UNIVERSITI KUALA LUMPUR

ROYAL COLLEGE OF MEDICINE PERAK

PHASE 3B MBBS UNIKL

SPECIALTY 2 HANDBOOK
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1. The Specialty Modules - Introduction

The Specialty Modules are a busy part of the course with a variety of teaching.
During the 2 modules (Speciality 2 and Speciality 3), you will attend seminars,
small-group teaching, out-patient sessions, clinical demonstrations, operating lists,
laboratory sessions, training days and clinical attachments.

The specialties that will you will learn includes demonstrating the variety of modern
medical practice. Each specialty has considered carefully what every doctor should
know about their subject. The result is a rotation which exposes you to 15 subjects.
The lecturers are clear that whatever kind of medicine you practice in the future,
you will require the skills and knowledge on offer in these modules at some time in
your career.

Aims
• To learn core skills and knowledge relevant to specialties.
• To understand the practice and scope of specialties which may be unfamiliar
• To broaden the perspective of students by increasing their awareness of the
variety of medical and surgical practice.

Objectives
Objectives
• To become competent in taking a history and performing an examination
appropriate to common presentations of conditions managed by specialties
• To identify, assess and manage common emergencies in each specialty
• To know which conditions are appropriately referred to each specialty and with
what degree of urgency
• To be aware of practices within specialties which have important consequences
for patients’ general medical care
• To witness specialist practitioners at work and understand their roles with
multi-disciplinary teams
• To understand the contribution of the specialties to the body of medical
knowledge

Structure of Modules
• 5 groups of 6 weeks rotation
• 23/24 students will undertake each module at one time.
• A mixed timetable of seminars, small group teaching, clinical attachments,
wards work, clinical demonstrations and visits.
• Students will be divided into smaller groups when appropriate to the teaching.
• This module will be repeated 5 times within the academic year.

Attendance
Full attendance is a requirement of Phase 3B. The lecturers will be provided with
lists of students expected to attend each session. Students who are unable to attend
must inform the lecturers of their absence before the session and must also contact
and inform the Phase 3B Academic Admin Assistant (Puan Norariza Bt Ariffin). At
the end of clinical attachments students must obtain the signature of their lecturers
to confirm satisfactory attendance.

Students who have not attended core teaching sessions or who have attended a
session where their experience was severely limited will be expected to arrange
informal clinical attachments during the revision period.
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Assessment
Specialties will contribute to the Final Examination. Some specialties will provide
formative assessments during the module.

Student Evaluation
A separate evaluation form will be given to each student. Please complete the form
and return to the Phase 3B Academic Admin Assistant (Puan Norariza Ariffin) at the
end of the posting.

Queries
Specific queries regarding the core content should be addressed to the teachers
concerned. Queries regarding general academic matters should be addressed to the
Module Co-ordinator. Administrative queries should be addressed to the
Administrator in the first instance.

Whilst every effort is made to produce an up-to-date handbook changes to the

timetabling is inevitable. Please refer to the student notice board in the Faculty of
Medicine for up-to-date information.

2. The Specialty Modules – Grouping List

You will be allocated to two groups of students (A, B) and you should follow the
timetable of that group.

SPECIALTY MODULE 2
Timetable for each Group of Phase 3B
All sessions will begin at 8.00 am and till 1.00 pm. Afternoon sessions will begin at
2.00 pm and till 5.00 pm. You should report for your clinical attachment at 8.30
am on Monday when you will be given on detailed timetable for the week including
any group tutorials.

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Radiology
Datin Dr Ramani Subramaniam
Head of Radiology UniKL RCMP
No 3 Jalan Greentown
30450 Ipoh Perak
Tel: 05 -2432635 * 282

Dato’ Dr S.P. Sellaiah

Head of Radiology Department
Hospital Raja Permaisuri Bainun
Jalan Hospital
30990 Ipoh Perak

Radiology is the branch of medicine in which the interior of the human body is
visualized by using various forms of radiation.
Radiologists utilize an array of imaging technologies (such as radiography ,
ultrasound, computed tomography (CT), nuclear medicine, positron emission
tomography (PET) and magnetic resonance imaging (MRI)) to diagnose or treat
diseases. Interventional radiology is the performance of (usually minimally invasive)
medical procedures with the guidance of imaging technologies.
The acquisition of medical imaging is usually carried out by the radiographer or
radiologic technologist.

Radiology posting.

The 2 week posting offers a survey of general radiology and radiologic sub
specialities.

The morning sessions are directed to clinical rotations in the Department of

Radiology, Hospital Bainum Ipoh, where the student can observe patient
examinations, the working interpretive sessions and the interface of radiology with
the referral services.

The afternoon sessions will include lectures for the students covering the multi-
specialties of radiology.

Radiography sessions will include positioning for common xrays, radiation

protection and basic dark room procedures .

Location in Hospital Raja Permaisuri Tuanku Bainun, Radiology Department.

The areas where the students will be rotated through :

Fluoroscopy

Ultrasound

CT Scan

MRI

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The number of students: 12 – divided into subgroup

They will be divided into 3 groups: A/B /C

Objective
The general radiology elective is structured to provide an overview of the breadth of
diagnostic imaging, invasive radiology and an introduction to the fundamentals of
diagnostic radiology.

The objectives of the general diagnostic radiology elective are as follows:

1. The medical student will develop an appreciation of the complexity of

diagnostic imaging including an understanding of the types of studies which
are available and the information they can provide.
2. The students will also gain an understanding of the clinical indications for
obtaining studies, the relative risk/benefit of radiologic procedures and the
basic technical aspects of how examinations are performed.
3. They will also again insight into the diagnostic limitations of imaging studies
and how these parameters affect patient care.
4. It is not the purpose of the program to have the student a skilled interpreter
of imaging studies. A familiarity will be established, but directed to the use of
the technologies.
5. The student will develop an understanding of the differences between, and
interactions among, each of the imaging specialties and the operation of
these radiologic subspecialties in the context of modern radiologic and
medical practice.

Key Responsibilities of the student during

during the posting :
Medical students in the posting are expected to participate in the teaching and
learning as required and will be confirmed by the student log book.

Didactic Program:
Small group lectures, problem solving, assigned case presentation

Method
Method of Evaluation:
End of posting test - modified OSCE .

Attendance to all clinical and tutorial sessions is compulsory.

Students must take attendance every day and ensure that the Lecturer sign in the
appropriate column after each teaching session.

Failure to sign is considered as absent.

Students are required to attend at least 80% of the teaching sessions, failing which
he will not be allowed to sit for the “ End of posting test “

A letter of explanation or a medical certificate is required withing 24 hours if the

student is absent.

Please submit this logbook to the module coordinator at the end of the posting.

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Accident & Emergency

Dr Adi Osman
Head of Accident & Emergency Department
Hospital Raja Permaisuri Bainun
Jalan Hospital
30990 Ipoh Perak
Tel Direct Line: 05 – 2082500
Counter: 05 - 2082082

Teaching Location

Please see timetable.

Students will be supervised by A&E SHOs and will be expected to:

• See new patients and discuss the cases with the SHO.
• Perform practical skills such as cannulation, suturing, recording and
interpreting ECGs.
• Participate in the assessment of seriously ill and major trauma cases and
observe the management of such cases.
Aims

• To learn to assess the collapsed patient and begin early effective resuscitation
according to internationally agreed guidelines.
• To learn the assessment and early management of minor injuries, seriously ill
patients and trauma cases.

This is to be achieved through teaching on airway management, basic life support,

rhythm recognition and advanced life support.

Objectives
1. Airway management

• Recognise the potential for airway obstruction in the unconscious patient.

• Learn how to clear the airway and maintain it using simple airway
manoeuvres
• Become competent in the use of airway adjuncts including insertion of an
endotracheal tube.

2. Basic life support

• Know the SAFE approach to the collapsed patient.

• Recognise cardiorespiratory arrest and understand when to call for help.
• Be competent at carrying out CPR.

3. Rhythm recognition

• Become familiar with various simple cardiac rhythms on a single lead

monitor.
• Understand the impact that these rhythms may have on cardiac output
and their relevance to resuscitation.

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4. Advanced life support

• Learn the internationally agreed guidelines for resuscitation in the adult.

• Be able to perform safe defibrillation using a standard manual
defibrillator.
• Become familiar with the drugs used during resuscitation.
• Link all of the previous skills learned in a simulated resuscitation
situation.

5. Minor injuries

• Assessment of injuries.
• Investigations needed.
• Treatment and disposal.

6. Major trauma

• Principles of early management of trauma.

• Observe the process of trauma resuscitation.
• Investigation and disposal of major trauma.

7. Medical emergencies

• Rapid assessment of the seriously ill patient.

• Prioritisation of investigation and treatment.
• Disposal.
8. Triage

• Process of sorting the urgency of a case.

• Stratifying along agreed national guidelines.

Reading list

• ABC of Resuscitation
• Advanced Life Support manual
• Oxford Handbook of Acute Medicine
ISBN 0-19-262682-5
• Musculo-skeletal problems in Emergency Medicine –
Wardrope & English
ISBN 0-19-262863-1
• The Management of Wounds and Burns –
J Wardrope & J Edhouse
ISBN 0-19-262999-9
• ECG Interpretation of Emergency Medicine –
F Morris & D Crossman, Butterworth Heinnemann

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Anaesthesiology
Assoc Prof Dr U Aung Myat Thwin
Head of Anaesthesiology UniKL RCMP
No 3 Jalan Greentown
30450 Ipoh Perak
Tel: 05 -2432635 * 279

Dr Kavitha M. Bhojwani
Head of Anaesthesiology Department
Hospital Raja Permaisuri Bainun
Jalan Hospital
30990 Ipoh Perak
Tel: 05 - 2082530

Teaching Locations

1. Intensive Care Unit (ICU) – 7C.

2. General Operation Theatre (GOT) – 3C.
3. Orthopaedic Operation Theatre (OOT) – 4D.
4. Maternity Operation Theatre (MOT) – Beside Labour Ward.

Aim

To develop an understanding of the perioperative care of surgical patients and

develop a further understanding of the role of an Anaesthetist within the Hospital.

Objectives

1. To be able to give an objective preoperative assessment of patients

undergoing surgery.

2. To understand the physiological implications of general anaesthesia.

3. To understand the principles of airway management.

4. To know the indications and contraindications for regional anaesthesia.

5. To recognise the importance of the postoperative management of pain,

oxygenation and fluids.

6. To have insight into the role of the anaesthesiologist outside the operating
theatre.

Reading List

Anaesthesia, Smith & Aitkenhead

Lecture Notes in Anaesthetics, Lumm - Essential Anaesthetics for Medical Students,
Heining

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Academic Staff Unikl RCMP

Module Coordinator Datin Dr Ramani Subramaniam
05 - 2432635 * 282
ramani@rcmp.unikl.edu.my

Lecturer in Anaesthesiology Assoc Prof Dr U Aung Myat Thwin

05 – 2432635 * 279
thwin@rcmp.unikl.edu.my

Non –Academic Staff UniKL RCMP

Pn Norariza Ariffin Admin Assistant
norariza@rcmp.unikl.edu.my
05 - 2432635 * 225
05 - 2536637 (Fax)