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Old 19-09-2022, 05:38 PM
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Noted recent threads.
Coming from a perspective of a junior FP (only cleared mmed last year). I think ops pts will get increasingly complex. After mmed, you tend to get arrowed to join various sag groups, where you work with specialist to design workflow/cpg etc.
In my opinion, with an aging population, there will be an increased demand in hospital services, and when hospitals cannot cope, they will try and decant their pts to us.

I forsee there will be more shared care pathways (e.g stable heart failure, COPD, ILD, wouldn't even surprise me if stable Ra pts may be decanted to us in the future), and more of the specialist drugs will be available in ops (e.g entresto, or certain dmards for RA, with specific workflow/cpg on how to manage these pts)
- they may also start decant pts earlier to us, e.g post pci for mi, cardio may just see once then decant to us, renal may only accept pts with ckd4 and above, meaning pts with ckd 3a/3b will be managed in ops. (I currently refer all ckd 3 and above to renal based on my institution cpg)

Gps are probably spared from this as they can always say I don't have these drugs, so I can't manage.

With the government grandplan for healthier sg, I forsee there will be increase demand in screening services which will likely be a huge source of income for gps.

Just my thoughts 😃
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