How is life as a doctor in Singapore?

Can I ask for people (esp seniors) working in ops, are you all a big fan of the teamlet model? I have patients telling me they are confused as different doctors are telling them different things. And sometimes I spent quite a lot of time during a consult trying to figure out why are things done/managed in a certain way?

Originally Posted by Unregistered

You said it right… “grow the business”… none of that knowledge can be acquired by going through FM residency and doing the MMED.

It’s all real world knowledge. You need to be out there on the ground to cultivate your people skills and business acumen.

Better to just quit to GP land after bond. Don’t waste time doing MMED.

ey, dun like that lei
you sound like my friend in secondary school in normal tech who refuse to play with us in express stream because he say we book smart only, go out real world sure cannot make make it unlike him who has real world street experience and have make "brothers from all 4 seas".
Last i check he is doing grab delivery.

you simply assume that pple who somehow do a higher learning degree dun have people skills or business acumen.

basic medical knowledge to do your job well also dun have still want to talk about business acumen. i tell u some of the so called 'full-of-business acumen and rich pple skill' GP stories that come to see me in polyclinic

- vesicular rash on one side of the body along a dermatone that is painful. The GP call it eczema. Even the patient feel it is shingles but the GP say it is eczema. Zzz, one look and anyone who has been shown once what shingles look like will know. She say she is never going back to that GP again

- cough 2 weeks. Given augmentin no work, give klacid no work, referred in for CXR. ZZZ, a simple history -> patient has atopy, having post nasal drip. Give INS and some prition. work like charm when review 2 week later. He is never going back to the GP again

- TG 2.4 -> give fenofibrates...because desirable TG is < 1.7. No DM. HDL good. Ok la , this one earn money for sure. He is not going back to the GP again.

- one guy even better. Did private screening. The GP explain everything except the abnormal results. Patient asked, he say not important, maybe result wrong, just need to repeat. Patient come in to ask for opinion. Turns out he TSH low , T4 low. The GP probably didnt even know what means because its not typical. Bloody hell, gain weight, lethargy all the hypothyroid symptoms all there. He has secondary hypothyroidism. I send to endo, he has a pituitary adenoma. he say he is not going back to the GP again

many many other stories la.

Originally Posted by Unregistered

Can I ask for people (esp seniors) working in ops, are you all a big fan of the teamlet model? I have patients telling me they are confused as different doctors are telling them different things. And sometimes I spent quite a lot of time during a consult trying to figure out why are things done/managed in a certain way?

problem not teamlet model
problem is in some ops, pple shouldn't be allowed to work independently because they are dodgey as F.
every clinic got pple who do funny things.
after a while u know who they are
initially i also like u quite angsty
later on , just give a big sigh and lan lan suck thumb

Originally Posted by Unregistered

ey, dun like that lei
you sound like my friend in secondary school in normal tech who refuse to play with us in express stream because he say we book smart only, go out real world sure cannot make make it unlike him who has real world street experience and have make "brothers from all 4 seas".
Last i check he is doing grab delivery.

you simply assume that pple who somehow do a higher learning degree dun have people skills or business acumen.

basic medical knowledge to do your job well also dun have still want to talk about business acumen. i tell u some of the so called 'full-of-business acumen and rich pple skill' GP stories that come to see me in polyclinic

- vesicular rash on one side of the body along a dermatone that is painful. The GP call it eczema. Even the patient feel it is shingles but the GP say it is eczema. Zzz, one look and anyone who has been shown once what shingles look like will know. She say she is never going back to that GP again

- cough 2 weeks. Given augmentin no work, give klacid no work, referred in for CXR. ZZZ, a simple history -> patient has atopy, having post nasal drip. Give INS and some prition. work like charm when review 2 week later. He is never going back to the GP again

- TG 2.4 -> give fenofibrates...because desirable TG is < 1.7. No DM. HDL good. Ok la , this one earn money for sure. He is not going back to the GP again.

- one guy even better. Did private screening. The GP explain everything except the abnormal results. Patient asked, he say not important, maybe result wrong, just need to repeat. Patient come in to ask for opinion. Turns out he TSH low , T4 low. The GP probably didnt even know what means because its not typical. Bloody hell, gain weight, lethargy all the hypothyroid symptoms all there. He has secondary hypothyroidism. I send to endo, he has a pituitary adenoma. he say he is not going back to the GP again

many many other stories la.

Actually you are missing the point from the original poster. No one is doubting your clinical acumen, which is very good. Question is are you richer or more successful (in terms of net worth) than all these dodgy and incompetent gps outside?

Think the point is clinical competence is not equal to wealth in the medical field

Originally Posted by Unregistered

Actually you are missing the point from the original poster. No one is doubting your clinical acumen, which is very good. Question is are you richer or more successful (in terms of net worth) than all these dodgy and incompetent gps outside?

Think the point is clinical competence is not equal to wealth in the medical field

Not missing the point.
I'm saying to earn your stripes first.
Haven't walk , want to fly

One v old doctor say before
U take care of your patients, your patients will take care of you
Dun even know simple medicine, want to earn what?
Urti money can only go so far.

Originally Posted by Unregistered

ey, dun like that lei
you sound like my friend in secondary school in normal tech who refuse to play with us in express stream because he say we book smart only, go out real world sure cannot make make it unlike him who has real world street experience and have make "brothers from all 4 seas".
Last i check he is doing grab delivery.

you simply assume that pple who somehow do a higher learning degree dun have people skills or business acumen.

basic medical knowledge to do your job well also dun have still want to talk about business acumen. i tell u some of the so called 'full-of-business acumen and rich pple skill' GP stories that come to see me in polyclinic

- vesicular rash on one side of the body along a dermatone that is painful. The GP call it eczema. Even the patient feel it is shingles but the GP say it is eczema. Zzz, one look and anyone who has been shown once what shingles look like will know. She say she is never going back to that GP again

- cough 2 weeks. Given augmentin no work, give klacid no work, referred in for CXR. ZZZ, a simple history -> patient has atopy, having post nasal drip. Give INS and some prition. work like charm when review 2 week later. He is never going back to the GP again

- TG 2.4 -> give fenofibrates...because desirable TG is < 1.7. No DM. HDL good. Ok la , this one earn money for sure. He is not going back to the GP again.

- one guy even better. Did private screening. The GP explain everything except the abnormal results. Patient asked, he say not important, maybe result wrong, just need to repeat. Patient come in to ask for opinion. Turns out he TSH low , T4 low. The GP probably didnt even know what means because its not typical. Bloody hell, gain weight, lethargy all the hypothyroid symptoms all there. He has secondary hypothyroidism. I send to endo, he has a pituitary adenoma. he say he is not going back to the GP again

many many other stories la.

Sure or not lol.. what kind of GP is that? Can’t even interpret TSH levels… come on that’s very basic for someone who works in health screening clinics.

Wonder how he got full reg

Originally Posted by Unregistered

ey, dun like that lei
you sound like my friend in secondary school in normal tech who refuse to play with us in express stream because he say we book smart only, go out real world sure cannot make make it unlike him who has real world street experience and have make "brothers from all 4 seas".
Last i check he is doing grab delivery.

you simply assume that pple who somehow do a higher learning degree dun have people skills or business acumen.

basic medical knowledge to do your job well also dun have still want to talk about business acumen. i tell u some of the so called 'full-of-business acumen and rich pple skill' GP stories that come to see me in polyclinic

- vesicular rash on one side of the body along a dermatone that is painful. The GP call it eczema. Even the patient feel it is shingles but the GP say it is eczema. Zzz, one look and anyone who has been shown once what shingles look like will know. She say she is never going back to that GP again

- cough 2 weeks. Given augmentin no work, give klacid no work, referred in for CXR. ZZZ, a simple history -> patient has atopy, having post nasal drip. Give INS and some prition. work like charm when review 2 week later. He is never going back to the GP again

- TG 2.4 -> give fenofibrates...because desirable TG is < 1.7. No DM. HDL good. Ok la , this one earn money for sure. He is not going back to the GP again.

- one guy even better. Did private screening. The GP explain everything except the abnormal results. Patient asked, he say not important, maybe result wrong, just need to repeat. Patient come in to ask for opinion. Turns out he TSH low , T4 low. The GP probably didnt even know what means because its not typical. Bloody hell, gain weight, lethargy all the hypothyroid symptoms all there. He has secondary hypothyroidism. I send to endo, he has a pituitary adenoma. he say he is not going back to the GP again

many many other stories la.

Wah lau this type is basic medical knowledge and practice. GPs dunno? CMI man.
SG need to have properly trained GPs please.

Originally Posted by Unregistered

Not missing the point.
I'm saying to earn your stripes first.
Haven't walk , want to fly

One v old doctor say before
U take care of your patients, your patients will take care of you
Dun even know simple medicine, want to earn what?
Urti money can only go so far.

V old doctor is back when patients had no internet and Dr Google.
Patients are very different nowadays.
Agree that there is nothing wrong with improving clinical skills and acumen. It is good as a professional.
One advice I will give is to LISTEN to your patients.
For example the patient might come in with Shingles but the patient INSISTS it is just eczema.
Don't say patient is wrong outright. But try to explain. And give options for treatment.

Latest update on pay increment is that it is postponed till 2024… this I heard from my hopefully reliable source. It’s quite disappointing really. I hope it comes eventually though.

Originally Posted by Unregistered

Latest update on pay increment is that it is postponed till 2024… this I heard from my hopefully reliable source. It’s quite disappointing really. I hope it comes eventually though.

Sigh
Year end take junior fp bonus and aws then throw letter liao