Quote:
Originally Posted by Unregistered
Let me put to you this question. How much do the patients you sed for the complex stuff at pte clinic pay for consult?
How much?
For that amount do you agree it is worthwhile spending thay extra time or not?
Mind you if the clinic is busy already with simple complaints.
Singaporeans are stingy when it comes to consult fees in pte gp setting
Sometimes better not to know how to manage cos when you know and you knowigly choose not to you feel more guilty. If really dunno. Then you are simply doing your best.
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Bottom line is:
to be a decent GP MBBS... GDFM makes you better prepared... MMed is a bonus
some GPs still struggle with getting the basics right
i have seen questionable management by GPs - you will be appalled why they not yet censured by
SMC
and it's not so called "MMed level" rocket science, it's basic medical school pathophysiology and textbook management of simple cases
- giving multivitamin for dizziness (not a case of patient requesting for multivits, and patient does not have anorexia)
- patient has myalgia with simvastatin. switched to fibrate to treat LDL (or worse still, start with fibrate straight away)
- doing uric acid during an episode of gout flare and telling patient he doesn't have gout
- recently read in another forum - very senior GP advised patient with Hb 6+ during health screening to take iron tablets, TCU 1 week. no further evaluation advised.
qualifications do not necessarily make you a better doctor
but neither does years of experience doing the wrong thing
as long as you have the drive to improve and provide at least a basic level of evidence based medicine, it doesn't matter the route (whether you self study, read guidelines, do GDFM / MMed)
there isn't a need to rubbish one route or the other unless you have some serious self esteem issues.