How is life as a doctor in Singapore?

Originally Posted by Unregistered

So I guess of one choose to leave for private, (at whatever stage) it's essentially a one way ticket?
I mean 80% of primary care is in private practice. I am not sure if one will become too myopic if they just stay in ops for life?

Myopia happens to everybody.
As a baby ops MO on my first day of work, My polyclinic head ask me if im full reg.
Then i told him im a full reg, so he asked me to locum to see the outside gp world for exposure.


But myopia can also happen to pte gp .
Impt to stay up to date and attend college activities

Originally Posted by Unregistered

got a gdfm many years ago. And prolly your senior kae.
My english no good coz i went to a lousy sch.
My era a lot of ppl go to that lousy sch.

Gp 就是gp. Why want to make it to specialist.
Even though im fp, we still call ourselves gp.
Coz gp got pride.

But the $150 bucks per fp specialist consult?
Back pain? U can do op? U can tens? U can physio?
-tbh i just nsaids and mc nia.
Hypertension u know how to investigate for secondary causes? You know how to interpret aldo renin?
-i just try 1-2 anti htn. If need 3 or more or hypoK i send out alr to investigate
Dm u know how to manage type 1? Insulin pump? U know how to counsel for glp1?
-brittle type 2 and type 1 i will refer out

So i dont understand why we need so many qualifications and fm specialist coz gp is supposed to be for the masses.

For the people and keep care accessible

Ideas concern and expectation can only work so far.
1mile wide, 1inch deep. Cannot be helped

I always refer out when it is neccessary.
But just fearing the $150 consult for gp will worsen the situation and access to care

me notch the one comment on your engrish. I'm prolly went to same lousy school as you.
pls la, pple talking about giving fcfp specialist status and u think ur gdfm qualify u for specialist registration? eyes roll. hello. wake up.

sorry hor. imho gdfm shouldn't even be given fp status. . let's not kid ourselves.
across most countries , fam med or general practice as it's called in commonwealth countries it's at least a 3 year supervised program. fcfp is another 2 years to m.med. ur gdfm part time 2 year with tutorial once a quarter can only teach u so much. u think GD derm makes u a dermatologist ah. best to call a spade a spade. like you say, gp 就是 gp. trust me, I'm with u on this. no one is thinking of giving u specialist status and insisting u charge 150 bucks.

recognising fam med as a speciality is what the fraternity is after. no one is doing it to earn more because like you we also believe in accessible care for the masses.
gdfm m.med, fcfp fp will be what they are, family physician first .
as a speciality, the expert in their field should be accorded and recognised,
those who have fcfp should have added tittle of family medicine specialist.

get it or not?

Originally Posted by Unregistered

got a gdfm many years ago. And prolly your senior kae.
My english no good coz i went to a lousy sch.
My era a lot of ppl go to that lousy sch.

Gp 就是gp. Why want to make it to specialist.
Even though im fp, we still call ourselves gp.
Coz gp got pride.

But the $150 bucks per fp specialist consult?
Back pain? U can do op? U can tens? U can physio?
-tbh i just nsaids and mc nia.
Hypertension u know how to investigate for secondary causes? You know how to interpret aldo renin?
-i just try 1-2 anti htn. If need 3 or more or hypoK i send out alr to investigate
Dm u know how to manage type 1? Insulin pump? U know how to counsel for glp1?
-brittle type 2 and type 1 i will refer out

So i dont understand why we need so many qualifications and fm specialist coz gp is supposed to be for the masses.

For the people and keep care accessible

Ideas concern and expectation can only work so far.
1mile wide, 1inch deep. Cannot be helped

I always refer out when it is neccessary.
But just fearing the $150 consult for gp will worsen the situation and access to care

not sure why you keep harping about the $150 consult.
no one say that FP specialist is charging $150.
it's about recognition of the skills and subject matter expertise.
everything else remains the same.

yes at the basic GP / MBBS / GDFM level you can practise referrology.
treat simple conditions and refer away everything.

but you should try your hand at managing all the complex chronic patients getting discharged from hospitals nowadays (they are still mostly in the public sector because they ain't gonna afford taking 10 chronic meds from GPs). it's not so simple anymore. and the number of patients who are like that are only going to keep increasing.

no need to be so ganzhiong about FPs going for higher qualifications.
beauty of FM / GP is you can choose what level you want to stay at.
you want to prac at MBBS / GDFM level by all means go ahead.
the higher qualifications are for those who want more. they also need to train younger FPs.
cannot be GDFM holders training GDFM trainees right?

Originally Posted by Unregistered

not sure why you keep harping about the $150 consult.
no one say that FP specialist is charging $150.
it's about recognition of the skills and subject matter expertise.
everything else remains the same.

yes at the basic GP / MBBS / GDFM level you can practise referrology.
treat simple conditions and refer away everything.

but you should try your hand at managing all the complex chronic patients getting discharged from hospitals nowadays (they are still mostly in the public sector because they ain't gonna afford taking 10 chronic meds from GPs). it's not so simple anymore. and the number of patients who are like that are only going to keep increasing.

no need to be so ganzhiong about FPs going for higher qualifications.
beauty of FM / GP is you can choose what level you want to stay at.
you want to prac at MBBS / GDFM level by all means go ahead.
the higher qualifications are for those who want more. they also need to train younger FPs.
cannot be GDFM holders training GDFM trainees right?

What's wrong with GDFM holders training GDFM trainees?

In hospital you have MBBS holder MOs training MBBS holder housemen.

Also MBBS holder housemen training MBBS trainee medical students.

Nothing wrong.

Originally Posted by Unregistered

What's wrong with GDFM holders training GDFM trainees?

In hospital you have MBBS holder MOs training MBBS holder housemen.

Also MBBS holder housemen training MBBS trainee medical students.

Nothing wrong.

Alamak…
You have MBBS MO training HO to MO, to be a functioning MO. Nothing more.
There’s only so much a peer can teach you and things get watered down if you don’t develop a deeper understanding and appreciation of concepts.

Might as well say get Sec 1 student to teach your P6 kid for PSLE.
Sure your P6 kid might still pass PSLE, but he certainly is not gonna score very well.

Originally Posted by Unregistered

What's wrong with GDFM holders training GDFM trainees?

In hospital you have MBBS holder MOs training MBBS holder housemen.

Also MBBS holder housemen training MBBS trainee medical students.

Nothing wrong.

nothing wrong is you say.
because you don't know what you don't know. definitely some gdfm holder super experienced and as good as any fcfp but no gaurantee, definitely also gt m.mmeder who scrape through and somewhat dodegy like myself but balance of probability is someone who passed went rhrought a formal apprenticeship system , pass proper exams by many other experienced doctor will be better.
based on what u say might as well medical student teach medical student la, since all got many As at A levels , correct Bo?

u don't sound local

Originally Posted by Unregistered

nothing wrong is you say.
because you don't know what you don't know. definitely some gdfm holder super experienced and as good as any fcfp but no gaurantee, definitely also gt m.mmeder who scrape through and somewhat dodegy like myself but balance of probability is someone who passed went rhrought a formal apprenticeship system , pass proper exams by many other experienced doctor will be better.
based on what u say might as well medical student teach medical student la, since all got many As at A levels , correct Bo?

Me to my friend (locum) government giving us 4k.
Friend (locum) to me thats what I make in 1 week
Me: 😭

why singapore dont have physician assistant?

Will be good to cut down health care

how old is the locum?

Originally Posted by Unregistered

Me to my friend (locum) government giving us 4k.
Friend (locum) to me thats what I make in 1 week
Me: 😭