CME (HO)

Continuing Medical Education

What is CME?

Continuing Medical Education (CME) refers to educational activities that help healthcare professionals update their knowledge and skills, and learn about new and emerging areas of their field. These educational activities can take various forms such as live events, written publications, online programs, videos, audios, or other electronic media. Essentially, CME is an ongoing learning process that enables medical professionals to maintain their competence and stay abreast of new developments in their field.

Why CME is important for housemen?

CME is just as essential for housemen as it is for registered doctors. Housemanship is a period of intense learning, where housemen are required to apply their medical knowledge in clinical settings, diagnose and treat patients, and develop their clinical skills. However, as with any profession, new medical technologies, research, and clinical practices are always emerging.

CME provides you with the opportunity to stay up-to-date with the latest developments in medicine, to broaden your knowledge base and skills, and to ensure you remain competent and capable medical practitioners.

CME can help you to enhance your clinical decision-making skills, learn new therapies and techniques, and find innovative ways to deliver care. It can also expose your to different perspectives and practices and provide opportunities to interact with senior physicians and experts in the field.

Ultimately, CME is crucial to improving patient outcomes, and ensuring that healthcare professionals, including housemen, are equipped to provide the highest standards of care to their patients. It’s essential to note that CME is a lifelong process that starts in medical school and continues throughout the medical career, including during the housemanship period.

The ministry has established specific areas of knowledge that housemen should attain during their training, to prepare them effectively for their professional responsibilities.

General Surgery

  • Common Bedside Procedure (Example: Chest Tube Drainage, Central Line Insertion, Sengstaken Blackmore Tube Insertion, Pleural and Peritoneal Tapping, Haemorrhoid Banding, Suprapubic Catheter insertion)
  • Upper Gastrointestinal Bleeding
  • Lower Gastrointestinal Bleeding
  • Management of Burn
  • Intestinal Obstruction
  • Approach to Acute Abdomen
  • Approach to breast lump (Benign Vs Malignant)
  • Colorectal Cancer
  • Approach to Obstructive jaundice
  • Principle of Antibiotic in Surgery
  • Fluid and Electrolyte in Surgical Patient
  • Trauma and Resuscitation (Abdominal and Chest Injury)
  • Principle and Management of Head Injury
  • Common Paediatric Surgical emergency (Example: Acute
  • Abdomen in paediatric patient, Intussuception, Testicular Torsion, Phimosis)
  • Post-Operative Complications and Care
  • Venous Thromboembolism
  • Acute Limb Ischemia
  • Sepsis in Surgery
  • Principle of Preoperative Preparation (Example: Diabetes Mellitus/ischemic heart disease – usage of antiplatelet or anticoagulant/colorectal patient)
  • Others: Skin infection/Basic Of Sterilization

General Medicine

  • Dengue and other common infections. (Example: Leptospirosis, Cholera, Malaria, Melioidosis, Thyphus, Thyphoid, Covid-19 infection, Rabies or any emerging new infectious diseases)
  • Sepsis and rational use of antibiotics including antibiotic stewardship
  • Tuberculosis
  • Diabetes Mellitus and diabetic emergencies including glucose monitoring and insulin therapy
  • Hypertension including hypertensive urgency and emergency
  • Approach to acute chest pain with focus on Acute Coronary Syndrome
  • Acute and chronic heart failure
  • ECG interpretation and management of cardiac arrhythmias
  • Approach to acute breathlessness with focus on bronchial asthma, COPD, pulmonary oedema and pulmonary embolism
  • Common respiratory diseases with focus on pneumonia, pneumothorax and pleural effusion and CXR interpretation
  • Management of bronchial asthma and COPD including Peak flow/FEV1 monitoring and use of inhalers
  • Approach to acute confusional state with focus on infective causes and acute delirium
  • Fluid and electrolytes imbalance
  • Acute kidney injury and chronic kidney diseases
  • Shock Syndrome
  • Counselling and Communication Skills (Example: Breaking Bad News, Obtaining informed consent and handling complaints or difficult patient. Suggested scenarios: HIV disease, Viral Hepatitis, Renal Replacement Therapy, Do Not Resuscitate orders)

Orthopedic

  • Principle of management for fracture and dislocation.
  • Open fracture with vascular injury.
  • Principle of fracture management in children.
  • Diabetic foot ulcer.
  • Necrotizing fasciitis.
  • Septic arthritis.
  • Osteomyelitis.
  • Abscess.
  • Pelvic injury.
  • Spinal cord injury and cauda equina syndrome.
  • Vertebral fracture (traumatic/pathological).
  • Metabolic bone disease with pathological fracture.
  • Approach to back pain in adult.
  • Arthritis.
  • Office orthopedics. (E.g.: Carpal tunnel syndrome, Trigger finger, tennis elbow, plantar fasciitis)
  • Sport Injury: Physical Examinations and Acute Management.

Pediatric

  • Neonatal jaundice
  • Respiratory distress of the newborn
  • Prematurity & Neonatal hypoglycaemia (Infant of Diabetic Mother)
  • Breastfeeding and nutrition in children
  • Central Nervous System (CNS) Emergencies in children (fits & CNS infections)
  • Child with anaemia (Thalassaemia)
  • Paediatric emergencies: respiratory failure and shock
  • Growth, development and immunisation
  • Acute gastroenteritis – fluid and electrolyte management
  • Bronchial asthma and acute asthma
  • Nephrotic Syndrome and Acute Nephritis
  • Urinary Tract Infection
  • Common Heart Conditions in Children
  • Child with Bleeding Problems
  • Acute Respiratory Infections
  • Dengue infection
  • Acute Abdomen in children
  • COVID-19 infection in children (including Multisystem Inflammatory Syndrome in Children –MIS-C)

Obstetric & Gynecology

  • Normal and abnormal labour
  • Hypertensive disorder in pregnancy/ eclampsia
  • Obstetric emergencies (Example: cord prolapse, shoulder dystocia, uterine inversion)
  • Diabetes in pregnancy
  • Other medical disorder in pregnancy
  • Premature prelabour rupture of membrane, prelabour rupture of membrane, preterm labour
  • Antepartum/postpartum haemorrhage
  • Baby friendly hospital
  • Early pregnancy complications (Example: miscarriages/ectopic pregnancy/ hyperemesis gravidarum)
  • Gynaecological tumour
  • Menstrual disorder/per vaginal discharge
  • One Stop Crisis Centre (OSCC)
  • Postmenopausal problem / Hormonal Replacement Therapy (HRT)
  • Contraception
  • UV prolapsed/urinary incontinence
  • Infection in pregnancy (Example: HIV, syphilis, COVID in pregnancy)

Emergency Medicine

  • Approach to Chest Pain
  • Approach to Undifferentiated Septic Patients
  • Altered Mental Status
  • Acute Abdominal Pain
  • Shortness of Breath
  • Acute Poisoning – Initial Approach and Resuscitation
  • Seizures
  • Upper and Lower GI Bleeding
  • Shock patients
  • ECG Interpretation
  • Common X-Rays Interpretation
  • Approach to Fever
  • Triage
  • Principles in Disaster Preparedness
  • Approach to Violent Patient
  • Basic Ethical Principles

    (Consent, Refusal, Confidentiality, Advance Directive)

  • Transfer of critically ill patients (within hospital transfer)
  • Stroke
  • Child with rash
  • Approach to Envenomation

Anesthesiology

  • Basic Pharmacology of Anaesthesia Drugs
  • Basic Pharmacology of Anaesthesia-related Drugs
  • Preoperative Assessment
  • Airway Adjuncts and Difficult Airway
  • Understanding Anaesthesia Machine

     

  • Oxygen Therapy
  • Arterial Blood Gas Measurement
  • Fluids, Blood and Blood Products Management
  • Obstetric Anaesthesia
  • Anaesthesia for Emergency Surgery
  • Acute and Chronic Pain Management
  • Transport of the Critically Ill Patient
  • Organ Donation
  • Effective Communication with Relatives
  • Basic COVID-19 management in OT & ICU
  • Sepsis and Septic Shock

Primary Care

  • Principles of Family Medicine
  • Immunization
  • Neonatal jaundice
  • Child with special needs – early detection and intervention
  • Contraception
  • Management of anemia in pregnancy
  • Management of Diabetes in pregnancy
  • Management of Hypertensive disorder in pregnancy
  • Management of Type II Diabetes in Primary Care
  • Management of Hypertension in Primary Care
  • Management of Asthma in Primary Care
  • Management of Mental health problems in Primary Care
  • Management of tuberculosis in primary care
  • Giant of geriatric
  • Engaging adolescence
  • Management of Dengue Fever

Psychiatric

  • Psychiatric Interview and Mental State Examination
  • Psychiatric Management: Pharmacological, Non-Pharmacological and Electroconvulsive Therapy (ECT)
  • Management of Aggressive
  • Management of Suicidal Patients
  • Schizophrenia Spectrum and Other Psychotic Disorders
  • Mood Disorders (Bipolar Disorders & Depressive Disorders)
  • Anxiety Disorders and Obsessive-Compulsive Disorder
  • Neurodevelopmental Disorders
  • Neurocognitive Disorders and Psychiatric Manifestation in Other Medical Conditions
  • Substance-Related and Addictive Disorders
  • Community and Rehabilitation Psychiatry
  • Mental Health Act 2001 and Mental Health Regulation 2010