Originally Posted by Unregistered (Post 245849)

I got a friend his car kena broken into overseas. Smashed windows.
Singapore is very safe no crime.
Who wants to migrate? Dont be stewpig.

Originally Posted by Unregistered (Post 245861)

Actually migrating is not say a bad idea lah. Also thought of it when younger but now too old to migrate. Pay is better and houses and cars are cheaper. Less stressful for kids too.

Originally Posted by Unregistered (Post 245892)

Easier said than done
I lived in auzzie few years.
U dun grow there so u don't truly belong.
Overt racism is real.
Everything so far

Originally Posted by Unregistered (Post 245861)

Actually migrating is not say a bad idea lah. Also thought of it when younger but now too old to migrate. Pay is better and houses and cars are cheaper. Less stressful for kids too.

Originally Posted by Unregistered (Post 245892)

Easier said than done
I lived in auzzie few years.
U dun grow there so u don't truly belong.
Overt racism is real.
Everything so far

Originally Posted by Unregistered (Post 245903)

U went there study?
Or you migrated there then came running back to Singapore?

Originally Posted by Unregistered (Post 245930)

I not jesus, cannot run across water.
I flew back on business class paid for as flight more than 5 hours.
Trained in aus, did anaethesia then pain.
Offered a job to set up a pain service

Originally Posted by Unregistered (Post 245769)

dont bank too much on it la.

Firstly GP in singapore is the equivalent of a registered medical officer in other countries.
In a lot of countries, they are not allowed to practice independently.
in SG , anyone can call himself a GP. Its not a protected tittle.
In commonwealth countries, GPs are the equivalent of our M.med FPs.

While there are GPs that are good, most cannot make it for chronic disease management.
remember, they go out because they cannot make residency, fail residency, fail exams etc
very few capable junior doctors aspire to be GPs.

Many of the groups like onecare, DA all hire those cannot make it juniors. Really, in a hospital system with guidance , senior to ask they already chui. Now go out they are independent liao. GG if u want ur chronic to be handled by them. Those GPs who did residency ain't too bad becuase at least for 3 years they got someone to teach them something, but the rest of the new young GPs cannot make it.

To have a healthier SG, u need to have a well trained primary care workforce first.
GDFM don't cut it. I teach it. The trainees has no farking idea what is going on because hospital medicine doesn't teach u outpatient primary pare. Then there are ur half-ass MO who was trying to get into ENT training for 5 years didn't make it who turn GP, they think they suddenly know how to treat chronic disease?

This problem of a half ass primary care work force is not unique to SG. Taiwan, Australia, NZ and UK all have it in the 70-80s. All of them choose the hard way to disallow untrained doctor to practice independently. It was painful initially, but it work eventually.

SG? we just kicking the ball down the road.

they should just revamp the whole training system for primary care doctors.
Turn M.Med straight into a 4 or 5 year program to train senior doctors.
If a MO want to turn primary care provider, apply for a preceptorship with a polyclinic of your choice -> train there for 2-3 years while doing a GDFM like module under the M.meders-> frequent workplace based assessment -> final exams to pass before u qualify for independent practice.
This builds a truly robust primary care network.

Originally Posted by Unregistered (Post 245934)

You sound like a senior guy in public sector. Just wondering, does it frustrate you guys that people with just MBBS (the half ass ent Mo's that you refer to) are doing gp work or aesthetics outside and getting similar pay to properly trained drs in public who gone through the proper tough route (mmed/fellowship etc) like yourself