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Residency 1 Surgical Rotation Reflections

Surgical rotation is quite a busy and hectic rotation. With daily sessions with
tutors and the number of personal cases needed to be seen, it is challenging
most of the time. I started my surgical rotation with 2 weeks in SJH, 1 week in
Orthopaedic clinic and 1 week in General Surgery. The first week of this rotation
which was the orthopaedic clinic session, was the calmest and relax week. We
learnt a lot within one hour session with the orthopaedic surgeon there, and
sometimes for me it might be too much to take. There was a miscommunication
as we were taught shoulder examination there but we are not supposedly taught
about shoulder examination in this particular rotation. For me, my problem is this
week was that I cannot practice what I learnt to a real patient. The reasons being
that most of the patients were in pain / had POP / bandaged, they are outpatient
not in patient and it was the first week of my clinical years, so the nervousness is
there. When I went to the ward, most of the patient were on skeletal tractions
and most of them are MVA cases. So I cannot really practice the skills that I
learnt in the clinic. Need to mention here is that all the tutors were superb,
especially Mr Lim.
Second week in SJH was quite nice. I learnt a lot especially the need to read
chapter 1 of Browse’s. Many cases were seen and discussed with the assigned
tutor. I also have the chance of seeing the seniors presenting their cases and
some sort of learn how to present better. The one thing that I think I was lacking
is that I do not read or prepare in advance or even read up about a particular
topic or pathology after the session. I find it hard to fit in the reading time into
my daily schedule. Maybe in the future I need to be more energetic, proactive
and have a better schedule. I think the clinic session was quite good to have of
at least once a week. We have the chance to see first-hand how would a patient
first presented, not after being admitted and where treatment might be started

either because the patient is in pain and not allowed me to touch or I somehow missed to spot the patient (or maybe it just because I am lazy). instead of about 17 (Class of 2018 and Class of 2016) of us go and crowd one clinic. sometimes I can communicate better with the patient as compared to my colleagues. and then the tutor can take us to a specific patient for the session just to discuss about the disease. I also considering to go to the wards whenever I have the time as I’m going to be attached to OPD PGH for a week. But then this would make us more nervous as to be questioned by the surgeons there. and physical findings that can be appreciated. I cannot get physical findings that can be appreciated. my plan is to talk more and engage more with patient throughout this Family Medicine rotation. It was quite challenging as most patient are either on post-op observation or waiting for surgery. did not explore enough on certain part of patient’s history. But what I would suggest is that. the ward is bigger and the turnover rate is faster. In PGH also. not proactive enough to go into OT. So it was challenging to talk to them. As Penang is my hometown. At first I was confused about the system used in PGH. Some of those are that I am lacking in confidence to engage and initiate conversation with the patient. maybe we can spread out to 3-4 person per clinic. some of my weaknesses become noticeable. Now I’m going into the Family Medicine rotation. 3 weeks in PGH is quite something and different from SJH. not proactive enough to find patients with significant findings.already. So. Most of my weaknesses is basically can be overcome if I have more practice and talk to patient. Bed side teachings are something that I like. but this is not true for Hokkien-speaking patients. The patients are more. Most of the time. . It can be better if we can present a case and discussed as usual. red flags and clues in history.

Tutorial is something that I appreciated most. . to be discussed. As for me. it is going to better if the computers and projectors are working in the tutorial rooms where the tutor can actually projects pictures and so on. I’m looking forward for the next surgery rotation and I hope that I can improve more and more. This becomes significant when the tutorial questions involve picture that is best seen in colour and on screen / projected. The discussion in tutorial was superb. second to bedside teaching.