Ahli Mesyuarat Tingkap

Assalamualaikum pembaca sekalian.
Kita selalu mengharapkan segala sistem di negara berubah menjadi lebih baik. Kalau boleh kita nak sistem pengangkutan kita lebih baik. Kalau boleh kita nak sistem pentadbiran kerajaan lebih baik. Kalau boleh kita nak sistem pembahagian zakat kita lebih baik. Dan yang relevan dengan Ahli Mesyuarat Tingkap tentulah hendak sistem penjagaan kesihatan kita lebih baik. Entah di mana silapnya. Pelajar-pelajar Malaysia terutamanya yang graduate Malaysia begitu knowledgable, sehinggakan tahap knowledge mereka dikatakan sama dengan tahap "registra" di UK. Tetapi aduan-aduan mengenai ketidakcekapan sistem kesihatan kita sering sahaja mengisi ruang-ruang akhbar. Mungkin inilah tuntutan sebenar kerajaan menghantar pelajar ke luar negara, tak kisah subjek apa. Tujuan untuk belajar nilai dan mekanisma. Belajar tentang kecekapan dan sikap.
Saya baru menghabiskan rotation Haematology (untuk non-medic i.e darah) di bawah tunjuk ajar Dr Robert JG Cuthbert, Prof Mary Frances McMulin dan Dr Jones. Berikut adalah email Dr Cuthbert kepada pelajar tahun 3.

Email 3- 5/12/03
"Dear Colleagues,
Re:SSC - Clinical & Scientific Aspects of Myeloproliferative Disease You may have heard that you have been assigned to the leukaemia/myeloproliferative service for your SSC in January. Our first meetingwill be at about 9.30 am on Monday 05 January 2009. Directions are asfollows:From BCH main foyer go past coffee shop and upstairs to BridgewaterSuite on C floor. At Bridgewater Rrception ask for directions to myoffice:
Dr RJG Cuthbert
Haematology Lab
C Floor
Belfast City Hospital
Tel. no. 90-263733 or BCH ext. 2359

The course outline and proposed time-table give you details about theactivities you will be undertaking, as well as the compulsorycourse-work/assessments. Some aspects of the timetable are flexible depending on suitable timesfor lab sessions, etc. The clinic times are fairly fixed. I want youto feel very much part of the haematology team whilst you are with us. "

Email 2- 8/1/09
"Dear Colleagues,
So that everybody knows what's happening (at this time of unpleasantviruses):Attached - update of programme with arrangements for lab. visits.Attached - project title and plan for the oral presentation.For those not here today - each student to present one of the 6 sectionswithin max. 6 slides and 6 minutes talk time, ie team effort. Studentgroup to decide who is doing which section.Phone me if you have questions or concerns. Please be reassured thatextensions are available on handing in cases and course-work, etc. ifillness gets in the way.Also could you each e-mail me a contact tel. no.(preferrably mobile), sowe can stay in touch as necessary.
Regards.
Robert"

Email3-15/1/09
"Esteemed colleagues,
See attached fairly recent review article on immunophenotyping (firsthalf is not relevant to the essay - go to section on blastic neoplasms).Hopefully, this will be helpful for background information, etc. foryour essay. Also attached - current national guidelines onimmunophenotyping for leukaemias. Although dated 2002 this guidance isstill active and forms the basis of our routine leukaemia diagnostic practice.
Regards.
R"

Walaupun dia seorang consultant, Dr Cuthbert menggunakan perkataan "colleagues" atau "esteemed colleagues" di kepala surat yang dihantar kepada kami murid-muridnya. Susah rasanya nak jumpa seorang yang di tahap tertinggi dalam kerjaya, tetapi begitu merendah diri.

Jika kita hendak menambahbaik apa-apa sistem di Malaysia, kerja kita bukanlah hanya menyuruh kerajaan buat itu dan ini, ubah itu dan ini, menuding jari kepada kerajaan kalau ada yang tak betul. Mungkin perlu, tapi perubahan takkan berlaku kalau unit-unit kecil i.e individu-individu dalam negara itu sendiri yang masih dengan sikap-sikap lama yang meng"hampeh"kan sistem lama yang sedia ada.

Doktor-doktor perlu ada sikap mulia, merendah diri, ingin berkongsi dan sebagainya. Cukuplah cerita-cerita pesakit di marah, pelajar perubatan dimaki, jururawat di hamun. Saya rasa kalau kita boleh merubah sikap, sistem akan berubah mengikut kita.

Kesimpulan: Evolusi sistem kesihatan negara memerlukan nilai-nilai murni untuk wujud dalam individu yang bekerja dalam sistem itu sendiri.

Huh, susah sebenarnye nak faham artikel ni.
nubli