How is life as a doctor in Singapore?

Originally Posted by Unregistered

True answer is he/she is not a specialist.
a true specialist will know how to triage and manage the consult.

Really ? You sure? The so called true specialist all give yearly tcu to the difficult patients ( not medically but sometimes due to other issues ) to OPS - if they can handle why send to ops

Originally Posted by Unregistered

Really ? You sure? The so called true specialist all give yearly tcu to the difficult patients ( not medically but sometimes due to other issues ) to OPS - if they can handle why send to ops

Are you trying to blame the specialists for your problems? haha.

Originally Posted by Unregistered

True answer is he/she is not a specialist.
a true specialist will know how to triage and manage the consult.

Doctor can triage the complaint, but can the patient?
I had a patient in ops last year (before I left for private), presented with sob on exertion and also has right ear blocked sensation.
I thought she was pale, did fbc- hb 5.0
Right ear shows ear wax

I referred to ed. Coz anaemia, say earwax can settle another day. PT complained, say I never address all her concerns.
But this one my boss backed me.

I triaged the complaint, however can the pt do the same and agree??

Originally Posted by Unregistered

I have framework and skill man . I’m not some dodgy doc but it takes a lot of time still , I’m sure u understand / no complex clinic only fpc but that’s more expensive

Ur cluster Fp clinc still can refer in ?
Aiyah
Dun be hero la.
In ops setting u dun get rewarded one.

Like me, your aim on reaching clinic should be to

A. Get out as early as possible
B. Have as long a lunch break as possible
C. Don't be frazzled by patient as much as possible.

Your frustration is echoed by generations of FPs
Nothing is truly acute.
If got multiple acute issue, refer to a&e
U go tackle her 8 unsettled long term problem from insomnia to numbness to giddiness to chest pain to tummy pain, no one will give u a medal.

Stick to what u know best
Ops chronics
Simple acute condition

Anything more I just say you too complex for me.
I don't think it's fair if I manage you becuase I cannot take care of you well.
In your best interest I suggest u receive inpatient care
Shall I refer you?
Don't want?
Then u have to accept that I can only handle what I know and that is just your diabetes
Paiseh la, I just a simple doctor, thats why I work in polyclinic
If I'm good I become specialist liao. Paiseh paiseh.

Pple don't like conceited doctor but they can become very accommodating when u say you dunno
It work many many times for me

Originally Posted by Unregistered

Ur cluster Fp clinc still can refer in ?
Aiyah
Dun be hero la.
In ops setting u dun get rewarded one.

Like me, your aim on reaching clinic should be to

A. Get out as early as possible
B. Have as long a lunch break as possible
C. Don't be frazzled by patient as much as possible.

Your frustration is echoed by generations of FPs
Nothing is truly acute.
If got multiple acute issue, refer to a&e
U go tackle her 8 unsettled long term problem from insomnia to numbness to giddiness to chest pain to tummy pain, no one will give u a medal.

Stick to what u know best
Ops chronics
Simple acute condition

Anything more I just say you too complex for me.
I don't think it's fair if I manage you becuase I cannot take care of you well.
In your best interest I suggest u receive inpatient care
Shall I refer you?
Don't want?
Then u have to accept that I can only handle what I know and that is just your diabetes
Paiseh la, I just a simple doctor, thats why I work in polyclinic
If I'm good I become specialist liao. Paiseh paiseh.

Pple don't like conceited doctor but they can become very accommodating when u say you dunno
It work many many times for me

This.

Here is Singapore. You MMed or FCFP at most still FP only. Not on SAB. Patients expect non-specialist care from you.

Originally Posted by Unregistered

Doctor can triage the complaint, but can the patient?
I had a patient in ops last year (before I left for private), presented with sob on exertion and also has right ear blocked sensation.
I thought she was pale, did fbc- hb 5.0
Right ear shows ear wax

I referred to ed. Coz anaemia, say earwax can settle another day. PT complained, say I never address all her concerns.
But this one my boss backed me.

I triaged the complaint, however can the pt do the same and agree??

Why you do fbc when clear cut going to send to ed / ed will do labs too and she will be poked twice

Originally Posted by Unregistered

Why you do fbc when clear cut going to send to ed / ed will do labs too and she will be poked twice

Pale doesn’t mean anaemia
I see the bill, my face also pale

To confirm anaemia I need blood test

Why surgeon do ct scan when cfm appendicitis
Why check vitamin d when supplement will do?
Why even bother checking ldl when all dm patients shld get high intensity statin?

Some times a blood test or a scan is both therapeutic to the doctors and patients

So here gps blaming specialists, blaming patients, how about themselves?

not surprised gps lowest paying, non specialist accredited.

Originally Posted by Unregistered

So here gps blaming specialists, blaming patients, how about themselves?

not surprised gps lowest paying, non specialist accredited.

fcfps will be accredited by sab soon.
just after the FY2023.
along with the pay increment.
you just wait and see

Originally Posted by Unregistered

fcfps will be accredited by sab soon.
just after the FY2023.
along with the pay increment.
you just wait and see

All old news and fake news la. The SAB thing was like before COVID.