Hearsay they are also reviewing for all HO/MO/Reg as well, no just for OPS. Up to 15% with adjustment in clinical allowance. Also implementation of new AHA (After Hours Allowance). Maybe that’s why got delay. Gotta hang in there I guess.

Aha ?
Isn't that your on call allowance?

Actually I doubt there is any salary revision
All these pesky seniors give us false hope

I heard they giving a one time 100k retention bonus too

Hi guys, do you all feel that sg PTS in general (esp the older ones) tend to just want treatment for their symptom rather than treating/investigating for the underlying cause of their symptoms?

Can give many examples of that in my practice in ops.
A) rash- just wants gentrisone because it works, not keen to hear about its side effects, and what could be the underlying cause of the rash (in this case was actually venous eczema...)
B) just want omeprazole for GERD coz it works. Not keen to work up/scope even though the gerd is like persistent for years. (Never had scope previously)
C) just want anarex for longstanding back pain/knee pain, refused to consider XR, or evaluation of possible causes, or consider physio as alternative ..

Many more examples I can think of.
But seems that people (esp the older PTS) don't get worried until they get symptoms. (Hence hard to convince them on the importance of chronic disease control), and when they get symptoms, they only want symptomatic relief, and not investigate/treat for underlying cause...

Not sure if pple feel the same or maybe I just noob.

It's true. Don't need push too hard if no insight. Patient satisfaction trumps all.

It is true. Very short sighted. Maybe no insight also. Quick fix.
Also to do more tests and investigate got to take time off (work is paramount) and spend more money (money is even more paramount!)
But you must be careful. Still got to tell them the whole shebang. Cos if you just prescribe PPI and later turns out is indeed gastric ca they will say why doctor never warn me???
Patients have full autonomy and none of the responsibility.
Dr takes full responsibility but has to follow patient's autonomy.
Document you had suggested plan and patient declined. I know it sucks to preach to the choir but have to protect yourself.
At the end of the day, you want to practice in a field of medicine where people go to you and actually WANT what your proper practice does.
Few people go to aesthetic dr and says dowan botox dowan filler.
Same for surgeons.
Another common one is people asking for MRI spine. MRI spine doesn't determine some special medicine to cure the back pain. It usually means injections and/or surgery. Do the MRI already then tell patient they say wah lau I wasted my money then. Cos I thought with the MRI you can choose some better medicine for me.

Until you missed something. Gastric Ca. Pancreatic Ca. then patient say doctor never warned me.
Jia lat. No documentation you warned patient of red flags. Suggested further investigation.
Sue.

Nothing wrong. They are paying you money to get what they want. At the end of the day, you are just a service provider to them. Consider what alternatives? Are you gonna pay for those alternatives? If not, just be silent and give them the treatment that they want.

Just document properly. You can lead a horse to water but you can't make it drink. Health literacy in Singapore is laughable.

Retention bonus? ********.

Let me put it to rest for all you OPS people who waiting for some Payraise.
THE PAYRAISE IS NOT MEANT FOR YOU.
Hospital ppl enjoy your second bonus in 2 years.

Sounds about right as OPS does not work as hard as other doctors in the hospital.

Then get rdy for a MRA charge?

Yup.
OPS / primary care is very low value work.
Standard of care is similar to M5 student or worse.

Don’t hospital and polyclinic ppl take the same kind of bonus? At Ops have retention bonus, hospital don’t.

Don’t hospital and polyclinic ppl take the same kind of bonus? At least Ops have retention bonus, hospital don’t.

Couldn't agree more. Low value work = low value compensation. You reap what you sow.

So sad.
But ok la
Primary care low value work low pay lo
Hospital high value work but pay also low..really milking your altruism
Heng I not in hospital..my altruism v low.

It's okay, don't be sad, you happy can already tbh. Don't need compare with others.

Yes the young fp bonus of 50k over 3years is only for ops. (Even ch don't have) but I guess that's because our basic way lower than an exited specialist lah.

Not complaining as I do appreciate that specialist really add more value to a pt than fp. (coming from an exited FM resident who cleared mmed). I feel that fp role in the healthcare ecosystem is to be the screener/1st point of contact for pts. We help to screen out and manage the simple cases, and hand over the complex ones to the specialist.

For example, oa knee, we counsel on activity modification, physio, quad strengthening exercises, analgesia. Actually Ortho can do exactly what we do plus they can do tkr. Just that they don't have the manpower to do that for all pts, hence they only see the severe cases that require op. But their skill set is way better than us.

We are essentially seeing the simple cases of all specialities so that the specialist themselves don't get overwhelmed with the mundane.

Just my personal opinion of course, and I do expect people to disagree.

Hi seniors, currently 2nd year in Med School. A non insignificant proportion of my batch mates now aspire to be aesthetic Med Drs. However, it seems that one does not need a medical degree to be able to do these procedures that beauticians probably can do as well. Am I missing something here? Why spend 5 years to get a medical degree just to become a glorified beautician?

Dun disagree.
There is no value in primary care as a employee
Health systems like you cos u are cheap .
Dun get suckered into doing ops or primary care.
Dun bother to do FM despite what everyone is selling you
Even chin chai do AIM or geri u get specialist badge
Got Minons to do your job in hospital
Run clinic 2 to 3 sessions nia
Got time drink kopi at 10am if no clinic

Guai Gaui 2 years get con
Help with some project another 4 years get SC
Then chillax all the way liao.

Ops u see patient all day.
Everything also step down to primary care
System want healthier sg also primary care
CDM also primary care.
Speciality busy create pathway for primary care to manage
Seem to be doing the bulk of the job but getting paid peanuts
and getting squeeze on all front and no recognition.

What for man
Dun want or cannot get into speciality dun go do FM la
Straight go gp land and see urti, msk , eczema
Simpler and make more money

Whom/Where did u hear this from? This is unlikely as there was just a recent pay review for MO/MO/Reg whereas poly was not reviewed, hence now poly pay is being reviewed, they need to retain ppl as someone has to run healthier sg

This is subjective. In AIM/Gen med, u get direct complaints , u get sued, in OPS , the boss and management answers, you are safe. secondly, gen med/AIC need to come back weekend/PH to round if you are rostered, that is not something i am keen for.

OPS i can go part time, no such thing in gen med.
OPS I can refer out difficult pts, gen med you are stuck with that patient
OPS I get immense satisfaction when i referred out my clinically diagnosed I/O to ED and saved someone's life. The number of times ive picked up newly diagnosed cancers, i lost count alrdy. It is interesting and to each their own. I prefer the 5-15 mins OPS consults. I do not like the 1 hr complex consults of diagnositic dilemmas. I dont wanna follow-up on the pt , after they leave my door its bye-bye. I dont wanna deal with all their issues in the ward... NO WAY

Beauticians cannot do botox, fillers, medical grade lasers

Woah so many rumours

Also dermal fillers that can cause blindness!

How about the blue laser treatment for acne scars? The nurses can do right?

Can buy from shopee do yourself

What has the world come to?
When I was m2, I wanted to save the world

So when is the official announcement ?

Honestly don’t think it’s going to come this year

The m2's are getting more realistic and informed.
Not like you idealistic daft.

******** la. stop posting unfounded information.

The true ppl already know when and how much

Because the returns are just much faster to realise compared to the traditional path of medical specialisation. I can speak for my batch of GS, some have resigned and are now practising aesthetic medicine.

It is possible to make quarter of a million within a year of joining an aesthetic chain, and upwards of half a million with 5 years of aesthetic experience. Many of the top performers then strike out on their own. It’s very possible to rake in over a million in a year before the age of 40. Popularity is what it all matters.

I think it is not likely to get 1 million
The competition is strong
If u work for somebody is just 250-300k

Completely agree. FM and MMed was a waste of time.
System is crap. Just get out, have the autonomy to treat patients properly and earn decent money. Either that or specialise.
Don’t waste time doing MMed and working in OPS / primary care. It’s a total hellhole with no satisfaction.

Really? Circular is out?

Ya circular out
Polyclinic pay cut 50%
Specialist pay increase 20%

Sounds about right.

Also, public not happy wait so long to see lokun. Got to camp 10pm every night to book appointment and might not get. So now polyclinic need to do calls from 6pm to 10pm daily to clear backlog.

Actually they should consider expanding opening hours
Primary care should not close at 5pm.

Opening longer hours allows people to see their dr
Without having to take time off fron work.
Go after work.
This will take sone pressure off A&E too.
MOH should order OPS to open till 10pm.