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 CALLING ALL MEDICAL STUDENTS! V2, medical student chat+info center

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limeuu
post Sep 26 2010, 10:28 PM

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QUOTE(CyberSetan @ Sep 26 2010, 08:22 PM)
On another note, I recalled what Limeuu stated 2 years ago:
Guess he was wrong eh? how about it limeuu? medical program evolves no? even in Malaysia? laugh.gif brows.gif  brows.gif
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hasn't happen yet, so don't count your chickens yet.....

in any case, msian med schools with graduate entry programmes is not new, ie, jh is not the first.........imu has a graduate entry pathway to graduate entry pms (previously uq, now includes anu, warwick, sydney and melbourne) for a long time now....

these are all related to foreign med schools, to comply with their graduate entry system..........

let's see if a home grown msian med school will ever take this pathway........


Added on September 26, 2010, 10:30 pm
QUOTE(DarkNite @ Sep 26 2010, 09:00 PM)
Hope that this John Hopkins do offer some specialize programs for locally graduated MD from other privated uni in M'sia.
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there will be no 'specialised programmes'........i am not aware of any american uni with branch campuses in other countries conducting board certification there......

ie, board certification is a process.....not a course of study........

This post has been edited by limeuu: Sep 26 2010, 10:30 PM
limeuu
post Sep 29 2010, 10:53 AM

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QUOTE(cckkpr @ Sep 29 2010, 10:03 AM)
Agreed, currently overworked. But the number of doctors can surely be increased to share out the responsibiliteis.
It has to be on a rotation basis for a couple of years.
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increasing the total number of doctors does not help rural under service....as is evidenced in many countries, including australia.....

rotation does not work.....people posted to rural stations are usually junior doctors soon after housemanship (2-3 years seniority).....by the time they are 4-5 years seniority, they are either in some post graduate programme or in private practice, so cannot be rotated to rural areas any more....

urban-rural divide cuts through all aspects of human life, not just health care, and is a problem faced by ALL countries (with the exception of 'dot' countries like spore and hksar.....
limeuu
post Sep 29 2010, 11:48 AM

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they are scraping the bottom of the 'rich' barrel.....so not only do they take in very weak students......they need to entice them with iphones.....

we have reached new lows in education.....
limeuu
post Oct 6 2010, 12:36 PM

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i suggest you all do your maths carefully....15k extra doctors by 2020 means 10 years from now, ie, 1.5k doctors a year. assuming half of the new doctors leave the public sector (lately, it's less than 1/2), you will need 3k/year.......

even at least years production numbers, this number is already exceeded........this year and the next few years, based on the numbers currently studying medicine, between 4k-5k new doctors will start work.....if we take the lower figure of 4k, and 2k stays on in the moh, the number of 15k will be reached by 2017, or earlier if the numbers graduating increases.......

you don't turn off a med school like a tap.....they will continue to churn out doctors, and there will not be enough jobs for them....

this scenario is real.....

as for the masses coming back from overseas.....the majority will be from russia, which is cheaper than local ipts med schoosl.....


Added on October 6, 2010, 12:39 pm
QUOTE(DarkNite @ Oct 6 2010, 12:30 PM)
Last week my friend's father fell and badly hurt his back. The ambulance took him to GH. Four St John guys help transfer the poor old man to the hospital trolley and wheel him in the emergency room. Guess how long before anybody attend to him?
Half an hour later!
The place was so chaotic. Some 'new' doctors was sitting at a desk chatting whilst 4 more were attending to other cases. During the waiting time, 2 doc seems to be attending to all cases whilst others...??? 6 'doc' on stand by?

Later they need the trolley and ASK the old man who was in pain to move himself onto another bed! doh.gif  Only then, a doc ask to take the old man's vitals and start some procedures.

Dun start me about the wait for the x ray and x-ray facilities! But what takes the cake was after 2 hours, they have to take blood again cos the 1st sample clotted! After 2 hours then only they informed! rclxub.gif
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1. those standing by are likely medical students........

2. it is well proven, more doctors does NOT necessary improve services, nor improve quality (the reverse is the case when quality is compromised)..........

This post has been edited by limeuu: Oct 6 2010, 12:39 PM
limeuu
post Oct 6 2010, 02:55 PM

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foreign cheaply trained doctors(russia, indonesia, bangladesh, other unrecognised places) will not decrease, unless either the cost goes up significantly, or the gov de-recognise them (like they did for crimea), so expect another 1k-2k/year from out of msia....
limeuu
post Oct 6 2010, 10:57 PM

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you wouldn't believe the hoohaa and protests after crimea state university was de-recognised.......especially from the indian community and mic........
limeuu
post Oct 7 2010, 08:34 AM

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i think people should realise that a certain part of the population, and many politicians, actually WANT easy access to cheap medical production line that is recognised in msia..........ie, easy to get in with lousy results, cheap, easy to pass, and fully recognised.....

they are not bothered about standards and quality.....the standard argument is the 'passion over ability' justification.....
limeuu
post Oct 18 2010, 10:48 PM

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'pakar bedah' is not 'heart surgeon'..........

going for interview and not even know what the 'medic line'?......
limeuu
post Nov 16 2010, 08:22 AM

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QUOTE(raul88 @ Nov 16 2010, 07:34 AM)
hey

quick question to all
in Malaysia, if got TB cases in the hospital
do the doctor do DOT (direct observation theraphy)????
if yes, that mean the patient will be warded until he finished the tb drugs course?
if they discharge the patient, then how they going to make sure he/she are compliance in taking meds

thanks in advance
-just wondering
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they used to admit them for the intensive first 2 months daily therapy..........

and there was an old regime of biweekly medications, which is served at the clinic under supervision.....if they failed to turn up, the village health team goes looking for them..... smile.gif

things have changed somewhat nowadays......
limeuu
post Nov 16 2010, 01:01 PM

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current standard therapies are all available in the net.....
limeuu
post Nov 17 2010, 10:30 AM

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QUOTE(raul88 @ Nov 16 2010, 09:58 PM)
i want msia guidelines one
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QUOTE(wgy589 @ Nov 16 2010, 10:39 PM)
like i said, it's all on the net......local or 'international'.....actually, no matter where you are, the standard regimes don't differ much.....
limeuu
post Nov 27 2010, 06:30 PM

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isn't it interesting that the last 2 entries appears to give the completely opposite picture of the situation..........
limeuu
post Nov 27 2010, 09:29 PM

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i see this sort of thing all the time.......like the old saying, there is a fool born every minute........most of them loose their money through scams.....

some loose their lives........
limeuu
post Dec 6 2010, 12:17 PM

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communication skills IS a subject in some medical schools.....mostly in the western world........it's partly driven by patient needs, but mostly by medicolegal implications, especially in the consent taking process......

having said that, the reason why people try alternative cures is NOT because the doctor failed to convey the information of diagnosis, but that many people do NOT really trust modern medicine, they know fully well what's wrong with them, like in this case above....

from a medico-legal point of view, in some countries, patient who refused recommended treatment will also need to sign a disclaimer.........
limeuu
post Dec 6 2010, 07:03 PM

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QUOTE(DarkNite @ Dec 6 2010, 05:57 PM)


limeuu - Trust and information goes hand in hand doesn't it? A well informed patient will know wat/who to trust, is it not?
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no........the persons background health belief system will usually decide what they do........you must understand modern medicine (what many mistakenly refer to as 'western' medicine) is just one of several broad health belief systems......and considered no superior to the other systems.....
limeuu
post Dec 6 2010, 08:15 PM

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QUOTE(Syd G @ Dec 6 2010, 07:30 PM)
Reminded me of my OB/GYN. When I was complaining about the horrible stuff I had to go through during confinement, she said 'modern medicine cant explain everything, sometimes there are things that the elders know better'. That actually surprised me since she's quite a modern woman.

The thing is, if I ask my mom about those pantangs, she'll tell me - thats what people in the old days used to do .. just follow. I usually retort with 'people used to take dump in a pail, cook things with firewood and live in a wooden house with mengkuang rooftop too'. As I mentioned in another thread, I dont mind following rituals - as long as they're reasonable.

Or maybe my OB/GYN was just trying to be nice tongue.gif
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she is just being nice.....most modern medicine doctors tries NOT to antagonise these alternative health system beliefs, for fear they will loose the patient........smile.gif

however, there are some doctors, in spite of being trained in modern evidence based medicine, still hold on to their original belief system they grew up in.....


Added on December 6, 2010, 8:17 pm
QUOTE(OctoberFly @ Dec 6 2010, 07:58 PM)
umm anyone from imu unsure.gif?
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go to the imu thread.........

This post has been edited by limeuu: Dec 6 2010, 08:17 PM
limeuu
post Dec 16 2010, 11:37 AM

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india medical programmes are more expensive nowadays, partly because of higher quality, especially the top tier ones, and partly because of restricted places allowed for foreigners enforced by the indian gov.......

some med schools side step this issue, by having programmes that cater for the foreigners only, which is of course not recognised by the indian regulatory bodies........

others do the same, but 'twinning' or joint venture with other foreign education establishments.....eg, masterskill and msu programmes........

this produce a strange situation where degrees awarded are NOT recognised in the country that awards them!!!......

that is why some countries insist that any degree MUST be fully recognised in the country of award, to be accepted and allowed to sit for qualifying exams.....
limeuu
post Dec 16 2010, 12:03 PM

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like i said above, higher tier med schools in india is actually more expensive than the new home-grown ipts.........

why not go to india?.......because getting into the better ones is actually DIFFICULT, in some cases, as tough as oz or uk.........try get into aiims.....smile.gif
limeuu
post Dec 16 2010, 05:39 PM

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cyber, yes, i know about the strange usm arrangement.......though i can't say i know the rationale for this.........if usm thinks they can ride the 'reputation' of jhcm to apex 'world class' status, they are sadly mistaken....

that's another reason why i don't think usm's apex status will produce anything significant.........

i can think of so many ways which they can produce world class standards in medicine and health care, with the special funding they get as well as freedom to choose the best students.........but they have not bothered........i see their philosophy still very much nep based, instead of excellence based.......

This post has been edited by limeuu: Dec 16 2010, 05:44 PM
limeuu
post Dec 17 2010, 09:13 AM

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disease patterns are different in different countries.......

3rd world countries tend to have poorer health care, neglect, and more gross pathologies due to delays in diagnosis and treatment......

on the other hand, those trained in the 1st world are better in picking early symptoms of diseases, with better diagnostic and therapeutic options at their disposal........

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