the 1:400 ratio is unrealistic, in the current economic level msia is in.....the 1:600 as advised by who is more realistic....

the moh budget is already under enormous strain, as the gov is reluctant to allocate more money for health care, and wants to privatise more, or introduce a dedicated health care tax for more revenue....

doctor production is a money making business, hence privatised...providing broad based healthcare is a money consuming business, and limited by shortage of funds....

the mismatch will result in unemployment....

This post has been edited by limeuu: Nov 11 2013, 12:47 PM

Government providing healthcare is a money consuming business and more of a social obligation.

Owners of private hospitals are also complaining that its not really profitable running such services.

How?

And we are now told that graduates may be unemployed as early as next year.

And the government may be "forced" to take them in for at least another 3 to 5 years until after the next GE to avoid another issue as what they have done to the bloated civil service.

And I recently heard a complaint that housemens are exasperated at their rosters, and therefore there's a shortage!

it is really sad, at the same time worrying. Students had to go through 5 grueling years of med school to end up jobless - some with debts from loans too.

Recently a friend of mine complaint to me how unfair the health care system is in Malaysia. Well I suppose people do view private hospitals/practices as the better options compared to government hospitals. I personally don't know how true that is. Do people get similar care and treatment in govn hospitals compared to private ones?

I tend to think that there is a shortage of MOs in the general hospitals and looking at the situation in the Ipoh GH, I don't blame the not so good services looking at the number of patients coming in and the admission numbers.

Oh, yeah, the working conditions in the private sector are of course much better compared with the general hospitals due to the much higher charges that patients have to bear.

And most of these doctors are passionate and dedicated, with "Hello Aunty or Uncle, how are you?" when going on rounds with an average of less than a minute for each patient and get paid for RM60 to RM100 per patient depending on their respective specialty.

how is working condition related to higher patient charge?.....

Higher income may lead to better diagnostic equipments, better and more qualified nurses and a more conducive working environment. Does it not apply to the medical line that a more profitable company is generally a better working place with better benefits?

not correct...working condition is not dependent on these factors, but on hours, time, volume of work, stress from patients and employers, litigation risks etc....these factors can be negative both in the public and private settings.....

Our views are different.

I thought most specialists are operating as "independent contractors".

i thought we are talking about junior doctors, as this subject was raised by onelove above?....

I did not quote him and just extracted part of it which interest me.

That's just sad. Shouldn't Government hospitals be the ones having state of the art equipment and more qualified staffs?

I am very interested in seeing the quality of patients care here in Govn Hosp. Honestly speaking, I have no idea what would I be expected to do really. Are clinical students allowed to do much in hospitals? I've recently heard stories of Russia grads not allowed to give dx or mx plans. Not sure how true is that, and how they view students.

Therefore, any MAHSA students here? preferable in their clinical years

There is not much development expenditure for the building of hospitals, with only one new hospital in the pipeline.

A friend's relative was recently posted to Sabah to do his housemanship and I can share that the not so good graduates or from not good universities are bundled together and not given much to do while those with "better skills" are pushed to the max. He said its still like one to about 20+ patients and its super tiring. Well, it looks like there are many on "buta gaji" assignments. But how long can this go on?

Good article.

http://www.therakyatpost.com/politics/cent...ical-graduates/

the so called moratorium did not hold.....at least 3 more med schools were licenced by moe and rammed through mmc by the then dg after.....

As an academic clinician, do you apply new scientific evidence to help individual patients, to establish better practices, and to create effective systems of care for entire populations?

Of course, I am definitely aware that this is not exactly the right place to post about this. I am just intending to bring this to the attention of doctors and doctors-to-be on this thread. If you prefer, you can reply to me on this thread that I created on Health & Fitness.

I recently got injured while hiking a hill. I descended the steep, dry, rocky slope too quickly, tumbling/rolling down a few meters after not being able to control my speed. I hiked another 1km or so down hill with the help of my brother who took me to the hospital immediately after the incident. The wound was a 1 cm-ish deep, 4-5 cm wide cut on my left knee, basically in the region of the knee cap (if it is helpful, I believe it is just before the little bony bump on your knee). While awaiting treatment at the local government hospital(at Jerantut, Pahang) I was able to bend and extend my knee completely with only the pain from the wound, and according to the doctor there was no sign of fracture or broken bones from the X-ray though I have not personally seen the film. There was no mention any other injury on my knee other than the wound by the doctor from the hospital at Pahang. A day later when I see another orthopedic physician from a private hospital in Selangor, he did not tell me anything new. The only thing he did was cover the stitched area with a dressing and told me to replace it regularly.

My wound on the knee was given 5 stitches around 2 hours after the incident, and later that day it swelled slightly with the swelled region feeling somewhat warm. I didn't experience any kind of extreme pain throughout the incident whether it is before, during or after the wound is treated. On a scale of 1 to 10, I'll give 5-6 before it was treated (including the moment immediately after the fall), 2-4 while bending my knee after the anesthesia wore off on that day and 0-1 (mostly 0) while resting my leg(extended fully) and 0-2 (mostly 0) while resting my leg(slightly bend). The wound was itchy from time to time, but not nearly as itchy as a mosquito bite.

I remain at rest mostly throughout the first day, moving a few times only when necessary with the support from my brother as I experience slight pain(4/10) while using my left knee for support(both moving and standing), I took the prescribed antibiotics and 2 painkillers, one during the afternoon and one at night (doctor prescribed 3 per day). The next day, I am able to walk without support from others but I still take 2 more painkillers. The swell is gone(after observing for hours with my untrained eye) during this day.

Now 2 days later, I fell no pain at all almost all the time while walking with a limp, and I can stand for quite a long time, maybe indefinitely, without pain too. And I can bend my knee slightly while walking. But a few things bothered me:

- Immediately after the fall, I recall seeing a very faint white emulsion thingy in the wound which contain the blood.
- Although I experience no pain at all, I cannot use my knee completely normally either, for instance:
i) I cannot bend my knee as much as you do when you walk normally, not without (slight) pain.
ii) I can only bend my knee by a large margin painlessly in the absence of a downward pressure (like when you sit) provided I do it rather slowly.
iii) I can sort of use both knees climbing upstairs, but only use my left knee as support while my right knee(unscathed) does all the work while going downstairs.
iv) I am not sure whether it is just me being reluctant to use my left knee, but I felt that my left knee is rather weak despite not having any other injuries on my left leg!
v) A little blood oozes out from my stitches from time to time throughout this 2 days, but it seemed to have stopped now, at time of writing.

Other, quite possibly irrelevant wounds include skin wounds all over my both arms, my back, my shoulders and my right hip. Miraculously, no broken/fractured bones at all. Other than the above mentioned painkillers and antibiotics, I was given a bottle yellow antiseptic liquid and some pills for gastric pain just in case of some side effects from the painkiller, which I have yet to experience any. I have stopped taking the painkillers today.

Now, I am not too concerned about the wound as I am assured that recovery is a sure thing, but I wonder if my knee is a potential victim of any sort of undiagnosed wear or tear? Will it recover completely in 3 weeks time, as in ready for rigorous physical activity such as distance running? Thanks for reading this rather long narrative, was trying to provide as much detail as possible.

This post has been edited by Intermission: Feb 4 2014, 10:10 PM

Sorry but no orthopedic surgeon here... and can't do online diagnosis for you...
How about you find one... he will probably want to do MRI on your knee...

hmm can lazy ppl become a doctor?

Surgeon? That quick? As mentioned in the second paragraph, I've seen a orthopedic physician and he didn't recommend any new treatments to me other than covering the stitched area so I don't need to worry about fabric sticking to it. Thinking about it, perhaps I should see a sports injury specialist.