PERSONAL PARTICULARS - moh.gov.my · All emergency aspects of each topic should be thoroughly covered. Refer to Appendix 1 for detailed curriculum. HOs must attend a miminum of 75%

PERSONAL PARTICULARS

- 1 -

1.

2.

3.

4.

5.

6.

7.

Name :

I.C. No :

Period of Posting : From

Duration of Extension (if any) :

Name of Supervisor :

Designation of Supervisor :

Name of Hospital :

to

days

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....................................

..................................................................

...........................................................................................

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..............................................................................................

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CONTENTS1.2.3.4.5.6.

7.

8.

9.

10.11.12.13.

34567

8 - 1013 - 1517 - 19

21 - 2324 - 2627 - 2930 - 3233 - 3536 - 38

39 - 4344 - 47

48 - 5051

5253 - 5556 - 5758 - 6169 - 7071 - 74

Page

6.1 Case Based Discussion (3 forms)6.2 Mini Clinical Evaluation (3 forms)6.3 Direct observed procedural skills (3 sets of forms)

IntroductionObjective of Housemanship trainingGuidelines to the use of log bookHouseofficer curiculumProcedures ListWork based assessment tools & Extension

6.3.1 DOPS Venepuncture (Neonates) 6.3.2 DOPS Venepuncture (Paediatrics) 6.3.3 DOPS Placing intravenous cannula (Neonates)6.3.4 DOPS Placing intravenous cannula (Paediatrics)6.3.5 DOPS Blood culture (peripheral) 6.3.6 DOPS Delivery of bronchodilators: Spacers with MDI

Procedures :7.1 Compulsory Performed Procedures7.2 Compulsory Observed ProceduresContinuing Professional Development : (CPD topics)8.1 Attendance8.2 PresentationPerformance Appraisal9.1 Summary of Workbased assessments9.2 Summary of Performed ProceduresCertification of completionMultisource Feedback (4 pull out sheets)Component and weightage of Certificate Completion of PostingCertificate Completion of Posting

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INTRODUCTION

1.

2.

3.

This record book is designed to guide both the Medical Officer and the supervisor in coordinating activities that are regarded as essential experience during the pre-registration year. It is generally agreed that the training provided during the undergraduate period is insufficient for the practice of medicine and thus a graduate need to undergo a period of further training under supervision in a recognized hospital. This period, regarded as a pre-registration period, is a statutory requirement and a medical officer can only be fully registered after completing satisfactorily the housemanship programme. Criteria for satisfactory completion are mainly by undergoing training and experience in specified disciplines followed by formal endorsement by consultants supervising the training.

This record book which forms the basis of summary report (Form 6 of the Medical Act 1971) shall be filled by the Hospital Director and submitted to the Malaysian Medical Council.

All the House Oficcers should undergo one (1) week of orientation in each unit. During this period, they should observe and assist in any procedures before being allowed to perform it.

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OBJECTIVES OF HOUSEMANSHIP TRAINING

At the end of the training period, the House Officer is expected to :

1.

2.

3.

Understand and apply the underlying concepts of health and disease in the holistic management ofpatients.

Equip oneself with adequate skills to perform all related clinical procedures competently.

Develop a caring, responsible and professional attitude through teamwork for optimal services tothe patient and community.

- 4 -

GUIDELINES TO THE USE OF THIS LOG BOOK

This log book shall be carried by the House Officer at all times to facilitate recording.

This log book shall be assessed by the Supervisor regularly.

The House Officer is required to submit the log book to supervising Clinical Specialist/Consultant two (2)weeks before the end of each posting for assessment. A House Officer who fails to submit this log bookmay be subjected to extension.

1.

2.

3.

4.

5.

6.

7.

8.

The Supervisor will fill in the summary report including the overall comment before certifying the Certification of Completion of Training (Form A).

A House Officer who lost his / her log book shall report to the Hospital Director for further action to betaken.

The overall comments and recommendations of each discipline (Form A) will be completed in duplicateand submitted to the Hospital Director not later than two (2) weeks after each posting.

The Hospital Director shall compile and keep this log book for five (5) years.

At the end of the housemanship training period, the Hospital Director shall complete Form 6 of theMedical Act, 1971 and attached the original copies of Form A of relevant discipline to be submitted tothe Malaysian Medical Council not later than one (1) month after completion of housemanship training.

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HOUSE-OFFICER CURRICULUM

Mandatory Topics (1 topic per week) Other essential topics to be covered at bedsideteachings 1. Neonatal jaundice

2. Respiratory distress of the newborn3. Prematurity & Neonatal hypoglycemia (IDM)4. Breast feeding and nutrition in children5. CNS emergencies in children (fits & CNS infections)6. Child with anemia (Thalasemia)7. Paediatric emergencies : respiratory failure and shock8. Growth & Development and Immunisation9. Acute Gastroenteroenteritis, fluid and electrolyte management10. Bronchial asthma and acute asthma11. Nephrotic Syndrome and Acute Nephritis12. Urinary Tract Infection13. Common Heart Conditions In Children14. Child With Bleeding Problems15. Acute Respiratory Infections16. Dengue Infection

1. Examination of the Newborn (+Ballard score) & screening (G6PD, hypothyroid)2. Gestational age (SGA and LGA)3. Acute surgical emergencies in neonates and paediatrics4. Cerebral palsy5. HIV6. Important Infections in children - TB, Malaria, Typhoid, Cholera, Kawasaki7. Common Skin Conditions In Children8. Child Abuse9. Interpretation of ABG and basic laboratory investigations10. Interpretation of basic diagnostic imaging investigations11. Interpretation of paediatric ECG12. Medications: indications, calculation of dosages and side-effects13. Communiciation, Counselling and Professionalism

All emergency aspects of each topic should be thoroughlycovered. Refer to Appendix 1 for detailed curriculum. HOs must attend a miminum of 75% (12 topics). All HOs must pass neonatal resuscitation programme.

Notes :

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PROCEDURES FOR LOGBOOK

Compulsory Performed Procedures DOPS (Directly Observed Procedural Skills)

Other Compulsory Performed Procedures

Compulsory Observed/Assisted Procedures

Venepuncture (Neonates)Venepuncture (Paediatrics)Intravenous cannulation (Neonates)Intravenous cannulation (Paediatrics)Blood cultureDelivery of bronchodilators - MDI with spacer

1. Umbilical venous catheterization2. Lumbar puncture3. Blood exchange transfusion4. Chest tube insertion5. lntraosseous line6. Bladder catheterization7. Bone marrow aspiration8. Arterial sampling/puncture and arterial blood gas

Neonatal Resuscitation (Need to indicate whether includes intubation)Participate in resuscitation of childrenNasogastric tube insertionHeel prick/ dextrostixECG record and interpretationOxygen therapy (methods of oxygen delivery)Application of pulse oximeterNebulisationMeasurement of peak flow

1.2.3.4.5.6.

7.

8.9.10.11.12.13.14.15.

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HOUSE OFFICER ASSESSMENT TOOLS

Type of Tools

For practical procedures

Workplace-based assessment refers to the assessment of working practices based on what doctors actuallydo in the workplace, and is predominantly carried out in the workplace itself.

For Details on Assessment tools (CbD, Mini-CEX, DOPS, MSF) - please refer to accompanying Log Bookfor the Paediatric Houseofficer Guidelinesfor Supervisors

• Case based discussion (CbD)• Mini-Clinical evalution exercise (Mini-Cex)• Multisource feedback (MSF)

• Directly Observed Procedural Skills (DOPS) tool would be utilized

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REQUIREMENT FOR OFF TAG

Rotation

GeneralPaediatric

1.Good satisfactory Poor

2.

Clerking & case presentations

Date of starting tagging in Gen Paediatric:

Date of completion tagging in SCN:

Specialist in charge:

Must complete all criteria satisfactorily before off tag.

Date of completion of tagging in Gen Paediatric:

Date of Completion of tagging in SCN:

Specialist in charge:

DOPS for venepunture

Criteria Grading Remarks Signature

DOPS for IV cannulationDOPS for Blood cultureMSF Clerking & casepresentations

Special CareNursery(SCN)

DOPS for venepuntureDOPS for IV cannulationDOPS for Blood cultureMSF

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FREQUENCY AND NUMBER OF ASSESSMENTS

Minimum number of assessments is two First assessmentSecond assessment

At each assessment

Compulsory to pass Neonatal Resuscitation Programme

• Either a CbD or mini-Cex or both• For MSF, these can be done throughout the posting by supervisors and peers (2 or more MSF)

If performance of any house officer is not satisfactory additional or more frequent assessments shall beundertaken.

: 4 - 8 weeks: 3rd month

*

1 monthst nd2 month rd3 month th4 month

Mini-CEXand/or

CbD and 2MSF

Mini-CEXand/or

CbD and 2MSF

ReviewLOG BOOK

NEONATAL RESUSCITATION PROGRAMME

ReviewLOG BOOK

ReviewLOG BOOK

Compulsory 1 set of DOPS 1. Venepuncture (Neonates), 2. Venepuncture (Paedictrics)3. Placing an intravenous canulla (Neonates), 4. Placing intravenous canulla (Paediatrics)

5. Blood Culture, 6. MDI with Spacers done by HO. Need to repeat DOPS if fail.

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HOUSE OFFICER'S CRITERIA FOR EXTENSION

1. Reason

House Officers shall be extended for any of the following reasons:

# Please refer to accompanying Guidelines for Supervisors for procedure of extension

1.1 Competence & Performance

1.2 Leave taken in excess

• Fails end of posting workplace based assessments and other Departmental specific assessments• Procedural skills competence & performance not achieved as required in Log Book• Poor attitude• Any incident causing concern

2. Duration of Extension

• Poor Performance & Competence2 months

• Failure to complete compulsory proceduresExtend accordingly (until all compulsory procedures completed)

• Other issuesThe period of extension depends on Hospital HO Training Committee

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WORK BASED ASSESSMENTS AND LOG BOOK

- 12 -

- 13 -

Case Based Discussion

CASE BASED DISCUSSION (CbD) FOR HOUSE OFFICERS

CBD NUMBER : 1 2 3 4 5

Please grade the following areas usingthe scales

Good

A B CNot

Applicable

Focus of Clinical Encounter

ASSESSMENT 1

Assessor: ......................................

House Officer : ................................

Date : .....................................

Stamp :

Date : ......................................

Signature of

Signature of

Stamp :

DocumentationClinical AssessmentManagementProfessionalism

Satisfactory Poor

1. History Taking

2. Examination

3. Diagnosis

4. Management

5. Documentation

Anything specially good? Suggestion for development

Agreed Action :

A HO whose overall grade C is deemed to have failed. He/She must come back for another assessment at a later date.

Fail mark :

OVERALL GRADE

CLINICAL CATEGORY/ PROBLEM : ......................................................................

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Good

A B CNot

Applicable


ASSESSMENT 2

Assessor: ......................................

House Officer : ................................

Date : .....................................

Stamp :

Date : ......................................

Signature of

Signature of

Stamp :


Satisfactory Poor

1. History Taking

2. Examination

3. Diagnosis

4. Management

5. Documentation


Agreed Action :


Fail mark :

OVERALL GRADE


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Good

A B CNot

Applicable


ASSESSMENT 3

Assessor: ......................................

House Officer : ................................

Date : .....................................

Stamp :

Date : ......................................

Signature of

Signature of

Stamp :


Satisfactory Poor

1. History Taking

2. Examination

3. Diagnosis

4. Management

5. Documentation


Agreed Action :


Fail mark :

OVERALL GRADE


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Mini Clinical Evaluation Exercise

- 17 -

MINI CLINICAL EVALUATION EXERCISE (MINI-CEX) FOR HOUSE OFFICERS

MINI-CEX NUMBER : 1 2 3 4 5


Good

A B CNot

Applicable


ASSESSMENT 1

Assessor: ......................................

House Officer : ................................

Date : .....................................

Stamp :

Date : ......................................

Signature of

Signature of

Stamp :

HistoryDiagnosisManagementExplanation

Satisfactory Poor

1. History Taking 2. Examination 3. Clinical Judgement

4. Management

5. Communication Skills


Agreed Action :


Fail mark :

OVERALL GRADE


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Good

A B CNot

Applicable


ASSESSMENT 2

Assessor: ......................................

House Officer : ................................

Date : .....................................

Stamp :

Date : ......................................

Signature of

Signature of

Stamp :


Satisfactory Poor


4. Management



Agreed Action :


Fail mark :

OVERALL GRADE


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Good

A B CNot

Applicable


ASSESSMENT 3

Assessor: ......................................

House Officer : ................................

Date : .....................................

Stamp :

Date : ......................................

Signature of

Signature of

Stamp :


Satisfactory Poor


4. Management



Agreed Action :


Fail mark :

OVERALL GRADE


- 20 -

Direct Observed Procedural Skills (DOPS)3 sets of form

1. Venepuncture (neonates)2. Venepuncture (paediatrics)3. Placing intravenous cannula (neonates)4. Placing intravenous cannula (paediatrics)5. Blood Culture6. Delivery process of bronchodilators

Note :The House Officer needs to pass the DOPS of each procedure only once. The additional forms are for those who need to repeat the procedure if they fail.

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DOPS ASSESSMENT 1 (PAEDIATRIC HOUSE OFFICER)

1. VENEPUNCTURE (NEONATES)

COMPULSORY PERFORMED PROCEDURES

VENEPUNCTURE The purpose of this assessment is to ensure that the HO can safely take a venous blood sample andprovide advise on how to improve his (or her) technique.

The patient must be haemo-dynamically stable, well perfused, and have a readily identifiable veinsuitable for venepuncture and need to have blood samples taken.

The HO must have clean hands and wear gloves for this procedure . The patient's skin must be cleaned.

The HO must demonstrate familiarity with appropriate needle for neonates and appropriate samplingtubes and select a suitable vein for venepuncture.

The HO must perform the following skills

Fail mark :

Feedback :

A HO who scores grade C is deemed to have failed. He/She must come back for another assessment at a later date.

The HO must check that the blood is being collected from the correct patient.The HO must wash hands and wear gloves for this procedure.

The HO must clean patient's skin for the procedure. The HO must successfully collect the blood samples within two attempts.The patient must experience minimum discomfort.The HO must ensure that there is no uncontrolled bleeding after the procedure.The HO must personally dispose of the "sharps", and tidy up afterwards. The HO must correctly complete the details on the sample tubes.

Grade A (Good) Grade B (Satisfactory) Grade C (Poor)

Assessor : ................................................

Date : ................................................

Stamp :

Signature of

Overall performance :SCORING AND FEEDBACK :

PATIENT

HYGIENE

EQUIPMENT AND VEIN

PROCEDURE (Please TICK boxes to ensure theprocedure has been completedcorrectly before completing theDOPS assessment form

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Fail mark :

Feedback :





Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


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Fail mark :

Feedback :





Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


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2. VENEPUNCTURE (PAEDIATRICS)


VENEPUNCTURE The purpose of this assessment is to ensure that the HO can safely take a venous blood sampleand provide advise on how to improve his (or her) technique.

The patient must be haemo-dynamically stable, well perfused, and have a readily identifiablevein suitable for venepuncture and need to have blood samples taken.


The HO must demonstrate familiarity with appropriate syringe and needle for paediatric cases and appro-priate sampling tubes and select a suitable vein for venepuncture.


Fail mark :

Feedback :





Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


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Fail mark :

Feedback :





Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


- 26 -









Fail mark :

Feedback :





Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


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3. PLACING AN INTRAVENOUS CANNULA (NEONATES)


PLACING INTRAVENOUSCANNULA

The purpose of this assessment is to ensure that HO in training can safely place intravenouscannulae and to provide advice on how to improve his/her technique.

The patient must be haemo-dynamically stable, well perfused, and have a readily identifiablevein suitable for cannula placement.


The HO must select a suitable vein and select a suitable gauge cannula for the purpose (e.g. large bore for transfusion)


Fail mark :

Feedback :


The HO must explain the procedure to the patient/parents. The HO must wash hands and wear gloves for this procedure.

The HO must clean patient's skin for the procedure. The HO must successfully collect the blood samples within two attempts.The patient must experience minimum discomfort.The cannula must be secured to the skin appropriately. An intravenous infusion must be attached or the cannula flushed with saline.The HO must personally dispose of the "sharps", and tidy up afterwards.


Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


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Fail mark :

Feedback :





Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


- 29 -










Fail mark :

Feedback :





Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


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4. PLACING AN INTRAVENOUS CANNULA (PAEDIATRICS)








Fail mark :

Feedback :





Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


- 31 -










Fail mark :

Feedback :





Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


- 32 -










Fail mark :

Feedback :





Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


- 33 -


5. BLOOD CULTURE (PERIPHERAL)


BLOOD CULTURE The purpose of this assessment is to ensure that the HO in training can safely take a venous blood sample for blood cultures and provide advice on how to improve his (or her) technique.

The patient must be haemo-dynamically stable, well perfused, and have a readily identifiablevein suitable for venepuncture and need to have blood samples taken for blood culture.

The HO must practice hand hygiene and the procedure must be performed under aseptictechnique. The HO must demonstrate familiarity with the syringe and needle, and blood culture bottles,and select a suitable vein for venepuncture.


Fail mark :

Feedback :


The HO must introduce him/herself and explain what he/she is doing. The HO must check that the blood is being collected from the correct patient. The HO must wash hands and wear gloves for this procedureThe HO must perform patient's skin preparation under aseptic technique. The HO must successfully collect the blood samples within two attempts. The patient must experience minimum discomfort. The HO must place the blood sample into the bottles using a "no touch" technique. The HO must ensure that there is no uncontrolled bleeding after the procedure.The HO must personally dispose of the "sharps", and tidy up afterwards.


Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


The HO must correctly complete the details on the sample tubes - patient's particulars.

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Fail mark :

Feedback :




Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN



- 35 -








Fail mark :

Feedback :




Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN



- 36 -


6. DELIVERY OF BRONCHODILATORS : MDI WITH SPACERS


DELIVERY OF BRONCHODILATORS -MDI WITH SPACERS

The purpose of this assessment is to ensure that the HO can teach the correct use andtechnique of MDI with spacers.

The patient must be stable and not in respiratory distress.

HO must practise good hand hygiene and the spacer is clean.

The HO must demonstrate familiarity with the MDI and spacer.


Fail mark :

Feedback :


Educates patient/parents about indication, name and dosing frequency of medication.Primes the new spacer or when the MDI has not been used for 2 weeks. Remove the mouthpiece cover.Shakes the inhaler.Put the inhaler mouthpiece into large opening of the spacer. Gently place the mask of the spacer to cover the mouth and nose. Depress the canister down to actuate the spray once. Ask the patient to breathe for at least 10 breaths ( infants), 5 breaths (child). If more than one puff is needed, allow at least 30 seconds between each actuation.


Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


To replace cover.

- 37 -










Fail mark :

Feedback :




Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


To replace cover.

- 38 -










Fail mark :

Feedback :




Assessor : ................................................

Date : ................................................

Stamp :

Signature of


PATIENT

HYGIENE

EQUIPMENT AND VEIN


To replace cover.

- 39 -

7. RESUSCITATION OF NEWBORN (please indicate whether intubation performed or not)


No DATE R/N DIAGNOSIS GRADE

A B C COMMENTS NAME & SIGNATUREOF SUPERVISOR

8. PARTICIPATE IN RESUSCITATION OF CHILDREN



- 40 -

9. NASOGASTRIC TUBE INSERTION




10. HEEL PRICK / DEXTROSTIX



- 41 -

11. ECG RECORD AND INTERPRETATION




12. OXYGEN THERAPY (METHODS OF OXYGEN DELIVERY)



- 42 -

13. APPLICATION OF PULSE OXIMETER




14. NEBULISATION



- 43 -

15. MEASUREMENT OF PEAK FLOW




- 44 -

1. UMBILICAL VENOUS CATHETERIZATION

COMPULSORY OBSERVED/ASSISTED PROCEDURES



2. LUMBAR PUNCTURE



- 45 -

3. BLOOD EXCHANGE TRANSFUSION




4. CHEST TUBE INSERTION



- 46 -

5. INTRAOSSEOUS LINE




6. BLADDER CATHETERIZATION



- 47 -

7. BONE MARROW ASPIRATION




8. ARTERIAL SAMPLING / PUNCTURE & ARTERIAL BLOOD GAS



- 48 -

CONTINUING PROFESSIONAL DEVELOPMENT

ATTENDANCE

No TOPICS

Mandatory Topics (1 topic per week ) Neonatal jaundice1.

2.3.

4.5.6.7.

8.9.

10.1112.13.14.15.16.

Respiratory distress of the newbornPrematurity & Neonatal hypoglycemia (Infant ofDiabetic Mother)

Breast feeding and nutrition in childrenCNS emergencies in children (fits & CNS infections)

Child with anemia (Thalasemia)

Paediatric emergencies : respiratory failure andshockGrowth & Development and Immunisation

Acute Gastroenteroenteritis, fluid and electrolytemanagementBronchial asthma and acute asthma

Nephrotic Syndrome and Acute NephritisUrinary Tract Infection

Common Heart Conditions In ChildrenChild With Bleeding Problems

Acute Respiratory InfectionsDengue Infection

ATTENDANCE DATE NAME & SIGNATUREOF SUPERVISOR

- 49 -


ATTENDANCE

No TOPICS DATE COMMENTS NAME & SIGNATUREOF SUPERVISOR

- 50 -


ATTENDANCE


- 51 -


PRESENTATION


- 52 -

PERFORMANCEAPPRAISAL

- 53 -

SUMMARY OF WORK BASED ASSESSMENTS PERFORMED

WORK BASED ASSESSMENTS

CASE BASED DISCUSSION - ASSESSMENT 11.

1.

2.

2.

3.

3.

MINI CLINICAL EXERCISE - ASSESSMENT 1

MINI CLINICAL EXERCISE

CASE BASED DISCUSSION



CASE BASED DISCUSSION - ASSESSMENT 2

CASE BASED DISCUSSION - ASSESSMENT 3

DATE

Good

A B C

Satisfactory Poor NotApplicable

GRADE No

- 54 -

SUMMARY OF PROCEDURES PERFORMED

COMPULSORY PERFORMED PROCEDURES DATE OF PASSING

PROCEDURE GRADE

A

Venepuncture Neonates (DOPS)

Venepuncture Paediatrics (DOPS)

Intravenous cannulation Neonates (DOPS)

Intravenous cannulation Paediatrics (DOPS)

Blood culture (DOPS)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

Participate in resuscitation of children

Nasogastric tube insertion

Heel prick / dextrostix

ECG record and interpretation

Oxygen therapy (methods of oxygen delivery)

Application of pulse oximeter

Nebulisation

Measurement of peak flow

Delivery process of bronchodilators - MDI withspacer, easyhaler (DOPS) Neonatal resuscitation (please indicate whetherincludes intubation)

BNo

- 55 -

COMPULSORY OBSERVED PROCEDURES

COMMENTS:

NUMBER OF PROCEDURES OBSERVED No

1. Umblical venous catheterization

2. Lumbar Puncture

3. Blood Exchange Transfusion

4. Chest Tube Insertion

5. lntraosseous Line

6. Bladder catheterization

7. Bone Marrow Aspiration

8. Arterial sampling / puncture and arterial blood gas

Signature of Supervisor

Name

Designation

Official Chop

Date

:

:

:

:

:

SUMMARY OF OBSERVED PROCEDURES

- 56 -

FORM A

CERTIFICATION OF COMPLETION OF TRAINING

This is to certify that Dr .............................................................................. has satisfactorily completed training

During that period he / she was engaged in employment in a resident Paediatric post as required under

Section 13 ( 2 ) of Medical Act, 1971 to my satisfaction.

in Paediatric as a House Officer in this Hospital ........................................................................................ .. ......

from .................................. to ............................... (including extension of housemanship period, where

applicable).


Name

Designation

Official Chop

Date

:

:

:

:

:

- 57 -

- 58 -

CERTIFICATION OF COMPLETION OF TRAINING

(Duplicate Copy)FORM A

This is to certify that Dr .............................................................................. has satisfactorily completed training

During that period he / she was engaged in employment in a resident Paediatric post as required under

Section 13 ( 2 ) of Medical Act, 1971 to my satisfaction.

in Paediatric as a House Officer in this Hospital ........................................................................................ .. ......

from .................................. to ............................... (including extension of housemanship period, where

applicable).


Name

Designation

Official Chop

Date

:

:

:

:

:

ASSESSMENT 1 - CONFIDENTIAL - TO BE SUMMITTED DIRECTLY BY SUPERVISOR TO HEAD OF DEPARTMENT

MULTISOURCE FEEDBACK (MSF) FOR HOUSE OFFICERS

NAME : ............................................................................................................... IC NO :.....................................................................

DATE OF START OF PAEDIATRIC POSTING : ............................................................................

Attitude and / or Behaviour Noconcern

You havesomeconcern

You havemajorconcern

COMMENT: Anything especially good? Orany concerns? Please comment on behaviourover-time-not just a single incident

Maintaining trust / professional relationship with parents

Verbal communication skills

Team-working/ working with colleagues

Accessibility• Accessible• Takes proper responsibility• Does not shirk duty• Response when called• Arranges cover for absencePlease use the comments boxes to commend good behaviour and to describe any behaviour whichis causing you concern. Give specific examples. This form will be sent to the head of department/ HO supervisor who may require additional information. Feedback will be given to the doctor asnecessary if there are any concerns. The House Officer will receive private feedback but you will notbe identified In person.

Signature of

• Listens• Is polite and caring• Shows respect for patients' opinions, privacy, dignity, and is unprejudiced

• Gives understandable information• Speaks clearly, at the appropriate level for the patient

• Respects others' roles, and works constructively in the team• Hands over effectively, and communicates well• Is unprejudiced, supportive and fair

Assessor

Date

Stamp

: .......................................................

: .......................................................

:



NAME : ............................................................................................................... IC NO :.....................................................................



You havesomeconcern







Signature of




Assessor

Date

Stamp

: .......................................................

: .......................................................

:



NAME : ............................................................................................................... IC NO :.....................................................................



You havesomeconcern







Signature of




Assessor

Date

Stamp

: .......................................................

: .......................................................

:



NAME : ............................................................................................................... IC NO :.....................................................................



You havesomeconcern







Signature of




Assessor

Date

Stamp

: .......................................................

: .......................................................

:

COMPONENT & WEIGHTAGE FOR CERTIFICATE COMPLETION OF POSTING

(PAEDIATRIC)

COMPONENTS

15

15

40

5

25

100

LNPT

TOTAL

CBDMini-CEXOOPSCompulsory Performed/Assisted/Observed Procedure

Team workAccessibility

Department Specific: MCQ/OSCE/VIVA

••••

••••

•

1.

2.

3.

4.

5.

PERCENTAGE (%) ACTUAL MARK OBTAINED

- 69 -

- 70 -

CERTIFICATE COMPLETION OF POSTING (CCP)

DEPARTMENT:

Name

IC Number

Hospital

Posting/Discipline

Duration of posting : Start (date) :

End (date) :

Extension (if applicable):

Category

Percentage

Grade

Head of Department

Signature

Name

Stamp

Date

Supervisor

Signature

Name

Stamp

Date

:

:

:

:

:

:

:

:

:

:

:

:

:

:

:

: :

- 71 -

NOTE: GRADING OF CCP

CATEGORY

90%> 4

3

2

1

85 % - 89.9%

75 % - 84.9%

60 % - 74.9%

EXCELLENT

GOOD

SATISFACTORY

PASS

PERCENTAGE (%) GRADE

- 72 -

DUPLICATE COPYCERTIFICATE COMPLETION OF POSTING (CCP)

DEPARTMENT:

Name

IC Number

Hospital

Posting/Discipline

Duration of posting : Start (date) :

End (date) :

Extension (if applicable):

Category

Percentage

Grade

Head of Department

Signature

Name

Stamp

Date

Supervisor

Signature

Name

Stamp

Date

:

:

:

:

:

:

:

:

:

:

:

:

:

:

:

: :

- 73 -

NOTE: GRADING OF CCP

CATEGORY

90%> 4

3

2

1

85 % - 89.9%

75 % - 84.9%

60 % - 74.9%

EXCELLENT

GOOD

SATISFACTORY

PASS

PERCENTAGE (%) GRADE

- 74 -

Documents

PERSONAL PARTICULARS - moh.gov.my · All emergency aspects of each topic should be thoroughly covered. Refer to Appendix 1 for detailed curriculum. HOs must attend a miminum of 75%