange Ward on the 1st floor while Yellow Ward and Green Ward on the 2nd floor. In each ward, you’ll be divided into smaller groups of 4, with one doctor specialist and one registrar(Masters student) assigned to supervise and guide you through your posting.

Each ward has a different learning style and environment, so be sure to check around and ask the seniors what to expect of in each ward. The wards may differ in styles of history taking, management and case presentation. So, avoid being scolded by preparing beforehand.

Furthermore, get to know your timetable inside out. Know where you are supposed to be at each day, whether if it is the wards, lecture hall, clinics or workshop. This is important, as you’ll soon find out that there are times when there are clashes and you’ll need to inform your supervisors. Attendance and punctuality are VERY IMPORTANT in O&G, so failure to do so may result in the need to write a showcause letter.

Please do note that there is a requirement to complete the logbook. The most important task would be to complete 5 observations and to 5 deliveries. Please do it as soon as possible as time is insufficient. At least complete the observation by the 2nd week of the posting and finish your deliveries hopefully by 5th week. Sometimes luck plays a part as there might not be any deliveries on your shift. You’ll be needing the 6th week onwards to concentrate on your O&G long case and case write ups if you haven’t do so. As the labor room shifts will be pre-arranged by your posting leader, you’ll need to arrange your time so that your shifts does not clash or deprive you of rest. Try exchanging shifts for a start. Time management is crucial here.

Apart from the normal days in the wards, there are also Consultant Ward Rounds(CWR) and Specialist Ward Rounds(SWR). The whole posting would be divided into 4 groups not according to the wards, which the leader of the groups would have to arrange with the consultant or specialist as mentioned in the list given at the start of your posting. Again, please be punctual and remember to sign your attendance. The SWR and CWR may also clash with your daily timetable, so be ready to inform your group leaders. Group leaders would also have to confirm with the consultant or the specialist of the date, time, venue and the task required to prepare for the rounds, whether to clerk all the beds in a ward, in all the wards, or just find 2 representatives. It may differ from doctor to doctor, so be prepared at all times, even if you have to clerk a patient at night(7-9pm).

So, in short, below is a list of must-do tasks throughout the 1st 6 weeks:

• 2 partograms (1 normal and 1 abnormal), some supervisors demand 10
• 2 case write ups (1 obs case and 1 gyne case)
• 5 observations and 5 conducted deliveries
• Other logbook observation such as Caesarian Section, ERPOC, hysterectomy, and logbook procedures such as VE, medicine dispensing, venipuncture, etc.
  

The partograms and case write up templates can be downloaded at the sidebar from the O&G section.

Maybe I’ll write more about the places in O&G and how is it like to be polite and courteous in dealing with O&G doctors, otherwise you’ll receive a scolding from them.

Otherwise, be happy and stay cool. This is a posting you'll never forget. :P

Update (4/4/2009)

Kindly informed that the list of Year 4 Medical students 2009/2010 for allocation of accomodation in KTDI as well as Laman Midah is out at KTDI wordpress. Just click on the link below to be redirected there for the full list.

Accomodation Allocation for Year 4 Medical Students 2009/2010

Update (2/4/2009)

Please register for your KTDI hostel rooms for 2009/2010 session according to the dates stated:

Year 5 Medical Students registration
Date: 1st-7th April 2009

Year 4 Medical Students registration
Date: 13th April - 1st May 2009

Year 3 Medical Students registration
Date: 13th May 2009

Take Note:
Students are required to register within the duration mentioned. For Year 3 and Year 4 Medical Students of 2009/2010 session, the list of students eligible to stay in the KTDI hostels would be out before the date of registration. Please refer here, KTDI web or the KTDI notice board for the latest information. Thanks.

(30/3/09)

The merits for KTDI hostel application has been released at KTDI wordpress for Year 2 and Year 3 applicants.

To check your merits, click on the following links:

Year 2 Merits 2008/2009

Year 3 Merits 2008/2009

Well, some friends have been asking " What books should I get for Triad posting, so I figure it's better if I post this recommendations (based solely on my very own opinion - thus not liable for any brain damage, etc)

1. ENT
   
   • Hall & Colman's Diseases of ENT
     This is a decent book with a fine introduction. I find that the initial parts were rather good, teaching on the audiogram. It striked a balance between Lecture Notes in ENT and Dhingra's Diseases of ENT, which I will explain later. However, this book was last published in 2000, which was the main factor I would not recommend (and I did not have this book either) but nevertheless I'm fine with it. If you want to go through the ENT posting with one book, this should be fine too.
     
     
     
   • Lecture Notes Series : Diseases of the ENT
     This is the book with the best explanation of anatomy with its clear diagram. Readers may find themselves finishing the book in 1 week (or 2 or more, depending on your reading speed) and master the basic concepts in ENT. This book takes the shortest time to finish compared with the rest, but lack in depth of management. Overall, this book allows to familiarize with ENT disorders before you proceed with other books with more details (Dhingra, example). However, the objective in ENT posting is to recognize when to refer, thus this book should theoretically suffice for medical students.
     
     
     
   • Dhingra's Diseases of the ENT
     I would recommend this book as a supplement, plus with the fact that this book is just RM30 or slightly more, depending you had the Pakistan or the India version. It's cheap, but do not confuse cheap with the amount of content inside. It packs a lot of punches (information) enough to kill you if you desire to use this book as the main textbook. This book is meant for India's ENT posting of 2 months duration, so UKMMC's 3 weeks may prove to be hard to swallow this book. This book is generally catered for students who are familiarized with ENT's anatomy and physiology, as the description on this book was not made any simpler, and some diagrams may be too confusing. Otherwise, the management in this book is rather concise, even suitable for Master's students in ENT. Rm30 for a supplement? This book is worth a buy.
     
     
     
2. Ophthalmology
   
   • Ophthalmology at a Glance
     This is a book which I personally recommend to all. Each topic is spread in 2 pages side by side, with diagrams of anatomy, physiology and disorders on the left, and the explanation of the most common diseases on the right. It's concise and easy to read, with 100+ pages, making it one of the thinnest book available, making up as a decent atlas and text
     
     
     
   • Ophthalmology: An Illustrated Color Text
     I did not use this book, but I find that some pathological explanation is available here which is not in Opthalmology at a Glance. No book is perfect, but this and At a Glance has both its pro and cons. However, the presentation wise, this book lacks the 2-page spread where I'd preferred. Buy both books if you had the cash, but I'll recommend you choosing one of these two.
     
     
     
   • Lecture Notes of Ophthalmology (3rd ed)
     Unlike its counterpart in ENT, this book is different in the sense that it is more detailed and explains the disorders by anatomical parts (sclera, cornea, etc), which may not be good for differentials. It lacks the explanation on systemic diseases aspects on ophthalmology, and generally not recommended unless you want to collect the whole Lecture Notes series.
   • Note: This book is good provided you have the time to finish reading it.
     
     
     
     
     
     
   • Ophthamology In Focus
     A small pathological atlas for ophthalmology. It comes in handy if you're in the clinics, to have a quick refer before you do some fundoscopy on the patients. There's some brief facts, but not recommended as a main text.
     
     
     
   • Kanski Clinical Ophthalmology: A Systematic Approach (5th/6th ed)
     This is the father of all ophthalmology texts. There's one for every Ophthalmology masters student and in the clinics. I'm not asking you to buy this, but it is a good reference. This book is the size of Kumar and Clark medicine book, so I doubt anyone is sane enough to finish this in 3 weeks time. There are a few available in the library. While the clinics and masters students use the 5th edition, I personally prefer the 6th edition because it is newer. :P
     
     
     
3. Anesthesiology
   
   • Lecture Notes of Anesthesiology
     There's not much choices here, as this is the sole book everyone carries. You can read from start till the end or request some teachings from the doctors. The results is the same. What is more important is you observe the anesthesiology procedures in the OT and know how to describe them, and know all the drugs(along with the dosage for exam purposes) used in the hospital for your OSCE exams.
   • Do note that this book may not be sufficient for exam purposes. Past year questions have asked on the choice of anesthesia or post-op pain relief for each operation, which may not be in this book. Therefore, sourcing for external reference may be a wise choice after all.
     
     
     
     

So that's all from me, hope this could help! :P