The seasonal housemanship issue propped up again just like our durians.
It is, to me just like other major issues in this country, can only be solved with a serious effort and with a top down political will.
There is no way we can train a competent doctor within 2 years of housemanship, because the level of knowledge of (some...err...most) houseman are about the level of a patient.
And that include myself, a graduate from University of Edinburgh, United Kingdom, a national JPA scholar, top SPM scorer of my time.
During my housemanship, I went into depression twice, once when I cant accept the way we are thrown into the job of conducting delivery without really done one properly myself. Seventeen days of tagging in Labour Ward remains the darkest time of my life.
Second episode of sadness was when I failed my Paediatric assessment. Somewhat lucky, I caught a bug from the children's ward and was very sick, and eventually admitted for lobar pneumonia.
During my admission, I studied and passed the reassessment upon discharge.
The only message that I want to send here is that we are all not prepared for the traditional housemanship programme that our specialists and medical officers (oh, I mean the senior ones because I am a MO myself).
Our 5 years undergraduate, depending on your own initiative and that of your institution, will somewhat just put the initial introduction to what you need to know in this job as a doctor.
To my colleague who disagree, and went through the housemanship smoothly, my hat is down for you.
To my overseas colleague who thinks our housemanship system is flawed, housemen are overworked, please do some attachments here in major tertiary centre.
I do not think superficial improvement, amendments here and there can solve this issue.
This issue needs whole system overhauled, everyone needs to take part and change.