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1 INTRODUCTION 1
Appendices
A Who & How To Contact Academic Staff 9
B Schedule of CHET Visits 10
C List of Healthcare Facilities for CHET Visits 11
D Guide For Preparation Of Visit Report 15
E Post-visit Meetings & How to Prepare Your 17
Presentation?
F CHET Visit Assessment Form 18
G Learning Resources 19
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Clinical & Health Exposure and Training, CUCMS
1 - INTRODUCTORY NOTE FROM THE COURSE COMMITTEE
On behalf of the teaching faculty of this course, we warmly welcome you to this
exciting course.
The module’s main objective is to develop the desired knowledge, skills and
attitude of an undergraduate healthcare professional, in readiness for further
learning of medical and clinical sciences. You will be exposed to situations of
clinical and health practices in theory as well real practice. You will learn about
principles of clinical care, illness behavior, healthcare systems and health needs
of a population. It will make biomedical (such as Anatomy & Physiology) and
social sciences subjects that you learn in the University more relevant and
easier to learn. The knowledge and experiences gained from this module will
also provide firm insight and understanding of your roles and responsibilities as
a future doctor/pharmacist.
This handbook will provide you with further information on the field visits that you
are going to make and further tasks for the module. Your lecturers will try to
facilitate your learning process as much as possible, but the extent of learning
will definitely depend on your enthusiasm and efforts. Please do not hesitate to
contact us should you need further help and guidance.
We look forward to learning from you; as much as you learn form us.
All the best!
From the Course Committee of Clinical and Health Exposure & Training Course:
October 2007
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Clinical & Health Exposure and Training, CUCMS
2 - OVERVIEW OF THE CHET COURSE AND STRUCTURE OF
CHET VISITS
Overview of CHET Module:
This course comprises of 21 weeks (42 sessions) of study period, during the first semester of
the Medical and Pharmacy undergraduate courses of CUCMS. The course begins with
theoretical discussions on topics that are pertinent to development of future doctors/
pharmacists. It will progress to visits to clinics, hospitals, related institutions as well as
community resources. In each of the visit sessions, students will be required to record their
experiences as well as reflect and learn from their observations. The experiences recorded
and lessons learned will be in discussed in own small-group sessions, presented to the class,
as well as be compiled in a learning portfolio.
The assessment of this course will be based on the following criteria as mentioned in your
course synopsis:
CHET Visits:
CHET Visits comprise of about 7 visits for MBBS students and 4 visits for Pharmacy
Students. The sites are divided into two main categories: healthcare facilities and community
resources / institutions.
Places of Visit:
A . Healthcare facilities (Appendix C):
Primary Care: Government (Klinik Kesihatan) and Private (General Practice)
Clinics
Secondary / Tertiary Care: Private and Government Hospitals (wards and
specialist outpatient clinics)
Hospital Support Services: Laboratory, Imaging
Allied Healthcare Professionals: Dental Clinic / Veterinary clinic
Pharmacy : Retail (private & hospital), Industry, Research
In summary, by the end of the CHET Module and visits, you should be able to:
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Clinical & Health Exposure and Training, CUCMS
4 - GUIDE FOR VISITS TO HEALTHCARE FACILITIES
Being a first year student, we do not expect you to perform consultations with
patients or make diagnosis. You are there to observe and get a first hand
experience of what being a health practitioner is all about. You will be guided by
visit tasks that you have worked on as well as other guidelines and points to
observe during your visits.
1. Before the visit, you would have developed your own questions and tasks
to complete during the visits. Try as far as possible to find the answers
to your own questions, as these need to be primarily reflected in your
report later.
4. If permissible, observe and learn how to use basic tools with guidance
from attending supervisor/doctor. However, unless with permission and
under supervision, you are not allowed to participate in clinic’s activities
such as taking patients’ blood pressures or help in the patient medical
history taking.
5. Whenever possible, ask as many questions as you can and learn about
the place that you visit. Try to maximise this opportunity for both medical
and pharmacy students to learn and understand about the professional
work other members of the healthcare team as well as how to complement
each other.
You will see different health problems during your visits to the various
community resources. Take this opportunity to get to know the residents of
these institutions well. You may ask questions but try not to be rude or
insensitive. Some of the residences are in special care, and they may need
extra care when dealing with them. List of community resources that you will
visit are given Appendix C.
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6 – TIPS: GETTING THE BEST OF YOUR CHET VISITS
The visits are indeed short and you would have already a list of queries to be answered within
limited time. However, if you find yourself being bored, there are many opportunities for
learning as well as self and professional development during CHET. Some of them are:
It is important to learn good communication skills. Use the visits as opportunity to observe the
communication skills being practised by practising doctors/healthcare staff. Try to observe the
verbal as well as the non–verbal skills that they utilise. Observe the rapport that they have
built with patients who have come to see them. Furthermore, observe how the
communicative tasks in a consultation are being done i.e. from initiating the consultation, to
taking history & exploring patients’ problems, sharing and explaining information, negotiating
and agreeing management of problem/s and last but not least how each consultation is being
closed.
The healthcare professionals might be working in busy practices. Try to understand the
difficulties to communicate effectively when time is a constraint.
In an attempt to continually keep you actively involved during or between consultations, your
healthcare staff/doctor may:
Ask questions
Show / teach using medical records, lab reports, x-rays, etc.
Other Opportunities
During the visits, you will have the opportunity to be introduced to few skills. Where possible,
ask the health staff/doctor/supervisor for guidance. Look for opportunities to learn to how use
basic equipment like thermometer, spyhgmanometer and other tools.
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Clinical & Health Exposure and Training, CUCMS
7 - MAINTAINING DISCIPLINE AND PROFESSIONALISM
7.1 – Professionalism
If the doctor allows you to see him/her consult a patient, please maintain
confidentiality of the session. The patient will know that the session is to help
you to learn. Be aware of doctors’ as well as patients’ state of emotion. DO
NOT interrupt the doctor or patient while they are talking.
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Clinical & Health Exposure and Training, CUCMS
7.4 - Visit Arrangements And Your Safety
When learning in the community, it is important that you apply common sense to
avoid any problems.
• Be clear and consistent in arrangements that you make with your peers on
the visit venue. Plan your journey. Ask for directions before starting your
journey.
• Do not rearrange or visit another site without the permission of CHET
coordinators.
• Avoid lonely routes especially if travelling without being accompanied by
lecturers.
• It is always important that someone knows where you are and the time you
are expected back.
• Be alert and confident but without appearing arrogant.
Apart form tasks describe above, we would seek your cooperation to request
you hosts to complete the “CHET Honorarium Claim Form” that has been
given to you.
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Clinical & Health Exposure and Training, CUCMS
Appendix A
Please do not hesitate to contact us for queries and concerns. Thank you.
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Clinical & Health Exposure and Training, CUCMS
Appendix B
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Appendix C
Private- Primary Care Pusat Rawatan Mesra (Dr. Rahaya Hassan & Rakan-
(General Practitioner) Rakan),
No. 26 Jalan 7/2, Sri Serdang,
(Enquiries: 43300 Seri Kembangan, Selangor
Assc Prof Dr Yong Rafidah Tel: 03-89459485
Abdul Rahman) Contact Person: Dr Rahaya Hassan (019-234 9485)
Klinik Dr Rohaya
Lot 1.20 Ground Floor, Medan Mara
Jalan Raja Laut, 50350 Kuala Lumpur
Tel: 603- 26920122
Contact Person: Dr Rohaya Masod (012- 3790 777)
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Clinical & Health Exposure and Training, CUCMS
Private – Hospital Pakar An-Nur,
Hospital/Secondary Care No. 22 Medan Pusat Bandar 1, Seksyen 9
(Enquiries: 43650 Bandar Baru Bangi, Selangor.
A/Prof Dr Mohd Ikram Tel: 03-89466036
M.Salleh) Contact Person: Pn. Norsham Abu Bakar (019-220 7567)
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Clinical & Health Exposure and Training, CUCMS
Pharmaceutical Industry Pharmaniaga Manufacturing Berhad
(Enquiries: 11A, Jalan P/1, Kawasan Perusahaan Bangi,
Assc Prof Syed Ridzuan) 43650 Bandar Baru Bangi,
Selangor Darul Ehsan.
Tel: 03-8925 7880
Fax: 03-8925 6177
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Clinical & Health Exposure and Training, CUCMS
Community Resources 1: Pusat Latihan Perindustrian dan Pemulihan Bangi
Physical Rehabilitation (PLPP)
Jabatan Kebajikan Masyarakat Malaysia
Jalan Sungai Merab, 43000 Kajang, Selangor
Tel : 8926 1996
Fax: 8926 1988
Contact person: Dr Tanty Darwina Abd Rahman
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Clinical & Health Exposure and Training, CUCMS
Appendix D
VISIT REPORTS
The visit reports comprise 50% of CHET Course Assessment, and thus these are to be taken
seriously by students (refer page 2 – summary of course assessment). You are required to
prepare team-based reports based on your observations and experiences during CHET
visits.
Reports (for all seven visits) are to be done in Powerpoint format, and report for each visit
shall consist of the following components/ sections, as summarized in the following table:
Note:
1. Each group is required to submit both digital & printed copies of the Visit
Report. (Please print “handouts” of your Powerpoint presentations)
2. Please indicate/include your group number and name of members in all the
reports (for 7 visits)
3. All reports are to be submitted within TWO (2) weeks of respective visit (or as
instructed)
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Clinical & Health Exposure and Training, CUCMS
REFLECTIVE LEARNING FROM CHET VISITS
• Each visit will definitely will bring a lot of experiences for you - some may
be good, others may be bad.
• Find quiet moments to reflect on encounters & observations and what you
can learn from them.
• Share your thoughts with your team members and peers (e.g.during group
reflection session / grand reflection) as well as with CHET coordinators
(during CHET post-visit meetings).
***********************************
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Clinical & Health Exposure and Training, CUCMS
Appendix E
Post-visit Meetings
• Learning from the CHET Course do not only occur from the visits, but also
from continuous reflection on your experience and exchange of
experiences/views with colleagues
• Apart from above, try to dedicate a short discussion session among your
group members after each visit
• You are encouraged to clarify doubts with Course Coordinators and also
your mentors. If desired, do request their help to comment on draft reports
of the visits.
Class Presentations
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Clinical & Health Exposure and Training, CUCMS
Appendix F
Group / total no. of students: (to be completed be group leader) / students (total)
Venue :
Time of arrival :
Number of students present: (to be completed be assessor)
Comments:
Thank you.
Signature:
Name of supervisor:
Date:
Institution stamp:
Please return to the group leader immediately after visit. Thank you very much for your cooperation
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Appendix G
LEARNING RESOURCES
A. Textbooks:
1. Silvermann JD, Kurtz SM, Draper J. Skills for Communicating with
Patients. Radcliffe, Oxford, 1998
2. Stephenson A. A Textbook of General Practice 2nd Ed, Edward
Arnold, 2004.
3. Murtagh J. General Practice, 3nd Edition. McGraw Hill, 2003.
B. Journal Articles:
1. Makoul G ed. Essential Elements of communication in Medical
Encounters: The Kalamazoo Consensus Statement. Academic
Medicine 2001; 76: 390-393
C. Websites:
1. Ministry of Health, Malaysia
http://www.dph.gov.my
http://www.myhealth.gov.my
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Notes
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