My decision to do elective in my country, Malaysia during last summer is indeed a wise choice. In addition, I need to go back to Malaysian to serve the government for ten years after I graduated. This elective has opened my eyes and give me a flavour about Malaysia’s health system in general and what to expect about the local working environment.
Aims
The main aim of the elective is to find the differences between Malaysia’s and British health systems particularly in terms of public health, patient education, health staff, health service that could be offered to the multicultural population both in the urban and rural area. Besides, it is pertinent for me to talk to the local patients and health staff to get firsthand feedback and experience about Malaysia’s health system in general.
Background info of Selayang Hospital
My medical elective in Selayang Hospital, Malaysia for a month was an unforgettable moment. As an introduction, this new modern government hospital which has 20 clinical disciplines provides 960 inpatient beds and the services are mainly consisted of secondary and selected tertiary care. More importantly, Selayang Hospital has world class standards facilities and has become the first hospital in Malaysia to fully operate using computers under a system called T.H.I.S (Total Hospital Information Hospital). As it is completely computerized, no papers or films are used to record patient’s document and progress.
My medical field of interest in this elective is to join with the Emergency Department (ED) team. The triage system is similar to the hospitals in the UK which consists of three groups- non critical, semi-critical and critical cases. I had a lot of opportunities to mainly discover more about the ...
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... to locate the lesion before he could be transferred to HKL for operation. After a long discussion, HKL did not want to accept this case as they believe the prognosis was very poor. However, on the other hand, Selayang Hospital team still believed that the patient could be saved and they had done everything they could to stabilize him.
There were a slight emotional distress, frustration and regret among the team when the decision was made. Because of the decision, they had no choice, but only to stop giving blood transfusions to prevent resources from being wasted. Central line was also been removed. However, patient’s care had still been continued in surgical ward. The team tried to let the patient to die as ease and natural as possible. They lacked of manpower to save one’s life. From this case, I managed to observe the care and management of the ‘last house’.
It was just yesterday when Electronic health records was just introduced in healthcare industry. People were not ready to accept it due to higher cost and consumption of time associated in training people and adopting new technology. Despite of all this criticism, use of Internet and Electronic Health records are now gaining its popularity among health care professionals, as it is the most effective way to communicate with patient and colleagues. More and more hospitals and clinics are getting rid of paper base filling system and investing in cloud base storage.
...hat the number of doctors being produced through ELAM is impressive, the most spectacular part is the development of an entirely new set of ethics that values success as a graduate’s ability to serve those in dire need. Although there are shortfalls, such as the fact that some other Latin American countries have resisted accepting ELAM graduates into their public health care system, overall, the goal of ELAM to create doctors with a new set of ethics has been a success. The emphasis that ELAM places on prevention over treatment is a badly needed change in teaching methods, claims Huish, because if these impoverished people are taught to take steps of prevention their lives could be greatly improved without the need to worry about constant or intensive medical care.
Pasley, T., & Poole, P. (2009). Characteristics of university of Auckland medical students intending to work in the regional/rural setting. The New Zealand Medical Journal, 122(1292), 50-60.
There was a 10 month research conducted in 2011 with health-care facilities around the world. They were invited to participate in a global survey based on the completion of the HHSA...
This can be seen in the case study as ethical and legal arise in resuscitation settings, as every situation will have its differences it is essential that the paramedic has knowledge in the areas of health ethics and laws relating to providing health care. The laws can be interpreted differently and direction by state guidelines may be required. Paramedics face ethical decisions that they will be required to interpret themselves and act in a way that they believe is right. Obstacles arise such as families’ wishes for the patients’ outcome, communicating with the key stakeholders is imperative in making informed and good health practice decision. It could be argued that the paramedics in the case study acted in the best interest of the patient as there was no formal directive and they did not have enough information regarding the patients’ wishes in relation to the current situation. More consultation with the key stakeholders may have provided a better approach in reducing the stress and understanding of why the resuscitation was happening. Overall, ethically it could be argued that commencing resuscitation and terminating once appropriate information was available is the right thing to do for the
In the past several years the healthcare system has experienced new changes in its structure and technology. The macro trends in healthcare are healthcare reform and the regulations of technology in healthcare that the government has put in place. Healthcare systems in the past have had some real complications both in the provided care and computer technology
Diversity in healthcare is a very upcoming and important aspect in modern day practice. When the diversity increases of a country, it brings upon new challenges and aspects to be looked into and health care providers and systems must find a way to be able to deliver culturally competent services and solutions. In healthcare cultural competence can be described as, “the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients” ("News Worldwide"). The diversity of an institution, can directly impact how well care is being received and delivered amongst their patients. When there is not cultural competence in a healthcare environment, research from the Institute of Medicine has proved that this can lead to poor patient satisfaction and increased health disparities, no matter what services are available. Not only this an aspect that relates to
Multicultural health issues can present challenges to providing quality primary care and practitioners are in a strong position to improve the health of people from culturally and linguistically diverse backgrounds. Health care organizations have made intense progresses and revolutions during the last few decades, resulting in rapid growth of technology and theory. Some of the changes are introduction of new health based technology, meeting consumer demand for quality care, increased patient acuity and increases the burden of escalating healthcare expenditure. It focuses on primary health care which is the basic entry level of health care. The principle of primary health care is equity, acceptability, cultural competence, affordability, and
My interest in internal medicine developed during my training at medical school in Nigeria. Internal medicine offers a wide variety of cases, which makes it as diverse as it is exciting, requiring a problem solving attitude and constant vigilance. Having graduated from a reputed medical school in a developing country, I had the opportunity to get hands-on experience in patient care, right from start. In fact, my medical school had a unique final year program where the focus was essentially on preventive medicine and health education. During this community based health program, we were required to monitor and provide complete health care to people in neighboring villages. While working on our year book during the same year, we were able to raise money from the proceeds of the sale and various other activities (conducting symposium, charity fair, etc.) so as to provide free dug supplies to the underprivileged. All this made me realize the tangible difference one could make in the lives of others.
Everyone country has success or strengths within its health care system. These strengths have helped revolutionize the country’s health care system into what it is today.
Hospitals of the 21st century have been marked with a lot of improvement. Technological solutions offer lower cost and increased efficiency without compromising service users’ care and treatment using future technology (Mcnew, 2014). The use of monitoring equipment such as intrusion detection, video surveillance, and access control helps in maximizing security within hospitals (Mcnew, 2014). For instance, hospital can program the front door to show anything walking into the hospital and people leaving the hospital. The equipment installed for monitoring includes Sipass central stations, 385 card readers and cameras. Electronic medical records are a common aspect in hospital that enables nurses and doctors to review patient documents within the hospital with the help of a chip (Stein & Chiplin, 2014). Electronic wireless devices are use in the modern hospital that enables employees to locate everything within the hospital by just keying in into the device. The use of Alaris pump which is a modern drug measuring device with an alarm to indicate when a doctor exceeds the dosage shows the extent to which organizations are now investing in technology (Stein & Chiplin, 2014). Cameras are now used in surgery rooms to reduce errors and reduce infection of patients with new diseases. Another device includes the voice communication system that allows patients to bypass nurse and talk directly with their doctors.
I have just finished 19 years of education, but I feel my thirst for learning has escalated even further. After emigrating from Pakistan, in 2007 a real milestone happened in my life because I was one of 100 students (out of thousands of applicants) who were accepted into the Kabul Medical University. While enrolled in the university, my grade point average was more than 80 percent. At the university, besides enduring a heavy load of study in medicine, another challen...
I started to explore the different fields of medicine by working as a Medical Scribe in the Emergency Department, ER tech in Trauma Centers, getting involved in research, volunteering at hospitals and taking high level science classes. This will enhance my knowledge and experience i...
Information and Communication Technology (ICT) has been shown to be increasingly important in the education or training and professional practice of healthcare. This paper discusses the impacts of using ICT in Healthcare and its administration. Health Information technology has availed better access to information, improved communication amongst physicians, clinicians, pharmacists and other healthcare workers facilitating continuing professional development for healthcare professionals, patients and the community as a whole. This paper takes a look at the roles, benefits of Information and Communication Technology (ICT) in healthcare services and goes on to outline the ICT proceeds/equipment used in the health sector such as the
The seed of serving people has been instilled in me during my early teens, raised by an uncle for couple of years who was a doctor, I was able to notice how much difference he was able to make in his community. Naturally, I developed a passion for science. So I chose to complete my bachelors of medicine and science from Soochow University in China. My undergraduate education exposed me to a multitude of courses which allowed me to obtain a breadth of knowledge and skills relating to medicine but any amount of learning would be incomplete without hands on experience. The one year internship experience in first affiliated hospital of Suzhou provided a stimulating environment through rotational postings in different departments, this gave me an opportunity to interact with diverse group of patients helping me understand the influence of economic and cultural differences on health.