SECRETARIAT OF POSTGRADUATE STUDIES FACULTY OF MEDICINE

Clinical Fellowship

FELLOWSHIP HIGHER SURGICAL TRAINING IN HEPATOPANCREATOBILIARY SURGERY

Programme Name: FELLOWSHIP IN HEPATOPANCREATOBILIARY SURGERY

Course Director: Prof. Dato’ Dr. Razman Jarmin

HIGHER SURGICAL TRAINING IN HEPATOPANCREATOBILIARY SURGERY

OBJECTIVES OF PROGRAM

The higher surgical training in the field of hepatopancreatobiliary surgery is designed to enhance & refresh the clinical skills of the trainees in the specified field.

Allow the trainees to undertake clinical work at a higher level and acquire operative skills which will enable them to undertake management of the various diseases & disorders of the liver, pancreas and the biliary system.

DURATION OF TRAINING

One year training

TRAINING CENTRES

HepatoPancreatoBiliary Surgery Unit, UKM Medical Centre.

TRAINING FORMAT & TRAINEE COMMITMENTS

The training format is designed to bring the clinical & operative skills of the fellow to the level of professional excellence. It shall entail a full-time clinical placement in a designated centre. During the course of higher surgical training the fellow is expected to participate in all the clinical (ward rounds, outpatient clinics and the operative surgery sessions), educational and research activities of the department.

The fellow will be given an increasing responsibility and role in managing the various hepatopancreatobiliary problems under the supervision of the Hepatobiliary Consultant surgeons. The trainee will be expected to record his / her experiences in a logbook which will provide a basis for final evaluation on completion of the training. The activities that are expected for the fellow to involves include:

1. Operative surgery

The fellow will be taken through the various operative procedures of increasing complexity until he /she is able to undertake such procedures independently. The various operations will include complex general surgery, biliary surgery, liver and pancreatic surgery. At our centre the fellow will also be expose with conventional and laparoscopic  surgery.

The higher surgical trainee assessment skills and competency for operative procedures will be done in phases during the training period. The fellow will advance once the consultant has performe the assessment and find the fellow has satisfactory reachthe desired skill of competency.

2. Endoscopy

The fellow will undertake upper GI endoscopy before embarking on biliary endoscopy. He / she must have documentary evidence of having undertaken at least 50 upper GI endoscopies.

The fellow shall assist in 25 biliary endoscopies and undertake 50 biliary endoscopies under supervision before embarking on biliary endoscopy independently.

3. Imaging

Ultrasound imaging is an essential component in the diagnostic armamentarium for hepatobiliary diseases. It is therefore essential that the hepatobiliary surgeon be able to undertake such examination with reasonable accuracy.The fellow will have to spend atleast 2 hours a week with a designated radiologist to undertake basic clinical ultrasonography and interventional procedures.

4. CME activities

Journal clubs and seminars are part of the postgraduate training programme which help fellows develop skills to analyse, evaluate and prepare written and verbal presentations on current issues.

It is compulsory for the trainee to attend and participate in all continuing medical education activities of the unit. In addition the trainee is expected to undertake teaching of the undergraduate & postgraduate doctors and paramedicals.

5.  Log book

The log book together with a summary of the operative experience must be submitted for evaluation & discussion of the progress. The fellow will have schedule assessment during the training period based on the logbook activities.

COMPLETION OF TRAINING

Upon satisfactory completion of the training the fellow will be issued the Certificate of training in Hepatobiliary.

Further informations about the programme is attached below:

REQUIRED INFORMATIONDETAILS
The objectives of the programTo enhance and refresh the clinical skills of the trainees in the specified field.Allow the trainees to undertake clinical work at a higher level and acquire operative skills which will enable them to undertake management of the various diseases and disorders of the liver, pancreas and the biliary system.
Areas of expertiseLiver, pancreas and the biliary system.
Number of places availableOne per year
Criteria for eligibility in the programAll candidates who have successfully completed FRACS or equivalent in general surgeryand have appropriate medical registration are eligible to apply for the Fellowship in Hepato Pancreato Biliary Surgery. Applications will be considered by the Training Committee.
The selection processSelection of candidates will be determined by the Curriculum Vitae and Referees reports
Description of the tasks to be carried out– To participate in all the clinical (ward rounds, outpatient clinics and      operative surgery sessions) – To involve in educational and research activities of the unit and department
Duration of programOne year training
Method of assessment/ Certificate Assessment: Log book with a summary of the operative experience Certificate: Upon satisfactory completion of training
Emoluments paid, if anyNil –
Step 1
Application through Secretariat of Postgraduate Studies (SPS) website/ link at HCTM website/ or direct communication with the Course Director *Application need to be made a minimum of 6 months before the date of admission
Required process:
  • Candidate Details and selected programmes
  • Curriculum Vitae (CV)
*First medical degree needs to be checked whether it is recognised by Malaysian Medical Council (MMC) (a mandatory requirement if the candidate will do rotation outside of HCTM) An offer letter will be issued (by UKMSHAPE) to the candidate for the payment process Course Director
Step 2
Application will be reviewed by the Course Director
Step 3
  • Fill in and submit Application Form to International Affairs Unit (UPA)
  • Letter of Temporary Approval/ Letter of Rejection to applicants will be issued by SPS
  • For the accepted candidates, a copy of the Temporary Approval Letter will be sent to UKM Shape – for VISA’s application process
Step 4
Accepted candidates are required to complete the following documents:
  • Form 16 for Temporary Practicing Certificate application Click Here
  • Visa application (Professional Visit Pass (PVP) Click Here

  • *Since Covid-19 pandemic, Malaysian Immigration will only issued Professional Visit Pass (PVP) with Single Entry Visa for 1 Year. Candidate must go out from Malaysia before PVP expired and must re-apply new PVP from home country for next year's programme
    *All documents will be sent through the International Affairs Unit, Faculty of Medicine UKM
Step 5
Candidate enrolled and report to the Course Director
Step 6
An offer letter will be issued (by UKM Shape) to the candidate for the payment process
Step 7
Course Director will notify the candidate about privileging and credentialing to HCTM Credentialing Link
Step 8
ONE (1) month before programme ends, the Course Director are required to inform SPS and International Affairs Unit, Faculty of Medicine UKM
Finish
SPS will issue Certificate of Completion to the candidate

Flowchart of Credentialing and Privileging in HCTM for International Candidates

DEFINITION

Credentialing: a process to set the standards and to do an evaluation for a person’s qualification in a field or procedure. It is recognition for the professional training done by a medical practitioner.

Privileges: the rights given by the hospital for a medical practitioner to give treatments or to do procedures on hospital patients based on the qualifications of the training, and the medical practitioner’s experience and expertise.

Step 1
Log in to this link: http://credentialing.ppukm.ukm.my/index.php to apply for credentialing application.
*No payment needed for this application
Step 2
For new application, please fill in the details and update your profile.

* If you want to renew you application, please apply 6 months BEFORE your expiry date.
Step 3
Click Credentialing Form and complete all the required information.

*You need to fill in your Malaysian Medical Council (MMC) Registration Number, Annual Practicing Certificate (APC) Number and National Specialist Register (NSR) Number in the prerequisite field.
Step 4
Select Head of Department (HOD) to verify your application.
Step 5
Tick (√) and submit your application.
Step 6
Your Dashboard for the application status will appear. You can check the ongoing status by time to time.
Step 7
All applications will be reviewed in a meeting.

*The meeting will be conducted 4 times a year
Step 8
HCTM issue an Approval Letter (TWO weeks after the meeting)
Finish
HCTM issue Certificate of Credentialing (ONE month after)