the bond penalty used to be a disproportionately small amount.........about rm130k for those who got the scholarships in the early 2000's.........

since the last 5 years, when they realised many people are breaking their bonds, the penalty is now based on the FULL amount jpa spends on you.........

that includes 2 years pre-u studies, all tuition fees paid, all allowances given, all airfares, insurance premiums, visa fees etc spent..........

and that WILL come up to 1mil or more, depending on which uni you studied (eg melbourne fees aud54k X 6 years =rm1mil, edinburgh gbp30k X 5=rm850k in fees alone)..........

the bond penalty used to be a disproportionately small amount.........about rm130k for those who got the scholarships in the early 2000's.........

since the last 5 years, when they realised many people are breaking their bonds, the penalty is now based on the FULL amount jpa spends on you.........

that includes 2 years pre-u studies, all tuition fees paid, all allowances given, all airfares, insurance premiums, visa fees etc spent..........

and that WILL come up to 1mil or more, depending on which uni you studied (eg melbourne fees aud54k X 6 years =rm1mil, edinburgh gbp30k X 5=rm850k in fees alone)..........

rm130 K is nothing to them if they work overseas...
they get higher pay and the advantage of high value in the currency...
even rm 1.3 million isn't much for them i guess...
imagine those working in UK/Ireland..the currency is like 7 times higher than us...

if you leave the service after the compulsory service (really, 2 or 3 years makes little difference, and you will hardly have gained enough experience even after 3 years), you can only practice as a gp.....and i can assure you, gp hours are just as long, some even open night clinics up till midnight to make ends meet........only that you can go home and sleep peacefully at night.....

alternatively, you can work as an rmo in private hospitals, but you will still need to do shift duties as well as night duties........

bt i juz herd dat they r extending it to 10 yers? is there any conformation?

hurmm..i think it depends on the person itself....

in my opinion, if u studied on public fund eg gov scholership or something i'd call u selfish...
for those who studied overseas on JPA nad MARA expense and didn't comeback to serve i think them as highly ungrateful...
to make them worse...they don't even bother to pay back...a waste of public money 

if its on ur own expense than go ahead...

time out a bit on the bond thing...

need help...
i've been presented a case..20yr old...female..m'sian
chief complain is diarrhea for past 4-5 months loss 5 kg in dat period
is currently been underweight...
BP, respiratory rate, pulse rate and temperature are normal...
all other system are also normal...except she has a distended abdominal...and there is stomatitis and glossitis when upon done oral checking...

blood test saw dat her MCV is high hb count low...the serum ferritin and b12 level is normal...just the folate level is low

her stool has an increased amount of fat and bulky but not watery...prior to diz she has experienced diarrhea before..dat is about a year ago..but it stop a few days after without any treatment......
after discussion we all agreed that she has tropical sprue....
but I think there is a possibility also that she has bacterial overgrowth...she's exhibiting the same symptoms...
is there any way to distinct between those two....??

But I thought GP is a must for every doctor during their career? BTW, after the compulsory service, I paln to pursue Master's degree. But I'm not sure which is the best time to do it. Can I pursue it right after the compulsory service? Or I need a few more years of experience?

Tropical sprue is associated with bacterial overgrowth. I don't think the term "bacterial overgrowth" is a strong and valid independent diagnosis but I'm no gastro expert and I could be wrong.

If it's angmoh then celiac would be high on the list, but that doesn't mean that non caucasians won't get celiac. Check anti-TTG and endomysial Ab, if positive then scope + biopsy. Tropical sprue would have similar biopsy results as celiac without the autoantibodies.

Also think about IBD eg Crohn's even though she doesn't seem to be febrile.

If it's a real life case, keep us updated on the progress and the diagnosis

3 docs dead

Published on: Sunday, February 07, 2010

Kota Kinabalu: Four people, including three government doctors, were killed while 18 passengers suffered injuries when a luxury sports car and a bus collided near a traffic light in Tanjung Aru, early Saturday.
Dr Prem Sastigan a/l Ganadas from Johor, 26, Dr Wong Wai Choong (Kuala Lumpur), 28, Dr P Bavani a/p Phary (Terengganu), 26, and Jemalyn Alvarez, 32, a Filipina bus passenger, died on the spot in the 12am tragedy.

A fourth doctor, Jaya Lakshmi, 25, from Kuala Lumpur, survived with serious injuries. The bodies of Prem, Bavani and Choong were claimed by families and relatives.

All the doctors were serving in the Likas Hospital, here. City Police Chief, ACP Ahmad Sofi Zakaria, said the four doctors aged between 26 and 28 were heading to Tanjung Aru from the city in a BMW335i Convertible.

"The car, however, lost control and rammed into a bus in front of it, which was carrying 25 passengers. Three people travelling in the car died while their friend sustained serious injury.

"A woman bus passenger was also killed. Eighteen passengers suffered injuries and all victims were sent to hospital for treatment," he said, Saturday.

It was learnt that the bus was sending Port View Seafood Village workers home. Its General Manager, Joseph Lim, said the bus would normally send workers to Likas and Inanam.

According to Mariam, 45, a passenger, she heard a loud bang and realised that the bus had been hit.

The impact caused the bus to overturn and land on its side.

The BMW car turned turtle, trapping the four doctors inside.

A Fire and Rescue team managed to pull out all victims about 1.30am.

Three doctors killed in crash

By RUBEN SARIO


sario@thestar.com.my

KOTA KINABALU: Three doctors from the Queen Elizabeth Hospital were killed and another seriously injured in a car-bus collision along the coastal highway near Sembulan early yesterday.

The 12.30am accident also resulted in the death of a passenger on board the 27-seater bus.


Twisted metal: The wreckage of the car after the accident that claimed the lives of the three doctors near Sembulan Sunday.
City police identified the dead doctors as Prem Sastigan Ganadas, 26, who was at the wheel of the luxury car, Wong Wai Choong, 28, and Bauani Phavy, 26.

All three were reported to have sustained severe head and body injuries in the collision that saw their car turning turtle.

They died on the spot.

Family members of the three doctors from the peninsula were present at the post-mortem conducted at the hospital mortuary yesterday afternoon.

The fourth doctor was identified only as Letchmy, 27, who suffered various injuries including a broken leg. She was reported to be in serious condition.

The bus passenger who died was identified as Jemalyn Baharod Alvarez, 32, from Menggatal. She died on the way to the hospital.

The bus driver suffered a broken leg and was also hospitalised. The other 18 bus passengers were unhurt in the incident.

Tropical sprue is associated with bacterial overgrowth. I don't think the term "bacterial overgrowth" is a strong and valid independent diagnosis but I'm no gastro expert and I could be wrong.

If it's angmoh then celiac would be high on the list, but that doesn't mean that non caucasians won't get celiac. Check anti-TTG and endomysial Ab, if positive then scope + biopsy. Tropical sprue would have similar biopsy results as celiac without the autoantibodies.

Also think about IBD eg Crohn's even though she doesn't seem to be febrile.

If it's a real life case, keep us updated on the progress and the diagnosis
GP is a must? Nope. If I'm not mistaken, you just need a basic MBBS to become a GP. In other countries, GP is a specialisation and requires specific training programmes which often include family medicine, a bit of paeds, a bit of O&G, sometimes even a bit of psychiatry.

nope
u cant become GP with basic mbbs..u have to specialize (another 4 years of training/studying) in family medicine(if im not mistaken)

but that is what i've been told by some doc during my GP posting
maybe malaysia i coming towards that
maybe i heard him wrong
zzz

Hi! Everyone!! I got some questions here... Have you all heard of ZheJiang School of Medicine? How is it? Any seniors studying there?? Can give me some advices?? I chance upon an agent called chinaenglishmedium... Is it a genuine agent?? and also... Since ZheJiang School of Medicine is actually recognised by Singapore... Can I work there after I graduated? compared to those local medical universities which are not recognised by singapore... is it better to go for zhejiang university of medicine so that I can work in Singapore in the future?

this uni in singapore?
never heard of it...
thats weird