Ya always rmb. The more you study the better, the stronger your cv.
Try to publish more.

Phd is now like the degrees of 1990s.
Degrees today is like the diplomas of 1990s.

In academic medicine they want a degree (aka phd in today context) - and lots of publications. This is the only way to survive.

Im a yllsom mbbs (degree aka diploma in today context), quite good for frontline patient care and absolutely terrible for academic research.

Pay wise will be the same. But academic medicine, you get the prestige.

Local doctors can rejoice, Worker Party's Jamus Lim has vowed to stop the onslaught of CECA from destroying Singaporean rice bowls

s://.facebook.com/jamusjlim/posts/274820387484307

But jamus amdk

Just curious, how often do doctors take MC? Or are they even allowed to? Especially HOs and MOs

I didnt take a single day as a HO or as a MO.
Because i didnt want my co-HO or co-MO to suffer.

Legit mcs are okie. But if u take for fun, then co-MO will need to do double the work.

I think the MC taking culture is different between departments and disciplines.

Those HO/MO (no HO) type departments in hospital where the MOs function as HOs, and is small where they do calls 1 in 3, they hardly ever take MC unless really dying. Cos then their fellow MO will be doing 1 in 2 call to cover them.

Meanwhile at Polyclinic the MOs will say things like "we are entitled to X days of MC a year. Better take all. It is entitlement. Otherwise lose those days off for what? Dont get paid if dont take the days off"

Dating a MO
 

Non-medic, dating a MO who is looking to specialise in a highly demanding field. appreciate his public-serving efforts but he doesn’t eat well, sleep well or take care of his health (from this forum it seems absolutely normal, but nevertheless hats off to you guys). works from 6.30am-7pm, admin work sometimes keep him at work til 8-9pm. Doesn’t eat regularly while on call until i send food over (rarely). Worries about setting up a comfortable life, but also wants to provide.

As a spouse, anything I can do to improve his crappy work stress? I’m also in a highly demanding field myself (so I don’t mind not meeting, not texting much/ DINK and spend a lot of my time studying for my own career ). Specifically during your HO days, what has your spouse done for you that you appreciate most/ made your life better?

Sorry for ranting, hope everyone and their families are well!

As an MO I did Sat and Sun back to back calls. My wife would come stay with me at the call room for the weekend.

Are u McDreamy ?

Hi everyone,

I need some answer to an urgent question I have. Could I ask, as a doctor, am I allowed to put my hand on xmm chest (under the shirt) to check their heartbeat?

Asking for a friend.

Thank you!

No. For xmm, you better auscultate back lung bases only

Never anterior. Never, never, never

And always with a chaperone

Unless you want to go to court

Why can't anterior? That's where the heart is for a more accurate reading

Many things in medical school they teach is outright not advisable to do in real life. Nobody in real life performs full cardiac examination like exam standard. For various reasons.
If you really need a proper cardiac assessment (would be in hospital) please send the patient for Echocardiography and Stress test rather than debate about anterior touch xmm chest auscultate on skin vs through clothes.

Hi lohkuns, what do you all think of psychiatry? As someone who has seen psychiatrists before and decided not to see another one anymore, sometimes I wonder why they even end up specialising in psych. The ones I’ve seen lack empathy as if they are sociopaths.

Hi, but in order to get a quick and efficient reading (which is important in life-threatening situations), such measures are needed and perhaps touching the chest directly would really facilitate the process

Yes in life threatening situation, like cardiac arrest in a 75 year old ah ma
When u do for

But not on a 20 year old xmm
Prepare to go jail and get strike off if no chaperone. And enjoy twenty strokes of cane

Even mrcp now don't palpate apex beat for modesty

Indeed. The key word is life threatening situation.

No pulse. No breathing. Comatose patient. CPR might be necessary.

Of course touching the chest is acceptable. But not in a clinic situation. Non life threatening.

Context is important.

Look at the original question

"Hi everyone,

I need some answer to an urgent question I have. Could I ask, as a doctor, am I allowed to put my hand on xmm chest (under the shirt) to check their heartbeat?

Asking for a friend.

Thank you!"

Do you honestly think that person was asking in the context of a life threatening situation?

Easy one to answer. Psychiatry is a dumping ground for MOs who die die want to be called specialists but cannot qualify for anything else. In other countries like Australia, psychiatry is even easier to get into than GP which is considered a specialty. In the USA, psychiatry is heavily influenced by Big Pharma. Birds of a feather flock together so those in psychiatry are sometimes afflicted like the infamous SGH senior con Chan HN.

are non-doctors allowed into call rooms?

ideally only one doctor should be inside a call room
the doctor assigned to that call room that night.
pls note that outside the room there will be cctv.

Sometimes can be husband and wife on call together. Reg and consultant. Nurse and dr.
CCTV is good for security and safety. But consenting adults shouldn't be too much of a problem.

Are there still postings where MO and Reg do Sat and Sun both days calls in house? Go to work Sat morning go home Monday night? Which departments?

Don't have residency now is veri protected no consecutive calls.
Simply put, actually life nowadays very good.
80hours per week of work. I wonder what can they learn

I am glad that they have made the work hours a little less insane. This whole excuse about teaching and learning is ********. You and I know that it is about labor. Manning the department. The wards. Doing the scud work.

There is very little to learn when all you are doing is running around and doing menial work with no time to think about what you are actually doing from a clinical standpoint.

Is it tough to switch residencies after 1 year? I am in FM, and am thinking of switching to IM or ortho, but am not sure if it's possible and worth the try

What's wrong with fm? Just 3 years only?

I don't believe u in fm.
Ortho and Im vastly different

Is it like saying I like men and I like women

FM u finish liao u officially a family physician. Want to call it a day u stay polyclinic and work with relatively good salary no need study anymore. Want go out setup shop u more than qualified.
Want more challenges u can do a fellowship also and do community hospital work. Every hospital got a community hospital beside it. Up to you to shape what u want to do. Palliative, dementia care , u want more hot patients who are more unwell also can, most gen med department will be more than happy to send their more acute post acute patient to you.
Im u have to fight for senior residency. With a mrcp or m.med internal medicine, u not on an register of any specialization lei. You can't call urself an internist yet, u setup private gp clinic learning curve is steep since outpatient med with Peds, obgy ,msk stuff not your forte.
Even if u win a sr place, life very siong lei. It's back to 3 more tough years, u supervise young resident am on ward round, see blue letter , run around beck and call at the con, run outpatient clinic , do overnight call, weekend calls plus have to study plus plus since u are going to be a specialist, cannot say dunno liao. If u do procedure field like gastro or cards need to do lots of practice.
Ortho wise? Come on la, so many pple want. U try lor.

U have to quit Ur family med. Penalise one year cannot apply. Then apply next year. Your batch mate probably finish m.med , find a X2 Ur mo salary job at polyclinic liao while u just start r1. Gungho one do fellowship become associate consultant at community hospital and u just finish Ur mrcp. They start to kiao Kar while u sweat that u cannot find a sr position..then start to regret why u made the stupid jump

Until u realise u didn't because of what I just posted.

Why cannot set up shop with mrcp?
Set up shop mbbs more than enuff

The week after i completed ho, i went to locum alr.

Paeds dose is standard one what. Give some ivy syrup nia.
So hard meh?

Nobody asking u to compete with the exited paeds that set up shop beside u. They charge 100 for consultation fee, we charge 20

Msk ortho u give triaminociclone for wrist tendosynovitis meh? So brave ah, got take consent or not?
I pretty sure mmed(fm) dont teach any practical skills

You should. U only got one life.
Do what u like.
One year penalty then one year penalty
They make it sound like mmed(fm) is everything.
But actually really just do what you like.

Whether u wanna rotate to im or ortho up to you.
But these too specs a bit too different. So make up your mind

Unfortunately I think in the fm field, the unscrupulous people are the ones who make the most money. They tend to work in private sector/asthestics, and recommend all the extra tests and medications to earn the extra money. (For example, I was given 5 different meds just for a urti. I don't mind as I can claim up to 90% from my employer- i.e mohh)
The good fps are the ones in polyclinic, they study hard follow guidelines, practice evidence based medicine, but get paid the least.

The irony of life lol

in ancient china, you study hard to get a court official.
but if you are not corrupt, you live a life of poverty as a court official
this why there is this concept of 高薪养廉
high salary to prevent corruption

in singapore, the doctors pay are low
to earn more, you have to go to the pte sector.
but pte sector is not a bed of roses
and your customers need to be fee paying (not TPA or not integrated shield)
as integrated shield wont empanel you. and TPA pay $5.

so who willing to pay in cash?
aesthetics. hence only aesthetic medicine is worthwhile

how hard is it to get into neurosurg residency

Very easy. Actually nobody wants to do to cardiothoracic, or neurosurg.
Coz life is very hard

What are the most and least competitive specialties nowadays?

How is hard is neurosurg and cardiothoracic compared to the others? Job scope wise or? Apart from more years of being a resident.

Is it still possible to be a private gp nowadays without venturing into asthestic medicine? I feel that the private gp market is so competitive now, that if you don't do asthestic, you may not be able to keep the clinic running?

humji kia ofc choose option 1. but srsly tho - he study so much also no use, come here try to save face also tio kan, rly damn amusing ngl lol

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