WONG SHINJI DANIEL

WOW! Attachment CGH_001

Content:

Projects/Tasks we were assigned
Elaboration/record of the activities done
Elaboration/record of results/deliverables/ impact of work done
3 Content knowledge/ skills learnt
2 interesting aspects of your learning
1 Takeaway for life

Projects/Tasks we were assigned:

Research Project on Risk Likely-hood Communication:

The project aims to find the factor that obstruct the smooth communication of risk likely-hood.
This is quite relevant in today’s aging society, with many elderlies that require correct and accurate understanding of the risk. It is also increasingly important as diseases are become exponentially dangerous.

Newsletter:

Our objective was to create a newsletter informing the hospital clinicians of some important topics in today’s healthcare such as: health economics, health technology, qualitative research, artificial intelligence.
This project is very important as it is necessary that the staff working in the hospital has some understanding of these relevant topics. It was suitable for us to write this as the newsletter had to be explained in a layman terminology.

Interview Assistance:

We sat in and assisted in the interview conducted by our mentors. Our task was taking notes, keeping track of time, checking any missed points or questions, and finally transcription.

Data Analysis and Interpretation:

We were given the data based on the test results of the elderly patient's fitness assessment. The task was to input it into a data sheet, and interpret the numerical data into simple explanation in words so as to cater to the elderly receiver.

Elaboration/record of the activities done:

Research Project on Risk Communication:

At the beginning we actually started off with finding the various factors that affect a non-ideal patient-doctor relationship. We were quite confused and lost with what we had to do, and what we had to find, as the topic was very very broad. To guide us, a doctor came in to instruct us on techniques on researching, such as using keywords to narrow the search results into ones that were more relevant. With his help we picked up one topic out of the broad task, patient trust. We then defined the outcome/consequence as when the patient does not adhere to the doctor’s instruction, questions the doctor’s ability in the profession, and etc. Finally we started the Literature Review based on this topic, and collated our findings in a Google doc. The researching part came more easily, as we were equipped with our experience from our school projects as well as the tips from the helpful doctor. We then presented our findings to our mentor, only to find that it was too broad.

Second Try:

After our first failure, we had to start from scratch. We looked through the different outcomes of an unwanted doctor-patient relationship; lack of adherence, patient dissatisfaction, repeated patients, patient does not understand condition they are having/severity of condition, etc. Out of these, we decided to use patient dissatisfaction as our consequence, and our objective to find the non-verbal factors that result in such an outcome.

Out of these, we decided to use patient dissatisfaction as our consequence, and our objective to find the non-verbal factors that result in such an outcome. We did some research again on PubMed, and came to a conclusion that a few factors such as the doctor’s inappropriate behavior and attitude, and his dressing can cause dissatisfaction in the patients. We presented these results to our mentor, and once again, we were rejected as it was yet too broad.

Following our second draft, our mentor decided to narrow down our topics further; he told us to find out specifically about the risk communication between the doctor and patient. He then gave us some helpful hints and advice, such as examples of what exactly should we be looking for in our research. We once again began working on the project, and did a comprehensive Literature Review. We were also instructed to create some survey question, that we will go to some patients in CGH and question them. After collating our research results, we contacted our mentor to check it. He told us to do some minor changes, and then we were through.

3 Content knowledge/ skills learnt:

1: I learned much about Artificial Intelligence in my process of creating the newsletter. The general definition of AI is the use of a machine or computer to simulate activities that is usually associated with human intelligence. Simply speaking, AI is just replacing the physical body of humans with that of metal and silicon. AI can also be further broken down into smaller categories that branched out in recent years.

Strong AI: A system that act, think and reason exactly like humans do. They are able to perform any sort of activity of humans.
Super AI: Lining further down on the line of strong AI, super AI refers to machine intelligence that outperforms humans in any kind of activity.
Weak AI: This is the use of computer to specialize in one single narrow task. The pre-programed system work in an highly efficient manner, but the machine does not actually understand what it is doing.
Mixed AI: The branched-off and high level version of weak AI. Unlike weak AI it uses human reasoning in its function, but it is differentiated from strong AI (and super AI) as it does not possess or fully simulate human intelligence; it merely uses it as a guide.

2: In my period researching on doctor-patient relationships, I gathered much knowledge regarding the factors and outcomes related to it. One I found interesting was risk communication. Risk communication, as defined by the WHO, refers to the sharing of advice and opinions between experts and people who face risks in terms of their health, social and economic well-being. Proper risk communication is essential and is an important aspect of doctor-patient communication. It allows patients to have a more informed choice on the next step of their treatment, and, if necessary, would also spur patients to make appropriate changes to their behavior to reduce the risks of having health conditions.

3: During the internship I learned to take initiative in getting instructions and resources. This was very relevant in my work at the posting as there were many times when we were given rather unclear instructions, and we had to interpret them on our own. However this wasn't enough always, and so I had to learn to take initiative and ask the mentors. I personally felt this was a huge improvement for me as I had always been very hesitant in asking questions and more information. I believe this will help me more in both my studying life and work in the future.

2 interesting aspects of your learning:

One interesting part of my posting at CGH were the interview sessions. During one of my task, assisting interview sessions, I was fortunate to sit in the interview and experience how a researcher conducts such interview. The manner how my mentor would ask the respondent was phrased in a friendly and polite manner, so as to encourage them to talk more. The mentors would also probe more when they caught some interesting phrases or words. Watching all this, I felt this was very refreshing as a learning experience, compared to my usual desk and computer work.

Another intriguing aspect of my time there was the talks we attended to. During the posting, my group were fortunate enough to attend a talk at CGH about the advances of artificial intelligence in healthcare, given by various professionals from prestigious institute. I learned much about the deep learning part of AI, its limitations and its potential too. I felt it was very eye-opening as it was not everyday that you could listen to a high class professor or researcher explaining the newest invention in AI.

1 Takeaway for life:

From this WOW! program I really felt that just the experience of working in an hospital was very fulfilling to me. As a busy student with rather protective parents, I've never had opportunity to work outside, much less in a hospital. The experience felt especially precious during the tour around the hospital, where I saw much of the "behind the scenes" area of a working hospital. The office work was also very beneficial, as I had to learn how to manage my own time and work, and to schedule and plan everything beforehand.

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