Experiences in Melbourne under the Postgraduate Oversea Student Training Fellowship (POST) Program End of Fellowship Presentation. St. Vincent’s Hospital. 26 November 2014

1. INSPIRED
@MELBOURNE
Umi Adzlin Silim
POST Fellow, Consult at ion Liaison Psychiat ry & Women’s Ment al Healt h,
St . Vincent ’s Hospit al, Melbourne
21st November 2014

3. I am awarded Malaysian Federal Training Award
by the Ministry of Health Malaysia
to pursue one year oversea training for
Fellowship in Consultation-Liaison Psychiatry,
a subspecialty of psychiatry concerned with clinical service,
teaching and research
at the interface of psychiatry and medicine.

4. It took me 1 year and a half to process my degree verification,
RANZCP training recognition, medical registration and occupational trainee visa.
Mr Peter Hayes
AHPRA

5. Prof Chee Ng,
Asia-AustraliaMental Health
My overseatraining is coordinated by
Postgraduate OverseaSpecialist Training Program
(POST), Asia Australia Mental Health, International
Psychiatry Unit, St. Vincent’s Hospital Melbourne
and University of Melbourne
Elaine, POST Coordinator
OUTSTANDING SUPPORT & COORDINATION

6. SETTLING DOWN

8. 12/26, McKinley Drive, Roxburgh Park

11. THE
POST FELLOWSHIP

12. My first day…
17th February
2014

13. Orientation Day at St. Vincent’s Hospital

14. Questions: Learning Goals
◦ How am I going to develop CL services in Malaysia? General CL.. Chronic pain..
Psycho-oncology… Women’s Mental Health (my special interest)
◦ What can I offer to my patients, besides medications?
◦ What is the best way to collect data ‘on the go’ for servicedevelopment?
◦ What are the best way to train, build and support my team?
◦ What are the best research for service development?
◦ How to help women including me in balancing work, family, parenting and self
growth?
◦ What.. How… (a lot…!)

15. MY COUNTRY MALAYSIA
◦ Developing Country
◦ In South-East Asia
◦ Population: 28 million
◦ Multi-ethnic
15
Kuala Lumpur, Capital of

16. n (%)
1. Total beds 5506
2. Beds in psychiatry institutions
Beds in mainstream hospitals
4590 (83.4%)
916 (16.6%)
3. Hospital based psychiatry services 4 institutions
37 hospitals
4. No. psychiatrists in Ministry of Health (MOH)
No. psychiatrists withsubspeciality (MOH)
No. psychiatrist in subpeciality training
109 (48.7%)
34 (31%)
12
5. No. trainees in psychiatry with 3 local
universities
81
Total Psychiatrists (224) MOH (109); Universities (69); MINDEF (3); Private (43)
Psychiatrist to population ratio is 0.83 per 100,000 or 1 psychiatrist to 122,000
WHO norm 1:50,000
Resource: Suarn Singh. AnnualMeeting of MOH Psychiatrists. April 2010.Ministry of Health, Malaysia.
Psychiatry Services in Malaysia:
Present Situation
16

17. Questions: Learning Goals
◦ How am I going to develop CL services in Malaysia? General CL.. Chronic pain..
Psycho-oncology… Women’s Mental Health (my special interest)
◦ What can I offer to my patients, besides medications?
◦ What is the best way to collect data ‘on the go’ for servicedevelopment?
◦ What are the best way to train, build and support my team?
◦ What are the best research for service development?
◦ How to help women including me in balancing work, family, parenting and self
growth?
◦ What.. How… (a lot…!)

18. CONSULTATION-
LIAISON PSYCHIATRY

22. GENERAL CL
My First Patient: Old ‘bloke’
◦ Cancer recurrence
◦ Refusedto talk
◦ “Constipation”
Photo as an
illustration.
Credit to
‘Old Bloke Club”

23. My last patient
MultipleSclerosis in Rehabilitation with
Major Depression
Biopsychosocialspiritual Mx
Optimal Health Plan

24. Claire Ewing

25. Albert Ong

26. Part of CL team, on
Wednesday & Friday
round

27. PSYCHO-ONCOLOGY & PALLIATIVE

28. Dr Mat Gelman at Peter
MacCallum

29. Maria Ftanou
Peter MCCallum &
IBD Clinic

30. CHRONIC PAIN SERVICES

31. HUMAN RESOURSE: STAFFS SUPPORT

32. Margaret Goding
DAY TOUR: MENTAL HEALTH SERVICES

33. VISIT TO ALFRED’S CL SERVICES

34. Liaison Work
•weekly multidisciplinary meeting,
•Inflammatory Bowel Diseases Clinic (Maria Ftanou)
•Hepatitis Clinic (Dr Olivia Wong)
Gastroenterology:
•Weekly multidisciplinary meeting.Rehabilitation
•Weekly multidisciplinary meeting
•Chronic Pain Clinic (with Dr. Jeremy Couper)
•3-week Cognitive Behavioural Therapy (CBT) group therapy (START)
Chronic Pain (Barbara
Walker Pain Centre)
•Daily clinical ward round (Ms Maria Ftanou),
•Outpatient clinic & psychology clinic,
•Multidisciplinary meeting
•Familial Cancer Centre (Dr Olivia Wong).
Psychooncology (Peter Mc
Callum Cancer Institute)