Next: Postgraduate training…………………

November 11, 2010 by Pagalavan Letchumanan

For Future Doctors: Housemanship, Medical Officer and Postgraduate Training (Part 3)

Let’s look at the postgraduate training in Malaysia. I have written about housemanship, district/rural postings and problems of oversupply of doctors in the near future. The issue of oversupply of doctors by 2015 will lead to another very big issue: postgraduate training. Many of the budding doctors and medical students are not aware that the postgraduate training in Malaysia has many limitations and problems. At this point of time, most postgraduate trainings are dependent on Master’s programme conducted by the local universities. Once upon a time, we were totally dependent on UK-based exams and training but unfortunately we lost it along the way. Currently, only MRCP (UK) – Internal Medicine, MRCPCH (UK) – Paediatric and MRCOG (UK) can be done in Malaysia. FRCS (for surgeons) used to be available to Malaysians but not anymore. None of our hospitals are recognised as a training centre for FRCS, which is now known as MRCS. Thus, for any surgical field in Malaysia, you will need to do Master’s programme!

MRCP (UK) – Internal Medicine

Membership of the Royal College of Physicians (UK) is a well-known exam all over the whole. It has a very strong reputation as an entry exam for speciality training in UK as well as in other parts of the world. It is conducted regularly, usually 3 times a year in various countries. Malaysia is one of the centres for the MRCP exams, all 3 parts.

MRCP Part 1 can be taken about a year after your graduation. It is a theory paper. After passing your Part 1, you need to clear your Part 2 (written paper) and Part 3 (clinical) within 7 years. It is usually coordinated by University of Malaya, where the exams are usually held. Just for your info, the passing rate for MRCP (UK) is always around 45-50% worldwide! You need to have a proposer to sit for these exams, who can verify that you have undergone sufficient training to sit for the exam. If you fail miserably, your proposer will be notified.

Since MRCP (UK) is not a specialist exam in the UK, the Ministry of Health, Malaysia only recognises and gazette’s you as a specialist after undergoing further training of 18 months post MRCP (UK). You will need to submit a log book and recommendation by your HOD before being gazetted. This rule applies for all other overseas degrees which include MRCPCH and MRCOG. You need to undergo this gazettement process in order for you to be recognised as a Physician by the National Specialist Register (NSR).

MRCPCH (UK)

MRCPCH is similar to MRCP (UK) but meant for those who wants to become a Paediatrician. It‘s examination structure is similar to MRCP (UK).

MRCOG (UK)

MRCOG has 2 parts but the second part has both written and clinical component. However, you need to undergo training in O&G department for at least 4 years before being allowed to sit for Part 2 exams. One of the major issues in sitting for MRCOG is the fact that there are not many MRCOG holders in MOH to sign as a proposer for you!

Master’s programme

Now, this is where a big problem is going to appear soon. For all other fields, you are totally dependent on Master’s programme. This includes all surgical fields. Master’s programme is a fixed 4 year programme.

In order for you to be eligible to apply for the Master’s programme, you should have completed at least 3 years of service with good SKT marks of at least 85% and above, recommendation from Head of Department and confirmed in service. You also need to attend an exam or an interview before being selected for certain disciplines.

The major problem that I foresee in the future will be the number of places that are being offered. As of this year, the total number of places available is only 600, all disciplines included. Imagine, with 6000 new doctors coming into the market every year from now onwards, only 10% is going to get into the Master’s programme annually. Furthermore, you must understand that the selection process is never transparent, the typical Malaysian scenario as well as the quota system! Most of it is done by the Universities.

The government is planning to increase the number to 800 next year but the situation is rather critical in the Universities as there are not many Senior Professors to supervise the programme. I must say that the standard of Master’s graduates have dropped significantly over the last 5-10 years. We have Master’s graduates who can’t do surgery but have passed the exams! I just hope that the Master’s programme do not become another “specialists mill” like our undergraduate medical schools!

There are 2 types of Master’s programme, the open and closed system. In the closed system, you will do the entire 4 years within the university, like in UKM Hospital, UH and USM Hospital. The open system may have various programmes, like 2 years in MOH hospitals and another 2 years in the Universities etc. You may even do the entire 4 years in MOH hospitals for some of the fields.

After completing your Master’s programme, you need to undergo another 6 months of gazettement process before being recognised as a specialist. Furthermore, you will be bonded for 5-7 years for receiving scholarship during the programme, which is compulsory!

Subspecialty training

With the advancement in medical field, every discipline now has subspecialty training. As such, everyone will try to do certain subspecialty after gazettment as a specialist by MOH. Generally, the subspecialist training is about 3 years except for certain field like Cardiothoracic and Urology which may take 4 years. Again, whether you get a place or not depends on availability of post and demand for that particular field. For example, the waiting time for Gastroenterology training can even go as far as 1-2 years.

Recently, to overcome this major problem, MOH has taken another step backwards. You can only apply for subspecialty training 1 year after you have been gazetted as a specialist. For MRCP holders, this means 2 and half years after passing MRCP (UK)!

Usually, the subspecialty training is divided into 2 parts, the first part (the first 2 years) will be done locally and the 2nd part (remaining 1 year) will be done overseas. The MOH will provide a fully paid scholarship for overseas training of 1 year but you will be bonded for 3 years. If you have received undergraduate scholarship and Master’s scholarship, you will be bonded a total of 20 years in service!!

Singapore

One good advantage that we have is Singapore. Unfortunately, only UKM and UM undergraduate degrees are recognised in Singapore. Our Master’s degrees are NOT recognised elsewhere. Thus, we would not be able to work in Singapore with any other medical degrees or even with our Master’s degree.

However, Singapore does recognise MRCP, MRCPCH, MRCOG and MRCS. Thus, if you have any of these degrees, it supersedes the undergraduate degree and you should be able to get a job in Singapore. Singapore is also a recognised centre for MRCS Part 3 training, which you can’t do in Malaysia. So, if you have MRCS Part 1 & 2, you can go to Singapore to finish your MRCS training and sit for the Part 3.

I must say that Singapore’s postgraduate training is more structured and organised with their BST (Basic Specialist Training) and AST (Advanced Specialist Training) programmes. I have written about this in my MMA article “Back from the Future: From 1st world to 3rd world”.

For all of you out there; budding doctors, medical students, houseofficers and medical officers; the future is very bleak for the medical field in Malaysia. The oversupply of doctors will get to you sooner or later. My advice to those who insist on doing medicine for passion is to choose an undergraduate course that is recognised internationally. Then, pursue a postgraduate degree that is also recognised internationally. If not, you will end up with a lot of frustration in the future. Jobless doctors in the future will be a reality!!!

After 2 years of HO training- Being a Medical officer

November 11, 2010 by Pagalavan Letchumanan

For Future Doctors: Housemanship, Medical Officer and Postgraduate Training (Part 2)

In this Part 2, I will write more about what to expect after finishing your 2 years Housemanship posting in Ministry of Health.

1) Compulsory Service

I am sure everyone knows about the compulsory service for doctors in government service. According to Medical Act 1970, a medical graduate has to undergo compulsory service with the government for at least 4 years. This includes the Housemanship which is now 2 years. This means that you need to serve the government for another 2 years before you decide to leave the service.

2) District/Rural postings

As I have said in my first part, after completion of your housemanship, you will likely be transferred to rural clinics or district hospitals. With the recent influx of large number of doctors, almost everyone will be transferred to rural areas, mainly Sabah and Sarawak. You can see this from various letters posted in almost every newspaper recently, embarrassingly by parents of “so-called” grown up doctors!

From my experience, district posting is a wonderful experience. Working alone without anyone to consult immediately, gives you a lot of experience. Remember, other than X-rays and some simple blood test, you don’t have anything else in these hospitals. Usually there will be about 3-5 Medical Officers (MO) in each district hospitals. When you are “on-call”, you are all alone and need to manage the A&E department as well as all the wards including obstetrics cases. It is really scary at times, especially if you are working in district hospitals which are far away from the nearest General Hospital. If you are preparing to sit for any exams then this is the time to do your revision as the workload is generally lower than in general hospitals.

The same goes for those who are posted to health clinics (Klinik Kesihatan). These clinics are usually situated in rural and semirural areas. Most of the time there will be 1-2 MOs in each clinic. The major bulk of patients that you see in these clinics are antenatal and outpatient cases. There will also be a lot of administrative work to do in these clinics including school visits, running various health campaigns and public health talks. In cases of any outbreaks, you will be called to assist in containing the outbreak. Basically you are the primary healthcare providers. Many doctors do not like the administrative work that they are supposed to do, and the meetings that you need to attend!

Even though it is a good experience to do rural/district postings, please do not stay long in these clinics/hospitals if you intend to do postgraduate studies. A maximum of 1 year should be adequate. The reason I say so is because you will lose the momentum to further your studies after some time of good life in these centres. Since the workload is lower, you will get carried away with relax life compared to your housemanship training.

This rural/district postings are usually given extra points when you apply for your Master’s programme even though it does not guarantee a place. At the same time you can use your free time to prepare for your exams like MRCP Part 1, MRCOG Part 1 etc etc. After passing your Part 1, you can request to be transferred to the General Hospital for continuation of your training. Again, this may become a problem in the future as the number of post may be limited and it may be increasingly difficult to get a place in bigger hospitals.

I think people who grumble about going to rural and district postings should just give-up medicine. If you choose medicine to help and treat sick people, then these postings is where you really see the real life of people. You will learn a lot about their social life and the struggle they go through daily which you do not see when you work in general hospitals. You will also realise that people here appreciate you better than urban people. I would advise each and every doctor to do rural/semirural and district postings for at least a year after completing your housemanship.

General misconceptions of being a doctor !

The Truth about Medical Field in Malaysia

Taken from MMAa

For Future Doctors: General Misconception of being a doctor PART 1

November 11, 2010 by Pagalavan Letchumanan

1) Guaranteed Job and Good salary/can make money

Many parents still believe that being a doctor guarantee their children’s future. Well, it may be so before but not in another 5-10 years time. You can read about these issues in my MMA articles column. 20 years ago we only had 3 medical schools producing about 400 doctors a year but now we have almost 30 medical schools in the country (the highest per capita population in the world). Last year alone, almost 4000 new doctors started housemanship in Ministry of Health (MOH). The number will further increase in coming years when all the medical schools start to produce their graduates. I believe it will reach a figure of 6000/year by 2015.

This is where issues arise. Even now, the MOH is struggling to place these doctors in various hospitals in the country. We have almost 30-40 houseofficers in each department now not knowing what to do every day. Their training is compromised and they are being released after that without proper training with license to kill! I may sound negative but this is the reality. Even district hospitals are being used to train houseofficers now, starting 2010. As you would have read in the papers recently of parents complaining that their child has been transferred to East Malaysia after completing housemanship, it is a known fact that the shortage of doctors at this point of time is in East Malaysia. As our MOH Director General had said, most doctors will be sent to Sabah and Sarawak from this year on wards.

What’s going to happen in the next few years? Again, my prediction is, there will be surplus of doctors by 2015. There will more bodies than post in MOH by 2015. Doctors most likely will need to queue up to be posted in government service. You will be sent to rural and East Malaysia to serve. Any appeal will not be entertained. If you think this would not happen, please look at the nurses! 5 years ago, the government began to approve numerous nursing colleges due to shortage of nurses. Now, we have surplus of nurses without any jobs. I know of nurses who are currently working in petrol stations! BTW, the MOH is currently considering introducing common entry exams for all medical graduates. Only those who pass this exam will be given housemanship post. This will happen soon.

Furthermore there may be a pay cut for doctors when all the post are filled. One of the allowance known as critical allowance of RM 750 will be removed once all the posts are filled. Critical allowance is never a fixed allowance and is usually reviewed every 3 years. As you know, the pharmacist’s critical allowance is going to be removed if not already. 

I had one budding doctor who said that the reason she wanted to do medicine is because it is the only field where you have a guaranteed job and a starting salary of RM 6000. Well, I have talked about guaranteed job issue above but she is definitely wrong in stating that the starting salary. The starting salary of HO has gone up over the last 5 years; no doubt about it (please read my MMA article). However, the starting salary of HO currently is about RM 3500 to about RM4000 after including the on-call allowance. Remember, your salary only increases about RM 70/year. You will only reach a salary of RM 6000 after 7 years of service as a medical officer, when you are promoted to U48 according to current promotional prospect in civil service introduced end of last year! BTW, other than the difference of critical allowance, a doctor’s salary is only RM 200 more than a pharmacist in civil service!

2) Medical degree recognition

If I can’t work in Malaysia, I can go to Singapore or Australia to work, right?

Again, another misconception. Many do not know that medicine is a very peculiar field and cannot be compared to any other profession. In order for you to work in another country, your degree needs to be recognised by the Medical Council of the other country. If it is not recognised, you would not be able to work there. For your information, only UKM and UM degrees are recognised in Singapore.

Almost all medical degrees from Malaysia are NOT recognised elsewhere.Malaysia Boleh mah! Only Monash University Malaysia’s medical degree is recognised by Australian Medical Council and thus you would be able to work in Australia/New Zealand. Some of the private medical colleges do twinning programmes with external universities from Ireland/UK/India etc. These may be recognised depending on which degree and where you graduate from. 

3) Housemanship & Compulsory service

I have mentioned a little about housemanship above. As you know the housemanship has been extended to 2 years since 2008. Even though it is good for your own training but it does prolong your future postgraduate training. After Housemanship you have to undergo another 2 years of compulsory service before you decide to resign for private practise or pursue your postgraduate degree. It is during this compulsory service that you will be posted to anywhere in the country.

Furthermore, housemanship is not an easy posting. Even though the numbers of HOs have increased tremendously over the last 2 years, it is still a very exhausting job. Many have had a mental breakdown during housemanship. I just heard of a houseman who is on psychiatric MC for the last 2 months! It seems she thought that being a doctor is just like sitting in a clinic and seeing cold cases (probably she thought she can become a GP immediately!)

4) Hard work and post graduate training

20-30 years ago, being an MBBS holder itself is good enough. You can easily open a clinic and become a GP and well respected by the community. But things are changing. Even GP practise is a speciality by itself in many countries (Master in Family Medicine/FRACGP etc). Malaysia is also moving towards that. Many patients are demanding and would prefer to see a specialist directly nowadays.

Thus it is important that when you join medicine undergraduate degree, please be prepared to continue your education for another 10 years after graduation! In order for you to complete your postgraduate education, it will easily take another 10 years, assuming you pass all your exams in one try! So, don’t assume your education is only 5 years! MBBS do not mean anything now, in fact it is only considered as a diploma!

Getting into postgraduate training is also becoming increasing difficult. The number of places for Master’s programme is very much limited in local universities. The demand is greater than supply and of course don’ forget the quota system as well! Other than MRCP (UK) – internal medicine, MRCPCH (UK) – paediatric and MRCOG - Obstetric, you have to depend on local master’s programme for your speciality. Thus, you have a very limited option. With such a big number of doctors coming into the market now, I can assure you that getting a place for post graduate education is going to be a major problem in 2-3 years time! Be prepared.

Two things i'd tell the younger version of myself in medical school

YouTube - Two things i'd tell the younger version of myself in medical school: ""

- Sharing Session

YouTube - MCD '11 - Sharing Session: ""

Usefull doctors experiences worth sharing among medical students.

 Come on !!!

Study hard smartly and be like them!!!

Dr Fauziah - Obstetrics and Gynecology sharing

YouTube - Medical Sharing - Dr Fauziah: ""

HOusemen Story

JMO --> Medical Officer


Life couldn't have been any better when I'm finally given the position of Medical Officer-ship whereby I can get the weekends off and go back earlier on weekdays. After having experienced my housemanship and JMO-ship for 15 months, I'm grateful to have survived it through and through and finally, appreciate more on the weekends. As a doctor practicing in Malaysia as a house officer, and I could probably generalize this to other parts of the world, one has to carry out not only clinical work but all the other secretarial work to the core; yet the other term of office-clinical boy. And if I could reminisce on the past that I have so long endured, and why house officers should be allowed a better pay... here goes:-

(i) Work 7 days a week, fortunately the concept of 7-11 is not applied here, or we would be dead

(ii) No clocking out at 5 pm on weekdays or 12 pm on weekends, unless if you have finished your work, and in our setting, you usually clock out 3-4 hours after the stated time

(iii) You are expected to do calls at least 3 times per week depending on the amount of house officers available

(iv) Work more than 100 hours per week, my record was 118 hours in a week

(v) Take all the bloods, set all the lines, do all the ancillary procedures like central venous lines, chest tube insertions, pleural or peritoneal tapping, catheterization, peritoneal dialysis, clerk all the cases, memorize the patient's progression, remember all the investigation results, attend to emergencies as front-liners, document all the trivial things, do most of the things first-hand despite having no idea what you are doing

(vi) Refer all the cases and most of the time not really knowing what the purpose is for

(vii) Getting hammered for not knowing what you are referring and not including enough data

(viii) Run all over the hospital to get the blood results, rush for the blood, then run to the theater to send the blood, run back to the ward as your staff may have forgotten the preoperative antibiotics, and run to the radiological department to get the CT scans your surgeons want to have a look at before operating (this did happen to me before)

(ix) Be the scapegoat most of the time during ward rounds, everything goes wrong is because of the house officer forgetting or can't recall

(x) In each mortality presentation, the house officer will in any way, be nailed for something he did, be it documentation or examination

(xi) Be ridiculed for the meager amount of knowledge he or she has, sometimes in front of the patients

(xii) Overworked and underpaid, people do come to you and ask you why the heck is your face so gloomy, and that you look like a piece of garbage with unidentified stench emanating from goodness knows where

(xiii) Expect the unexpected as difficult patients pose you a tough time just because they know someone up the ladder who happens to be your most nastiest boss, and so that you should treat them extra extra nice, or else you face extension (aaahh... this happens so often I couldn't even count it with my ten fingers)

(xiv) Having been overworked, you are expected to display a compassionate look and portray your patience to patients despite knowing for the fact that you can see up to more than 50 patients in a day (both in or outpatients); and that's only see, what about the procedures and the secretarial work that comes with it? 24 hours in a day is simply never enough, and I recalled that every moment when I am the only house officer in a ward managing all the things from head to toe

To have survived this drafty period of hard-core work, as many would have proclaim, would make the better out of you, would make you stronger and make you more durable. Yet, seemingly, with all of these ongoing grill, I found myself being admitted 3 times in the ward and multiple times in the casualty bed; and I don't literally find that as a very comforting thought.

Falling ill is common as one fights his way through housemanship. Yet, the way paved for a house officer is not at all encouraging. When a house officer falls sick, there is no such thing as a medical certificate. It is not applicable to them as they have to repay back the sick leave that they take for an extension on their 4-month long duration. And to add things worse, they are counted into the annual leave, despite having true certification on how sick you are and that you are admitted to their ward. Anyway, I was fortunate to have additional leave to my pocket to spare even after I spent the most of it hanging dry in the hospital bed. The process may be cruel in its own sense, and it couldn't have been made more nasty with certain individuals who are slightly higher in rank who are the least in their mind, thoughtful or caring.

But all of that changes when I went into the Paediatrics posting. I was appreciated for the work that I do, and to put on the sugar and spice, I was continuously showered with words of encouragement and support for my skills in computer. The staff nurses in the ward that I work in commented on the speed of my work which made everyone's life a comfort zone, and the head of department together with her underlings actually cared for once, about my welfare. Never had I been to a posting so far in my year in housemanship whereby the head of department would actually call me (a nobody) up on my handphone to discuss matters pertaining to my welfare. They cared so much that they were the true apple of my eye. Aside from the long hours in working and the amount of workmanship poured into the posting which is as vast as the ocean, one could possibly work tirelessly in view of the ongoing support and care that they will give you. Though there are times that certain rules ought to be altered for the sake of some other's welfare, there are also the certain tacts of simplicities when you can approach the big boss and discuss issues. This occasion occurred towards the end of my Paediatrics posting, and that alone made me think twice with regards on staying onwards as a Paediatrics MO or to wait for the tide to sweep me to another place.

I was certain through some words shared by the boss that I should give it a try as I have no idea what I wanted to do; and as well as the other piece of advice that I should at the same time follow the tide as it will bring us to places that otherwise, we will never have a chance to see or experience for ourselves. I gave in to the last piece of advice as I have already have other things in my mind. You see, becoming a clinician is a rough and grueling process to which many would think of it as something general. There are so many specialists and consultants nowadays that to become another specialist is equivalent to just another freshly passed out house officer. One has to dig in deeper to earn his respect, and the new breed of subspecialties are breeding everywhere. Things like Cardiology, Cardiothoracic Surgery, Respiratory, Urology were once the subspecialties that many would take a jog on and carve a name and a fame for themselves. But the demands are getting greater that no soon enough, we'd probably have a specialist on just Heart Attacks all by themselves, and Congenital Heart Disease specialist all by themselves.

The tide has turned, the future is yet but coming, and the demands are taking a toll on everyone that the clinicians are wondering whether should they continue to upgrade themselves or just stay on the same track which probably would put them off the radar. Glad to say, I am comfortable to stay on track with what comes and what goes, and staying in Cardiology for now would be something afresh and perhaps grant me the opportunity to grasp whatever knowledge that I can before I venture on another totally different dimension.

Back to the current position that I am in, I am still enjoying the luxury that comes with the promotion to MO status. Aside from accumulating more knowledge from the books, journals and updates that I am now obligated to; I get to enjoy at the same time the weekends off, reporting to work later than a house officer, having the laurels to go back earlier, and having people to work under me. Of course, with the higher position, comes greater responsibilities and I have to now depend on my cerebral rather than my spinal efforts to get things done. That worries me, well most of the time when a decision comes to point and whereby making a wrong one would yield disaster. Tagging thereby becomes a vital point, getting to see fresh cases as it comes to casualty and discussing with a senior colleague on what to do as a first-hand experience.

One, especially me, begins to now see a different light of dimension as I take a seat on the medical officer's chair and assumes its backbone of relinquishing and relegating responsibilities to house officers (within their realm of knowledge and capabilities) while at the same time, ensure the stability of the patient before handing it over to the underlings to manage it. Anything wrong goes to your head but knowing at the same time, learning is a curve filled with many sharp corners and that leaning onto one may be painful at first but it soon will stick into your mind as hard as it could to make you feel the importance of it. But... setting that aside for a while, as I will soon begin my tagging later; I am for once, after 15 months getting to finally enjoy my first weekend break. It is a relatively good change as I can now look forward to more trips back to Penang over the weekends and more relaxation period for me as I can now concentrate more on accumulating knowledge on ECGs and Cardiology cases so that I will not look dumb when people (even patients) start asking me about things in relation to the heart.

Somehow, God is gracious, and I am grateful to be posted into Cardiology. It was my first love as I started that similar posting when we all moved to the new hospital. The coronary care staff nurses were very well-trained and kind and helpful in many ways. And I could still recall the close friendships that we had when I was a first-poster house officer. Even then, I was respected as a doctor in making decision and being the front-line decision maker in the absence of my superiors. I handled myself well and I am glad that I was granted that life-changing event to which gave me the opportunity to like General Internal Medicine. But, I guess, things change as time goes by, and having tread my sole onto O/G, General Surgery and Paediatrics as a house officer, the stress in life has peaked and to earn that same love again for the posting that I enjoyed so much, that would probably take a longer duration than one could possibly fathom.

Suffice to say, my stress level seems to be taking a downward trend as I am now granted the comfort of doing the things that I enjoy. As I completed the last day of my housemanship, and walked back home with the thought at the back of my mind that seemed to linger on the whole day, the words "It is over" were all painted in all the corners of my brain. I was glad to close the chapter that I have no intention of reopening it. I am in no favor at any single time to discuss its occasions of austerity to any others, the practical rigidity that I was imbued with for all these past one year. The stringent kowtows and fear of being extended or put up as a scapegoat is no longer a picture to experience and for once, I could live a better life and breathe the clean air, while exhaling, through my mouth. The past life of swallowing all the unhealthy air and only have the toilet bowl to complain my rants and grunts to are finally over. I could finally, for once voice my opinion and let them be heard; but of course, that don't mean that I should go looking for troubles.

Right about now, prior to me starting my real tagging calls, I guess I should take a long desired break, which explained how early I collapse last night and how late I am finally able to wake up to today. That luxury had escaped me for the past 15 months, and now, I am glad to have it back by my side.

__________________
 kredit to:
http://sckhsmg2008.blogspot.com/2008/09/jmo-medical-officer.html

How to Choose Specialty, Career Development

MCD '11 - How to Choose Specialty, Career Development & Progression: ""

Doctor's Life & Challenges

YouTube - MCD '11 - Doctor's Life & Challenges

Aku Putus Asa.

" Aku rasa aku dah silap buat pilihan.Aku tak patut jadi doktor"

" Kalau macam nilah gayanya, layakkah aku jadi seorang doktor?"

"Kenapalah Allah tak bagi aku lulus dalam exam?"

"Kenapalah aku nih selalu dapat markah rendah?"

"Kenapalah rasa malas sangat-sangat..."

"Kenapalah aku rasa macam biasa aje bila aku gagal?"

"Aku rasa nak BERHENTI aje."

                                  Astagfirullah  10x

Itu semua hanya kata-kata yang terbit dari dalam diri.

As someone told me,

We are our own enemy.

Dan sebenarnya Allah lah yang menjadi pakar motivasi bagi diri kita...

Dia memujuk kita melalui ayat-ayat yang terkandung dalam Al-Quran.

Antara intipati dalam firman Allah,

2:214 - Sabarlah dengan cubaan..

2:177- Bersabar dalam kemelaratan dan penderitaan..

2:216 -  Apa yang kamu tidak senangi baik untukmu, apa yang disukai adalah tidak baik bagimu..

2:218 - Berjihad dapat rahmat Allah

2.286 - Tidak diuji melainkan dengan kesanggupan hambanya

2:274 , 277- Tidak ada rasa takut dan mereka tidak bersedih hati

2:286- Allah tidak membebankan hambanya

7:201- Ingat Allah ketika dibayangi fikiran jahat

8:70 - Allah berikan yang lebih baik dari apa yang diambil

9:59 - Cukuplah Allah bagi kami...

10:107- Sabar ketika didatangkan bencana..

wahai hati sabarlah kamu dengan Ujian Ilahi.Sesungguhnya Dia lebih mengetahui apa yang terbaik untukmu. Sesungguhnya Allah telah memilih kamu untuk berada di jalan ini. Dan Ingatlah bahawa Allah tidak menguji hambaNya ndengan sia-sia melainkan untuk mendekatkan kamu dengan Dia

Astaghfirullah...

Astaghfirullah...

Astaghfirullah...