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Pay is the same whether you chup these jia lat chronics Chuan or no chuan. So chuan for what? |
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Hence no need to train any FPs, just anyhow anybody with an MBBS will do |
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It is across all medicine. The objective is to do what the CPG recommends. As long as all the boxes ticked. Patient no bad outcome can already. There is ABSOLUTELY ZERO reward for producing results. But ALL THE RISK if things go badly. Sometimes it is just bad luck. Like that 3 year old who kena Acute necrotizing encephalopathy after flu shot. As a doctor you must learn this. Your role is to do safe things that is JUST ENOUGH. Those bonus is more for doing higher volume work - bring in more revenue and money (again by doing JUST ENOUGH you have more time to see more patients so more money) or in institution is writing papers, admin etc. NOBODY cares about you helping that lady with HBA1c 10 drop down to 6.5. Your effort is just lumped into the whole clinic DM KPI numbers. Work smart otherwise you will burn out and for what? Medicine is a long game. No FIRE. |
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Nowadays i spend 3min per patient for chronic I just go to the medication tab and reorder exactly same Beat them at their own game |
guys dont worry.
We have the Resident Pipeline to train doctors who do the right thing Just wait for them to pass MMED and the quality of docs will increase! |
I am actually curious, how can a doctor make himself more highly valued and indispensible? (Meaning if he say he wants to quit, people will actually try their best to keep him- either through higher pay or other perks)
From the way I see it, it seems that family medicine (GP/FPS) are very replaceable. (Not that they are useless/unimportant, just that it's very easy to find someone to replace them)-maybe it's just the sheer volume of GP/FP nowadays. Not sure if specialist are the same? I personally think GM and Geri or even gs is pretty much the same. Not sure about the more specialized fields, esp the procedural ones (like neurosurgery/cardio thoracic surgery/spine surgery, or like cardio interventionist) are more indispensable (as there are fewer trainees each year) And for those who already entered into a generic field (like FM/AIM), how can they make themselves more valuable or indispensable to the institution (Can be public/private) so that they can't be replaced so easily ... |
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Yeah then they’ll prolly just top up. But so big difference? The shop house clinic was so ex, I’d rather drive to the heartlands to get my MC The heartlands clinic’s owned by the GP himself and he’s so nice |
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I see 20patients in 1hr You see 10 in 1hr I twice as valuable as you |
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You round half ward in a morning I four times as valuable as you |
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