Wednesday 7 November 2012

Clinical Requirements



Assalamualaikum & Salam Sejahtera

Maaf, entry kali ini hanya fokus kepada silibus pelajar klinikal sebab pelajar pre klinikal under intergrated based learning. Jadi saya bukanlah orang yang layak. Saya harap entry kali ni dapat membantu korang &  memberi sedikit gambaran tentang academic year masing-masing.

3RD YEAR
- General Medicine (GM)
- General Surgery (GS)
- Oral Pathology (OP)
- Conservative Dentistry (Cons)
- Prosthetic (Prost)
- Radiology
- Oral Surgery
- Orthodontic
- Paedodontic
- Periodontology
- Preventive Dentistry

Uh, banyaknya! This are all the subject yang akan belajar masa 3rd year. No worries. ^^ Nampak memang banyak, tapi, most of the topic, kita buat masa clinical session. So, senang nak faham dan ingat. Ada juga topik yang kita dah belajar masa 2nd year, cuma sekarang diajar dari sudut praktikal pula.

Hanya GMGS and OP will count in the final exam of Year 3. Dua subjek jer! =)

Untuk subjek lain, akan ada ‘carry out marks’ atau dipanggil sebagai continuous assessment (CONASS) untuk Final Year 5 Examination nanti. But, it doesnt mean we dont have to study. You need to study especially Cons and Prost. There's a lot of things to think and remember. Trust me.

Masa 3rd year, adik-adik sepatutnya tahu subjek yang akan ‘carry out percentage’ untuk Final Year 4 Examinations. Sebagai contoh, periodontology, radiology, and oral surgery. So, as you go through with GMGS & OP, still proceed with others so that tak perlu bersusah payah buat kerja kelam kabut at the very last minute. Ok? 

General Medicine & Surgery : 
This two subject is medical based. Will be teached by medical doctor. General Medicine ialah subjek untk segala penyakit yang boleh dirawat dengan hanya memberi ubat. General Surgery ialah subjek utk segala penyakit yg tidak boleh dirawat hanya dgn memberi ubat, tetapi haruslah menjalani surgery.

Akan ada lecture, seminar & ward round. Lecture selalunya akan di'cancel' at last minute. So, better prepare utk cari masa for replacement. Class Rep perlu senaraikan semua tajuk lecture yang tertinggal & contact number lecturers. Kalau boleh, call/ sms lecturer beberapa hari sebelum lecture.

Seminar will work on pairs. Kena buat presentation on topic yg dah disediakan. Soalan exam selalu based on this. So kalau lecturer cakap penting, please take note.

Lastly, the important thing. Ward round. Selalunya ward round pun akan kena postponed. Tapi, most of student, selalu nk letak diri dlm zon selesa, akan suka dan memang tak akan nk join ward round group lain. Rasanya, takde masalah kn kalau join group lain. In fact, you will gain more. Lecturer tak akan berapa ingat berapa banyak kelas yg dia dah miss. So, mmg kena minta ketua group utk remind this doctor. TOLONGLAH sediakan buku nota kecil utk ward round. Janganlah dtg berlenggang. Gunakan buku tu utk catit notes every ward round yg korang attend. Tak payah besar-besar. Cukup-cukup muat nk masuk dlm poket lab coat tu pun dah kire ok.

Oral Pathology :
When you learn this, only then you'll realise how important histology and pathology is. Korang akan belajar segala jenis penyakit yg ada kat dlm mulut. Memang banyak. Tapi waktu ni, just cover on how its look like under microscope dan apa rawatan sesuai. During classes, korang akan diberi satu excercise utk topik yg akan discuss on that day. TOLONG jangan malas ye. All the info can be found on text book ( Cawson's ) or Atlas (provided by department during class)

Untuk subjects yang lain, adik-adik boleh baca dekat slot year 4.



4TH YEAR
- Oral Medicine
- Conservative Dentistry (Cons)
- Prosthetic (Prost)
- Radiology
- Oral Surgery
- Orthodontic
- Paedodontic
- Periodontology
- Preventive Dentistry

Terus terang, 4th year is the most critical years in Dentistry. Memang penat. Final exam papers yg paling banyak dlm sejarah 5 tahun belajar. Ok. On this one, baca elok-elok ye. Some of the subject is combined. Example, Radiology and Oral Surgery on the same day, same time and same paper. Same goes to Ortho & Paedo.

Radiology :
Here you will learn on various technology used in dentistry to take radiograph. Ade CBCT, MRI, CT scan etc. yg akan kita selalu guna, CBCT. At first, lecture might a little bit boring. But, that's what the basic that you should know. Korang juga akan belajar various technique yg available e.g: Parallax technique. So, need to understand how it works only then you will remember it. Soalan exam, dia tak akan tanya pelik-pelik. Mostly on the procedure. Mcmane nak buat parallax technique. Berapa angle die. Soalan selalunya straight forward.

Oral Surgery :
Department yg paling cool sekali di Fakulti. Bkn maksud boleh ponteng ye. Maksudnya, boleh la release stress disini sbb lecturer semua happy go lucky. My batch, kitorang tidak terikat dgn requirement. Don't know how was it now. So, there is no requirement berapa banyak kena extract gigi etc. Tapi, for your own good, extract lah gigi seberapa banyak yg boleh. Later, korang akan dpt jugak cara korang sendiri, yg korang rasa selesa on how to extract the tooth. Experienced ni tak dtg mcmtu je. Kena cari. Utk MOS, at least buatlah sekali. 1 operator dan 1 assistant. Kalau buat lebih pun tak rugi. Kes MOS ni pun complicated. Ada classification yg korang kena tahu. It based on Pale & Gregory Classification. Hafal yang ni. Tak banyak pun.

Periodontology :
Masa 3rd year mmg tak ada langsung exam utk subjek Perio. Masa 4th year baru akan start exam. Subjek ni banyak juga nak kena ingat. Name of bacteria, condition name, management. Need to read more than lecture notes only. Requirement Perio tak banyak akan tetapi, main problemnye ialah patient. Susah nak cari patient utk suitable case. Utk perio, memang tak boleh mengharapkan waiting list semata-mata. Rajin-rajinlah tengok mulut member dan junior.
- 1 pt gingivitis
- 1 pt early chronic periodontitis
- 1 pt moderate chronic periodontitis
- 1 pt severe chronic periodontitis
- 100 new scaling teeth
- 30 re-scaling teeth
- 10 root planning
Its best if you can rememberd all the data need to be fill up in E&D form sbb boleh digunakan semasa jawab exam.

Preventive Dentistry :
Pertama sekali kene sedar kepentngan department ini dalam hidup kita. Jadi bila dapat kesedaran, korang faham kenapa wujudnya deparment ni. Buat pelajar year 3, silalah rajin bawa patient ke bilik comdent. Semua pesakit kecuali under perio boleh dibawak ke bilik tersebut. Jangan terlalu mengejar requirement cons atau prosthetic, sampai terlupa requirement deparment ni. Kalau malas 3rd year, 4th year akan jadi serabot sebab nak kene kejar requreiment yg sangat byk.

Kalau bawa masuk patient, just discuss sikit-sikit je. Bagi info satu persatu. Jangan dalam satu sesi semua benda nak cakap. Nanti patient jadi boring. Plan apa yang awak nak educate patient. Selalunya dalam masa 30minit dah boleh siap. Partner boleh set up cubicle, awak bawa patient ke bilik comdent.




5TH YEAR
- Conservative Dentistry (Cons)
- Prosthetic (Prost)
- Orthodontic
- Paedodontic

Cons :
Rasanya semua org dah tahu requirement Cons sbb Cons Department paling popular di Fakulti.
- 195 marks
- 12 marks on Class II including pin-retained amalgam
- 3 endo anterior
- 3 canal endo molar
- 3 crown
- 1 fixed-fixed bridge
- 8 marks on close case
- 1 competency test on Class II

Start since 3rd year dah kena ada plan. Supposed to be, masa 3rd year, buat bnde basic je and at least completed 1 endo anterior and 6/8 marks on Class II. So, masa 4th year, rasa confident sikit nak amik competency exam on Class II. End of 4th year, supposed dah complete semua yg dalam list kecuali major project. Lastly, masa 5th year, boleh focus on major project je. Tak perlu nak gundah gulana memikirkan minor case ni lagi.

Prosthetic :
Ini lagi simple. Soal rajin tak rajin je ke lab tu.
- 3 C/C denture including 1 for competency test masa 5th year
- 5 C/P, P/C, P/P, -/P, P/- including 1 for competency test masa 5th year
- 1 Co-Cr denture
Pada sy, kalau korang dapat handle kes prosthetic dari A - Z, means, all handwork in Dentistry korang boleh buat. So, tak perlu la nk hantar ke lab luar. Nak minta tlg kawan boleh, at leasttgk la cara dia buat. Belajar. Tak rugi mane pun.

Orthodontic :
Requirement Ortho tak banyak. Akan tetapi, bilangan kliniknya yang 2 minggu sekali tu membuatkan student jadi sedikit malas dan lambat. So, pesan sy. Jgn jadi malas ye. Start pulun dari awal. Nnt naik 5th year boleh fokus on major project. 
- 3 operator Ortho Diagnosis
- 3 assistant Ortho Diagnosis
- 1 E&D
- 1 issue appliance
- 3 review cases
Itu sahaja requirement Ortho. Sikit je kan? So, jgn malas ye. Buat dari awal. Bersusah-susah dahulu, bersenang-senang kemudian.

Paedodontic :
Paedo ni susah sikit sbb kita deal dgn budak-budak. So, harus tahu mcmane nak tackle budak-budaklah. Requirement Paedo pun boleh tahan banyaknya. Sy tak berapa ingat. Requirement tu ada pada setiap buku projek Paedo (kertas warna biru). Patient mmg kena cari awal-awal. Utk pt budak sekolah, jgn stay on satu budak je sbb tak selalu sekolah die dlm list yang akan kena panggil oleh fac. So, better ambil 2 sekolah berasingan. Ok?

p/s :
Rasanya, itu sahajalah kot. Minta maaf kalau ada terlepas pandang yang mana-mana. Kalau agak-agak ada soalan nak tanya tu, tanya je lah. Jangan segan-segan. Kat Fb pun ok je. Harap akan ade lah lg senior dari setiap batch utk dtg jumpa batch bawah dan explain ape yg patut. Bantu-membantu tu perkara yg dituntut. Ia juga salah satu cara mendapat pahala percuma. Sampai berjumpa lagi ya. Assalamualaikum.

Writer : Dr Syuwari Azhar Azman
Editor : Nur Fhatin Nadia Jasni Teoh