Quote:
Originally Posted by Unregistered
From a pure practice pragmatic perspective I find Fam Med the most boh hua. On one hand you supposed to bao ke liao. Make you learn so many things in great breadth. How much depth you want to go is actually also up to you. No end one. But on the other hand even if you had the breadth and depth, they make it such that you cannot really charge like a specialist or do work that specialist can do. What for man? You see complex multiple medical problem patient spend 30 min but you can only charge for like 5-10 min worth. So you know so much for what? Pride? I think if the plan is stay in the public sector and climb rank play politics and get posts then ok la do MMed Fam Med. Otherwise forget it lah go GP land and just churn the volume. Take all the easiest cases. Difficult cases send to OPS. Also the medication much cheaper if such patients got so many meds one go OPS.
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m.med why Bo hua?
in ops , the annual package almost equivalent to a non procedure ac who need spend at least 5. u getting it at year 3.5 afte passing the exit.
u become hired gp churn patients no point la. but eventually solo, having more knowledge will show.
u want to make 12k as a hired hand forever or build a patient base that u can gradually charge more as a practice owner?
ops difficult cases we also just refer ma to be honest. a lot of things like urinary incontinence , menopause I can manage but I also refer. eczema, acne patient say want see derm I v happy. put patient request and refer. soc also need quota, but those who dun want soc I can treat it as well..and I dare say even better than soc becuase with the experience with patients I can read them v well and know what's missing.
soc sometimes focus too much on the medicine but forget the human sitting Infront of them.