Introduction

Hi! I am Daniel Lim Jhao Jian. Since the inception of this blog in June 2009, I have been sharing a lot of my experience, knowledge and ideas here. I hope you will find this blog useful. Thank you for visiting my blog.

Monday, 31 July 2017

Career pathways for Malaysian medical graduates

I graduated from the medical course of Newcastle University Medicine Malaysia in August 2020 and completed House Officer training at Kluang hospital in January 2024. Currently, I am a Medical Officer at Klinik Kesihatan Ibu dan Anak Limbang under Kementerian Kesihatan Malaysia.

Here, I would like to share some information on the career pathways for graduates of Malaysian medical schools.

All Malaysian medical schools that are recognised by the Malaysian Medical Council (MMC) are also recognised in UK, Australia and Ireland. However, that does not automatically enable you to practise Medicine in those countries, as there are other requirements that you will need to fulfil.

Career pathways in Malaysia:

After graduating with your medical degree, you may apply for Provisional Registration with the Malaysian Medical Council (MMC).

If your medical school is recognised by the MMC, you are exempted from taking the Examination for Provisional Registration (EPR). If your medical school is not recognised by the MMC, you have to sit for the EPR as part of your application for Provisional Registration. The EPR consists of a theory exam in the form of Single Best Answer questions and a clinical exam.

You then have to join House Officer training at a public hospital under Kementerian Kesihatan Malaysia (KKM). It usually takes around 1 to 3 months to get a place. You may choose the hospital for House Officer training, subject to availability of places. Note that only Malaysian citizens are eligible to join House Officer training in Malaysia.

House Officer training in Malaysia is 2 year long with 6 postings, each lasting 4 months, in Internal Medicine, Obstetrics and Gynaecology, Surgery, Paediatrics, Orthopaedics, and either one of Emergency Medicine, Anaesthesiology, General Practice or Psychiatry. Extensions of training may be required in the case of unsatisfactory performance in a posting.

After completing House Officer training, you will gain Full Registration with the MMC and Annual Practising Certificate (APC). You will then have to complete 2 years of compulsory service as a Medical Officer at a public hospital or Klinik Kesihatan under KKM. You may choose the specialty and hospital or clinic, but the final decision will be made by KKM.

After completing compulsory service, you may continue practising as a Medical Officer, move to the private sector, or apply for Master's or Parallel Pathway programmes for specialty training. Note that applications for specialty training Master's programmes are very competitive.

Since 2023, Master's and Parallel Pathway programmes for specialty training in Malaysia have mostly consolidated under the Hadiah Latihan Persekutuan (HLP) scheme. You have to fulfill certain requirements to qualify for the HLP. The specialty training will be conducted at designated hospitals or clinics. After completing specialty training under the HLP, you have to serve a certain number of years as a specialist under KKM.

Career pathways in UK:

After graduating with your medical degree, you may apply for Provisional Registration with the UK General Medical Council (GMC) and apply to join the UK Foundation Programme (UKFP). After completing UKFP, you will gain Full Registration with the GMC and may proceed to applying for locum posts or specialty training programmes in UK.

Alternatively, after completing House Officer training in Malaysia, you may apply for Full Registration with the UK General Medical Council (GMC) and apply for locum posts or specialty training programmes in UK directly.

Graduates of Newcastle University Medicine Malaysia and RCSI-UCD Malaysia Campus are exempted from taking the Professional and Linguistic Assessments Board (PLAB) exam. Graduates of other medical schools in Malaysia are required to take the PLAB exam as part of the application for Provisional Registration or Full Registration with the GMC. The PLAB exam consists of PLAB 1, a Single Best Answer exam, and PLAB 2, a clinical exam.

With the exception of Newcastle University Medicine Malaysia graduates, you are required to take IELTS Academic or Occupational English Test (OET) Medicine. For UKFP, you have to get a minimum Band score of 7.5 for each component in IELTS Academic or a minimum score of 400 for each component in OET Medicine. For GMC Full Registration, you have to get a minimum Band score of 7.5 overall and 7.0 for each component in IELTS Academic or minimum grade B for each component in OET Medicine. 

Note that applications for UKFP and specialty training programmes in UK are very competitive. The Medical Training (Prioritisation) Act 2026 stipulates that places for the UKFP and specialty training programmes must be allocated first to applicants who graduated in UK or Ireland with majority of their undergraduate training done in UK or Ireland; additionally, places for specialty training programmes are allocated first to applicants who completed UKFP.

Career pathways in Australia:

Graduates of Monash University Malaysia are eligible to apply for Provisional Registration with the Medical Board of Australia without having to take the AMC examinations.

For graduates of other medical schools in Malaysia, there are 2 pathways to apply for Provisional Registration with the Medical Board of Australia, the Competent Authority Pathway and the Standard Pathway.

The Competent Authority Pathway is only open to graduates of Newcastle University Medicine Malaysia or RCSI-UCD Malaysia Campus who have completed Foundation Year 1 (F1) in UK or Medical Internship in Ireland. The Competent Authority Pathway does not require taking the AMC examinations.

Those who do not fulfill the requirements for the Competent Authority Pathway are only eligible for the Standard Pathway. The Standard Pathway requires taking the AMC CAT MCQ Examination and the AMC Clinical Examination.

In all cases, you are required to take IELTS Academic or Occupational English Test (OET) Medicine. You have to get minimum Band score of 7.0 for Reading, Listening and Speaking and 6.5 for Writing in IELTS Academic or minimum grade B for Reading, Listening and Speaking and C+ for Writing in OET Medicine.

After gaining Provisional Registration with the Medical Board of Australia, you can join internship training in Australia.

After completing 12 months of internship training, you will gain General Registration with the Medical Board of Australia and may proceed to applying for locum posts or specialty training programmes in Australia.

Career pathways in Ireland:

Graduates of RCSI-UCD Malaysia Campus are eligible to apply for Medical Internship posts in Ireland. After completing Medical Internship, you will gain General Registration with the Irish Medical Council.

Graduates of other medical schools in Malaysia are not eligible to apply for Medical Internship posts in Ireland. However, all Malaysian medical graduates may apply for General Registration with the Irish Medical Council after completing House Officer training in Malaysia.

You are exempted from taking the Pre-Registration Examination System (PRES) test as part of your application for General Registration with the Irish Medical Council. However, you are required to take IELTS Academic or Occupational English Test (OET) Medicine. You have to get a minimum Band score of 7.0 overall and 6.5 for each component in IELTS Academic or minimum grade B for each component in OET Medicine.

After gaining General Registration with the Irish Medical Council, you may apply for locum posts or specialty training programmes in Ireland. Note that applications for specialty training programmes in Ireland are very competitive and places are allocated first to applicants who are citizens of Ireland or EU countries.


Tips for the Malaysian EPR theory exam, UK PLAB 1, Australian AMC CAT MCQ and Irish PRES Level 2 are available here:

Friday, 2 June 2017

Bonding vs comfort zone

The second semester of my 3rd year of MBBS at NUMed was the Essential Junior Rotations (EJR). EJR consists of 5 rotations which were Long Term Conditions (LTC), Primary Care (PC), Mental Health (MH), Women's Health (WH) and Child Health (CH). Throughout EJR, I was placed in Group 2, but Group 2 was further subdivided into a few sub-groups for each rotation. For the MH, WH and CH rotations, there were 3 sub-groups, A, B and C, allocated based on the position of the students' names in the name list.

I was allocated to Group B for the MH rotation. I was really happy to be in Group B, because 3 out of 4 of my friends in my LTC sub-group and 2 out of 4 of my friends in my PC sub-group were in Group B as well. I didn't have to separate with my PC group mates and I also could reunite with my LTC group mates, so it was a win-win situation. Of course, this situation wasn't 100% perfect because I still had to separate with 1 of my LTC group mate and 2 of my PC group mates, but it was good enough for me.

However, there was a catch. The position of my name in the name list was 15, which is at the 'borderline' between Group B and Group C. It was by luck that I was allocated to Group B for MH. I knew of the possibility that for the WH and CH rotations, I might not be so lucky again and I might get reallocated to Group C instead. The thought of that made me feel insecure. I really liked Group B and I didn't want to separate with my friends in Group B.

Worst of all, I would be the only student in the whole Group 2 to get allocated to different sub-groups for MH and WH. As most of the teaching sessions in the MH rotation were conducted at the NUMed campus, there wasn't much opportunity for me to be together with my friends in Group B. Therefore, I really wanted to remain in the same group with them for WH and CH, where there would be more opportunities to further strengthen our relationship.

I was hoping all the time that I would be lucky enough to remain in Group B for WH and CH. Later, when I looked at the sub-group allocation for the previous WH and CH rotations, I found out that the 15th student in the name list was always placed in Group C. At that point, I realised that I was definitely going to be reallocated to Group C unless something is done. I knew that I couldn't just sit there and wait for a miracle to happen.

On 7 April 2017, I decided to meet the lecturer in charge of the WH rotation regarding the grouping. He was rather strict, but I took my courage to meet him. He said that I had indeed been allocated to Group C, so I requested for a switch to Group B. At that time, there was still 4 weeks until the start of the WH rotation. Despite that, he told me that the grouping was already close to being finalised and it would be troublesome to make changes to it. However, I refused to give up on that.

After a long talk with him where I tried to portray my strong emotions, the lecturer said that he would 'consider' letting me switch to Group B if I could find someone to exchange groups with me. One of my friend in Group B had offered to exchange with me since he preferred to be in Group C instead. Then, the lecturer told me that he would let me know the outcome within a few days. However, he didn't sound quite promising, and that made me feel very distressed.

Starting from 8 April 2017, I had 2 weeks of Easter break, but I had no mood to enjoy my break because of the grouping. On 9 April 2017, my parents bought me a train ticket from Kulim to Subang Jaya and I was given coach B on the train. My parents wanted to ask for a change to coach C since the train's cafeteria is in coach C and they knew that I like to buy food in the train. I straight away told them not to change it and that I was fine with coach B. I felt that coach C would bring bad luck to me for the grouping.

Eventually on 11 April 2017, the lecturer informed me that he had decided to let me switch to Group B for the WH rotation. I was very happy and relieved that my efforts was successful in the end. I didn't let any of my friends know about this, apart from the one who exchanged groups with me, because I wanted to give them a surprise.

On 27 April 2017, my friends in Group C gave me a 'welcome speech' since they expected that I would be in their group for the oncoming WH rotation. At that point, I told them clearly that my group would always be Group B no matter what and that I would never accept Group C as my group. That might sound somewhat offensive to them, but it was a truth that I had to let them know.

On 28 April 2017 which was 5 weeks before the start of the CH rotation, I went to meet the lecturer in charge of CH regarding the grouping. Once again, I had been allocated to Group C for CH. However, this lecturer was very nice and understanding. She instantly agreed to let me switch to Group B, without having to exchange groups with anyone. The whole process was done within a minute. I was definitely very delighted by this.

On 2 May 2017, the grouping for the WH rotation was released, and it confirmed that I would be in Group B. My friends in Group B were really surprised about that because they thought that I was going to be reallocated to Group C. After I told them everything, they congratulated me for my efforts and said that they too were very happy to continue have me in Group B. On 30 May 2017, the CH rotation grouping was out, confirming that I would be in Group B. Therefore, I stayed in Group B throughout MH, WH and CH.

So, what was the reason that I wanted so much to remain in Group B and not get switched to Group C? You may think that it is because Group B was my comfort zone and I didn't want to get out of my comfort zone by switching to Group C. Well, that's wrong.

In reality, Group C was a greater comfort zone for me compared to Group B, as I knew the students in Group C longer than those in Group B. I had known many of the students in Group C even before 3rd year of MBBS, while I only knew my Group B group mates in 2017. My relationship with everyone in Group C was also quite good. As my friends in Group C were quite carefree, I could do or say anything in front of them and they wouldn't get annoyed. In that case, why didn't I want to be in Group C?

Well, it all comes down to bonding. I am quite an emotional person, so I easily develop bonds with my group mates, bonds that are stronger than disulphide bonds. Because of the bonds that I had with my friends in Group B, which was particularly strong as they were my group mates since the LTC or PC rotations, I would feel very sad if I had to separate with them. Group C might be my comfort zone, but I didn't have bonds with them since I was never in the same group with them, instead my bonds were with Group B.

In the previous semester, I once made a mistake where I kept staying in my comfort zone, causing me to lose out on the opportunity to form a close relationship with my group mates. I regretted the mistake very much, and I definitely wouldn't repeat it again. I had come to realise that maintaining the bonds with my group mates is much more important than staying in my comfort zone. Therefore, I was determined to stay in Group B. I am really glad that in the end, I get to be in Group B throughout the MH, WH and CH rotations.

So, 'B' stands for Bonding and 'C' stands for Comfort zone.


Read the sequel of this story here:

Thursday, 4 May 2017

My dream about a movie

One night in March 2017, I had a dream that I was watching a movie. I have no idea why I had this dream. In reality, I have never watched any similar movie, neither did I read any similar story. The plot of the movie I watched in my dream is like this:


The main character of the movie is a man who works in an electronics factory. One day, he was walking on the 2nd floor corridor of the factory, carrying an electric meter in his hand. The electric meter had definitely been disconnected from the electricity. The man saw his co-worker on the other end of the corridor. He threw the electric meter towards his co-worker and told him to catch it. However, as soon as his co-worker caught the electric meter, the co-worker had a severe electric shock. It was surprising that the co-worker got the shock from the electric meter even though it was not connected to the electricity.

Some time later, the man was walking on the same 2nd floor corridor in the factory. Outside the corridor there was a safety net. He felt that the net was a bit messy, so he reached out his hand to adjust the net. When he touched the net, it started vibrating violently, as if something was bouncing on the net. Strangely, he could see nothing on the net, neither could anyone else. Nobody could explain why the net vibrated. This incident, in addition to the previous incident, caused many workers to believe that the factory is haunted.

The boss of the factory decided to have a talk with the man regarding the incidents. The boss told him about something that happened in the past. Previously, the factory used to be a sports complex, and the was a tennis court below the 2nd floor corridor. One day, a boy who was a newbie in tennis joined his friends to play tennis at that court. When he was playing, due to lack of skills he hit the ball straight upwards. Surprisingly, the tennis ball didn't fall back down, instead it was bouncing in mid-air, even though there was nothing for the ball to bounce on to. The boy and his friends were really frightened by that and the sports complex was thought to be haunted.

Because of that incident, the management of the sports complex sold the place at a low price, and the place was transformed into the electronics factory. The boss of the factory kept the whole thing secret because he didn't want the workers to know about it. For quite a long time nothing happened at the factory, until the two incidents which just happened. Since both incidents involved the same man, the boss felt that it might have something to do with him so that's why the boss told him everything. After knowing all these, the man felt helpless and he went to consult a scientist.

Through some investigations, the scientist found out that the man is actually a mutant species, like an X-Men. He has the mutant ability to manipulate an object across time and space. This explains the weird incidents that happened at the factory. For the first incident, when he threw the electric meter towards his co-worker, he brought the electric meter from the past to the present. Since the electric meter was connected to the electricity in the past, when it was brought to the present it gave the co-worker an electric shock.

For the second incident, when the man touched the safety net, he brought it to the past, or more precisely, to the moment when the boy hit the tennis ball vertically upwards, and at the same time, the tennis ball was brought to the present. As a result, the tennis ball of the past was bouncing on the safety net of the present. This explains why in the past incident the tennis ball seemed to bounce in the mid-air while in the second incident the safety net seemed to vibrate violently on its own.

However, the man never knew previously that he is a mutant species and he never consciously activated his mutant ability, in fact he didn't even know how to activate it. Through some questioning by the scientist, it was found out that the man once made a mistake in the past which caused his wife to leave him. He regretted the mistake very much and he kept thinking about it until now. The fact is that, whenever he dwells himself too deeply in his past mistake, he inadvertently activated his mutant ability, which led to the incidents at the factory.

Now that the man understood everything, he chooses to live the life of a normal human rather than a mutant. However, he doesn't know how to prevent himself from activating his mutant ability. The scientist encouraged him to attend counselling sessions to help him move on from his past mistake. With that, he no longer thinks about his past mistake, so he no longer inadvertently activates his mutant ability. No more weird incidents happen at the factory, and he is definitely happier than before.


So, that's the movie I watched in my dream. This movie is definitely quite weird, and I doubt there is a real movie with a plot like this. However, I feel that this movie gives a good life lesson: Instead of keep regretting over our past mistakes, we should move on from it and embrace it as part of our life experience.

If you liked this story, you may want to read these too:

Monday, 3 April 2017

My learning of English language

English is one of the most commonly used international languages in the world. Therefore, it is important to learn English. In Malaysia, English is the second language for many people. Many Malaysians have either Malay, Chinese or Tamil as their first language. However, it is a bit different for my case.

At home, I speak English to almost every one in my family, whether it is my parents, my grandfather, my uncle and aunt or my cousins, except for my grandmother. Many of my family members were English educated. I only speak Mandarin Chinese to my grandmother, because she does not know English. Since when I was still a child, my family had taught me English. Due to the fact that I spoke English with my family a lot, I was quite fluent in English at a young age.

In 2002, I started primary school. My family decided to send me to a Chinese school. My batch was the last batch of students before the Ministry of Education implemented the policy of teaching Mathematics and Science subjects in English. Throughout the 6 years of primary school, I learnt all subjects in Chinese. In the beginning, I actually preferred to be taught in English because I was not so good in Chinese.

For my batch, English was not officially taught in Chinese schools until Year 3. However, my school decided to still provide some English classes for Year 1 and 2. In Year 1, I had just one English class every week. At that time, my English was better compared to many of my classmates. However, for some reason I could not score very well for English in the examinations. My examination results for English was often worse compared to the other subjects, although I still always scored grade A.

In Year 2, I started having several English classes in school every week. My English examination results improved at that time. I was able to score full marks for English in 3 out of 4 of the school examinations. I can still remember that I did not score full marks in one of the examinations because I got confused between 'dress' and 'skirt'. In Year 3, English became an official subject at my school. I continued to score very well for English in examinations, although I was not able to maintain my record of getting full marks.

During primary school, I mostly spoke in Mandarin Chinese to my classmates and teachers. Many of them were not very good at speaking English. When I sometimes spoke a few sentences in English, this was often frowned upon by some of them. I hardly read English books or watched English movies, because I preferred Chinese books and movies, partly due to the influence of my classmates. My family had advised me to read English books and watch English movies because that could help improve my English skills, but I refused to listen to them.

From Year 4 to Year 6, all subjects in the school examinations including English were set according to the UPSR examination format. At that time, I continued scoring excellent results for English in examinations. I was one of the top students for the English subject in my class. My target was to get straight A's in the UPSR, and I considered English along with Mathematics to be the easiest subjects which I was 100% sure of getting grade A.

However, there was a slight problem. For Section C of Paper 2 of the English subject, we had to write 3 paragraphs, each consisting of a few sentences, based on the pictures and keywords given. My teacher had always advised us to write compound and complex sentences instead of simple sentences in that section. However, I never listened to my teacher's advice and I kept writing simple sentences most of the time.

There were a few occasions where my teacher did not give me full marks for Section C even though I did not make any grammatical errors, because I wrote only simple sentences. That was an indication that I needed to improve on my English skills. However, it did not have any impact on my ability to score grade A, so I did not do anything about that. Eventually, I scored grade A for English in the UPSR examination.

In 2008, I entered secondary school. Throughout secondary school, I learnt Mathematics and Science subjects in English and other subjects in Malay. However, many of my teachers explained Mathematics and Science in Malay. I mostly spoke either in Malay or Chinese to my friends and teachers in secondary school, because many of them were not good at speaking English. Sometimes, my friends attempted to speak to me in English, but I found it difficult to speak to them because they were poor in English, so I would often switch the conversation back to Malay or Chinese.

From Form 1 to Form 3, the school examinations for all subjects were set according to the PMR examination format. For English, there were essay writing, summary and literature sections which I had not encountered during primary school previously. At that time, English became one of the subjects that I consider as difficult, along with Chinese and Malay. This was in contrast to during primary school where I considered English as the easiest subject.

I found language subjects including English difficult because unlike subjects such as Mathematics, Science, History or Geography, it is not possible to actually study for the examination, except for the literature section. I aimed to get straight A's in the PMR examination, and I was a bit worried about not being able to score A for English. I was still able to get A for English in every school examination, although my score was not very good sometimes. Eventually, I obtained grade A for English in the PMR examination.

During secondary school, there was not much improvement in my English skills, because I hardly spoke English in school and I still did not like to read English books or watch English movies. I started having internet access in 2009, but I hardly read news or articles online. My family had several times pointed out that my English vocabulary was poor and that I often made grammatical errors when speaking English. I too realised my weakness in English, but I did not feel the need to improve on it. Once, my father bought me a few English novels. I completed one of the novels, but I did not bother reading the rest.

At the beginning of Form 4 in 2011, I felt that the English subject in SPM examination had a low standard because its format seemed so easy, especially for Paper 2. In Paper 2, Section A just consisted of some multiple-choice questions, Section B and C were just about copying the answers from the materials given, while Section D was the literature section which I could study for it. As for Paper 1, we had to write essays which was not something new. In fact, I felt that SPM English seemed to be even easier compared to PMR.

However, I later realised that English wasn't as easy as it seemed to be. The time allocated for Paper 1 was just 1 hour 45 minutes. Having to write 2 long essays within 1 hour 45 minutes was very challenging and I often had to rush a lot during the examinations to finish it on time. Therefore, I started considering English Paper 1 to be quite difficult, but I still felt that Paper 2 was easy. During Form 4, I was still able to score excellent results for English in school examinations. In 3 out of 4 of the examinations, I obtained grade A+.

In Form 5, the English subject became even more difficult. Unlike Form 4, we had to study a novel for the literature section instead of just short stories. The novel was very long and there were a lot of things that I need to study about it, so I found it quite tedious. Somewhere during Form 5, my school changed the English teacher for my class. My previous teacher was not good at teaching, but she was very nice. I preferred to continue to be taught by her, but my school insisted on the change. In the beginning, my new teacher seemed to teach quite well.

The new teacher told us that for Section B and C in Paper 2, our answers had to be very precise and we were not allowed to write more than what was required by the question. This was something I did not know previously because my previous teacher did not tell us about it. I always had the habit of writing very long answers, so this was a new challenge for me. Worst of all, as time went on, it became clear that the new teacher was actually even worse at teaching than the previous teacher. She taught us absolutely nothing about the novel and as a result I had no idea how to answer the literature section.

I started considering English to be one of the most difficult subject in SPM. This was in sharp contrast to what I felt about English when I first started Form 4. My family advised me to attend tuition classes for English, but I refused because that would cause me to have less time to do revision for other subjects. I was aiming for straight A+ in the SPM examination so I was very stressed with my studies during Form 5. In the 1st school examination, I obtained A+ for English but my score was not very good. In the 2nd examination, the essay I wrote went out of topic because I rushed too much in Paper 1, and English ended up being the only subject I did not get A+.

Later, I heard of a rumour from my friend that for the one-word topic in the Continuous Writing section of Paper 1, we were allowed to make that word as a person's name and then write a story about the person. Therefore, it would be possible for us to prepare a well-written story about a person before hand, memorise it and then use it in any examination. I asked my teacher about that and she confirmed that it was true. I was very happy and decided to go ahead with that because it would instantly solve the problem of not having enough time for Paper 1 and also guarantee that I would score well in Paper 1.

I spent some time to come up with a good story about a person and I used it for the first time during the SPM Trial examination in August 2012. However, it turned out that the story I wrote had some grammatical errors so I did not get a good score for that. Besides, I scored poorly in the literature section because I did not add in my personal response. I did not know that a personal response was required since my teacher never taught about that. I also lost a few marks in Section B of Paper 2 for writing too long answers. I ended up getting only 88 marks for English, but I managed to convince my teacher to give me 2 bonus marks so that I could get grade A+.

After that, I showed my grandfather the story. He corrected the grammatical errors in it and also modified some parts of the story to make it more realistic. However, shortly before my SPM examination, my teacher told us the latest update that we were no longer allowed to use the one-word topic as a person's name, which put to an end the practice of memorising a story before hand. As a result, I could no longer use the story I prepared for the SPM and once again I had to actually write the essay during the examination. I was quite disappointed and worried about that.

During the SPM English examination in November 2012, I wrote the first half of the Continuous Writing very well. However, I again ran into the problem of not having enough time. I had to rush the second half so I could not write it very well. I also had problems with the literature section. I knew that I had to add in my personal response, but I was not sure how I should write it. I was still quite confident of getting A+ for English in SPM, although I was not 100% sure. Instead, I was more worried of other subjects such as Biology, ICT and Malay.

When my SPM results was released, it turned out that my results was 9A+ 1A and the only subject I did not score A+ was English. I was really surprised by that and I just couldn't understand why this happened. However, I was very happy that I obtained 9A+ in SPM. Along with my SPM results, I also received GCE O Level grade 2A for English which was awarded by Cambridge International Examinations (CIE). I requested a recheck for SPM English subject. Later, the results for the recheck was released and there was no change in my grade.

In January 2013, I started studying A Level at Taylor's College Subang Jaya. All A Level subjects were taught fully in English. My teachers also explained everything and spoke to us fully in English, unlike during secondary school. English was widely spoken in Taylor's College. All my friends could speak English well, due to the fact that they were mostly from Subang Jaya. In the beginning, I only spoke in English with my friends. Later, as I became closer to them, we started speaking a mixture of English and Chinese. I definitely spoke English much more compared to during secondary school.

I also started reading English news and articles on the internet quite often. My first few months of A Level were quite relaxing and I had a lot of free time, so I wrote several posts on this blog, all in English. I was used to having to write long essays with correct grammar during Form 4 and 5. Because of that influence, the blog posts I wrote at that time were much longer compared to my previous posts on this blog and I also made sure that my grammar was correct when writing the posts, which sometimes required me to search on Google. 

Due to the fact that I spoke and had exposure to a lot of English during A Level and that I wrote a lot on this blog, my English skills improved significantly during 2013 compared to previously. In November 2013, I took the Bio Medical Admissions Test (BMAT) as part of my application to UK universities. There was a writing task in Section 3 of the BMAT and I was able to write the essay reasonably well. My results for Section 3 was 4/5 for content and grade B for language. My results was sufficiently good to meet the requirements of the universities that I applied to.

In December 2013, I took the International English Language Testing System (IELTS). The IELTS had 4 components, Speaking, Listening, Reading and Writing. I felt that Reading and Listening were very easy, while Speaking and Writing were quite difficult. Eventually, I obtained a band score of 6.5 for Speaking, 8.5 for Listening, 9.0 for Reading and 7.0 for Writing, while my overall band score was 8.0. This was a great improvement over my results for SPM English one year ago. Although my overall IELTS results was very good, getting 6.5 in Speaking put me at a disadvantage because some universities require a band score of 7.0 in every single component.

When I applied to Newcastle University Medicine Malaysia, I had to write a personal statement. I had previously written a personal statement for my UCAS application and I thought of just reusing it. I asked one of my friend who had a lot of experience in writing personal statements for advice. However, she said that my previous personal statement was written very poorly so I should rewrite it completely, and she gave me some tips for that. Later, I put in my effort to rewrite a new personal statement. My friend said that it was a great improvement over the previous one, but there were still some weaknesses. Under her guidance, I modified the personal statement and it was satisfactorily good for the university application.

From March to August 2014, I attended several interviews for my application to medical schools which include University of Hong Kong, Perdana University, International Medical University, Newcastle University Medicine Malaysia and SEGi University. The interviews were all held fully in English. It was important for me to be able to speak good English during the interviews. I made preparation for each interview by searching on the internet for tips and practising with my friends. My experience in those interviews helped improve my English skills.

In September 2014, I started studying Medicine at Newcastle University Medicine (NUMed) Malaysia. On the first day, there was an English language proficiency test. The lecturer explained that the purpose of the test was to assess our ability to write in academic writing style which is different from IELTS style and that students who fail the test had to attend English classes throughout the 1st semester. During the test, I had to write an essay and I felt that I did not write it well so I thought I would fail it. Out of my expectation, I passed the test successfully and only 18 out of 120 students in my batch passed it.

Since NUMed is a UK university, English is definitely widely spoken in NUMed. The Medicine course at NUMed is taught entirely in English, so is all the assessments. The lecturers also speak to us fully in English. All students in NUMed can speak English well, since they were assessed on their English skills before they were accepted into the course. I speak to most of my friends in English. I seldom speak in Chinese or Malay because I find it awkward to change to another language after getting used to speaking to them in English.

There are several assignments that I had to do in Medicine course as part of the assessment. Quality of English language is one of the skills assessed in every assignment. In the beginning, I was quite poor at assignments because I had no experience in doing them since I never had any assignments in A Level previously. However, I was still able to get a good score for quality of English which partly helped me in passing the assignment. Later, as I gain more experience, I improved greatly in the assignments.

Wednesday, 1 March 2017

The definition of success

In Cambridge A Level, there's the Outstanding Cambridge Learner Award. In medical schools, there's the Merit or Distinction award. Those awards are only given to students who get the highest scores in their cohort.

As you may have expected, some students aim for those awards. They define success as getting the awards and they are obsessed with it.

However, I have never aimed for those awards and I will never aim for it. The reason is simple. The awards aren't a measure of excellence of a student's performance, instead it's merely a comparison of a student's performance with other students. The problem lies with the comparison part.

Success is defined by how well we do ourself, not how well we do compared to others. To achieve success, we should strive to do the best of ourself and to overcome our weaknesses. We can learn the good things from others if we think it's helpful, but ultimately it's our own performance that matters.

Whether we do better than others or not, it's meaningless. If we aim for those awards, it means we are using other students' performances to define our own success. We have no control on their performances, so such a definition of success is totally wrong.

In addition, by defining success as getting those awards, we are essentially saying that vast majority of the students will fail no matter what, since only those few students at the top can get the awards. This shows how wrong it is.

Therefore, no student should be aiming for those awards. If you have been aiming for it, I would strongly advise you to reconsider that aim.

Saturday, 18 February 2017

Bill Gates' 11 Rules of Life?

There is a rumour circulating on the internet that Bill Gates, the founder of Microsoft, gave a speech to high school students about the '11 Rules of Life' just before he retired. You probably have come across it too. These are his '11 Rules of Life':

RULE 1
Life is not fair – get used to it.

RULE 2
The world won’t care about your self-esteem. The world will expect you to accomplish something before you feel good about yourself.

RULE 3
You will not make 40 thousand dollars a year right out of high school. You won’t be a vice president with car phone, until you earn both.

RULE 4
If you think your teacher is tough, wait till you get a boss. He doesn’t have tenure.

RULE 5
Flipping burgers is not beneath your dignity. Your grandparents had a different word for burger flipping, they called it opportunity.

RULE 6
If you mess up, it’s not your parents’ fault, so don’t whine about your mistakes, learn from them.

RULE 7
Before you were born, your parents weren’t as boring as they are now. They got that way from paying your bills, cleaning your clothes and listening to you talk about how cool you are. So before you save the rainforest from the parasites of your parent’s generation, try delousing the closet in your own room.

RULE 8
Your school may have done away with winners and losers, but life has not. In some schools they have abolished failing grades and they’ll give you as many times as you want to get the right answer. This doesn’t bear the slightest resemblance to anything in real life.

RULE 9
Life is not divided into semesters. You don’t get summers off and very few employers are interested in helping you find yourself. Do that on your own time.

RULE 10
Television is not real life. In real life people actually have to leave the coffee shop and go to jobs.

RULE 11
Be nice to nerds. Chances are you’ll end up working for one.


Actually, there is no evidence that the '11 Rules of Life' really came from Bill Gates. Personally, I think that the '11 Rules of Life' is a horrible piece of advice. A well known person like Bill Gates most probably wouldn't have given such advice, but if he did, then he just lost all my respect towards him.

Basically, the '11 Rules of Life' says that success is all about holding the highest position and earning the most money, and that we have to kowtow to others and go against our own principles and interests to achieve success. This is definitely not right! If we were to go with its definition of success, then majority of the people in this world, who isn't a CEO and a billionaire, have failed their lives. It is impossible for everybody to be CEO's and billionaires.

In reality, there is much more to life than just work and money. To live a happy life, we shouldn't stress ourselves too much and we need to have some time to do what we enjoy. It is meaningless to achieve the so-called 'success' if we aren't happy. If we really follow the '11 Rules of Life', we are just going to end up becoming a workaholic, stressful, selfish and boring person. Therefore, the '11 Rules of Life' is something that everybody should stay away from.

In my opinion, the correct '11 Rules of Life' should be like this:

RULE 1
A lot of things in life isn't fair. If you think of changing them, that’s good, but remember that even if you spend your whole life trying, you won't be able to change everything, because there is simply too many.

RULE 2
Before you can expect the world to care about your self-esteem, you have to value your own self-esteem first.

RULE 3
You won't make 40 thousand dollars a year right out of high school, neither you will become a vice president. But that shouldn’t matter at all, because success isn’t measured by the amount of money you earn or the position you hold.

RULE 4
If you think your teacher is tough, remember that it’s for your own good, so don’t complain about that. But if you think your boss is tough, don’t hesitate to change your job. Life is short, so don’t waste it on a boss like that.

RULE 5
Flipping burgers is not beneath your dignity. Every job deserves respect.

RULE 6
If you mess up, it’s not your parents’ fault. You yourself are responsible for your own life.

RULE 7
Before you were born, your parents weren’t as busy as they are now. They got that way from paying your bills, cleaning your clothes and listening to you talking about how cool you are. So, always treat your parents well and don’t ever neglect them.

RULE 8
Whether in school or in real life, don’t bother about winning or losing. As long as you always do your best and overcome your weaknesses, you are already the champion.

RULE 9
Life is not divided into semesters, you don’t get summers off. But that doesn’t mean you can’t find free time to do what you enjoy.

RULE 10
Television is not real life. If you like to watch television, there is nothing wrong with that, but remember that in real life you don't have a lot of free time to watch television, so time management is very important.

RULE 11
Be nice to nerds, they are humans too just like us.

Sunday, 22 January 2017

NUMed MBBS Assignment Samples

For the MBBS course at Newcastle University Medicine Malaysia (NUMed), there are several assignments as part of the course assessment. Here, I am sharing a copy of my assignments. These assignment samples are intended for all NUMed students who began the MBBS course in 2016 or earlier. You may use them as a guide to complete your assignments.

NOTICE: 
1. These samples are only intended as a guide for you. Please note that PLAGIARISM IS STRICTLY PROHIBITED. If you submit an assignment with plagiarised work, this will cause you to fail your assignment and professionalism.
2. My assignments are definitely not perfect. I have highlighted the weaknesses of my assignments in the comments' section. You should try to avoid these when doing your assignment.
3. The instructions and guidelines for every assignment may change from year to year. The way the assignments should be done may be different for your year compared to my year. You should ensure that you follow the instructions given to you.
4. I uploaded the assignment samples as PDF files. However, depending on the assignment, you may have to submit it as Word document or PowerPoint presentation.
5. For students who begin the MBBS course in 2017 or later, a new curriculum is introduced, which is significantly different from the existing curriculum. As such, these assignment samples may no longer be relevant.


STAGE 1 NEWSPAPER ARTICLE & REFLECTION

Link: Not available
My Score: Skills - 14.5/25 (58%, Amber), Knowledge - 13.5/20 (68%, Green)
Comments: I did this assignment very poorly because I had no idea how to do it. The reason was that this was my first assignment after starting university and I had no experience in doing assignments. Therefore, I will not upload this assignment as it will not be a good guide for you. Sorry about that.


STAGE 1 CRITICAL APPRAISAL & LITERATURE REVIEW

Literature Review Title: Evaluate The Benefits And Risks Of Statin Treatment With Respect To Both Cardiovascular Disease And Diabetes
My Score: Skills - 27/45 (60%, Amber), Knowledge - 25/35 (71%, Green)
Assignment Date: January 2015
Comments: The greatest problem with this assignment was that I made very few citations, especially for Part 1. I was very stressed when doing this assignment, and as a result I left out the citations. I lost several marks for Skills due to that. Besides, the weaknesses in Part 2 were that I did not have any subheadings and I reviewed the articles one after another rather than in an integrated manner. 


STAGE 1 FAMILY STUDY

My Score: Skills - 43.5/50 (87%, Green), Knowledge - 42/50 (84%, Green)
Assignment Date: March 2015
Comments: I obtained an excellent score for this assignment, which was much higher than the average score of all students. The way I presented the assignment was significantly different compared to that of many other students, but this was not an issue because I still followed the instructions of the assignment. The only weakness was that there were very few subheadings in my assignment.


STAGE 2 PATIENT STUDY

My Score: Skills - 37/50 (74%, Green), Knowledge - 38/50 (76%, Green)
Assignment Date: February 2016
Comments: I scored quite well in this assignment, but there were some weaknesses. My explanation was incomplete in some areas. Besides, some of the sources that I used as references were not professional sources. I also used very few subheadings, tables and graphs in my assignment.


STAGE 2 SSC LITERATURE REVIEW

Literature Review Title: Is Mirror Therapy An Effective Treatment Option For Phantom Limb?
My Score: Skills - 32/40 (80%, Green), Knowledge - 34.5/45 (76.7%, Green)
Assignment Date: March 2016
Comments: I obtained a rather good score for this assignment, but I had some weaknesses. My explanation was not very detailed and I did not integrate the articles well when reviewing them.


STAGE 2 SSC ORAL PRESENTATION

Oral Presentation Title: Treatment Of Phantom Limb
My Score: Skills - 12.5/20 (62.5%, Green), Knowledge - 3.5/5 (70%, Green)
Assignment Date: April 2016
Comments: I obtained a rather good score for this assignment, but I had some weaknesses. The text in my presentation was a bit small and I used very few pictures.


STAGE 4 SSC1 ORAL PRESENTATION

Oral Presentation Title: Perception of Medical Students on the Single Best Answer (SBA) Examinations in NUMed
My Score: Skills - 36/50 (72%, Green), Knowledge - 6/10 (60%, Amber)
Assignment Date: February 2018


STAGE 4 SSC2 POSTER & ABSTRACT

Audit Title: Audit on Clinical Monitoring and Care of Type 2 Diabetes Mellitus Patients at Klinik Kesihatan Mahmoodiah (KKM)
My Score: Skills - 34/40 (85%, Green), Knowledge - 34/40 (85%, Green)
Assignment Date: March 2018


STAGE 4 SSC3 EPORTFOLIO

SSC Title: Cardiothoracic Anaesthesia and Intensive Care
My Score: PASS in all components of assessment
Assignment Date: May 2018


STAGE 5 ELECTIVE ASSIGNMENT

Elective Title: Primary Care
My Score: 40/40 (100%, Green)
Assignment Date: October 2018

Saturday, 17 December 2016

My mistake during the System-based Weeks

Stage 3 of my MBBS course at NUMed consisted of three parts. It was the System-based Weeks, followed by the Hospital-based Weeks, and then the Essential Junior Rotations.

During the System-based Weeks, I was placed in Clinical Group 3 (CG 3). All students in CG 1 to 4 were posted to Hospital Sultanah Nora Ismail in Batu Pahat. We travelled to Batu Pahat together and stayed in the same hotel every week, and occasionally we also had large group outings. Therefore, every one in CG 1 to 4 were often together. However, during the teaching sessions, I was with CG 3 and 4 only.

Coincidentally, my best friend in NUMed was placed in CG 3 with me, and I was definitely very glad about that. However, I didn't know most of the other students in CG 3, and this was the case for CG 4 as well. On the other hand, I had known many of the students in CG 1 and 2 even before starting Stage 3. At the start of the System-based Weeks in September 2016, I quickly became close friends with those in CG 1 and 2.

However, I didn't attempt to get to know those in CG 3 and 4, so I wasn't close to them (apart from my best friend in CG 3). As time went on, nothing changed. I kept staying in my comfort zone by only talking to my friends in CG 1 and 2, while I hardly talked to my CG 3 and 4 group mates. Whenever I joined outings that involved CG 1 to 4, I seemed to be a very sociable person, but whenever I was with just CG 3 and 4, I became very quiet.

My CG 3 and 4 group mates were actually quite nice, but I didn't appreciate them. On 29 September 2016, it was my first formative clinical assessment in Stage 3. Due to lack of preparation and experience, I performed very poorly in the assessment. One of my group mate in CG 4 then approached me and offered to give me some guidance for the assessment. However, I just told her coldly that I didn't need any guidance.

My best friend also didn't know anyone in CG 3 and 4 earlier. But unlike me, he took the step to get to know them. Pretty soon, he became very close to them and they liked him a lot. For sure, if I was willing to do the same, I too could have a good relationship with them. Unfortunately, I never realised that throughout the System-based Weeks. Instead, I only cared about my friends in CG 1 and 2.

On 25 October 2016 which was during the final week of the System-based Weeks, every one of us in CG 1 to 4 went to Old Street Commercial Centre in Batu Pahat. It was a very beautiful place and many of my friends were taking photographs there. I could have taken photos with my CG 3 and 4 group mates and that was the last opportunity for me to have some good memories with them, but I didn't bother to do so.

27 October 2016 was the last day of the System-based Weeks. During the journey back from Batu Pahat to NUMed, my best friend was sitting at the back of the bus and surrounding him were a few of our CG 3 and 4 group mates. He was talking to them throughout the journey and obviously he would miss them a lot after the System-based Weeks. Looking at his close relationship with them, I suddenly felt envy.

I began to think, why my best friend was so close to them while I was not? At that point, I finally realised that I had been making a mistake throughout the System-based Weeks, the mistake of not getting out of my comfort zone to get to know my CG 3 and 4 group mates and be friends with them. Although I did enjoy the System-based Weeks, I was missing out on a friendship that I shouldn't have missed. I really regretted the mistake.

Sadly, it was already too late at that time. For the Hospital-based Weeks, I was placed in Hospital Based Group B1 (HBG B1) and none of my CG 3 and 4 group mates were in HBG B1. Since I was no longer in the same group with my CG 3 and 4 group mates, I couldn't correct the mistake. All I could do was to not make the same mistake again during the Hospital-based Weeks. I made sure to be friends with my HBG B1 group mates.

Soon after the Hospital-based Weeks started, I heard rumours that the grouping for the Essential Junior Rotations would be the same as the grouping for the System-based Weeks. I felt quite hopeful about that and I told myself that if I could ever be in the same group with my CG 3 and 4 group mates again, I would definitely put in my effort to build a good relationship with all of them.

On 2 December 2016, the group list for the Essential Junior Rotations was released. The rumour earlier turned out to be true to a certain extent. The Essential Junior Rotations grouping was largely based on that of the System-based Weeks, but there were changes for a few students, and unfortunately I was one of them. While most of my CG 3 and 4 group mates were placed in Group 1, I was placed in Group 2 instead. 

I immediately requested the lecturer in charge for a switch from Group 2 to Group 1. Unfortunately, the lecturer said that it wasn't possible to switch groups because the grouping had already been finalised. Therefore, I couldn't be in the same group with my CG 3 and 4 group mates. I felt very upset about that. Just as I thought I would be getting another opportunity to correct the mistake, I lost it once again.

Initially, I was unwilling to accept Group 2 as my group for the Essential Junior Rotations. However, I later reminded myself not to repeat the same mistake with this group. After the Essential Junior Rotations started in January 2017, I put in my efforts to get to know every one in Group 2. Soon, I had a very good relationship with them, even though I didn't know many of them previously. As a result, I liked Group 2 a lot.

The 1st semester of Stage 4 of MBBS started in September 2017. The grouping for this semester turned out to be largely based on the grouping for the Hospital-based Weeks previously. I was placed in Group 4, together with most of my HBG B1 group mates, so I really liked Group 4. However, I still wasn't in the same group with my CG 3 and 4 group mates. At that time, it seemed that I would never get to correct the mistake again.

Semester 2 of Stage 4 consisted of three Student Selected Components (SSC). The SSC 3 could be done either in Malaysia or in UK.

In September 2017, I made the decision to go to UK for my SSC 3. Then in February 2018, NUMed confirmed that I had been offered an SSC at James Cook University Hospital in Middlesbrough, UK. My best friend as well as a few CG 3 and 4 group mates would also be doing their SSC 3 at the same hospital. With that, I was once again hopeful of being able to correct the mistake. I travelled to UK on 13 April 2018.

One day when I was in UK, my best friend told me that he and our CG 3 and 4 group mates were planning to have a one-day trip on that weekend, and he invited me to join them. I gladly accepted the invitation and I prepared to use this opportunity to correct the mistake. On 28 April 2018, we had the one-day trip to Whitby. During the trip, I initiated conversations with my CG 3 and 4 group mates.

Soon enough, we were having quite a lot of conversations and they had become my friends. Thanks to that, the trip with them was really enjoyable. At that time, it had been 18 months since the end of the System-based Weeks. After so long, I finally had the opportunity to correct the mistake that I made during the System-based Weeks. The Whitby trip was a good start, but I knew I wouldn't stop at that.

On 12 May 2018, I had a one-day trip to Durham with my best friend and my CG 3 and 4 group mates. In this trip, I became even closer to them. Once again, I enjoyed the trip very much. After that, we had another one-day trip to Newcastle on 30 May 2018. I then returned to Malaysia on 2 June 2018. I was really glad that I chose to do my SSC 3 in UK, otherwise I wouldn't get to correct the mistake.

I definitely learnt a valuable lesson from the whole mistake, and I will never repeat the same mistake with any of my future group mates.


If you liked this story, you may want to read this too:

Sunday, 20 November 2016

18 November 2016 incident

Here, I would like to write about an incident that happened on 18 November 2016.

At that time, it was my Hospital Based Weeks for Stage 3 of MBBS. On that week, my group was posted to Batu Pahat hospital. As my group was quite large, we were divided into several subgroups for the hospital sessions. There was a seminar room specifically for NUMed students at Batu Pahat hospital. The key of the seminar room belonged to the hospital. They handed it to us but we had to return it before leaving.

The group leader was holding the key initially. She then passed the key to me as my subgroup was using the seminar room on 15 and 16 November. After the hospital sessions on 16 November, I returned the key to the group leader and I didn't hold the key thereafter. On 17 November, we returned to Johor Bahru.

On 18 November, there were lectures at NUMed. On that morning, the group leader received a call from Batu Pahat hospital. They were asking for the whereabouts of the seminar room key, as it wasn't returned to them. The group leader wasn't the last person holding the key as she had passed it to someone else. She asked everyone in our group about it, but no one was having the key.

BG then said that the key might be with me, as she saw the key on my chair in the seminar room right before she left on the previous day. My group mates began questioning me about the key, and that made me panicked a bit. I was in a rush when leaving the hospital on the previous day, so I might have overlooked the key on my chair, which would be a mistake on my part.

However, I definitely didn't put the key on the chair as I wasn't the one holding the key. Someone else must have placed the key there with the intention of passing it to me, but without telling me about it. If I held the key, I wouldn't have left it unattended. Later, my close friend from another group told me not to worry about the incident, as he had found out the truth.

As a matter of fact, OG was holding the key on 17 November. As his subgroup finished the hospital sessions earlier, he wanted to pass the key to me so that he could leave. OG was the one who placed the key on my chair. He didn't inform me about that, probably because he forgot. Consequently, I didn't know that the key was on the chair.

It was largely OG's mistake that the key got lost. Not wanting to be blamed for his own mistake, OG tried to push the blame onto me. OG and BG had a very close relationship, so BG was helping him by telling our group that she last saw the key on my chair, to make it look as if I was the one who lost the key.

When OG and BG were discussing this among themselves in the lecture theatre, my close friend who was sitting near them overheard their conversation. That was how he knew what happened. He then confronted OG and BG, making it clear that he wouldn't allow their plan to succeed. I felt so relieved after my close friend told me what happened.

Later that day, Batu Pahat hospital informed us that they found the key on the floor in the seminar room. The key must have fallen off from my chair. With that, the issue was resolved. BG then told our group that she was the one who placed the key there and she apologised for that. I too apologised to my group for not noticing that the key was on my chair.

OG remained silent and never revealed the truth that it was him who put the key there. Right from the beginning, he should have admitted his mistake and apologised. I am sure it wouldn't be a great issue and I would have been willing to share the responsibility with him. However, OG was too egoistic to do so. In the end, BG shouldered all the responsibility for OG.

BG had been my friend since Stage 1 of MBBS. OG was my housemate but I rarely communicated with him due to our very different personalities, although I did have a high regard for him. I had never expected that BG and OG would do such a thing. This incident really changed my perceptions towards them. On the other hand, this incident proved that my close friend is a true friend.

Monday, 3 October 2016

My 2nd year of MBBS at NUMed

The 2nd year of my MBBS course at Newcastle University Medicine (NUMed) Malaysia lasted for about 9 months from 29 September 2015 to 8 June 2016. In NUMed, 2nd year is known as Stage 2. During Stage 2, I lived in Horizon Residences, Bukit Indah which is accommodation managed by the university. Here, I am writing about my experience when I was in Stage 2.


September 2015:

On 26 September, I moved into Horizon Residences. My parents drove me from Subang Jaya back to Bukit Indah. My housemates also moved in on the same day. Then on 27 September, I and my housemates had dinner together at a Chinese restaurant in Skudai. Stage 2 of Medicine course began on 29 September. It was about a week later compared to the previous years. This marked the end of my 4 month summer break. At that time, I felt that the summer break seemed to pass so quickly and I felt sad because I would not have any more 4 month break in the future. For the 1st semester of Stage 2, I would be studying Thoughts, Senses and Movement (TSM) which comprises the nervous system and musculoskeletal system. For Stage 2, I was assigned the same seminar group as during Stage 1. All my group mates also remained in the same group. I was very happy about this.

October 2015:

In early October, I was still in holiday mood so I did not start doing any revision. My next examination would be the Progress 1 examination in January 2016 which was still a long time away. On 6 October, NUMed distributed the assignments for Stage 2 which are Patient Study and Student Selected Component (SSC). The SSC had 2 parts, Literature Review and Oral Presentation. I expected that the SSC would be quite difficult while the Patient Study would be easier. I planned to do a part of the assignments in November and continue with the rest after the Progress 1 examination. I and my friends went to the EduCity Stadium near NUMed to play badminton on 7 October. As NUMed students, we could access the stadium for free. I was quite poor at badminton and I knew only the basics, but I still enjoyed playing badminton with my friends. This was my 2nd time playing badminton.

I and my friends celebrated the birthday of someone in our group on 12 October. We went to AEON Bukit Indah to buy the ingredients, then we prepared the food for the celebration at Horizon Residences. Since I do not know how to cook, I only helped with the preparation of the drinks. The birthday celebration was held beside the swimming pool of Horizon Residences. We surprised our friend with the celebration. During the celebration, we entered the swimming pool. It was really an interesting birthday celebration. On 14 October, I and my study partners visited our patient for the Patient Study assignment. Then, I submitted my proposal of my choice of topic for the SSC assignment on 18 October. On 19 October, I started creating the notes for AS Level Physics, Chemistry and Biology based on the 2016-2018 syllabus, after receiving numerous requests from my blog readers. I finished creating the notes and uploaded them to this blog on 22 October. On 23 October, I was informed by my lecturer that my proposal for the SSC had been approved.

Around that time, I was thinking back of Stage 1 and I realised that I had not obtained excellent results in examinations ever since the Stage 1 Progress 1 in November 2014. I felt sad about it and as a result I set myself the target of getting at least 80% for the Stage 2 Progress 1 examination. To achieve it, I decided to start revising very early. This got me out of my holiday mood. I began my revision for the Progress 1 examination on 26 October. On 28 October, I and my study partners followed our patient to visit his GP as part of the Patient Study assignment. We had to skip a few lectures in the morning for that. After returning to NUMed, I was very tired, causing me to fall asleep for a few minutes during a lecture. One of my friend took a photo of me sleeping and sent it to our WhatsApp group with the words 'Thug Life'. On that afternoon, there was a formative anatomy practical test. I and my friends decided to not write our names on our answer sheets, instead we all wrote someone's name. However, our lecturers were upset when they knew about that. They said that if we didn't want to write our actual names, we could use our initials, but we should not use another student's name. We eventually apologised to our lecturers over this incident.

November 2015:

Throughout November, I was doing revision for the Progress 1 examination. A large proportion of TSM is anatomy, which was my weak point at that time. Therefore, I put in more effort to revise anatomy in greater detail. Soon, I began to feel that anatomy isn't that difficult actually. Because there was still a long time until the Progress 1, I did not study very long hours every day, so I was not too stressed. Earlier, I had planned to do a part of the Patient Study and SSC assignments in November. However, I changed the plan and decided to do the assignments only after the Progress 1, because I wanted to focus on revising for the Progress 1 and there would still be a lot of time to do the assignments after the Progress 1. On 13 November, I and my study partners carried out our 3rd visit to our patient for the Patient Study assignment.

December 2015:

In early December, I started feeling more stressed and I revised longer hours daily, because the Progress 1 examination was approaching. On 4 December, there was a cultural fest at NUMed and I attended it for the first time. The fest presented several cultures, particularly food and games, from different parts of the world. It was quite interesting. I and my study partners carried out our 4th visit to our Patient Study patient on 5 December. On 10 December, it was the 1st Hospital Visit for Stage 2. We went to Hospital Sultan Ismail. At the hospital, I and one of my friend clerked 2 patients. We also had a discussion and conversation with our Stage 3 seniors. Then on 14 December, I and my friends visited Diabetes Malaysia at Hospital Sultanah Aminah as part of the Patient Study assignment. The 2nd formative anatomy practical test was on 17 December. This time, I and my friends wrote the initials of our names on the answer sheets.

The winter break started on 19 December and it lasted for 3 weeks. The break used to last for 4 weeks in the previous years, but it was shortened to 3 weeks for this year. I could not enjoy the winter break at all, due to the fact that the Progress 1 examination would be immediately after the break and I had to revise for the examination during the break. This is something that I really dislike, because I think that breaks should be for students to rest and relax. Unfortunately, many students preferred to have the break to study, which was why NUMed scheduled the Progress 1 after the break. My parents fetched me back to Subang Jaya on 20 December. I had dinner with my Taylor's College friends on 22 December. Then, I had lunch with them again on 23 December. On 26 December, I went to Kulim for 1 week. During that time, I was very busy revising for the Progress 1 and I felt very stressed.

January 2016:

On 2 January, I returned to Subang Jaya. I met one of my Taylor's College friend again on 7 January. We watched the Hong Kong movie Anniversary at GSC Cinema in IOI Mall, Puchong. Then, my parents drove me back to Bukit Indah on 8 January. On 11 and 12 January, it was the Progress 1 examination. The examination questions were very difficult because they tested on a lot of fine details, some of which I did not pay attention to during my revision. As a result, I could not answer well in the examination despite having done a lot of revision. After the Progress 1 ended, there were about another 2 weeks of break. I relaxed for a few days before starting the Patient Study assignment. On 14 January, I and my friends went to Cat's Cafe in Johor Bahru for lunch. I drove my friends there. In the cafe, there were many cats walking around. They were very cute and were always kept clean by the staffs. It was truly an interesting experience. I and my study partners visited our Patient Study patient for the final time on 16 January.

On 17 January, I started writing the Patient Study assignment. This assignment is similar to the Family Study assignment in Stage 1. I had to write a report based on the information gathered when I and my study partners visited our patient previously. I referred to the assignments done by my seniors as a guide. Most students wrote the assignment by dividing it into several subheadings. However, I wrote the assignment as a single continuous essay because I preferred it this way. Just like what I had expected earlier, the Patient Study was not difficult and I did not feel stressed doing it. On 18 January, the results for the Progress 1 examination was released. My score was 71.86%. Although I did not reach my target of 80%, I was still happy because it was still a good score and there was a slight improvement compared to the Stage 1 Progress 3 examination. The 2nd semester of Stage 2 began on 26 January. For this semester, I would be studying Clinical Sciences and Investigative Medicine (CSIM) which comprises pathology, immunology and microbiology. The lecturers told us that CSIM would be quite difficult.

February 2016:

The deadline for the Patient Study assignment was on 12 February. However, I had completed and submitted the assignment on 5 February. With this, I could celebrate Chinese New Year without having to worry about the assignment. This was the first time where I submitted an assignment before its deadline. The Chinese New Year was on 8 February. NUMed had 4 days of holidays from 6 to 9 February. I decided to skip classes on 10 to 12 February so that I could have one whole week of holidays. On 6 February, I took a flight back to Subang Jaya. I flew by Malaysia Airlines and it was the first time I flew alone. Then, I and my parents went to Kulim on 7 February to celebrate Chinese New Year. My cousins' family also went to Kulim and we all stayed in my grandparents' house. It was an interesting Chinese New Year. I and my parents returned to Subang Jaya on 11 February, then my parents drove me back to Bukit Indah on 12 February.

I relaxed for a few days before I started writing the Student Selected Component (SSC) Literature Review on 15 February. This assignment is similar to the Critical Appraisal and Literature Review assignment in Stage 1. I had to find relevant articles for the title I chose, then write a review of the articles followed by a conclusion. I again referred to my seniors' assignments as a guide. Contrary to my expectation earlier, I did not find this assignment difficult or stressful. Unlike the Stage 1 Critical Appraisal and Literature Review, this assignment was not boring because I chose the topic that I was interested in. On 18 February, there was a wet teaching session on microbiology. We had the opportunity to produce bacteria cultures and look at specimen of bacteria using microscope. On 24 February, when I was sleeping, I had 3 strange dreams. The 1st was about me trying to find a burger shop in SS2, the 2nd was about me and my cousins going to Pakistan for holidays while the 3rd was about me experiencing ear pain while taking a submarine ride.

March 2016:

The deadline of the SSC Literature Review was on 10 March. By 6 March, I had largely finished writing the assignment. Then, I submitted it on 9 March ahead of its deadline. I decided to fully relax for 2 weeks before I start revising for the Progress 2 examination. There was a solar eclipse on 9 March. Strangely, the sun seemed to look normal, except that the sky was not as bright as usual. I sent my Acer laptop for repair at the service centre in AEON Bukit Indah on 10 March because it broke down shortly after I completed the assignment. I was told that the hard disk was damaged so it had to be replaced. Therefore, I would lose all personal data and programs in my laptop. Luckily, I had backed up my personal data to the cloud. On 14 March, my laptop was ready and I went to collect it. After that, I started reinstalling the important programs on my laptop.

On 15 March, it was the 2nd Hospital Visit for Stage 2. Once again, we went to Hospital Sultan Ismail to clerk patients. On 17 March, I had an outing with my friends. We had lunch at Indian Kitchen which is located not far away from NUMed. After that, we went to Puteri Harbour. There, we had desserts at Starbucks. We took a look at Jen Hotel, where the NUMed Prom Night would be held in the following month. When we came across a Toy'R'us store, we decided a get a toy car for every one of us as a symbol and memory of our friendship. This outing with my friends was really interesting. I went to Columbia Asia Hospital on 18 March to get vaccination for chickenpox which is compulsory for all medical students. This was arranged by NUMed because my health report showed that I was not vaccinated against chickenpox.

On 20 March, I played the video game Braid and successfully completed all levels for the first time, with the help of a walkthrough on the internet. On 21 March, my HTC One E8 mobile phone received the upgrade to Android Marshmallow, which I had been waiting for months. Later on that night, I watched the launch of the iPhone SE and 9.7 inch iPad Pro live online. My 21th birthday was on 23 March 2016. Many of my friends wished me through the internet. I had dinner at Nando's which is my favourite restaurant, then I had cake at Secret Recipe. On 24 March, I decided to create a 2nd Facebook account specifically for keeping in touch with my close friends, while my 1st Facebook account would still continue to be in use. NUMed had an Easter break which started on 26 March and lasted for 2 weeks. On 26 March, I took a flight back to Subang Jaya. I flew by Firefly this time. My parents then drove me to Kulim on 27 March. At that time, I started revising for the Progress 2 examination which would be in May. However, as I was in holiday mood, I did not put my full attention in the revision.

April 2016:

On 2 April, my cousins came to Kulim. On that night, I watched the movies Bad Neighbours and Interstellar with my cousins. Then on 3 April, my parents drove me back to Subang Jaya. However, in the journey my father's car broke down due to a problem with the alternator. Luckily, that happened when we were at Tapah rest area. We called a tow truck and had to wait hours for it to arrive. We then sat the tow truck to Subang Jaya. On 5 April, I met up with one of my Taylor's College friend. We went to watch Batman v Superman: Dawn of Justice at GSC Cinema in IOI Mall, Puchong. I flew back to Bukit Indah on 9 April. NUMed reopened on 11 April. On that day, the results for the Patient Study assignment was released. My score was 37/50 for Skills and 38/50 for Knowledge. Although not as good compared to the Stage 1 Family Study, it was still a good score and I was quite satisfied. At that time, I started preparing for the Student Selected Component (SSC) Oral Presentation, so I temporarily stopped my revision for the Progress 2 examination. For the oral presentation, I had to present on a topic of my choice using PowerPoint slides.

On 15 April, it was the NUMed Prom Night which was held at Jen Hotel, Puteri Harbour. I drove one of my friend there. When I arrived there, the prom night had not yet started so I walked around the hotel. Many Stage 2 students and some lecturers attended the prom night. 7 out of 10 of my group mates attended it. I was in the same table as many of my friends. During the prom night, food was served and there were many performances on the stage. The food was quite tasty and the performances were interesting to watch. There were also lucky draws, but unfortunately I did not win any of them. Towards the end of the prom night, I and my friends began taking photographs. I took group photos with my group mates and with my friends who sat in the same table. I also took two-person photos with many of my friends. There was also a dance but I did not take part as I do not know how to dance. We spent more than an hour taking photographs before leaving. The prom night was really interesting, especially taking photographs with my friends.

I finished preparing the PowerPoint slides for the SSC Oral Presentation and submitted it on 18 April, one day before its deadline. I practised the oral presentation with my friends quite often at that time. The GP Visit for Stage 2 was on 20 April. I and my group mates went to Klinik Kesihatan Mahmoodiah. There, we observed the patients' consultation with the doctors. On 21 April, it was the SSC Oral Presentation. I performed quite well in the oral presentation, due to the fact that I had practised a lot. I felt that this was the easiest assessment in Stage 2. After that, I relaxed for a few days. I went to Columbia Asia Hospital on 22 April to get a booster dose of vaccination for chickenpox. On 25 April, I started my revision for the Progress 2 examination. I had forgotten most of what I had revised a few weeks earlier since I wasn't revising wholeheartedly, so I needed to revise them again. I expected that the revision would be stressful. There was a formative anatomy practical test on 28 April. That was also the last anatomy session for Stage 2.

May 2016:

On 6 May, it was the last lecture for Stage 2. There was a formative OSCE on 7 May. I performed poorly because I was not well prepared for it. On 9 May, there was a clinical skills revision session. After that, we had a 3 week study break. There was a clinical skills session on knee examination on 20 May. This session should have been scheduled previously before 6 May, but our lecturers forgot about it. This was the final clinical skills session for Stage 2. Throughout May, I was very busy revising for the Progress 2 examination. I had to revise very long hours every day and I felt extremely stressed. There was a lot that I had to revise because the examination would test on both semester 1 and 2 topics. The topics for CSIM were also quite difficult. I was worried that I would not have enough time to finish the revision. To save time, I ate just 2 meals every day, one of the meals being instant noodles. I always longed for the examination to end and for the summer break to begin. I was definitely just hoping to pass Stage 2 and nothing more than that.

On 22 and 23 May, I temporarily stopped my revision for the Progress 2 and I practised the OSCE with my friends at Horizon Residences. The End of Stage OSCE was on 24 May. During the OSCE, I could not perform well in the first few stations, even though I thought that I prepared well for the OSCE. It affected my confidence, causing me to not perform well in the remaining stations too. I felt that I had screwed up the entire OSCE and I was really worried that I would fail it. I was prepared for having to resit the OSCE, but I told myself that I must try my best to pass the Progress 2 examination. After the OSCE, I continued my stressful revision for the Progress 2. The Progress 2 examination was on 31 May and 1 June. It turned out that the Progress 2 was actually not very difficult because the questions were quite direct. After all my hard work, I could answer it reasonably well and I was confident of passing it.

June 2016:

After the Progress 2 examination, it was the summer break which would last about 3 months until 28 August. I could finally relax after more than 1 month of stressful revision. However, I was still quite worried because of the the OSCE. On 2 June, I and my friends went to TGV Cinemas in AEON Bukit Indah to watch X-Men: Apocalypse. My parents drove me back to Subang Jaya on 4 June. I left some of my personal belongings at Horizon Residences because NUMed allowed me to do so with no extra charges. On 8 June, the Stage 2 Pass List was released, along with the results for SSC assignment, Progress 2 and OSCE. I was so nervous that I dared not check the pass list first. Instead, I checked my SSC results first, followed by the Progress 2 and finally the OSCE. For the SSC, my score was 44.5/60 for Skills and 38/50 for Knowledge, while for the Progress 2, I obtained 64.65%. I was quite satisfied with the results. Then, I was so happy to know that I passed the OSCE, though it was really a narrow escape. My percentage was 74.28 while the pass threshold was 73.12, and I failed 3 out of 10 stations which was the maximum allowed. With that, I passed Stage 2 successfully and could continue on to Stage 3. This marked the end of Stage 2.

Conclusion:

Overall, Stage 2 was less interesting compared to Stage 1. I am glad that I no longer had problems with the assignments during Stage 2, unlike in Stage 1. The most stressful thing about Stage 2 was doing revision for the Progress 1 and 2 examinations. My greatest weakness for Stage 2 was the OSCE, which I performed badly and nearly failed. This is definitely something that I need to work to improve on in Stage 3.

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