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Old 23-03-2022, 11:21 PM
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I am currently mopex, thinking of doing fm work eventually. (Just completed gdfm, will Either aim for rp in ops or just go join a chain grp/locum once my peg bond finish)

Would like to ask seniors for their genuine opinion. (Not just fm, but all specialists, esp those involved in public health)

How would the new initiatives announced by minister Ong change the healthcare landscape in Singapore? (In terms of job opportunities, financial Remuneration and how hospitals function etc)

The 2 new initiatives I am referring to are mainly the capitation funding model and the "every Singapore to be registered with one gp" idea

I think the concept is largely modelled from overseas (esp UK) but do you guys think it will work in sg context? (I mean I am doing gm now, I can tell you we really investigate and refer a lot for very minor things, i.e a lot of defensive medicine. Also understand from my fm resident colleagues that pple in ops also sometimes demand to see specialist even for simple things that can be managed at ops)

I am just not sure the new initiatives will work out as sg pple are simply quite different (to put in a polite way) compared to UK pts from my personal experience. (Disclaimer I studied medicine in UK and worked as fy1 there)

A lot of my consultants are quite skeptical but was wondering what pple think (genuinely), and how will these affect our career choices ?

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No initiative from admin is ever intended to increase health care spending. It is always to cut.
Always remember where your responsibilities lie. Patients.
Drs are paid to see patients. You see one patient the patient pays. Doesnt matter how good or how crap your consult was. How short or long. At least in most FM situations.
There is no outcome based remuneration system.
This is why defensive medicine is king now.
Order more tests is safer also feeds into what patient wants. And in some cases can charge more. In cases of flat rate fees then is system lose money not patient also.
Medicine is all about volume.
How many patients you see.
How many patients you op.
The more you see and do the more you earn.
The outcome? As long as not bad no complications actually can already. Be competent but there is no reward for being Dr House.
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