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Introduction

In Malaysia, emergency medicine is considered as a new specialty with an important role in health care delivery. Thus, there is a need to train medical students in this field. PPSP is a front-runner in this endeavor - presently it is the first University in Malaysia offering the Masters in Medicine [Emergency Medicine]

 The following program has been specially developed to accommodate a 3-Week course for the final Year medical students. It is an intensive course covering all the main aspects of Emergency Medicine involving the knowledge, skills and attitude necessary for the future doctor. This restructured program enhances the interaction 0f the Emergency Department (ED) staff and the students, improves the teacher-student relationship, inter-student relationship, and more importantly, encourages greater patient-student interaction. It encompasses practical and theoretical aspect of academic, service and research components of emergency medicine and using various educational teaching methods supporting the educational philosophy of the School of Medical Sciences, USM.

The student will be exposed to various relevant assessments-similar in format to the final professional examination. At the same time student feedback will be used to the further improve the posting, and the further planning.

Hopefully, this restructured program will further improve the teaching-learning atmosphere in the ED and serve as a model for undergraduate and postgraduate program in the School of Medical Sciences, USM.   

The Emergency Department, School of Medical Sciences is located at the ground level of trauma building, providing emergency healthcare services for a total of about 60,000 patients with an annual figure of over 10,000 admissions. The ED is divided into two sections; the Clinical service & Academic.

The Undergraduate Academic Section

The 2 weeks rotational posting and one week of resuscitation week is an intensive, highly structured, self learning and student-centered program that enhances the interaction of the staff (teaching and services) and the students and promotes inter-student as well patient-student relationships. It encompasses practical and theoretical aspects of various components – academic and services of different settings, and using various educational teaching methods supporting the educational philosophy of the school of Medical Sciences, USM. Academic activities include problem-based learning sessions, tutorials, clinical demonstration, ward rounds and ambulance rides. There are also on-call duties, which are divided into 3-shifts daily that serve to provide useful opportunities for students to actively and directly participate in patients’ clinical management.

During undergraduate and early training every medical student should :

• Acquire a fundamental knowledge of basic sciences as applied to emergency medicine and the assessment and immediate treatment of common emergencies.
• Develop existing clinical examination skills and apply them in clinical practice to develop differential diagnoses and provisional management plans for acute medical conditions and undifferentiated patients.
• Acquire expertise in a range of commonly used emergency procedural skills including basic life support
• Perform allocated tasks, manage time on the floor within the shift, and meet clinical deadlines
• Teach informally on the floor and in specified circumstances in a more formal setting
• Develop an understanding and basic awareness of clnical management issues when applied to acute care situations
• Select and perform simple audit projects and understand the audit cycle to monitor care delivery and improve care quality
• Understand the principles of critical appraisal and research methodology and apply these to acute care situations
• Demonstrate the capacity to work in multi-professional teams
• Learn to recognize their own limitations in the provision of emergency care

The end-of posting assessment includes MCQ and OSCE – which are all relevant to the final year professional examination. All relevant student activities of the rotational group will be recorded in logbook, from which individual student onvolvement is automatically derived and used as part of assessment process. Student feedbacks through questionnaires at the end of posting are used to further improve the teaching-learning aspects of the emergency medicine posting.

Objectives :

A – GENERAL

• To involve students (under close supervision) in the clinical practice of Emergency Medicine
• To familiarize students with the knowledge necessary to deal with typical vital emergency situations eg; Polytrauma, shock, coma, respiratory failure etc
• To integrate all aspects of emergency medicine – the pathophysiology, treatment and some relevant ethical & psychological problems
• To introduce stimulating study methods to the individual or as a group

B – SPECIFIC

At the end of posting, students should be able:

• Acquire basic life support skills, including the diagnosis and treatment of shock and the related basic procedural skills and demonstrate the basic application of these principles in real or simulated patient care scenarios
• Demonstrate the capacity to differentiate and treat common acute problems
• Provide a comprehensive assessment of the undifferentiated patient
• Demonstrate proficiency in basic life support skills and cardiopulmonary resuscitation
• Recognize and initiate first aid for airway obstruction
• Recognize and be prepared to intervene, in any age group, for all causes of shock etiology

The one and only medicine based programme which is integrated with wilderness in Malaysia. This event is held every year by the department. It is fully conducted by Masters of Emergency Medicine students (ie; Year 2) and supervised by lecturers. First renounced and suggested by Dr Shaik Farid Abdul Wahabb, Emergency Physician and Senior Lecturer in the Emergency Department HUSM.

The main objective of this programme is to introduced the students to emergency services in wilderness such as jungle, river, sea, cave and outside of hospital boundary. It is also important to have a good exposure to such training as Emergency Medicine is applied to those area when in need such as disaster, if happened. 

Few past Wilderness Medicine program was held in conjunction to our yearly event :

1. Hill Trekking to Gunung Stong
2. Water Rafting in Perak River
3. Boat house experience at Royal Belum River (to be announced)