How is life as a doctor in Singapore?

Originally Posted by Unregistered

I did visit the skin center twice. Always prescribed me the same meds and perhaps different creams. Its also not easy to get appt at skin center again and again once the period lapses.

The condition is rather persistent so I decided to go private. But the med he prescribed is exactly the same as what the NSC did.. the only difference is that now we are undergoing lasers and whatnot.

So the question is still if these lasers work? Or is the effect due to the medication but attributed to the lasers?

You do know that it’s very difficult to give you any useful opinion without even seeing your skin condition? Is it acne? Scars? Pigmentation? Nodules? Cysts?
Lasers do help with some conditions, not all.
And even then results are not guaranteed as well.

Really not the right place to seek for an opinion regarding dermatological conditions.
Sorry bro.

Originally Posted by Unregistered

The only person who can tell you whether they will hire you 10 years from now is God almighty.
Primary care scene is evolving rapidly and MMed-ers are being churned out every year.

Who knows what will happen?
Likely over time MBBS holders will not be able to prac independently without minimum GDFM.
And maybe 20 years later GDFM will be phased out, need minimum MMed to prac independently outside.
Likely within next 1-2 years, fellows will be recognized as FM specialists as well.

OPS already gonna be fully staffed by MMed-ers gradually.
Need to wait for all the old time RPs / GDFM holders to retire over the next 10-20 years and they will all be replaced by the hordes of MMed-ers

i have a few qns:
what is the point of SAB if there is no consultant job for GP?

what is the point of FM if there is FM is paid same as specialist?
The whole point of FM is to reduce cost and reduce specialist referral.
now make FM specialist and pay at specialist rate of $150 per consult isnt that defeating the point?

Originally Posted by Unregistered

i have a few qns:
what is the point of SAB if there is no consultant job for GP?

what is the point of FM if there is FM is paid same as specialist?
The whole point of FM is to reduce cost and reduce specialist referral.
now make FM specialist and pay at specialist rate of $150 per consult isnt that defeating the point?

1) "what is the point of SAB if there is no consultant job for GP?"
don't understand what you mean by no consultant job for GP?
are you even a doctor? if you are then you know there family physicians can get promoted to assoc con, con and senior con etc...
this has been in place for a long time, so i'm not sure what you're saying

2) "what is the point of FM if there is FM is paid same as specialist?
The whole point of FM is to reduce cost and reduce specialist referral."
i don't understand what you're saying here as well.
you do know that health care costs is not just the salary of doctors right?
think you need to study some basic healthcare econs (and some English classes as well)

Originally Posted by Unregistered

1) "what is the point of SAB if there is no consultant job for GP?"
don't understand what you mean by no consultant job for GP?
are you even a doctor? if you are then you know there family physicians can get promoted to assoc con, con and senior con etc...
this has been in place for a long time, so i'm not sure what you're saying

2) "what is the point of FM if there is FM is paid same as specialist?
The whole point of FM is to reduce cost and reduce specialist referral."
i don't understand what you're saying here as well.
you do know that health care costs is not just the salary of doctors right?
think you need to study some basic healthcare econs (and some English classes as well)

Recently i got a referal from polyclinic. I was refer to a doctor who is specialist in internal medicine. Advance internal medicine to be specific. Whats is advance internal medicine and how do they differ from different specialist? But then credits to the advance internal medicine doctor, she was able to manage many conditions without refering to an organ specialist. But is advance internal medicine just another GP?

Originally Posted by Unregistered

i have a few qns:
what is the point of SAB if there is no consultant job for GP?

what is the point of FM if there is FM is paid same as specialist?
The whole point of FM is to reduce cost and reduce specialist referral.
now make FM specialist and pay at specialist rate of $150 per consult isnt that defeating the point?

hello.
stop making a fool of yourself.
gp, fp also dunno difference want to come here argue.

instead of one doctor for back pain, one for hypertension, one for diabetes, now one FM doctor can manage all 3. 450 dollar Vs 150? infact, FM doctor if paid 200 bucks also saving Liao. poor patient instead of visiting doctor 3 times, one visit settle everything?

use some brains before u post la. really wasting o2 by existing.

Originally Posted by Unregistered

Just wondering does having a mmed (fm) means confirm will get job at ops. For example, if you pass your mmed and go private, but after 5-10 years bored of private want to come back, will they take you as long as you have mmed even though it was passed 10 years ago? (I mean people may want to locum ++ during their younger years but once reach 40+, just want 8-5 job)

nope.
where got confirm ? m.med dime a dozen lei.
I ops head also dun want to hire private gp.
you are slower and u probably practising vodoo medicine already.
your chronic disease skillset likely v rusty.
plus navigating public healthcare resources and utilizing allied health will be unfamiliar to you.
plus u likely want to come back to chill and retire
I rather hire a 30 year old young and aspirational guy hot and energetic off passing their m.med who will take my arrow for audit, research and whatever initiative to hit my KPI.

think about it la. this kind of question need to ask ?

Originally Posted by Unregistered

hello.
stop making a fool of yourself.
gp, fp also dunno difference want to come here argue.

instead of one doctor for back pain, one for hypertension, one for diabetes, now one FM doctor can manage all 3. 450 dollar Vs 150? infact, FM doctor if paid 200 bucks also saving Liao. poor patient instead of visiting doctor 3 times, one visit settle everything?

use some brains before u post la. really wasting o2 by existing.

got a gdfm many years ago. And prolly your senior kae.
My english no good coz i went to a lousy sch.
My era a lot of ppl go to that lousy sch.

Gp 就是gp. Why want to make it to specialist.
Even though im fp, we still call ourselves gp.
Coz gp got pride.

But the $150 bucks per fp specialist consult?
Back pain? U can do op? U can tens? U can physio?
-tbh i just nsaids and mc nia.
Hypertension u know how to investigate for secondary causes? You know how to interpret aldo renin?
-i just try 1-2 anti htn. If need 3 or more or hypoK i send out alr to investigate
Dm u know how to manage type 1? Insulin pump? U know how to counsel for glp1?
-brittle type 2 and type 1 i will refer out

So i dont understand why we need so many qualifications and fm specialist coz gp is supposed to be for the masses.

For the people and keep care accessible

Ideas concern and expectation can only work so far.
1mile wide, 1inch deep. Cannot be helped

I always refer out when it is neccessary.
But just fearing the $150 consult for gp will worsen the situation and access to care

Originally Posted by Unregistered

nope.
where got confirm ? m.med dime a dozen lei.
I ops head also dun want to hire private gp.
you are slower and u probably practising vodoo medicine already.
your chronic disease skillset likely v rusty.
plus navigating public healthcare resources and utilizing allied health will be unfamiliar to you.
plus u likely want to come back to chill and retire
I rather hire a 30 year old young and aspirational guy hot and energetic off passing their m.med who will take my arrow for audit, research and whatever initiative to hit my KPI.

think about it la. this kind of question need to ask ?

So I guess of one choose to leave for private, (at whatever stage) it's essentially a one way ticket?
I mean 80% of primary care is in private practice. I am not sure if one will become too myopic if they just stay in ops for life?

Hi everyone, I understand that many in this forum have a lot of life experience. I have some doubts. Should i choose computer science or medicine as a career? I’m fresh out of JC, 90RP but currently serving national service. Not sure what to apply.

Originally Posted by Unregistered

Hi everyone, I understand that many in this forum have a lot of life experience. I have some doubts. Should i choose computer science or medicine as a career? I’m fresh out of JC, 90RP but currently serving national service. Not sure what to apply.

Try to get a psc scholarship, safos/spfos, oms. If you want a stable career.

If you have interest in tech, want to build your own start up and get your unicorn , then cs is the way to go.

If you like medicine, find yourself good at academics but doesnt like thinking out of the box and pretty average at social skills, then medicine is good too. As the worse performing doctor earns more than an average swe.