Naung Naung

During my clinical attachment, I have experienced the following things .

In terms of NHS Working System , I learned :

1. The process of board rounds and consultant rounds.

2. How junior doctors prepare case notes, blood tests, imaging results, and treatment plans prior to consultant rounds.

3. The functioning of the multidisciplinary team.

4. The procedures for conducting blood tests and prescribing medications.

5. The collaboration between doctors and nurses in daily ward activities.

6. The way hospital meals are served.

7. The measures in place to protect hospital staff from potential abuse.

8. The process of writing discharge summaries and case notes.

9. The supervision of junior doctors, medical students, and nursing staff by senior professionals.

10.The roles and responsibilities of continental security services at the hospital

In terms of communication skills, I observed:

1. The professionalism with which doctors interact with each other, patients, and colleagues.

2. The use of friendly phrases like "Lovely," "Perfect," and "Great" in conversations, which I believe enhances communication.

3. The approach to delivering bad news, counseling on medications, and explaining disease conditions to patients.

4. The use of bleeps for communication among staff.

5. How colleagues communicate over the phone.

Regarding diversity,

- Noticed a variety of individuals from different countries, each speaking with unique accents.

In terms of clinical skills,

- Prepared case notes for consultant ward rounds.

- Actively participated in board rounds.

- Engaged in answering questions during consultant rounds, where Dr. Steven Fong taught through a question-and-answer method.

- Spent the evening in the AAU and A&E to understand the working system.

- Made an effort to communicate with as many patients and colleagues as possible to enhance my communication skills.

- Learned how to use the CIWA score for alcohol withdrawal

- Observed the ultrasound guided abdominal paracentasis

- Involved in assessment of the mental capacity

- Attended and observed the out patients department every Wednesday .

Aryaw Gyan Hospital is the largest private hospital in Kyaukse,with a 150-bed capacity. I rotated through different departments , including A&E , General Medicine and Neurology. I was in charge of taking care of around 20 patients per day. I attended day and night duty shifts, including 24-hour on-call shifts, working 48 hours per week.

Roles and Responsibilities :

• Participated in ward rounds as timetabled
• Conducted initial clerking, assessment, diagnosis, and management of all patients admitted
• Managed a wide range of general medical cases, including myocardial infarction, diabetic ketoacidosis (DKA), stroke, thyroid storm , acute asthma , transient ischemic attack (TIA), chronic kidney disease (CKD), pneumonia, septicemia, peripheral arterial disease, and more.
• Involved in medical thrombolysis for myocardial infarction, methylprednisolone injections for giant cell arteritis, MMSE assessments in elderly patients, administration of IV anticonvulsants in status epilepticus, IV corticosteroids for spinal cord compression, stool examinations in patients with diarrhea, prostate examinations, and initiation of anti-hyperkalaemic regimens under senior supervision.
• Performed blood pressure control in hypertensive emergencies.
• Experienced in fluid management for DKA patients, including monitoring and correction of blood glucose and potassium levels.
• Supervised the discharge of the patients to home and arranged the discharge summaries
• Engaged in infection preventive measures such as washing hands before and after patient interaction and using alcohol-based hand rub or soap and water when appropriate
• Supervised junior doctors in clinical assessments, basic clinical procedures, ECG & X-ray interpretation, and abnormal blood test analysis, using various teaching methods such as small group discussions, simulations, and Zoom conferences.
• Provdied instructions to junior colleagues and nursing staffs regarding the clinical case management , physical examinations , interpretations of different blood tests and imagings
• Used different methods of teaching such as small group teaching , Zoom's conferencing and simulation methods .
• Developed different scenarios based on the common cases and necessary basic clinical procedures .
• Responded effectively to emergencies and unforeseen situations at the request of consultants, collaborating with both senior and resident colleagues
• Took responsibility for covering duties when colleagues were unavailable due to emergencies, sickness, or other unforeseen circumstances
• Stepped in to assist during staff shortages, ensuring critical tasks such as patient reviews, documentation, and clinical procedures were completed without delays
• Regularly attended training programs, including ECG interpretation, brain imaging, and ALS
• Regularly attended continuing medical education programs, including weekly journal reading classes and PowerPoint presentations.
• Collaborated effectively with other healthcare professionals including GPs and physiotherapists through a multidisciplinary team approach to ensure comprehensive patient care
• Participated in treatment discussions and multidisciplinary team meetings

Achievements :

Through these experiences, I have developed my clinical decision-making skills, communication skills, leadership and management skills, and ability to work under pressure.

As a senior medical officer ( SHO Equivalent ) at the Mandalar Hospital accredited by the Joint Commission International (JCI), I have gained experience across various clinical departments, including the General Medical Department, Accident and Emergency Department, Oncology Department, Hematology Department, and Neurology Department.

Related Roles and Responsibilities :

• Assisted in outpatient clinics by taking patient histories, performing physical exams, and ordering lab tests and imaging
• Managed inpatients under consultant supervision and participated in ward rounds.
• Presented cases during ward rounds, highlighting clinical progression, abnormal findings, and treatment outcomes
• Provided care for admitted patients and prioritised the cases needing consultant review
• Attended to the day-to-day management of day cases, out-patients, and in-patients
• Chased blood tests and thoroughly reviewed new admission
• Recognized deteriorating conditions in a timely manner, and provided the initial stabilization
• Recognized my limitations and seeked escalation whenever necessary
• Prioritized the safeguarding issues in suspected patients
• Ensured accurate documentation of case notes, regularly reviewed prescriptions, and followed up on investigations
• Provided detailed handover information to colleagues to maintain continuity of care
• Actively participated in resuscitation teams for cardiac arrests
• Managed airway obstructions, performed CPR, and administered life-saving medications following ALS protocols
• Handled unexpected emergencies under consultant supervision
• Responded to emergency calls from various departments during on-call shifts
• Identified and recognized the emergency conditions , followed by providing urgent care in collaboration with nurses and healthcare personnel
• Regularly inspected ECG machines, defibrillators, and ultrasound equipment to ensure functionality in emergencies
• Performed basic procedures: nasogastric tube insertion, urinary catheterization, cannulation, arterial blood gas sampling, wound dressing, suturing, pleural aspiration and abdominal paracentesis
• Assisted in advanced procedures:central venous line insertion, chest drain placement, lumbar puncture, and endotracheal tube insertion
• Participated in hospital audits and quality improvement projects, including :
• Hand hygiene compliance during COVID-19 ( led by Prof.Tin Maung Han , 2022 )
• Adherence to ART in HIV-positive pregnant women ( Obstetrics Ward, 2017 )
• Engaged in clinical research , including :
• Prevalence of arrhythmia in COVID-19 patients ( Aryaw Gyan Hospital , 2022 )
• Helped revise and update clinical guidelines for best practices.
• Used electronic medical records to document patient history, investigation results, diagnoses, and treatment plans while ensuring confidentiality.
• Kept up-to date with all administrative duties including letters, results and discharge summaries as required
• Ensured clear communication with colleagues and patients to prevent misunderstandings and treatment errors
• Always considered patients’ preferences when discussing treatment plans
• Clearly explained diagnoses, treatment plans, and prognoses to patients and their families with compassion

Achievement :

I have developed excellent time management, task prioritization, and organizational skills. Therefore, I believe I am a highly suitable candidate for this position.

Mandalay General Hospital is a 1,000-bed tertiary care facility and one of the largest hospitals in Upper Myanmar.

General Medicine ( Including Neurology , Acute Medicine , Gastroenterology , Cardiology , Hepatology ) - 3 months

General Surgery ( Including Nueurosurgery , ENT , Chest Surgery , Trauma&Orthopaedics ) - 3 months

Obstetrics & Gynaecology - 3 months

Paediatrics and Neonatology - 3 months

FY1 level Experiences : 1 year

• Successfully completed a one-year training program , developing strong clinical assessment and basic surgical skills.
• Managed a diverse range of patients with both communicable and non-communicable diseases, ensuring comprehensive care under supervision.
• Assisting in surgical procedures in the operation theatre.
• Monitoring patients pre- and post-operatively.
• Performing normal vaginal deliveries, and assisting in caesarean sections .
• Actively participated in ward rounds led by professors, noting key learning points and integrating them into clinical practice.
• Regularly attended weekly journal readings, poster presentations, and clinical discussions to stay updated with the latest medical advancements.
• Developed proficiency in ECG interpretation, ABG analysis, ultrasound assessments, suturing techniques, and basic radiological interpretation under the guidance of experienced colleagues.
• Assisted the resuscitation team in emergency procedures, including endotracheal intubation, chest tube insertion, and pericardiocentesis.
• Strengthened communication skills through regular interactions with senior staff, hospital personnel, and patients from diverse backgrounds.
• Provided empathetic and clear explanations to help patients and families understand their diagnoses and treatment options.
• Participated in monthly training sessions for basic and advanced life support (BLS & ALS), enhancing emergency response skills.
• Confidently engaged in weekly continuous medical education (CME) programs, presenting complex cases and actively contributing to discussions.
• Gained insight into multidisciplinary team (MDT) approaches for patient management and the importance of timely referrals within the healthcare system.

Achievement :

Through my rotations, I gained a solid foundation in clinical knowledge and hands-on skills, becoming confident in performing basic clinical and surgical procedures. I also developed strong teamwork and communication skills, both with colleagues and patients.