How is life as a doctor in Singapore?

Originally Posted by Unregistered

I find the Caucasian patients in CBD area are very particular. Like to complain about little things. Need a lot if TLC.

They got insurance.
Can charge gao gao.

When I was mo in gen med a UK expat came in.
Before us he went to a expat GP clinic.
Kenna neb and 10 med given.
Neb was like 150 dollars.
Even a bloody ECG was done
Bill came to 740 bucks.

He basically just a case of bad flu and dehydrated.
We drip him one night he ok liao.
My fellow mo who knew I was a fam med resident say I got 钱途

Originally Posted by Unregistered

Private GP life outside is generally good compared to polyclinic.

Can go for regular toilet breaks, free drinks and coffee machine. When I was in polyclinic, it was so busy that I couldn't even go for a proper toilet break.

Have free time to surf forums. Pay is also better.

But more patients who are difficult and complain about little things. In polyclinic, I didn't get a single complaint letter.

Nowadays not too bad la .
I generally can still buy stocks on the side.
Read juniors question in WhatsApp and even advice them.
Lunch time eat pack lunch lie down to sleep 30 minutes.
Last 15 minutes find friends to chit chat.

Load in ops is not light
But private one also not easy. Pple wouldn't hire u to see 30 patient a day.


Hear say maybe cut down to 5 patient an hour soon in ops.


Salary is better outside if u no m.med.
But if got m.med outside can't match unless u work 60 hours a week.
Hourly rate m.medder in ops quite hard to beat.
Other things like insurance , maternity benefits private one all don't have

Originally Posted by Unregistered

Nowadays not too bad la .
I generally can still buy stocks on the side.
Read juniors question in WhatsApp and even advice them.
Lunch time eat pack lunch lie down to sleep 30 minutes.
Last 15 minutes find friends to chit chat.

Load in ops is not light
But private one also not easy. Pple wouldn't hire u to see 30 patient a day.


Hear say maybe cut down to 5 patient an hour soon in ops.


Salary is better outside if u no m.med.
But if got m.med outside can't match unless u work 60 hours a week.
Hourly rate m.medder in ops quite hard to beat.
Other things like insurance , maternity benefits private one all don't have

Mmed hourly rate hard to beat? pls share ur hourly rate.

Originally Posted by Unregistered

Mmed hourly rate hard to beat? pls share ur hourly rate.

Aiyah go away la sore GP.
Whatever rate I say u just gonna lol and claim otherwise.
U happy can liao.
I happy can liao.

Eh registrar
R1
R2

How much ah? Assume like you gen med.
Ok la tiagong MMed sibei good?

Actually if MMed FM is hard then might as well do MMed Int Med and be a properly recognised specialist.

Originally Posted by Unregistered

Nowadays not too bad la .
I generally can still buy stocks on the side.
Read juniors question in WhatsApp and even advice them.
Lunch time eat pack lunch lie down to sleep 30 minutes.
Last 15 minutes find friends to chit chat.

Load in ops is not light
But private one also not easy. Pple wouldn't hire u to see 30 patient a day.


Hear say maybe cut down to 5 patient an hour soon in ops.


Salary is better outside if u no m.med.
But if got m.med outside can't match unless u work 60 hours a week.
Hourly rate m.medder in ops quite hard to beat.
Other things like insurance , maternity benefits private one all don't have

Even 5 patients an hr is tiring as they r mostly elderly with many chronic medical problems and sometimes acute problems too.

In GP land, the patients are mostly with simple problems, uncomplicated compared to polyclinics.

I see 40-60 patients in a typical 8 hr day as a GP in a big group chain and generally not too tired when I go back home. Can still go shopping and do other things. But I remember last time in polyclinic, it was really shag. Maybe thimgs are better now.

Originally Posted by Unregistered

They got insurance.
Can charge gao gao.

When I was mo in gen med a UK expat came in.
Before us he went to a expat GP clinic.
Kenna neb and 10 med given.
Neb was like 150 dollars.
Even a bloody ECG was done
Bill came to 740 bucks.

He basically just a case of bad flu and dehydrated.
We drip him one night he ok liao.
My fellow mo who knew I was a fam med resident say I got 钱途

I find the Caucasian patients like to ask for referrals to physio, chiro and today one even asked for referral to Pilates instructor!

But with back problems and possible slipped disc, I will insist they see ortho for MRI first.

Originally Posted by Unregistered

Even 5 patients an hr is tiring as they r mostly elderly with many chronic medical problems and sometimes acute problems too.

In GP land, the patients are mostly with simple problems, uncomplicated compared to polyclinics.

I see 40-60 patients in a typical 8 hr day as a GP in a big group chain and generally not too tired when I go back home. Can still go shopping and do other things. But I remember last time in polyclinic, it was really shag. Maybe thimgs are better now.

End of the day
It's the training.
1st time see complex elderly sure sian.
So many issues, complain this complain that
MO or gdfm don't train u for this.
They do sure overwhelmed and hence feel stress plus plus
Got someone guide u how to dissect the issue and prioritise and work down ok one

Anyway not every case complex.
I say generally 50 percent well chronic.
V fast one.
30 percent 1 or 2 poorly controlled
Counsel a bit. Got energy counsel more. End of the week like today, aiyah u want die earlier go die earlier la.
Of the remaing 20 percent maybe only 5 to 10 percent truly complex.
Different cluster handle different.
Some clinic got complex care clinic
Some got FP clinic
Some got pple doing fellowship peddle the case to them

Acute is anything goes
I hate those multiple issues one.
I can be enthu for 2 or even 3 problems.
The moment u start to bring up tummy pain from 5 years ago...my tone be become very hostile liao

I wish one fine day we means test everyone who come polyclinic
The rich and educated ones are the worse.
Come and abuse the system wanting referral for everything.
Friend did threadmill privately. He come say he want .
I chk no symptoms and he ran 8km everyother day no symptoms cannot send.
Suddenly oh..I got chest pain before.
Bloody faker.
One retired banker living in a 8 million landed ask me for vitamin c because cheaper.

Their subsidy level should be based on means testing.

I private GP also go polyclinic to get my 6 months worth of atorvastatin and other meds. It is a citizen's privilege to get subsidised chronic medication.

But when I have acute problems, I still go GP clinic or private hospital for faster treatment.

Yr millionaire who wants cheap vit C very funny. But then, I also get cheap sangobion and vit D and calcium from polyclinic. Can really save a lot in the long run.

Even patients who see private GPs also use their company subsidies and coverage. Without those, private meds are really quite expensive.