Wednesday, February 28, 2018

2018, still alive and kickin..

its been more than 10 years since i wrote my first post ,( including the previous blog, you can refer to my first post on this blog for further reference) Many of those who started out with me, possibly found other meaningful things to do and other commitment in life and decided to stop. Here i am still hanging on. I hope i dont stop writing. Despite the busy life we keep on having as we grow older, i kept a promise to myself that i would atleast write something on my birthday.

Birthdays; what seems like a loop in the circle of life,  but is actually just a path in any journey with a beginning, the complex journey in the middle, and a certain ending. a date is certainly a reminder for you to ask yourself, " what has changed from this year and the previous ones?? what have you done better than last year??" and thank God, i could really see the difference between last year's and this year's 23rd february.

last year's 23rd february was probably the typical year of what any undergraduate student would be busy doing; studying and hoping to do great during exams so we could move on to the next chapter of our life. so often, pushing into our subconscious that same thing over and over again. "you can do it" "just a little more" "5 years of struggle is hard enough, dont make it 6" and after all the dramas and with a little bit of sheer luck, passing the last exam was an emotional one. thoughts were racing in my head at that time,

"for 5 years i told my self, just a little more , and now i have to stop telling my self to push harder?"
"before i entered medical school i said that id need to renew my driving license after graduating, and so the time has come. hahah"

some of the many thoughts. and of course the right way is to keep moving forward, and how does one really moves forward after being stagnant with the same thing for 5 years? some may consider of moving on to the next chapters of their lives(congrats lads!), some go on the hunt for money (wise..) and others just wants to layback and enjoy the moments where the previous 5 years refrained us from doing. As for me? well i opted to go for what a great doctor / lecturer once told me; " Who you know, is better than What you know ". Hence here i am, wondering to the great beyond, of places where i've never been, and picking up things where i left off .

i never had the luxury of travelling pompously, but i guess God has a better plan for me. With some luck i got accepted to handle programs with regards to students from japan. Little do people know ever since i was a child, japan was one of the places i wanted to go, and the japanese people were among the people i wanted to talk to. since i was small Umi's brief experience in Japan made me so hooked up to that place and people. Ive been through the 1st batch in my last post, now i guess its time for me to talk about the second group of students, and the last one.

i have to thank the first group of students for giving the proper heads up and necessary information about what they are about to face, and how to go around things in Malaysia. for these reasons, im guessing it makes me myself a little less shy ( i was a shy person during the first group.. sincerely)

as of for the second batch, they appointed me as the leader to help around with the tasks of what i thought would be similar to the 1st batch. In comparison to the 1st batch that we manage to do many things with a carefree mood and environment, the second one was more rigid and 'well organized' as the management have seen the flaws from the prior batch and they corrected it all in order to make the program more focused on academic and less of a tour de malaysia. One of the flaws pointed out was that we were too close with the students. i laughed out knowing this fact and wondered myself, ' how could being nice to someone, making the person feel comfortable is something wrong ?'

nevertheless, many more cants and donts that made it a bit more difficult to do things. but with the helps of the friends and helpful trainers, we manage to get away with it. with a little downside of course, and that is when so many things were already arranged for you, you get a bit carried away, and hence less time for yourself  with them, non-academically. But i am grateful for the peoples that i knew this time. all of them :)

(Abe chan, and Mei chan, with hijabs :)

My buddies , Mei chan, Abe chan, brilliant students, both quite the contrary, to the fact that one is the very shy one and the other is the all rounder for being the best and one of the those who talks a lot, makes it easy for other people to get along with her. and a plus point for her for being the best female soccer player ive seen. haha. Moeka Abe despite being a shy person i was happy that she could still follow me around to many places that i took her to, and thanks to Mei for dragging her hehe. and at certain times, she will also bring along her roomate, Sonoka, being my first buddies i tend to spend more time with them rather than the second buddies. and so many more places that i promised to bring you to, but did not manage to do so as time was not on our side. gomennasai ....
(day one, Sonoka beside me was very shy at this time, as well as the birthday girl, Abe chan >.<)

(the last day, last buddy session)

Mei chan, despite of your age, i see a very mature person with a high level of curiosity and with this, you can go far and the only advice i think anyone can give to you is to just keep on doing what you do :) :)

( the last day before changing partners, and buddies. Mei seems happy, haha )

Abe chan, people say you are shy, i just think that you are just in your comfortable zone. Perhaps its not a bad thing to be 'shy' as long as it doesnt stop you from achieving your goals in life. And at a certain point, i think you are the kind of person who CAN do that and i respect you in able to do so.  Please finish the book that i gave to you. hehe :D
(during the first day we were given a task, to take a picture with something funny. And Shima Sensei was very funny and was so easy going just like the students )

Personally, i enjoy spending time with those who finds difficulty in adjusting to the surrounding.
some said to me

"ali, why should you do all this? this is not part of the job"
"ali, our part is finished, if they need anything they should work it out on their own"

 I can see why some actually disagree with what i do, but I cant help but felt the calling and urgency to go and do more than needed just to make sure other people's life and job gets easier. As long as it doesnt hurt anyone, and i have the time and energy to slot in a few extra things to do, i guess i have no reasons to say no. and in the end, i find pleasure and satisfaction knowing i made somebody's day better just by a few extra effort done. and it helps knowing that there are those who shares the same opinion with me. one of the reasons why i enjoyed this work of which on paper, seems so unpleasant and at times, tiring. On the other hand, i know that this attitude makes us vulnerable and easily taken advantage of. but yeah, ill keep this in mind and ensure my limits in the future. hehe

(with the 1st and 2nd pairing for buddies. Ayae is trying her best not to cry :)

Along the way, Miho and Ayae chan happen to be my second buddies of which i figured i would have the same amount of time to splurge with them, apparently not. the little 2 weeks of time was never enough right?? they have things to do, i have things to do, and slotting time in between was somewhat, bearable. but i hope i served my purpose. i really want to spend more time academically, knowing how hard it is to learn english. as a person who has been exposed to english since 6 years old and yet still having difficulty now, i seem to be able to understand the struggle they face as most japanese people learnt english at a later stage of studying.

(As everyone was busy taking pictures, i was doing something for the lecturers, but she insisted on taking a picture. thank you Miho chan :)

 i hope after this Miho chan will no longer be the class's sleeping beauty and will practice more english inside class and outside class. :D

(the few moments of a simple session. Ayae chan, followed by Miho chan)

As for everyone's (especially Haziq's. hehe) dearest, Ayae chan, at times i know you say that learning english is difficult. but for me, positive attitude is always the key to make things easier. So keep smiling as usual, and keep on learning. your malaysian buddies will surely be happy to assist you any time, accordingly. :))

then, theres the PBL group of people, Kotaro, Momoka, Mina, Koharu, Honoka, and also Miho. they need to do a short project with a presentation and we ( me, Haziq and Dzahirul) were assigned to assist them as necessary. but they were so independent and so good that they made as if we were not doing our job. along the way of your presentation I manage to look upon all of you and felt the feeling of proud of being the buddies in charge of all of you :)

(the PBL group that did superbly!)

and a few person whom i figured worth mentioning are the boys, whom are very excited with sports as i am.  and the person whom i can always count on to help me out with the students, Saito Yu, as funny and friendly person she is, she is also a strong girl knowing how independent she is since that her parents are actually living in Malaysia and she lives in Japan, alone. but now she is on an exchange student program in Philippines. All the best and have fun over there :D and my warmest thoughts to everyone else, whom i think made me smiled and satisfied with the job that i did. too many to mention, but you all know who you are right? :)

(This is a video of one of the dance they did during the last day. And Yosuke was crazy enough to try a woman's clothes, even the owner was suprised. :)
(Saito Yu has the same shirt as me. haha)
(A picture with everyone as soon as they finished their first class in Japan, and i just woke up at this time. T.T)

and not to be forgotten ofcourse, i cant help to feel the feeling of missing those who came during the 1st group of students. everything we do and everywhere we go became so sentimental as it reminds us of all of you,. i hope you are all fine and doing well in your english exams as well as your part time jobs hehe. Japanese people are amazing, seeing how commited and how nice a person can be, should straight things out that there are good people out there and maybe during your working times people may not be as good as you wished they would, maybe we should be strong and better for the good people elsewhere :) 

( Some of them knew each other and are actually close friends. i hope i can see them all again together in the nearest future)

This program is a good way to start my 2018 as it straights up my perspective on how people of different religion can somehow be better than yourself, as a human being. So hopefully after this, being a person with Islam, we can add up what is not in us, and be a better person and not being the blame for what Islam is not. Lessons in life like this is hard to learn from books, as well as from the typical Malaysian surrounding. And for this, I am very, very thankful for the opportunity for the epiphany that i could get. i hope to see you again, in Malaysia, and as well as in Japan. hopefully seeing everyone at their hometown can provide me with a better epiphany in the future. Im looking forward for it. Arigatou, nihon jin, as well as the malays

Ja ne ? :)

P/S; Of course, the next part is the part where i had the chance to visit UK. next post perhaps. Recently ive been told that my posts are too long to read. sorry ^^,  and thank you for reading till the end.

Thursday, November 23, 2017

a revelation made easy

2 years ago I remembered myself being asked to become a tour guide for a few Japanese students who are studying at my faculty. and i reminded myself to keep a safe distance between them, to avoid being overly attached. and here i am, after a 5 weeks of the similar activity. being too attached.

(medical students from japan :)

before starting this program i asked myself will i ever be able to deliver what is needed to be done. i had no proper education with excellent english, no prior mentoring experience. in fact, the story of how i got recruited for this job was also a bit messed up : i was the last one to be recruited ( a day before the program started ). the trainers tried to call me many times but i was always busy doing something else. sorry Puan Khadijah. but as Puan khadijah said ' youre here, lets just move on forward! '

on the first day of  the program i honestly still could not keep up with the names of the friends / buddies , and it took me the whole week to remember each and everyone of them. things was a bit confusing at first. we needed time to adjust on to the work environment and of course, focusing on you lovely japanese people :) few things that i noticed at that time. first was that most of the students were very shy, or maybe nervous. and without the students know, we also felt the same. some of us never spoke to any foreigners, some of us never actually see japanese people, face to face. As for me what i see is that they really want to speak but what they need at that time, is the necessary push to turn the switch on. and as the weeks follows, i can assure that nervous, and confidence was not an issue anymore. and we achieved so much more after this barrier has been eliminated.

weeks follows, and from my point of view, the studying part was a hectic session. everyday from 8 to 5 they will be having classes straight on with only 3 meals break, and no rest. not to mention the homeworks they have to do. sometimes i feel pity for them knowing the fact that there is not much we, as buddies can do. but nevertheless, we tried as much as possible, to make the stay a memorable one. and because of this. we tried as much has we can to entertain them after classes and on weekends. honestly speaking, at times, it felt tedious, but surely i dont think non of us mind. we do everything, i guess its for the moments and memories rather than the financial benefits. and THIS, was the highlights of the entire stay.

after-class activities were the moments that are usually anticipated. its where we are free to do what we want, without the stresses of class and we are able to experience malaysia. so many places to visit, so many foods to try, and so many cheap items to buy i guess? what amazes me was the fact that some of them were able to go on their own to the places without us guiding. despite all the various of activities that were done, the best moments for me were simply the moments spent together, just talking. i like to get to know with people, and probably from their experiences and their habits, we could learn alot and reflect on ourselves on what we can do to improve ourselves in the future. here are some of the highlighted moments that i considered worth mentioning;

1. ever since i was little my mother keeps on reminding me to always help people in need, and that includes making other people's job easier. i remembered once ( i think many of them actually), my friend asked me after i finished a meal at McDonald; " why would you clean your tray of garbage after eating it? let the restaurant staff clean it. its their job " and i was left without an objectively right answer. i thought it was common courtesy. but i guess i was wrong. Until i meet these japanese people. everyday after breakfast or lunch i would see them take a turn to clean the tables they used for their meal. and by cleaning means that they also wipe each table with their own wet wipes. never have i seen a malaysian do that before. just the example needed to allow me to follow what my mother said. and hence another thing to add into my long lists of  `things i dont need approval from local society '

2. after talking to them, some of them actually lives far from tokyo. making them having to stay in tokyo by themselves, and some of them even lives alone. its quite hard to imagine for us malaysian, right after finishing high school, to go and study far, and lives alone. to add to this fact, most of them are actually working part time to make sure they are able to pay for their living costs in tokyo. let it be at a restaurant, shops in the mall, or even a sushi rider ( keep it up ashun! :D ) they do it as part of their daily live and it is a norm to do this type of lifestyle over there. and for some of them, the money of the part time jobs are the financial source for them to come to Malaysia. and the rough estimation of the cost is more than 10k! i salute you all, hats off, and i hope that in the future i have the same determination to be functional at this level so that i can earn money to go to japan to see all of you :) on the reflection side, i should be able to find some strength to normalize myself in the future medical field

3. this one is dedicated to one of the students, Oikawa Natsuko ( as shown in the picture :) it was during week 4 of the program, and during the afternoon buddy session, we were needed to discuss on a topic called, ambition. so everyone needs to give a brief speech on what they want to talk with regards to ambition or dream generally. all of them would normally write the speech before giving the speech knowing that it is actually quite hard to speak without a proper script. plus, with the script, it allows us to correct any grammatical error for the sake of improvement. Some students would like to give a funny speech just to entertain us. some have a more serious thought that should make us ponder upon their words. A particular one written this one below,

(this is shuka's speech. i really like reading their speech, but this one is taken from syafiqah's instagram :)

this shows that some of them are actually taking this topic to a serious level and hopefully it is fulfilled in the nearest future. then comes this cute girl, natsuko, giving her speech. Initially i was about to just dismiss that speech. but as the speech progresses, i knew that this was not a normal speech. she started her speech by saying why she wants to learn english. Im very sorry natsuko, but i could not recall all of your speech, but this is what i remembered . sorry if it is wrong. few years back when the tsunami hit asia, her family was one of the victims of the disaster. when that happens, help came from many different countries. however none of them spoke japanese. and mostly were able to speak english. at that time none of them could speak english. the utter frustration of having such communication barrier is a whole lot to bear, especially during the hard times of desperate moments. and such pain is a great motivation to keep her focus on what she is doing now; which is learning english so that she can teach children from her hometown english so that they wont go through what she has gone through. she had difficulities in delivering that speech, but she was also holding back tears, for the sake of delivering the message. But she cried afterwards and at that point i understand her motivation. and its a strong one. im pretty sure a lot of other students have their own story, of which i was unfortunate to unable to listen to them all. sigh.


and so, a question is raised. why ? why are you so concern with all of these things? why are all the moments are mentioned? why would such things matter to that extend?

( Ms Hancock's class in Plascrugs school)

so lets start here, as i once said, i never had a proper background of learning english with the right way. and as far as i can remember i was really dumb and disliked english ever since i was in kindergarten. to a point i always copied my english homework(ONLY ENGLISH. other homeworks i did it with passion and interest. haha) in kindergarten because i could not understand it at all. until i was 6 years old and we had to go to UK because my father was studying there. in the effort of making me learning english, my mother bought me a story book and she would force me to read it everytime before going to sleep. so i was frustrated with that because i had to read something i dont understand, and also i could not really pronounce the words,it lasted for about a month before we move to aberystwith, wales,. and over there, i went to a school where obviously everyone is either speaking english, or welsh. and i remembered that the 1st day was a day where i cried all day long because i cant speak to anyone and i cannot even go to the toilet because of that. it took me 2 days to learn the 1st word in english, and that was *yes*. my mother said that if anyone asks you anything just say that word. and i still couldnt go to the toilet. until i actually memorise the phrase on how the words actually sounds like, instead of learning what the word really was. funny times. haha

and to top up to that problem, the class was full so i had to sit at the table where all the smartypants were sitting. so they were usually given more homeworks and exercises to do. plus if we are doing diary session, we needed to do longer essays in comparison to other. i did not like the situation that i was put in. but as time goes by, i just go with the flow, and manage to cope with the problems. and of course, a must to mention, thanks to my mother for forcing me to learn, and also the teachers and friends who sat down and was there throughout my stupidity period. i guess the endurance to sit and be patience is something i needed to highlight and make it a part of me.

another story that i think is worth mentioning was when i was 16, i went to egypt to learn arabic language. of course i had been learning that language since primary and junior high school. but since that i dont live in an environment where that language is practiced daily, its hard to use it to communicate. plus, the words written in the books are not the common words use during communicating. writing and reading wasnt the main problem. but listening and speaking was. and again with the help of friends, and self perseverance, i manage to grab that language and use it for basic understanding of that language. but i guess something went wrong somewhere where i could not score A in this subject in my high school. haha. but the least that i could say is that after school, i can understand what the arabs are speaking in the restaurant where i previously worked, or in the hospital when i was talking to an arab patient. this is a more satisfying achievement in comparison to the exam i took during school.

From these 2 experiences of me learning 2 languages, i realize that the key to understanding another language is the environment. by environment, i meant by the people around you who are actually using the same language to communicate, as well as many supports as possible to encourage you, to push you. Im not a noble man of wealth, nor am i a man with the prowess to do great thing. but i am a firm believer of one thing that my mother always reminds me of :

" do good, and be good. always help people where ever you can. and see how kindness and good deeds will give you more satisfaction than money will ever give. Or atleast you'll feel better seeing people wont have to go through what you've been through "

seeing all the japanese students struggle, i could not help but to try my best to attend to all of their difficulties to  learn english. and ofcourse listening and speaking was the hardest part. i could say that all the buddies were sooooo attentive in allowing them to take their time to try and speak in english. its not about the amount of the english words spoken. but we actually just want to turn on the switch for them to become more confident in the knowledge that they already have. from day 1 i could actually see that they can , they just need that necessary amount of push to keep rolling on to speak english. sometimes that necessary push comes from outside of the class session. maybe making them feel comfortable staying here in Malaysia would ease up the process of their learning. and at the end of the day, im just a human being with the same limitation. I feel really bad as i was unable to entertain the needs of all of them. some of them that are even dear to me. and I truly am, sorry. gomennasai :(

and during the times where i was stressed up with all the problems that came up during the program, i would try to remind myself of all the motivations i needed to keep on doing what i do. that includes my mother's word, and most of them, are the efforts shown by the students. japanese people are hardworking people i could say. i would always say to myself, if they can be that hardworking, maybe i should too. again, we are all humans with the same capabilities and not handicapped right? and of course, i find pleasure knowing that they are happy. to seek for pleasure is a man's goal right? :)

And suddenly i remembered what my mother once said to me out of the blue:

' in life we dont just make money, we create memories '

5 weeks spent of what i thought was for the payment that we will get. but along the way i noticed that was not possible. instead, along the way we created something more valuable. we were more than just buddies, but brothers instead. and these valuable moments that makes you realize, it was all worth it, and im willing to do it again. thankyou everyone. i love you all, and i will miss you all.

Here is a little parting video from me. enjoy :)

Friday, August 25, 2017

The hurdles of an undergrad’s medical school; PRO EXAM(s)

After all these years im still here writing, and you're still here, reading. Thankyou for your time :)

Degree life was no walk in the park regardless of the course. And the amount of posts here should justify this statement as time really, really, REALLLY is at the essence. Regardless of any course, we all needed to strive at one point right? And so often people keep asking how does the medical course really takes place. I've KIV-ed this post ever since and thought its only appropriate if I post it after I myself, have gone through it A to Z, especially the exams.

 So a lot of things happened, of which maybe when the time comes I will bring it up. But as how my previous exams prior to medical school that I shared, id like to share this in particular. In the effort of trying to make the medical exams understandable for those who asked, and for those who wondered, especially those unrelated or unfamiliar to the system. Ofcourse, some medical school may have a little different approach of the exams. But the main goal is always the same; to ensure all the graduates are safe and competent doctors. And fair enough to be said, it is one of the most unfair exams. But what to do, it’s the only way to assess and these methods of assessments have been around for ages.

So, medical school typically has a total of 5 years of study. And its divided into 2, pre clinical( 2 years)  and clinical years ( remaining 3 years). The first 2 years is reserved for theory and lecture hall based teachings where learning is emphasized on the non practical exams. And the other 3 years are more emphasizing on clinical skills, and the knowledge on management in the hospitals. So after 4 semester, at the end of the 2ndyear, exams are in the lab ( OSCE; for specimens and samples related ) and in the exam halls, either written or objective questions. Written exams emphasized on 2 type of questions. And all of the subjects ( at least 6 of them if im not mistaken) so the easiest example that I can provide is, its like taking all the PMR / SPM papers at once and they ask questions in the paper 1 (objective), paper 2 ( subjective) and paper 3 (essay). An addition to that, the objective questions requires you to answer all the choices and state either the statement A, B, C, D, E is true or false. Each correct answer gives you 1 mark, each wrong answer will deduct you a 0.5 mark. So if you do the maths, getting 1 wrong answer will only get you 3.5/5 and so on. So its better to leave the answers you’re not sure rather than ‘ bantai ‘.

So, students need to pass the 2nd year’s pro exam (the term used for the major exam) in order to proceed to the clinical years. If they did not pass, under certain circumstances some of them may be eligible for a viva voce session with external examiners from other universities in order to pass. If they did not pass that session , they will have an extension of 2 months of study, and retake the exam( while other students, mostly are enjoying the holidays). Theres a few points that I think makes this pro exam easier than the year 5 proexam which are; 1. Its all on paper exams which means you wont have problems of having a thought block. Worst case scenario is that if it’s a written exam, just fill in the blanks and just fill in the true or false statement in the objective section. Atleast you still have something to write 2. Its all in the books and slides. So if you read it, youre sure to pass. Although the thickness of the books and hundreds of slides usually makes this statement arguable. ha ha ha

So moving on beyond the theory part, for 3rd to 5th year, we’d be required to apply all those theory to clinical settings in the hospital. If before, we would be learning of a certain disease and knowing it’s symptoms and all the necessary things there is to it, clinical years would require you to do the opposite. Catching the symptoms and knowing what disease that may relate to that symptom. In other words; giving diagnosis to the symptoms. 

( a picture with one of the inspiring pediatrician. calm and collectively said that we all can really do it

Of course, for those who have been to a hospital with medical students attaching to it, you’d notice how students would spend a longer time to ask you specific questions in comparison to the practicing doctors in the ward where some of thr questions may not seem related to the disease, and some questions may offend the patient in a certain way (minta maaf zahir dan batin). This is because as students you cant take shortcuts and our lecturers / specialist doctors would want us to know all the details about the patient, including the social aspects.’ Treat the patient as a whole’ is the oath we took. Sometimes the patient comes with a broken bone, but we keep asking on whats the income of the patient and where does the patient lives. Its important to know so the doctors may provide the cost effective treatment and if required, to seek for funds and how to allow her to have the easiest access to further medical treatment. In addition to that, further lifestyle modification may be needed and the doctors / other hospital staffs ( nurses, occupational therapist and physiotherapist ) may adjust and aid accordingly. On the contrary, practicing doctors usually wont spend that much time because they only have 24 hours a day and so much to do, hence they only take what is necessary at that certain time, and if required they will ask from time to time.

Learning includes in the ward and also sessions in the class for a hands-on on the current practice of a certain disease and clinical procedures. So the flow goes like this: take history from the patient and do necessary examination to confirm your diagnosis. Know the required investigations to be sent to the labs and the management of the patient. Of course we need a solid knowledge of the theory behind all of this during year 1 and 2, and addition to this, the current practice at the hospital. For example, the book may say that the dosage of a certain medication but in practice the dosage may be different and this must be referred to the guidelines provided either by the world health organization (WHO) or ministry of health. And as how we all know, there are a lot of departments ( of which called ‘postings’) ; such as surgery, medical, paediatrics, obstetrics & gynaecology. These are the cores that we must learn throughout the clinical years. But the list goes on as there are also other subspecialties. In my medical school, they arrange the postings in year 3 and year 4. The final year (year5) is reserved for reincorporating the 3rd and 4th year and knowing the managements, and the treatment modalities of each disease. Of course, good students may have done all of this in the 3rdyear already. Hiew hiew. Good for them

Moving on to the exams, there are 4 types of exams in the clinical years. End of posting, end of semester, ethics in medical jurisprudence, and the final hurdle; PRO3 exam. So the end of posting exam is a clinical examination where our knowledges and skills are tested with regards to a certain disease in the ward. The mainstay of the exams are ’ longcases’ and ‘shortcases’. Longcases are exams where we are needed to ask the patient specific questions together with relevant examinations and all of this must be presented to the doctors as we are needed to come up with a diagnosis and relevant discussion shall follow after that. And the short cases are a relatively short duration of exam where within 10 minutes, you are not allowed to ask anything from the patient, but we need to come up with a certain diagnosis solely based on the examinations done during that short duration. A potentially biased and unfair exam as the doctors will usually see if there is any available cases in the ward, sometimes out of sheer bad luck, we may end up with a never been seen case and thus fail to pass the exams. After several postings, the end of semester exam will commence and the theory behind every postings and the format is still the same as there is subjective questions and negative markings-objective questions. Of course, after each exams we all, would want to score(read: pass with flying colours) it. Some may need it as to the cumulative pointer. But in our medical school, its part of the requirement to enable us to take the final exam. 

So, In order to graduate the medical school, students are required to pass the PRO3 exam. But before hand, they must be eligible to ‘ sit ‘ for the exam first. So the requirements are as follows;
1.       Must not fail the end of semester exams more than 2 postings out of a total of 17 of them. If so, they may need to repeat the year, not the semester. 
2.       Attendance of (maybe) 95%. It’s a super rare occasion where they must also repeat, even though they pass the end of semester exams.
3.       They must pass the ethics exams. This exam is usually taken prior to the pro3 exam, and this essay questions is solely to see if our thinking process is ethical enough to practice as a doctor, failing this, also requires the student to repeat the final year, despite having no problems with no.1 and no.2

And as all of this settles, then only the student may sit for the exam. This last hurdle, As I quote, from my previous dean ‘this is the most unfair exam that you will ever encounter’ and theres nothing much we can do about it other than to get through it , and pray for the best.
So for the last exams, they still retain the same format, but having the total number of questions increase. From 30 objective questions, to 60, and theres 2 sets of it tallying it up to 120 questions. Other subjective questions also doubled. They now divide the questions by surgical based ( such as obstetric, orthopaedic and surgery) and medical ( those discipline that does not require surgical intervention for the main treatment such as, psychiatry, paediatrics, and medicine). My theory exams was a bit catastrophic, maybe ill share later, and students need to pass both the theory and practical part.

For the practical part, theres one long case, and 3 long cases that must be faced. And these 4 practical session should be able to compensate each other in order to overall pass the practical part. So the theory and long cases are done in week one, and the second week is reserved for the short cases only. By the time they are doing the short cases, they have already summed up all of the marks from week 1 and by the end of the short  case session, the cumulated marks are calculated and the lecturers should already know either students passed their PRO exam or not. If the theory part is so poor ( which is a rare event) theres nothing much that can be done. But if theres a borderline fail due to lack of marks on the practical part, theres a special session after the short case session called modified short / long case (depending on the lacking component ) to compensate the marks. 

So the flow goes something like this, after the short cases session, students are required to be quarantined and await the names for those who needed the extra marks sessions. It’s a really stressing moments as of at this time everyone would be wondering on how the little flaws they did may affect the overall marks. And half of the time those who ‘kantoi’ during the practical sessions would expect to be having this session. For those whose names were called, if they are able to perform well at that current exam, they should know either they pass or vice versa without having to wait for the resultsto be announced. As for those whose names weren’t called, they would be either a pass, or worst, clear fail, especially those who didn’t do well and their names was not announced. And these thoughts will haunt them until the names of all those who has passed will be announced on the next day. 

On the next day they will have all of the students and lecturers to come into the lecture hall and they will announce the name, one by one, those who have passed and those whose names have not been called, will know that they have not passed, and will need an extension of 6 months. It’s an emotional moment as millions of thoughts were on the line and the moment you see ewither all the bloods, sweat, tears shed in the past 5 years were enough, or you needed to do more beyond what you've done. after the names were announced, then the hyppocratic oath / declaration of Geneva is taken. 

(pic was taken an hourafter results were announced, not the same expression an hour before for sure)

Its a quite lenghty post, probably might make you read a line or two twice or trice. But i hope the message is conveyed and see how the flow is not like the typical pointer system. i hope this post does not oofend anyone. Sorry if i did. And next time ill proceed with, my hurdles. Thankyou (for sticking till the end! :D )

(p/s: if you're wondering why there isnt much pictures of hospital setting, well that's because its actually unethical to take pictures in the wards/ hospitals as the privacy of the patient is one of the things we took oath to protect .. cheers! )

Thursday, February 23, 2017

The permanent, everlasting reminder.

To the one and only person, who would surely ponder upon these words, regardless of how exaggerated they are, or how excruciatingly long they may be.

in the times of where you start to lose sense, in what is right and what is wrong,
the rights will always be with those who had the best common courtesy.

As you lose sight in those who are right and those who are wrong,
Religion will always be with who are right, and surely the wrongs, when they take advantage on what religion has to offer.

As time flies and you look at the road you're on so far,
you are where you are not just because of your effort, but the support you have from everyone, the prayers from your parents. In sickness, In health, in the hectic life you have, you are still a son, with the responsibilities to be accomplished and will surely be asked infront of God later on.

In times of disbelieves, and when man's wrath and their way of life part you from your path, 
Remember, there is the right example for you to follow, and the wrong example for you to refrain. you are stronger and wiser, as you can still differ the rights and remain with it.

In times of where you see everyone in every walk of society,
Appreciate, be kind to them as the kindest among them are the ones people will usually overlook. 
the ones from the low society often been recited in history as those who paved an easier route to heaven.

Of all the hardship you've been through, you've always said to yourself to be strong as there will always be a harder obstacle ahead. So raise your chin and move forward, there's always a silver lining in everything.

When the world gave everything it has to offer, be humble, and remember your roots.
Allah will always have better plans for you and trust Him, and dont lose faith in Him. Surely He'll provide you with the strength to move on and reach Him in all the right medium you're using.

To the one and only person, who would surely ponder upon these words, 
to the future me, always remember, hopefully when you remember, you will be better.


Tuesday, June 14, 2016


this tributes a lifetime memoir. of those who were there, significantly, paved the path that i walk today. ad if it wasnt because of them, life would go the way i could never have foreseen. specifically saying, in my life of learning. heres to them. may Allah grant the best He could offer. A specific person that plays a role not in teaching alone, but also offered me something better, a perspective.

Mu'allimah Waznati. she was my science teacher when i was in secondary school. In my form 1 studies i wasnt the brightest to begin with. i studied for the cause of the flow. more or less for the friends as we share the common goal : exams are on the way, you just need to get through it, not to be the head of the  curd or the alpha wolves. so the story starts when i was in form 1. it was a little culture shock adjusting from the bahasa syllabus in primary school to the english version. the 1st test was not much of a problem as everyone passed moderately. as the mid term exam approaches, teacher A decided to quit and leave the school with the exam paper she constructed as the last contribution she had to give. concurrently, teacher B substituted and she was the one marking the papers that teacher A made. and most of the students failed that paper. (we were young and st*pid at that time) a few people wrote a letter to teacher B to asking her to teach properly and not take this 'teaching' so lightly sounds rude, but some of the student actually made a petition for this purpose. not being able to handle the stress, teacher B decided to do the unthinkable. teacher B called all the students of form 1 prior the second semester test and discreetly said that its a ' last minute study ' . after that session we were told to memorize the answers, including the flow of the ABCD in the objective part. it was the real exam paper. and when people knew it, we all went a little cray cray. "this is my chance to score' i see those whom before were answering the objective section by taking chances from choosing the colour of the pen they picked randomly from their pencil case to memorizing the flow of the objective section like its some sort of the Holy Qur'an 's verses. But at the end of the day, when the results came out, most of us still failed, and it really took a blow to teacher B. and worst, 'kantoi' by the other teaching staffs and higher ups of her activity causing that teacher to lose the job. and after that there was no teacher to actually teach the science subject for real. only relief teachers and seniors took the job , on and off. which somehow kinda strucks me a little.

its my favorite subject but i could not learn properly because there are those who blame the system implied on them. and the teachers were victims of blame by the students who expected life would be easy. it was until the end of form 2 that we actually have a real teacher, who decided to took the spot where the gloomy rumors will haunt the teacher as if they are doomed to be teaching a subject that will fail the students and they will get the blame regardlessly. i admired her courage to stand up and try her very best to do what she had left of her time, a few weeks before final semester 2 exam.  and at this moment i realize, she wasnt trying to cheat her way through. and with all the efforts she is giving, why are we still gambling answers during exams instead of actually really trying to learn.

A few days before the exam we had a little feast and we had to cook our own meal. i still remember that time i was cooking ayam madu and she came to me.

' ali dh sarapan belum?'
'nanti ayam ni siap saya sarapan .'
' takpela ali. awak pergi makan dlu sarapan. budak budak lain semua dh makan makanan cikgu xxx bawak dkt kelas .tinggal kamu 3 org je tak makan lagi'
' takpela. sikit je lg ni'

and the teacher went away and came back a few minute later a bag of  hot choc donuts.

'ali makan la ni. bagi dkt kwn2 skali. share share la ye.'
' donut ni bukan mahal ke ? nnt saya bayar balek ye. terima kasih' i was eating it while making this statement. after finished eating, i took rm15 from my wallet to pay for the doughnuts.
'total donut td rm15 kn?? terima kasih, again' and what she replied was probably the life changing part of my life.

' tak payah la bayar rm15 ni. murah je. awk tau tak cmne nk bayar dgn harga yang lagi murah tp lagi senang. '
' mcmane tu?'
' awak belajar rajin2. awak score highest utk science final ni. kire lepas tu langsai la hutang kita'
' lagi senang ke cmtu? mcm byr rm15 lg senang je hahaha' i replied with a cynical laughter hoping that she was just joking.

'saya tau awak boleh ali. kalau awak usaha lebih sikit, sikit je. msti boleh. ape pn jadi, saya taknak duit rm15 '

from what i understand, she just wanted me to work harder, and working harder would benefit me from the success that would come, and also the waived rm15 ofcourse.  so i tried my best, and i saw her again during the 1st week of form 3 .

' result exam dh keluar ke? bole tak saya nk tgk kertas saya, nk tgk apa yg bole di improve sebelum pmr ni '
 she had to dig throughout the piled up papers to find mine.. and when she did find mine,

' tahniah ali. kan saya dh cakap . lagi sng dr byr rm15, '
from the inside i reacted with a statement ' eh dia ingat lagi janji dlu. dh brpe bulan kot'
and utterly from the outside i only managed to smile and thanked her with the simplest form, and nothing more. at that point was the time i realize, success is not for those born with the greatest talent that they may have, theoretically run in their family for generations. but  sheer hardwork plays a role also in order to succeed. and the more hard work, the higher the chances for you to get what you want.

and so lucky for me, is that this teacher's effort does not end there. although she didnt teach me during my pmr times, so often she would come and see me, and ask if i have any other problems that needed problems. although most of the time the she did not provide a direct solution to the problem, she constantly reminds me that one of the solution is to keep try harder. and sometimes a reminder is all you need to be better. and all this theory is well approved after a significant change in the academic results were achieved.


and here hopefully reminiscing what happened before could inspire me to be better at the time i need it most. a year left in clinical years. and i definitely need to do more than i am doing now, more than what i did before. life is not going to get any easier , and for that its crucial for, me especially, to keep motivated.