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Life after the big final

medical examsDr. Fahd Adeeb Mohamed Ashraf

MB. BCh. BAO, MRCPI, MRCPS(G), MMedSc (Sports & Exercise Medicine)Specialist Registrar in Rheumatology and Internal Medicine

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Relapsing Polychondritis

Cauliflowerears & Saddlenose

MAGIC Syndrome

Ddx:

1. Wegeners Granulomatosis

2. TB, Leprosy

3. Syphilis

4. Malignancy

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Eyes cannot see what the mind

doesnt know

Preparation: From now!!

Pattern recognition in CXR, ECG, clinical

cases etc

More time in the wards, not in library,

bedroom, meeting room etc(for clinicalyear students)

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Which to choose?

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Choices After

Internship/Housemanship

Medicine and its specialties

Surgery and its specialties

Anesthetics

Emergency Medicine/ Accident & Emergency

Obstetrics & Gynecology

Pediatrics

Radiology, Pathology, Microbiology, Forensic

Others: Family Medicine, Public Health, Psychiatry

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Concept of chronic MO

Avoid getting used to the comfort zone

Get up the ladder early, the later you try, the harder it

gets

You dont want to be running around, staying up

overnight, being told what to do-when you are 40,

right?

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To become a Specialist: the

options:

Masters

Membership exam: MRCP/MRCPaeds/MRCOG

FRCS

Other horizon: USMLEresidential program

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Masters program

Need recognition by MMC

Accepted as specialist 6 months after completing the

course

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http://latihan.moh.gov.my/v3/index.php?option=com_cont

ent&view=article&id=86&Itemid=495&lang=ms

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Membership Exam

MRCPI, MRCPUK

3 parts: Part I: MCQs, Part 2 (Written/MCQs), Part 2

(clinical)

Accepted to be specialist 18 months after passing all 3

parts.

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Membership exam

Pros:

1. Quicker (usually) than Masters

2. Everyone can take (as many times they want as longas they have the cash), no entrance exam/interview

etc.

Cons:

1. Expensive-3 parts: Part I: (~RM2000++/exam), Part II

(written): (~RM2000++/exam), Part II (clinical):

(RM3000++)

2. About 30% passing rate for the part 1 exam (i.e. 30

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MRCP Exam

Could be taken in either Malaysia (MRCPUK or

MRCPI), UK (MRCPUK) or Ireland (MRCPI)

Not necessarily need to work in UK or Ireland.

Check out their website

To work in Ireland: PRES exam-3 parts

To work in the UK: PLAB exam

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Work outside of Malaysia?

UK: More difficult now: Stricter UK Immigration rules

But GMC would accept if:

Sponsored for fellowship training

In a recognized Specialist Training (Specialist

Registrar)

Holds MRCPUK (NOT MRCPI)

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United KingdomPLAB test

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Ireland: Almost similar (PRES exam but 3 parts where

part 1 is just paperwork)

NZ/ Aussie

US: USMLE exam

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Things to prepare

A strongC.V

Interviewing skills: This include attire, body language,

enthusiasm, preparation

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A strong C.V.

Prepare early (from now!) and add-on once you

remember something important or done something

new

Make sure address and contact number is clear

Make sure has some management or leadership

skills, section for previous experiences, rotations,

courses attended, presentations and publications.

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How to have a strong C.V.

Good undergraduate results

Management experience

Research and audits

Publications

Combination of all above is obviously the best

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Things that might be

overlooked

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Interview: The chance to impress

Prepare (from now!) a 5-10 minutes presentation

about yourself

Practice with somebody you are NOT comfortable with

Always smile, look enthusiastic, watch body language

The usual opening question:

Tell me/us about yourself.

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Success is about capturing the

opportunity

Some pointers:

Opportunity knocks but ONCE! (but if you are very

lucky, maybe twice)

Concept of DUIT: Doa-Usaha-Ikhtiar-Tawakkal. Have

to take the concept as a whole, not choosing only 1 or

2 e.g. Cuma doa & tawakkal, doa & usaha etc

ALWAYS follow-up

Avoid waiting til the last minute e.g. when applying for

a post, writing a c.v., interview preparation etc

Positive feedback system: like a soccer game

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What is research?

Definition

Summer research

The difference between research and audit

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Publication(s)

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Case reports

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Original Article/Audits

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Thank you