‘INTERNSHIP & BEYOND’
PANEL PRESENTATION Dr Trevor McCartney CEO UHWI
INTERNSHIP AND BEYOND
Main Medical Lecture Theatre December 12, 2013
1. Medical Internship 1 year rotating experience 4 major disciplines each of three months duration.
2. Disciplines Internal Medicine General Surgery Obstetrics and Gynaecology Child Health
3. ďƒ’Must be done in approved and Accredited Institutions ďƒ’Institutions Accredited by Caribbean Association of Medical Councils
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.
5. Countries Accredited for Approved Internship positions. Jamaica
237 Bahamas 25 Cayman 8 Antigua 8 St. Lucia 12 Trinidad & Tobago ?? Barbados28 Guyana ??
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 Town 35 Cornwall Regional40 UHWI 32
Kingston regional hospitals KPH
28 VJH 12 BHC 12 52 Grand total237
Senior house officer position same as interns at UHWI. 32
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.
Application Process
THE END
THANK YOU
PANEL PRESENTATION Dr Denise Duncan -Goffe Representative from the Ministry of Health
Ministry of Health Jamaica Internship and SHO programmes Dr D Duncan Goffe 12 December 2013
THE ORGANISATION STRUCTURE OF THE MINISTRY OF HEALTH
Head Office
WRHA
PC Types 1-5 HCs 300+
NERHA
SC Types A,B,C, S hospitals 23
SERHA
SRHA
Internship Programme Certain Government Hospitals have been approved for Internship(accredited) for different disciplines. All graduates of medical schools are eligible for internship provided they are provisionally registered with the Medical Council of Jamaica.
• 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.
• 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”.
• 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.
• ADMISSION Graduates of Medical Schools who wish to be assigned to Ministry of Health facilities must apply for an internship position to the Ministry of Health, 2 - 4 King Street, Kingston CSO. PROVISIONAL REGISTRATION PERIOD This is a period of 12 months covering the period July – June or January to December.
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
• These rotations are to be done in the same institution/region. • Transfers during internship will not normally be considered.
Rotating Internship is available at each of the following hospitals:
HOSPITALS
SPECIALTY
O&G M S P Kingston Public Hospital
- X X
Victoria Jubilee Hospital
X -
Bustamante Hospital for Children Spanish Town Hospital
_ _ - -
X X X X
Cornwall Regional Hospital X X X X Mandeville General Hospital X X X X St. Ann's Bay Hospital X X X X Sav-la-mar Hospital
X X X X
Maypen Hospital X X X X
-
X
EVALUATION At the end of each rotation an evaluation form is to be completed by the relevant Consultant for each Intern. Also, the intern will be asked to do an evaluation of his/her rotation. Senior House Officer (SHO) Programme As of the graduating class of June 2004, the Medical Internship period was reduced from eighteen (18) months to twelve (12) month and the SHO programme introduced
The SHO Programme provides a further period of clinical experience for new graduates to enable them to hone their skills and improve on their experience prior to entering a Postgraduate Programme or engaging in independent private practice. This programme is not mandatory; but is a pre-requisite for employment with the Ministry of Health, post Internship and for acceptance to the DM Programme.
Senior House Officer A fully registered Medical Practitioner participating in a one-year rotational programme post internship in the subspecialty areas of Medicine and Surgery and Primary Care.( Due to absence of discrete firms in the subspecialties of Internal medicine assignments to Internal Medicine will be discretionary)
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
B. PRIMARY CARE Primary care facilities in each RHA-Types 3, 4 and 5 Health Centres Period of Programme The programme is for a period of one year with rotations of six months each, in any two options. At the end of this period a Certificate of Participation will be given to Doctors who have sucessfully completed the programme.
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)
REGISTRATION
In order to practice in Jamaica, graduates of Medical Schools, after completing their internship, must be fully registered 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
POST GRADUATE EDUCATION Medical Officers employed in the Jamaica Government Service who want to enter a Postgraduate Medical Training Programme at the University of the West Indies must have approval from the Regional Health Authority and the Ministry of Health .
BONDING Scholarship or bursary holders, who are bonded for five (5) or three (3) years respectively to the Jamaica Government Service, will have the service of the bond suspended during postgraduate training in Jamaica. Bonds will be considered to have been discharged on successful completion of training programmes and the resumption of government service. If the bond is broken the holder is liable to repay the full cost of undergraduate training.
Thank you
PANEL PRESENTATION Dr Marie Brown JMDA
QUESTION & ANSWER SESSION
PANEL PRESENTATION Dr Steve Foo MAJ ‘Post- internship period’
? What’s next. Presentation to the final year medical class of 2014 Dr. Steve Foo December 12, 2013
Who Am I? Enormous responsibility – Head of the team Rewards – money and respect? My name is: Doctor Lawyer Accountant Counsellor Financial Advisor Protector
Natural next step – the “awakening” –
The Internship – Locally
–
Kingston Region
–
Cornwall Regional
–
Mandeville
–
May Pen
–
The Internship – Regionally
–
Bahamas
–
Trinidad
–
Barbados
–
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
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
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
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.
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
Thank You
To the Jamsa executive!! To you all for listening. Team MAJ
PANEL PRESENTATION Mr Peter Mohan Bank of Nova Scotia Manager UWI Branch
Day To Day Banking
Day to day Banking cont’d
What is a Budget? ď Ź
An itemized summary of planned expenses for a given period along with the estimated income for the same period.
ď Ź
An estimate of income and expenditure for a set period of time.
Function of a Budget ď Ź
To allow you to manage your money. You can see where your money is coming from and where it is being spent.
Family Budget ď Ź
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.
ď Ź
Track your income and expenditure for an entire month to make a family budget.
Creating a
Creating a budget cont’d 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 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 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
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
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.
Sample Budget Income Net Salary Rental Income Less Expenses Mortgage Car Payments Utilities Insurance Petrol Groceries Clothing Medical Bill Credit card payment -
$ 100,000 30,000 ______________ 130,000 $ 30,000 15,000 10,000 5,000 8,000 15,000 5,000 5,000 10,000
BUGDET SURPLUS/ DEFICIT
103,000 27,000
Potentials/Possibilities ď Ź
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.
ď Ź
It is not how much you earn but how much you save.
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
Saving Tips cont’d
Entertain at home Drive your gas bill down Join the electronic age Manage your credit ………………………………..
Investing your savings & Preparing for Retirement
Question & Answer
That’s a wrap!!!!
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