Department of Primary Care Medicine

Introduction

• We strive to provide holistic, comprehensive and continuity of care for patients and their family using a patient-centred and evidence-based approach. Provides clinical services to out-patients at the University Malaya Medical Centre, KIDDS clinic (child immunisation/child health clinic and immunisation for healthy adults) and also DOTS (Directly Observed Treatment Short-Course). Providing health care services involving patients of all categories and ages, whether acute or chronic disease.
• Carry out activities of teaching, learning and research in the field of Family Medicine.

Name and Full Address:

Department of Primary Care Medicine,
Level 2, Primary Care Building,
University Malaya Medical Centre,
Jalan Profesor Diraja Ungku Aziz,
59100 Kuala Lumpur
Tel No: +60 03-79492802 / 2803 / 2173 / 2306
Fax No: +60 0379494368
Email: kj_pcm@ummc.edu.my

Rawatan Utama Klinik Am (RUKA),
Ground Floor, Primary Care Building,
University Malaya Medical Centre,
Jalan Profesor Diraja Ungku Aziz,
59100 Kuala Lumpur
Tel. No: +60 03-79492179 / 2193

Primary Care Clinic

1. CLINICS (GROUND FLOOR AND FIRST FLOOR)
   • Offering outpatient services to patients based on the appointment-based clinic (ABC) includes the patients being referred by a specialist clinic or medical practitioner from public or private health centres.
   • Consultation for acute health problems (e.g.: fever, diarrhoea, abdominal pain, etc.).
   • Consultation for chronic diseases (e.g.: diabetes, hypertension, asthma, etc.) which provides continuous healthcare to the patients and families.
   • There are 32 consultation rooms and four treatment rooms.
   • Guide for consultation and treatment:
     • New patients - need to provide an identity card (nationals) or passport (foreigners)
     • Patients who already have the registered number - need to provide the appointment card/ book
     • Patients are advised to bring their pension card or guarantee letter from employers to facilitate registration and payment



2. IMMUNISATION CLINIC (KIDDS)
   • Offers immunisations, growth and development assessment for infants and children as well as immunisation for adults.
   • Guide for treatment:
     • New patients - need to provide MyKid or birth certificate
     • Registered patients need to bring an appointment card/child health record book.



3. KLINIK DOTS (Directly Observed Treatment Short-course)
   • The patient will be referred by doctors from primary care clinic, Specialist Clinics or ward.
   • Provides treatment for tuberculosis patients and performs the Mantoux test.



4. ECG SERVICES
   • Provides ECG test services to patients in the primary care clinic.



5. DIETICIAN SERVICES
   • Provides dietary advice for patients with chronic diseases such as diabetes mellitus, dyslipidaemia, chronic kidney disease etc.

Appointment-Based Clinic (ABC)

Primary Care Clinic Appointment Based Clinic is a new system implemented in the year 2022 with the objective to provide convenience to the patients while preventing overcrowding during the pandemic of Covid-19. This system was planned together by the Primary Care Clinic Team and UMCH Technology Sdn Bhd.

The system allows the patients to book their walk-in appointment prior to their visit to primary care clinic. The patients can make an appointment using the WeHealth application (available on Android OS) or the website www.umchtech.com.

The benefit of the system is that the patients’ visits to primary care clinic can be planned and staggered using the appointment time slot, to prevent crowding at the registration and waiting area. In addition, by booking an appointment, patients may avoid unnecessary visits to the hospital and be turned away should the clinic is closed.

Nevertheless, to provide holistic and quality care to the patients equally, emergency and urgent cases that present to the clinic will bypass the system, after being assessed by the primary care triage officers.

This system was approved by the UMMC management board in December 2021. It was piloted for a month from January to February 2022. It is fully implemented starting from 1st March 2022.

Teleconsultation

Teleconsultation is a new way of conducting medical consultation remotely during the pandemic to reduce the frequency of clinic visits. The teleconsultation service in our department has been established in April 2021 and has been active until now. The service generally caters for blood pressure and blood sugar monitoring, a continuation of care and treatment for established medical conditions for our existing patients in our clinic.Talk to our health care providers today if you wish to be enrolled in teleconsultation.

After you have signed up for a physical consent with our doctors.

Here’s the link for Single Sign On registration tutorial
https://youtu.be/zNgzaoHfnp8

Here’s the link for Telehealth in UMMC
https://youtu.be/zy9XeHfFgGk

Doctors and nurse were assisting the patient during recruitment of TC

This is how we conducted teleconsultation in our clinic

Research

The Department has six research thrusts:

1. Digital health
2. Medication optimisation
3. Shared decision making
4. Respiratory diseases
5. Men’s health
6. Family violence

Teaching

We train undergraduates, and postgraduate students in Family Medicine, and supervise PhD and masters students in research.

Operating Hours and Location

Operating hours:
Monday to Friday (except Public Holiday):

Morning clinic (8 am-12 pm):
Provide comprehensive services for patients with acute illnesses via an appointment-based system.

Afternoon clinic (2 pm-4 pm): Follow up with patients with chronic illnesses and provide preventive care.

PROCEDURE FOR CONSULTATION AND RECEIVING TREATMENT IN PRIMARY CARE (RUKA) CLINIC

1. Walk-in patients:
• Book Appointment Based Clinic (ABC)


2. Patients with appointments:
   • To come to the clinic according to the date and time of the appointment


3. SCREENING/ TRIAGE
   1. Patients will be given a pre-queue number by the attendant/ nurse from the queue management system (QMS) machine, which is located on the ground floor, primary care clinic after entering from the Plaza.
   2. The pre-queue number will be called by staff at counters 1, 2, 3 or 4 for the triaging procedure. Triaging will be done by the doctor on duty or staff nurse.
   3. Doctor on duty and staff nurse will interview patients to obtain information about the problems faced by patients for triage purposes. These include the screening questions related to COVID-19.
   4. Patients who have been referred from a public health clinic or a private clinic will be directed to the Specialist Clinic or to be seen first by doctors in the primary care clinic.
   5. Patients’ vital signs will be taken and physical examinations will be performed when deemed necessary.


4. REGISTRATION
   1. For new patients (without patient registration number) at the University Malaya Medical Centre; patients are given a token number and requested to wait for the token number to be called at the counter 6, 7 or 8 for registration and payment procedures if necessary.
   2. For patients who already have a registered patient number at the University Malaya Medical Centre, patients are requested to wait for their name to be called at counter 5 for the payment process (if necessary).
   3. Token number to see a doctor in the consultation room number will be given after the payment procedure (if necessary) is done.
   4. For patients who have a pension card or a guarantee letter from their employer; primary care clinic services are free.


5. CONSULTATION, FOLLOW UP AND MEDICATION DISPENSARY
   1. The patients’ token number called by the doctors in the consultation room will not follow the order because the patients are allocated according to the doctor’s consultation room.
   2. Payment for investigative procedures shall be made at counter 10 on the ground floor or registration counter at Level 1.
   3. If the patient requires admission to the ward, the clinic staff will send the patient to the ward concerned for admission.
   4. Unstable patients will be transferred to the emergency department by clinic staff if necessary.
   5. If further follow-up is required, the patient should press the button D (for a future appointment) at Queue Management System (QMS) machine provided at counter 10 on the ground floor or the registration counter at Level 1.
   6. The queue number of patients will be called by the staff at 10 on which the date of an upcoming appointment will be given. If a short appointment is to be given, patients are required to book the appointment via Appointment Based Clinic one day before
   7. The token number for medications will be given by the doctor via e-prescribing. The patient will require to wait at the pharmacy counters for the token number to be called to get the medications.