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Not many doctors like on-call. However, it is a must so long one works in a hospital and in a medicine ward.

The call can be a good one, which is minimal incident, no patient desaturated, few admissions, less referral and with a couple hrs of sleeping time.

Bad one, patient collapse, there are so many admissions that extra-beds reached the door step, and with no sleep at all.

Can we change?

Well, we can’t change the fact that we all doctors must do call, it’s part of our duty and responsibilities.

So, what should we do so that we survived this  horrifying time of doing call?

I think it’s matter of setting the definition of good vs. bad call.

We just simply change the so call what are the things/event  of good-call.

We should redefine what actually a good call is;

Let set the criteria:

We made good correct diagnosis on the many admissions during middle of night, we managed to resuscitated ill patients, we worked as a team and so forth. Or even better, we made sure all patients under our care are fine through out the nights;

So what is a bad-call?

For the start, you screw up the management just because you make verbal orders to nurses and went back to sleep without seeing the patient, or ED admitted a patient who should had been reviewed and should have refer to ICU care just because we too lazy or tire or whatever reason to have a review.

Then, one might ask this question:  Then I will be a zombie-like fellow the next morning because I too tired.

So, took the pm off, that what the department should do, let the doctors go home early.



Well, i must said I had prepared for the exam.

This was my third attempt to pass MRCP part 1 paper.

For past 3 months, I  spend most of On-line time on pastest, a site offers tutorials and thousand of MRCP questions with a fee.

I must said the money was well spend.

I do have high hope and I wish i can proceed with my part 2 exam. If the result coming out on mid February,  I’ll have 4 months to prepare for the july part 2 paper.

It’s been a frustrating for me for past 1 year. The first unsuccessful attempt and the totally disaster 2nd attempt in may 09 were really do a lot damage in term of confidence.

I must said I managed to get use to the 2pm to 9pm exam schedule. I actually kept awake during the exam, not affected by the afternoon time sleepiness.

If I can pass, that will be the biggest Ang pow for me for the coming CNY.

In Malaysia, doctors are better paid than other professional.

A houseman can earn up to 4000 as compare to an IT or account graduate which around 2000+.

So, why doctors still complaining?

The problem is doctors are so proud of themselves.

They claims they works very hard. Well, I worked in IT before. I know how hardworking IT fellows.

So, the doctors end up complaining and if they don’t get their demands, they started to act.

This is not professional.

Don’t argue it.

Being a doctor should prepared to work hard; especially during on-call.

Don’t you forget that from 5pm  till 7 am, you are the shepherd of the lamb.

Sleeping is the last thing in one mind.

But seriously, just make sure patients go through the night.

And finally, ok,,,,, let  the doctor have day off post on-call.

Lack of f sleep do make bad doctors.

I’m in Hospital Ampang Now.

A new GH just located in outskirt of KL centre.

A relative new hospital with pretty good facility.

And I joining the haematology department.

Yes,  Ampang hospital is the tertiary referral for all haematological disease for Malaysia.

And for me,  i still trying to get familiar with the medical computer system and well, brushing up my BMAT and LP skills.

January 2010
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