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In fact I actually even think that these info (esp pay progression, job scope, challenges faced for public doctors) should be made to the public, so that parents/jc students applying for medicine would have a guage of their career opportunities/potential Remuneration and compare it to other fields (e.g law/CS/finance etc) before they make a decision on their future. I have seen many medical students/junior doctors regret doing medicine, due to the suboptimal Remuneration among other reasons as well. It's difficult to blame them as how many 18 years old (when they chose medicine) actually truly know what they want? And they are now stuck with a hefty bond with mohh which they signed at 18-19 years old. I thought this article is a good read and highlights the practical situation of being a doctor nowadays but I really wonder how many jc students when choosing medicine are aware of this..(link below) s://.todayonline.com/commentary/want-study-medicine-and-be-doctor-singapore-heres-what-you-need-know-1813681 |
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you expect to be spoon fed? a career counsellor who sit down and counsel u for hours? GP land -> hired GP -> gp clinic owner -> chain owner - > minster of manpower polyclinic - > FP-> SRP -> principal PRP. if mmed -> FP, AC FP, C FP, SC FP hospital -> RP, SRP -> PRP or AC -> C -> SC- > EC Mo 4-6K, SR 7-8K, AC 12-14K before allowance. Once you become a hospital / polyclinic staff ( RP, AC etc) your increment is 3-5% per year. really strawberry generation. lamenting at the choice of career guidance. seriously?! find doctoring regretful due to lack of renumeration? While u can't buy GCB as a doctor anymore, any doctoring job should leave u quite comfortable anywhere. |
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s://.cfp.ca/content/cfp/59/10/e456.full-text.pdf |
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s://.cfp.ca/content/cfp/59/10/e456.full-text.pdf |
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1. Reid AJ, Grava-Gubins I, Carroll JC. Family physicians in maternity care. Still in the game? Report from the CFPC’s Janus Project. Can Fam Physician 2000;46:601-11. 2. Buchman S. It’s about time: 3-year FM residency training. Can Fam Physician 2012;58:1045 (Eng), 1046 (Fr). 3. Klein MC, Kelly A, Spence A, Kaczorowski J, Grzybowski S. In for the long haul. Which family physicians plan to continue delivering babies? Can Fam Physician 2002;48:1216-22. 4. Kaczorowski J, Levitt C. Intrapartum care by general practitioners and fam- ily physicians. Provincial trends from 1984-1985 to 1994-1995. Can Fam Physician 2000;46:587-97. 5. Shapiro JL. Satisfaction with obstetric care. Patient survey in a family prac- tice shared-call group. Can Fam Physician 1999;45:651-7. 6. Orrantia E, Poole H, Strike J, Zelek B. Evaluation of a novel model for rural obstetric care. Can J Rural Med 2010;15(1):14-8. 7. Omar MA, Schiffman RF, Bingham CR. Development and testing of the Patient Expectations and Satisfaction with Prenatal Care instrument. Res Nurs Health 2001;24(3):218-29. 8. Hoddinott SN, Bass MJ. The Dillman Total Design Survey Method: a sure-fire way to get high survey return rates. Can Fam Physician 1986;32:2366-8. 9. Nunnally JC. Psychometric theory. 2nd ed. New York, NY: McGraw-Hill; 1978. |
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you will never be happy with your pay if u compare with your friends. there is this thing called hedonic treadmill my jc classmate is a vp at a bank. earn 1.5x that of me (con). but i understand her difficulties. bank job less secure, performance dependent. on the other med is more stable. if i toe the line, support boss initiative, be safe, dont act clever, then job security is there. be safe some times mean referring when necessary, for someone more qualified in that field to treat the patient or give an opinion. |
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You never heard of senior service registrar for people who exited? People can be ssr for 1-2 years fighting for AC spots. But this wasn't made known to them when they joined residency 6 years back.. |
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if u didn't already know, under the commonwealth mode of training, Sg is already one of the earliest place to make AC or equivalent rank. for eg in UK, an anesthetist training is about 9 years long. They never have a job waiting for them when they come out. Most of them become locum consultant for a few years before getting a substantive consultant job , often in another more rural area. The situation is worse in Australia; there are simply no consultant jobs. A few years back , i look up the stats for this mind u, there are 25 fully trained cardiothorathic FRCS waiting for a consultant job to come up in 5 of the cardiac surgery center in Australia. For them , its not a matter of doing 1-2 years of SSR. Anyway, those folks from 10-12 years ago had it easy with the residency system. They can enter straight after med school. If u chiong, u can make AC in 5 years with AIM or GS. I went to emerg surgery with one such GS reg who is a pgy4 and i'm not impressed dude, i am seriously not impressed. He has no effing idea what he was doing. Im not saying i saved his ass, but i really did point out a lot of the things that can possibly go wrong and he was like so dangerously unaware. As my sc from UK said the next morning, he started as surgical basic trainees at PGY6 in the UK and he can't see how a pgy4 can actually have the experience to carry out that role properly. doing SSR for these guys is already easy on them and safer for patients. |
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Slightly different point but Many junior doctors (including myself I must admit) are all money minded and want work-life balance eventually, and I honestly think the whole covid pandemic exacerbated that. They honestly want to complete their training asap so that they can get out of the system rather than spending time learning their trade (surgery/medicine). The idea of spending 10 years in training to be a better surgeon for e.g just doesn't appeal anymore. Gone are the days are doctors willing to spend hrs slogging in the hospital. That's unfortunately a fact of the modern society, which is evident by the number of resignation I see during the last 2 years. From your post, it does appear that you are a senior doctor; I bet that you don't see people resigning at pgy2 (i.e 1st year mo) to go CTF locuming during your time as junior doctor right? I am currently a mopex (with mohh), pgy5 (i.e 4th year mo). I thought of doing IM and have even cleared mrcp, but the pandemic made me rethink my decision. I feel that public healthcare workers are really shortchanged financially compared to their private counterparts during the covid pandemic. We are paid a lot less and have to do lots of sai Kang. This is from my personal experience in ttsh/ncid posting during the covid peak where doctors from the private sector (e.g raffles hospital) tend to throw a lot of curveballs at us. (E.g they dump all the sickies or pts with social issues back to ttsh via ambulance, often without any proper handover/memo, and we are left to deal with all these pts) Maybe I am naive/superficial or I am just burnt out, but the covid pandemic make me feel that we are not really paid based on our expertise in medicine. I can't understand how can I be paid less than my junior (pgy2) locuming in CTF? (This is a true account btw, as the person who resigned and left for CTF was my previous ho on call before she completed hoship). I will probably go try out locuming once my bond ends next year or take a break from medicine completely. |
U are right on this.
But it is the job of the system to keep cost like u all down. Once u give up, there will be foreign doctors to take over your training. You can continue to work in CTF or locum. It is what it is. With the situation like this, most patients ARE not on the doctors side. They just want cheap. But only half the story. Patients eventually suffer from bad medicine and surgery |
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