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Old 16-10-2020, 06:31 PM
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Hi, singaporean studying in a UK med school graduating next year. Can I ask about the residency scene in Singapore? I had always planned to come back to sg after graduating but heard recently from some friends in other UK med schools that residency is getting very competitive so they have decided to stay in UK to specialise. So competitive to the extent that they turned down the pre-employment grant so they can stay in UK to specialise. Can you shed some light on the situation in Singapore. One of my MO friends said they are pushing for resident physicians? How does that differ from the conventional residency track? Thanks!
Healthcare cost is very expensive.
Therapeutics
Diagnostics
Labour


A lot of singaporeans dont want gst increase
A lot of singaporeans want to see doctor cheap

So how can we achieve our aim

We will work on therapeutics
-come up with Standard drug list
-negotiate with pharma, u sell us cheap,we buy in bulk, make it a standard 2 drug

We will work on diagnostics
-introduce real cost of diagnostics, make patient pay for it, doctor feels the pinch wont anyhow order

We will work on labour cost
-We need good labour but not too expensive
-we need senior people do calls (RP or senior RP)
-we need consultants but not too many
-so we make rp pay competitive, increaee rp pay
-we reduce consultant pay
-to make it less incentive to become consultant
-we also have a lot of quality labour from foreign countries and returning sinkie to augment our labour force
-in addition we have 3 local medical schools

Why are we doing all these?

Ppl no want taxes. Ppl want good and cheap healthcare


Now sinkie die very old
-a lot of nursing homes
-we encourage sinkie to exercise but we know a lot dont
-alot will stroke out and become prawn
-so we make them buy careshield
-a lot will frequent flyer hospital
-we have no choice but to increase premium

Tldr: sustainability sustainability sustainability
If we go the 1990s and 2000s ways, our healthcare will collapse
We cannot provide so much specialist positions, too expensive
We need good gp and rp. We are according them more recognition and previleges to keep our system working
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