Quote:
Originally Posted by Unregistered
Can I ask, is the fellowship program designed purely for FPs in the public sector wishing to take on leadership roles? Meaning it has very limited educational value that make one a better clinician/fp. (I see gps doing mmed via program b, even though it has limited value for progression in private, as they find that they do learn things by studying for it.) Wondering if the same applies for fellowship or is it really designed for people wanting to take on administrative roles?
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1. not true.
2. the gist of this is , you don't know what you don't know. I remember not so long ago, one GDFM FP in my ops told me ( after just passing GDFM) that M.med , aiyah, easy la. GDFM cover a lot liao, i don't see how you ( me) guys know more than me. This is the guy who start nitrofuratonin for suspected pyelonephritis in a male with CKD. Wrong on so many levels. He think he knows a lot, but actually, he knows sheet.
3. I say the bare minimum to be a competent FP is actually a m.med , which is the par for course for gp from many countries ( MRCG is 3 years, fracgp is 3 years and so is ABFM). Its a travesty to allow these bond breakers with limited experience to see patient independently in Singapore tbh.
4. the origin of the fellowship was that they want to make Fam med become a specialty since > 20 years ago, so someone envision that you need to lengthen the training to match that of specialist with a intermediate and then an exit exam aka the fellowship so that SAB will be more accepting and then list Fam med as a specialty.
22 years down the road that hasn't happen lor.
I think there is a economics/ policy/ fearful reason not for that to happen and will not happen. If fam med become a speciality, then the FCFP will become specialist. Then people are gonna question GPs ( healthier SG ya) then your GDFM FPs are what? huh? you are letting sub-par, not fully trained doctor treat us all the time without oversight?!!!! Big can of worms no one want to open.
Any health minster worth this political salt will see the landmine and kick the can down the road....forever.
The fam med elders make a serious blunder 20 years ago when they decide on this route.
the idea is that you become an expert family physician with a fellowship ( m.med is at the proficient level while GDFM is competent).
you do become a bit better la TBH. Its tough lei. You have to do research ( must have results ) , know how to appraise the various kinds of studies , handle complex cases, pass a really difficult clinical exam in addition to having enough thoughts and insights into current medical development to answer the leadership and ehtics components
Just whether need such a pro family physician to see your run of the mill polyclinic case or not is another question. Overkill la. I think if u do community hospital medicine, you need it. if u can meet all the milestones, stand firm when grilled during exit exam and pass it , you are essentially an established clinician. Then when u talk , can be louder a bit la.