Thursday, September 4, 2014

[Shared] Anti-Malaria shot by 2019?

Posted on 6 March 2014 - 09:41pm
Last updated on 7 March 2014 - 10:51am
KUALA LUMPUR: The world's first vaccine against malaria – Plasmodium falciparum sporozoite (PfSPZ) – which Malaysian Dr Betty Sim Kim Lee (pix) helped develop is expected to be available as early as 2019.
The breakthrough also comes courtesy of her husband, Dr Stephen L. Hoffman, a tropical infectious diseases specialist, and their team of experts working under a Maryland-based biotech company, Sanaria Inc.
Clinical tests are being carried out in several countries, including the United States, Europe, Africa and Germany.
Sim, who is here with her husband to attend the Sixth Asean Congress of Tropical Medicine and Parasitology, told reporters today that the vaccine would be available in five years' time.
The Sanaria executive vice-president and mother of three sons is happy that there will be a vaccine for malaria, as the disease kills 600,000 people worldwide annually.
She said the vaccine consists of live, weakened and purified malaria parasites that do not cause illness.
"Mosquitoes are bred in sterile conditions, and they do not have any micro-organisms. So, when parasites develop in the mosquitoes, they are harvested and turned into the vaccine," said the Kota Baru-bred who received her early education at SK Zainab and Sultan Ismail College before pursuing her undergraduate and graduate studies at Universiti Malaya.
She has worked on filariasis (the disease that causes elephantiasis) and malaria since her university days, besides other infectious diseases like dengue fever, SARS (severe acute respiratory syndrome), anthrax and plague.
Hoffman, who is Sanaria Inc chief executive and scientific officer, hoped the vaccine will be approved by the US Food and Drug Administration (FDA) once Sanaria has completed the tests.
To date, there is no effective vaccine available to tackle the mosquito-borne disease. Hoffman said PfSPZ is believed to be able to reduce 90% of malaria cases, as well as serve as the best prevention of the disease.

Retreted from http://www.thesundaily.my/news/977918 at 04/09/2014 on 1:54 a.m.

[Shared] “Will a Malaysian EVER win a Nobel Prize in Science?”

By Sara Rijaluddin
To change and save the world, one does not have to be an outspoken politician to influence a crowd, a UN humanitarian who opened schools and hospitals in third-word nations or an innovative businessman with one outstanding new revolutionary product concept.
Sometimes, it takes the quiet discoveries such as special gloves to be used in space, or the conversion of oil from McDonalds French Fries to power up a car, to have an impact. Sometimes, we tend to forget about the many other interests and pursuits of other brilliant, unsung and unspoken young Malaysians.
Growing up in Malaysia, the field of science has always been given a heavy focus. Students are heavily encouraged to foray into the science stream and thereafter, pursue science-related courses. The sciences have always had the impression of being the tougher courses, and science students were often deemed to be smarter and more superior in comparison to their arts counterparts.
However, aside from the glamorous careers of medical doctors, engineers and one Angkasawan, other Malaysian scientists are often left out of the limelight. Where are they? What have they been doing?
SCIENTIFIC MALAYSIAN
The founders of Scientific Malaysian (also known as SciMy), Andrew Chan and Dr. Wong Kah Keng, are committed to changing this impression of Malaysian scientists, and are building the much-needed bridge between Malaysian scientists globally and the Malaysian public. Founded only a year ago, SciMy was initially created to connect Malaysian scientists and engineers worldwide via a social networking platform. (Yes, even scientists move in line with Mark Zuckerberg!)
By doing this, Malaysian scientists, regardless of where they are in the world, are able to discuss ideas and share knowledge, from general scientific or research issues in Malaysia to specific problems related to their area of specialty.
One of SciMy’s objectives is to promote research collaborations between local and overseas scientists. Andrew and Dr. Wong both stressed upon the fact that collaborations are crucial in scientific research. This is one of the ways by which they can further advance the scientific development in Malaysia.
According to Andrew, the idea for the SciMy project initially came from a discussion about finding ways for the Malaysian scientific community currently studying or working abroad to contribute to the growth of research and development in Malaysia. These scientists are actively seeking and debating ways to improve the country’s scientific front. Future SciMy’s goals include establishing close partnerships with local universities, ministries or any other agencies interested in advancing the research and development sectors in Malaysia.

RECEPTION BY THE SCIENTIFIC COMMUNITY
Though the reception has been deemed good so far, especially by the Malaysian scientists and students abroad, there is a definite lack of manpower. The team is made up entirely of volunteers and only limited amount of time could be dedicated to SciMy. With the team looking forward for further expansion of SciMy’s membership – with 422 registered members (and counting) – there is a definite need for a bigger support team.
Dr Wong agrees that there is much room for improvement, especially with regards to increasing the awareness of the efforts made by Malaysian scientists to the general public and how the general public can contribute to and benefit from the SciMy initiative. It is important that the general public is able to understand the benefits that they themselves could achieve through the progress of the field of science in Malaysia.
Although the objectives seems to be aimed at Malaysian scientific community, SciMy’s team also focuses on the Malaysian public understanding of science. A lot of emphasis has been placed on the Scientific Malaysian Magazine, which is hoped to serve not only as an avenue for scientists to promote their work and viewpoints, but also to promote science to the public. In the third issue of Scientific Malaysian magazine, they introduced a “Science Storytelling” column to engage less technical readers and the general public in SciMy’s future projects.

SCIENCE IN MALAYSIA TAKING A BACKSEAT?
It is argued by the SciMy founders that the field of science is not being neglected in comparison to the corporate arena, but that the current approach to research in itself is less effective. Scientists have to adopt a different approach to science in comparison to corporate fields. The attitude to the profitability of science must be changed, especially since doing science is not the same as doing business.
The simple fact of the matter is that not all scientific findings will immediately translate to profitable business ventures. There are many indirect benefits for a country to focus on scientific research and development. For example, the knowledge gained from basic research in stem cells will pave the way towards therapeutic benefits that could make Malaysia a centre for stem cell treatment.
In terms of financial support for research, money does not always attract the best brains. In science, having money alone will not guarantee success – scientists need the collaborative effort which means the opportunity to work and discuss with other top class researchers from around the world.
Scientists in Malaysia are generally isolated and understandably, many have and will find it difficult to collaborate with other world class researchers in other parts of the world. This problem, to a certain extent, restricts Malaysian scientists from doing high impact research and this is evident from the lack of high impact research publications from Malaysian researchers. The recently launched SciMy Project Collab is aimed to alleviate such problem, by promoting research collaboration among Malaysian researchers and other scientists abroad.
The high administration and teaching workload, lack of experienced PhD graduates to take up research group leader (also known as principal investigator) positions, and the lack of emphasis on securing postdoctoral researchers are also one of the many problems faced by the Malaysian scientific community.
Considerable funding from local sources for research has been allocated. However, the funding is usually insufficient to secure local, or overseas, postdoctoral researchers. This renders the local researchers reliant on postgraduate students to carry out daily experiments.
In contrast with postgraduate students who have just been exposed to the world of research, postdoctoral researchers have received extensive training. As such, their input is crucial for successful research in almost all international laboratories, especially those in developed countries.
On the other hand, the Malaysian public might not understand the practicality of scientific findings, especially those conducted locally. At home, young people are rarely encouraged to pursue a career in scientific research due to the perceived lack of job security and lack of financial returns. As a result, we might lose the interest and participation of the younger generation in science, especially those with genuine capabilities and passion in scientific research. We thus stand to lose a probable Malaysian generation that could strive for hallmarks of scientific excellence, such as winning the coveted Nobel or Shaw Prize, for several years to come.
With regards to the reversing of the teaching of Science and Maths to Bahasa Malaysia from English, there are valid arguments for and against teaching Science and Maths from both sides.  The founders however, as scientists themselves, stress that English is the lingua franca of science and its importance in scientific communication needs to be emphasised. Malaysia might need to implement it as soon as possible in order to catch up with the relentless pace of global scientific and mathematical discoveries.
Although teaching Science and Maths in Bahasa Malaysia may be beneficial in the short term, ultimately in the long run, Malaysian students have to be able to communicate science effectively in English, especially if they choose to pursue a scientific career path.

THE NOBEL PRIZE QUESTION
There have been some Malaysian researchers who have won international recognition on their work but receive little  acknowledgement from the Malaysian media or the public. This is partly due to the lack of sufficient publicity to the Malaysian media to report on their international achievements.  To be successful to the point of being newsworthy is an extremely difficult feat, even for scientists in developed countries.
Also, when detailing his or her scientific achievements in the news report, the public could be confused by the scientific jargon and technicalities involved, making it less likely that they will remember a particular scientist. Perhaps such announcements should be made in a more easily understood manner so as to generate more interest among the general public.
That said, it is not impossible for advances in science to make the headlines. For example, the Higgs-Boson particle discovery and the successful landing of NASA’s Mars Rover made the front page news, and were the talk of the town for quite a period of time.
The founders both agreed that Malaysians could win a Nobel Prize someday, and that it is only a matter of time. There are already many Malaysians working in high impact research areas across the globe. Each one of them is contributing to new scientific discoveries.
However, science is an exploratory field; there is no definite way to say that a particular scientist of a particular nationality stands higher chances of winning the Nobel Prize. Furthermore, scientific discoveries in less popular area or field may not be awarded any prestigious scientific prizes, although such discoveries may have far-reaching positive impact.

THE FUTURE OF SCIENCE IN MALAYSIA
Both founders feel that Malaysians perhaps do not give themselves enough credit. Scientific work conducted locally is often perceived as inferior. If we start to appreciate and support those who stay in Malaysia with the intent of improving the local research arena, or those who contribute directly or indirectly to scientific research from overseas, then there is bigger hope for Malaysian science.
Malaysia is still developing as a country and it is normal for such country to morph from a nation focused on manufacturing and low-cost labour to one with knowledgeable workforce in the country’s progression towards a developed nation.
Furthermore, Malaysia has rich biodiversity which can provide a great foundation for research in terms of drug discovery from natural sources. There are other areas for development such as renewable energy, forestry, green energy and electronics, just to name a few. Science is multidisciplinary and good scientific research can be conducted anywhere regardless of the country’s resources – Singapore, Taiwan and South Korea are prime examples in Asia.
In short, there is no limit as to what Malaysia can contribute on a global scale.

CEKU would like to thank the founder of Scientific Malaysian, Andrew Chan and co-founder, Dr Wong Kah Keng for their contributions to this article.Visit Scientific Malaysian for more information.
Project Collab is an effort by Scientific Malaysian to foster research collaborations between scientific researchers in Malaysia and abroad. As part of this project, the research profiles of participating scientists and their contact details are compiled into a directory-style listing – to make it easier for other researchers to browse or search for a scientist to collaborate with. This is an opportunity for Malaysian scientists across the globe to promote their research profiles.

Sara Rijaluddin is an Editorial Writer for CEKU. She will be starting her 2nd year LLB Law at Durham University where dark chocolates and a tupperware full of nuts will be her best friends through the long nights of burning the midnight oil, again.

[Shared] Malaysian scientist gives his views on the nation's scientific field

We revisit the progress made by a Malaysian scientist who overcame the odds to become part of some groundbreaking research.
It was 2010 when I first met Indran Mathavan for an interview, back when I worked for a different paper. He’d approached us, wanting to tell his story. And in restrospect it was a brave move – not someone seeking recognition or fame for his achievements, but someone genuinely interested in raising awareness for a cause that hadn’t received due attention. That much was clear upon meeting him.
The Klang-born 34 year-old Indran seemed inward, shy even, but carried with him an earnest and quiet confidence. He brought a notepad and pen – a mode of communication for when words failed him, which they did, regularly.
A car accident at age five had severely damaged the left side of his brain and left Indran with a motor speech impediment called disarthria, which causes one to stutter. It also left the door open for a world of insight into how social stigma impacts lives, exposing how a lack of awareness and acceptance among average Malaysians can makes life unnecessarily difficult for anyone who happens to have a speech disorder.
The peg for my story would be how perseverance in the face of adversity can help you overcome the greatest odds. And the odds for Indran – until he was awarded a National Science Foundation scholarship to pursue his doctorate at one of the world’s leading membrane protein laboratories at Diamond Light Source, England – were stacked high indeed.
This was the story he wanted to tell. He spoke slowly, and at times, resorted to writing down his thoughts. I imagined him doing this with prospective Malaysian employers and interview panels, and how they might react. Indran’s experiences said it all: in 100 applications over three years, he made the shortlist for every single one – and was rejected at all of them at the final interview stage.
He didn’t give up, and eventually won the prestigious scholarship opportunity from the Science, Technology and Innovation Ministry to join Nobel laureate Dr Venkatraman Ramakrishnan at Diamond Light Source to study the structure of oil palm proteins.
That project was eventually shelved owing to unavoidable circumstances, and he then found his way to the laboratory of Dr Konstantinos Beis, working on membrane protein crystallography related to drug research.
That was how, four years later, I chanced upon his name as lead author of a study after clicking on the link for a Diamond Light Source press release which had showed up on my Facebook news feed.
Star2 picked it up, resulting in our most recent Science feature on how scientists are looking at how germs wage war on one another for inspiration on how to combat the serious and global threat of spreading antimicrobial resistance.
Having learned about all this great research, and knowing how Indran is among the talented researchers at the forefront of it, it would be remiss of me not to catch up with the Klang-born trooper for a more personal interview. 
Here are some highlights from our e-mail Q&A, including his thoughts on how working abroad at a renowned scientific institution has changed him personally, and his views on the scientific field in Malaysia, his home.
You have been based at the Diamond Light Source Centre for three and a half years now. How have you grown as a scientist since you first arrived, and how have your research interests evolved?
It has definitely been an eye-opener for me in terms of technology, work culture, critical thinking, adaptability and having (a) creative approach towards solving scientific questions.
Diamond and its Membrane Protein Laboratory has further enhanced my understanding and appreciation of how science works globally.
Do you still keep track of developments related to the world of science in Malaysia?
Yes, I do keep track on the latest development and I have also seen some good publications from Malaysia in recent years.
What is it like working in this collaborative hub where international scientists from multiple disciplines work alongside each other, is there a strange sense of camaraderie from knowing you are all “feeding off” the same light beam?
It has been truly competitive and intellectually stimulating to work with my fellow researchers in Diamond who come from various parts of the world. We have worked as part of a big scientific family for a common interest to contribute towards the advancement of human race.
4 Has the experience of working at Diamond Light Source changed / influenced how you view science – and how the discipline should be approached?
My experience working in Diamond has broadened my horizons both personally and professionally on what science means to me. The confidence resulting from working independently in a foreign environment inspires me to face any challenges in future. Accepting science as a way of life is the way forward in this era.
6. What are your plans for the near future – what is your next step? Do you have any plans to return to Malaysia, and why?
I’m currently back in Malaysia to fulfill my bond with (the ministry) whilst exploring the opportunities available to further contribute to the field of research.
7. What sort of lessons might be useful for Malaysia, in how to create the right conditions for good research to flourish?
We strongly need to cultivate a science culture in our society, to inspire more motivated researchers and the future generation. Malaysia has immense potential and keen interest for developing science strategies, however (it) falls short in the context of human resource development, brain drain, bureaucracy, funding and prioritisation. 
Focus on good scientific environment; international collaborations; knowledge and technological transfer; progressive science, technology and innovation policies – (these) are some of the key lessons that will go a long way towards helping research in Malaysia to flourish.

[Shared] US-based Malaysian scientist makes major breakthrough

BY KESHIA MAHMOODAUGUST 16, 2013
PETALING JAYA, Aug 16 — As news of a scientific breakthrough by US researchers make headlines, Malaysians should be proud to know that a fellow countryman was involved in the production of the first experimental vaccine with a 100 per cent success rate in protecting subjects from malaria. 
Sanaria Inc vice-president of process development and manufacturing Dr Betty Sim Kim Lee (picture) dedicated her life to the field of scientific research.
“I have worked on filariasis (the disease that causes elephantiasis) and malaria since my university days. I have also worked on other infectious diseases like dengue fever, SARS, anthrax and plague,” she said.
Sim, who grew up in Kota Baru, received her early education at SK Zainab and Sultan Ismail College.
“When I was in high school, I participated in science fairs. I even travelled from Kota Baru to Kuala Lumpur to participate in a national science fair when I was in Form 6,” she said.
She pursued her undergraduate and graduate studies at University Malaya.“After receiving my PhD, I moved to the US to do a post-doctoral fellowship in molecular biology at Harvard University in 1984,” said Sim, who currently resides in Maryland.
Before the inception of Sanaria Inc, Sim founded a biotech company in 2003 called Protein Potential LLC, which develops vaccines for infectious diseases.
“Sanaria was started 10 years ago in my house by my husband Dr Stephen Hoffman. I was supportive towards his cause,” she shared.
Hoffman is a tropical infectious diseases specialist and Sanaria chief executive and scientific officer.
“I also oversaw the process of thawing the vaccine and formulating it in syringes during the trial.”
The vaccine is called PfSPZ because it is made from sporozoites (SPZ), a stage in the life cycle of the malarial parasite Plasmodium falciparum (Pf).
According to Sim, all previous attempts to develop a malaria vaccine used just a handful of parasite proteins.
“The parasite has more than 5,000 proteins and we did not think that using one or two proteins would be adequate. We used the entire parasite as the vaccine,” she said.
Despite the vaccine being hailed as a “pivotal success”, critics were aplenty during the earlier stages of its development.
Most malaria scientists thought it would be impossible to manufacture a sporozoite vaccine that would meet regulatory agency standards.
“Our PfSPZ vaccine is based on strong scientific evidence so I was certain we could overcome the challenges. It feels good to know we were right!”
“Before it can be licensed, there will be multiple trials in Africa, the US, Europe and, hopefully, Asia, to further establish the safety, tolerance level and protective efficacy of the vaccine,” she added.
The team at Sanaria hopes to have the vaccine licensed within three to five years.
On her plans for the immediate future, the mother of three boys said: “I will also be travelling to our clinical sites to oversee the thawing and filling of the vaccine in preparation for administration by the clinical teams at each site.
“I am humbled at the responsibility of taking this over the finish line.”
Retrieved at 04/09/2014 on 12:50a.m. from http://www.themalaymailonline.com/malaysia/article/us-based-malaysian-scientist-makes-major-breakthrough#sthash.QOFeykym.dpuf

[Shared] Choosing a Medical School

With so many medical schools offering quality medical education, how you choose the right one? Professor Dr Mohd Azhar Mohd Noor, Principal lecturer in Obstetrics & Gynaecology, Dr Shaharuddin Datuk Aziz, Senior lecturer in Biochemistry, and Dr Nooriah Salleh, Principal lecturer in Public Health from University Kuala Lumpur Royal College of Medicine Perak give their advice.


Medicine is the branch of health science and the sector of public life concerned with maintaining or restoring human health through the study, diagnosis, treatment and possible prevention of disease and injury. It is both an area of knowledge − a science of body systems, their diseases and treatment − and an applied practice of that knowledge.
Medical education involves entry level education at a university medical school followed by a period of supervised practice as an intern (junior medical graduate) and possibly postgraduate training.

Aim and Objectives of Medical Schools

In general, the objective of the medical school is to produce doctors who are highly competent and compassionate practitioners of the medical arts, schooled in the current state of knowledge of both medical biology and patient care. It is hoped that graduates will establish a lifelong process of learning the medical, behavioural, and social sciences by independent study. The aim is to produce doctors who will be among the leaders in their chosen field, whether in the basic medical sciences, academic clinical medicine, or medical practice in the community.

What Makes a Medical School?

Several components make up a medical school.
Faculty/staff/lecturers − Most medical schools are leaders in their fields and they are committed to training medical leaders of tomorrow. They take a personal interest in their students and become mentors to many.
Learning opportunities and environment − Most medical schools provide a wealth of resources and opportunities. Medical schools that are affiliated to different healthcare settings will allow their students to experience a variety of healthcare settings, including private and public hospitals. Most medical schools attracts very bright students that bring with them a variety of educational experiences and diverse perspectives. Students of these medical schools not only serve to challenge each other intellectually, but also form a vital support system that creates a family atmosphere.
Course structure − Currently many medical schools around the world are moving from traditional teaching methods to a more integrated style of teaching. This course structure incorporates an interactive problem-based learning concept.
Lectures versus small group/Problem-based learning (PBL) − Most medical schools have something of a hybrid system. Some people work better on their own while others really need structure. Different setups work best for different people.
Clinical exposure − Different schools have different levels of clinical exposure in the first 2 years. We tend to think the more exposure the students get the better. The advantage is it keeps the students focused on why they are in medical school.

Making a Choice

Medical schools are very different in their philosophies, programmes of study and the type of students they attract. Selecting the 'right' medical school for you can be challenging. In choosing a medical school you want to strike a balance between the best schools and the schools you can get into.
When choosing a medical school, there are several factors to consider: The quality of the medical school, the learning opportunities and environments, and the staff (lecturers) and students, who will journey with you, are among the most important. Remember! The medical school you choose is a critical step in your journey to becoming a doctor.
To find out more about medical schools, the first step is to check the school's website. It is very important that you counter check with the relevant government authorities (Ministry of Higher Education, Malaysian Service Department and Malaysian Medical Council) whether the medical schools are accredited. Also, it is important you consult independent medical school or college guide books and make formal visits to college campuses. You should also speak with practising doctors who are alumni of these medical schools.
Don't forget to discuss your options with your parents and career guidance counsellors to get their perspectives. If you do all of this, you'll know what you're looking for in an education and will choose the school that is right for you.
Choosing a medical school is a serious decision as your decision will determine where you spend five years of your medical studies and lots of money. Therefore, do your research carefully.
Here are some questions to help you get started in your search for the right medical school:
  • Do I like large classes or small ones?
  • Am I interested in a career in research, clinical practice or in academic medicine? While every school offers opportunities to prepare for careers in all these areas, the variety of curricular experience varies from school to school. Try to select the school that fit best your career goals.
  • Which schools have a learning approach that emphasises primary care, patient education, prevention, and preparation for community practice? What schools have a teaching approach that will work well for me?
  • What kind of financial resources will I need to attend medical school? What are the costs?
  • What types of financial aid are available at the schools I am considering?
  • Are the schools in a location that meets my needs?
  • Are the schools connected to a university or are they free-standing institutions?
Retrived at 04/09/2014 on 12:47a.m. from http://doctorjob.com.my/article/choosing-a-medical-school.aspx

[Shared] A Day in the Life of a Houseman

Dr Muhammad Amir Ayub, a houseman at Hospital Kuala Lumpur, shares a typical day on call in this important training period.
A houseman is the most junior doctor in the healthcare system. You will have to work in a rotation of six postings - internal medicine, surgery, paediatrics, obstetrics and gynaecology (O&G), orthopaedics and emergency medicine/anaesthesia (either of the two) - before becoming a full-fledged medical officer.
This is a typical day at work during the fasting month when I was 'on call'.

5.00am

I wake up and eat sahur (pre-dawn meal) with my wife.

7.00am

I reach the ward and start my rounds. This means reviewing what happened during the night, followed by the current status. The review must be concise enough so it gives a clear picture, yet it must have enough details so that peers and seniors can understand the specific intricacies regarding patients.
On a normal working day, there are many colleagues, so you'd only have to cover a few patients. These days, this might be as few as two to three patients! However in the not-too-distant past, it would have been more like 10.
A morning review also requires looking at past investigations of relevance to the patient. This also means tracing results of previous investigations done by colleagues. Once I finish reviewing, I'll need to perform investigations that were missed during the previous 'on call', such as taking blood.

8.30am

The specialist round starts. Sometimes a medical officer (MO, a senior) does rounds first (about half an hour before the specialist comes), and sometimes the specialist does rounds first. Housemen have to present cases they've reviewed. If the specialist has seen the patient before, the review will be quicker.
Sometimes there are multiple 'teams' and the housemen will split up to present their cases. Lots of scolding occurs here.

10.00am - 12.00pm

We carry out specialist orders. Some housemen will be assigned to emergency operations so they'll go to the operating theatre (OT). Some will head off to the radiology department to order special radiological investigations like CT/MRI scans. Some will refer cases to other departments. it's basically 'action' time.
This is also the time to do administrative work like discharge summaries, or memos and prescription slips. Some scolding may also occur here.

12.00 - 2.00pm

Afternoon review starts. it's usually less elaborate than the morning one, focusing on the issues/plans discussed during the morning rounds. (When it's not fasting month, I try to fit in my lunch break here.)

2.00pm

My ward is assigned to the surgical outpatient department (SOPD) clinic on Mondays and Thursdays. So the housemen will see patients in the clinic along with the MOs and specialists. After we've seen the patients, we'll discuss the patients' files with MOs or specialists.

4.00pm

The afternoon rounds with specialists and MOs. Lots of scolding occurs here.

5.30pm

For my ward, housemen are required to punch in by 7.30am and punch out only after 5.30pm. Sometimes, I finish all of the work assigned during the office hours after that.
Before punching out, I pass over any blood tests/work/issues to be dealt with to the person on call. This is to make sure that the doctor on call knows what to do during the night rounds.
'On call' starts now. For my ward, only two doctors are on call at any one time. The number of patients might range from 12 to 30 on any night.

6.30pm

When there are a lot of patients, the night review starts now, if not already at 5.30pm. On the days that I have to care for multiple wards (I'm assigned to the burns care ward as well on some days), I have to start my rounds early.

7.30pm

I break my fast here while doing my rounds. I check especially for things not finished by colleagues before they punched out. If my colleague is called to the OT, I'll have to settle everything yourself.

9.30pm - 1.00am

At any time, the specialist/MO will come for the night rounds. Lots of scolding occurs here.
Afterwards, I complete any unfinished reviews and carry out the night orders. On days I have to care for burn patients as well, this is the time I go to the burn ward and check on things.

1.00 - 4.45am

I take a rest.

4.45am

I wake up and rush through sahur. Afterwards, it's straight to taking blood for the morning review later. I turn on the lights and wake up the patients.

7.30am

The morning review for a new day starts again. it's Merdeka Day, so it's just me and the people on call during the holiday (two housemen).

9.00am

The morning rounds. Lots of scolding occurs here.

11.00am

I finish the morning rounds with the people on call for that day, carrying out orders during the rounds.

12.30pm

Once everything is settled, I can go home.

Dr Muhammad Amir Ayub graduated from International Islamic University Malaysia in 2010 with a Bachelor of Medicine and Bachelor of Surgery (MBBS). He is currently completing the first of his two years of compulsory housemanship.

This article was first published in doctorjob's CoursesNOW! Health & Sciences 2011.