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Old 17-10-2021, 04:32 AM
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Originally Posted by Unregistered View Post
u resident from which year, selling koyo to who?

Decant care to community ? Hahah, other than cardio and renal which is overworked, no one ever decant to OPS. Respi keep their very well asthma/copd patient, RHI keep their quiescent RA. Ortho keep their OA knee. Psy keep their well depression. Gastro keep their stable hep B / IBS/ gastritis. Geri keep their well aged. Everyone need to hit their numbers.
Ops doctors keep their well controlled HTN /HLD to ourselves also . Really farm out to APN/ CM all the time meh?

trust me when i tell u that when u start working after ur m.med and u need to see more than 45 patient a day, u dun have energy to be the super generalist GP. You can of course try as i did and nearly break down till i see the light.

Like what someone say, IM, FM , we all refer everywhere.
I also want to manage my patient all the way, but the system neither rewards nor permits me. I'm judged by the number of patient i see a day.

25 year old china national with 3 days dyspesia comes in for scopes as they always do. You want spend the next 15 minutes reassuring her she don't need it ( and eventually she still wants it ) or u ask her which hospital, write patient VERY keen for scope on referral, give her some omperazole , MC and send her on her way? What explore her ICE, explain the science, pls la, survival mode liao.

countless other examples.

Generalist? my foot. The people in MOH are dreaming when they give us 10 minutes per patient and expect us to manage. Oh but NOT ALL YOUR CASES are complex what. Dude, its not the complexity. Its the sheer amount of things we have to care take of. Skin dry, tongue pain, backside itchy and latest common complain, a bit breathless after my covid jab 6 months ago. Somehow the specialist only need to focus on 1 thing but the FP has to take care of ALL the things.
YOU COME AND DO 1 DAY OF MY JOB AND THEN TALK.

anyway, every man for himself
dun get too romanticsed by whatever koyo pple selling you.
u want hear my advice, dun touch FM. Be any chao specialist in hospital at least patient respect u a bit more.
I hear you. Thinking that as a generalist can manage everything is dangerous.

If you work in a big country in a rural area sure generalist is very practical and valuable.

In a metropolitan city with many tertiary hospitals and specialists? Not so much.

FP in my opinion is best suited for rural medicine practices. Same FPs typically also staff the local ERs. FPs also assist specialists when they come in to do surgeries.

But for city cased FP work it is different. And realy no worth it trying to work like the rural FP.

Might be worthwhile looking into an area of interest for FP. Eg mental health, occupational med, addiction med, sports med.


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