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How is life as a doctor in Singapore?

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  #4261 (permalink)  
Old 27-09-2022, 08:59 PM
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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.
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.

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  #4262 (permalink)  
Old 27-09-2022, 09:21 PM
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The big con job is tellimg GPs they cam be super drs by doing mmed and can manage all kinds of complex cases "just like specialist".

Yeah classic case of generalist want to be able to tout themselves as specialist standard

But paid generalist rates. Lol!

The true specialty of GP is the breadth. The breadth of type of cases they will accept and see. Basically everything and everyone! But to kid yourself that you can have the actual breadth and depth to do so is folly.

GPs can specialize. Often taking on work at boutique clinics. Maybe doing skin biopsies for a dermatologist? Follow up of stable psychiatry patients? Sports med for eg is really one speciality that orthopods have given away so they can spend more time operating vs doing assessment and examination.There is some area of work specialists find not the best use of their time. Look for those. As a mmed you will be very qualified

Your life will also get easier. Know what to expect everyday. Same questions. Can even hire nurses to help with answering some common questions and follow up. Develop educators.

Better work life balance. Also more satisfaction (you're not referring postman anymore)

And last better $$$

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  #4263 (permalink)  
Old 27-09-2022, 10:43 PM
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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.
What to specialize in after MMed (apart from AST routes like pall med and sports med)?
Any lobang to intro?

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  #4264 (permalink)  
Old 27-09-2022, 11:32 PM
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What to specialize in after MMed (apart from AST routes like pall med and sports med)?
Any lobang to intro?
LOL pass your mmed then talk. if you can haha
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  #4265 (permalink)  
Old 27-09-2022, 11:41 PM
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LOL pass your mmed then talk. if you can haha
Not to undermine the training
Mmed fm pass rate is really high
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  #4266 (permalink)  
Old 28-09-2022, 12:11 AM
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Not to undermine the training
Mmed fm pass rate is really high
good luck this year then
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  #4267 (permalink)  
Old 28-09-2022, 07:30 AM
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Not to undermine the training
Mmed fm pass rate is really high
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.
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  #4268 (permalink)  
Old 28-09-2022, 10:28 AM
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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.
Why do they want to have such a high failure rate?

That's the problem with Singapore local exams. Over rated. Purposely fail people. Medical profession is like that. Doctors always gaslighting each other.

I challenge any MMeder who has passed 5 years ago and go take the exam again without studying again. Can pass? If cannot pass then why you need such a high standard for exam? Exams exams exams.Medical field already one of the worst. Coupled with crazy obsession with exams in Singapore. Deadly mix.
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  #4269 (permalink)  
Old 28-09-2022, 12:11 PM
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Quote:
Originally Posted by Unregistered View Post
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.
So for nhg, if you low chance of passing then how? You repeat r3?
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  #4270 (permalink)  
Old 28-09-2022, 02:22 PM
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So for nhg, if you low chance of passing then how? You repeat r3?
bye bye. this year you will feel the true meaning of the MMED exam. hahaha.
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