internship & beyond presentation

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‘INTERNSHIP & BEYOND’

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Page 1: Internship & Beyond presentation

‘INTERNSHIP & BEYOND’

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PANEL PRESENTATION

Dr Trevor McCartneyCEO UHWI

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INTERNSHIP AND BEYOND

Main Medical Lecture Theatre

December 12, 2013

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1. Medical Internship

1 year rotating experience 4 major disciplines each of three months duration.

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2. Disciplines

Internal Medicine General Surgery Obstetrics and Gynaecology Child Health

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3. Must be done in approved and Accredited Institutions

Institutions Accredited by Caribbean Association of Medical Councils

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4.Assessment to be done by Supervisors at the end of each rotation.

Interns must be notified in writing as to their deficiencies or lack of performance on two occasions and be given adequate time to improve before they can be denied being signed up.

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5. Countries Accredited for Approved Internship positions.

Jamaica 237 Bahamas 25 Cayman 8 Antigua 8 St. Lucia 12 Trinidad & Tobago ?? Barbados 28 Guyana ??

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6. No. of positions in Jamaica and their distribution.

May Pen Hospital 20 Mandeville 25 St. Ann’s Bay 25 Savanna-la-mar 8 Spanish Town35 Cornwall Regional 40 UHWI 32

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KINGSTON REGIONAL HOSPITALS

KPH 28 VJH 12 BHC 12

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Grand total 237

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Senior house officer position same as interns at UHWI.

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UHWI not able to increase the number of internship positions because of the limited number of in-patients assigned to the Hospital in the various disciplines.

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Application Process

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THE END

THANK YOU

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PANEL PRESENTATION

Dr Denise Duncan -GoffeRepresentative from the Ministry

of Health

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Ministry of HealthJamaica

Internship and SHO programmes Dr D Duncan Goffe 12 December 2013

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THE ORGANISATION STRUCTURE OFTHE MINISTRY OF HEALTH

300+ 23

Head Office

WRHA NERHA SERHA SRHA

PCTypes 1-5

HCs

SCTypes

A,B,C, S hospitals

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Internship Programme

Certain Government Hospitals have beenapproved for Internship(accredited) for differentdisciplines. All graduates of medical schools are eligible for

internship provided they are provisionally registered with the Medical Council of Jamaica.

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• An Intern is defined under the Medical Act as a "Provisionally Registered Medical Practitioner".

• A Locum Intern is defined as a graduate from a medical school not recognised by the Medical Council of Jamaica for automatic registration. This Medical Practitioner is not eligible for provisional registration by the MCJ.

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• Nationals and Non-nationals from medical schools not recognised by the MCJ can be admitted as Locum Interns until they pass the CAMC (Caribbean Association of Medical Councils) Examinations.

• The Medical Council of Jamaica requires that Locum Interns have a “Certificate of Provisional Locum Internship”.

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• The internship allows for an extra period of problem solving oriented medicine and must be done under supervision in a placement recognised by the Internship Accreditation Committee -U.W.I. FMS.

• As of the graduating class of 2004, a twelve (12) month internship is mandatory.

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• ADMISSIONGraduates of Medical Schools who wish to beassigned to Ministry of Health facilities mustapply for an internship position to the Ministryof Health, 2 - 4 King Street, Kingston CSO.

PROVISIONAL REGISTRATION PERIODThis is a period of 12 months covering the period July

– June or January to December.

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The requirements for the provisional registration year are :

Mandatory three (3) months rotation in each of the following specialties:

▪ Obstetrics and Gynaecology▪ Paediatrics▪ Internal Medicine▪ General Surgery

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• These rotations are to be done in the same institution/region.

• Transfers during internship will not normally be considered.

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Rotating Internship is available at each of thefollowing hospitals:

HOSPITALS SPECIALTYO&G M S PKingston Public Hospital - X X - -

Victoria Jubilee Hospital X - _

Bustamante Hospital for Children_ - - XSpanish Town Hospital X X X XCornwall Regional Hospital X X X XMandeville General Hospital X X X XSt. Ann's Bay Hospital X X X XSav-la-mar Hospital X X X XMaypen Hospital X X X X

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EVALUATION At the end of each rotation an evaluation form isto be completed by the relevant Consultant foreach Intern. Also, the intern will be asked to doan evaluation of his/her rotation. Senior House Officer (SHO) ProgrammeAs of the graduating class of June 2004, theMedical Internship period was reduced fromeighteen (18) months to twelve (12) month and theSHO programme introduced

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The SHO Programme provides a furtherperiod of clinical experience for new graduatesto enable them to hone their skills and improveon their experience prior to entering aPostgraduate Programme or engaging inindependent private practice.

This programme is not mandatory; but is a pre-requisitefor employment with the Ministry of Health, postInternship and for acceptance to the DMProgramme.

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Senior House OfficerA fully registered Medical Practitionerparticipating in a one-year rotationalprogramme post internship in the subspecialtyareas of Medicine and Surgery and PrimaryCare.( Due to absence of discrete firms in the

subspecialties of Internal medicine assignments to Internal Medicine will be discretionary)

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Institutions accredited for Senior House Officers A. HOSPITALS ► Spanish Town Hospital (STH)► Cornwall Regional Hospital (CRH)► Mandeville Regional Hospital (MRH)► St. Ann’s Bay Hospital (SAB)► Sav-la-mar Hospital (SLM)► May Pen Hospital (MPH)► Kingston Region (Kingston Public/ and Bustamante Hospital for Children

/Victoria Jubilee) (KPH/BHC/VJH)► National Chest Hospital (NCH)► Bellevue Hospital (BVH)► University Hospital of the West Indies (UHWI)

► Sir john Golding Rehab. Centre

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B. PRIMARY CAREPrimary care facilities in each RHA-Types 3, 4 and

5 Health CentresPeriod of ProgrammeThe programme is for a period of one year withrotations of six months each, in any two options. At the end of this period a Certificate ofParticipation will be given to Doctors who have sucessfully completed the programme.

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Emoluments The Senior House Officer will be remunerated at

the level of the MD/MO1 (1st point of the salary scale.)

Senior House officers assigned to A&E and the Primary Care services will be paid the Incentive allowance being paid to Medical Officers Grade 1. (Both of these assignments have a 40hr. workweek)

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REGISTRATIONIn order to practice in Jamaica, graduates of MedicalSchools, after completing their internship, must be fullyregistered with the MCJ.The following documents are to be presented on applying

for full registration:-▪ Registration fee ▪ Practising Certificate Fee▪ Certificate of Good Standing (from Registering Body)▪ Certificate of University Degree (original)▪ One(1) passport size photograph▪ Internship/Pre-registration Certificate

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POST GRADUATE EDUCATIONMedical Officers employed in the JamaicaGovernment Service who want to enter aPostgraduate Medical Training Programme atthe University of the West Indies must haveapproval from the Regional Health Authorityand the Ministry of Health .

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BONDING Scholarship or bursary holders, who are bondedfor five (5) or three (3) years respectively to theJamaica Government Service, will have theservice of the bond suspended duringpostgraduate training in Jamaica. Bonds will be considered to have been dischargedon successful completion of training programmesand the resumption of government service. If the bond is broken the holder is liable to repay the

full cost of undergraduate training.

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Thank you

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PANEL PRESENTATION

Dr Marie BrownJMDA

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QUESTION & ANSWER SESSION

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PANEL PRESENTATION

Dr Steve FooMAJ

‘Post- internship period’

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? What’s next.Presentation to the final year medical class of

2014Dr. Steve Foo

December 12, 2013

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Who Am I? Enormous responsibility – Head of the team Rewards – money and respect? My name is:

Doctor Lawyer Accountant Counsellor Financial Advisor Protector

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Natural next step – the “awakening”

The Internship – LocallyKingston RegionCornwall RegionalMandevilleMay Pen

The Internship – RegionallyBahamasTrinidadBarbados

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Post Internship

Licensing available locally through MCJ Able to practice privately Experience and confidence may be lacking Hospital practice - SHO Exploration for further studies

DM Other degrees – MPH, MBA

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Senior House Officer

MOH Dictates Must have for work in hospital Requirement for DM program locally No private practice privilege One year to garner experience in field of elective study

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The Real McKoy

The work of being a doctor Choose your field of study carefully in line with your

personality and comfort level Where do I work?

Explore market options – local and international Rural areas need doctors badly.

Long working hours Any other business – life, love and family Social and national involvement - Volunteerism

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Tools of the trade

Knowledge at your finger tips – Smart Phone, “Smarter Phone” – list of who’s who.

Know your colleagues and your team Know your work environment – where to find what GET INSURANCE – MAJIF, MPS Continuous improvement in knowledge.

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The “Exentials”

Ahead of the pack Be confident in your knowledge – it shows!! Manners and respect for all What if this was me? Dress appropriately Show empathy Take command of your ship Smile

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Thank You

To the Jamsa executive!! To you all for listening. Team MAJ

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PANEL PRESENTATION

Mr Peter MohanBank of Nova Scotia

Manager UWI Branch

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Day To Day Banking

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Day to day Banking cont’d

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What is a Budget?

An itemized summary of planned expenses for a given period along with the estimated income for the same period.

An estimate of income and expenditure for a set period of time.

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Function of a Budget To allow you to manage your money. You can

see where your money is coming from and where it is being spent.

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Family Budget A family budget is the main tool used to

manage personal finances and save money. It can be simple or detailed depending on your needs.

Track your income and expenditure for an entire month to make a family budget.

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Creating a

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Time Frame Budgets are made on a monthly basis.

Figure out how much money you make each month and what your monthly expenses are.

Creating a budget cont’d

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Outline Income should include:

net pay any other income you have (e.g.. rental income, child

support, alimony, investment income or a second job).

Expenditure should include: any money you spend i.e.

mortgage/rent, food, transportation, clothing, childcare or any other expenses.

Creating a budget cont’d

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Considerations It can be difficult to assign one monthly dollar

amount to be an expense, if you don’t spend the same amount every month. It is recommended that an average dollar amount be used.

Creating a budget cont’d

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Get 3 months pay stub and average them to determine the average monthly income.

Get 3 months of bills, add them and divide by 3 to calculate your monthly fixed expenses such as mortgage/rent, utilities, car payments and insurance (fixed expenses).

Average 3 months of other expenses such as groceries, clothing, credit card expenses, medical bills etc.

Creating a budget cont’d

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Add this amount to the fixed expenses to determine total expenses for the month.

Evaluate your expenses; look for opportunities to economize and develop a plan for action to cut back spending in specific areas.

Develop a monthly budget and stick to it.

Set up a savings plan such as passbook a/c, certificate of deposit or individual retirement account and begin making regular deposits.

Creating a budget cont’d

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Income $Net Salary - 100,000Rental Income - 30,000 ______________ 130,000Less Expenses $Mortgage - 30,000Car Payments - 15,000Utilities - 10,000Insurance - 5,000Petrol - 8,000Groceries - 15,000Clothing 5,000Medical Bill 5,000Credit card payment - 10,000 103,000

BUGDET SURPLUS/ DEFICIT 27,000

Sample Budget

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Potentials/Possibilities Track your income and expenses monthly;

You can easily see if you are spending too much money in an area. Evaluate how the plan is working, then fine tune to produce the desired results.

It is not how much you earn but how much you save.

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Simple Tips for Saving Money Keep a diary of what you spend in a month Stock-up Go generic Buy holiday gifts throughout the year Shop for food with a list Turn off electronics when not in use

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Saving Tips cont’d Entertain at home Drive your gas bill down Join the electronic age Manage your credit

………………………………..

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Investing your savings &

Preparing for Retirement

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Question & Answer

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That’s a wrap!!!!

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