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    CONTENTS

    Any absence due to sickness or any unforeseen circumstances must benotified to the course coordinators as soon as possible and

    must be supported by suitable documentation e.g. sick certification.

    Page

    1 INTRODUCTION 1

    2 OVERVIEW OF THE CHET MODULE ANDSTRUCTURE OF CHET VISITS

    2

    3 COURSE OBJECTIVES 3

    4 GUIDE FOR VISITS TO HEALTHCAREFACILITIES

    4

    5 GUIDE FOR VISITS TO COMMUNITYRESOURCES / INSTITUTIONS

    5

    6 TIPS: GETTING THE BEST OF YOUR VISITS 6

    7 MAINTAINING DISCIPLINE ANDPROFESSIONALISM

    7

    Appendices

    A Who & How To Contact Academic Staff 9

    B Schedule of CHET Visits 10

    C List of Healthcare Facilities for CHET Visits 11

    D Guide For Preparation Of Visit Report 15

    E Post-visit Meetings & How to Prepare YourPresentation?

    17

    F CHET Visit Assessment Form 18

    G Learning Resources 19

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    1 - INTRODUCTORY NOTE FROM THE COURSE COMMITTEE

    Assalamualaikum and greetings,

    On behalf of the teaching faculty of this course, we warmly welcome you to thisexciting course.

    This module is based on current concepts of early practical experience orearly clinical exposure for medical undergraduates. The norm for the pastcentury has been for medical students to learn theory for two to three yearsbefore seeing it applied in practice. However, in this module you are actuallybeing given opportunities to experience learning in clinical and communitysettings at the very beginning of your medical studies. It is indeed an importantstarting point to your long journey as a healthcare professional.

    The modules main objective is to develop the desired knowledge, skills andattitude of an undergraduate healthcare professional, in readiness for furtherlearning of medical and clinical sciences. You will be exposed to situations ofclinical and health practices in theory as well real practice. You will learn aboutprinciples of clinical care, illness behavior, healthcare systems and health needsof a population. It will make biomedical (such as Anatomy & Physiology) andsocial sciences subjects that you learn in the University more relevant andeasier to learn. The knowledge and experiences gained from this module willalso provide firm insight and understanding of your roles and responsibilities asa future doctor/pharmacist.

    This handbook will provide you with further information on the field visits that youare going to make and further tasks for the module. Your lecturers will try tofacilitate your learning process as much as possible, but the extent of learningwill definitely depend on your enthusiasm and efforts. Please do not hesitate tocontact us should you need further help and guidance.

    We look forward to learning from you; as much as you learn form us.All the best!

    From the Course Committee of Clinical and Health Exposure & Training Course:

    Course Coordinators: Associate Professor Dr Yong Rafidah Abdul RahmanMs Nur Sakinah DzulkiflyDr Ahmed Awil Adam

    Members : Professor Abdul Latiff MohamedProfessor Abu Bakar Abdul Majid

    October 2007

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    2 - OVERVIEW OF THE CHET COURSE AND STRUCTURE OFCHET VISITS

    Overview of CHET Module:This course comprises of 21 weeks (42 sessions) of study period, during the first semester ofthe Medical and Pharmacy undergraduate courses of CUCMS. The course begins withtheoretical discussions on topics that are pertinent to development of future doctors/

    pharmacists. It will progress to visits to clinics, hospitals, related institutions as well ascommunity resources. In each of the visit sessions, students will be required to record theirexperiences as well as reflect and learn from their observations. The experiences recordedand lessons learned will be in discussed in own small-group sessions, presented to the class,as well as be compiled in a learning portfolio.

    The assessment of this course will be based on the following criteria as mentioned in yourcourse synopsis:

    Item Method of assessment Mark allocation Notes1 Attendance and

    punctuality6% Attendance at all lectures / small

    group sessions / field visits

    individual marks2 Assessment/ feedback

    from hosts/tutors14% Marks awarded based on group

    performance

    3 Visit Report (including taskidentification, reflectionand presentation)

    50% Marks awarded based on groupperformance

    4 Initiative, teamwork andorganization skills

    15% Marks awarded based on groupperformance

    5 Assignment/otherassessment

    15% Individual marks

    CHET Visits:

    CHET Visits comprise of about 7 visits for MBBS students and 4 visits for PharmacyStudents. The sites are divided into two main categories: healthcare facilities and communityresources / institutions.

    Places of Visit:A . Healthcare facilities (Appendix C):

    Primary Care: Government (Klinik Kesihatan) and Private (General Practice)Clinics

    Secondary / Tertiary Care: Private and Government Hospitals (wards andspecialist outpatient clinics)

    Hospital Support Services: Laboratory, Imaging Allied Healthcare Professionals: Dental Clinic / Veterinary clinic Pharmacy : Retail (private & hospital), Industry, Research

    B. Community Resources / Institutions (Appendix C):

    Orphanages Old-folks homes Special Schools Rehabilitation centres

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    3 - THE COURSE OBJECTIVES

    In summary, by the end of the CHET Module and visits, you should be able to:

    Knowledge / Cognitive Learning Outcomes:

    1. describe the Malaysian medical and health care system2. describe the roles and responsibilities of physicians , pharmacistsother members of the health-care team

    3. explain patient expectations in clinical situations.4. explain problems faced by medical practitioners in clinical settings5. explain concepts of quality in delivery of health care

    Skills / Psychomotor Learning Outcomes:1. demonstrate basic skills in healthcare professional communication

    and interaction2. perform basic skills needed for self-directed and life-long learning

    (such as searching for information)3. correlate observations from clinical situations with the knowledge of

    normal and abnormal structure & function of the human body

    Attitude / Affective Learning Outcomes:1. develop understanding of personal attributes expected of health-care

    professionals2. demonstrate acceptance of future challenges and responsibilities of

    being a member of a noble profession3. demonstrate teamwork ability in making successful visits,

    presentations and reports

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    4 - GUIDE FOR VISITS TO HEALTHCARE FACILITIES

    Being a first year student, we do not expect you to perform consultations withpatients or make diagnosis. You are there to observe and get a first handexperience of what being a health practitioner is all about. You will be guided byvisit tasks that you have worked on as well as other guidelines and points to

    observe during your visits.

    How to achieve the above objectives?

    1. Before the visit, you would have developed your own questions and tasksto complete during the visits. Try as far as possible to find the answersto your own questions, as these need to be primarily reflected in yourreport later.

    2. Observe the doctors, nurses, as well as other healthcare team membersduring the visit and make notes of the daily routines of their work. Also,note down interesting events or issues that may be present at the site youvisit.

    3. Observe and make notes of patient check-ups, investigations doneduring laboratory visits, radiology departments, medications, or proceduresat the pharmacies etc. These observations can be part of the materials ofyour visit report. These notes might be very useful for you too, as youprogress to higher semesters.

    4. If permissible, observe and learn how to use basic tools with guidancefrom attending supervisor/doctor. However, unless with permission andunder supervision, you are not allowed to participate in clinics activitiessuch as taking patients blood pressures or help in the patient medicalhistory taking.

    5. Whenever possible, ask as many questions as you can and learn aboutthe place that you visit. Try to maximise this opportunity for both medicaland pharmacy students to learn and understand about the professionalwork other members of the healthcare team as well as how to complementeach other.

    6. Prepare and actively participate in discussion sessions with the lecturers/ supervisors after each visit. Participate and exchange information duringclass presentations.

    7. Reflect upon interesting observations and experiences (both good andbad) and develop learning issues for you to share with peers as well as toponder during coming years.

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    5 - GUIDE FOR VISITS TO COMMUNITY RESOURCES

    What are Community Resources?

    Community resources are non-medical organizations that provide services orcare (preventive & rehabilitative), to assist with patients health & well-being(mentally & physically). Visits to these institutions will definitely be an interestingexperience for you. As CUCMS motto is Nurturing the Passion to Care, it ishoped that these visits will help develop and nurture you into a caring andempathetic healthcare professional.

    You will see different health problems during your visits to the variouscommunity resources. Take this opportunity to get to know the residents ofthese institutions well. You may ask questions but try not to be rude orinsensitive. Some of the residences are in special care, and they may need

    extra care when dealing with them. List of community resources that you willvisit are given Appendix C.

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    6 TIPS: GETTING THE BEST OF YOUR CHET VISITS

    The visits are indeed short and you would have already a list of queries to be answered withinlimited time. However, if you find yourself being bored, there are many opportunities forlearning as well as self and professional development during CHET. Some of them are:

    6.1 - Learning Communication Skills

    It is important to learn good communication skills. Use the visits as opportunity to observe thecommunication skills being practised by practising doctors/healthcare staff. Try to observe theverbal as well as the nonverbal skills that they utilise. Observe the rapport that they havebuilt with patients who have come to see them. Furthermore, observe how thecommunicative tasks in a consultation are being done i.e. from initiating the consultation, totaking history & exploring patients problems, sharing and explaining information, negotiatingand agreeing management of problem/s and last but not least how each consultation is beingclosed.

    The healthcare professionals might be working in busy practices. Try to understand the

    difficulties to communicate effectively when time is a constraint.

    6.2 - Learning Clinical and Management Skills

    In the consultation roomIn certain circumstances, you will probably have the chance to closely observe the healthcarestaff at work (especially in out-patient clinics). The breadth of clinical and administrativeproblems faced daily by the staff will give you a good idea of the work and responsibilities ofthe healthcare staff. The ability of the staff to educate patients from diverse social andeducational background will again remind you about the importance of good communication

    skills.

    In an attempt to continually keep you actively involved during or between consultations, yourhealthcare staff/doctor may: Ask questions Show / teach using medical records, lab reports, x-rays, etc.

    Other OpportunitiesDuring the visits, you will have the opportunity to be introduced to few skills. Where possible,ask the health staff/doctor/supervisor for guidance. Look for opportunities to learn to how usebasic equipment like thermometer, spyhgmanometer and other tools.

    In the waiting area and reception counter:You will be able to observe the process of registration of patients, how the medical recordsare maintained.

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    7 - MAINTAINING DISCIPLINE AND PROFESSIONALISM

    7.1 Professionalism

    As a medical/pharmacy student, you are a doctor/pharmacist-to-be and thus,you are expected to demonstrate behaviours and mannerisms that are expectedof future doctors/pharmacists. You are expected to:

    treat people whom you meet with friendliness, respect, courtesy as well asconfidence. Always remember at least to acknowledge them non-verbally andsmile.

    display your Student Identity Card at all times. It identifies who you are andwill ease your progress with staff and patients.

    wear yourwhite lab coats during visits to healthcare facilities andlaboratories.

    make sure that you are properly dressed for the visits. All students must

    abide by the CUCMS dress code. Both male students and female studentsmust be dressed in formal attires. T-shirts and jeans are not allowed. For thewomen, please ensure that you do not wear blouses that are sleeveless orhave low necklines. Skirts must be below knee length. Do use formal shoesand avoid slippers or casual sandals.

    7.2 - Attendance and PunctualityThe course coordinators have made the extensive arrangements for your visits.Thus, please do not be absent and be punctual! If you know that you are goingto be absent or late, do inform the site supervisor/host by phone. The contactnumbers and addresses are listed in Appendix B. At the end of the visits, doremember to politely request your host to complete the CHET VisitAssessment Form as in Appendix F.

    7.3 - Conduct and MannerismUpon arrival at the visit site, greet your host and introduce yourself properly.Explain your visit objectives to them. Show good manners such as not talkingwhen the supervisor/ doctor is addressing the group, asking questions politely,and thanking them after each visit.

    If the doctor allows you to see him/her consult a patient, please maintainconfidentiality of the session. The patient will know that the session is to helpyou to learn. Be aware of doctors as well as patients state of emotion. DONOT interrupt the doctor or patient while they are talking.

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    7.4 - Visit Arrangements And Your Safety

    When learning in the community, it is important that you apply common sense toavoid any problems.

    Be clear and consistent in arrangements that you make with your peers onthe visit venue. Plan your journey. Ask for directions before starting yourjourney.

    Do not rearrange or visit another site without the permission of CHETcoordinators.

    Avoid lonely routes especially if travelling without being accompanied bylecturers.

    It is always important that someone knows where you are and the time youare expected back.

    Be alert and confident but without appearing arrogant.

    7.5 Other tasks during each visit

    Apart form tasks describe above, we would seek your cooperation to requestyou hosts to complete the CHET Honorarium Claim Form that has beengiven to you.

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    Appendix A

    WHO AND HOW TO CONTACT THE ACADEMIC STAFF OF CUCMS?

    Cyberjaya University College of Medical Sciences (CUCMS):

    Address: CUCMS, Unit. No.2, Street Mall 2, 63000 Cyberjaya,Selangor Darul Ehsan

    Tel: 03- 8319 1010

    Contact numbers of CUCMS CHET facilitators:

    Name Contact no.Prof Dr Shaharuddin Mohd 012-692 2534

    Prof Dr Abdul Latiff Mohamed 012-314 5854

    Prof Dr Abu Bakar Majid 013-209 4759

    Prof Dr Abdul Rashid Abdul Rahman 012-989 2399

    Assoc. Prof Dr Yong Rafidah Abdul Rahman 012-617 1963

    Assoc. Prof Dr Mohd Ikram Mohd. Salleh 012-286 6266

    Assoc. Prof Dr Ahmad Asmadi Yusof 012-321 1667Assoc. Prof Dr Thuaibah Hashim 019-219 3680

    Dr Ahmed Awil Adam 012-272 3174

    Dr Eddy Yusuf 012-277 9817

    Dr Sharifah Fauziah Hanim Syed Zain 012-260 7000

    Ms Nur Sakinah Dzulkifly 019-241 2612

    Mdm Suraya Abdul Razak 012-290 7606

    Course Coordinators of CHET Module:Assoc. Professor Dr Yong Rafidah Abdul Rahman 03-8319 [email protected]

    Ms. Nur Sakinah Dzulkifly 03-8319 [email protected]

    Dr Ahmed Awil Adam 03-8318 3554ahmed@ cybermed.edu.my

    Members of the CHET Course Committee:Professor Dr Abdul Latiff Mohamed 03-8319 [email protected]

    Professor Dr Abu Bakar Abdul Majid 03-8319 [email protected]

    Please do not hesitate to contact us for queries and concerns. Thank you.

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    Appendix B

    Schedule of CHET Visitsto

    Healthcare Facilities&

    Community Resource

    (Please refer attached document)

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    Appendix C

    LIST OF HEALTHCARE FACILITIES FOR CHET VISITS

    Government- Primary Care

    (Enquiries:Prof. Dr. Abu Bakar AbdulMajid/ Assc Prof Dr YongRafidah Abdul Rahman )

    Poliklinik Komuniti Bukit Changgang,Bukit Changgang, 42700 Banting, Selangor

    Tel: 03-3149 1355Contact Person: Dr. Zuzana bt Aman,Pegawai Perubatan(Y/M)

    Poliklinik Komuniti Dengkil43800 Dengkil,Sepang Selangor

    Tel: 03-8768 6355Contact Person:Dr Fauziah Saidon, Pegawai Perubatan(Y/M)

    Private- Primary Care(General Practitioner)

    (Enquiries:Assc Prof Dr Yong RafidahAbdul Rahman)

    Pusat Rawatan Mesra (Dr. Rahaya Hassan & Rakan-Rakan),No. 26 Jalan 7/2, Sri Serdang,43300 Seri Kembangan, SelangorTel: 03-89459485Contact Person: Dr Rahaya Hassan (019-234 9485)

    Klinik Dr RohayaLot 1.20 Ground Floor, Medan MaraJalan Raja Laut, 50350 Kuala LumpurTel: 603- 26920122Contact Person: Dr Rohaya Masod (012- 3790 777)

    Klinik Dr. Marisa & Rakan (note: 12-3 pm only)No. 7 Jalan Mutiara 5,Taman Mutiara, 43800 DengkilTel/fax: 03-87687791Contact Person: Dr Marisa Amilia Ismail

    Government-Hospital/Secondary Care(Enquiries:Prof Abd Latiff Mohamed)

    Hospital Universiti Kebangsaan Malaysia (HUKM)

    Klinik Perubatan 1 (Unit Kardiologi)Hospital Universiti Kebangsaan Malaysia

    Jalan Yaacob Latiff56000 Cheras, Kuala Lumpur

    Contact Person: Dr Oteh Maskon

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    Private Hospital/Secondary Care(Enquiries:A/Prof Dr Mohd IkramM.Salleh)

    Hospital Pakar An-Nur,No. 22 Medan Pusat Bandar 1, Seksyen 943650 Bandar Baru Bangi, Selangor.Tel: 03-89466036Contact Person: Pn. Norsham Abu Bakar (019-220 7567)

    Support Services 1 & 2(Enquiries:Assc Prof Thuaibah Hashim

    Jabatan Patologi Hospital PutrajayaGround Floor, Hospital Putrajaya ,Presint 7, 62250 PutrajayaTel: 03-83124200 (main line) / 03-83124467

    Contact Person: Dr Asmiati Arbi (Pakar Patologi & KetuaJabatan)

    Dental Surgeon(Enquiries:Prof Abd Latiff Mohamed)

    Klinik Pergigian An-NurNo 18A, Medan Pusat Bandar 1Seksyen 9, 43650 Bandar Baru Bangi, Selangor

    Tel: 03-89266577Contact Person:Pn. Norsham Abu Bakar (019-220 7567)/Dr Norhin Tamby Kadir

    Hospital Pharmacy(Enquiries:Dr Eddy Yusuf

    Pharmacy HUKMHospital Universiti Kebangsaan MalaysiaJalan Yaacob LatifBandar Tun Razak, 56000 CherasTel: 603- 91733333 ext 5586 / 03-9170 2154Contact person: Puan Michelle Tan Hwee Pheng (PenPengurus Pharmacy)

    ([email protected])

    Jabatan Farmasi, Hospital PutrajayaPusat Pentadbiran Kerajaan PersekutuanPresint 7, 62250 PutrajayaTel: 03-83124200 ext 4148Contact Person: Pn Norliah bt Ardee (Ketua Jab Farmasi)

    Research Pharmacy(Enquiries:Prof Dr Shaharuddin Mohd)

    Advanced Oleochemical Technology Centre (AOTD)Lots 9 & 11, Jalan P/14Fasa 5, Seksyen 1043650 Bandar Baru Bangi

    Tel: 603-8925 5708, 8925 5748, 8925 5998, 8925 6197

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    Pharmaceutical Industry(Enquiries:Assc ProfSyed Ridzuan)

    Pharmaniaga Manufacturing Berhad11A, Jalan P/1, Kawasan Perusahaan Bangi,43650 Bandar Baru Bangi,Selangor Darul Ehsan.Tel: 03-8925 7880Fax: 03-8925 6177

    Contact person: En Samsuddin bin Said, (012-298 7086)

    Jabatan Komunikasi Korporat (samb 111)

    Retail Pharmacy(Enquiries:Pn Aslinda Jamil)

    Farmasi Materia MedicaGround Floor, Hospital PutrajayaPusat Pentadbiran Kerajaan PersekutuanPresint 7, 62250 Putrajaya.Tel: 03- 8881 1712 (Peg Farmasi: En Andrew Willy)

    Tel 03-7847 5076(Head office: Sainuka Habib Sdn Bhd.u/p En RajaLokman Raja Ahmad)

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    Community Resources 1:Physical Rehabilitation

    Pusat Latihan Perindustrian dan Pemulihan Bangi(PLPP)Jabatan Kebajikan Masyarakat MalaysiaJalan Sungai Merab, 43000 Kajang, SelangorTel : 8926 1996Fax: 8926 1988Contact person: Dr Tanty Darwina Abd Rahman

    Community Resources 2:Drug Rehabilitation

    Pusat Serenti Dengkil,Angensi Antidadah KebangsaanKM 4, Jalan Banting,43800 Dengkil,Selangor Darul EhsanTel : 03- 8768 6049,Fax: 03-8768 7948

    Contact person:En Mahdi Nordin, Komandan PusatSerenti

    Community Resources 3:Orphanages Maahad Tahfiz Anak Yatim Darul FuqahaLot 3283, Jln Maktab Perguruan Islam (MPI),Sg. Merab Luar,43000 KajangTel/Fax: 03-8926 7762Peg Tadbir: Cik Norhalizama bt Aman Razali

    Pusat Nur Hikmah,Lot 11552, Jalan 18, Taman Mesra,40300 KajangTel/fax: 03-8739 7994

    Tuan Hj Othman Hj Ahmad, Pengurus

    Community Resources 4:Special school

    Persekutuan Orang Pekak Malaysia(Malaysian Federation of the Deaf)6-13A, Menara KLHBandar Puchong Jaya,47100 Puchong, Selangor

    En. Mohamad Sazali Shaari (Executive Director)Tel : 603- 8070 9308 (Puan Rogayah)/ 8070 8930Fax : 603- 8076 1090,HP: 019-238 8449 (Cik Zuraida)

    Website: mfd.org.my

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    Appendix D

    GUIDE TO PREPARATION OF VISIT REPORTS

    VISIT REPORTSThe visit reports comprise 50% of CHET Course Assessment, and thus these are to be takenseriously by students (refer page 2 summary of course assessment). You are required to

    prepare team-based reports based on your observations and experiences during CHETvisits.

    Reports (for all seven visits) are to be done in Powerpoint format, and report for each visitshall consist of the following components/ sections, as summarized in the following table:

    Item Description Overallmarkallocation

    Notes

    1 Visit Plans/Tasks/Objectivesof Visit to HealthcareFacilities/Community

    Resources (for 7 visits)

    14% Group Assignment pleaseprepare separate visit plan,report and reflection for each

    visit.

    2 Report of visits & relevantobservations/learningexperience(for 7 visits)

    14%-as above-

    3 Reflections (for 7 visits)(example: learning issues, take-home messages, how thisvisit/experience will be useful for

    us currently & future, what thisexperience really taught meetc)

    14%-as above-

    4 Presentation (for 1 visit only) &bonus marks

    Overall contents

    Efforts/initiatives

    Organizational skills

    8%

    TOTAL Marks for CHET VisitReport 50%

    Note:1. Each group is required to submit both digital & printed copies of the Visit

    Report. (Please print handouts of your Powerpoint presentations)

    2. Please indicate/include your group number and name of members in all thereports (for 7 visits)

    3. All reports are to be submitted within TWO (2) weeks of respective visit (or asinstructed)

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    REFLECTIVE LEARNING FROM CHET VISITS

    Each visit will definitely will bring a lot of experiences for you - some maybe good, others may be bad.

    Find quiet moments to reflect on encounters & observations and what youcan learn from them.

    Share your thoughts with your team members and peers (e.g.during groupreflection session / grand reflection) as well as with CHET coordinators(during CHET post-visit meetings).

    Document your learning experiences and reflections as part of your visitreports, so that these will become permanent records.

    ***********************************

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    Appendix E

    POST-VISIT MEETINGS AND HOW TO PREPARE YOUR PRESENTATIONS?

    Post-visit Meetings

    Learning from the CHET Course do not only occur from the visits, but alsofrom continuous reflection on your experience and exchange ofexperiences/views with colleagues

    Do benefit from each others presentations during the large-class post-visitmeetings (i.e. with the Course Coordinators). These sessions will allowyou to discuss with your peers about your observations during CHET visitsas well as to further understand the experience you encountered.

    Apart from above, try to dedicate a short discussion session among your

    group members after each visit

    Do include experiences from CHET during group reflections and grandreflections.

    You are encouraged to clarify doubts with Course Coordinators and alsoyour mentors. If desired, do request their help to comment on draft reportsof the visits.

    Class Presentations

    Presentations are to be done as group assignments. Each presentation mustconsist of:

    i. Group number, names of members & venue of the visitii. Visit tasks / learning objectives

    iii. Visit report observation and interesting incidencesiv. Reflection and learning Issuesv. Recommendation and conclusion

    Do refer to sessions on delivering good presentations taught during ESP.

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    Appendix F

    CHET VISIT ASSESSMENT FORM

    TO BE COMPLETED BY CHET SUPERVISOR / HOST INSTITUTION AFTER THE VISIT:

    Clinical Health Experience and Training

    CHET Visit Assessment Form

    Group / total no. of students:(to be completed be group leader) / students (total)

    Venue :

    Time of arrival :

    Number of students present: (to be completed be assessor)

    Kindly circle where applicable:Poor Fair Good Excellent

    1. Punctuality(arrive between 2.00-2.15 pm or inform if late) 1 2 3 4

    2. Behavior(polite, humble, demonstrate interest & enthusiasm) 1 2 3 4

    3. Appearance/Attire (neat & appropriate attire of futurehealthcare professionals) 1 2 3 4

    4. Communication Skills(ability to ask and answer questionwith good usage of language - BM orEnglish) 1 2 3 4

    5. General impression (group demonstrate knowledge andmannerism appropriate of Year 1 Medicine/Pharmacystudents) 1 2 3 4

    Comments:

    Thank you.

    Signature:

    Name of supervisor:

    Date:

    Institution stamp:

    Please return to the group leader immediately after visit. Thank you very much for your cooperation

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    Appendix G

    LEARNING RESOURCES

    A. Textbooks:1. Silvermann JD, Kurtz SM, Draper J. Skills for Communicating with

    Patients. Radcliffe, Oxford, 19982. Stephenson A. A Textbook of General Practice 2nd Ed, Edward

    Arnold, 2004.3. Murtagh J. General Practice, 3nd Edition. McGraw Hill, 2003.

    B. Journal Articles:1. Makoul G ed. Essential Elements of communication in Medical

    Encounters: The Kalamazoo Consensus Statement. AcademicMedicine 2001; 76: 390-393

    C. Websites:1. Ministry of Health, Malaysia

    http://www.dph.gov.myhttp://www.myhealth.gov.my

    2. Communication Skills Cascade in Health carehttp://www.skillscascade.com

    3. Primary Care Internet Guidehttp://www.uib.no/isf/guide/guide.htm

    4. Patient Education Websitehttp://www.nlm.nih.gov/medlineplus/

    5. Primary Care Clinical Practice Guidelineshttp://medicine.ucsf.edu/resources/guidelines/

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    Notes