I don't know about you but if a patient had epigastric pain + dyspepsia, I would be very hesitant to give NSAIDs straight off the bat before trialing other things. No PPI/H2RA, no H. pylori testing, nothing. Just NSAIDs.

This post has been edited by BrachialPlexus: Aug 19 2014, 12:23 AM

i am just cautioning the tendency of medical students to criticise their fellow students, and even senior doctors, on the basis of a perceived mistake....often without details of what actually happened...

in other words, it is wise to give the benefit of the doubt...20 years later, you will understand what i mean...

I suppose you have a valid point. Maybe my impressions were biased from the start since the patient was my dad haha. No hard feelings.

I understand where limeuu is coming from, ie not to jump to conclusions and not to judge too quickly. I know that there are grey zones for every decisions made. but for epigastric pain + dyspepsia, I would ask patient to try antacids/PPI. I don't think NSAIDs will help much if it is truly GORD/peptic ulcer disease? +/- scope/stool test.

Let’s say I want something more from my career. I’m already 43 and had a ScD in Medical Physics and had involved in the development of Robotic Surgical Technology for use in thoracic and cardiovascular surgery, but I'm itching to bring my skills to the clinic.

I’ve heard about a PhD to MD program called the Health Education Adaptive Learning Experience, launched in January 2013 at Tulane University School of Medicine from this forum. Better known as HEAL-X, the PhD to MD program is specially designed for students who already hold a doctorate in the biomedical sciences.

According to the coordinator, however, they currently have students in HEAL-X program who have PhDs in chemistry, mechanical engineering, biophysics, and chemical engineering. Plus, a degree in science coupled with demonstrated interest or work experience in a medically-related field might make one a strong candidate.

I’m wondering if my desire makes me the perfect candidate for the HEAL-X program?

Tulane School of Medicine HEAL-X Curriculum 2017

it's not much different from the usual 4 years graduate entry med school all over the world.....just 1/2 year shorter......

my opinion is that any 4 years programme is already very short.....have another degree does not reduce significantly, the amount of new knowledge that needs learning....no matter what degree....because the content is very different.....

while being a 'matured' student means an older student, an older student does NOT make one absorb information faster than a younger student.....trying to cramp 6 years of teaching into four means 2 things....less holidays, and potentially, less clinical exposure....

Well, if you have passion to continue studying medicine, after umpteen years of studying. It is significantly shorter course designed for graduate students. The curriculum looks very packed in my opinion. You'll sure have a lot to digest in 1 year. Not sure about the teaching quality, though. Is it recognized in Malaysia?

I guess, theoretically is fine but I would say a big challenge. Also remember that you will have to start from the bottom again in medicine.

I do agree that packing the curriculum into shorter duration means less clinical exposure. That might have an impact on the decision making capabilities in the future doctors.

http://www.therakyatpost.com/news/2014/09/.../#ixzz3EMAkVrjk

Taiwanese doctors having a good time in Malaysia - Earning about a million in the first year. Not bad being doctors.

Many trained Taiwanese doctors are flocking to Malaysia, attracted by better-paid positions, lower taxes and lesser workload compared with their home country, a business and finance magazine reported.

According to Business Weekly, many doctors have been working in Malaysian hospitals following the government’s recognition of medical degrees from eight major universities in Taiwan, including National Taiwan University in Taipei.

The government’s gradual liberalisation on foreign equity restriction of 17 service sub-sectors under Budget 2012, including private hospital services, had also encouraged them to work in Malaysia.

The doctors, mostly specialists aged 35-45, are attracted by a lower tax rate on income including a 15% rate for returning top global Malaysian talent, whereas the tax rate is 40% in Taiwan.

Salary packages are also more attractive these days than in Taiwan for doctors, including obstetricians and gynaecologists, paediatricians and doctors who have specialised in internal medicine.

A doctor earning between 250,000 and 300,000 New Taiwan Dollars (TWD)(between RM26,800 and RM32,150) can earn between RM80,400 and RM107,200 in Malaysia monthly.

A vice-chancellor from the Kaohsiung Medical University added that the workload in Malaysian hospitals was also much less, about one-tenth that of doctors in Taiwan.

The article also cited Regency Specialist Hospital, a private hospital in Johor, as having 17 Taiwanese trained doctors, half the total number of the physicians there.

It added TalentCorp, the government agency which attracts and retains top talent for the country, had received more than 2,500 applications from Taiwan under its Returning Expert Programme since 2011.

Read more: http://www.therakyatpost.com/news/2014/09/.../#ixzz3EP7GwUEH


This post has been edited by cckkpr: Sep 26 2014, 03:22 PM

Wonder who the employers are...

Regency Hospital in Johor which is a cpf approved hospital is a big employer....

they don't get paid that much....and workload is certainly more than '10% of taiwan'...

while their basic degree is recognised, their post graduate is not, and hence they have a problem getting nsr registration....most private hospitals do not accept specialists without nsr registration nowadays....

it doesn't always work out, and several have given up and moved back to taiwan....

wah earn so much I also want to be doctor leh

why do you think so many mediocre students have so much 'passion' to want to be doctors to 'help people'?....

After I finished my local IMU MBBS degree, what can I do in order to become a specialist dr in Singapore? I have read through info online like MRCP, MRCS etc. I know that it is recognized by the Singapore government but I can't really find the way to proceed to Master's program or Postgraduate studies in other countries like UK. Your reply will be much appreciated. Thank you.

read pagalavan.com.....the answer is there....

you can't work in uk without a lot of difficulties...

the easiest pathway is to get the mrcp/mrcs and enter the spore system as a mo....and pray for a training post....

and are you sure you want to work in spore...it is a notoriously cut throat environment....

Why you said that it's a cut throat environment? Too much of work load?

perhaps you should talk to people what are working in singapore to get an accurate picture of the work environment there?....

i should add that, while the a levels results does not necessarily predict future performance, i suspect you are going to feel pretty intimidated and maybe overwhelmed by the high flyers in the spore medical scene....remember, it's not bodohland, where mediocrity is the rule...

This post has been edited by limeuu: Oct 2 2014, 12:25 PM

Singapore has a horrible culture of elitism. Basically, if you did not graduate from the NUS medical program or VERY top tier UK/US/Australian medical schools (and even this is debatable), you will be discriminated against. The workload is apparently very heavy (comparable to Malaysia before the bajillion medical schools popped up) and the bullying culture in medicine is still very much intact in Singapore.

I am quite certain of the above issues as a number of my Singaporean colleagues have reported their strong distaste about returning to work there. There are other horror stories floating around, but I shall not spread unverified rumours. Basically, while the pay may be somewhat better in Singapore, life as a doctor there certainly isn't.

This post has been edited by BrachialPlexus: Oct 2 2014, 04:41 PM

News a bit dated, but still good for (self-sponsored) medical students in the UK.

http://m.bma.org.uk/news-views-analysis/ne...dical-graduates

cckkpr

This post has been edited by podrunner: Jan 6 2015, 05:25 PM

Mind to share the horror stories you have heard?