like i said, disease pattern is different.......many students in uk will have never seen a case of malaria.....

on the other hand, the subtle symptoms of multiple sclerosis will often be missed by a doctor in the 3rd world, an under-diagnosed illness, where doctors have little experience with it, and no diagnostic tools to confirm......

because of the late and gross presentation of many diseases in the 3rd world, many 1st world medical students love to do their electives in these countries, where they can see and experience these patients which otherwise they will only read about in textbooks.....as well as often, able to do hands-on procedures on them, something they will not be allowed to do back in their home country....

society mores have a big impact of decision making regarding health care.......

what they choose is strongly influenced by their health believe systems........thus many people will seek bomohs, sinsehs, alternatives, even direct sale products, over modern healthcare.....

society mores will also influence how they respond to illness......in the example above, some women would rather die, than loose their breasts and risk ostracisation by their husbands........it obviously still happens in Kelantan........but as late as 20 years ago, it was the same in KL......

a study done in the late 80's in KLH showed 60% of breast cancers present in late stages (defined as 3 and 4).........the figures is now about 10% or less........

the difference is patient education, awareness, and i think most importantly, the financial independence of women, and the changing status of the women in a marriage......

as it changed in kl, it will change also in Kelantan, albeit more slowly.......

in the meantime, we continue to do our best to educate the population.......

not just in breast cancers, but in all aspects of health care, including their health belief systems.....we still see people going to bomohs for treatment of dengue, malaria etc.......and some people are still very critical of the modern scientific health care system...........

that is not true........housemans are posted to many bigger district hospitals eg muar, sibu, miri..........

simple.....

means that while the degree is recognised by gmc, to gain full registration, one needs to complete the 1st year of the 2 year foundation in the uk.....

the same rule exist for msia......even if your degree is recognised, you need to fulfil the housemanship year to get full registration.....

the only difference is, while msia recognises housemanship done in some countries (uk and oz included), the uk does NOT recognise housemanship done outside of the british isles......

therefore, to get full registration with gmc, you will NEED to do the fy1 in uk......and you CAN, as far as the gmc is concerned......

BUT, under current laws, the bba (british border agency, or formerly immigrations) says you CANNOT, as a foreigner..........unless you can get one of the tier 1 or tier 2 visas.......

tier 1 and 2?......to know more, go to bba website........generally, a fresh graduate from without the british isles will not qualify for these visas.......

ie, it's the same as the monash msia mbbs.......you have NO automatic right to work in these countries even if your degree is fully recognised.....

bottom line:......qualification recognition and right to work are two completely separate matters........something which many people do not realise.......

both nemed and monash msia share the same issues........

at the present pound sterling level, just go straight direct entry to a uk uni, or via imu-pms.......fees are the same if you choose the cheaper ones.........

i am not sure if people noted this in the media lately........

of the 11k students 'rescued' back from egypt, 5k are medical students!!

for the 5 year courses there, that translate to 1000 new doctors every year on average.........and practically ALL will return to msia.........

so we now have 1000 new doctors a year from russia, and 1000 from egypt......

there isn't really a shortage anymore..........

there is however pockets of shortages, mostly in rural areas........that is maldistribution, not shortage........a problem that will persist no matter how many doctors there are (exist in oz, us etc).......

any country that takes in 1000 students a year from one country, into a critical course like medicine, there MUST be a prawn behind the stone.......

but who cares, it's an easy and cheap pathway for malays/muslims......

it is NOT so easy to extend any posting in housemanship......let alone terminate their service.........

politicians gets involved........

the head of dept gets criticised for 'failing to teach the houseman adequately'........

hosp directors hauled up to explain why houseman sacked.........asked to explain why cannot teach them.......

easiest to just pass them and let them be somebody else's problem.......

msia boleh......

finally, what i have been saying all these years (and getting flammed for by the likes of hypermax etc) is coming out openly in the mainstream media and national consciousness........

'passion' is NOT an excuse to become a doctor.....ever.......all well managed countries with high standards of healthcare allow only the BEST of their youth to become doctors.......msia had no such control, and have allowed sub-standard students become sub-standard doctors ever since it existed......

msia boleh.......again.....

that is not correct.......cultures and afb have excellent positive predictive value, but poor negative predictive value.......

ie, if you get a positive result, it probably confirms active disease........if you get a negative result it does NOT confirm you do NOT have TB............

up to 50% of patients undergoing treatment will be based on presumptive diagnosis, taking in the whole clinical picture.......in many cases, you will NOT find the organism even in patients with very classical clinical picture........

infectiousness and cure are 2 separate and completely different aspects of tb treatment.........

within 2 weeks of treatment, the afb will have a fragmented appearance, and deemed NOT infectious anymore, although negative smears is required before release from isolation........however, they are NOT dead yet, and if treatment is stopped prematurely, they can reactivate.......

remember, antibiotics either kill bacteria by causing cell death during multiplication process (bacteriocidal), or by stopping multiplication (bacteriostatic) and giving time for the body's natural immune system to kill the bacteria.....because the mycobacterium multiply very slowly, the effect of anyi-tb medication is mostly baceriostatic (even if the primary action of the drug is bacteriocidal, eg aminoglycosides), and time is needed for the immune system to kill and remove the bacteria.........

that is why the minimum duration for treatment for uncomplicated pulmonary and extra-pulmonary(not cns) tb is 6 months..........in the old days before rifampicin, it was either 14 or 16 months.........

any one can figure out why this is a scam.....purely based on basic science principles?..........

well done.........

still around?.....

how's housemanship..........?

it can still be harder work going forward, depending on where and what postings you do.........

but you will look back in future, and realise this could be the best times of your professional career.........

please see the cucms thread.......

how can they be 'de-recognised' when they were NEVER recognised in the first case......

hmmm......this than is also a testimony to the thoroughness of mmc.....that they would recognise a degree, and then change their mind within 4 months......

it matters not, as msian students studying in one of these 'twinning' med school will not want to stay on and work in india anyway......

and strangely, while not recognised in india, they are recognised in other countries......like msia......

where in my original statement would you infer that?..........

i was merely commenting on why it matters not that the degree is not recognised by india........

i am sure it will raise some eyebrows when people find out a degree from india is not recognise in india itself......