.. choosing where to do housemen..
.. I’m planning to do my housemen
I found this http://medicine.com.my/wp/?p=3210
” I happen to be an ex-UH houseman and doing my obligatory posting in a small(er)-town hospital. I have to admit housemen from teaching hospitals lack the know-how of doing procedures — there is a lack of opportunity of doing so — you have to be pro-active in tertiary hospitals (and beg the MOs and compete with the other HOs!) if you want to be well-versed in these.
However in teaching hospitals, they emphasize on current guidelines and protocols on managing certain cases and in turn, the HOs are also updated on the current guidelines. We also get to see a lot of “hi-fi” cases (as I call it) or “weird and wonderful” cases (as my prof back in uni call it).
In small(er) hospitals, there is a lot of bread-and-butter cases surely. I enjoy the fact that I play an active part in managing patients along with my senior MO. Of course, I get to do a lot of procedures here. However it can be hectic and specialists sometimes do not have time to teach — as opposed to teaching hospitals that do have compulsory teaching sessions for housemen. It takes your own effort to update your knowledge yourself.
Whichever hospital you get for housemanship doesn’t really matter for me IMHO your attitude at work and the knowledge you glean from your experience matter more, doesn’t it? “