1. HOUSEMANSHIP PROGRAMME IN MALAYSIA: PERFORMANCE, ISSUES & WAY FORWARD

2. E-Housemen (e-HO) Intake HOs, every 2 months since August 2014
- according to availability of posts
Implementation of e-HO since March 2015
e-HO is a online system that which allows HO (which have been appointed by SPA) to choose the hospital, depends to the availability of posts
Only hospitals with available posts are displayed in e-HO.
– If HO doesn’t agree with the available training centre, HO may postpone the training for 2, 4 & 6 months.
e-HO opens for 1 week: 6 times / year ( Jan, March, May, July, Sept, Nov )

3. Disciplines offered 2008: 6 postings 2015: 9 postings
Minimum: 4 months each posting
Medical
Surgical
O & G
Paediatric
Ortopaedic
Emergency Medicine
Medical
Surgical
O & G
Paediatric
Ortopaedic
Emergency Medicine
Anaesthesia
Psichiatry
Primary Health
Maximum: 1 year each posting
Choose 6 postings

4. STRUKTUR LATIHAN PEGAWAI PERUBATAN SISWAZAH
Tempuh latihan PPS
tidak kurang dari dua tahun
maksima LIMA tahun (+ 4 bulan obligatory posting).
Penempatan maksima dalam satu-satu disiplin hanya dibenarkan selama satu tahun.
Terputus /‘Gap’ latihan melebihi 4 bulan - mengulang semula keseluruhan latihan pegawai perubatan siswazah.

5. 44 public hospitals accredited as HO Training Centres14
H.SA. Johor Bahru
H B. Pahat
H.S. Ismail Johor
H. Kuantan
H. Temerloh
H. K Trengganu
H. K. Bharu
H.U. Sarawak
H. Sibu
H. Miri
H. Q. Elizabeth
H. Tawau
H. Sandakan
UMMC*
UKMMC*
HUSM*
H Kemaman
H Kuala Krai
H Tanah Merah
H. Segamat
H KLUANG
H. Bintulu
H. Kangar
H. A. Star
H. Sg. Petani
H. Kulim
H. P. Pinang
H. S. Jaya
H. Taiping
H. Ipoh
H. T. Intan
H. S. Manjung
H. K. Lumpur*
H. Putrajaya*
H.T.R. Klang*
H. Selayang*
H. Kajang*
H. Serdang*
H. Ampang*
H. S. Buloh*
H. Seremban
H. K. Pilah
H. Melaka
H. Muar
44 public hospitals accredited as HO Training Centres
FUTURE - Keningau, Sarikei, L Datu, K Lipis)

6. ISU & CABARAN:ADUAN
Tidak sempat makan dan minum Waktu bekerja yang lama Waktu bekerja fleksi
Tidak dapat pergi CME/ Buat prosedur. Buli – MO/Pakar • •
minta belikan makanan,
Ugutan extension untuk kesalahan
Menjerit dengan menggunakan bahasa yang kasar Pilih kasih (favouritism)
Ditegur kesalahan depan pesakit

7. NUMBER OF NEW HOUSE OFFICERS APPOINTED (1998 – 2014)
6000
5000
4000
3000
2000
1000
Local Universities Overseas Universities Total
Year
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
Local Universities
360
372
477
519
830
850
907
945
993
1,104
1,449
1,726
1,864
1,964
2,180
2,588
2370
Overseas Universities
619
433
345
241
167
109
129
104 66
186
877
1,332
1,388
1,600
1,563
2,403
1490
Total
979
805
822
760
997
959
1,036
1,049
1,059
1,290
2,326
3,058
3,252
3,564
3,743
4,991
3860

8. Intakes of House Officers vs Availability of Posts
Increasing numbers of house officers:
- HO appointed in 2014: 3860
-Total HOs (2 years & 2014): 8851
• UD41/HO posts : 10, 805
- Filled : 10,190 (94.3%)
- Vacancies : 615

9. GENERIC FLEXI SYSTEM FRAMEWORK: MODIFICATION
Duration: hours per week
To implement Modified Flexi System
3 sessions – for ward based disciplines
Modified session - for ED & Anaesthesiology
Shall not work continuously for more than 16 hours per session (without breaks)
All days are considered as working days inclusive of Public Holidays & weekends (as HO is undergoing training)
Entitled for replacement day off if working on Public Holidays (as it was earlier given) - only 1 day given if PH fall on weekend
HO shall be given 1 full day off per week – can fall on any day
Post-night duty off (afternoon off) – counted as 1 day off even if less than 24 hours
Protected time for CME must be provided & HO expected to attend at least 75% of department’s CME sessions 23
16 Nov 2013

10. EXAMPLE OF MODIFIED FLEXI SYSTEM
7am-12pm
12pm-4pm
4pm-10pm
10pm-7am
5 hrs
3 hrs (-1 hr lunch)
6 hrs
9 hrs
Table HO 1
hrs/day
MON TUE WED THU FRI
SAT SUN
MF2 (NORMAL + EVENING) 14
MF1 8 14 17
MF2 (NORMAL + EVENING)
MF3
MF3 (NIGHT)
Post-night duty till 12pm
OFF 5 14
OFF
MF3
MF3 (NIGHT)
Cumulative hours for week 72
Refined schedule to enable more time to be spent during day time/office hours – to maximise attendance to ward rounds, OT, Day Care/OPD, procedures, CMEs, hand-over, etc.

11. ISU & CABARAN: PERLANJUTAN PERTAMA & TERAKHIR
Masalah cuti berlebihan/ sikap/ buku log tidak lengkap
Tidak kompeten
Tempoh:
Minimal 2 bulan maksimal 4 bulan di hospital yang sama.
Perlanjutan di hospital yang sama dan tempoh bergantung pada sebab perlanjutan.
Sekiranya masih tidak kompeten maka untuk penilaian terakhir selama 3 bulan di hospital lain.
Sekiranya masih tidak kompeten maka bawa kes untuk diputuskan
Samada di beri peluang lagi atau
ditamatkan
dalam Mesyuarat MQB

24. LEMBAGA KELAYAKAN PERUBATAN (LKP)

27. Distribution by Universities Overseas Universities: 79%
FINAL ASSESSMENT OF HOUSEMEN IN 2014
Distribution by Universities
Local Universities: 21%
Overseas Universities: 79%

28. Termination of PPS via MQB (2010-2014): Distribution of universities

30. SUGGESTIONS Choose the right type of hospitals
Make good friends with the team esp Nurses
Learn what your seniours prefer and plan to follow their pattern
Plan your week and anticipate. Do not get too many surprises
Withstand all the emotional challenge
Remember that it will only be for 2 years
Try to sit for membership exams if you can
Must always remember the long term niat and rely on our remembrance of Allah and His Pleasure. Make good Do’a always