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20-12-2021, 11:00 PM
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Quote:
Originally Posted by Unregistered
duh. u are a doctor not a triage nurse. if everything refer we need a doctor for what, might as well set up a counter and hire a clerk for 2k asking which department in hospital he want to see.
referral do get auditted. I'm doing one now.
every one meets the patient who request referral despite ur reassurance.
by and large , average number of referral stay constant. mopex mo become referralogist get flag out plus plus la.
8 to 10 minutes consult are doable. just doing it constantly for 50 patient a day sibei sian.
and as mopex mo , no one expect u to see that number. baby mo first few week on the job see 50 patient a day means u anyhow see.
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Dun be so dramatic la. No dr is going go refer every patient. Only the ones who request for refertal and the ones with complicated conditions.
Problem with medicine is no one measures metrics of how good your work is really. All anout wait times and volume. What is "anyhow see"? If no one die no one complain all the guidelines followed Ts crossed Is dotted then all is good. No need go beyond not the job.
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22-12-2021, 12:13 PM
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Any clinician worth their salt in Singapore knows what ‘anyhow see’ means! If you’re unsure what that entails, perhaps you’re guilty of practicing it?
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22-12-2021, 01:52 PM
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Quote:
Originally Posted by Unregistered
Dun be so dramatic la. No dr is going go refer every patient. Only the ones who request for refertal and the ones with complicated conditions.
Problem with medicine is no one measures metrics of how good your work is really. All anout wait times and volume. What is "anyhow see"? If no one die no one complain all the guidelines followed Ts crossed Is dotted then all is good. No need go beyond not the job.
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sorry ah
some don't even follow any guidelines.
fibrate anyhow start.
lipids not controlled also don't start.
aki can TCU 3 months repeat creatinine.
talk to them they say sorry..I old forget guidelines.
anyway. anyhow see or not pple know. if anything heaven knows
end of the day as one famous doctor and now tapei of mayor put it
心存善念, 尽力而为.
karma is real. dun fall on you also fall on ur loved ones.
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22-12-2021, 04:54 PM
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Can I check is it ever too late to venture into asthestics? I just completed my mmed fm (just passed my exam this year; went through the residency route). I am thinking of joining private practice once my current posting ends on 5th Jan (I continued as mopex post residency didn't sign on with ops).
Unfortunately I am slightly on the older side, 34 this year. (unfortunately entered residency late as I was unsure what I wanted to do initially)
I know asthestics is now a big part of private gp care, and
You do need someone to show you the ropes initially (which unfortunately residency doesn't prepare you for it).
I was wondering is it too late to start learning asthestics at 34/35? I mean ultimately nobody would want a old ugly looking uncle go do botox on them?
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22-12-2021, 06:08 PM
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Quote:
Originally Posted by Unregistered
Can I check is it ever too late to venture into asthestics? I just completed my mmed fm (just passed my exam this year; went through the residency route). I am thinking of joining private practice once my current posting ends on 5th Jan (I continued as mopex post residency didn't sign on with ops).
Unfortunately I am slightly on the older side, 34 this year. (unfortunately entered residency late as I was unsure what I wanted to do initially)
I know asthestics is now a big part of private gp care, and
You do need someone to show you the ropes initially (which unfortunately residency doesn't prepare you for it).
I was wondering is it too late to start learning asthestics at 34/35? I mean ultimately nobody would want a old ugly looking uncle go do botox on them?
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too late for your age? nah
too late in the game? yes.
now young entrants all have to be good looking.
after all, like you say , if u 长的有点抱歉 , who will trust you?
also, no one will show u the magic straight la. u learn everything 2 years later u set up ur own. linic liao. unless u got a friend willingly to show u.
if not, u probably work on mo/reg pay for 5 to 8 years as they slowly milk you.
aesthestic clientile diff ball game hor. ops ur heartlander uncle auntie easy to talk .
your materiistic young girl coming in wanting that Korean knifeless nose lift expectation is very different. they not happy dun come back u arm Chio, go smc complain you, even if not your fault u also sian as the complaint hangs over u before resolution.
dun waste ur m.med la. not easy to earn it. the salary isnt much lower than the average aesthestic doctor.
next year fcfp can register as specialist liao.
earn it , open clinic put family medicine speciliast clinic probably can be first entrant to market.
hardcore medical skills never go out of Vogue.
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22-12-2021, 08:22 PM
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So many “doctors” in this thread LOL
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22-12-2021, 11:44 PM
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Quote:
Originally Posted by Unregistered
sorry ah
some don't even follow any guidelines.
fibrate anyhow start.
lipids not controlled also don't start.
aki can TCU 3 months repeat creatinine.
talk to them they say sorry..I old forget guidelines.
anyway. anyhow see or not pple know. if anything heaven knows
end of the day as one famous doctor and now tapei of mayor put it
心存善念, 尽力而为.
karma is real. dun fall on you also fall on ur loved ones.
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Maybe is the patients themselves dont want to start. Or want to start? Young drs. Probably dunno how to or too lazy to document properly.
Medicine is also an art. Seems to have been forgotten. The doctors who are rigid and stick to ONE line of thought ignore patient ICE are usually the ones get into trouble with complaints.
And stop with all this moral and karma stuff.
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23-12-2021, 09:28 AM
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Quote:
Originally Posted by Unregistered
Any clinician worth their salt in Singapore knows what ‘anyhow see’ means! If you’re unsure what that entails, perhaps you’re guilty of practicing it?
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Any doctor will tell you it is a spectrum and subjective to one's training and specialty. You go ask Internal Med people whether Orthopods "anyhow see" when dealing with medical issues. Or ask OBGYN whether Internal Med anyhow see Gynae issues.
In the case of Family Medicine it is so broad. I dont know why but doctors tend to have this habit of insulting other drs, ridiculing their skills and proficiency as if to make themselves feel better and more superior. It is a toxic profession.
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23-12-2021, 11:21 AM
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Of course we’re not suggesting that GPs provide specialist level care! They should not as it is not their job and they are not obliged to provide it! We are referring to doctors who are not value adding to their patients care despite it being within their capability to do so.
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23-12-2021, 02:09 PM
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Quote:
Originally Posted by Unregistered
Of course we’re not suggesting that GPs provide specialist level care! They should not as it is not their job and they are not obliged to provide it! We are referring to doctors who are not value adding to their patients care despite it being within their capability to do so.
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Think this (capability) is very subjective. For e.g do you think a surgeon should know how to manage hypertension?
Reason why I say this is that gps in Singapore come from many different backgrounds.
You walk in to a clinic, you could be seeing a experienced gp who went through residency, completed mmed and fellowship. Alternatively you could be seeing a nsf locuming who only has 1 year of mo experience, or someone who has done orthopedic all their life as mopex and decided to quit and go gpland after failing to get into ortho residency once their bond end
They obviously have different levels of competence, hence their management and threshold to refer would also be very different..
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