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How is life as a doctor in Singapore?

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  #1821 (permalink)  
Old 13-03-2021, 02:09 PM
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This oft quoted example of patient wanting abx for flu and cold a bit cliché lei.
Only the china patient wants those reduce inflammation meds now a days. Everyone understand when I say abx kill bacteria, u have a virus, abx doesn't kill it. Only the ah tiong still go 消炎药 and when u ask them to translate or show pic..it turn out to be some penicillin. Got time I try to educate them, [b]dun have time I take the chance they will complain[b] and don't give them.
Come on la, private world , they give abx to earn money, really patient request meh. Hardly any during my locum and private gp stint. Sometimes they even say dun give me abx hor, last time the augmentin u give me cost 40 dollars.
Practice ebm is not about forcing the patient to do what u like. A lot of it is understanding their perspective. The ah ma who forever believe her cough is due to heatiness of cos don't like it when u tell her her belief is wrong. Same like Christians who hear Jesus talking to them..medically they have hallucinations lei. U go tell them that lor, see get complain or not for not respecting religious views.
Emb is about u as a doctor understanding the basis for Ur medical decision and advice and tailor it to the patient needs. If got chance, educate and explain instead of expecting the patient to 100 percent follow u blindly.
If u lend a ear and patient trust u, they will follow what u say.
Your standard as a doctor is lacking la. That's the problem. An inadequately trained fp adpots attitude like yours.

"dun have time I take the chance they will complain"

Ok you win lah. BTW how much you get paid for your excellent EBM ICE consult?

Wonder if your pte clinic can survive pay rent and staff purely on consult fees?

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  #1822 (permalink)  
Old 13-03-2021, 02:11 PM
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"dun have time I take the chance they will complain"

Ok you win lah. BTW how much you get paid for your excellent EBM ICE consult?

Wonder if your pte clinic can survive pay rent and staff purely

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  #1823 (permalink)  
Old 13-03-2021, 04:22 PM
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"dun have time I take the chance they will complain"

Ok you win lah. BTW how much you get paid for your excellent EBM ICE consult?

Wonder if your pte clinic can survive pay rent and staff purely
i dun think so lei. I thought about going private, and i have no serious idea how to survive.
Rent 8k, 2 staff total 5k, even toilet auntie need to pay. utilities, gloves, even urine dipstick, computer system.
Havent see any patient fix cost about 15K per month liao. I earn 25 buck per patient my first 600 patient per month no earnings. Realistically with 24 day work month , my first 25 patient no earnings. Next 25 patient net me 15K salary. I dont think i can hit 75 patients a day to earn 30K. Got money no life to spend. No cpf, CME i settle myself, insurance i settle myself, bloody hell, even PC every 2 years 900 bucks i need to pay myself. No annual leave, no MC. Wife give birth no hospital cover, no health insurance. Must work evenings.

Yikes!

Life not easy for private GPs.
TPA takes such a big cut, patient have so many choices. Ya, u at the mercy of the customers and the blood suckers TPA. No wonder so cynical having to lower yourself to make ends meet. I sincerely apologise. You are truly the backend MC provider of the SG health system.

Nah , I think i hide in my polyclinic , scold my residents and fail the lousy gdfmers more easy life. Maybe one day senior enuff to fail the m.med exam takers or grill them jialat jialt at the 40 cases viva.. haha. Miserable 2-3% annual increment that cant cover inflation. 55 years old get psy letter state overwork then ask for part time ,work 3 days a week and start spending the money i take out from my cpf.

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  #1824 (permalink)  
Old 13-03-2021, 11:38 PM
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"dun have time I Lp take the chance they will complain"

Ok you win lah. BTW how much you get paid for your excellent EBM ICE consult?

Wonder if your pte clinic can survive pay rent and staff purely
I come into this profession to practise ebm and optimise patient outcomes for my community

My landlord, clinic assistant and i share the same vision.
Even the drug reps that come to my clinic are inspired by me.
We all are willing to live a life of poverty, obedience, chastity to achieve our grand aim of practising low cost high value fam med ebm.

Do you want to join my practice?
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  #1825 (permalink)  
Old 14-03-2021, 12:29 AM
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I come into this profession to practise ebm and optimise patient outcomes for my community

My landlord, clinic assistant and i share the same vision.
Even the drug reps that come to my clinic are inspired by me.
We all are willing to live a life of poverty, obedience, chastity to achieve our grand aim of practising low cost high value fam med ebm.

Do you want to join my practice?
You should move to Canada.
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  #1826 (permalink)  
Old 14-03-2021, 12:45 AM
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Canada needs well trained doctors like Singapore FPs with MMed

Saskatchewan's Rural Physician Incentive Program (RPIP)
Please apply within the first 90 days of each year of practice.

Description

Under the Rural Physician Incentive Program (RPIP) recent Canadian Medical Graduates (CMGs) and International Medical Graduates (IMGs) who establish practice in a rural or remote community in Saskatchewan with a population of 10,000 or less may apply on an annual basis for retention incentives.

Program Parameters

Retention incentives under this program may be available to physicians who meet the following eligibility criteria:

Successful completion of post-graduate or internship training in Family Medicine within the previous twenty-four (24) months for CMGs or thirty-six (36) months for IMGs from the date practice is first established.
Holds licensure in Saskatchewan with the College of Physicians and Surgeons of Saskatchewan (CPSS) at the time of application.
Has established a full-time practice or is providing visiting or locum service, during the previous twelve (12) months, in a rural Saskatchewan community with a population of 10,000 or less and are currently practicing in a rural Saskatchewan community with a population of 10,000 or less. For greater clarity, the minimum practice requirement to qualify for RPIP is practice in at least 11 of the 12 months with a minimum of 24 days per year.
Practice is in a collegial primary care team that is either physically or virtually connected in a group practice environment.
The practice is in alignment with and supported by the Saskatchewan Health Authority and the community is deemed to be a sustainable practice.
All applicants must meet the above eligibility criteria in a given year to be considered for a retention incentive.

Eligibility in a given year does not guarantee eligibility in any other year, nor does it guarantee that the program will not be subject to change prior to participants completing four years of service and receiving payment for any of those years under the RPIP program.

Eligible Communities:

All rural or remote communities in the province of Saskatchewan with a population of 10,000 or less are eligible under the program with the exception of:

Balgonie, Clavet, Dalmeny, Delisle, Emerald Park, Langham, Lumsden, Martensville, Pense, Pilot Butte, Warman and White City.
Practice requirements, as outlined in the Program Parameters above, must be met for each year in which an RPIP application is submitted.

Incentives Based on Years of Service:

Payment of retention incentives may be made to qualifying physicians at the end of each year of practice according to the following table:



Year 1

Year 2

Year 3

Year 4

Incentive

$10,000

$10,000

$12,000

$15,000

First year of service – up to $10,000 upon completion of twelve (12) months of satisfactory service to the community.
Second year of service – up to $10,000 upon completion of twenty-four (24) months of satisfactory service to the community.
Third year of service – up to $12,000 upon completion of thirty-six (36) months of satisfactory service to the community.
Fourth year of service – up to $15,000 upon completion of forty-eight (48) months of satisfactory service to the community.
Note: Physicians in receipt of the Rural Practice Establishment Grant (RPEG) awarded by the Saskatchewan Medical Association (SMA) will only be considered for years three (3) and four (4) of the Rural Physician Incentive Program.

Application and Adjudication

Adjudication of the RPIP will be made by saskdocs. Physicians are encouraged to submit an application within 90 days of starting each year of practice. A new RPIP application is required for each year of service.

The start date for the calculation of the incentive will be the date that the physician commenced their year of practice in an eligible community. Applications are adjudicated after 12 months of service are complete (adjusted for any approved leaves). The incentive may be pro-rated for practice that is less than full-time over the 12 month period.

Application Process

Submit this application form, along with a copy of your postgraduate medical degree (for first‑time applications) to:

saskdocs
100-311 Wellman Lane
Saskatoon, SK S7T 0J1
Email: [email protected]
Fax: 306-933-5115

*Physicians providing visiting or locum services will receive pro-rated payment based on time worked in an eligible rural community as reported by the Saskatchewan Health Authority.

*Sustainable practices are those structured or networked in a manner that provides physicians with collegial peer support, work-life balance, and reasonable call schedules.
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  #1827 (permalink)  
Old 14-03-2021, 12:48 AM
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Quote:
Originally Posted by Unregistered View Post
I come into this profession to practise ebm and optimise patient outcomes for my community

My landlord, clinic assistant and i share the same vision.
Even the drug reps that come to my clinic are inspired by me.
We all are willing to live a life of poverty, obedience, chastity to achieve our grand aim of practising low cost high value fam med ebm.

Do you want to join my practice?
The situation in Sg sounds so sad.

You shouldn't have to accept a life of poverty and chastity to practice high value ebm fam med.


If Sg doesnt value you move to another country that will!

Dont be disheartened!


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  #1828 (permalink)  
Old 14-03-2021, 01:43 PM
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Sounds like there is a super FP here that is the best doctor in Singapore and some say Batam! With the massive influx of FM trainees , doctors aiming to do GDFM, the market will
Be saturated again in no time. With easy access to specialists even in the public system, why would the average patient allow a GP to perform procedures on them that they seldom do, rather than the specialist who’ve done it countless times? Tough times nowadays, better to not be a doctor at all
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  #1829 (permalink)  
Old 14-03-2021, 11:27 PM
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Sounds like there is a super FP here that is the best doctor in Singapore and some say Batam! With the massive influx of FM trainees , doctors aiming to do GDFM, the market will
Be saturated again in no time. With easy access to specialists even in the public system, why would the average patient allow a GP to perform procedures on them that they seldom do, rather than the specialist who’ve done it countless times? Tough times nowadays, better to not be a doctor at all
Because the consult fee for the FP is only $5-$30.

And some super FPs are doing it for free practically. Willing to live life of poverty. Even the landlord is complicit in that. Amazing altruism in Singapore.

It is all about trust. Perhaps the age of super (cheap) FPs are here. Very well trained can do the job of specialist all for $30.

It will kill the specialist market. Specialists beware.

But overall good for Singapore. The health costs will become some of the lowest in the world.
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  #1830 (permalink)  
Old 15-03-2021, 02:58 AM
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There is a typical general hate to new people la.
Stealing our job. Higher paid. Entitled. More benefits. Etc.

Even now I'm 45... My parents 70 plus still everyday compare their life so hard on the past we have it easy now.sure I have to finance my own education, finance their retirement, save for my own retirement, save for my children...

Sure. Easy.
But the young bloods now also have to deal with more challenges than our generation leh.

Tuition fees gone up a lot.
Condo prices were 0.5-0.75m. Now easily 1.5-2m. They can forget about ever owning landed property until their late 40s.
COE for cars also gone up over the years.

i can't blame some of them for being more focused on the finances of medicine
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