Experience as assistant for clinical examination

Bismillahirrahmanirrahiim...

On 26 and 27 April 2017, my friend, Yasmin and I are requested by our coordinator to assist her in clinical exam of year 3 and year 5 Paedatrics posting in Hospital Tengku Ampuan Afzan.

On the first day, we have to be in Wad Kenanga 6A sharp on 5p.m. We have to assist Dr. Farhana (lecturer of WUC in Paeds posting) to take patients case for examinations that will start around 6p.m. So first of all, we check the suitable cases from the  files of the children and infants in each cubicle( ICU or isolated cases were excluded). Then, we as a "translator" to Dr Farhana approached the parents in the selected cases to ask permissions to use their child's case to be in the exam between 6p.m.-7p.m. If they give permissions, we will stick the number 1-10 on the patient's card at the head of the bed.

Among the selected cases for year 3 are - meningitis, AGE, AGN, purpura, biliary atresia, pneumonia, acute watery diarrhea, simple febrile fit, steroid resistant nephrotic syndrome, etc

Exactly on 6p.m., we called the 3rd year students and place them on each selected bed and they will start clerking in 1 hour for long case. Each student will get different examiner for case presentation.

The case presentation for long case started at 7p.m. with internal examiner(WUC lecturer) in about 20 minutes.The students with external examiner will start their presentation at 8p.m.

After finish all the long case presentation, The examiners will select random bed for short cases. The duration is 15 minutes.

The marks is separated between short and long case. If it on borderline, the student must re-do the exam. If it below, student must re-sit the exam and have to pay several hundreds.

After the student done clerking the patients for short and long cases, we have to attend to each bed and pay the patient some consolation money and thanks the patient for the cooperation.

The next day, we do the same procedure just like yesterday. Today, Dr Farhana wants to find more difficult cases for year 5 students but unfortunately, circumstances don't allow it. The cases are - asthma, AGN, leukemia, meningitis, iron deficiencies anaemia, pneumonia, epilepsy, relapse nephrotic syndrome, etc.

Between the first day and second day I saw several differences, the situations are more tense in year 5 because examiners expect more in them, the duration for presentations are longer in year 5 because it include treatment and management, and more re-do cases for year 5 students( OMG, so scared and nervous) !!We had a small talk with the external examiners and internal examiners, most of them expected more in year 5 because they were in final year and soon will be the first batch graduated from our MBBS faculty. The examiners also give advice to us when we enter the clinical year, we should answer with confident and hide the nervous feeling deep inside.


after exam paeds year 3[credit from sis @izazazah insta]

yasmin tengah jaga Aydan, mama dia takde, comel je aydan.




exhausted faceeee after rushing around the ward from 5 pm to 10 pm


Okay, this is our precious experience because we've got in advance exposure to clinical year situation and look for the real case rather than just study in the book.

P.S : sweets, chocolate, toys are such an important things to bring during exam day especially for who got the Meningitis patients :")

thanks for reading :D

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