How is life as a doctor in Singapore?

Originally Posted by Unregistered

Can I ask a very noob but genuine question? Hopefully some seniors gp can enlighten me. I have just started locuming for past 1 month. (Previously largely done hospital postings in GM and ed)

My question is regarding the billing system/mechanism in gpland and how a clinic earns their revenue.
I have read through this thread, and many have pointed out that it's way easier to earn money through simple urti/ge cases compared to chronics.
In my last 1-2 weeks of locum, most of the largest bill size I see are from chronic patients. For e.g
- for a patient with just htn/hld, on telmisartan 40mg om and atorvastatin 40mg on, the bill size can hit slightly under 200 dollars for 1 mths supply of meds. (Only realized Atorvastatin 40mg is close to 130 dollars for 1 mths. I am not sure if my clinic uses branded drug or what as I just keyed in the drug name, although I had to give 2x 20mg tab in this case- not sure if it affects price)
- another pt with dm with albuminuria and hld, on atorvastatin and forxiga and telmisartan, the bill size came to 600 dollars for 2 mths meds.

As their chronics reasonably well control, I can complete the consult in 7-8 min, only slightly longer than a simple urti/ge consult.
However for urti/ge consult, very hard to hit over 100 dollars. On average 20-40 dollars only for meds, maybe 50-60 if I push hard for abx)
I am not including consult price as many are contract patients (so consults often charged at a much lower price)

I am only locum la, so I don't really care about the revenue of the clinics, but I must say that chronic bill size can be 4-5x of an acute case, with only slightly more effort (just a few more minutes of tlc and nagging), so not sure why people say chronic not profitable?

This is after hsg whitelisted thing kicked in btw

Hence would like to hear more about the billing mechanism in gp land

Huh
Bill size not equals profit lei.

Originally Posted by Unregistered

Huh
Bill size not equals profit lei.

So larger bill size doesn't necessarily mean good?

Originally Posted by Unregistered

So larger bill size doesn't necessarily mean good?

Imagine you selling chicken rice. 1 plate $5 but your cost is $1 how much you make? Compared to your friend 1 plate $20 in hotel but cost $18. Who make more?

Originally Posted by Unregistered

Imagine you selling chicken rice. 1 plate $5 but your cost is $1 how much you make? Compared to your friend 1 plate $20 in hotel but cost $18. Who make more?

lolz, cant imagine u actually need to thumb it down so much for him/her/it/they.
when the reply is "So larger bill size doesn't necessarily mean good?" surely realized you are not dealing with someone very bright?

How much do most plastic surgeons doing reconstructive surgeries or neoplasm excisions (non-cosmetic) typically make?

Originally Posted by Unregistered

How much do most plastic surgeons doing reconstructive surgeries or neoplasm excisions (non-cosmetic) typically make?

Public or private?
Public- same as a procedural specialty (200k-250k/year starting from ac)
Private - 2 million a month

Originally Posted by Unregistered

How much do most plastic surgeons doing reconstructive surgeries or neoplasm excisions (non-cosmetic) typically make?

Don’t listen to the person above

Public - 300k as AC… maybe up to 600-700k as SC
Private - the sky is the limit, depends on how u play your cards

Anyone know of any good courses to learn about leveraging AI in healthcare?

Originally Posted by Unregistered

Don’t listen to the person above

Public - 300k as AC… maybe up to 600-700k as SC
Private - the sky is the limit, depends on how u play your cards

Surgical AC where got 300k
Dream on la
Their rank pay same as other ac
Service payment can only be high if they have lots of private patient
AC where got many private patient?
1st year out can get 20 to 40k already arm chio.
And U think because plastics U keep doing boob jobs?
They do a lot of burns and skin grafting lo. That's what plastic is about
U think plastic straight out can do chin or nose surgery or do boob implants straight away?
No one teach U or U no chance to learn end up also dunno how to do one

Originally Posted by Unregistered

leak by the boss man himself
he emailing at 12 am to 2am
prolly too delirious from counting his money ( or too tired ) and accidently include a very popular locum mailing list in his emails

later on still send out email saying dun open my email! likely contain virus! I didn't send those email! Damn funny. Who will go write a virus like that? He think we all stupid.
Damage done liao.

anyway, grab it while u can la folks
Got 15K , 18K salary grab it. Esp if its a reputable group that is sensible. Eg frontier, raffles etc.
You really don't want to be caught in the situation with this kind of fledging group where you get let off because your 39K clinic rent isn't earning enough to justify your salary. How are you gonna be paying the mortgage on the 2 million dollar 1200 square feet condo you just bought in Clementi if you lost ur job? Your wife who married you for the channel bag isn't gonna be very happy when u can't pay for it when you are jobless.

Pandemic over. No more endless easy 80 bucks URTI consult liao.
USA inflation ending
Singapore errection coming, so inflation will be curb one way or another.
Prices gonna moderate
GP salary too.

Now you all GPs are gonna be suckered into healthier SG. Basically gonna take over some of the polyclinic job. Hehehe.... i dunno how you all are gonna do it. somehow MOH thinks that by writing some guidelines , the GPs will be able to handle things.
If you can learn medicine just by books, no need residency liao. People can become cardiologist just by reading textbooks.

Can I ask which are the reputable groups? Realistically can go survive if they choose not to do HSG? I understand up till now, there are still GPS who are not Chas clinic (i.e refuse)