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Today 07:30 AM
Unregistered
Quote:
Originally Posted by Unregistered View Post
Not to undermine the training
Mmed fm pass rate is really high
High?
You got percentage?
High becuase u claim so?

Hello
Other than the 2020 COVID batch where like 80 percent pass for part 2
Mostly it hovers around 50 to 60 percent for part 2
Part 1, 20 percent gone. Part 2 50 to 60 percent. Overall each batch go exam pass one u go count urself
For a first post grad exam passing rate, is not great compared to mrcp and of cse no where near mrcs
For an exit exam , it's nowhere near the high passing rates of other speciality.

Nhg a few years 100 percent means nothing. Becuase they only let resident high chance to pass go take
Sgh 60 to 70 percent, Nuh similar. Program b also not high plus last year failure also add on

High?
Ya. If u say so.
Today 12:11 AM
Unregistered
Quote:
Originally Posted by Unregistered View Post
Not to undermine the training
Mmed fm pass rate is really high
good luck this year then
Yesterday 11:41 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
LOL pass your mmed then talk. if you can haha
Not to undermine the training
Mmed fm pass rate is really high
Yesterday 11:32 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
What to specialize in after MMed (apart from AST routes like pall med and sports med)?
Any lobang to intro?
LOL pass your mmed then talk. if you can haha
Yesterday 10:43 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
This is what you are told and you tell yourself

You think specialist dont refer? They do! Refer to other specialists

It isnt that different really. Specialists can only manage within their own scope

Depth is easier to master because there is a limit. There is no limit in breadth.

Iin fact there is even sub specialist.

Do yourself a favor. Finish the mmed. Gdfm. But dot be a generalist. Specialize in something.

Even internal med....it is generalist. Dont be fooled that it is a specialty much different from GP. Slightly better cos dun do peds psych obs and gynae ortho and surgery. But a lot of work. Often dumping ground. Which is why im let gp set up admission ward to help with dumped patients.
What to specialize in after MMed (apart from AST routes like pall med and sports med)?
Any lobang to intro?
Yesterday 09:21 PM
Unregistered The big con job is tellimg GPs they cam be super drs by doing mmed and can manage all kinds of complex cases "just like specialist".

Yeah classic case of generalist want to be able to tout themselves as specialist standard

But paid generalist rates. Lol!

The true specialty of GP is the breadth. The breadth of type of cases they will accept and see. Basically everything and everyone! But to kid yourself that you can have the actual breadth and depth to do so is folly.

GPs can specialize. Often taking on work at boutique clinics. Maybe doing skin biopsies for a dermatologist? Follow up of stable psychiatry patients? Sports med for eg is really one speciality that orthopods have given away so they can spend more time operating vs doing assessment and examination.There is some area of work specialists find not the best use of their time. Look for those. As a mmed you will be very qualified

Your life will also get easier. Know what to expect everyday. Same questions. Can even hire nurses to help with answering some common questions and follow up. Develop educators.

Better work life balance. Also more satisfaction (you're not referring postman anymore)

And last better $$$
Yesterday 08:59 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
Agree that gp would never be as lucrative as specialist. Quite frankly most people including myself want to become gp as we don't want to take too much responsibility. For gp, there is always a second line of defense and that is to refer.

Currently in ops, we also refer left, right and centre. I even referred subclinical hypothyroidism coz pt wants it. Make my life easier don't need explain anything. I am very often honest with patients, literally telling them I don't know how to manage their condition and hence I am referring. For example,
- most rash who don't respond to steroid cream
- abnormal blood tests that are not thyroid, dm, or lipids. Like plt high, refer haem. Coz I tell pt I don't know what is the cause.

Private gp even better, do whole load of screening, tell pt "results abnormal but they cannot manage, better and cheaper to go ops. "- like literally.. (I agree with the cheaper part but still...)

On my first day in ops, one of the senior doctors told me. You MUST practice within your circle of competence and refer any case you are not confident of managing. (This is stated in smc ethical code of conduct)
He also adds that everyone circle of competence is different.
Reading in-between the lines, I think he essentially meant just refer everyone if I cant manage. Don't take unnecessary risks as if manage wrongly he need to handle complaint lol.
This is what you are told and you tell yourself

You think specialist dont refer? They do! Refer to other specialists

It isnt that different really. Specialists can only manage within their own scope

Depth is easier to master because there is a limit. There is no limit in breadth.

Iin fact there is even sub specialist.

Do yourself a favor. Finish the mmed. Gdfm. But dot be a generalist. Specialize in something.

Even internal med....it is generalist. Dont be fooled that it is a specialty much different from GP. Slightly better cos dun do peds psych obs and gynae ortho and surgery. But a lot of work. Often dumping ground. Which is why im let gp set up admission ward to help with dumped patients.
Yesterday 07:45 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
The problem with primary care is that it is volume based work. Primary care doesnt pay for expertise. It pays per consult. Yes you can charge more for extra time spent. But it doesnt work out to your advantage. It is better to see more patients per hour. The other thing with primary care is that it is breadth of knowledge. So much to know and discuss with patients. And because there is so much breadth it is hard to form a team to assist you.

Whereas with specialists you can be much more efficient.

Not only are people more willing to pay higher rates for specialist medical consults but you can also have a team od specialized educators or para clinical staff helping. So dr can do the medical assessment. Determine diagnosis is correct(usually referred and differentiated problem for you ) assess that there are no contraindications to the treatment you offer then explain briefly to the patient then pass them on to another junior dr or nurse educator etc.
Very *ahem* specialized.

With GPs usually you got to do most of the work. Diagnose. Investigatr from scratch. Explain differentials. Then results then what possible treatments answer objections and fears. It is A LOT of work. And from derm problem to gynae problem to pediatric to orthopedic to psychatrict to neurologic to cardiac to urologic etc how to build a support system? Even in OPS got some nurses is for DM HPT Obesity Smoking cessation at most only. Which is why..refer. but who eill pay you big bucks for referring?

So despite all the rhetoric and adulations about GPs dont fall for it. It is still more lucrative to spcialize. Look for niche markets that are not filled by existing specialties.

That is how aesthetics started. Other fringe medicine opportunities are out there one could specialize in. Singapore unfortunately doesnt have rural centres where there migjt be demand for specialist GPs in anaesthesia or obstetrics or surgical assist.

Agree that gp would never be as lucrative as specialist. Quite frankly most people including myself want to become gp as we don't want to take too much responsibility. For gp, there is always a second line of defense and that is to refer.

Currently in ops, we also refer left, right and centre. I even referred subclinical hypothyroidism coz pt wants it. Make my life easier don't need explain anything. I am very often honest with patients, literally telling them I don't know how to manage their condition and hence I am referring. For example,
- most rash who don't respond to steroid cream
- abnormal blood tests that are not thyroid, dm, or lipids. Like plt high, refer haem. Coz I tell pt I don't know what is the cause.

Private gp even better, do whole load of screening, tell pt "results abnormal but they cannot manage, better and cheaper to go ops. "- like literally.. (I agree with the cheaper part but still...)

On my first day in ops, one of the senior doctors told me. You MUST practice within your circle of competence and refer any case you are not confident of managing. (This is stated in smc ethical code of conduct)
He also adds that everyone circle of competence is different.
Reading in-between the lines, I think he essentially meant just refer everyone if I cant manage. Don't take unnecessary risks as if manage wrongly he need to handle complaint lol.
Yesterday 03:46 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
The problem with primary care is that it is volume based work. Primary care doesnt pay for expertise. It pays per consult. Yes you can charge more for extra time spent. But it doesnt work out to your advantage. It is better to see more patients per hour. The other thing with primary care is that it is breadth of knowledge. So much to know and discuss with patients. And because there is so much breadth it is hard to form a team to assist you.

Whereas with specialists you can be much more efficient.

Not only are people more willing to pay higher rates for specialist medical consults but you can also have a team od specialized educators or para clinical staff helping. So dr can do the medical assessment. Determine diagnosis is correct(usually referred and differentiated problem for you ) assess that there are no contraindications to the treatment you offer then explain briefly to the patient then pass them on to another junior dr or nurse educator etc.
Very *ahem* specialized.

With GPs usually you got to do most of the work. Diagnose. Investigatr from scratch. Explain differentials. Then results then what possible treatments answer objections and fears. It is A LOT of work. And from derm problem to gynae problem to pediatric to orthopedic to psychatrict to neurologic to cardiac to urologic etc how to build a support system? Even in OPS got some nurses is for DM HPT Obesity Smoking cessation at most only. Which is why..refer. but who eill pay you big bucks for referring?

So despite all the rhetoric and adulations about GPs dont fall for it. It is still more lucrative to spcialize. Look for niche markets that are not filled by existing specialties.

That is how aesthetics started. Other fringe medicine opportunities are out there one could specialize in. Singapore unfortunately doesnt have rural centres where there migjt be demand for specialist GPs in anaesthesia or obstetrics or surgical assist.
this guy gets it.
specialize in a skill is the best.
generalist work is very tough. In hospital setting at least still can blue letter left right center.
In primary care, sibei jialat. Your worried auntie comes with 10 concerns because their cousin say this , they read that on google or saw that on some TV program.
Sometimes i don't want to talk much, i stare at the computer and become the proverbial dumb doctor.
The reason is i don't want to be the helpful doctor because its simply too much work for me. Not when you are the 44th patient of the day, its 5:20pm and I REALLY WANT TO GO HOME.
26-09-2022 08:04 PM
Unregistered
Quote:
Originally Posted by Unregistered View Post
Internal medicine. Some IM departments are so desperate that they are hiring locums whereas polyclinic are oversubscribed nowadays.
Desperate for rps right.
Not desperate for cons
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