(Note: OSCE means objectives-structured clinical examination used to measure students' clinical competence. During OSCE, we were observed and evaluated as we went through a series of stations in which we interview, examine & treat standardized patients who present with some types of medical problems, as well as physician who seek for the advice on certain medications)
There was a total of 8 stations and 7 minutes was allocated on each station. Jadi kamu boleh bayang betapa paniknya nak fikir & solve all of the things within a very limited period. I'm gonna share my experience on each station. If you're not interested to read 'kisah sedih', kindly leave this page *emo*
Station 1: Responding to symptoms
The patient is a young man named Sham (Berasa tersipu-sipu juga berdepan dengan pesakit muda
. thehehe). Tapi rasa menyampah jugak eh sebab cakap belit-belit. Can you imagine at the age of early 30s, he claimed of having hypertension. Tension sangat ke jadi banker, dek non? Huhu. Ok lah, fine. Maybe he has a family history of hypertension. Sekejap cakap batuk dah 5 hari, pastu tukar statement 3 hari pulak. Arghhh... Sudahnya jadi cemas sampai tak bukak pon reference books atas meja (Kamu bajet kamu super pandai ke, Marlyna?) *sniff sniff* I asked & tried to solve the problem within less than 4 minutes. So the remaining 3 minutes tu masing-masing senyap je. Pastu dalam bilik yang tegang & hening itu, tiba-tiba perut rasa nak bunyik. Benci gila.
. thehehe). Tapi rasa menyampah jugak eh sebab cakap belit-belit. Can you imagine at the age of early 30s, he claimed of having hypertension. Tension sangat ke jadi banker, dek non? Huhu. Ok lah, fine. Maybe he has a family history of hypertension. Sekejap cakap batuk dah 5 hari, pastu tukar statement 3 hari pulak. Arghhh... Sudahnya jadi cemas sampai tak bukak pon reference books atas meja (Kamu bajet kamu super pandai ke, Marlyna?) *sniff sniff* I asked & tried to solve the problem within less than 4 minutes. So the remaining 3 minutes tu masing-masing senyap je. Pastu dalam bilik yang tegang & hening itu, tiba-tiba perut rasa nak bunyik. Benci gila.Station 2: Patient interview
I like the patient! His name is Eric Tang- reminds me of Eric in Deko Bersama Eric with the favourite line " Surpriseeee! Suka tak? Suka tak?". Hehe. Very friendly, very warm. Yang ini berbual macam tak boleh stop since I sangat teruja. The patient was diagnosed with Hypertension & Chronic Heart Failure (CHF). The patient was complaining of frequent urination at night. So cannot sleep just because kerap bangun waktu malam. Actually, he was on Frusemide, a type of diuretics that cause urination. Jadi, harus suggest dia amik ubat itu waktu pagi. Jangan suka-suka hati engkau saja nak telan ubat itu pada bila-bila masa. Tapi tak sampai hati nak marah-marah. Seperti biasa, berwajah hipokrit & cuma sengih-sengih saja depan patient. I have done all I could but may be it's just not enough. Just not good enough.
Station 3a & 3b: Prescription Screening
The physician was actually my Pharmacology lecturer. He's a real doctor, anyway. At one part, he was staring at me just because I gave a kinda rubbish statement. Kecewa dengan diri sendiri. Bersemangat suggest macam-macam jenis ubat but the doctor refused. Tegar sungguh. So I ended up smiling & said, "This is my suggestion. It's up to you to put into your consideration". Duhhh... I should stick to whatever thing I think is good for the patient. Frust betul
Station 4: Patient Counselling
Demmit! Yang ni langsung tak cukup masa. I concentrate so much on how to use the Novopen just to notice that actually there's only 1 mark for that section. Noooooo wayyyyyyyy! Walaupun patient amat helpful & manis (I think that's the reason why she got Diabetes
), tapi sifat cemas menguasai diri lantas lupa segala isi-isi penting untuk counsel patient. Tangan tu tak payah cakap lah, gigil kalah orang sakit Parkinson. Patient pulak tersenyum-senyum tengok pharmacist yang terketar-ketar tak tentu arah sambil cakap melalut ni. Omaigod. Omaigod.
), tapi sifat cemas menguasai diri lantas lupa segala isi-isi penting untuk counsel patient. Tangan tu tak payah cakap lah, gigil kalah orang sakit Parkinson. Patient pulak tersenyum-senyum tengok pharmacist yang terketar-ketar tak tentu arah sambil cakap melalut ni. Omaigod. Omaigod.Station 5: Health promotion
Smoking cessation? What? Smoking cessation? *stupid!* Taknak komen apa-apa sebab yang ni lagilah rasa macam bodoh. Bengs-ongs.
Station 6a & 6b: Drug Information Service
Station nie rasa sedikit cool sebab boleh guna walkie-talkie (jakun.heh!). The doctor asked about suitable dosage regimen of Amikacin to be given for Chronic Kidney Disease (CKD) patient on hemodialysis. I've tried to get as much information I could. Then because I was very panic (I bet if the adrenocorticotropin stress hormone can be flushed out from my body, the government will announce amaran banjir [of adrenocorticotropin] tahap 10 kat Cyberjaya kottt), I started asking silly questions. Dialog weolls lebey kurang macam ni lah:
Pharmacist: Sorry Dr. Ali, you haven't tell me about the drug regimen. How am I going to calculate?
Dr. Ali : I think that's what I'm asking you (sambil gelak terbahak-bahak dan hatinya [mungkin] berkata, "mari ramai-ramai kita ketawakan dia". kahkahkah)
Pharmacist: Really? Ok, bye!
*talian tiba-tiba terus terputus*
Rasa malu macam nak pengsan!
Bodohnyaaaa... Doktor mintak pendapat kamu then kamu tanya doktor itu soalan yang sama balik. Nak nangis boleh tak?
Honestly, I really feel like I was at my lowest point of the confidence level *Broke down*
Disebabkan terlalu kecewa dengan pencapaian diri masing-masing, my housemates & I went to Big Apple, Alamanda to have our tea. Yeay-ness. Boleh bertenang for a moment. But the big challenge is waiting ahead. Final exam is just very soon. Final OSCE will be on 10th. O Allah, may Your guidance be with me. Always.
♥ Everything has it wonders, even darkness and silence, and I learn whatever state I may be in, therein to be content
