Lower Limb Anatomy: Deltoid Ligament MCQ and High-Yield Facts

Master the anatomy of the Deltoid Ligament (Medial Collateral Ligament of the ankle) for USMLE Step 1. Test your knowledge with a clinical MCQ on eversion injuries, ligamentous components, and stabilizing roles. High-yield guide on mymedschool.org.

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How I Studied During Clinicals In Medical School

Clinicals during medical school comprises of the remaining three years of medical school (at least where I’m from). My medical school journey consisted of 5 years whereby the first 2 were Preclinicals and the remaining 3 were Clinicals.

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I remembered being like a lost sheep during the beginning phase of Year 3. Granted, we started going to hospitals, clerking the patients and even had the privilege of watching some surgical procedures or even assisting in them (most of us were not so lucky), I thought that I was set to go for as long as I can survive with the long hours, answer questions during rounds and perform physical examination, that is enough, right?

Well, that was until I was in my second posting in Year 3 and I passed my Clinical Assessment but received a “0” for my theoretical assessment.

It seems that I needed to “read more”.

Read more? Haven’t I done enough by slaving long hours in the hospital? Those sleepless nights and sacrificed weekends, surely I have given more than what I thought was needed, right?

Well, it is a good thing I learnt early on or I probably would not have graduated medical school.

Here are some ways I studied during my clinical years in medical school.

1. Attend ALL Bedside Teachings / Rounds – Go for extra if you are able to.

This is crucial. If it is in your timetable or it is time for your subgroup to attend, do not miss it.

The hospital is the best learning ground, especially if you are a person who learns best from experience (at least for me), and the patients are your best teachers.

I learnt better and retained information efficiently after seeing various cases even if it were new to me.

Granted, I feel inadequate most of the time as I would not know the answer while being asked. however, I learned that with humility, comes learning.

Besides that, if you are able to attend more beside teaching or rounds, do so. There will usually be empty spots in other subgroups and people will be looking for others to fill their position, volunteer if you have the time.

Never turn down the opportunity to learn more.

2. Finish Your “Case Writeup” Within The First 2 Weeks Of Your New Posting

Case write-up. I’m not sure what do you call it where you are studying at. However, it is a form of academic writing of a particular chosen case, clerked by you and the physical examinations performed by you alongside the data from the labs down to the provisional diagnosis, differentials and follow-ups till discharge.

I’m not sure if you have that but I think most university does.

Anyway, for every posting, we were required to submit a case write-up (sometimes two) by the end of the posting.

Completing it early within the first 2 weeks of your posting puts you at ease by the end of the posting as you are able to focus fully on your end-posting examinations or upcoming examinations while others are stressing on all of it. (This happens most of the time.)

It just alleviates some pressure and it is always good to be prepared. Besides that, if the case you have chosen is not suitable, there is always room for a new one if you start early.

3. Clear Your Theory Component In The FIRST 2 WEEKS

During the beginning of the posting, you will be given a timetable which (at least for me during medical school), consisted of a mixture of clinical classes which were bedside teachings as well as theoretical classes (lectures by lecturers, case-based discussions by students or presentations).

The topics will usually be listed by then, although the allocations for presentation has not been done.

I used to list out the topics from there and complete my own reading on these topics within the first 2 weeks of a new posting.

Take the time to see the amount of time you need as this vary for each person. It would be better if you have a “study buddy” to help you with your journey and keep you accountable.

Anyway, by completing the reading of the listed topics from the timetable early, I noticed that I was able to understand better during bedside teachings and also during presentations or lectures in class.

Besides that, it alleviates any last minute studying stress towards the end of posting.

4. Refer To Proper Sources

This differs according to the country of which you are attending medical school.

Take note of the units used as some follow United Kingdom / European units while some follow others.

From there, you are able to discern which international books to refer to and finally determine which books are suitable for you to follow.

If you are good at understanding all units, then it would not cause confusion. However, during medical school, we followed closely to the UK system and guidelines.

The best guide would be the clinical protocols of the country you are attending medical school as you are able to understand why certain procedures are preferred and why certain patients are managed accordingly as some step-wise managements might differ in certain countries.

Here is an example of what I used to refer to:

5. Do Clinical Case Questions EVERYDAY / NIGHT

This is vital in assessing your theoretical knowledge and keeping you on your toes.

I used to download multiple question books and did them according to my posting, covering the topics listed in my timetable first before divulging in others.

Dedicating a minimum of 3 or 5 questions (this differs according to person) or even a solid hour per day is important in assessing your knowledge or that particular topic especially once you have completed all the topics required for your posting.

Besides that, you will be able to identify the parts you have missed out on.

If you have just dipped your toes into clinical year or is going through it, know that, that is the best part of medical school, although it will be a challenging one.

Try to make the best out of it and if you feel that you are drowning, you are not alone. Many of us have felt that way and you are not alone. Many of us have felt that way and you are able to excel as well!

Thus, I hope you have these few tips useful and will be able to inculcate a little bit in your journey in medical school.

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5 Benefits Of A Study Group In University – Medical School Edition

What is your study style like?

Personally, I am a person who prefers going solo. This is due to the multiple distractions and talks between me and my friends. Before you know it, a study session has turned into a catch-up session. However, I was lucky enough to have my very own study group – “The Impostors”.

Do read up on my post “The Best Study Group I Ever Had – The Impostors“.

Anyway, if you have the privilege to form your very own study group, here are the benefits you are in for.

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1. YOU LEARN FASTER

In my study group, we used to ask each other topics we were weak in. This saves us time in reading up as it would be explored by our friends.

Besides that, it would be a plus point for the person teaching as it helps you remember longer by teaching as well as a chance to have yourself corrected on parts you may have left out or is weak in.

Hence, having a study group either forces you to have the knowledge at the tip of your fingertips so you can teach anytime doubt arises within the group or you know that you can always reach out for help and who better to explain the concepts than our fellow peers?

Either way, you still learn faster.

2. YOU KEEP EACH OTHER ACCOUNTABLE

Studying consistently after class can be rather mundane especially once the motivation starts to wane.

Making ti a point to study together, be it at the library or a cafe or even virtually can be a bit of a boost, which you need on days that you just don’t feel like studying.

3. YOU OBTAIN SHARED INFORMATION

It is common for past year papers on previous examinations or even tips and hints to be circulated among the peers.

In my study group, we usually share information obtained outside our circle into the group, such as from the seniors or sometimes even the lecturers.

I am a person who is very out of touch with the events going on around me, especially the news as I tend to just bury my nose in my books.

Hence, apart from studying, they contributed to my growing collection of question banks as well as to help redirect my focus on certain topics before the exam.

4. THEY’VE GOT YOUR BACK

This obviously applies when classes were still virtual during the pandemic and you’re at a dead end.

Being one of the “teachers” in my study group, I remembered that there was one posting in particular which I did not study for.

I felt helpless as I knew I was most likely going to fail. It didn’t help that I was not interested in that particular posting either.

For a person known to be “reliable”, I felt that I had let down everybody but thankfully, each and everyone pulled through.

“Of course, I strongly discourage this. Please study even if you dislike that subject.”

It was surprising and a heartfelt moment. From the theory exam down to the practical session, I was guided by all of them. It was amazing teamwork.

5. YOU ACTUALLY EXPAND YOUR CIRCLE OF FRIENDS

As mentioned in the beginning of this article, while studying with certain friends, you may notice that there are a lot of distractions.

Hence, the sad truth is, sometimes, the best study buddy or group are not your closest friends but a bunch of random individuals who thankfully are part of my inner circle today.

I couldn’t have asked for a better group of people who are extremely loving, kind and giving. I will never forget the days and multiple times they pulled through when I fell, both in studies and my personal life.

You guys were the Best Part of my Medical School Life.

The Impostors (2020-2022)

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6 Essential Items To Bring During Graduation / Convocation

Graduation marks the end of a certain level of education and for most, it is usually after the completion of a degree.

My graduation occurred on the 26th of November 2022, which happened to be the 21st Convocation in MAHSA University.

However, the night before my graduation, I fret about which bag I should be carrying and if I should even be carrying one as we would be lining up separately to enter the hall, which means sitting separately from our families among our fellow peers.

My main concern was regarding my belongings whereby will it be safe when I went up on stage as I definitely do not want to be pictured carrying my handbag while I received my certificate.

Nobody briefed me of course and I finally settled with bringing along a handbag with certain items. Of course, after going through what seemed like an extremely long ceremony, I realised which items I should’ve brought along.

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1. WATER

If you are a heavy drinker, like me, do bring along a big water bottle. No, you won’t have to bring it on stage. Yes, you will feel thirsty. The robe itself is huge enough and warm and if you happened to wear an outfit made of thick material, be prepared for some heavy waterworks a.k.a sweat.

2. A POWERBANK

It will be the day you be will be using your phone A LOT as you will be taking multiple pictures with your friends and families, videos or even be vlogging. If your phone battery is not able to withstand long enough, better be prepared. Otherwise, you may just save someone in need of a powerbank.

3. SNACKS

My convocation consisted of a few other faculties. Hence, it was rather long. Now, if you’re a person who gets hungry easily, be sure to pack a granola bar or two or even some chocolates.

4. TISSUES

It was a rather sweaty day. The hall was fully air-conditioned, hence being there wasn’t the issue but while waiting in line, it was in a non air-conditioned area and I happened to be a person who perspire easily. Hence, tissue saved me. Besides, if you have the sudden urge to use the restroom, it would definitely come in handy as they may not have tissues available.

5. POWDER AND/OR LIPSTICK (OPTIONAL)

Whatever you need for touching up. As I mentioned before, it was a rather sweaty day for me, hence I needed to touch up multiple times.

6. EARPLUGS

The ceremony can be rather long, of course, it depends as some can be quite short and sweet. Hence, if you are a person who gets bored easily, a pair of earplugs may just be your saviour as you’ll be able to listen to music or even watch a movie or episodes during the ceremony to kill time while waiting for the ceremony to end. Of course, don’t forget your powerbank.

Those are pretty much the essentials. Of course, do add some of your items that you think that you would be needing but all of these items listed would be able to fit into a tiny cute handbag except the water bottle of course which is better for you to carry separately.

If you have an upcoming graduation or convocation, CONGRATULATIONS! It was definitely a memorable experience for me and even more so for my parents.

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The Best Study Group I Ever Had – The Impostors

Throughout my whole 5 years in medical school, I was lucky enough to come across the best study group in my life – The Impostors

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HOW IT STARTED?

The Impostors was formed during the 4th Year of my medical school journey.

We were in the middle of the COVID-19 pandemic when Year 4 began. Hence, it was a mixture of online & physical classes.

Year 4 was the year where we were introduced to such thing as Interactive OSCE (I-OSCE). Back in Year 3, we only heard of long case examination whereby we had to clerk the patients history, perform a focused physical examination as well as discuss the management with the examiners.

As you can imagine, being exposed for the very first time even though we’ve technically had multiple practices during pre-clinicals, can still seem rather daunting.

Hence, a dear friend from The Impostors, Selashini, reached out to me to just “run through” quickly on what is needed for the exam and I agreed.

From there, she roped in 3 more members. So, The Impostors consisted of 5 members, 4 girls and 1 guy.

The Impostor & Sara (Our Beloved Senior)

HOW WE WORKED TOGETHER DURING END-OF-POSTING EXAMINATIONS?

Every time before our end-posting examination, we would all come together on Google Meet to discuss the common topics or targeted topics. Our usual meeting time would be around 7-7:30p.m. and lasts till around 9-10p.m, it varies of course.

It was really nice whenever we came together on Google Meet as we were scattered all over Malaysia, some were in Kuala Lumpur, Johor Bahru, Selangor and Kedah.

Our End-Posting Exam usually consists of Single Best Answers (SBAs), Interactive-OSCEs (I-OSCEs) and Digital OSCEs or Modified Essay Questions.

A few minutes before the exam begins, we would all go on a conference call on WhatsApp. For SBAs, we would set aside around 15 minutes to 30 minutes to answer on our own followed by group discussion before the timer is up.

Similarly, for Modified Essay Question / D-OSCEs, each of us would be handling a question each and answering what we know followed by sending the answers in the group chat. Well, it was efficient and saved our time as we usually will be rushing to complete our tasks.

During IOSCEs, it used to be a 1-on-1 session on Google Meet or Zoom. Yes, we had to switch on our cameras. I remembered, we would be on another Zoom or Google Meet and the person going for the exam would share their tab or screen and half the screen on their end would be on WhatsApp and the other half would be the call with the examiner. So, of course, when a question is asked or we have a fellow member who is stuck or in need of help, the messages would be on the screen without needing the person to turn sideways.

OUR FIRST HANGOUT

We first officially hung out in 2022, after our final end-posting examination, somewhere before the study week began.

We all went for tea time / dinner at “Thosai Cafe”, located at The Curve, Damansara.

PREPARATION FOR PRO EXAM (FINALS)

Our preparation for Pro Exam was scattered, most days, it involved only me and Selashini.

We would usually start in the morning and each would be studying at our own pace. The Google Meet was merely a booster or encouragement to keep us going.

We did not do it everyday as most of the time, I was busy or occupied with other stuffs.

On certain days, we would come together to practice I-OSCEs or even Modified Long Cases together.

Most of the time, Selashini would list out certain topics for us to have a discussion on. I owe my love towards teaching to her. There was a time when I was considering dropping out of medical school and never in my wildest dream would I imagine myself helping out a dear friend for the examination.

In between the theory exam and practical exam, we all came together at Selashini’s, Baviethra’s, Angela’s and Ummu’s place of residence at Titiwangsa.

HANGING OUT TOGETHER POST-PROFESSIONAL EXAMINATION

Dinner @ Betel Leaf KL

Two nights before our Graduation / Convocation Ceremony, which happened to be the day of our Graduation Rehearsal, we went for dinner together at Beetle Leaf, Kuala Lumpur, which was an impromptu one.

Dinner @ Namaste India, Bangsar

2 nights after our Graduation / Convocation Ceremony, Selashini’s parents treated us to a lovely and amazing dinner at Namaste India.

Her parents are one of the loveliest people I’ve ever met and I caught a glimpse of how this lovely person was brought up by her parents and how she turned out to be gracious.

FIREWORKS

This took place after the dinner with Selashini’s parents.

After dinner, we all travelled to Subang Jaya and I played firecrackers for the first time.

It was rather fun and although I was rather fearful initially.

So far, that was the time we all came together…

I never thought that I would even have a proper study group in medical school. It didn’t matter even if we separated into different groups the following academic year.

I’m thankful for the lovely people who made the best of my years in medical school. Our memories together be it having fun, studying or helping each other out a.k.a “cheating” during exam is something I will miss dearly.

Being with all of you made me feel as if I’m back in my schooling days in Johor Bahru, which is my hometown.

Thankfully, all of us passed our Final Professional Examination and are Doctors now, awaiting our place of internship.

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6 Strategies For Studying 2 Weeks Before Finals

The date of the major examination has just been announced or maybe you’ve known it for sometime now. People are getting busier by the day and not even properly responding to your text messages or maybe even turning down your invitation for a short lunch together, all for the sake of STUDYING!

Exam is just a fortnight away. You’ve yet to even open your book. Forget the management of acute pericarditis, what does it even mean?

You’ve got two options at this point.

  • To study & give your absolute dedication.
  • Give up. Literally. As no amount of studying is going to be of help anyway.
  • So, if you’ve read my previous post on “6 Ways To Study in Final Year of Medical School”, you would know that I actually started my preparation somewhere in the middle of my final year.

    As I approached the study week, many of my batch mates literally just began their preparation. However, they still managed to pull through, we all did and if they can, certainly you can too!

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    1. Collect & Compile those Past Year’s Questions / Past Year’s Notes / End-of-Posting Questions / Short Notes from your seniors or batch mates.

    Literally. They’re a lifesaver.

    There is a very high possibility for the questions to repeat themselves or even if they do not, there are similarities in the questions.

    Besides that, those notes are usually simplified and curated in a way that would be easy to comprehend.

    2. Just START with QUESTIONS!

    It can be from Question Bank books or even Past Year’s.

    Starting with question will force you to think actively rather than passively and most of the time, you already know the information at hand. It is just a matter of digging it out o your brain.

    Do not be afraid to make mistakes of course. It is not the real exam yet.

    Skip the questions that you have gotten correct because chances are, once you’ve gotten it correct, you will definitely get it right should the question be repeated in the future, unless it was a “lucky strike”.

    For the questions that you have gotten wrong, take some time to read the short notes on the topic. Flag the question and come back to it.

    3. Set a TIMETABLE

    You’ve got to make those last few minutes count.

    I mean you can’t just squander whatever seconds or minutes of the day that you have left.

    Identify the formats used for your exam.

    For example:

    • Multiple Choice Questions (MCQs)
    • Multiple Essay Questions (MEQs)
    • Short Essay Questions (SEQs)

    Make it a goal to practice a certain number of questions from it and set a time limit. Do not do too much but not too little either. Find a limit that is sustainable for you for these next two weeks and do it DAILY!

    4. Do MOCK Exams

    Do it. Just do it. Keep doing it.

    After all, you are preparing for an examination nevertheless. Rather than becoming all anxious on the exam day, treat everyday of your study week like as if it is one so that by the time exam day approaches, you would be immune to it.

    Remember to adhere to the time limit!

    5. Enough SLEEP

    Schedule at least a minimum of 6 hours of sleep. True that the recommended sleep duration is about 8-9 hours per day but time is of the essence anyway.

    Hence, schedule that amount of sleep and schedule everything else around it.

    Of course, if you are able to still meet the adequate requirement of sleep per night, then that is excellent.

    However, you want to ensure that you retain those information that you have painstakingly tried to plant deep into your head.

    6. Stay HYDRATED & Consume REAL FOODS

    If you’re a social drinker or an avid soda drinker, now is the time to fast from those.

    Just. Till. Exam. Is. Over.

    You need to ensure that your brain is fully optimised to absorb and retain information. Besides that, your body needs to be at its optimal health. Falling sick right before exam will definitely dampen your progress.

    Thus, if it is avoidable, AVOID it.

    Stay hydrated by consuming the appropriate amount according to your weight.

    I follow this method:

    For every 20kg of our total body weight = 1.5L of water.

    Hence, a 60kg individual requires 3 x 1.5L of water.

    Of course, if you feel the need to consume more, do go ahead.

    Moving on, consuming real foods. By “real foods”, I mean reducing or avoiding (if you can), the processed foods, instant foods and junk foods.

    Granted, they may provide satiety but they sorely lack in terms of nutritional value. Thus, consuming a high calorific content without added nutritious value to the brain and body and since examinations are just are just around the corner, optimising your health is the key.

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    6 Ways To Study In Final Year Of Medical School

    My Final Examination for MBBS (Bachelor of Medicine, Bachelor of Surgery) has finally come to a screeching halt, as you can see in my various posts.

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    A few days post examination, I was approached by a few friends asking me the exam as an overview or to know about the event that took place which in a way seemed a lot towards the contribution of the various as well as upcoming posts on this website.

    In this particular post, I will be sharing my experience on how I studied and prepared for my Final Professional Examination.

    My Year 5 began somewhere around late October 2021 with Part A and Part B around mid-January 2022 but my preparation never truly began till I started Part B in Year 5.

    My initial plan was to go about and list the topics learnt from the various postings I have gone through in Year 4. Hence, it was time to hunt down a few juniors to have then send me their timetables as me being the “inefficient” one, have successfully deleted them from the file as well as the recycling bin and yes, I did not back them up.

    1. Find Proper Materials

    I visited a dear friend at the University’s main campus (MAHSA University, Bandar Saujana Putra) who shared her notes with me.

    My main three “go-to’s” were:

    1. Plabkeys

    2. Plabable

    3. Zero-to-Finals

    I usually start with Zero-to-Finals for in-depth explanation on the topic followed by Plabkeys and finally Plabable Flashcards.

    I still do refer back to textbooks sometimes but since Year 3 and Year 4, I’ve mainly used the textbooks as my guide. The information inside is just vast and the content is just astronomical, which is good for a ;leisure read but in the final year, time is of the essence.

    In addition to that, the Clinical Practice Guidelines (CPG) on various illness of your country serves as an excellent reference.

    In my case, I was studying MBBS in Malaysia. Hence, it was important to know the management protocols in Malaysia as it might differ between countries.

    However, I noticed the similarities between NICE guidelines and the ones in Malaysia as well as the name of the drugs. Thus, if you want to get any form o reference book, ensure that it is following the UK guidelines, it will make your studying much easier as well.

    If you are not studying in Malaysia, then refer back to the respective textbooks that your particular country adheres to. This will save you time as well as money as you won’t have to simply buy any books only to regret not using them later on.

    2. List Out The Postings You Need To Cover & Set A Timeline

    I used this application, Trello, it’s free with Microsoft account or you could use Notion as well.

    Of course, it’s not perfect and as you can see, I definitely did not cover a few, I mean I did, jus not to the point for exam because eventually, you will know which postings carry more weightage. Besides that, once you have usually gone through a particular topic / posting fully, you do not need to go through them again. Save your time!

    I did not set a particular date or deadline for the topics over here on Trello as I knew that I could never adhere to it. Instead while I was reading through them, I would push myself to cover as much as I could.

    Hence, pick a particular style that suits you.

    3. FINISH ALL The Topics of Your Posting Within The FIRST 2 WEEKS

    This. Is. Very. Important.

    Write down those topics that will be covered in that rotation and finish reading or doing your notes on those topics by the end of the second week.

    It does not matter if you have yet to present or have a lecture in class.

    By doing so, you will in a way be ahead of your class, follow efficiently during bedside teachings in hospital and ask better questions from your professors. Hence, attending the classes on those topics instead becomes like a revision which further deepens your understanding.

    4. Prioritise Your Postings & Make Time For The Others

    For example, when I was in Obstetrics & Gynaecology rotation, I would finish covering my notes on O&G in Zero-to-Finals, Plabkeys and Plabable (within the first two weeks) and only after I have completed, I dive into others which are non-related.

    Basically, while your classmates have just begun studying for that particular rotation around Week 3 or 4, you have completed by Week 2 and pushing yourself to study others.

    I mean, this may come across as toxic and there is risk of burnout but for me, I did not suffer much as I actually enjoyed the process and treated it like a game.

    Learning under pressure was the best game simulation for me and with the addition of clinical skills and bedside teachings at the hospital, I had a blast for my final year!

    5. It’s ALRIGHT To Sacrifice Your Sleep During The Early Stages But NEVER During Study Week

    Trust me. This is going to be difficult.

    As you already know, time moves relatively fast and before you know it, you’ll be siting for the next examination, followed by the next and the next…

    However, you will notice a lot of your batchmates kicking back and relaxing, only to pull an all-nighter, probably a few days before the end-posting examination or maybe even start reading on the topics for that particular rotation from Week 2/3 onwards.

    Remember that you’ve got to cover, not only the topics in your rotation but others as well.

    Keep the first 2 weeks, HOLY, turn down social invitations if you have to, nobody is as important except a few people and you family. You seriously do not have time to attend every party every week.

    When the study week starts, which is usually 2-3 weeks before your exam, you want to be sure that you have at least send thorough everything by then and start on questions. I remembered majority of my batchmates were just opening their textbooks on the topic to read and were still rather weak on their concepts.

    Yes, they do have time to catch-up, 2 weeks is still a lot for most but that is the most stressful period and you went to be able to ensure that you do receive proper amount of rest as well.

    Hence, burn the midnight il early on while people are resting, rest while others are working last minute.

    6. Attend ALL Your Classes

    Come on, it’s paid for, unless you’re on a scholarship or is covering medical school with your own income.

    But otherwise, it is either covered by a student loan you’ve acquired or by a parent / guardian / friends or even a family member, why not utilise it?

    I am definitely not a passive person and as much as I try to stay awake in class. I find myself drifting off.

    However, the times that I actually do stay awake, which is usually the past hour of the first class of the day, I find that the knowledge on that topic further deepens and enhances because by that time, I have most likely completed covering the topics required for that posting.

    In addition to that, I do enjoy a healthy discussion. Thus, try to be as active as you can in class, no, you do no have to literally answer to every question that is being asked in class, give others a chance to answer always and only then, if no one does, throw yourself on the railway to be sacrificed because that will be a test on your knowledge thus far and you will definitely remember for the longest time.

    These are 6 ways of how I’ve studied during my Final Year in Medical School. Granted, I did not begin on the first day of my final year itself but I managed to pull through and if you’re just about to start or have yet to enter into your final year, then SO CAN YOU!

    The best ammunition you have with you is time. Work to sharpen your axe while others one relaxing, do not, I repeat DO NOT, follow the crowd. It is without a doubt that we each have our own set of commitments.

    Hence, set a day or week, list all of it and set a personalised schedule which works best for you.

    If you are already in the study week phase and has just started studying, fret not, I will be writing a post on that soon.

    Otherwise, from a medical graduate to future graduates, be it in the medical field or not, I wish you all the very best and as long as you’ve tried your best, trust and believe in yourself that you can do it, no matter the obstacles.

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    Year 5 MBBS in MAHSA University

    My Year 5 or Final Year or Senior Year of Bachelor of Medicine & Bachelor of Surgery (MBBS) at MAHSA University commenced somewhere around late October of 2021 and ended early November of 2022, after our Final Professional Exam (Final Pro).

    Before I dive into the main purpose of this article, I am from Batch 9 (2017-2022) and one of the batch who had majority of our classes during clinical years (Year 3 – Year 5) online.

    Alright, back to the main topic.

    The Year 5 of my batch was divided into two segments, Part A and Part B. Part A commenced from late October of 2021 till mid-January of 2022. This was followed by Part B which was from mid-January of 2022 till the end.

    A) PART A

    Part A focuses on the theory component with very little exposure towards clinical skills.

    The duration for each postings in Part A lasted for 2 weeks. It was very quick, aimed at getting the theory component out of the way.

    The classes were conducted physically and since it was during the time when lockdown was newly lifted, every time somebody was declared “Covid-19 positive”, classes would be suspended immediately followed by total disinfection of the place. If you happened to be from the particular subgroup whom the said person was from, classes will be switched online for a few days.

    Admittedly, those were good times. At the end of the second week, we would sit for our end-posting examination (EOP) which were usually conducted on the university’s e-learning portal (LMS).

    B) PART B

    Part B of my Year 5 focused mainly on the clinical aspect, whereby we had Bedside Teachings (BSTs), Clinical Skills Practice (CSL) on mannequins at the Clinical Skill Lab at Bandar Saujana Putra.

    We started having classes in the hospital again where we would take a focused history on the patients and even perform focused physical examination just like it was pre-pandemic.

    OBSTETRICS & GYNAECOLOGY (O&G)

    For O&G posting, it was at Hospital Tunku Azizah. We would have 2-3 BSTs in a week, with each session lasting for about an hour. On some days, we would be placed in the O&G clinics whereby we were able to observe procedures. At the end of 6 weeks, we had our End-Posting Examination which comprised of a Modified Long Case (MLC) and 3 Interactive-OSCE Stations.

    As for MLC, we had to take a focused history from our respective lecturers who will be acting as the simulated patients as well and perform a focused physical examination on the dummy.

    These were all conducted in Clinical Skills Lab in MAHSA University.

    ORTHOPAEDIC & PSYCHIATRY

    We were divided into half whereby the other half will go through Orthopaedic posting and the other half, Psychiatry posting for a duration of 3 weeks.

    After a duration of 3 weeks, we will be switched whereby the subgroup that had undergone Orthopaedic posting will now undergo Psychiatry posting and vice versa.

    In Orthopaedic Posting, our Bedside Teachings were relatively short, maximising around an hour for each BST. Thus, 30 minutes focused history and focused physical examination followed by 30 minutes presentation and discussion with the lecturers.

    Similarly, in Psychiatry posting, we had to clerk a patient from the Psychiatric ward, during Bedside Teachings. Of course, since it is a Psychiatric ward, entry and exit were well-controlled and we weren’t allowed to exit or enter as we please. Besides that, we always had to have a lecturer accompanying us when we enter the wards.

    It was a rather interesting posting to have underwent.

    The theory component which consisted of Multiple Choice Questions (MCQs) and Modified Essay Questions (MEQs) were conducted together at the end of 6 weeks (Yes 6, not 3, which is the end of the second sub-posting). Meanwhile, the Modified Long Case (MLQ) and I-OSCE for each posting were conducted at the end of 3 weeks of each posting.

    For MLC in Orthopaedic, it was conducted in the hospital, on a real patient and I-OSCE was conducted in Menara Teo Chew. Whereas in Psychiatry, we did not have MLC. Instead, we had 6 stations of I-OSCE.

    INTERNAL MEDICINE

    Internal Medicine. The mos condensed and concentrated posting of all.

    We had BSTs almost everyday except on a Friday and it was dispersed to several locations:

    • Institut Perubatan Respiratori
    • Main Building of Hospital Kuala Lumpur
    • Old wards near the Paediatric Institute, HKL

    We will usually start off with classes in the morning followed by BSTs in the hospital and return for classes again in the afternoon.

    By the end of the posting, we had our End-Posting Exam of course. Modified Essay Questions (MEQs), Modified Long Case (MLC) which was not performed on a real patient but on the lecturers and as for Focused Physical Examination, we had to verbally explain the procedure and findings, I-OSCEs, were conducted at the end of the 6-weeks posting period.

    SURGERY

    The Surgery Posting consisted of General Surgery whereby we had BSTs in the main building of Hospital Kuala Lumpur and clerked “Thyroid”, “Breast”, “Abdomen” and “Vascular” patients. This is followed by a week of Neurosurgery, mainly led by adjunct lecturers.

    Our Modified Long Case was conducted at the end of 6 weeks on real patients at HKL. The theoretical component (MCQs & MEQs) and I-OSCEs were conducted in Menara Teo Chew.

    PAEDIATRICS

    The BSTs for Paediatric posting were conducted in the same hospital as the Obstetric & Gynaecology posting, Hospital Tunku Azizah (HTA) otherwise known as The Women’s and Children’s Hospital.

    Clerking usually involved talking or obtaining the history from the parent of guardian rather than the patients themselves.

    Since, the wards are guarded, entry and exiting is controlled. Hence, we are not allowed to enter as freely as we please and usually require us to be accompanied by a lecturer.

    This posting was also the only posting which my group (Group 4) went for an “on-call”. As we progressed throughout Part B in Year 5, O&G posting introduced “on-call” in their curriculum. Sadly, my group weren’t privilege enough to go through that as it was during a time when the Standard Operating Procedures (SOPs) were much stricter in the hospital.

    In Paediatrics, “on-call” basically means going to a particular ward, 10A, usually, from 7pm-9pm. Then, we were required to inquire from the staff nurses regarding the total number of patients in the ward, the number of new admissions, cases, transferred-in cases from emergency department, high-dependancy unit (HDU) and intensive care unit (ICU), transferred-out cases as well as the number of patients discharged.

    In all of the postings in Part B, we were required to submit our LogBooks as well as our case write-up by the end of 6 weeks.

    Besides that, we had lots of “Case-Based Discussions (CBDs)” where we had to find a case, preferably a real case of course or obtain one from the internet and talk about:

    • Full history of the patient
    • Full physical examination findings
    • Summary
    • Investigations performed and results
    • Treatment for this patient
    • Short theoretical component on the case

    In addition to that, we also had adjunct lecturers who would facilitate our bedside teachings in the hospital or some of our CBDs as in Orthopaedic, Internal Medicine, Surgery and Paediatrics.

    We basically completed our Year 5 by the end our fifth rotation somewhere around late September 2022, after the end-posting examination, of course.

    This is followed by submission of our Portfolio which consisted of compiled case write-ups from all the postings in Year 5 as well as PPD essay and Patient Safety Project, at the end of August 2022.

    Our evaluation for the Portfolio and Patient Safety Project were conducted on early October 2022. However, that is a separate post for itself, so do check that out!

    Finally, the exam study weeks followed by the Final Professional Exam (Final Pro) which commenced from 26th of October 2022 till the 4th of November 2022.

    Do read my posts on it!

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    MBBS Final Professional Exam Overview Batch 9 (2017-2022) – Theory & Clinicals

    5 years of medical school. The study, the preparation, the struggles, the breakdowns in between, the missed social engagements, all for these final 2 weeks, the determinant of the title “Dr.” in front of our names.

    I have just recently sat for my finals in medical school, otherwise known as, Final Professional Examination (Final Pro) of Batch 9 (2017-2022) of MAHSA University, Malaysia.

    The examination commenced for a total of 10 days with 1 day of break in between.

    Our theory examination commenced from 26th of October 2022 till 29th of October 2022, followed by 1 day of break on the 30th of October 2022 which was a Sunday while the clinical portion of our examination resumed from 31st of October till 7th of November 2022.

    A) THEORY

    The theory portion of our examination comprised of:

    We were divided into 2 main groups of Group A and Group B and for each group, we were further divided into 3 subgroups. The theory portion of our examination was conducted in three different locations which were the:

    • Anatomy Suite, Level G, Unity Building
    • IT Lab 1A & B, Level 2, Unity Building
    • IT Lab 3, Level 3, Empathy Building

    We had to arrive 30 minutes prior to the time allocated for our respective groups.

    MODIFIED ESSAY QUESTIONS (MEQs) & SHORT ESSAY QUESTIONS (SEQs)

    Both the MCQs & SEQs were conducted in the same day for an hour each. First, the MEQs followed closely by SEQs. Both of which were conducted on the University’s e-learning portal.

    The MEQs comprised of a total of 3 postings which were:

    There were 1 question allocated for each of the postings listed followed by a series of subset of questions. Basically, it is a long story starting from when the patient is first brought in and a short history and positive findings of the physical examination would be given or maybe even just the chief complaint with a short history and they would ask you on what else you would like to ask the patient or what signs the patient might be presenting with or they could even ask you to come up with a few differentials.

    In MEQ, once you have answered that particular page, you are not allowed to go back to change your answer and in the University’s e-learning portal, it has been set in such way.

    This is because the story unfolds in the following page whereby the answers to the questions have already been stated. Hence, you pretty much know if you have answered correctly or if you should start praying for a miracle.

    1 Posting = 1 Question

    1 question can take up to 3-4 pages before moving on to the following posting.

    The SEQ component comprised of a given scenario. It is basically a shorter version of MEQ where y it shortens to just a page but with similar questions asked in MEQ.

    Questions might be on:

    • Provisional diagnosis
    • Differential diagnosis
    • Investigations to perform
    • Diagnostic investigation
    • Management
    • Pathophysiology

    Both Medicine and Surgery component of SEQs consists of a total of 4 postings. 1 question for each posting.

    MULTIPLE CHOICE QUESTIONS (MCQs)

    The MCQs consisted of 90 questions each for Medicine and Surgery with each lasting for 2 hours and 15 minutes. It was conducted through the University’s e-learning portal as well.

    The tested postings in each component were:

    B) CLINICALS

    The clinical portion of our examination comprised of:

    For all the examination in our clinical portion (except D-OSCE), we were required to report ourselves to Level 9, Examination Hall for Pre-Examination Quarantine by 7:45a.m.

    We were given a short briefing the previous night before the exam that we were only allowed to bring in our student ID card, examination docket, medical instruments, lab coat, water bottle, dry foods, 15-20 pages of reading materials, one pen/pencil and one empty paper.

    Our personal belongings along with our devices were kept in a plastic bag and sealed shut.

    INTERACTIVE-OBJECTIVE STRUCTURED CLINICAL EXAMINATION (I-OSCEs)

    The I-OSCE examination was conducted for a duration of 2 days, with 5 stations each day.

    We were tested on the following postings:

    Each station lasted for 5 minutes. We were divided into several subgroups and lots were drawn on the morning of the examination. We then followed accordingly to our numbers based on the lots drawn.

    We were initially quarantined on Level 9, Examination Hall before moving to Room 1 and finally Room 2. Both of which were on the same floor, Level 4, Clinical Skills Lab.

    In addition to that, we were required to surrender our notes and dry foods before shifting from Level 9 to Level 4.

    Since there were 5 stations, each session lasted for around 25-30 minutes. After which, we were allowed to return home.

    MODIFIED LONG CASE (MLQ)

    For MLQ, we had to follow according to the group division that we were divided into during the theory portion of the examination which were Group A and Group B.

    Both groups had their examinations on separate days with different sets of questions but with the same division.

    We were told that we would be assessed in Medicine, Surgery and Obstetrics and Gynaecology. But out of the 3 stated, we would only be tested on 2 of it.

    However; we did not know which postings we would be tested on. We had to report by 7:45a.m. at Level 9, Examination Hall. This time, we moved in ascending order of our batch’s namelist before entering into Room 1 and finally Room 2 on level 4, Clinical Skills Lab.

    We had to draw lots right before entering Room 2 but even then, the allocated postings that we would be tested on were not known.

    Since it is a modified long, with it being a long case nonetheless, only the chief complaint was given on the question paper followed by a simulated patient and dummies if necessary.

    We were required to take a focused history, perform a focused physical examination, explain the investigations that we would like to perform as well as the management we would like to do for said patient. This was accompanied by 5 minutes of discussion with the examiners.

    Each posting station lasted for 25-30 minutes. Thus, making each session 50 minutes to an hour.

    After we have completed the session, we were allowed to return home.

    In the I-OSCE as well as the MLQ, we were not only assessed by our own set of university lecturers from the faculty. Instead, we also had several external examiners mainly from public universities as well as some private institutions. Thus, each station typically has 2 lecturers, 1 being internal and 1 external.

    DIGITAL OSCE (D-OSCE)

    The D-OSCE examination, although part of the clinical component, was conducted on the University’s e-learning portal. It comprised of 13 questions including pictures, mainly to test on our knowledge of data and laboratory interpretation, apparatus and materials as well as certain special tests.

    We were divided into two subgroups again which were Group A and Group B with each session lasting for an hour.

    That concludes the overview of the Final Professional Examination (Final Pro) of MBBS, Batch 9 (2017-2022) of MAHSA University.

    Do read on “I’ve Completed My Finals in MBBS!” for more in depth explanation of the events that took place during the examination as well as my thoughts and feelings about it.

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