I am sure when consultant are on call, they get paid?, Esp when they are called overnight.
Some of the gs cons are doing step down reg calls, I am sure they are paid as well?

Singapore vs UK
 

Hi, singaporean studying in a UK med school graduating next year. Can I ask about the residency scene in Singapore? I had always planned to come back to sg after graduating but heard recently from some friends in other UK med schools that residency is getting very competitive so they have decided to stay in UK to specialise. So competitive to the extent that they turned down the pre-employment grant so they can stay in UK to specialise. Can you shed some light on the situation in Singapore. One of my MO friends said they are pushing for resident physicians? How does that differ from the conventional residency track? Thanks!

Healthcare cost is very expensive.
Therapeutics
Diagnostics
Labour


A lot of singaporeans dont want gst increase
A lot of singaporeans want to see doctor cheap

So how can we achieve our aim

We will work on therapeutics
-come up with Standard drug list
-negotiate with pharma, u sell us cheap，we buy in bulk, make it a standard 2 drug

We will work on diagnostics
-introduce real cost of diagnostics, make patient pay for it, doctor feels the pinch wont anyhow order

We will work on labour cost
-We need good labour but not too expensive
-we need senior people do calls (RP or senior RP)
-we need consultants but not too many
-so we make rp pay competitive, increaee rp pay
-we reduce consultant pay
-to make it less incentive to become consultant
-we also have a lot of quality labour from foreign countries and returning sinkie to augment our labour force
-in addition we have 3 local medical schools

Why are we doing all these?

Ppl no want taxes. Ppl want good and cheap healthcare


Now sinkie die very old
-a lot of nursing homes
-we encourage sinkie to exercise but we know a lot dont
-alot will stroke out and become prawn
-so we make them buy careshield
-a lot will frequent flyer hospital
-we have no choice but to increase premium

Tldr: sustainability sustainability sustainability
If we go the 1990s and 2000s ways, our healthcare will collapse
We cannot provide so much specialist positions, too expensive
We need good gp and rp. We are according them more recognition and previleges to keep our system working

O summarize

Sinkies ai Chee ai pee.

What is the pay for rp and consultant? Have they increased and decreased respectively over the years according to your post?

Nope.
Your step down surg reg AC gets paid the same as the registrar who is on call lor.
200 plus a weekday night. Maybe if he do 100 calls a year get 20k more. How to push to 240k?
Ur medical con might get a small fee if he Kenna call if there's such an arrangement. But seriously..they don't get call much, that's what the reg is for.
Others will be those interventional guys like cath guys. Again depends on arrangement, but with so many cards guys like flies, they are happy to get a job liao.
Maybe obstetrician ba, when they come back to pop a baby they get a good amount. But...damn shag. Forever on call.
No 240k for ac la. Esp under the new schemes.

Probably just a overpaid specialist con getting paid 2-4x his fam med peers posting during his 'admin' time while his reg and mos do all the leg work.

Just a random question to you doctors out there:
Why so ngiao with MC? Is there any legal complications if you give too many?

Genuine question, not being salty. Always wondered why there are so many GPs who seem reluctant to give MC.

You Out of pocket fee paying? Meaning you dont use a third party adminstrator like aviva, mhc or some benefit cards?

It is unlikely that a gp will be reluctant to give you mc

Coz you full fee paying and is their source of their revenue. So to make you as their loyal customer usually will accede to you. Then they will be extra polite and nice too

However if you on some insurance/tpa scheme, that they will be remunerated just $5 they will be unlikely to give. Coz if they acede to your mc seeking behaviour, this encourages repeat visit and they arent really that keen on seeing you for only $5. Every tpa visit patient they see is precious time and money lost

For polyclinics, saf nsf we dont give more than 1 days. Too many chao keng.
For working adults dont really give too coz we must not decrease the productivity of the nation

Now is easy though, just say i got fever , dry cough, i think got covid. U get a swab and automatic 5 days mc

How many days MC depends on the condition and also the patients work and obligations

Eh dr give MC of questioned have to explain and justify why X number of days.

1 day 2 day usually no problem.

Between 0 days and giving 1 day usually you are seeing a very uptight dr or a young dr.

I doubt SMC or anyone would fault a dr for giving 1 day MC except maybe for court absence which is more strict.

How many days you talking about that you could not get and think dr is ngiao?

Write complaint and see how lor.

These days patients are all potential complaints. Some drs see them as such. And to avoid complaints best to do what the customer wants (within ethical professional fudiciary limits of course)