1. Dr Paul Chan Deputy Director (Clinical)
Housemen Orientation
Dr Paul Chan
Deputy Director (Clinical)

2. Introduction Houseman vs Pegawai Perubatan Siswazah (PPS)
First working life as a doctor
No longer just study but work and study
Responsibilities
Proactiveness
Goals of Internship
Provide experience
Platform for knowledge gain
Development of skills

3. Organizations MOH (Ministry of Health) MMC (Malaysia Medical Council)
JPA (Public Service Department)
HR (Human Resource)

4. Organizations MOH is not MMC. Both different entity
MOH mainly service or perkhidmatan
MMC doctors’ issues only

8. MMC Government body Plans for privatization Doctors practices APC
Registration of practices
Ethics
Complaints from patients
Head by the Secretary
Boss is DG
Empowered by the Medical Act 1971

9. Laws involve directly doctors
Medical Act 1971 (2012)
Private Healthcare Facilities and Services Act 1998
Laws not involve directly doctors
Medical Device Act 2012
Lab and pathology Act 2007
Akta Ubat 1956
Competition Act 2010
T&CM Act 2012
Aesthetics Guideline
Mental Health Act 2001 (2006)
Atomic energy licensing Act 1984.
Nurse Act 1950
Dental Act 1971
Insurance Act 1996

10. Postings 6 postings Final postings either Anaesthesia, A&E or JPL
4 months each
2 assessments in each postings
Extension
Due to incompetence, unfilled log books, excessive leaves or sick
Minimum 2 Months = Incompetence
Evaluation report by your HOD
Non clinical skills (Communication, Presentation, Ethical skills)

11. Log books Carry with you all the time
Must be completed before you finish your postings (2 weeks). Latest 1 week.
Extension if incomplete log books

12. Evaluation At least one evaluation (1 month) before completion)
Usually 2 evaluations. Up to individual dept do it.
If fail evaluation, then will be extended (2-3 months)
First extension : 2 months (HO Committee)
Second extension : 2 months (HO Committee)
Third Extension : KKM (transfer to another hospital same state), 3 months posting.
Still incompetent : Lembaga Kelayakan

13. service 2 years as HO and 2 years of MO
Maximum 3 years (JPA requirement, as temporary staff)
Any extension, feedback to JKN Sabah
Any extension more than 1 year, DG will decide
After one extension, if still need another extension, will be sent to another hospital (ie should not be in a dept longer than 7 months if you are incompetent)

14. Leaves JPA requirement Cannot be brought forward to another postings
Is up to HOD to give or not
Not a ‘right’ /hak. In govt service, your only ‘right’ is gaji.
So don’t say ‘I have the right to take leave’.
Critical staff (health, army, police, firemen, etc)
Any leaves more than required, means ‘extension’
Maternity leave
Sick leave

15. sick Please see a doctor Physical or mental Don’t treat yourselves
Counselor, psychiatrist
Talk to someone .. or something
Get out from the ward to take a breath
Don’t smoke
Don’t kill yourselves!

16. Very sick Fit to work Medical board in MMC will decide
If leave more than 90 days, state director to approve
If more than 180 days, KSU approval

17. Work Tagging (2 weeks), or more if needed
Working hours depends on dept
Not flexi, and also not full on-call system
Working hours (not on call) : 6 or 7am to 5 or 6pm
On call : 2 or 4pm to next day 12 or 2pm.

18. End of housemanship Successful completion in HDOK
Completion in other hospital
Resignation
Don’t mean you can’t be a doctor anymore.
Apply as contract worker
Termination
No hope
Gone case

19. Dont Giving MC Do procedure without supervision
Discharge patient before discussing with your MO
Locums
Run away from work

20. Do Proactive and accountable
Grab the opportunity to do as much and learn as much
“See one, do one, teach one”
Get your own insurance
Behave and be professional
Write so that other can read
Learn Perintah Am (General Order)
Dress appropriately (KPK 4/1989)

21. Finally Remember the reason why you become a doctor
Must have APC to practice medicine
Without completion of HO, won’t have APC
Doctor is not about hospitals and clinics only (phama, lab, research, MCO, insurance, SOS, medical supplies, etc)

22. Thank you