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17-02-2024, 11:57 PM
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Quote:
Originally Posted by Unregistered
What will happen?
Imagine this...
I'm a happy GP.
I didn't want anything to do with the public health system
I make 25 to 30k a month seeing simple condition.
I sell a lot of profitable medication
I report to no one ( aka I do funny things, patient none the wiser, no one report me, I'm safe)
Now
Wah, I'm part of the system although I dun want
What I do is auditable.
What I order on nehr everyone can see
What is this? Diet counselling? Ey, not that I know much to begin withbut the time to convince 1 patient to eat properly, I already see 3 urti for 50 bucks each.
I need to have 2 ordering system for medication?
Manage chronic help b? Wat is this.
Lan Lan saaark thumb.
Ok. Let me discourage such patient from coming to me
Maybe I encourage them to go to polyclinic where they truly belong
Simple chronic I keep. How? By not having the medication they need!
No diabetic medication other than Metformin
No high blood pressure other than amlodipine and atenolol
Hehehe..
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Please correct me if I am wrong. But I understand for hsg, there is now a online delivery (called alps system). The alps formulary is kind of a national formulary? Which has many medications that are compatible to that of ops for chronics, and gps can order that for their hsg pts.
I.e in other words, gps are NO longer limited by their clinic formulary. (I.e you don't have this drug in your clinic, can order via alps for your pt)
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18-02-2024, 01:05 AM
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Quote:
Originally Posted by Unregistered
What will happen?
Imagine this...
I'm a happy GP.
I didn't want anything to do with the public health system
I make 25 to 30k a month seeing simple condition.
I sell a lot of profitable medication
I report to no one ( aka I do funny things, patient none the wiser, no one report me, I'm safe)
Now
Wah, I'm part of the system although I dun want
What I do is auditable.
What I order on nehr everyone can see
What is this? Diet counselling? Ey, not that I know much to begin withbut the time to convince 1 patient to eat properly, I already see 3 urti for 50 bucks each.
I need to have 2 ordering system for medication?
Manage chronic help b? Wth is this.
Lan Lan suck thumb.
Ok. Let me discourage such patient from coming to me
Maybe I encourage them to go to polyclinic where they truly belong
Simple chronic I keep. How? By not having the medication they need!
No diabetic medication other than Metformin
No high blood pressure other than amlodipine and atenolol
Hehehe..
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I thought hsg had an Alps online delivery system? This is like a common central formulary, which means gps are no longer limited by their clinic formulary. If clinic don't keep that drug, can still order via Alps system for hsg pts
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18-02-2024, 10:58 AM
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Quote:
Originally Posted by Unregistered
What will happen?
Imagine this...
I'm a happy GP.
I didn't want anything to do with the public health system
I make 25 to 30k a month seeing simple condition.
I sell a lot of profitable medication
I report to no one ( aka I do funny things, patient none the wiser, no one report me, I'm safe)
Now
Wah, I'm part of the system although I dun want
What I do is auditable.
What I order on nehr everyone can see
What is this? Diet counselling? Ey, not that I know much to begin withbut the time to convince 1 patient to eat properly, I already see 3 urti for 50 bucks each.
I need to have 2 ordering system for medication?
Manage chronic help b? Wat is this.
Lan Lan suck thumb.
Ok. Let me discourage such patient from coming to me
Maybe I encourage them to go to polyclinic where they truly belong
Simple chronic I keep. How? By not having the medication they need!
No diabetic medication other than Metformin
No high blood pressure other than amlodipine and atenolol
Hehehe..
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You posted several times. Guess you got moderator need to approve post.
Agree with you. Most Pte GP in SG dont want to do this.
Business model is not meant for this kind of work.
Frankly family medicine is dying around the world.
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18-02-2024, 12:49 PM
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Quote:
Originally Posted by Unregistered
What will happen?
Imagine this...
I'm a happy GP.
I didn't want anything to do with the public health system
I make 25 to 30k a month seeing simple condition.
I sell a lot of profitable medication
I report to no one ( aka I do funny things, patient none the wiser, no one report me, I'm safe)
Now
Wah, I'm part of the system although I dun want
What I do is auditable.
What I order on nehr everyone can see
What is this? Diet counselling? Ey, not that I know much to begin withbut the time to convince 1 patient to eat properly, I already see 3 urti for 50 bucks each.
I need to have 2 ordering system for medication?
Manage chronic help b? Wat is this.
saaark thumb.
Ok. Let me discourage such patient from coming to me
Maybe I encourage them to go to polyclinic where they truly belong
Simple chronic I keep. How? By not having the medication they need!
No diabetic medication other than Metformin
No high blood pressure other than amlodipine and atenolol
Hehehe..
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So basically you saying, stick to urti/acute consults and ignore chronics?
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19-02-2024, 07:49 AM
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Salary range of non surgical Drs in public hospital?
Eg. If you are a MO specialising in psychiatry and working as a psychiatrist in IMH?
What is the salary range, from MO, to AC, C and SC like?
Im referring to basic.
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19-02-2024, 10:18 AM
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Quote:
Originally Posted by Unregistered
Eg. If you are a MO specialising in psychiatry and working as a psychiatrist in IMH?
What is the salary range, from MO, to AC, C and SC like?
Im referring to basic.
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AC 10
C 12
Sc 14
This are starting if U get recruited at that level
Eg overseas psychiatrist coming in and getting C
Otherwise it's a percentage adjustment when U get promoted
Usually 5 to 8 percent for promotion
Clinical allowance also increase
Adjustment letters are in guys.
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19-02-2024, 12:00 PM
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Quote:
Originally Posted by Unregistered
Please correct me if I am wrong. But I understand for hsg, there is now a online delivery (called alps system). The alps formulary is kind of a national formulary? Which has many medications that are compatible to that of ops for chronics, and gps can order that for their hsg pts.
I.e in other words, gps are NO longer limited by their clinic formulary. (I.e you don't have this drug in your clinic, can order via alps for your pt)
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U still don't get it ah.
I'm a gp
I want a simple ,profitable and comfortable life
U make my life complicated now
I'm not happy
Im not gonna be too involved.
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19-02-2024, 01:04 PM
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Quote:
Originally Posted by Unregistered
AC 10
C 12
Sc 14
This are starting if U get recruited at that level
Eg overseas psychiatrist coming in and getting C
Otherwise it's a percentage adjustment when U get promoted
Usually 5 to 8 percent for promotion
Clinical allowance also increase
Adjustment letters are in guys.
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14k a month for SC Psychiatrist? Thats sad.
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19-02-2024, 03:32 PM
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Young FPs, how you feeling after the salary adjustment? haha.
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