Originally Posted by Unregistered (Post 231358)

Agree that gp would never be as lucrative as specialist. Quite frankly most people including myself want to become gp as we don't want to take too much responsibility. For gp, there is always a second line of defense and that is to refer.

Currently in ops, we also refer left, right and centre. I even referred subclinical hypothyroidism coz pt wants it. Make my life easier don't need explain anything. I am very often honest with patients, literally telling them I don't know how to manage their condition and hence I am referring. For example,
- most rash who don't respond to steroid cream
- abnormal blood tests that are not thyroid, dm, or lipids. Like plt high, refer haem. Coz I tell pt I don't know what is the cause.

Private gp even better, do whole load of screening, tell pt "results abnormal but they cannot manage, better and cheaper to go ops. "- like literally.. (I agree with the cheaper part but still...)

On my first day in ops, one of the senior doctors told me. You MUST practice within your circle of competence and refer any case you are not confident of managing. (This is stated in smc ethical code of conduct)
He also adds that everyone circle of competence is different.
Reading in-between the lines, I think he essentially meant just refer everyone if I cant manage. Don't take unnecessary risks as if manage wrongly he need to handle complaint lol.

Originally Posted by Unregistered (Post 231370)

This is what you are told and you tell yourself

You think specialist dont refer? They do! Refer to other specialists

It isnt that different really. Specialists can only manage within their own scope

Depth is easier to master because there is a limit. There is no limit in breadth.

Iin fact there is even sub specialist.

Do yourself a favor. Finish the mmed. Gdfm. But dot be a generalist. Specialize in something.

Even internal med....it is generalist. Dont be fooled that it is a specialty much different from GP. Slightly better cos dun do peds psych obs and gynae ortho and surgery. But a lot of work. Often dumping ground. Which is why im let gp set up admission ward to help with dumped patients.

Originally Posted by Unregistered (Post 231384)

What to specialize in after MMed (apart from AST routes like pall med and sports med)?
Any lobang to intro?

Originally Posted by Unregistered (Post 231390)

LOL pass your mmed then talk. if you can haha

Originally Posted by Unregistered (Post 231391)

Not to undermine the training
Mmed fm pass rate is really high

Originally Posted by Unregistered (Post 231391)

Not to undermine the training
Mmed fm pass rate is really high

Originally Posted by Unregistered (Post 231400)

High?
You got percentage?
High becuase u claim so?

Hello
Other than the 2020 COVID batch where like 80 percent pass for part 2
Mostly it hovers around 50 to 60 percent for part 2
Part 1, 20 percent gone. Part 2 50 to 60 percent. Overall each batch go exam pass one u go count urself
For a first post grad exam passing rate, is not great compared to mrcp and of cse no where near mrcs
For an exit exam , it's nowhere near the high passing rates of other speciality.

Nhg a few years 100 percent means nothing. Becuase they only let resident high chance to pass go take
Sgh 60 to 70 percent, Nuh similar. Program b also not high plus last year failure also add on

High?
Ya. If u say so.

Originally Posted by Unregistered (Post 231400)

High?
You got percentage?
High becuase u claim so?

Hello
Other than the 2020 COVID batch where like 80 percent pass for part 2
Mostly it hovers around 50 to 60 percent for part 2
Part 1, 20 percent gone. Part 2 50 to 60 percent. Overall each batch go exam pass one u go count urself
For a first post grad exam passing rate, is not great compared to mrcp and of cse no where near mrcs
For an exit exam , it's nowhere near the high passing rates of other speciality.

Nhg a few years 100 percent means nothing. Becuase they only let resident high chance to pass go take
Sgh 60 to 70 percent, Nuh similar. Program b also not high plus last year failure also add on

High?
Ya. If u say so.

Originally Posted by Unregistered (Post 231415)

So for nhg, if you low chance of passing then how? You repeat r3?