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How is life as a doctor in Singapore?

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  #3201 (permalink)  
Old 27-11-2021, 08:03 AM
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Erm, I did mention she did not have contraindications to PO bisphosphonates.

If y’all see enough patients, there is a lot of information asymmetry out there.
You will see even poor patients going to private specialists simply because they do not know any better.
Some think only certain meds can be found at certain specialists, or wrongly assume that there’s only one management option available.

Of course it’s not in the private doctor’s interest to right site the patient because it is not in his own interest.
Your logic is absurd when you are applying it to businesses.

It is akin to saying the BMW sales people should explain to customers that there really isn't all that much difference between a BMW and a Lexus.

Or expecting the Apple Store to tell people they JUDGE to be poor to go buy Xiaomi phones instead.

You might be surprised that some of these "poor aunties" you speak of could be quite financially well off.

Leave the subsidies and determination of whether a patient meets criteria as needy to the social worker and the finance people.

The other option is to nationalize healthcare. All healthcare falls under MOH then.

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  #3202 (permalink)  
Old 27-11-2021, 12:48 PM
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Your logic is absurd when you are applying it to businesses.

It is akin to saying the BMW sales people should explain to customers that there really isn't all that much difference between a BMW and a Lexus.

Or expecting the Apple Store to tell people they JUDGE to be poor to go buy Xiaomi phones instead.

You might be surprised that some of these "poor aunties" you speak of could be quite financially well off.

Leave the subsidies and determination of whether a patient meets criteria as needy to the social worker and the finance people.

The other option is to nationalize healthcare. All healthcare falls under MOH then.
This is a never ending debate.
Market forces will speak for itself.
Healthcare is not a commodity. It is a business and sales of service.
It is fortunate that Singapore public has access to excellent healthcare at subsidized rates.
This is highly unusual in other countries.
I think the better to do ones should seek private healthcare. The service is different and there are more choices of medications and procedures, done more efficiently.
I would like to highlight that all private doctors served their time faithfully in the public sector at one point in their life before.
We dont cap the price of computers and cellphones? Then we should not cap the price of healthcare. The price needs to be managed.
The value is whether the healthcare provider can deliver care that is alligned with your healhcare targets.

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  #3203 (permalink)  
Old 27-11-2021, 12:59 PM
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Why do all the young doctors nowadays want to be locums and GPs? In the past everyone wanted to be a specialist. Are they being persuaded early in medical sch nowadays? What a change in mindset!



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  #3204 (permalink)  
Old 27-11-2021, 03:29 PM
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All want locum because parents rich already
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  #3205 (permalink)  
Old 27-11-2021, 05:07 PM
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Why do all the young doctors nowadays want to be locums and GPs? In the past everyone wanted to be a specialist. Are they being persuaded early in medical sch nowadays? What a change in mindset!
Because it has always been about prestige and money as much as doctors wanted to hide behind altruistic notions.

In the past, being a specialist was seen the pinnacle of the profession and society, giving you prestige, respectability and good upper middle class outcomes. You also had an undisputed monopoly on medical knowledge in a specific specialty.

But stagnating wages in public healthcare relative to other industries like finance and tech, has eroded this position.

Also, the accessibility of medical info on the internet has turned everyone and their NOK into armchair doctors. At the very least, it has demystified the complexities surrounding medical concepts and jargon. Regardless whether its the right or wrong info, the doctor's monopolistic hold on medical knowledge is also perceived by the public to have lessened.

So it's not really that the pie (of wealth and prestige) has shrunk, but rather the pie has increased while physicians' absolute amount of it has remained the same.

All these are not lost on the younger gen of doctors, who don't see the point in slogging it out for so many years for an end state that is less valued than what their predecessors enjoyed. Better to take the easy route in GP-land with easier outcomes.
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  #3206 (permalink)  
Old 27-11-2021, 05:36 PM
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Why do all the young doctors nowadays want to be locums and GPs? In the past everyone wanted to be a specialist. Are they being persuaded early in medical sch nowadays? What a change in mindset!
Coz we are strawberries.
We dont believe in eod calls.


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  #3207 (permalink)  
Old 27-11-2021, 08:14 PM
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Because it has always been about prestige and money as much as doctors wanted to hide behind altruistic notions.

In the past, being a specialist was seen the pinnacle of the profession and society, giving you prestige, respectability and good upper middle class outcomes. You also had an undisputed monopoly on medical knowledge in a specific specialty.

But stagnating wages in public healthcare relative to other industries like finance and tech, has eroded this position.

Also, the accessibility of medical info on the internet has turned everyone and their NOK into armchair doctors. At the very least, it has demystified the complexities surrounding medical concepts and jargon. Regardless whether its the right or wrong info, the doctor's monopolistic hold on medical knowledge is also perceived by the public to have lessened.

So it's not really that the pie (of wealth and prestige) has shrunk, but rather the pie has increased while physicians' absolute amount of it has remained the same.

All these are not lost on the younger gen of doctors, who don't see the point in slogging it out for so many years for an end state that is less valued than what their predecessors enjoyed. Better to take the easy route in GP-land with easier outcomes.
Yes indeed.
Nowadays GP and locum know more then specialist and charge less.
So i think we should have less specialist.
Let the GP disrupt the specialist so that consumer can benefit.
I think should let medication be directly sold to consumers.
I think medical specialist are pretty useless. Surgeons can do procedures.
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  #3208 (permalink)  
Old 27-11-2021, 10:14 PM
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Yes indeed.
Nowadays GP and locum know more then specialist and charge less.
So i think we should have less specialist.
Let the GP disrupt the specialist so that consumer can benefit.
I think should let medication be directly sold to consumers.
I think medical specialist are pretty useless. Surgeons can do procedures.
and the troll is back
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  #3209 (permalink)  
Old 27-11-2021, 11:26 PM
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Hi seniors, can anyone share their thoughts on the resident physicians/ "hospital clinician" roles? What is the payscale like? I heard its basically a trap that makes you do the reg work forever without receiving a proper con pay...
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  #3210 (permalink)  
Old 28-11-2021, 01:05 AM
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Hi seniors, can anyone share their thoughts on the resident physicians/ "hospital clinician" roles? What is the payscale like? I heard its basically a trap that makes you do the reg work forever without receiving a proper con pay...
You already fell into the trap of becoming a dr. What's one more trap to become hospital slave? LOL!
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