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

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hypermax
post Oct 12 2009, 06:00 PM

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QUOTE(limeuu @ Oct 10 2009, 02:30 PM)
you can call yourself a dr. if you have a medical degree, registration is only to actively practice medicine........but like said, some people may feel it is inappropriate to be called dr. when they do not practice medicine........

you can teach anatomy, physiology etc, ie the clinical sciences........and there are lots of expatriate lecturers (burmese, indians mostly) in ipta and ipts med schools who are not registered with mmc, ie they are NOT allowed to see patients, but they can teach.........

you can continue postgraduate in other non clinical medicine fields like you said.......but if you want to do postgraduate in clinical medicine specialties, including lab based ones, you will need full registration.........
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Not allowed to see patients?? You sure about this? Indian national lecturers in my college are seeing and touching the patients daily. Heck, they even conduct ward rounds with the housemen in Melaka GH.

This post has been edited by hypermax: Oct 12 2009, 06:00 PM
hypermax
post Oct 12 2009, 07:27 PM

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QUOTE(limeuu @ Oct 12 2009, 06:17 PM)
'see patients' means to treat, as in a patient doctor relationship.........

you will need to know if they are registered to practice medicine in msia with the mmc........if they are, then of course they can see patients........
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Read my post properly, i said "conduct ward rounds with the housemen". If you are not allow to treat, how can you conduct ward round with housemen writing down whatever you said in the case note?

BTW, most foreign lecturers teaching clinical subjects should have registration with the MMC. It doesn't make sense for a non-practicing doctor to teach at bedside, does it?
hypermax
post Jan 27 2010, 01:11 AM

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QUOTE(limeuu @ Jan 26 2010, 09:04 PM)
these have relatively small intakes, less than 100 per uni, except for aimst, with 200/year.....the REAL numbers comes (and will continue to come) from russia and ukraine........about 1000+/year for the next few years.......with current intake, that will continue for the foreseeable future, unless msia stop recognition...........

there is absolutely NO control over who and how many become doctors in msia at the moment.........it is a free for all........
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Soon, gov hospital will be packed with housemen, with some MOs and few specialists. I foresee the health care system to collapse in the near future.
hypermax
post Mar 1 2011, 10:21 AM

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QUOTE(limeuu @ Feb 20 2011, 02:24 PM)
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.....smile.gif
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Huh?? What did i flame you for?? i thought the last time i flamed you was for your statement that a doc with unrecognised basic degree but with recognised post grad diploma/degree eg mrcp isn't registrable with SMC.



hypermax
post Mar 1 2011, 12:31 PM

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QUOTE(limeuu @ Mar 1 2011, 11:03 AM)
biggrin.gif

still around?.....

how's housemanship..........?
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thx for your concern

housemanship is good, but damn tiring. will be finishing soon

BTW, is anyone taking MRCP part 2 written this year? any advice?
hypermax
post Mar 14 2011, 01:04 PM

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QUOTE(limeuu @ Mar 12 2011, 09:18 PM)
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...... biggrin.gif
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So just to be clear, are you doubting on the competency of the graduates from the said schools?
hypermax
post Mar 14 2011, 07:15 PM

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QUOTE(limeuu @ Mar 14 2011, 03:48 PM)
where in my original statement would you infer that?.......... smile.gif

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

i am sure it will raise some eyebrows when people find out a degree from india is not recognise in india itself......
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If you check the IMED web site, MMMC's degree is actually listed as a Malaysian degree, not an Indian degree.

So pls get your facts right before posting. thx. doh.gif

More info here
hypermax
post Mar 15 2011, 05:07 PM

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QUOTE(limeuu @ Mar 14 2011, 07:31 PM)
eh....again, where in my posting did i say anything about mmmc?.......it was a generic comment, there are a few indian med schools like this........ smile.gif
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Well, there is currently one such college which is recognised by the MMC, which is MMMC. So judging from your comment: "strangely, while not recognised in india, they are recognised in other countries......like msia.", you are clearing talking about MMMC.

If you can, pls list one more institute offering twinning with India and is recognized by MMC. rolleyes.gif
hypermax
post Mar 15 2011, 09:00 PM

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QUOTE(limeuu @ Mar 15 2011, 08:00 PM)
eh.....i was actually thinking about msu and their arrangement with sri ms ramaiah in bangalore........the arrangement is actually with gokula education foundation, and appears to be a separate programme from their own local indian programme..........i would think the msu stream will not be recognised by india, as it is over and above the 150 places approved by the gov of india........

in addition, masterskill is also twinned with india, but details are sketchy about who and how.......it is likely they are doing the same as msu, ie buying an off the rack clinical programme, over and above what is approved by the indian authorities, and thus not recognised in  india.......

but now that you mention it, yes, the mmmc/manipal also has this peculiarity, and now i recall in 2008, there was a transient de-recognition of kmc-manipal and mangalore........

btw, it appears india also faces the same problem as msia.......found this: http://www.successcds.net/Articles/MBBS-IN-CHINA.htm

it appears the russians cheated them in the 90's before moving on to msians...... biggrin.gif

» Click to show Spoiler - click again to hide... «

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Well, both MSU and Masterskill are yet to be recognized by the MMC. So MMMC is the only institution offering twinning programme with India which is currently recognized by the MMC. So your previous statement actually points to MMMC.

BTW, as i have mentioned before, MMMC is a distinct degree of its own, much like St George and Imperial College both under London University.

Anyway, that transient de-recognition of KMC manipal and Manglore was due to the excessive foreigners studying in the MBBS programme, which far exceeded the quota set for foreigners by the Federal Gov of India. But again, there was a mistake as they had also included the MMMC students into the quota (again, MMMC is a distinct institution, not part of KMC). It had nothing to do with the quality of teaching nor the graduates (KMC Manipal is consistently ranked top 10 among Indian med schools, 6th in the year 2010 as per India Today's ranking)

Btw, i am not sensitive, just trying to get the facts right wink.gif

hypermax
post Aug 28 2011, 12:51 PM

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QUOTE(sotong1992 @ Aug 28 2011, 12:48 PM)
Actually how many STPM students are accepted for medicine with 4.00 per year via UPU??
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Not many i guess. Most of my non-bumi colleagues from IPTA did matriks before gaining entry to med schools
hypermax
post Jan 15 2012, 01:32 PM

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QUOTE(limeuu @ Jan 13 2012, 11:08 PM)
While seeing gross pathologies seems great for medical students, the reality for Msia is, these are getting rare, and more important now is the ability to pick up early illness, when symptoms and signs are subtle and vague (good history).....the ability to fashion adequate and timely treatment plans, and most important, the ability to reduce morbidity and mortality by preventive and early intervention practises......

a monkey can diagnose a fungating breast cancer, but it takes skills and team work to screen and pick up subtle early breast dcis.........
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Funny, this is the first time i find myself agreeable with limeuu biggrin.gif
hypermax
post Mar 28 2012, 09:49 PM

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QUOTE(cckkpr @ Mar 28 2012, 08:25 PM)
Melaka Manipal will give you offer letter on the spot. Just type in name and print only.
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Wrong spelling bro, it's Melaka "Moneypal". Thus they will give you offer letter on the spot as long as you have the ability to pay (and of course, have the min requirement which is rather easy) whistling.gif

Btw, does anyone here think that we should have a common licensing exam?

This post has been edited by hypermax: Mar 28 2012, 09:52 PM
hypermax
post Mar 28 2012, 10:08 PM

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CT TAP = CT scan of the thorax, abdomen and pelvis


hypermax
post Mar 28 2012, 11:19 PM

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With the amount of med schools in Malaysia, quality of medical education is deteriorating fast due to lack of quality lecturers as well as quality students. I was shocked to hear a HO informing me that a patient's GCS was zero (and this HO is from a local gov med school).

Thus, i strongly suggest a common licencing exam to weed out all the incompetent medical graduates, in order to maintain the quality of our healthcare. In addition, it will also eliminate biases towards medical graduates from certain schools / countries.
hypermax
post Mar 29 2012, 01:40 PM

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QUOTE(limeuu @ Mar 28 2012, 11:43 PM)
a common qualifying exam would be politically unacceptable, and indeed, the proposal by mmc (which excludes local graduates from the exam, both ipta and ipts) was turned down by the cabinet..........

objections will arise from both sides....those from good unis do not want an additional barrier and do not see why they need to be tested.....those from bad unis also do not want, as maybe many will fail the exam....

and it will NOT address the problem of bad students locally, both public and private....
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When i said common licensing exam, i meant COMMON for all, both local and foreign graduates. Thus, it will address the problem of bad students locally.

And i dun see why anyone should object this (besides those with political agenda). After all, many developed countries (US, Canada, Hong Kong, Taiwan, Japan) have a common medical board exam, which all medical graduates are required to pass in order to practice in the respective countries, regardless of where they graduated from.

QUOTE(limeuu @ Mar 28 2012, 11:43 PM)
there are many other issues.....who will conduct the exam?.....are there enough resources?.....will it include clinicals? (no way moh will cope with clinicals for 3-4K a year)....how objective is the exam?......will it be abused like the clp exams?.....

not going to happen.....
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I suggest MMC to form a medical exam board, consisting of senior professors from all local universities or abroad (guest examiners) and senior clinicians from both gov and private hospital. Also, we can divide the exam into few parts, like USMLE, thus limiting the number of applicants for the clinical exam (since some of them will fail in the theory part).

QUOTE(limeuu @ Mar 28 2012, 11:43 PM)
there is an old saying.....prevention is better than cure.....

that is very much the case for this issue....unfortunately, we are not even at cure.....it's palliation at the moment...
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I guess we have no other viable choices besides a common licensing exam, since it is very difficult to de-recognize a degree, and also equally difficult to maintain strict intake requirement among local medical schools (as both will require even greater political effort and will).

Of course, what i am saying here might sound like fairy tale, given the political situation in Msia. However, as long as we medical professionals have a common understanding, i am sure we can do something about it, hopefully.


QUOTE(Huskies @ Mar 28 2012, 11:57 PM)
A common licensing exam is great and all, but how transparent/efficient do you think MOH/MMC can carry this out?

And then of course there is the issue of government scholarship/PTPTN recipients (public medical school graduates for that matter too) failing the licensing exam. How do you plan to recoup the public funds splashed on them - arbitrarily if a medical student costs society 200K to educate and the licensing exam has a pass rate of 90% (the USMLE has roughly that amount of passes for US medical graduates) and assuming there are 4000 publicly funded medical students each year - that's 400 x 200K= 80 million ringgit each year down the drain
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In other countries, scholarship recipients are almost always the creme de la creme. However, the same can't be applied in Msian context. I am sure you know whom should we blame, and what should we do in the next GE. rolleyes.gif

P.S I am just sharing my humble dua cents here. You are free to disagree with me but pls avoid inflammatory remarks. Thx thumbup.gif

This post has been edited by hypermax: Mar 29 2012, 03:57 PM
hypermax
post Mar 29 2012, 08:41 PM

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QUOTE(Huskies @ Mar 29 2012, 07:31 PM)
I hate to be cynical, but I'm inclined to agree with limeuu here, a common licensing exam is economically/politically unfeasible. My point is, why bother training unemployable medical graduates to begin with? Introducing a licensing exam whilst still allowing medical schools to churn out dodgy medical graduates at the expense of taxpayers is utterly irresponsible...
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Hi, thank you for your reply. I guess you are not fully aware of the situation in Msia. Thus allow me to explain further:

1. It is a well established fact that majority of the medical graduates from a certain Eastern European country are incompetent. Yet MMC has done absolutely nothing about it, as it is politically incorrect to de-recognize a medical degree. Just look at what happened when Ukraine was de-recognized.

2. There are already 30+ medical schools in Msia, and more are still popping up despite the moratorium. Thus, it is safe to assume that no one is Msia has the political will or might to put a halt to this.

3. Even in local gov med schools, intake requirement can be lax due to racial / political factor. There's even a uni which admits student based purely on ethnicity instead of meritocracy.

4. Scholarship is given out, again, based largely on ethnicity instead of meritocracy.

Thus based on the points mentioned above, it is safe to assume that we are already "churning out dodgy medical graduates at the expense of taxpayers". Hence the question, do you want these "dodgy medical graduates" to be employed in our medical system? What if one day one of them were to attend to you or your love ones?

This post has been edited by hypermax: Mar 29 2012, 08:51 PM
hypermax
post Mar 29 2012, 09:48 PM

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QUOTE(Huskies @ Mar 29 2012, 09:22 PM)
While I concur that an assessment/exam of sorts (commissioning a foreign body such as the ACGME would be a more viable option than starting from scratch, logistically speaking) should be in place for individuals already in the system, it is not in fact addressing the problem at its root - I'm still convinced that killing off these colleges (or at the very least amalgamation) is the only solution in the long run.
Ah...who am I kidding anyway? This is Malaysia after all, I just have to remind myself about that... biggrin.gif
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Are you aware of the fact that almost all private medical schools have the backing of political parties? Do you know how many Tan Sri and Datuk Seri would come after you if you were to shut off their goldmines?

How about those foreign universities? We can't kill them off and definitely we can't de-recognize them for reasons stated in my previous post.

Let's be more realistic. A common licensing exam is indeed a more practical way to address the problem we are facing right now.

Btw, licensing exam for those already in the system will be next to impossible as it requires even greater political might than to kill off those colleges (you dun expect our DG, consultants, profs to take the licensing exam as well, do you?). However, i do support this idea (for HOs or junior MOs), as many of them are not that competent anyway. smile.gif

This post has been edited by hypermax: Mar 29 2012, 09:54 PM
hypermax
post Mar 29 2012, 10:15 PM

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QUOTE(Huskies @ Mar 29 2012, 10:06 PM)
I meant to say medical students and maybe HOs, but now that you've mentioned it, I think it's probably a good idea to put senior doctors up for re-certification, say every 10 years, just so they don't get rusty with their knowledge......but that's just wishful thinking on my part  smile.gif
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When you mentioned those "already" in the system, i thought you meant MOs, specialists and consultants as well. smile.gif

Anyway, the healthcare of this country is really screwed up, and the future is not bright for us medical professionals. Perhaps time to change profession brows.gif
hypermax
post Mar 31 2012, 02:18 PM

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Just to share a story. A MO graduated from indon u prescribed diclofenac for patient with chief complaint of epigastric pain o_O

She is more senior to me btw.

This post has been edited by hypermax: Mar 31 2012, 02:19 PM
hypermax
post Mar 31 2012, 02:31 PM

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QUOTE(CyberSetan @ Mar 31 2012, 02:26 PM)
Tell her straight to her face - she is an idiot~
and ask her about pharmacology of NSAIDS~

Now I do appreciate the drilling I got in phase-II MBBS (Pharmacology)~

laugh.gif  laugh.gif  laugh.gif
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There are more horror stories i have encountered throughout my 2 years plus of service. That's the reason why i am all for a common licensing exam.

This post has been edited by hypermax: Mar 31 2012, 02:32 PM

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