STUDYGUIDE YEAR 4 2016 | 2

STUDYGUIDE YEAR 4 2016 | 1

STUDYGUIDE
YEAR 4 2016/2017

CONTENTS PAGE

1) PERSONAL AND PROFESSIONAL DEVELOPMENT YEAR 4 4 - 12
(FF4713 & 4723)

2) SPECIAL STUDY MODULE (SSM) 13 - 28
(FF4812 (SEMESTER 7, FF4822 (SEMESTER 8,
FF5812 (YEAR 5)

3) FORENSIC PATHOLOGY 29 - 33
(FF4911 (SEMESTER 7), FF4921 (SEMESTER 8),
FF5911 (YEAR 5)

4) PSYCHIATRY 34 - 54
(FFFF4118)

5) PAEDIATRICS 55 - 64
(FF4127)

6) ORTHOPEDIC AND TRAUMATOLOGY MODULE 2 65 - 73
(FF4229)

7) ANAETHESIOLOGY 74 - 91
(FF4412)

8) OTORHINOLARYNGOLOGY – HEAD AND NECK SURGERY 92 - 107
(FF4212)

9) OPHTHALMOLOGY 108 - 121
(FF4314)

10) CONCEPT LECTURE YEAR 4 2016/2017 122-125

 Perkara 6(i) Bahagian II Tatatertib Am AUKU 1971 Kaedah-Kaedah
Universiti Kebangsaan Malaysia (Tata Tertib Pelajar-Pelajar 1999)

STUDYGUIDE YEAR 4 2016 | 2

Ethical. 8. 11. Ability to apply knowledge and clinical skills to practice safely and competently. Programme learning Outcomes: At the end of the programmes the students will demonstrate: 1. 3. patient and their families. family. Scientific approach and critical thinking to problem solving and decision making. 10. UNDERGRADUATE MEDICAL PROGRAMME General Objectives of the Programme This curriculum is designed to enable students to apply knowledge and skills effectively in a holistic manner. to uphold professionalism expected of a doctor in the local and global context to prepare them to the leaders in the field of medicine. Appropriate teaching skills and willingness to educate patients. spiritual and moral principles and abide by legal requirements 9. Ability to work collaboratively within a multi-professionals team with integrity and enthusiasm and to assume a leadership role when appropriate. STUDYGUIDE YEAR 4 2016 | 3 . 7. colleagues and the community. 6. 2. Ability to lead and collaborate with other health professionals in health promotion and disease prevention. 4. 5. Effective communication and social skills. the community and colleagues. Caring attitude and sensitivities to the needs of self. Ability to adopt a holistic approach to patient management. Competency in information and communication technology and its management. Commitment to life long learning.

raynuha@ppukm.my 8843079 Dr. PPD Unit Pn.edu.karyostyko. nurazlinamf@ukm. Nur Pharmacology 013. PERSONAL & PROFESSIONAL DEVELOPMENT YEAR IV (FF4713 AND FF4723) I. Raynuha Psychiatry 013.ukm. III. drmusha@yahoo. INTRODUCTION TO YEAR 4 PPD MODULE Year 4 PPD module is to facilitate further the development of professionalism in clinical work of medical students as part of the preparation to become future clinicians. and medical ethics.com Hazla Mohamed Haflah 3031316 Dr.edu. Nor Orthopedic 012.my Mahadevan 372 6927 Head of PPD Module Dr. Boekhren Paediatrics 012. anna_firra82@yahoo. Farah Dayana ENT 012. hazla1971@yahoo. STUDYGUIDE YEAR 4 2016 | 4 . Madya Dr. The students should have internalized positive attitudes and must be able to integrate the PPD knowledge and skills adequately into their daily work as clinical students. such as the challenge in breaking bad news as well as the unpredictable and varied behaviour of patients.edu. Abdul Yazid Mohd Orthopedic 019. DIRECTORY OF COORDINATORS NAME OF DEPARTMENT PHONE EMAIL ADDRESS LECTURERS NO. azlinamasdar@yahoo. waiwai@ppukm.au Zahedi 4248205 Dr. Prof. There is more emphasis given to emphatic skills in doctor-patient relationship.my Azlina Mohd Fahami 390 3295 Head. teamwork. communication skills. Azlina Masdar Anaesthesiology 012.edu. Madya Dr.edu. II. PRE-REQUISITES The student should have gone through all the previous PPD modules satisfactorily including PPD Camp 1 and 2. Shalisah Sharip Psychiatry 010. Yang Wai Wai Paediatrics 017.com.ukm.ukm.com 4581603 *Teaching staff of PPD involves all lecturers from clinical departments in Year 4 postings.com Kassim 4440004 Prof.ukm. boekhren.borhanud Karyostyko 2485920 din@ppukm.com Mustapha 2808357 Dr. shalisah@ppukm.my 400 3944 Dr. Mushawiahti Ophthalmology 019.my Borhanuddin Pn. The module will also familiarize the students with the uncertain nature of clinical medicine. leadership. dryazidk@gmail.

obtain consent prior to invasive procedures 6. colleagues and other health care providers.g. STUDYGUIDE YEAR 4 2016 | 5 . sexually transmitted diseases) 5. non-incidental injuries. technical errors. refuse to be examined) 7. communicate and interact in clinical practice with patients and their family. communicate with dissatisfied patients (e. think critically in assessing and managing patients 2. sexual abuse.g. document medical data as case notes and reports. laboratory results) 4. 2. genetic disorders and terminal illness (such as postponing operation date. the students should be able to: Critical thinking 1. permanent disabilities. MODULE OUTCOMES At the end of this module. observe the process of breaking bad news in difficult clinical situations such as in chronic physical and psychiatric illnesses. communicate with a multidisciplinary team of professionals (colleagues and paramedical staff). sexuality. search and use information critically 3. deal with sensitive issues in clinical practices appropriately (e. 3. evaluate problems and their solutions using critical thinking skills Communication skills 1.IV.

manage diversity with respect to patients’ management 2. demonstrate teamwork and leadership in the community Medical ethics 1. demonstrate professional and humane attitude towards patients and their families 3. identify the various factors which can potentially influence their clinical decision 2. and the community 2. participate in clinical team activities effectively 3. and other medical colleagues in issues pertaining to death. deal with diverse patients appropriately (by challenging own assumption and converting to positive transformation) Dealing with uncertainty and death 1. teach peers.g. seminars) Professional judgment 1. outline the role of each member in the clinical management team 2. Teaching and learning skills 1.Spirituality 1. discuss how medical ethics influence their behaviour and conduct towards patients. discuss issues related to uncertainty. explain the various aspects of medical professional liability 2. incorporating both their physical and psychospiritual needs. demonstrate commitment to life-long learning in clinical practice (e. identify the need to be an effective leader at a personal level 6. patient’s relatives. identify leadership styles of doctors and their impact on patient’s management 5. SDL. demonstrate leadership values and skills in clinical practice involving multiprofessional teams 4. Managing diversity 1. approach patients in a holistic manner. discuss spiritual aspects of patients in different clinical situations 2. case write-ups. Legal aspect of medical practice 1. patients and their families. identify and discuss ethical issues in a given clinical scenario STUDYGUIDE YEAR 4 2016 | 6 . death and dying 2. discuss the consequences of clinical decision-making Leadership and teamwork skills 1. evaluate teaching skills and provide feedback to peers 3. uncertainty and dying. analyze constructively the consequences of their clinical decision upon the patient.

CONTENTS A. Generic PPD contents that need to be achieved and integrated into all postings in year IV include: 1.V. Legal aspect of medical practice B. Communication skills 2. The teaching and learning activities for above topics are within clinical teaching sessions. STUDYGUIDE YEAR 4 2016 | 7 . Spiritual development 4. Professional judgment 5. Critical thinking 3. Medical ethics 6.

professionals. or professionals involved agencies) in the care of children Orthopedic Experiencing physical disability 1.Specific PPD contents to be achieved in a specific posting include: TEACHING LEARNING POSTING SPECIFIC CONTENT METHODS Psychiatry  Demonstrate professional & humane 1. Reflective writing in case  Demonstrate teaching write-up: “how did it feel skill in educating when you were on cast” patients & families ENT Dealing with disability and uncertainty 1. Getting To Know The attitude towards Carer: Interview with patients & their families caregivers of psychiatric  Managing diversity patients followed by (stigma) reflective writing  Demonstrate teaching skill in educating 2. families & Promoting mental health or communities educating patients about  Teamwork & leadership mental illness skills Paediatric  Communicating with children and their 1. Reflective writing on behalf of children communicating with  Communicating with different groups (children. Group Community Project: patients. Reflective writing on the above experience STUDYGUIDE YEAR 4 2016 | 8 . Workshop (2 hours) families  Obtaining consent on 2. Interview with patient(s) who have undergone  Dealing with deafness laryngectomy or patient  Dealing with loss of with hearing loss voice (post laryngectomy patient) 2. Student to put on cast  Dealing with fracture overnight and loss of function  Breaking bad news 2. various health parents.

Visit to school for the blind  Dealing with blindness  Breaking bad news 2. Common lectures: 1. The principles of the integration are as follows: 1. Specific formal session for PPD is only limited to general lectures and one specific session per posting. Video session on breaking bad news C. small group discussion. Breaking bad news 2 hours 2. Teaching-learning activities are integrated into the clinical sessions. practical sessions.Withdrawing and families limiting therapy in ICU  Withdrawing treatment when condition is futile 2. clinic sessions). Visit to UKMMC ICU followed by short discussion and reflective writing Ophthalmology Dealing with disability 1. 3. 5.Taking informed  Breaking bad news in consent simple clinical . TEACHING-LEARNING METHODOLOGY The teaching-learning methods of PPD are integrated with the clinical sessions. TEACHING LEARNING POSTING SPECIFIC CONTENT METHODS Anaesthesiology Dealing with uncertainty and death 1. STUDYGUIDE YEAR 4 2016 | 9 . The generic PPD objectives are clearly defined and applicable to all postings. 2. Impromptu reflective writing in the clinic on the topic: “dealing/coping with blindness” 3. Legal Aspects of Medical Practice 2 hours 3. The specific PPD objectives will be emphasized more in certain postings. Small group discussions: .Anaesthetic mishaps situations and errors  Dealing with death and . workshops and seminars.Death and dying in ICU dying patients and their . Traditional/Complementary Medicine: The 2 hours Influences on Patient’s Management VI. Learning process mainly based on the role modeling (student’s observation and demonstration by the clinical teachers in bed side teachings. 4.

*Assessment includes reflective writing and mentor assessment. Second Edition by Paul Ramsden. 2 OSCEs 20% 2. Allocation of marks are as follows: Paediatrics Psychiatry Orthopedic Minor (ORL/ Opthal/Anaes) Supervisor report 20% 20% 20% - Specific assignment 10% 10% 10% 30% Mentor report* 20% 20% 20% 20% Note: No supervisor report is required for ORL/Opthalmology/Anaes posting. Learning to Teach in Higher Education. VIII. Any student who fails to fulfill this criteria will be barred from the PPD examination. a formal exam will be conducted. Students must pass Year 4 PPD modules for Semester 1 and 2 before proceeding to year 5. End semester examination At the end of the semester. comprising: 1. Summative Continuous assessment Would be carried out by respective clinical department. Posting A Posting B Continuous Assessment Supervisor report/ 50% 50% (50%) Specific assignment/ Mentor report Marks 25% 25% End Semester Examination OSCE (2) 20% (50%) KFQ (2) 30% Marks 50% Total marks for module 100% PPD formal assessment is compulsory. STUDYGUIDE YEAR 4 2016 | 10 . ASSESSMENT (per semester inclusive of 2 clinical postings) Prerequisites Attendance of formal teaching sessions should be at least 100%. RESOURCE MATERIALS 1.VII. 2 KFQs (Key Feature Questions) 30% The following table shows the summary of assessment in Year 4 PPD at the end of each semester.

Handbook of Communication by Infinity Books. 7.D. Gordon. Communication Skills for Doctors by Peter Maguire. Ten Days to Self-Esteem by David D. Thomson. Pedersen. The Doctor-Patient Relationship by Paul Freeling and Conrad M. 9. IX. Leadership Passages by David L. Foreword by William A. 2. Reflection : Principles and Practice for Healthcare Professionals by Tony Ghaye and Sue Lilyman. Medical Ethics. Burns. 6. The large group lectures to be slotted into master / large group timetable. SCHEDULING Sessions on small group reflection. Fremgen. Jonathan Silverman and Juliet Draper. Information on Student-driven Assessment STUDYGUIDE YEAR 4 2016 | 11 . Teaching and Learning Communication Skills in Medicine by Suzanne Kurtz. 4. The Rise of Islam by Harun Yahya. 14. Puzzles and Irritations by Asma Abdullah and Paul B.R. 3. Harris. 15. Medical Law & Ethics by Bonnie F. APPENDIX 1. Noel and Norman Walker. M. Psychology: An International Perspective by Michael W. Platt and Geoffrey H. Second Edition by Robert M. James L. Communication Skills for Medicine by Margaret Lloyd & Robert Bor. 11. PPD workshop or any specific PPD sessions will be slotted into each clinical posting timetable. Understanding Multicultural Malaysia Delights. Eysenck. Foreword by Barbara Korsch and Sir David Weatherall. Field Guide to the Difficult Patient Interview. Second Edition by Frederick W. 10. 12. Foreword by Professor Sir David Weatherall. 5. 8. X. Dotlich. 13. Veatch.

WHO  Once a student receives a completed PPD assessment form returned by his/her supervisor (students might have to remind the supervisors regarding this). WHAT A student-driven PPD assessment focuses on the student. students are required to prove that they have :  Submitted the form to the supervisor  Received the completed form.learning/) In the log sheet provided. returned by the supervisor  Submitted the completed form to PPD Unit. he/she would lose a significant portion of the whole continuous assessment marks for that particular posting. Supervisor is only required to assess students who come forward with the assessment form and comply with this instruction. APPENDIX I PERSONAL AND PROFESSIONAL DEVELOPMENT (PPD) MODULE Faculty of Medicine UKM INFORMATION STUDENT-DRIVEN assessment for Professional Conduct : Year 4 Since the 2011/12 academic session.learning/ . WHAT If a student fails to carry out the following tasks: (a) obtain a completed IF? PPD assessment from the supervisor (supervisor report). Department of Medical Education Prepared by: PPD Unit. so students can submit them personally to the PPD Unit.medicine. UKMMC (revised June 2016) STUDYGUIDE YEAR 4 2016 | 12 . to ensure that the assessment marks provided by the supervisor can be included into the continuous assessment. and (b) submit a completed PPD supervisor report to PPD Unit.medicine. LOG-SHEET (Kindly download from e-learning website http://www.my/apps/e. who is the ONE responsible to obtain assessment of his/her own PPD level.my/apps/e. as a deadline for the supervisors to return the completed form. WHERE Students are required to download the PPD assessment form: SUPERVISOR REPORT from the e-learning website http://www. he/she should take this opportunity to obtain feedback regarding his/her area of strength and weaknesses - directly from the supervisor. PPD Unit implemented a different strategy for continuous assessment of personal and professional development (PPD) of Year 3 and Year 4 medical students. Together with the supervisors.ukm. A STUDENT-DRIVEN assessment has been in place since. they should determine an appropriate date within the last two weeks to the end of the posting.ukm. Dept of Medical Education. WHEN Students can start giving their PPD assessment forms to their allocated supervisors in the beginning of the posting. Department of Medical Education by week 8 of the posting. directly from the supervisor.  The student MUST submit the completed assessment form to PPD Unit.

ukm. UKMMC 013-3302722/ jemaima@ppukm. Jemaima Bt.my STUDYGUIDE YEAR 4 2016 | 13 . UKMMC 010-2311400 / emeliaosman79@gmail.ukm. GUIDELINE TO STUDENTS SPECIAL STUDY MODULE (SSM) FF4812.edu.edu.edu. Che Hamzah Department of Ophthalmology.my Ms Munira Mohd Ariff (Year 4) 03-91455030/ munn@ppukm.my ASSISTANT MODULE HEAD Dr.ukm. Prof.my Ms Khairunnisa Isa (Year 5) 03-91455031/ nisa@ppukm.com SSM SECRETARIAT Mr Muhamad Firdaus Abdul Kadir 03-91455029/ mdfirdaus@ppukm. Emelia Osman Department of Parasitology and Entomology.edu.ukm. Dr. FF4822 and FF5816 Session 2016/2017 MODULE HEAD Assoc.

this module will take you through the whole process of conducting a research project. is an opportunity for you to conduct real medical research and maybe even have your research work published in a medical journal. you will be part of a research team. The groups of students are given the opportunity to choose the type of medical research they wish to do. there is a seminar prize for best presentation. diagnostic tests or types of treatment were discovered? Would you like to contribute to the global wealth of medical knowledge? Well. here’s your chance! The Special Study Module. Starting in the fourth year and ending in the fifth year of your medical course. STUDYGUIDE YEAR 4 2016 | 14 .INTRODUCTION Special Study Module (SSM) is conducted on every Thursday afternoon throughout year four and the first seven weeks of year five. or SSM for short. to decide what topic you wish to study and what type of research you would like to conduct. In this module. critical thinking. to work on a research project under the guidance and supervision of one of the faculty lecturers. Students are divided into groups of 5-6 students each and assigned to supervisors from various departments. You will have the opportunity. You must have an 80% attendance record as a pre-requisite to passing this module. 2. At the end of the module. made up of 5-6 medical students in your year. as a group. In this module. information and data handling. What is the Special Study Module? Have you ever wondered how new diseases. Yes. students have to conduct medical research which allows them to develop their skills of communication. you will able to present your research findings in a scientific seminar and write a manuscript appropriate for submission to a medical journal. Special Study Module is a pre-requisite for the Final Professional Exam. Passing this module is a must / pre-requisite before you can sit for the final professional exam. But we hope that the journey you take in conducting research will be more rewarding! Why is SSM important? 1.

you will have learnt and been able to apply important research skills through hands-on experience by conducting a research project from concept to critical appraisal at a scientific meeting. the supervisor will then guide you on selecting a research topic that is achievable in the given time- frame and that will be of quality suitable for publication in a medical journal. groups will be allocated to all departments in the faculty. to ensure that each group has access to adequate supervision.  laboratory-based research  clinical research  community-based research  health system research Your group will be given the opportunity to choose the type of research you wish to study after team discussion and agreement. But you have to be quick! However. How does the group decide on a research topic? There will be four general types of research.What will I learn from this module? At the end of this module. Once a supervisor has been named. These research skills are:  writing a research proposal for submission to the faculty ethics committee  identify ethical elements and issues in research  organising and implementing data collection  managing and analysing scientific data  presenting research findings in a scientific meeting  writing a manuscript of your research findings appropriate for submission to medical journals  demonstrating the ability to function within a research team Specific research skills will be learnt and applied as the project progresses. STUDYGUIDE YEAR 4 2016 | 15 .

discussing and making conclusions from the results. Guide your group on how to write the research proposal including literature review and problem statement. Students should  Meet their supervisor twice a month (alternate Thursday afternoon) in their research group. budgeting costs and preparing a Gantt chart. STUDYGUIDE YEAR 4 2016 | 16 . 7.  Know the module objectives and the specific learning objectives of each semester. data collection and analysis. Guide your group on how to perform the research in terms of the required practical / clinical / laboratory skills. setting research objectives. sampling methodology. 6. 4.  Know the pre-requisites for group and individual assessment performed at the end of each semester (other than attendance).  Actively participate in all research activities and ensure that all the semester learning objectives are met in time. data collection and analysis. appropriate study design. 2. Ensure that each student participates in all project activities. Guide your group to come up with a research topic that will be achievable and of publishable quality. Meet with your research group twice a month (alternate Thursday afternoon). What can I expect from my supervisor? Your supervisor should 1. posing research question or hypothesis making. 5. 3. Monitor and ensure the progress of the research project according to deadlines.How do I contribute towards the success of the research project? Students must  Attend all sessions involving research activities for at least 80% of the time throughout the module. presenting results. Facilitate your group in solving research-related problems.

 appropriate attitude.ukm.alias 3 Biochemistry 5 Alias 3036005 @ppukm. ekram.edu. (I) DIRECTORY OF COODINATORS NO UKM NAME OF DEPARTMEN PHONE EMAIL ADDRESS . 10. Guide your group on how to write a manuscript reporting your research findings which will be of publishable quality. Srijit 019- 1 Anatomy drsrijit@gmail. Give guidance on writing an abstract and presenting your group’s research work in a scientific seminar.my Assoc. 9. NO. Will I be assessed? Yes – at the end of each chapter. K00747 Community 019- 4 Dr.com 0 y 91455785 n K01672 Dr. STAFF K01528 Prof. Conduct group and individual assessment at the end of each semester. Dr. You will be expected to demonstrate  knowledge and application of different research skills as specified in the module and semester learning objectives. Azmi drtamil@gmail. communication skills and team work. LECTURERS T NO. If the group experiences difficulties with the supervisor.com 0 Health 3207073 Mohd Tamil STUDYGUIDE YEAR 4 2016 | 17 .com 1 Das 3395921 Dr Esa K01795 Anaesthesiolog 03- 2 Kamaruzama ek4776@hotmail. Ekram 019. they are advised to refer to the Department SSM Coordinator or the Module Head. The pre-requisites and assessment criteria will be different with each chapter but will always include group and individual assessment. Prof. 8.

mdjoharjaafar@gmail. Prof. Nor Obstetrics norhaslinda. Mohd 7 Medicine 6472170 com Johar Jaafar K01630 Dr.ukm. Abd Halim drhalimrashid@yahoo.edu.ukm.com 9 Osman 2311400 Entomology 019- Assoc.com 3 Traumatology 3688153 Abd Rashid Assoc. K01664 Otorhinolarygol 019- 14 Dr.edu. Prof.com 3 mology 2808357 Mustapha Assoc. Elena Internal 017- 7 elena. Prof. Prof. Nor Haty 019- 10 Nursing norhaty@ppukm. 2816055 K00915 16 Dr.edu.edu. Salwati Pathology salwati@ppukm. K01318 Orthopaedics & 019- 13 Dr. Assoc.abdaziz@ K01492 019- 11 Haslinda Binti 7 & Gynaecology 2719179 ppukm. Ophthal K01271 019- 12 Mushawiati drmusha@gmail. salam@ppukm. K01553 Emergency 019- 5 Dr.edu.my 2 013- Shuib 3324848 STUDYGUIDE YEAR 4 2016 | 18 .com Salam Microbiology K01086 Dr. Abdus 3 Education 9061724 salabdus@gmail.com 7 ogy 2126545 Husain Parasitology K01394 Dr.my Abd Aziz Dr. Emelia 010- 15 & Medical emeliaosman79@gmail. Sharifah 016. Prof.ukm.azizan@gmail.ukm.m 9 & Medical 6 Azura Salleh 2197442 y Immunology K00764 Pn.my K01490 Medical 019- 8 Dr.my 1 Hassan 2530482 Dr.com 9 Rohaila Jamil Medicine 3257145 K02067 Dr. Teh Family 017- 6 ateh. Salina drsalina_h@yahoo.hazardd@yahoo.ukm.com 2 Azizan Medicine 2002037 Assoc. drazura@ppukm.

com Ho Chee Kong STUDYGUIDE YEAR 4 2016 | 19 . chrisckho2002@ K01777 012682659 23 Christopher Surgery 8 9 yahoo.edu. Prof. 18 Yong Pharmacology 5 7082900 ukm. angelaster3@Gmail.m 17 Dr.my Assoc. K01406 013- 19 Dr. Dr.com Assoc. Prof.m 20 Psychiatry 9 Sharip 4003944 y K01294 Dr. Ng Min 1 Engineering 3139179 Com Hwei Assoc. Assoc.edu.com 8 3184488 Hui K01540 Dr Shalisah 010. chinkokyong@ppukm. Prof. Chin Kok K02083 016.ukm. K01738 Tissue 012- 22 Dr. shalisah@ppukm. Prof. Wong Sau Paediatrics 5 3310115 y Wei Dr.ukm. K01233 019. Chua Kien Physiology ckienhui@hotmail. Norzailin 012.edu. swwong@ppukm. norzailinabubakar@ 21 Radiology 9 Abu Bakar 3245709 yahoo.

6. manage and analyse the data. 2. prepare a research budget proposal.(II) MODULE LEARNING OUTCOMES GENERAL: At the end of the module. SPECIFIC: FF 4812 (SSM – Proposal development and submission) 1st Semester Year 4 At the end of this module. plan for data analysis. 3. identify ethical elements and issues in research. the student should be able to: 1. 4. carry out a literature review on a subject of interest. write a research proposal for submission to the faculty research ethics committee. 4. 2. 3. 5. demonstrate the ability to function within a group. the student should be able to: 1. 7. choose appropriate research methodology for the study. present the findings in a scientific meeting. FF 4822 (SSM – Ethics approval and organization of data collection) 2nd Semester Year 4 At the end of this module. 5. state the hypothesis of the study. organise and implement data collection. the student should be able to: STUDYGUIDE YEAR 4 2016 | 20 . write a scientific report in the form of manuscript appropriate for submission to medical journals.

analysis and manuscript writing) 1st Semester Year 5 (7 weeks) At the end of this module. Community . 4. collect and analyse data. Laboratory . PRE-REQUISITE FOR SSM Students should have basic knowledge of preparing a research proposal including the use of basic biostatistics and the use of computer in research from Medicine and Society III. Clinical research 3. The departments will assign supervisors. present the proposal to the department involved. Health system research SSM Scientific meeting STUDYGUIDE YEAR 4 2016 | 21 . 1. Grouping of students are done by the faculty and these groups are assigned to various departments. 3. present the proposal to the ethics committee if needed. write a report in the form of a manuscript.based research 4. the student should be able to: 1. 2. (III) COURSE CONTENT Students are allowed to choose the type of research they wish to do on a first come first serve basis. submit the proposal to the ethics committee. 2. 3. plan for data collection.based research 2. Type of Medical Research: 1. 4. present the findings in a scientific meeting. conclude the study. FF 5816 (SSM – Data collection.

Certificates and attractive prizes are awarded to the winners.by supervisor a.At the end of the SSM posting in the 5th year. The group have to prepare a joint research proposal and at the end a joint manuscript. Literature review 15% b. A minimal fee is charged for the food and abstract book. Gantt chart 5% STUDYGUIDE YEAR 4 2016 | 22 . Mode of presentation is oral or poster. Budget proposal 5% f. Materials and methods 15% d. The students will be assessed as a group and as individual. The groups have to submit their abstract to be published in the proceeding. Lecturers are invited to be judges for the presentation. Data analysis 10% e. Each group will be assigned to a supervisor. all the research groups have to present their findings in this SSM Scientific Meeting which will be organised in Universiti Kebangsaan Malaysia Medical Centre. Format of Proposal ( Appendix I) Format of Manuscript ( Appendix II) Examples of Types of Research (Appendix III) (IV) TEACHING LEARNING METHODOLOGY Group Project This involves having a group of 5-6 students working on a research project as a team. Objectives and hypotheses 10% c. This meeting is open to all medical students and they should register. (V) ASSESSMENT FF 4812 (SSM – Development and submission of proposal) Group assessment (60%) Research proposal .

FF 4822 (SSM – Ethics approval and organization of data collection) Group assessment (60%) Presentation of Research Proposal (50%) Assessed by at least 2 (two) lecturers from the department excluding the supervisor a) Literature review 10% b) Objectives and hypotheses 10% c) Materials and methods 10% d) Data analysis 10% e) Budget proposal 5% f) Gantt chart 5% Oral presentation assessment (10%) Assessed by at least 2 (two) lecturers from the department excluding the supervisor a) Slides 2% b) Presentation 2% c) Text 3% STUDYGUIDE YEAR 4 2016 | 23 . Personal reflective writing on experience in SSM (10%) Criteria for passing Submission of satisfactory proposal to supervisor. Supervisor report (25%) a) Communication 10% b) Professional attitude 5% c) Knowledge & critical thinking 5% d) Team work 5% ii. Peer assessment (5%) (each student must be assessed by at least two peers) a) Contribution to group 3% b) Team work 2% iii.Individual assessment (40%) i.

by supervisor a) Abstract 5% b) Introduction 5% c) Objectives and hypotheses 2% d) Materials and methods 3% e) Results 10% f) Discussion and conclusion (Strength and limitation of study) 10% g) Acknowledgment 2% h) References 3% Presentation of manuscript (20%) Assessed by at least 2 (two) lecturers from the department excluding the supervisor. FF 5816 (SSM – Data collection. STUDYGUIDE YEAR 4 2016 | 24 . Supervisor report (25%) a) Communication 10% b) Professional attitude 5% c) Knowledge & critical thinking 5% d) Team work 5% ii. d) Discussion 2% e) Time management 1% Individual assessment (40%) 1. Personal reflective writing on experience in SSM (10%) Criteria for passing Submission of satisfactory proposal to the ethical committee. Peer assessment (5%) (each student must be assessed by at least two peer) a) Contribution to group 3% b) Team work 2% iii. analysis and report writing) Group assessment (60%) Assessment of manuscript (40%) .

the supervisor can request for remedial sessions with the student after approval by the Module Head. STUDYGUIDE YEAR 4 2016 | 25 . a) Ethical elements and issues 5% b) Discussion of the findings 10% c) Time management 5% Individual assessment (40%) 1. Personal reflective writing on experience in SSM (10%) Criteria for passing Submission of satisfactory manuscript to supervisor. Supervisor report (25%) a) Communication 10% b) Professional attitude 5% c) Knowledge & critical thinking 5% d) Team work 5% ii. ** If the individual assessment is not satisfactory. Peer assessment (5%) (each student must be assessed by at least two peers) a) Contribution to group 3% b) Team work 2% iii.

APPENDIX I Format of Proposal Title of Study Literature Review Objectives and Hypothesis Materials and Methods Data Analysis (Statistical Analysis) Budget Gantt chart References APPENDIX II Format of Manuscript Title of Study Abstract Introduction Objectives Materials and Methods Results Discussion (including strength and limitation) Conclusion Acknowledgment References STUDYGUIDE YEAR 4 2016 | 26 .

Community. 5. Prevalence of Anxiety and Depression in Patients with Headache. 2. 3. 5. 2.based research 1. The effect of Piper Sarmentosum on the epicardial fat of dexamethasone treated Sprague Dawley rats. Clinical research 1. Acute and subacute toxicity studies of Polygonum Minus in rats: biochemical and hematological parameters. 4. A Comparison Study of Patient’s Compliant to Antihypertensive Medication. among the Users’ of Conventional and Combination Therapy Who Are Attending Outpatient Department in PPUKM. Study of caregivers at Pediatric Clinics of UKMMC towards the health care delivery. 3. Modulation of oxidative stress and inflammatory markers by Chlorella vulgaris in STZ-induced diabetic rats. Health assessment need for parents with perinatal loss in PPUKM.APPENDIX III Examples of Types of Research Laboratory. Environmental health issues of selected non-communicable diseases. A cross sectional analysis on the outcomes between laparoscopic appendectomy versus open appendectomy in surgical management of acute appendicitis.based research 1. STUDYGUIDE YEAR 4 2016 | 27 . Quality of life in patients with microtia and canal atresia after surgical intervention in UKMMC. 3. Effect of Piper betel on wound healing process of Streptozocin-induced diabetic rats. 2. The effect of human serum to the stemness properties of human adipose- derived stem cells. 4. Diagnosis and management of neuropathic pain among cancer patients in UKMMC.

4. UKMMC using Safe-T. Study of advanced life support devices in the ambulance for emergency cases in Klang Valley. The use of Human-Patient Simulator in enhancing medical students competency skills: crisis recognition and resuscitation.Vue blood bag temperature indicator. 3. 5. 4. The evaluation of temperature chain of blood bag released from Blood Bank. 2. A study on relationship between children’s allergy status and duration of exclusive breastfeeding. Health system research 1. Public awareness regarding usage of repeatedly heated cooking oil in Kuala Lumpur. Malaysia. Interprofessional Learning/ Student self-evaluation and facilitator evaluation of PBL performance. Comparing the effectiveness of diabetic education program in glycemic control of Diabetic Type II patients in PPUKM. STUDYGUIDE YEAR 4 2016 | 28 . 5.

Wahid 5445 shahromwahid@gmail. Dr. Faridah Mohd Nor 5445 faridahn@ppukm. The students are required to fulfill the requirements in this posting i. Dr. Mohamed Swarhib 5445 dr_aungthuya@yahoo. DIRECTORY OF TEACHING STAFFS NO. Assoc. Medical Scientific Officer Azuriah bt Abdul Aziz 91455371 Asst. Noraidah Masir Module Head : Dr. Prof.com Supporting Staffs: Hairol Azman bin Mohd Yusof 91455371 Forensic Scientific Officer Abdul Rahman Md Isa 91455371 Chief Asst. Dr. Medical Scientific Officer Norazman bin Lateh 91455371 Asst. NAME OF LECTURERS EXT. Medical Officer Nazariah bt Abdul Rahim 91455371 Asst. observe and perform postmortem examination under lecturer’s supervision. FORENSIC PATHOLOGY FF4911 (Semester 7) FF4921 (Semester 8) Head of Department : Professor Dr.edu.com 2. which prepares the students to deliver basic forensic pathology services at the level of junior Medical Officer to the police and relevant agencies according to the Malaysian Law. Prof.my 2. E-MAIL ADDRESS 1. Shahrom bin Abd.e. The students are required to attend all lectures. observation of at least 2 (two) cases during the first semester and another 2 (two) in second STUDYGUIDE YEAR 4 2016 | 29 . Mohamed Swarhib I.ukm. Medical Scientific Officer INTRODUCTION FF4911 & FF4921 FORENSIC PATHOLOGY I & II The forensic pathology module is a 2-year educational programme (Year 4 and Year 5).

physical signs. 3. evaluate the preliminary information received from the police and relevant agencies to decide whether the case warrants consultation with the superior officer or pathologist. PREREQUISITES The students should have the knowledge and skill of basic medical sciences and clinical medicine to be applied during this posting. 5. COURSE LEARNING OUTCOMES At the end of this module the students should be able to: 1. 6.semester. II. communicate opinion to the police and/or relevant agencies with regard to the postmortem findings. present the postmortem findings and conclusions to the court as a junior Medical Officer. demonstrate relevant basic skill in performing forensic postmortems. 4. 8. Moot Court Video Demonstration STUDYGUIDE YEAR 4 2016 | 30 . Report writing 5. draw conclusions from the postmortem findings (history. 2. TEACHING-LEARNING METHODOLOGY 1. discuss relevant basic knowledge required in order to perform forensic postmortems. Questions and answers during observation and performing postmortem 4. request and interpret the clinical and laboratory investigations relevant to the forensic case investigated. 7. Practical (observation and performing postmortem) 3. all students are encouraged to complete all 10 (ten) observations. write complete postmortem report to be submitted to the police and/or relevant agencies. Lectures 2. However. III. laboratory results).

Abortion. Death due to firearm injuries 10. Negligence and Anaesthetic Death 16. Postmortem changes 4. Death related to Sexual Assault 12. Forensic Investigation of a Mass Disaster 17. Forensic aspect of wound and injury 5. Infanticide and maternal death 13. postmortem 2. Death due to asphyxia and drowning 9. Death due to Road Traffic accident 7. STUDYGUIDE YEAR 4 2016 | 31 . Death due to Natural Causes 14. Expert Witness and court Procedures PREREQUISITE FOR FORENSIC END POSTING EXAM Individual log books are to be completed. Identification 3. Death due to electrocution. Death due to heat and burn 11. lightning and bomb blast 8. signed and submitted together with 2 (TWO) postmortem reports on the first week of December (Year 5). Physical Evidence & Examination Scene of Death 6. Forensic aspect of non-accidental injury and child abuse 15. Certification of Death and Forensic 1.Topics for lectures: Introduction of Forensic Pathology. Toxicology 18.

Malaysian Journal of Forensic Pathology and Science. Legal Aspects of Medical Practice (5th ed. Journals 1.). Forensic Medicine (10th ed. 6. Journal of Forensic Medicine and Pathology 3. Gradwohl's Legal Medicine (3rd ed.) London: Edward Arnold. 8. Patologi Forensik. 3. ASSESSMENT METHODS MARKS COMMENT Forensic end posting examination 30% 60 MCQ questions Observation of postmortems (10 cases) 20% Log book Performing postmortems (2 cases) 20% Log book Postmortem reports (2 cases) 20% One in English and One in Malay Moot Court (expert witness presentation) 10% Video demonstration followed by Q&A TOTAL 100% APPENDIX I .) Kent: Edward Arnold. STUDYGUIDE YEAR 4 2016 | 32 . Medicine. IV. Gordon & Shapiro (1982). Science and Law 4. Knight B (2004). Taylor's Principles and Practice of Medical Jurisprudence (23rd ed. Kuala Lumpur: Dewan Bahasa dan Pustaka. Knight B (1992). Edinburgh: Churchill Livingstone. Forensic Science International 2.). 5. Camps FE (1976).). 2. Bristol: John Wright & Sons. Edinburgh: Churchill Livingstone. Springfield: Charles C Thomas. Forensic Medicine (2nd ed. 7. Simpson K and Knight B (1991).). Medicolegal Investigation of Death (3rd ed. Forensic Pathology (3rd ed.). Spitz and Fisher (1993). RESOURCE MATERIALS Essential Textbooks 1. Shahrom AW (2001). 4. Mant AK (1984). Edinburgh: Churchill Livingstone.

we will be carrying out some of our teaching and learning activities online. Best Regards. This is an 8-week course where you will be exposed to clinical settings in psychiatry and various other teaching and learning activities. We will inform you which platform we will be using as our learning management system (LMS). A diagnosis is then made. For best learning experience. imaging. Chan & Dr. it is very important for you to gain good interview skills while you are going through your psychiatry posting. Welcome to the fourth year undergraduate psychiatry posting. the majority of diagnoses in psychiatry are based on phenomenology. based on the type and number of symptoms and the impact it has on the patient. Tuti STUDYGUIDE YEAR 4 2016 | 33 . Our main reference for diagnosis is the Diagnostic and Statistical Manual of Mental Disorders (DSM). In this posting. please make sure you have enough data plan during this 8 weeks. Hence. A psychiatrist will interview the patient or family members to elicit the symptoms that he or she experiences. This is contrary to other disciplines where diagnoses can be confirmed through blood investigations. Unlike other disciplines in medicine. We hope you will have a great learning experience. etc. In July 2013. Assoc Prof Dr. A lecture on diagnosis and classification will be given to you during the first week of psychiatry posting. PSYCHIATRY (FFFF4118): 2016-2017 Dear Students. Your learning and assessments will be based on DSM-5. DSM-5 has been released.

my Support staff: Cik Rosziah Ismail – ext: 6143 Other support staff: Syafiq – ext. Hatta Sidi 6139 hattasidi@hotmail. Tuti Iryani Mohd Daud . Suzaily Wahab 6148 suzaily@ppukm. En Mohsin & En Nizam – ext: 6143 STUDYGUIDE YEAR 4 2016 | 34 . Marhani Midin Module Heads : Prof. Abdul Hamid Abdul 6145 hamid@ppukm. Prof.ukm.ukm. Madya Dr.ukm. (K) Dr. Puan Raynuha A/p Mahadevan 6155 raynuha@ppukm. Prof.my 16.my 2. Dr. Prof.ukm.edu. tutimd@ppukm. Marhani Midin (Ketua Jabatan) 7428 marhani@ppukm. Susan Tan Mooi Koon 6154 susan@ppukm.com 13. Maniam Thambu 6147 tmaniam@yahoo. Wan Salwina Wan 6158 wan@ppukm.Head of Department : Prof.com 8. Madya Dr. Prof. Cik Shalisah Sharip 7432 shalisah@ppukm.my Rahman 11.edu. Madya Dr. Dr.saini@yahoo.ukm. Suriati Mohamed Saini 5643 suriati.com 4.edu.my 15. Prof. Madya (K) Dr. DIRECTORY OF TEACHING STAFF NO. Rosdinom Razali 6153 rosdinom@ppukm.my 7. Chan Lai Fong : Dr.edu. Madya Dr.com 9. Madya Dr. Hazli Zakaria 6161 chermzak@yahoo. Prof.edu.ukm. Prof.my 6.edu.my 17.edu. Tuti Iryani Mohd Daud PPD coordinators : Cik Shalisah Sharip Puan Raynuha a/p Mahadevan I.ukm.edu. NAME OF LECTURERS EXT E-MAIL ADDRESS 1.com 3. Dr. Madya Dr.ukm. Madya Dr. Nik Ruzyanei Nik Jaafar 6149 njruzyanei@gmail. Prof.ukm.com 14. Prof. Prof. Prof. Prof. Dr. Chan Lai Fong 6162 laifchan@gmail.edu.my 12. Prof.edu. Fairuz Nazri Abdul 6159 fairuzn@ppukm. Madya Dr.my Rahman 5.my Ismail (on long leave) 10. Madya Dr. (K) Dr. Azlin Baharuddin 6152 jelin72@hotmail.ukm.com. Dr.

6. identify and plan the management of major psychiatric disorders. formulate a proper provisional diagnoses and differential diagnoses based on patients’ assessment. 13. 9. discuss the issues of stigma in psychiatry. By applying basic and clinical sciences. 14. 3. ethical and legal issues in psychiatric practice. describe the factors influencing normal psychological development.INTRODUCTION TO PSYCHIATRY This module covers the clinical approach to various syndromes and disorders in psychiatry. exhibit professionalism as medical students and future doctors. 11. attitude and behaviour towards illness. describe the basic concepts and classification of psychiatric illness. 7. 15. 12. STUDYGUIDE YEAR 4 2016 | 35 . identify the link between physical illness and psychosocial problems. 2. outline the biological treatments in psychiatry. describe the relationship between psychiatric illness and family dynamic. the students learn through an integrated approach of core clinical and PPD components to gain adequate knowledge and skills as well as proper attitude and conduct for a holistic management of patients. 10. perform a complete history-taking and assessment of mental state. outline the principles of psychological treatments and rehabilitation. demonstrate counseling techniques in dealing with psychiatric patients. PRE-REQUISITES Students should have acquired basic: o knowledge in biomedical sciences o physical examination skills o personal & professional skills II. 4. initiate immediate measures and plan the subsequent management of psychiatric emergencies. MODULE LEARNING OUTCOMES On completion of this module the student should be able to: 1. identify relevant cultural. 5. 8. identify the psychological mechanisms influencing symptom formation. particularly eliciting patients’ psychopathology.

III. Clinical Topics  Clerkship in Psychiatry  Interview Techniques  Concept & classification of Psychiatric Illness  Basic Psychopathology  Psychological & Physical Illness: relationship between Mind & Body  Coping strategies  Defense mechanisms  Acute stress reaction  Adjustment disorder  Illness behavior  Anxiety Disorders o Panic disorder o Agoraphobia o Generalised anxiety disorder o Social anxiety disorder o Post-traumatic stress disorder  Obsessive compulsive disorder  Psychotic Disorders o Schizophrenia o Delusional Disorders o Schizoaffective disorder  Depressive Disorders o Major depressive disorder o Dysthymia  Bipolar disorders  Suicide attempt and Deliberate self-harm  Neurocognitive Disorders  Psychiatric Disorders due to organic causes  Substance use disorders o Alcohol-related disorders & common substance use disorders  Treatments / management o Psychotropic drugs o Electroconvulsive Therapy o Psycho-education o Rehabilitation o Supportive psychotherapy & other types of psychotherapy o Management of mental health problems and disorders in the community o Managing aggression  Common psychiatric disorders in children and adolescents  Personality disorders  Somatic Symptom and Related Disorders  Dissociative Disorders  Sexual dysfunction Disorders  Paraphilias & Gender Identity disorders  Anorexia nervosa. COURSE CONTENTS A. binge eating & obesity  Sleep disorders  Stigma in psychiatry  Ethics & legal aspects of psychiatry  Relationship between psychiatric illness & family STUDYGUIDE YEAR 4 2016 | 36 . bulimia nervosa.

o Elicit psychiatric symptoms. Only basic points will be covered in the lectures. o Assess a patient's potential danger to others. o Assess the seriousness of a suicide attempt. o Explain diagnosis and management to a patient or carer. Students are expected to do their own studies on each topic in detail.  Psychospiritual B. (see objectives for each lecture topic in APPENDIX I). Concept and classification of mental illness L4. o Know what to do in cases of patients with suicide risk or who pose potential danger to others. Psychological interventions STUDYGUIDE YEAR 4 2016 | 37 . Basic psychopathology L3. B. An approach to managing a psychiatric patient L5a. Clinical Teaching Rounds The purpose of clinical teaching rounds is to consolidate students’ skills in the areas listed above using the knowledge and understanding of relevant theories learned through other activities. Psychological assessment L5b. Lectures Concept lectures will be delivered either once every academic year (common lectures) or during the posting. IV. Skills that must be learnt o Obtain a full psychiatric history. o Suggest a provisional diagnosis & differential diagnoses with supporting reasons. o Perform a cognitive assessment. o Counsel a distressed patient or carer. o Suggest the biopsychosocial aetiological factors relevant for a given psychiatric case. o Perform a mental state examination. TEACHING-LEARNING METHODS A. o Present a psychiatric case in a concise manner. o Outline investigations used in psychiatry and interpret their results. o Perform a relevant physical examination. These cover the basic or complex topics in psychiatry. Lecture topics given during posting: L1. o Assess suicide risk. Clerkship in psychiatry L2.

During each SGD session. ii) Handling aggression The dress code for this workshop is long pants and T-shirt for this hands-on session. For each SGD topic. Seminars: S1. Students are expected to work in groups in acquiring knowledge in preparation for the SGD session. Workshop i) Interview Technique This will cover the topic of Interview techniques & mental state examination (see objectives for each lecture topic in APPENDIX I). Common psychiatric disorders in childhood & adolescence CL3. Psychological & Physical Illness: relationship between Mind & Body CL5. Psychotropic drugs Common lecture topics: CL1. Disorders related to Substance use S2. Overview on management of a patient with a personality disorder CL4. You will be shown a demonstration managing aggression and will participate in performing the relevant techniques. The aim of each SGD session is for students to apply knowledge in the assessment and management of clinical problems. To gain maximum benefit from this workshop. There are several psychiatric interviews that we have uploaded in an online learning management system. it is strongly suggested that you watch the videos beforehand. Normal psychological development CL2. Group Discussion Five clinical problems will be discussed in small groups facilitated by lecturers. Students will have a guided video show demonstrating skills followed by skill demonstration on and discussion/conclusion. Methods: This is a group session. Students are required to actively participate in the discussions while being facilitated by a group moderator. students will be given objectives to be achieved & reading list well before the session. STUDYGUIDE YEAR 4 2016 | 38 . D. Management of mental health problems and disorders in the community Notes: date & timing for common lectures are as scheduled in common lecture schedule C. clinical triggers. Ethics and legal issue in psychiatry CL6.

lecture notes and textbooks. planning the management of the particular patient and presenting their findings. Resources include websites. Eating disorders 4. The anxious patient 2. The suicidal patient 5. An outline of objectives to be achieved is listed in the APPENDIX 1. During your posting. This is to reinforce their skill of doing a complete clinical assessment of an individual patient. Sexual dysfunction disorders F. The forgetful / confused patient E. Self-Learning Students will learn 9 topics on their own. Somatic symptom and related disorders 2. Students in each small group will rotate to follow the specialist’s and medical officer’s clinics. 1 case presentation should be on a patient with neurosis and the 2nd case presentation should be on a patient with psychosis. Students are expected to do some simple and basic research in order to achieve learning objectives. A group 5-6 of students will be assigned to each lecturer. Dissociative disorders 3. (see objectives for each lecture topic in APPENDIX I). Exposure to Clinic Students are required to attend clinic sessions to reinforce their psychiatric interview/MSE. Any areas of the topics will be assessed in examinations. Students are not required to formally present their findings but are expected to be able to apply their understanding on the topics in clinical discussions with their supervisors. The patient with psychosis 4. The depressed / manic patient 3. information sheets and questions will be given in stages to lead group discussion. SGD topics: 1. Case Presentation You will be required to select 2 students for the case presentations. G. counseling & communication skills and to be exposed to the less severe but more common psychiatric disorders. STUDYGUIDE YEAR 4 2016 | 39 . Quiz will be conducted during the session and marks will be taken to ensure that learning takes place for each student. Topics: 1.

This process including the discussion will take twenty STUDYGUIDE YEAR 4 2016 | 40 . Hospital Kuala Lumpur & to Hospital Bahagia. Marks are given to each member of each group based on project contents and teamwork. Group community project Students are expected to carry out a simple community project in groups of 15 students. Observed clerking All students are required to clerk & present a case while being observed by their supervisors. The objectives and structure of the visits are listed in APPENDIX 1. The session starts with carer giving his/her perspective of patient’s care followed by a two-way question & answer. 1. Students will consult & report to their PPD supervisor on their projects. You will also be required to state the reasons why you have chosen those medications.g. Knowing the carer Students are expected to have a session with a patient’s carer in groups of 15 students. Assessing patients cognitive function 3. Field trip Two field trips will be arranged during the posting namely visits to a ‘Unit Pengesanan & Pengesahan Dadah. Students are expected to provide a group report to their supervisor. rehabilitative activities etc. L. Psychiatric interview b. K.H. Mental state examination c. Tasks to observe and/or perform (supervised & guided) a. Home visit e. Case summary 2. networking with other agencies. Psychopharmacology There will also be 2 questions (case scenario) on psychopharmacology in the your portfolio. Psychological assessment and/or therapy c. Tanjung Rambutan. Portfolio (Practical assignments) The students are expected to do activities as listed below and get their portfolio signed for each task. public educational activities. I. and then feedback by carer. J. anti-stigma. Psychoeducation d. Tasks to observe a. ECT b. You will be asked to choose which medication or combination of medications that you will prescribe. Students may choose any areas related to mental health & psychiatry e. promotion of mental health. The case scenarios will be posted online during each posting.

V. We strongly advice you make arrangements to have enough data plan to access the online materials. The amount and levels of assessment are according to the importance and relevance of the topics to clinical practice. Disciplinary actions will be taken if students are found to be guilty of the above actions. presenting. minutes. STUDYGUIDE YEAR 4 2016 | 41 . N. Online learning management systems For this posting. we will be making announcements and uploading materials online through an online learning management system (LMS). breach of patient confidentiality etc. This is part of continuous assessment. academic fraud. ASSESSMENT A. B.This is to reinforce students’ skills of clerking. plagiarism.e. planning the management of any individual psychiatric patient. frequent absenteeism. Pre-requisite: Please ensure that you are not involved in any disciplinary problems i. Please ensure that you check your LMS regularly. Areas for assessment: Students will be assessed on clinical and PPD components separately.

Theory examination c.C. Assessment methods and marking system: ASSESSMENTS Clinical Allocation PPD Component Allocation Component of marks of marks Continuous Portfolio 15% Supervisor’s 20% Assessment report (30%) Observed clerking 15% Mentor’s report 20% Community 5% project Session with a 5% carer Semester exam Theory 35% Key feature 30% (70%) OBA. Criteria for passing Students are required to pass each of the following components: a. Continuous assessment b. OSCE STUDYGUIDE YEAR 4 2016 | 42 . EMI (1 question) (40 marks) KFQ (60 marks) Clinical 35% OSCE 20% OSCE (1 question) TOTAL 100% 100% D.

students should be able to:) L1. behavior. thinking. speech. Psychological measurement interventions o Describe types of psychological tests and their functions o Explain various application of psychological assessment Lecture 5b: Introduce common forms of psychological interventions Discribe the principles and process of eavh intervention Explain various applications of pcychological interventions STUDYGUIDE YEAR 4 2016 | 43 . judgment & insight o To differentiate between cultural influences and psychopathology. APPENDIX 1 OBJECTIVES FOR EACH LEARNING TOPIC LECTURES DURING PSYCHIATRY POSTING TOPIC OBJECTIVES (At the end of a teaching-learning session. o To define common psychopathological terms relating Basic to: appearance. o describe the holistic biopsychosocial approach to An approach to management of a patient with psychiatric illness managing a psychiatric patient L5 a Psychological Lecture 5a: assessment o Explain basic concepts and principles of psychological L5b. concentration. o differentiate between ‘mentally healthy’ and ‘mental Concept and illness’ classification of o describe the classification of psychiatric disorders mental illness according to DSM V o describe the biopsychosocial model of mental illness and its usefulness in the management of mental illness (include the concept of ‘psychotic illness’ and ‘neurotic illness’) L4. orientation. o describe the structure of a psychiatric history and Clerkship in mental state examination Psychiatry L2. memory. L3. mood & affect. abstract thinking. general knowledge. attention. Psychopathology perceptual disorders. calculation.

onset progression and out come. STUDYGUIDE YEAR 4 2016 | 44 .  identify & describe traits of common personality Principles of disorders managing a patient  outline their influence on illness with a personality  outline the general approach of management disorder CL4. Mind & Body  describe the stages of response to physical illness. S2.  outline the common psychiatric disorders in childhood Common & adolescence psychiatric disorders  outline the general approach of management in childhood & adolescence CL3. Disorders  describe the common drugs found in Malaysia and their related to substance effects use  describe various disorders arising from use of these (Including alcohol) drugs  describe basic management of these disorders. SEMINARS TOPIC OBJECTIVES (At the end of a session. students should be able to:) CL1. students should be able to:) S1. Psychotropic  describe the various classes of psychotropic drugs medications available and their clinical effects  describe the indications for these medications  describe the side effects associated with these drugs  discuss issues related to adherence to these drugs COMMON LECTURES TOPIC OBJECTIVES (At the end of a teaching-learning session.  discuss the various psychological-social and behavioural sequalae of physical illness:  describe a holistic approach of patients’ management. Psychological  discuss the association between psychological and & Physical Illness: physical illness and how both contribute to each other relationship between in aspects of risk.  be familiar with human psychological developmental Normal milestones psychological  be familiar with the factors influencing human development psychological development  be familiar with the common issues related to psychological development CL2.

 define the condition (emphasizing learning theory and The anxious illness behaviour in symptoms formation) STUDYGUIDE YEAR 4 2016 | 45 . Aggression  describe factors that contribute to aggression workshop  demonstrate de-escalation techniques  describe breakaway technique  describe physical and chemical restraint GROUP DISCUSSIONS SGD OBJECTIVES (At the end of a teaching-learning session. general hospital and mental community institutions settings  describe the role of the different levels & profession of multidisciplinary team members in providing services WORKSHOP TOPIC OBJECTIVES (At the end of a teaching-learning session.CL5.  describe the ethical issues in doctor-patient Ethics & legal relationship issues in psychiatry  describe types of admission and the usage of different certification forms (Mental Health Act)  describe the basic legal rights of the psychiatric patients  discuss the cultural aspects in psychiatric practice CL6. students should be able to:): SGD 1.  demonstrate therapeutic communication skills in Interview techniques conducting a psychiatric interview & mental state  demonstrate gathering information skills in examination conducting a psychiatric interview (including eliciting sensitive personal information)  demonstrate the cultural & ethical sensitivity in conducting a psychiatric interview  conduct a proper mental state examination  elicit basic psychopathology  present a coherent & well-organized psychiatric assessment findings W2. Management of  describe the rationale of providing mental health mental health services in the community problems and  identify mental health & psychiatric services at the disorders in the levels of primary care. students should be able to:) W1.

patient (covers all  discuss relevant differential diagnoses . cultural and ethical issues). cultural and ethical issues).  discuss the psychosocial aspects of compliance SGD3. patient  describe & the risk of suicide  discuss relevant differential diagnoses.  define the condition The confused  describe & define relevant symptoms and signs.  discuss principles of management (include religious.  discuss relevant investigations.patient (covers all  describe & define relevant symptoms and signs.  SGD5. mood disorders )  discuss relevant investigations. patient  discuss relevant differential diagnoses .  discuss relevant differential diagnoses .  discuss relevant investigations.  define the condition The suicidal  describe & define relevant symptoms and signs.  discuss relevant differential diagnoses.  discuss principles of management (include religious.  discuss principles of management (include religious. cultural and ethical issues). anxiety & anxiety.  define the condition (emphasizing learning theory and The illness behaviour in symptoms formation) depressed/manic  describe & define relevant symptoms and signs. cultural and ethical issues). related disorders )  discuss relevant investigations.  discuss relevant investigations.  discuss the role of traditional healers in the management of psychiatric illness  discuss the importance of multidisciplinary approach in rehabilitation SGD4. STUDYGUIDE YEAR 4 2016 | 46 . cultural and ethical issues).  discuss principles of management (include religious.  discuss the psychosocial aspects of compliance SGD2.  discuss principles of management (include religious.  define the condition (to emphasize the role of biological The patient with factors in the etiology and management) psychosis  describe & define relevant symptoms and signs.

abuse drugs Unit Pengesanan  recognise management approach to a patient who abuses & Pengesahan drug. HKL  discuss medical. psychiatric & social complications.  describe relevant symptoms and signs of commonly Jabatan Psikiatri. abused drug in Malaysia. FIELD TRIP FIELD TRIP OBJECTIVES (At the end of field trip & teaching-learning session. Dadah.  identify relevant investigations. students should be able to) Group  educate either a group of patients or families or community community or peers project  demonstrate teamwork leadership skills in carrying out the project  manage stigma in psychiatry Knowing the  be familiar with humane and holistic approach in patient’s carer management  communicate well with carers STUDYGUIDE YEAR 4 2016 | 47 .  explain principles of management (include religious. Trip to HBUK  be familiar with psychiatric services available a mental institution setting for patients with psychiatric disorders PPD ACTIVITIES OTHERS OBJECTIVES (At the end of a teaching-learning session. cultural and ethical issues).  differentiate the concept of abuse & dependence. students should be able to:) Trip to Addiction  get exposure of services available for patients who Centre.

SELF-LEARNING TOPIC OBJECTIVES (At the end of a teaching-learning session. bulimia nervosa. students should be able to:) Eating disorders  outline symptoms & signs of anorexia nervosa. binge eating & obesity  outline their complications  outline the general approach of management of eating disorders & obesity Sexual  outline the normal sexual response cycle dysfunction  outline the common sexual dysfunctions disorders  outline the general approach of management of sexual dysfunctions Somatic  be familiar with the different types of clinical conditions Symptom and under this category Related Disorders Dissociative Disorders STUDYGUIDE YEAR 4 2016 | 48 .

10.00 9.00.30 3.00.00-5.00 2.00 4.30 Clinic/ Clinic/ Ward work SGD 1 / Clinic/ Ward work / case Monday ward presentation work / observ e ECT Clinic/ Ward work / Grand ward round SGD 1 / Clinic/ Ward work / case Tuesday presentation CPC Clinic/ Ward work SGD 1/ Clinic/ Ward work / case Wednesday presentation Clinic/ Ward work SSM Thursday STUDYGUIDE YEAR 4 2016 | 49 .00-4.00 2.00-10.Anxiety disorders (Group 1 & 2) Lecture 5 – Visit to SSM Thursday Psychological Psychiatric Reaction to Facilities Stressful Situation Friday Observe ECT/Planning for PPD or other Faculty concept lecture group projects / Preparing for next SGD WEEK 2 8.30-1.Basic Meeting Monday Clerkship In Psychopathology supervisors Psychiatry Tuesday Lecture 3.00 Briefing Lecture 1. Lecture 2.00 9. 9.30-5. Lecture 4 .Anxiety disorders psychiatric patient Mental illness (Group 3 & 4) Workshop – Interview Technique & Wednesday CPC Clinic/ Ward work MSE (Group 3 & 4) SDL .00-9.00 10.00-3. APPENDIX 2: WEEKLY TIMETABLE WEEK 1 8.30-1.30 10.An Workshop – Interview Technique & Concept & approach to MSE (Group 1 & 2) Classification of managing a SDL .

00-3.30 10.00 9.00-3. 9.30-1. SDL .30 3.00. Ulu Kinta – Tuesday SGD 3 / clinic session / clinical work / SDL 4.00. 9.Psychotropic drugs & ECT / Preparing for next SGD STUDYGUIDE YEAR 4 2016 | 50 .30-5.00 10.30 Clinic/ Clinic/ Ward work SGD 2 / Clinic/ Ward work / case Monday ward presentation work /observe ECT Clinic/ Ward work / Grand ward round SGD 2 / Clinic/ Ward work Tuesday / case presentation CPC Clinic/ Ward work SGD 2/ Clinic/ Ward work / case Wednesday presentation Clinic/ Ward work SSM Thursday SDL . 10.Schizophrenia & related Faculty concept lecture Friday disorders/ observe ECT / Preparing for next SGD / community project WEEK 4 8.30-5.00 2.30 3.Mood disorders/observe ECT / Faculty concept lecture Friday observe ECT / Preparing for next SGD / session with carer / community project WEEK 3 8.00.00 Clinic/ Clinic/ Ward work SGD 3 / Clinic/ Ward work / case Monday ward presentation work /observe ECT Trip HBUK.00 2.00 9.30-1.00-10.

30 3.00 10. 10.30-5.30 Clinic/ Clinic/ Ward work SGD 4 / Clinic/ Ward work / case Monday ward presentation work / observe ECT PPD session / Clinic/ Ward work SGD 4 / Clinic/ Ward work / case Tuesday presentation CPC Clinic/ Ward work SGD 4 / Clinic/ Ward work / case Wednesday presentation Clinic/ Ward work SSM Thursday SDL – Psychotherapies and Faculty concept lecture Friday rehabilitation / observe ECT / community project STUDYGUIDE YEAR 4 2016 | 51 .00-3.00.00 9.00. 9.30-1. CPC Clinic/ Ward work SGD 3 / Clinic/ Ward work / case Wednesday presentation Clinical Clinic/ Ward work SGD 3 / Clinic/ Ward work / case Thursday work / presentation observe ECT Trip to addiction center / Faculty concept lecture Friday observe ECT / SDL – Psychotropics & ECT / Preparing for next SGD WEEK 5 8.00 2.

00 9.30 3.30-4.30 3. Ulu Kinta Tuesday SGD 5 / clinic session/clinical work / SDL .00 Clinic/ Clinic/ Ward work SGD 5 / Clinic/ Ward work/ observed Monday Ward long case / case presentation work /observe ECT Trip HBUK. Dissociative Disorders CPC Clinic/ Ward work SGD 5 / Clinic/ Ward work / observed Wednesday long case / case presentation Clinic/ Ward work SSM Thursday Trip to addiction center Faculty concept lecture Friday Observe ECT / SDL 6 – Alcohol abuse & related disorders WEEK 7 8.00-10. 9.00-9.30 10.30-1.00-3.00-10.00.Somatic Symptom and Related Disorders.00 2.00 9.30 10. WEEK 6 8.00 2.30-1.30 Clinic/ Clinic/ Ward work SGD 6 / Clinic/ Ward work / observed Monday Ward long case work / observe ECT Clinic/ Ward work SGD 6 / Clinic/ Ward work / observed Tuesday long case CPC Clinic/ Ward work SGD 6 / Clinic/ Ward work / observed Wednesday long case Clinic/ Ward work SSM Thursday SDL Eating disorders & obesity / Faculty concept lecture Friday observe ECT / session with carer / community project STUDYGUIDE YEAR 4 2016 | 52 .30-5.00-3.

10. WEEK 8 8.00 10. 9.00.30 3.00-3.00.30-1.30 9.00 2.Sexual dysfunction Faculty concept lecture Friday Disorders / observe ECT STUDYGUIDE YEAR 4 2016 | 53 .30 Clinic/ Clinic/ Ward work Clinic/ Ward work / observed long case Monday Ward work / observe ECT PPD session/ Clinic/ Ward work Clinic/ Ward work / observed long case Tuesday CPC Clinic/ Ward work Clinic/ Ward work / observed long case Wednesday Clinic/ Ward work SSM Thursday SDL .30-4.

J.cram. and Ruiz. P. Sixth edition (2012).org. P.APPENDIX 3 : RESOURCE MATERIALS A. American Psychiatric Association. June 2013. Desk Reference to the Diagnostic Criteria from DSM-5. Sadock.uk/psy/ Flash cards for undergraduate psychiatry: http://www.php?docCatID=2 Malaysian CPG: http://www. 3. V. T. . Cowen.org. Oxford.com/tag/mbbs-psychiatry British Association of Psychopharmacology: http://www. Eleventh edition. Websites Resources prepared by University of Newcastle for medical students: https://fms-teaching.bap. Shorter Oxford Textbook of Psychiatry. Oxford University Press.A.S.uk/docsbycategory. P.ncl. (2014). 2.acadmed.ac.. B.cfm?&menuid=67 STUDYGUIDE YEAR 4 2016 | 54 . Wolters Kluwer. Harrison. Textbooks 1. Benjamin. Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry.my/index. and Burns.

Prof.my 23.my STUDYGUIDE YEAR 4 2016 | 55 .my 15.edu.edu.my 19.my 9.edu.edu. Dr Norazlin Kamal Nor 5410 norazlinabouzid@yahoo. Tang Swee Fong 5386 sweet@ ppukm.edu. Doris Lau Sie Chong 5387 doris@ppukm.edu.edu.ukm. Dr. Dr.my 22.ukm. Prof. Madya (K) Dr.my 12. Dr Adibah Abdul Ghafar 5410 dradib@ppukm.ukm.ukm. Dr.edu. Syed Zulkifli Syed Zakaria 7884 syedzul@ppukm. Prof. Prof Madya Dr.my 14.my 7.edu.ukm. Prof Madya (K) Dr Wong Sau Wei 5724 swwong@ ppukm.my 21.ukm.ukm. Madya Datin Dr.edu. Madya Dr.ukm.ukm.edu.ukm. Rahmah Rasat 7886 rahmah@ppukm.ukm. Lee Pei Chuen 5411 peichuen@ppukm. Joyce Hong Soo Synn 5387 joycehong@ppukm.edu. Madya Dr.ukm. Prof.my 25.ali@ppukm.ukm.my 3. Dr. PAEDIATRICS FF4127 Head of Department : Prof. Dr Juriza Ismail 5393 juriza@ ppukm. Wan Syanaz Wan Ghazali I.my 4. 5392 kanahes@ppukm. Tai Chian Wern 5394 taicw@ppukm. Lokman Mohd Noh 5389 lokman. Kanaheswari A/P 10. Dr Loh C-Khai 5411 ckhailoh@ppukm.ukm.ukm.edu.ukm. Hasniah Abdul Latif 5395 hasniah@ ppukm. Dr.noh@ppukm. Madya Dr.my 20.my 16. Prof.ukm.edu. DIRECTORY OF ACADEMIC STAFF NO NAME EXT.ukm. Hasniah Abdul Latif Module Head : Dr. Shareena Ishak 5412 shareena@ ppukm. Pn. Profesor Dr Cheah Fook Choe 5391 cheahfc@ ppukm. Dr.m.edu.edu. Bilkis Banu Abd Aziz 5385 bilkis@ppukm. Adli Ali 5394 adli.edu.edu.my 13.edu.edu.edu.ukm. Prof.edu. Profesor Dr Wu Loo Ling 5382 llwu@ ppukm.my Prof. Prof.ukm. Zarina Dato’ Abd.ukm.com 26.ukm.my 24.my 18.ukm. Latiff 5394 zarinaal@ppukm. Wan Syanaz Wan Ghazali 5410 syanazghazali@ppukm.my 6.my 2.edu.my 5.edu.ukm. Dr. Profesor Dr Rohana Jaafar 7822 drohana@ ppukm. Hamidah Alias 5396 midalias@ppukm. Prof Madya Dr.my 8. Dr. Dr.my Yoganathan 11. Dr. Yang Wai Wai 7885 waiwai@ppukm. Wan Nurul Huda Wan Md Zin 7123 ashaaribain@gmail. Dr.com 17. E-MAIL 1.

ed 27 Dr. 4.karyostyko@ppukm.appreciate the relevance of signs at different ages . the patterns of development (gross motor. Describe the importance of developmental assessment in a child. Demonstrate the ability to take an adequate history by .To perform an appropriate and adequate developmental assessment and interpret the assessment appropriately. Perinatal. Boekhren Karyostyko Borhanuddin 5383 u.realizing and understanding that history taking in paediatrics is usually from a caregiver rather than the patient . 7. side-effects and contraindications to immunization. STUDYGUIDE YEAR 4 2016 | 56 . Developmental. AIMS During this 8-week paediatric posting the students will be exposed to various aspects of clinical training in paediatric and neonatology including history taking.my I.ukm.appreciating the importance and relevance of other aspects of the history such as the Birth. boekhren. Immunisation. height/length and head circumference) are measured and how to interpret growth charts. Discuss normal growth patterns and common growth problems. COURSE LEARNING OUTCOMES At the end of the posting. Discuss the rationale of the current expanded programme for immunization. II. Basic history taking skills 3. physical examination and assessment of developmental milestones. PRE-REQUISITES 1. Feeding. Basic physical examination skills III. social and emotional) . 6. Demonstrate how basic growth parameters (weight. vision. Social and Family History. hearing and speech/language.applying and improving the basic clinical skills 3.appreciating the need to modify the systemic examination in light of the child’s age. the student should be able to: 1. fine motor. 2. describe the current immunization schedule. routes of immunization. Perform a clinical examination of a child competently by . 5. ability to understand cooperate . Good understanding of basic biomedical sciences 2. Discuss the principles of infant nutrition and breastfeeding practices.

Seizures in neonates and childhood 5. 12. Seminar topics 1. The chest in children 2. Illustrate the importance of social aspects of diseases – the child as a member of a family and community. Formulate provisional and differential diagnoses based on information obtained from the history and physical examination. Yang Wai Wai & Dr. Tutorial Radiology 1. The child’s brain F. Lecture Topics 1. Neonatal jaundice 3. Breastfeeding 2. Vomiting and diarrhoea. Problem based learning topics 1. 11. The oedematous child 4. The child’s bone 4. Workshop Skills in communication : Pn. assessment of dehydration and management of shock and fluid therapy B. The child’s abdomen 3.8. Nutrition for the toddler D. Correlate the clinical diseases with the knowledge of pathophysiology acquired. Normal development 5. Childhood Immunisation 4. COURSE CONTENTS A. Formulate principles of management based on current evidence. Common respiratory problems 6. The pale child 2. 10. IV. Childhood viral exanthems C. and interpret common laboratory results and radiological studies to confirm the diagnosis. Principles of infant nutrition and breastfeeding 2. The child with failure to thrive 3. 9. Juriza Ismail STUDYGUIDE YEAR 4 2016 | 57 . Demonstrate effective communication skills and convey information in a way that is understood by parents and the child. 13. Utilize relevant investigations.

Stridor. .Murmurs .List common causes of the following symptoms and signs pertaining to different systems at various ages and be able to differentiate these by clinical features and investigations. Skills Laboratory History taking and physical examination: Year 4 lecturers H. tachypnoea .Irritable baby.Suggest relevant investigations I. Respiratory . Nephrology . wheezing and grunting d.Delayed speech and language c. Gastroenterology/Hepatology .Apnoea.Seizures . Cardiology .Failure to thrive .Delayed motor milestones .Hypotonia.Cyanosis . hypertonia. Important topics a. G.Vomiting .Diarrhoea STUDYGUIDE YEAR 4 2016 | 58 .Headache .Cough .Proteinuria f. Developmental paediatrics .Review the basic concepts and patho-physiology of diseases involved .Haematuria . Neurology .Microcephaly. macrocephaly .Tachycardia . Clinical Skills The student should be able to . muscle weakness b. child .Formulate differential diagnoses .Heart failure e.Shock .

Cardiology a. Renal a. Acute gastroenteritis b. otitis media b. Congenital heart disease – acyanotic (ventricular septal defect.Fever . Upper respiratory tract infections (URTI) – pharyngitis. Lower respiratory tract infections (LRTI) – bronchiolitis. pathophysiology. foreign body d. diagnosis and basic management of a neonate/ infant/ toddler/ older child with: 1.Rash i.Pallor . tonsillitis. age-related types) b. Feeding problems and failure to thrive c. Malnutrition and obesity 5. Haematology/oncology . acute encephalitis/encephalopathy 3. cyanotic (Tetralogy of Fallot) b. Seizures (various. . presentation. Neurology a. signs. Infectious disease . Constipation . Cardiac failure 4.Bruising . Abdominal pain .Petechial/purpuric rashes h. croup. Viral exanthems STUDYGUIDE YEAR 4 2016 | 59 . pneumonia c. natural history. patent ductus arteriosus). Respiratory tract a. Fluid. Asthma 2.Joint pain/ swelling J. Upper airway obstruction – acute epiglotittis. Spectrum of clinical conditions The student should be able to describe the aetiology. Infectious diseases a. Abdominal masses . Gasteroenterology and nutrition a. Jaundice g. Rheumatology . electrolyte and acid-base imbalance 6. Meningitis.

Haematology and Oncology a. Case writeup 7. 3. Normal newborn examination and screening b. Neonatal jaundice (physiological. Bedside teaching 2. Thrush e. Eczema d. Respiratory distress (assessment of respiratory distress using Silverman scores. Scabies f. TEACHING-LEARNING METHODOLOGY 1. the emphasis is on acquiring basic clinical skills which include history taking. Lectures 5. Napkin rash b.7. common respiratory disorders – respiratory distress syndrome. 2. Workshop 1. Problem based learning/problem solving STUDYGUIDE YEAR 4 2016 | 60 . Anaemia b. Hand. Seborrhea c. Logbook (practical procedures) 6. Problem based learning and problem solving 4. physical examination and patient management of common paediatric disorders. Neonatology a. G6PD deficiency) V. Skills laboratory 8. Duration of these sessions will be for 1-2 hours of each. meconium aspiration syndrome) c. Impetigo g. foot and mouth disease 9. Bleeding disorders 8. Seminars Seminar topics will be allocated to student groups to prepare and present at least once a week. Hypothermia iii. Common skin problems a. Students are assessed on their presentation. The sick newborn i. Bedside teaching Students will be divided into small groups to be supervised by a lecturer for at least two sessions of bedside teaching per week. Seminars 3. During these sessions. Hypoglycaemia ii.

4. blood cultures) d. chest tube insertion* m. setting up and application of CPAP k. assessment of gestational age of newborn infants using the Ballard score b. suprapubic tap* *optional STUDYGUIDE YEAR 4 2016 | 61 . heel prick technique l. cardiopulmonary resuscitation of children* n. blood transfusion g. collect urine specimens and perform urine analysis using dipstick as well as microscopy c. technique of lumbar puncture e. measure and plot growth parameters – weight. Case based scenarios will be provided to student groups to work through and subsequently discussed with a lecturer as fascilitator. Practical procedures (Logbook) i. assess the severity of respiratory distress using the Silverman scores watch breastfeeding and milk preparation video ii. collect stool for microscopic examination d. radiological imaging: ultrasound. BCG vaccination to infants c. instillation of surfactant* o. To perform: a. arterial. perform screening examination of newborn infants e. insertion of umbilical arterial or venous catheter j. height/length and head circumference a. bone marrow aspiration f. CT scan. resuscitation of newborn infants i. To observe: a. barium studies h. measure blood pressure and temperature b. technique of blood taking (venous.

20% TOTAL 100% 100% STUDYGUIDE YEAR 4 2016 | 62 . Students will only be eligible to sit for the end-semester examination if their attendance is 100% of all teaching-learning activities (except in certain cases). VI. 2. Passing criteria IN ORDER TO PASS THE MODULE.10% Theory OBA. b. 3.35% OSCE .10% Written case report .5% Supervisor’s report .35% KFQ . Pre-requisites a. Percentage of components Core Clinical Components Professionalism Components Continuous Written case report .20% Supervisor report .20% assessment Logbook .15% PPD Specific Task . Has submitted their log book and case-report. 30% Clinical OSCE . STUDENT MUST PASS THE CONTINUOUS ASSESSMENT AND EACH COMPONENT OF THE SEMESTER EXAM. ASSESSMENT 1. EMI and KFQ .

WEEKLY TIMETABLE FOR YEAR 4 MEDICAL STUDENTS (WEEK 1 – 8) 0800 0900 1000 1100 1200 1300 1400 1500 .1700 1000 1200 1300 1400 WEEK 1: History taking and physical Introduction Week 1: History taking and examination Monday to posting physical examination workshop workshop (Wk 1 only) WEEK 2-8: ward work WEEK 2-8: ward work Tuesday 1st-7th week Ward Work / Bedside Ward Work/ Bedside teachings teachings 1st -7th week Ward Work / Bedside Wednesday teaching Ward Work/ Bedside 8th week End Posting Clinical Exam then Ward teachings Work / Bedside teachings Rest st 1 week Ward Thursday Work / Bedside Ward Work / Bedside SSM teaching teaching nd th 2 -7 week PBL 1st week – communication 1st week – workshop communication nd th Friday 2 -7 week workshop General Seminar 2-7th week Radiology lectures/ward work 8th week End Tutorial th Posting Clinical 8 week Ward Work Exam APPENDIX II . 2013. Clayden.London: Hodder&Arnold STUDYGUIDE YEAR 4 2016 | 63 . Text books 1) Karen Marcdante.6th edition. Illustrated Textbook of Paediatrics . A Manual of Neonatal Intensive Care-Fifth Edition. Philadelphia. 3)Arnold & Roberton. Kliegman. Edinburgh: Mosby. Robert M. MD. Nelson Essential Paediatrics.0900 – –1100 – – – – 1500 . Saunders. 2011. W. RESOURCE MATERIALS a.APPENDIX I . 2)Lissauer T. 2011.4th edition. MD and Richard E.B. Behrman.

Philadelphia. W.htm 2.orgmy/html/cpg. www. Edition. Kliegman R.b. Saunders. Reference books 1.M 2011.acadmec. Nephrotic syndrome (1999) 3. Recommended reading 1.. Website of Academy of Medicine :http//www. STUDYGUIDE YEAR 4 2016 | 64 . Behrman R. Dengue (2004).org.mpaeds. Nelson Textbook of Paediatrics. 19th. Clinical Practice Guidelines-Asthma (2004).my c. E.B.

Sharaf Ibrahim Module Coordinator: Dr. hazla1971@yahoo. Lecturer Email 1.com Prof. Rhani drshahar73@gmail. Prof.ukm. Madya Dr. Dr. Azmi Baharuddin azmibaha@yahoo. Madya Dr. Prof. Prof. Prof. Sharaf Ibrahim sharaf@ppukm.Sabarul Afian Mokhtar drsam2020@gmail. Prof.com 5.com 11. Kamalnizat Ibrahim nizat78@yahoo. Abdul Yazid Kassim dryazidk@gmail.edu. Madya Dr.com Haflah Prof.my 18.my 16. DIRECTORY OF TEACHING STAFF No. Dr. Shaharuddin Abd. Muhammad Kamal Muhd. Rashid drhalimrashid@yahoo.com.Mohamed Ashraff Mohd Ariff zz2938@hotmail.com STUDYGUIDE YEAR 4 2016 | 65 .com 20.com Ismail 15. Halim Abd. Mohd Hisam Muhamad Ariffin hesam8791@yahoo. Dr.ukm.ukm.ukm.com. Prof. Nor Hazla Mohamad 13.my 7. Mohd Yazid Bajuri ezeds007@yahoo. Amaramalar Selvi Naicker asnaicker@yahoo.ukm. Dr.my 10. Dr. Mohd Hassan Shukur mhassan@ppukm. Ohnmar @ Rashidah 14.edu. Ahmad Farihan Mohd Don afarihan@gmail. (K) Dr. Madya Dr. Abd. Rizal Abdul Rani rizal@ppukm. Johan Ahmad joahmad@yahoo. Dr. Madya Dr.com 8. Prof.com 17. Dato’ Dr. Madya Dr. Dr.com 12.com 9. Nor Hamdan Mohd Yahaya drhamdan@ppukm.com 19. Prof. Dr.edu. Kamalnizat Ibrahim Deputy Module Coordinator: Dr. htwe. Madya Dr.edu.my 2.om@gmail. Madya Dr. Dr.my 6. Shalimar Abdullah kelapa44@yahoo.edu. Madya Dr. (K) Dr. Abdul Jamil l. ORTHOPEDIC & TRAUMATOLOGY MODULE 2 (FF4229) Head of Department: Prof.com 4.my 3. Jamari Sapuan drjamari@ppukm.

Describe operation theatre organization 9. Basic physical examination skills II. MODULE-LEARNING OUTCOMES At the end of 8 week orthopedics and traumatology posting. Demonstrate ability to request the relevant and cost-effective investigations that will either confirm the diagnosis or exclude the provisional diagnoses made 5. the students should be able to: 1. Demonstrate ability to formulate a reasonable provisional diagnosis and differential diagnoses by using combination of findings obtained from the history and physical examination 4. 10. Good understanding of basic biomedical sciences 2. Discuss the importance of good case documentation. Basic history taking skills 3. Demonstrate the ability to perform aseptic technique and sterility of wound care and dressing 7. Adhere to the discipline required in wards.INTRODUCTION TO ORTHOPAEDICS & TRAUMATOLOGY This is an 8 week posting where students will be exposed to common orthopaedic disorders and emergencies. Describe and practice good ethics in surgery 13 Perform common orthopaedic procedures STUDYGUIDE YEAR 4 2016 | 66 .This serves as a preparatory posting before entering the senior clerkship in the final year and eventually nurtures them into competent house-officers. clinics and operating theatres 12. Participate in pre-operative preparations and post-operative care. Demonstrate the skill to perform relevant and complete physical examination and appropriately interpret relevant physical signs 3. Demonstrate competency in history taking by listening and asking questions. analyze and summarize the facts obtained 2. urgent and elective cases as regard to treatment approaches 6. PRE-REQUISITES 1. Demonstrate professional and humane attitude in dealing with disability 11. including rehabilitation as well as identifying post-operative complications 8. Differentiate between emergency.

III COURSE CONTENTS The students should be able to list common causes of the following symptoms and signs pertaining to different systems and be able to differentiate these by clinical features and investigations. Review the basic concepts and pathophysiology of diseases involved Formulate differential diagnosis Discuss and interpret relevant investigations Traumatology Fracture healing and it complications Tibial fractures Open fractures Hip fractures Femoral fractures Paediatric Limping child Supracondylar humeral fractures in children Epiphyseal injury Sports injuries Meniscal injuries Anterior & Posterior Cruciate ligament tear Shoulder dislocation Elbow & ankle ligament injuries Painful shoulder Spine Herniated disc Degenerative spine Spine infections Spine fractures Back pain Hand Tendon injuries Nerve injuries Hand deformities STUDYGUIDE YEAR 4 2016 | 67 .

Please consult the respective lecturers before presenting. physical examination and patient management of common orthopedic conditions. Degenerative joint disease 5. Seminars Seminar topics will be allocated to students groups to prepare and present once a week. emphasis is on acquiring basic clinical skills which include history taking. taping & tourniquet IV TEACHING-LEARNING METHODOLOGY Bedside teaching Students are divided into small groups to be supervised by a lecturer for at least two sessions of bedside teaching. Fracture healing & its complications 2. Wound management 7. Students are required to present cases from the wards and clinics. Knee injury 4. Limping child STUDYGUIDE YEAR 4 2016 | 68 . During these sessions. Joint disorders Osteoarthritis Rheumatoid arthritis Psoriasis Gout Sero-negative arthritis Osteonecrosis General Diabetic foot diseases Peripheral nerve entrapment Osteoporosis Principles of rehabilitation Compartment syndrome Fat embolism syndrome Musculoskeletal infections Musculoskeletal tumors Osteoarthritis Diabetic foot Splinting and casting Wound dressing Traction Bandaging. Back pain 3. Peripheral nerve injury & entrapment syndrome 6. 1.

Cases should be presented during morning rounds and clinics. conferences attended. pin insertion for traction. wound debridement and toilet and suturing. Log book Case presentations. Orthosis & Prosthesis Conferences Students are required to attend Radiology and Histopathology Conferences which are held on every alternate Thursdays. Polytrauma 5. Wound dressing. Surgical Procedures Students are expected to observe where possible.Current Concept Lectures Students will be given talks on the following topics: 1. local infiltration. and should be recorded in the log book. Please check the orthopaedic noticeboard on level 9. how to perform common minor orthopedic procedures such as joint aspiration. 2. Splinting and casting. Case Write-up All students are required to write 2 case write-ups (one on traumatology and the other on an elective case). 1. Practical Skill Workshops The purpose of these workshops is to familiarize the students with some basic orthopedic procedures that they are required to perform during the housemanship years. This is COMPULSORY. Pediatric deformities of the lower limb 4. Traction. Musculoskeletal tumors 2. All students are required to attend on call rounds in the evening for TWO times during this 8 – week posting. observed surgical operations and practical procedures learnt during the Practical Skills Workshop should be documented in the log book. Orthopaedics emergencies 3. 3. Clinics and Emergency Department Students are required to attend clinic sessions to improve communication skills as well as to familiarize themselves with short case examinations. Those who failed to submit their case write-ups on time will be penalized and this may have significant bearing on the students’ eligibility to sit for the end of posting examination. STUDYGUIDE YEAR 4 2016 | 69 . The first and second case write-ups are to be submitted at the end of the fourth and seventh weeks respectively.

theory and clinical examinations to pass the end of semester examination. 5. Solomon L Physical Examination in Orthopaedics Butterworth-Heinemann. The award will be given during the student’s convocation and recorded in the convocation book.35% *A student must pass all three components of continuous assessment. Selvadurai N Apley's System of Orthopaedics and Fractures Butterworth-Heinemann. Solomon L. Warwick D. 2010. Professionalism (PPD component) A component of case write-up 4. VIII RESOURCES Textbook 1. Continuous assessment (30%) a) Case write-up (10%) b) Long case presentation (10%) d) Log book (10%) *A student who shows poor attitude or has disciplinary problems may be given a FAIL mark for the continuous assessment. 3. Egol K. Apley AG. 2010 (4th Edition) 4. 2. End of semester examination (70%) consisting of a) Theory examination -35% b) Clinical examination (OSCE) . Prof QM Iqbal Book Award Three students with the highest marks in the end of semester examination will be eligible for the award. (9th Edition) 2. 2009 (2nd Edition) STUDYGUIDE YEAR 4 2016 | 70 . 1997 (1st Edition) 3. However.VII METHODS OF ASSESSMENT 1. Eligibility for examination Students will only be eligible to sit for the end of posting examination if their attendance exceeds 80%. Thompson J Netter's Concise Atlas of Orthopaedic Anatomy Saunders. Koval K. only one will be chosen after an interview by a panel of lecturers. Zuckerman J Handbook of Fractures Lippincott Williams & Wilkins.

2004 (2nd Edition) Website 1. Beaty J Campbell’s Operative Orthopaedics Mosby.aosurgery.com/ 2. AO Surgery Reference: http://www.References 1. Reider B The Orthopaedic Physical Exam Saunders. Wheeless’ Textbook of Orthopedic: http://www.org/ STUDYGUIDE YEAR 4 2016 | 71 . Canale S.wheeless. 2007 (11th Edition) 2.

Radiology/ Thursday Histopathology conference Special Study Module Ward (alternate weeks) work Concept Ward work. TIMETABLE Week 1 0900 1000 1200 1300 1400 1600 2000 0800 – 1100 – 1500 – 1700 – Day – – – – – – – 0900 1200 1600 2000 1000 1100 1300 1400 1500 1700 2130 Briefi Hand Monday Ward work ng exam Ward work Ankle Knee Tuesday & foot Ward work exam exam On Call Rounds Lunch Break Shoul Wednesd der Hip CPC Ward work ay exam exam Thursday Ward work Special Study Module Ward work Concept Clinic Spine Friday lectures al exam (auditorium) Exam Week 2-8 0800 0900 1000 1200 1300 1400 1600 2000 1100 – 1500 1700 – Day – – – – – – – – 1200 –1600 2000 0900 1000 1100 1300 1400 1500 1700 2130 Work- Monday Ward work shop Ward work Tuesday Seminar Ward work. clinic or OT On Call Rounds Lunch Break Wednesd Ward CPC Ward work ay work Ward work. Lectur Friday Break lectures (begin clinic or OT e at 1500h) STUDYGUIDE YEAR 4 2016 | 72 .

Lectures 1. Examination Techniques Time to be arranged with the respective lecturers Venue: Seminar Room. Time to be arranged with the respective lecturers Venue: Seminar Room. Orthopaedic Department. Jamari Sapuan  Knee examination Dr Ashraff Ariff  Shoulder examination Dr Johan Ahmad  Hip examination PM Dr Nor Hamdan  Spine examination Dr Hisam Ariffin  Overview of clinical examination Prof Sabarul Alfian 2. Current Concept Lectures Dewan Kuliah every Friday  Orthopaedic emergencies Dr Rizal  Introduction to rehabilitative medicine PM Dr Rashidah  Overview of orthosis & prosthesis PM Dr Rashidah  Polytrauma Dr Yazid Bajuri  Paediatric deformities of the lower limb Prof Dr Sharaf  Musculoskeletal tumours Prof Nor Hazla STUDYGUIDE YEAR 4 2016 | 73 . Seminars: Topics will be allocated to student groups to prepare and present once a week. Level 9  Fracture healing & its complications Dr Ahmad Farihan  Back pain Dato’ Dr Azmi  Knee injury Dr Kamalnizat  Degenerative joint disease Dr Yazid Kassim  Peripheral nerve injury & entrapment syndrome PM Dr Shalimar  Wound management Prof Dr Amara  Limping child: Prof Halim 3. Level 9  Hand examination PM Dr. Orthopaedic Department.

Dr. Azarinah Izaham 5797 azaizaham@yahoo. LECTURERS EXT. ANAESTHESIOLOGY MODULE FFFF4412 Head of Department: Assoc.edu.ukm. Liu Chian Yong 5865 chianyong@yahoo.ukm.my 10 Dr.com 12 Dr.com 16 Dr. Prof. 5788 nmanap@ppukm.Raha Abdul Rahman Module Heads: Dr. Nor 5621 nadiamn@ppukm.edu. Azlina Masdar 5864 azlinamasdar@yahoo.edu. NurliaYahya 5794 nurlia@ppukm. Muhammad Maaya 5865 mm0427@gmail.com 18 Dr.my Manap 2 Assoc. Zain 5790 jaafar@ppukm.com 11 Dr.edu. Dr.RufinahTeo PPD Coordinator: Dr.my 4 Prof. Nadia Md.edu. Joanna Ooi Su Min 5852 joanna@ppukm. Dr. Dr.ukm. Prof.edu.com 15 Dr. Jaafar Md.my 5 Assoc. E-MAIL ADDRESS 1 Assoc. Datin Dr. Norsidah A. Kamal Bashar Abu Bakar tengku_k@hotmail.my 7 Prof. KhairulamirZainuddin 5796 z_amir72@hotmail. DIRECTORY OF TEACHING STAFF NO. Lee Choon Yee 5789 lee@ppukm.com 9 Dr.ukm.my 6 Dr.edu.com 14 Dr.com 13 Dr. Prof. Raha Abdul 5849 raha@ppukm.edu. Dr. Wan Rahiza Wan Mat 5785 docaweng@yahoo.my 8 Dr. Prof.ukm. Shereen Tang Suet Ping 5857 shereen_tang@yahoo. RufinahTeo 5859 finah77@yahoo.ukm.ukm. Aliza Mohamad Yusof 7874 synctium_x@yahoo.ukm.my Rahman 3 Prof. Esa Kamaruzaman 6751 ek4776@hotmail.com STUDYGUIDE YEAR 4 2016 | 74 . Choy Yin Choy 5791 choy@ppukm.com 19 Dr. Dr. RufinahTeo 1.com 17 Dr. Aliza Mohamad Yusof Dr.

perform basic life support (BLS). PRE-REQUISITES The students should have the following relevant knowledge and skills: 1. Good knowledge of the clinical sciences 2. understand the importance of team work and communication. discuss the consequences of their clinical decision on the patient. patient’s relatives. identify and describe common drugs used for anaesthesia and resuscitation. perform different modes of maintaining an airway. 3. and other medical personnel. 6. which includes the skills of maintaining an airway in an unconscious patient. demonstrate skills in breaking bad news with regards to anaesthetic related complications. identify the various methods of post-operative pain management 8. The knowledge and skills of basic life support resuscitation will also be taught and assessed. Good knowledge of the biomedical sciences II.INTRODUCTION TO ANAESTHESIA This is a 2-week posting where the students will be exposed to the basic principles of both general and regional anaesthesia. 9. 4. STUDYGUIDE YEAR 4 2016 | 75 . identify and use different airway equipment and adjuncts. 7. 2. the student should be able to: 1. and death and dying. 10. recognise various techniques of anaesthesia. know the peri-operative assessment and preparation of patients. MODULE LEARNING OUTCOMES On completion of this module. 5.

COURSE CONTENTS Subjects Topics Airway  Airway assessment  Airway maintenance  Intubation/Airway devices Anaesthesia  Peri-operative management  General anaesthesia  Regional anaesthesia  Emergency anaesthesia Drugs in anaesthesia  Drugs for pre-medication  Intravenous anaesthetic agents  Inhalational anaesthetic agents  Muscle relaxants and reversal agents  Opioids and non-opioids  Local anaesthetic agents  Resuscitation drugs Resuscitation  Basic Life Support IV. Airway management and airway adjuncts. Four one-hour sessions are given in the beginning of this module i. TEACHING LEARNING METHODOLOGY 1.g. Hudson face mask/nasal cannulae  Fixed performance e. Venturi mask/Bag-valve mask o Endotracheal tube o Laryngeal mask airway (LMA) o Laryngoscopes (Miller/Macintosh) o Gum elastic bougie o Cricothyrotomy o Tracheostomy STUDYGUIDE YEAR 4 2016 | 76 .III.g.  The methods of maintaining an airway during anaesthesia (head tilt and chin lift/jaw thrust) and the correct technique of endotracheal intubation  Various airway-related equipment will be introduced with particular attention to: o Oral airway / Nasopharyngeal airway o Oxygen delivery devices  Variable performance e. Lectures a.

ii. Types of anaesthesia.
 The peri-operative management of general anaesthesia
 The peri-operative management of regional anaesthesia
o spinal and epidural
o indications, side-effects and contra-indications
o peripheral nerve block
 The conduct of emergency anaesthesia

iii. Pre-operative preparation of the patient and post-operative pain relief.
 Pre-operative patient assessment and management
 Methods of post-operative painrelief
o oral analgesics
o opioids
o patient-controlled analgesia
o regional analgesia
 Acute pain service
 Anaesthetic clinic

iv. Key elements of intensive care and related issues.
 Overview of intensive care management
 Organisation
 Admission criteria
 Organ support
 Sedation
 Monitoring

2. Skills lab and computer-assisted learning (CAL)

The students are divided into groups for these two three-hour sessions.

a. In the Anaesthesia Skills Lab, a demonstration on airway management by a lecturer is
followed by a practical session.
 Managing a mannequin’s airway with various airway adjuncts
 Oxygen therapy
 Intubating a mannequin
 Introduction to spinal, epidural and combined spinal-epidural equipment
 Central and peripheral venous cannulation
 Types of fluid resuscitation

b. In the Computer Lab, the students undergo computer-assisted learning, where they
are guided through a scenario whereby they ‘manage’ an anaesthetised patient via
simulation.

STUDYGUIDE YEAR 4 2016 | 77

3. Pre-operative assessment in the ward

The students follow a lecturer or medical officer for pre-operative assessment in the ward.
Here they learn the process of preparing a patient prior to anaesthesia and surgery inclusive
of the :

 assessment and optimization of the patient’s medical condition
 assessment of the patient’s airway
 identification of anaesthetic risk factors
 planning of anaesthetic technique
 selection of pre-medication drugs
 planning of post-operative management, including pain management
 anaesthetic consent

During this session, the students also select a patient each to follow through, for a case write-
up.

4. Acute pain service round and labour analgesia service

The students are required to familiarize themselves with:

 Patient controlled analgesia (PCA)
 Continuous epidural infusion
 Intrathecal/epidural morphine
 Labour epidural analgesia

5. Practical

In the operating theatre (OT), the students are divided into small groups, and allocated to
various operating theatres. They will be exposed to a variety of surgeries and are shown the
unique management of general and/or regional anaesthesia for each surgery.

Students are required to perform certain procedures which are recorded in a logbook, which
include :

1. Intravenous cannulation

2. Applying monitors on a patient

3. Managing a patient’s airway with a face-mask and oropharyngeal airway

4. Intubating a patient

5. Certifying the correct placement of endotracheal tube

STUDYGUIDE YEAR 4 2016 | 78

5. Observing the conduct of anaesthesia

5. Small group tutorial

This takes place in the operating theatre to discuss topics inclusive or otherwise, in the
lectures. Special attention is given to:

1. Drugs used in general anesthesia.

 Intravenous anaesthetic agents
 Inhalational anaesthetic agents
 Muscle relaxants
 Opioids and non-opioids
 Resuscitation drugs
 Reversal agents
2. Monitoring of patients in OT.

3. General anaesthesia.

4. Regional anaesthesia

 spinal
 epidural
 combined spinal-epidural

6. Basic Life Support

Upon starting this module, the students are given a Basic Life Support Course Manual
prepared by the Department of Anaesthesiology and Intensive Care. The BLS session is a
one-day course which takes place during the second week of the module to give ample time
for the students to thoroughly read the manual.

The components of the session are:

1. Demonstration and practical stations.

 an overview lecture on the basics of BLS
 how to perform a one-person and two-person rescue on an adult
 how to manage the conscious and unconscious adult choking patient
 how to perform a one-person BLS on an infant
 how to manage a choking infant

2. Examination (which takes place the afternoon, after the course).

 40 objective questions (one best answer format) on the basics of BLS
 5 practical station rotation assessing the skills mentioned above

STUDYGUIDE YEAR 4 2016 | 79

Lecturers & Medical Officers in charge: Various Lectures and Medical Officers. i.e. The students are awarded with a BLS Course Certificate after passing the exams. and each group is allocated a topic to research for discussion during the second week. Dealing with brain dead patients and the issue of organ donation 3. STUDYGUIDE YEAR 4 2016 | 80 . Students who fail the objective paper will re-sit the exam the following afternoon. Consent in Anaesthesia 4. a rolling roster of Lecturers and Medical Officers 7. Small Group Discussion (SGD) The students are divided into small groups. Breaking bad news: Anaesthesia related complications All groups are also required to demonstrate breaking bad news with regards to simple clinical circumstances. Dealing with death and dying patients 2. The four topics to be discussed are: 1. Those who fail the practical assessment will be re-assessed immediately afterwards. The student will have to repeat the whole exam if they fail either component of the repeat assessment.

has a good record of attendance (at least 80%) Breakdown of marks Continuous assessment 30% End-of-semester theory examination 35% End-of-semester OSCE 35% 1. has submitted an original case write-up 3. when he/she 1. Continuous assessment (30%) The components of the continuous assessment are Logbook 10% Case write-up 20% 2. Ophthalmology & Otorhinolaryngology.V.e. End-of-semester OSCE (35%)  4 OSCE stations (1 manned and 3 unmanned)  2 PPD stations (rotated amongst the 3 minor postings at the end-of-semester exam. End-of-semester theory examination (35%) 10 Questions (combination of one best answer and extended matching item) 3. Otorhinolaryngology & Anaesthesiology. has submitted a completed and signed logbook 2. PPD The components of the continuous assessment are  Reflective writing 15%  Small group discussion 15%  Mentor report 20% Theory consisting of KFQ and OSCE 50% STUDYGUIDE YEAR 4 2016 | 81 . i. Anaesthesiology & Ophthalmology) Both the theory and OSCE examination take place in combination with the 3 minor postings. and allowed to sit for the end-of-semester exam.ASSESSMENT Prerequisites A student is considered to have satisfactorily completed this module.

Continuous assessment 1. Pre-op preparation and post-op pain relief 3. Logbook (30%/3 =10%) ATTENDANCE (10%) Lectures Date &Signature 1. Introduction to care of the critically ill patient Skills lab Computer assisted learning (CAL) Pre-operative assessment Small group discussion (SGD) On call (5-9pm) BLS Pass / Fail STUDYGUIDE YEAR 4 2016 | 82 . Types of anaesthesia 4. Airway management & airway adjuncts 2.

ATTENDANCE OPERATING THEATRE/ ICU/ APS ROUND DATE SIGNATURE SIGNATURE SIGNATURE SIGNATURE SIGNATURE & PLACE AM PM DATE SIGNATURE SIGNATURE SIGNATURE SIGNATURE SIGNATURE & PLACE AM PM STUDYGUIDE YEAR 4 2016 | 83 .

reversal 2. General anaesthesia 4. Introduction to a. induction agents b.TUTORIAL (5%) OT Signature Date&Operation 1. Regional anaesthesia a. epidural 5. muscle relaxants d. Pre and post-operative management STUDYGUIDE YEAR 4 2016 | 84 . Monitoring in anaesthesia 3. opioids c. spinal b.

PROCEDURES (15%) Date & Signature Observed Performed Apply monitors on patient IV cannulations (minimum performed 3) Intubation: patient(minimum performed 1) Intubation: mannequin(minimum performed 1) Hold mask on patient (minimum performed 2) Insert an oropharyngeal airway Certify correct placement of ETT Spinal Not required Epidural Not required Combined spinal-epidural Not required STUDYGUIDE YEAR 4 2016 | 85 .

the student must 1. Case write-up (20%) The student chooses a patient scheduled for an operative procedure and writes an anaesthetic peri-operative follow-up  Pre-operative assessment and management  The conduct of anaesthesia  Immediate post-operative management  Discussion which should emphasise the anaesthetic element PPD COMPONENT Students will be given a specific assignment and assessment for PPD which constitutes 30% of the PPD module mark. 2% Intravenous cannulation(1 mark if performed) Max. STUDYGUIDE YEAR 4 2016 | 86 . and 2. pass the BLS assessment. obtain at least 50% of the total marks from the continuous assessment and end-of- semester examinations. 3% Intubation(1 mark if performed) Max. 5% 2. Passing criteria In order to pass this module. (Refer to the PPD Guideline). 5% Others (1 mark if observed or performed) Max. Central venous line cannulation Not required Arterial line cannulation Not required Hold mask on patient (1 mark if performed) Max.

TWO-WEEK TIMETABLE FOR THE MODULE Week 1 0800-1000 1000-1300 1300. APPENDIX I. 1400-1700 1400 Mon 0800-0830 The students are Break 1400-1500 divided into 8 Introduction lecture groups Lecture: Preoperative from the Module preparation of patient Head Operating Theatre and postoperative according to groups pain relief 0830-0930 1500-1600 Lecture: Airway management and Lecture: Introduction airway adjuncts to the care of the critically ill patient 0930-1030 1600-1700 Lecture: Types of anaesthesia Pre-operative assessment Tue 0800-0900 Groups 1-4 Break 1400-1600 Departmental CME Operating All groups Theatre/ICU Operating Theatre according to groups 0900-1000 Groups 5&6 1600-1700 All groups Skill Lab Pre-operative Operating assessment Theatre/ICU/APS Groups 7&8 according to groups Computer assisted learning (CAL) Wed 0800-0900 Groups 1-4 Break 1400-1600 CPC Operating All groups Theatre/ICU Operating Theatre according to groups 0900-1000 STUDYGUIDE YEAR 4 2016 | 87 .

All groups Groups 5&6 1600-1700 Operating CAL Pre-operative Theatre/ICU/APS assessment according to Groups 7&8 groups Skill Lab Thu All groups Groups 1&2 Break 1400-1700 Operating Skill Lab Special Study Module Theatre/ICU/APS according to Groups 3&4 groups CAL Groups 5-8 Operating Theatre/ICU Fri All groups Groups 1&2 Break 1500-1700 Operating CAL Concept lecture Theatre/ICU/APS according to Groups3&4 groups Skill Lab Groups 5-8 Operating Theatre/ICU STUDYGUIDE YEAR 4 2016 | 88 .

Week 2 0800-1300 1300-1400 1400-1700 Mon 0800-0900 Break Groups 1-4 Departmental CME BLS MCQ/Practical Exam 0900-1300 Groups 5-8 Groups 1-4 Small Group Discussion BLS Demonstration & Practice Groups 5-8 Operating Theatre/ICU/APS according to groups Tue 0800-0900 Break Groups 1-4 Departmental CME Small Group Discussion 0900-1300 Groups 5-8 Groups 1-4 BLS MCQ/Practical Exam Operating Theatre/ICU/APS according to groups Groups 5-8 BLS Demonstration & Practice Wed 0800-0900 Break 1400-1600 CPC All groups Operating Theatre according to groups 0900-1300 1600-1700 All groups Pre-operative assessment Operating Theatre/ICU/APS according to groups STUDYGUIDE YEAR 4 2016 | 89 .

g.Thu All groups Break 1400-1700 Operating Theatre/ICU/APS Special Study Module according to groups Fri All groups Break 1500-1700 Operating Theatre/ICU/APS Concept lecture according to groups This two-week timetable is subject to change if :  the posting coincides with public holidays or departmental activities. e. postgraduate examinations  there is an increase or decrease in student group size STUDYGUIDE YEAR 4 2016 | 90 .

Basic Airway Management and Defibrillation. UKMMC.RESOURCE MATERIALS Textbook Gwinnutt. 2nd Edition. An Introduction to Cardiopulmonary Resuscitation. 2011. Dept of Anaesthesiology and Intensive Care. Clinical Anaesthesia (Lecture Notes). Carl. 2012. STUDYGUIDE YEAR 4 2016 | 91 . Blackwell Publishing Limited. Manual Basic Life Support Course.APPENDIX II. 4th Edition.

com 019-3209305 Prof. Salina Husain drsalina_h@yahoo. Asma Abdullah asmaent@yahoo.fazlina@yahoo. By applying biomedical and clinical sciences. Nor Shahrina shahrina@yahoo. MOHD RAZIF MOHAMAD YUNUS Module Head : DR NOOR DINA HASHIM Department’s PPD Coordinator : MS FARAH DAYANA ZAHEDI I. Madya Dr. PREREQUISITES The students should have the following relevant knowledge and skills: 1.my) INTRODUCTION TO ORL-HNS The 3 weeks posting in year 4 covers the clinical approach to the common diseases in ORL- HNS. Dr.ukm.com 019-6626228 Dr Noor Dina Hashim dinahashim81@yahoo. Dr.c 016-3061959 om Dr Farah Dayana Zahedi anna_firra82@yahoo. Basic ORL-HNS history taking skills STUDYGUIDE YEAR 4 2016 | 92 . anatomy and physiology of ear. Dr.com 019-3212198 Yunus Prof.com 019-2743103 Dr Kong Min Han minhankong@hotmail. OTORHINOLARYNGOLOGY – HEAD & NECK SURGERY FF4212 Head of Department : PROF.com 0196534308 Prof. MADYA DR.edu.com 019-2194166 Prof. DIRECTORY OF TEACHING STAFF NAME EMAIL NO TELEPHONE Prof. clinical examination and principles of patient management in a holistic manner. Abdullah Sani Mohamed sani@ppukm.ukm.co 012-4841322 m Pn Wan Fazlina wan.com 013-3321627 Supporting Staff: Pn.co 012-3838501 m Dr Mawaddah Azman mawaddah1504@yahoo. 012-4248205 au Dr Fahrin Zara Nasseri zaranasseriwork@gmail. the students learn through an integrated approach encompassing history taking. SuzanaMohamad Habit : 03-91456046 (email : suzanah@ppukm. nose and throat and head & neck (ORL-HNS) 2. Good understanding of basic biomedical sciences. Students are expected to perform and observe simple clinical procedures and surgeries. Goh Bee See irenegbs@yahoo.com 0167775732 Dr Aneeza Khairiyah W. Hamizan draneeza@gmail. Madya Dr.com.com 016-3659948 Pn. Mohd Razif Mohd razif72@gmail.my 019-3120777 Prof. Dr. Marina Mat Baki marinadrent@gmail.

10. Interpret the history and physical signs to formulate a proper provisional diagnosis and differential diagnosis. Identify ORL-HNS disorders that require referral to an ORL specialist. Comply with ward rules and regulations. COURSE LEARNING OUTCOMES On completion of this module the student should be able to: 1. Demonstrate adequate history taking and perform a thorough physical examination on ORL-HNS patients. 6. Basic PPD skills II. Identify and manage emergency ORL-HNS cases. Demonstrate a sense of responsibility in their personal and professional behaviour. behaviour and professional conduct towards patients. Discuss and demonstrate skills in approaching patients in a holistic manner incorporating both physical and psychospiritual needs. STUDYGUIDE YEAR 4 2016 | 93 . Discuss and apply the influence of medical ethics. 5. 3. 7. 9. 3. Identify disorders in ORL-HNS that are manifestations of systemic disease. Identify and request the appropriate investigations and interpret the results. Explain the diagnosis and management common ORL diseases found in Malaysia. 2. 8. 4. Basic physical examination skills 4. 11.

lll. Epistaxis Laryngology Applied anatomy and physiology of larynx Voice rehabilitation Physiology of swallowing and causes of dysphagia Laryngeal infection Laryngeal tumor Laryngeal trauma Stridor and tracheostomy Obstructive sleep apnoea Foreign bodies in the throat Acute and chronic tonsillitis Head and Neck Applied anatomy of neck Head and Neck Trauma Carcinoma of larynx. oropharynx and oral cavity Salivary gland diseases and tumors Neck masses (benign lesions) Deep neck space infection (parapharyngeal abscess. Chronic active/inactive otitis media Cholesteatoma Otitis externa Otitis media with effusion Complications of the ear diseases listed above Vertigo and tinnitus Deafness Foreign bodies in the ear Basic hearing assessment and rehabilitation Rhinology Applied anatomy and physiology of smell Acute and Chronic Rhinosinusitis Allergic and Non-Allergic Rhinitis Nasal polyp Nasopharyngeal carcinoma Sinonasal malignancy Angiofibroma Facial trauma Nasal bone fracture Foreign bodies in the nose. retropharyngeal abscess. hypopharynx. COURSE CONTENTS Subjects Topics Otology and Audiology Applied anatomy and physiology of hearing and balance. Ludwig’s angina) Facial nerve palsy STUDYGUIDE YEAR 4 2016 | 94 .

deafness. Explain the basic management of common otological chief complaints eg. BEDSIDE TEACHING Students are divided into groups of 6-7 9 (depends on number of students and lecturer available) with a lecturer designated to supervise each group. are expected to clerk new cases and observe or perform ward or emergency procedures. nasal blockage. TEACHING LEARNING METHODOLOGY 1.lV. Apply the principles of ear anatomy in the localization of otological lesion. The students are expected to do some simple and basic research in order to be able to complete the task. students should be able to: Otology and Audiology Review the basic concepts in the pathophysiology and diagnosis of otological diseases. vertigo. A PPD component will also be included. epistaxis. Formulate a list of differential diagnoses for patients with clinical manifestations of an otological disease. Formulate a list of differential diagnoses for patients with clinical manifestations of rhinological diseases. Students are required to actively participate in the discussions under supervision by a lecturer. Rhinology Review the basic concepts in the pathophysiology and diagnosis of rhinological diseases. Those students. who are allocated for ward work and on call. This is aimed to encourage self-directed learning (SDL) in the form of case scenarios management. There will be ward rounds conducted during the posting whereby students will be exposed to various cases in the ward. Each student is expected to write a case write-up that will be presented to the lecturer in charge in a scheduled session. Each group of students is scheduled for one clinical examination session with medical officers/registrars at the ORL clinic. STUDYGUIDE YEAR 4 2016 | 95 . The students will also follow the clinic sessions at least twice a week whereby they will be trained in the basic clinical skills from physical examination and patient management. PROBLEM-BASED LEARNING (PBL) PBL comprises of tutorial sessions which are conducted twice for each group during the posting. The students will be attached to the audiology and speech therapy clinic at least once during the posting. In each session. At the end of the respective tutorial. Each tutorial session will last for one hour. Apply the principles of nose anatomy in the localization of rhinological lesion. Explain the basic management of common rhinological chief complaints eg. They are clinically-oriented with emphasis on problem solving. 2. Students are required to actively participate in all teaching sessions and their assessment will be based on their participation and attendance. 2 case scenarios will be given.

Formulate a list of differential diagnoses for patients with clinical manifestations of laryngological diseases. hoarseness. tongue mass. parotid mass. STUDYGUIDE YEAR 4 2016 | 96 .Laryngology Review the basic concepts in the pathophysiology and diagnosis of laryngological diseases. Apply the principles of head and neck anatomy in the localization of head and neck lesion. Explain the basic management of common laryngeal chief complaints eg. snoring. Apply the principles of laryngeal anatomy in the localization of laryngological lesion. Formulate a list of differential diagnoses for patients with clinical manifestations of head and neck diseases Explain the basic management of common head and neck chief complaints eg. Head and Neck Review the basic concepts in the pathophysiology and diagnosis of head and neck diseases. stridor.

3. LECTURES Lecture Topics Subjects Topics Otology and Audiology Diseases of the ear (external. Deafness Rhinology Rhinosinusitis Tumor of nose and paranasal sinuses (Concept Lecture) Foreign bodies in the nose. Epistaxis Head and Neck. middle and inner) Vertigo and tinnitus. Laryngology Common laryngeal diseases Neck mass (benign lesion) Obstructive sleep apnoea(Concept Lecture) Foreign bodies in the throat Head and Neck Trauma Head and Neck Tumour (malignant) Stridor and Tracheostomy Hoarseness Deafness Define the condition Relate the underlying anatomy and physiology to the condition Correlate the pathophysiology with the relevant symptoms and signs List the causes of the condition List and interpret the findings of investigations Discuss the principles of management Basic hearing assessment and rehabilitation Lecturer in-charge: MS NOOR DINA HASHIM STUDYGUIDE YEAR 4 2016 | 97 . Foreign bodies in the ear.

nose and throat Define the condition Relate the underlying anatomy and physiology to the condition Correlate the pathophysiology with the relevant symptoms and signs List the causes of the condition List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: MS FARAH DAYANA ZAHEDI Rhinosinusitis Define the condition Review the applied anatomy and physiology of nose and paranasal sinuses Relate the underlying anatomy and physiology to the condition Correlate the pathophysiology with the relevant symptoms and signs List the causes of the condition List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: DR FAHRIN ZARA NASSERI STUDYGUIDE YEAR 4 2016 | 98 . DR ASMA ABDULLAH Foreign bodies in the ear. middle and inner) Define the condition Relate the underlying anatomy and physiology to the condition Correlate the pathophysiology with the relevant symptoms and signs List the causes of the condition List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: MS FAHRIN ZARA NASSERI Physiology of balance and vertigo Define the condition Relate the underlying anatomy and physiology to the condition Correlate the pathophysiology with the relevant symptoms and signs List the causes of the condition List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: PROF.Diseases of the ear (external.

Tumour of nose and paranasal sinuses Define the condition Relate the underlying anatomy and physiology to the condition Correlate the pathophysiology with the relevant symptoms and signs List the differential diagnoses and risk factors List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: PROF MADYA DR SALINA HUSAIN Epistaxis Define the condition Relate the underlying anatomy and physiology to the condition Correlate the pathophysiology with the relevant symptoms and signs List the causes of the condition List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: PROF MADYA DR SALINA HUSAIN Common laryngeal diseases Review the applied anatomy and physiology of larynx Correlate the pathophysiology with the relevant symptoms and signs List differential diagnoses List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: PROF DR MARINA MAT BAKI Neck mass (BENIGN) Define the condition Relate the underlying anatomy and physiology to the condition correlate the pathophysiology with the relevant symptoms and signs List differential diagnosis List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: DR KONG MIN HAN Obstructive sleep apnoea Define the condition Relate the underlying anatomy and physiology to the condition Correlate the pathophysiology with the relevant symptoms and signs List the causes of the condition STUDYGUIDE YEAR 4 2016 | 99 .

ABDULLAH SANI MOHAMED STUDYGUIDE YEAR 4 2016 | 100 . temporal bone fracture) Discuss the clinical features List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: PROF DR. DR. nasal trauma. DR MOHD RAZIF MOHAMAD YUNUS Hoarseness Define the condition Relate the underlying anatomy and physiology to the condition Correlate the pathophysiology with the relevant symptoms and signs List differential diagnoses List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: PROF. GOH BEE SEE Head and Neck Tumor (MALIGNANT) Define the condition Relate the underlying anatomy and physiology to the condition Correlate the pathophysiology with the relevant symptoms and signs List differential diagnoses List and interpret the findings of investigations Discuss the principles of management Voice rehabilitation Lecturer in-charge: PROF. laryngeal injury. MADYA. List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: PROF DR. ABDULLAH SANI MOHAMED Stridor and tracheostomy Define the condition Relate the underlying anatomy and physiology to the condition Correlate the pathophysiology with the relevant symptoms and signs List the causes of the condition List and interpret the findings of investigations Discuss the principles of management Lecturer in-charge: MS MAWADDAH AZMAN Head and Neck Trauma List the common cases (facial fractures.

Students are expected to perform the procedures marked with an * STUDYGUIDE YEAR 4 2016 | 101 . procedures and physical examination:  Adenotonsillectomy  Tracheostomy  Changing of tracheostomy tube  Nasal packing  Examination of facial nerve function  Ear examination  Examination of neck mass particularly parotid tumor Lecturer in-charge: MS NOOR DINA HASHIM 5. LOG BOOK FOR PROCEDURES This is aimed at giving early clinical exposure to the students to prepare them to become more competent and all-rounded doctors. 6. which should be submitted to their respective supervisor at the end of their posting. 5. The case report should include  patients particular  chief complaint  History of presenting illness  RELEVANT ENT . Marks will be awarded which will go towards their end-semester assessment.4. ASSIGNMENT Students are required to submit only one case and one PPD specific assignment.report during the posting. Students will be required to observe/perform clinic.1 CASE REPORT FORMAT Students are required to write one case report. head and neck examination only  Other relevant physical findings – VERY SHORT AND IF SIGNIFICANT ONLY  Diagnosis  Differential diagnosis  Short discussion on the final diagnosis Supervisor has the right to ask any student to re-write the case write up if does not follow the criteria. operation theatre and ward procedures listed below and record them in their log books. not longer than 500 words. VIDEO SHOW Students will be shown short video on the listed surgeries.

Tuning fork test* v. Removal of foreign body of ear. Pure tone audiometry xiv. Brain stem evoked response xvi. Adenoidectomy iii. Nasal toilet viii. Direct laryngoscopy ix. Indirect laryngoscopy* vi. Myringotomy and grommet v. STUDYGUIDE YEAR 4 2016 | 102 . Removal of foreign body of the ear. nose and throat xiii. Tonsillectomy ii. Intranasal polypectomy vii. New case clerking Operation theatre i. Auroscopy/otoscopy* iv. Posterior rhinoscopy* iii. Electrical/chemical cautery for epistaxis xi. Ear toilet ix. Changing of tracheostomy tube xvii. Tracheostomy iv. nose and throat viii. Mastoidectomy 7. Inferior turbinate reduction procedure vi. Anterior rhinoscopy* ii. Clinic / ward i. Nasal biopsy xii. Ear syringing x. SUPERVISION A group of 6-7 (depends on number of students and lecturer available) students will be assigned to one lecturer and one medical registar or medical officer. Flexible nasopharyngolaryngoscopy vii. Tympanometry xv. Rigid esophagoscopy x.

35% THEORY OBA + EMI . the student must accumulate at least 50% from the continuous assessment and end-of-semester examinations STUDYGUIDE YEAR 4 2016 | 103 . The end. 10% Specific assignment . signed and corrected.semester clinical examination will comprise: Core Clinical Component PPD Component (Professionalism) Continuous Written Case Report . 10% ESE OSCE .  Any student who failed to fulfill the above criteria will be barred from the examination and considered to have failed the ORL-HNS posting. signed and submitted  One case write-up is completed. ASSESSMENT PREREQUISITES  Log book is completed.of. 30% Mini CEX .  Attendance throughout the whole posting has been satisfactory (at least 80% with valid reason)  A mini clinical exercise for each student. 35% OSCE . 10% assessment Logbook .50% 100% 100% MARKS ESE : End Semester Exam OSCE : Objective Structured Clinical Examination Mini CEX – Mini clinical exercise Passing criteria In order to pass this module.8.

00 AM PM Clinic / LECTURE PM LECTURE operation WARD theatre/ward ROUND Clinical Mon Briefing Examination Lecture 1 session Lecture 2 Lecture4 Tues Lecture 5 Lecture 3 CPC Lecture 7 Wed Lecture 6 Lecture 8 2.00 – 5.00 – 1.00 AM 10.00 02.00 PM TIME 9.00 – 04.00 – 10.00 – 5.00 PM Fri CONCEPT Video Show LECTURE STUDYGUIDE YEAR 4 2016 | 104 .00 PM Lecture 9 Thurs SSM Lecture10 Lecture 11 2.WEEKLY TIMETABLE WEEK 1 8.00 – 9.00 PM 05.APPENDIX I.

WEEK 2

8.00 – 9.00 AM 10.00 – 1.00 PM 02.00 – 04.00 PM 5.00 PM
TIME 9.00 – 10.00 Clinic /
AM operation TBL PM WARD
theatre/ward ROUND
TBL

Mon PBL PBL

PBL PBL/WARD
Tues ROUND WITH
LECTURER

CPC PBL/WARD
Wed ROUND WITH
LECTURER
2.00 – 5.00 PM
PBL
Thurs
SSM
2.00 – 5.00 PM
PBL
Fri CONCEPT
LECTURE

STUDYGUIDE YEAR 4 2016 | 105

WEEK 3

8.00 – 9.00 AM 10.00 – 1.00 PM 2.00 – 04.00 PM 6.00 PM
TIME 9.00 – 10.00 Clinic /
AM operation TBL PM WARD
theatre/ward ROUND
TBL

Mon CASE WRITE WARD ROUND
UP & WITH
LITERATURE
LECTURER
REVIEW

CASE WRITE WARD ROUND
Tues UP & WITH
LITERATURE
LECTURER
REVIEW

CPC WARD ROUND
Wed WITH
LECTURER
2.00 – 5.00PM
CASE WRITE
Thurs UP & SSM
LITERATURE
REVIEW
2.00 – 5.00PM
CASE WRITE
Fri CONCEPT
UP &
LECTURE
LITERATURE
REVIEW

STUDYGUIDE YEAR 4 2016 | 106

APPENDIX II - RESOURCE MATERIALS

Textbooks

1. Colman, Bernard H
Hall & Colman’s disease of the nose, throat and ear, and head & neck handbook for
students and practitioners.
14th edition, Edinburgh, Churchill Livingstone 1992

2. Bull PD, Clarke R
Lecture notes, Disease of the ear, nose & throat
10th edition, Mass, Blackwell Publishing 2007

3. ND Stafford, R Youngs
Colour guide to ENT
2nd edition, Edinburgh, Churchill Livingstone 1992

4. PL Dhingra
Disease of Ear, Nose and Throat
4th Edition, New Delhi, Elsevier 2007

Website

1. UTMB grandround.com
2. OVID Medline
3. Sciencedirect

STUDYGUIDE YEAR 4 2016 | 107

Dr Aida Zairani Mohd. OPHTHALMOLOGY FF4314 Head of Department : Ass.com 14 Dr Malisa Ami 6944 misha_ami@yahoo.co.edu.com 11. A/Prof Dr Jemaima Che 6943 jemaima@ppukm. 5987 aidazahidin@gmail.com 7. Dr Norshamsiah Mohd Din 6533 shamsiahdr@hotmail. Dr Mushawiahti Mustapha 6535 drmusha@yahoo. Dr Safinaz Mohd Khialdin 5989 drsafinaz_1978@yahoo.com. Prof Dr Jemaima Che Hamzah Head of Module : Dr Amin Ahem PPD Coordinator : Dr Mushawiahti Mustapha J.com Zahidin 6.com 13 Dr Rona Asnida Nasaruddin ronaasnida@gmail.com 5.ukm.co. Prof Dr Mae Lynn Catherine 5983 maelynnbdr@gmail.com 9. Dr Wan Haslina Wan Abdul 5995 afifiyad@yahoo. Dr Hazlita Mohd Isa 6513 drhdmi@yahoo.co.uk Halim 8. DIRECTORY OF TEACHING STAFF No LECTURERS EXT / TEL E-MAIL ADDRESS 1. Dr Amin Ahem 6520 amin75sy@yahoo.uk STUDYGUIDE YEAR 4 2016 | 108 .my 12 Dr Umi Kalthum Md Noh 5997 umi_fizul@yahoo.uk 4.com Bastion 2. Dr Othmaliza Othman 6510 drlizasaha@yahoo.my Hamzah (Ketua Jabatan) 5980 3.

Conduct a proper and thorough ocular examination to make a diagnosis in patients with eye problems including proficiency in usage of the direct ophthalmoscope. extraocular movements and pupillary reflexes. 3.INTRODUCTION TO OPHTHALMOLOGY This is a three-week posting where students are exposed to common eye diseases in Malaysia. COURSE LEARNING OUTCOMES At the end of the posting. biochemistry. microbiology. pharmacology. treatment procedures and operations done for common ocular diseases 7. Applied physiology associated with vision 6. Demonstrate a professional and humane attitude towards patients and their family in handling disabilities with regard to low vision and blindness 6. 2. Anatomy of the visual pathway 5. Provide primary ocular health care to patients 8. Interpret the history and physical signs to formulate a proper provisional diagnosis and differential diagnoses using basic ophthalmology knowledge 4. parasitology II. Obtain a complete ophthalmology and medical history from patients and/or their family or caregiver. Anatomy of head and neck 2. examination of the anterior segment. PREREQUISITES The students should have the following relevant knowledge and skills: 1. Anatomy of the orbit and the eye 3. Demonstrate counseling skills on patients about prevention. the students should have the knowledge. skills and right attitude to be able to: 1. Anatomy of the cranial nerves associated with the eye 4. Applied pathology. Identify cases that are ocular emergencies and which need to be referred to the ophthalmologist STUDYGUIDE YEAR 4 2016 | 109 . Break bad news with regard to low vision and blindness 5. The module covers the clinical approach to various diseases in ophthalmology.

vitreous haemorrhage and its causes . retinal detachment STUDYGUIDE YEAR 4 2016 | 110 . The 2 minute approach to acute visual loss is described (red reflex and pupillary response) to determine a media or conduction problem in vision . self learning packages) 10. Bed side teaching (BST) – ocular examination and funduscopy technique 4. Diabetic eye disease 4. Self directed learning (video. COURSE CONTENTS Lectures 1. Lectures 2. Paediatric ophthalmology IV. Surgical video presentations 5. Video & role play on personal and professional development 1. Examples of media problems and conduction problems are discussed Differential diagnoses of acute visual loss are discussed which includes: . Chronic visual loss 3. Acute visual loss 2. Case study presentation 7. Red eye 6.1 Acute visual loss Lecturer in charge: Dr. Field visit 6. Ocular manifestation of systemic disease 5. Malisa Ami Systematic approach to acute visual loss is highlighted . Ocular trauma/emergencies 7. TEACHING-LEARNING METHODOLOGY (TLM) 1.III. Problem based learning 8. Clinic sessions 3. LECTURES 1. Slide quiz 9.

When should diabetic retinopathy be treated? . retinal vascular diseases . macula lesions .2. Where can patients be sent for treatment? STUDYGUIDE YEAR 4 2016 | 111 . . Who should treat diabetic retinopathy? .3. Examples of media problems and conduction problems are discussed. . optic nerve lesions . Why diabetic retinopathy has to be detected early? . cataract . Diabetic eye disease Lecturer in charge: Dr Aida Zairani Mohd Zahidin Apart from the clinical aspect of diabetic eye disease. Chronic visual loss Lecturer in charge: Prof Dr Mae-Lynn Catherine Bastion Systemic approach to visual loss is highlighted . glaucoma . the lecture also answers important questions pertaining to diabetic retinopathy care that all practicing practitioners should be aware of such as: . How is diabetic retinopathy detected? . Differential diagnosis of chronic visual loss is discussed which includes: . occipital lobe and visual cortex lesions Management of acute visual loss 1. What is diabetic retinopathy? . The 2-minute approach to acute visual loss is described (red reflex and pupillary response) to determine a media or conduction problem in vision. age related macular degeneration 1.

blepharitis. Ocular manifestations of systemic disease Lecturer in charge: Dr Hazlita Dato’ Mohd Isa This lecture highlights systemic diseases that can affect the eye and vision. conjunctivitis. Connective tissue disorders o Rheumatoid arthritis o Systemic lupus erythematosus .5. iritis. orbital cellulitis) Symptoms and signs of each condition is shown and its immediate management is discussed STUDYGUIDE YEAR 4 2016 | 112 . corneal abrasion) . Red eye Lecturer in charge: Dr. acute glaucoma. Multiple sclerosis . Blood disorders o Leukaemia . non vision threatening red eye disorders (subconjunctival haemorrhage. AIDS . Autoimmune diseases o Hyperthyroidism o Myasthenia gravis .1.4. vision threatening red eye disorder ( corneal infection. dry eye. Vascular disease o Hypertension . chalazion. This will include: . hyphaema. hordeolum. scleritis. Uveitis 1. The condition is further divided into . Amin Ahem The lecture discusses the approach of red eye via onset of symptoms and anatomical relation.

1. taught basic ocular examinations such as: i. discharge. 1. Ocular trauma/emergencies Lecturer in charge: Dr. retinoblastoma etc) . CLINIC SESSIONS Students are divided into groups of approximately 7 persons. differential diagnoses of leucocoria (cataract. At the clinic. Paediatric ophthalmology Lecturer in charge: Dr.Acid and alkaline eye injuries . tearing. Students are required to attend all the clinics run by the designated lecturer and attendance to the clinic is compulsory. strabismus. Contents include: . cataract) . other ocular childhood problems (redness. swelling) 2.Ocular injury (blunt injury.6. students will be: 1. itchiness.Acute angle closure glaucoma . amblyopia. supervised by a lecturer for each group. Safinaz Mohd Khialdin Discuss the importance of recognising ocular diseases in children and visual acuity milestones. anterior eye examination STUDYGUIDE YEAR 4 2016 | 113 . penetrating injury) Emergency measures are also highlighted. cloudy cornea. Mushawiahti Mustapha This lecture highlights some ocular emergency situations: .Central retinal artery occlusion .7. common ophthalmic problems in children (refractive error.

ii. pupillary examination
iii. posterior eye examination/ funduscopy using the direct
ophthalmoscope

2. shown and asked to examine patients with important ocular diseases that
should be recognized such as:

i. Diabetic retinopathy
ii. Hypertensive retinopathy
iii. Glaucoma
iv. Cataract

3. shown all important cases that attend the clinic such as central retinal vein
occlusion, central retinal artery occlusion, age related macular degeneration etc.

4. observed on examination techniques (funduscopy, 2 minute approach,
extraocular muscle movements, visual field examination etc) as part of their
continuous assessment. This will be done in week 2.

Students will also be assigned to the Eye Casualty in groups in order to be exposed on
common acute ocular diseases such as viral conjunctivitis, chalazion, stye, etc and
some ocular emergencies such as acute angle closure attacks, corneal foreign body
and sudden visual loss.

3. VIDEO PRESENTATION

3.1 Common ocular surgeries
Lecturer in charge: Dr Norshamsiah Mohd Din
Preoperative evaluation and consultation for patients with cataract, intra-operative
difficulties and post-operative complications are also discussed.

3.2 Breaking bad news
Lecturer in charge: Dr Mushawiahti Mustapha
Role play may also be included in the session

4. FIELD VISIT

A visit is arranged to The Malaysian Association for the Blind (MAB) or Sekolah Khas
Cacat Penglihatan in Setapak. Students will be exposed to the techniques of visual
rehabilitation for the visually impaired.

5. CASE STUDY

Students will be divided into sub-groups of 2-3 depending on the size and number of students
in each group. Each sub-group will be given one case to write-up and discuss with the
supervisor.

STUDYGUIDE YEAR 4 2016 | 114

6. PROBLEM BASED LEARNING

2 sessions (4 hours)

A case scenario is given. Students are expected to discuss the clinical approach to the case,
differential diagnoses, investigations and management pertaining to the case scenario under
the guidance of respective supervisors. Basic ocular anatomy and physiology will also be
revised.

7. SLIDE QUIZ

Lecturer in charge: Assoc Prof Dr Jemaima Che Hamzah

Students will be shown and quizzed on a series of slides portraying a wide range of common
ocular diseases (anterior segment and fundus photographs). This session will be held towards
the end of the posting.

8. Personal & Professional Development

Video and role play (part of video session)

Students are required to submit a written form of reflection from their case write up to
respective supervisors as part of their PPD assessment. Students may be required to submit a
reflection on their encounter with a blind or visually handicapped patient from the Eye clinic
during their posting (effective 2011).

V. ASSESSMENT
Prerequisites for sitting for the end semester clinical exam

1. Submitted their completed and signed log book AND
2. Participated in one ophthalmology case study AND

STUDYGUIDE YEAR 4 2016 | 115

3. Completed one written reflection for PPD component AND
4. Attended the mini clinical examination AND
5. Compulsory attendance of 100% throughout the whole posting.

Any student who failed to fulfill the above prerequisites will be barred from the
examination and considered to have failed the ophthalmology posting.

The end of semester clinical examination will comprise:

Continuous assessment Written case write-up

Log Book

Mini clinical examination

Theory OBA +/- EMI

Clinical OSCE

CONTINUOUS ASSESSMENT

Core Clinical component

Case study 10%

Log Book 10%

Mini clinical examination 10%

STUDYGUIDE YEAR 4 2016 | 116

The case write-up is to be submitted to the supervisor at the end of the posting. Each student needs to perform 10 funduscopic examinations (supervised by consultant/ specialist/ registrar/ medical officer who then will sign their endorsement) and faithfully document these in their log books. STUDYGUIDE YEAR 4 2016 | 117 . B. All students in the sub-group will received the same mark at the discretion of the supervisor. The case must be presented to the whole group. Log book A must do procedure – Funduscopy examination with direct ophthalmoscope.SUMMATIVE (END SEMESTER EXAMINATION) Theory 8 OBA + 2 EMI 35% Clinical OSCE /OSPE 35% PERSONAL AND PROFESSIONAL DEVELOPMENT (PPD) ASSESSMENT Refer to PPD guideline ASSESSMENT A. that is. Case study Students in their sub-groups are required to write-up and discuss one case with their supervisor. unless the supervisor deems otherwise based on the student’s contribution to the write-up.

The department proposes to introduce one written reflection on their encounter with a blind or visually impaired patient seen in the eye clinic. STUDYGUIDE YEAR 4 2016 | 118 .C. PASSING CRITERIA In order to pass this module. End of semester exam Please refer to the above. Written reflection Each student is required to submit one written reflection from their case write-up at the end of the posting. D. the student must accumulate a total of at least 50% from the continuous assessment and end-of-semester examinations.

00pm 2.00pm Monday Clinic Clinic Problem-based learning 2 / Self-directed learning Tuesday Clinic Clinic Problem-based learning 2 / STUDYGUIDE YEAR 4 2016 | 119 .00pm 2.00-5.30 am 9.00pm Monday Briefing BST 1: Ocular Problem-based learning 1 / examination Lecture: Red eye technique Self-directed learning BST 2: Funduscopy Tuesday Lecture: Acute Lecture: Diabetic eye Problem-based learning 1 / visual loss disease Self-directed learning Surgical Video session Wednesday CPC Lecture: Ocular Self-directed learning / trauma/emergencies Clinic Lecture: Chronic visual loss Thursday Lecture: Ocular Lecture: Paediatric Special study module manifestation of ophthalmology systemic disease Friday Lecture: Breaking Problem-based Common lecture bad news learning 1 / Clinic Week 2 8.SAMPLE OF WEEKLY TIMETABLE Week 1 8.00-9.APPENDIX I .00-5.30am-1.30am-1.30 am 9.00-9.

00pm Monday Case Clinic Self directed learning / presentation Clinic Tuesday Case Clinic Self directed learning / presentation Clinic Wednesday CPC Clinic Self directed learning / Clinic Thursday Clinic Clinic Special study module Mini clinical exam Friday Slide quiz Clinic Common lecture Mini clinical exam STUDYGUIDE YEAR 4 2016 | 120 . Self-directed learning Wednesday CPC Clinic Self directed learning / Clinic Thursday Field visit Field visit Special study module Friday Clinic Problem-based Common lecture learning 2 / Clinic Week 3 8.00-5.00-9.30am-1.30 am 9.00pm 2.

August 2016 STUDYGUIDE YEAR 4 2016 | 121 . M Batterrury.APPENDIX II . Lecture Notes On Ophthalmology. Livingstone 4. Blackwell Science Ltd 2. JJ Kanski. Department of Ophthalmology. Churchill Livingstone 3. Ophthalmology at A Glance. C Chris. Ophthalmology In Focus. B Bowling. B Anthony. B Bowling. Ophthalmology: An Illustrated Colour Text. Elsievier. 2005. 2003. 8th Edition Blackwell Publishing 5. J Bruce. J Oliver & L Cassidy. 2005. American Academy of Ophthalmology Edited and updated by Dr Amin Ahem. Basic Ophthalmology for Medical Students and Primary Care Residents. RESOURCE MATERIALS Textbooks 1. 2005. Module Head.

9.9.11. 5 2.2016 Medico-Legal Aspect of Wound Death due to firearm injuries lightning and bomb blast (Dr Mohamed Swarhib) (Dr Mohamed Swarhib) (Dr Mohamed Swarhib) STUDYGUIDE YEAR 4 2016 | 122 .2016 Identification Registration and Briefing 2. CONCEPT LECTURE YEAR 4 SESSION 2016-2017 Time No Date 1500 . Forensic postmortem and (Prof Shahrom Abd Wahid) Certification of Death (Prof Shahrom Abd Wahid) PERSONAL & PROFESSIONAL DEVELOPMENT ORTHOPEDIC 2 23.2016 Nutrition For The Toddler (Prof Dato’ Dr Abdullah Sani (Prof Dr Poh Bee Koon) bin Mohamed) FORENSIC PATHOLOGY FORENSIC PATHOLOGY FORENSIC PATHOLOGY Death due to electrocution.2016 Patient With A Personality Health Problems And Disorder Disorders In The Community (Prof Dr Maniam Thambu) (Prof Dr Marhani Midin) ORL-HNS PAEDIATRICS Obstructive Sleep Apnoea 4 18.2016 Legal Aspects of Medical Practice Orthopaedic Emergencies I (Dr Rizal Abdul Rani) (Cik Nurul Hafizah Rasabar) PSYCHIATRY PSYCHIATRY Overview On Management Of A Management of Mental 3 4.12.1600 1600-1700 1700-1800 FORENSIC PATHOLOGY 1.11. Introduction of Forensic FORENSIC PATHOLOGY Pathology FORENSIC PATHOLOGY BRIEFING 1 9.

2017 Polytrauma In Childhood & Adolesence (Dr Mohd Yazid Bajuri) (Prof Madya Dr Fairuz Nazri) FORENSIC PATHOLOGY FORENSIC PATHOLOGY FORENSIC PATHOLOGY Death related to Sexual Abortion.No Date Time 1500 . Infanticide and 10 3.1.1600 1600-1700 1700-1800 PSYCHIATRY ORTHOPEDIC Psychological & Physical Illness : Overview Of Orthotics & Relationship Between Mind and 7 27.2017 Death due to heat and burn Assault maternal death (Prof Shahrom Abd Wahid) (Prof Shahrom Abd Wahid) (Prof Shahrom Abd Wahid) FORENSIC PATHOLOGY FORENSIC PATHOLOGY FORENSIC PATHOLOGY Death due to Road Traffic Death due to asphyxia and accident 11 17.2017 Prosthetics Body (Prof Madya Dr Rashidah (Prof (K) Dr Abdul Hamid Abdul Ismail) Rahman) FORENSIC PATHOLOGY FORENSIC PATHOLOGY FORENSIC PATHOLOGY Physical Evidence & Negligence and Anaesthetic Toxicology 8 10.2.3.2017 Postmortem Changes drowning (Dr Mohamed Swarhib) (Dr Mohamed Swarhib) (Dr Mohamed Swarhib) STUDYGUIDE YEAR 4 2016 | 123 .3.2017 Examination Scene of Death Death (Assoc Prof Dr Faridah Mohd (Assoc Prof Dr Faridah Mohd (Assoc Prof Dr Faridah Nor) Nor) Mohd Nor) PSYCHIATRY ORTHOPEDIC Common Psychiatric Disorder 9 17.2.

2017 Breaking Bad News Breastfeeding (Dr Noorlaili Mohd Tauhid) CONCEPT LECTURE YEAR 3 & 4 15 12.5.2017 (Prof Madya Dr Nor Hazla Mohamed Haflah) ORL-HNS PSYCHIATRY Tumor Of Nose And Paranasal Sinus 17 26.5.1600 1600-1700 1700-1800 PSYCHIATRY ORTHOPEDIC Normal Psychological Paediatric Deformities of 13 21.No Date Time 1500 . Madya Dr. Harlina Halizah Hj Siraj ORTHOPEDIC Musculoskeletal Tumours 16 19.4.2017 Interfaith Discussion Prof.2017 Ethics & Legal Issues In Psychiatry (Prof Dato’ Paduka Dr (Prof (K) Dr Hatta Sidi) Balwant Singh Gendeh) STUDYGUIDE YEAR 4 2016 | 124 .5.2017 Development Lower Limb (Puan Raynuha Mahadevan) (Prof (K) Dr Sharaf Ibrahim) PERSONAL & PROFESSIONAL DEVELOPMENT PAEDIATRICS 14 5.5.

9.2016 MOCK COURT SESSION Procedures (Dr Mohamed Swarhib) STUDYGUIDE YEAR 4 2016 | 125 . Time No Date 900-1000 1000-1100 1100-1200 FORENSIC PATHOLOGY Expert Witness and Court 1 24.