Again, your comparison is somewhat flawed.
Higher specialty training in UK = subspecialty training in Malaysia. The only difference is GIM is considered as a higher specialty/subspecialty in the UK.

Please bear in mind that it is possible to get dual accreditation (eg GIM and endocrine) from a higher specialty training programme.

My friend who passed mrcp with me is doing that in Cambridge.
5 years of higher specialty training programme where he will be awarded both GIM and endocrine accreditation at the end of his training. The pathway is actually faster than in endocrine training pathway in Malaysia.

In the UK, 3 years of basic specialty training leading to MRCP, then 5 years of training for CCST in both GIM and endocrine. Total 8 years

In Malaysia, 4 and half years (3 + 1 1/2) to be gazetted as GIM specialist, one additional year for NSR, then only eligible for endocrine training which is typically 3 years. So total 8 and half years for dual accreditation, which is actually longer than that of UK training.

Also in Malaysia, you must fulfill your logbook for procedures such as chest tube, transvenous pacing, lunbar puncture etc in order to complete your gazettement.
I was in Singapore for one year of electrophysiology fellowship. I am now back in Malaysia as cardiologist (already completed 3 and half years of cardiology training before i went to Singapore)

Singapore system has changed to mimic US. 3 years of basic specialty training in GIM (aka residency), then additional 3 to four years of subspecialty training. It is also possible to get dual accreditation in GIM and a subspecialty of your choice. But one will need additional 2 years of GIM training post 3 years of basic GIM training.

In summary
Single accreditation: 3 + 3 or 4 years depending on which sub
Dual accreditation: 3 + 2 + 3 or 4

Still faster than Malaysian pathway lol. Not to mention housemanship in Singapore is only one year.

Also please bear in mind, invasive procedures such as chest tube can only be done by senior respiratory medicine registrar, and not basic GIM trainee. Heck even simple procedure like transvenous pacing needs to be done by cardio registrar

Wonderful insight. The 1 year housemanship in Singapore is a surprise. As usual there are always Malaysians trying to berate Malaysia at every opportunity they can get.

I was in Singapore for one year of electrophysiology fellowship. I am now back in Malaysia as cardiologist (already completed 3 and half years of cardiology training before i went to Singapore)

Singapore system has changed to mimic US. 3 years of basic specialty training in GIM (aka residency), then additional 3 to four years of subspecialty training. It is also possible to get dual accreditation in GIM and a subspecialty of your choice. But one will need additional 2 years of GIM training post 3 years of basic GIM training.

In summary
Single accreditation: 3 + 3 or 4 years depending on which sub
Dual accreditation: 3 + 2 + 3 or 4

Still faster than Malaysian pathway lol. Not to mention housemanship in Singapore is only one year.

Also please bear in mind, invasive procedures such as chest tube can only be done by senior respiratory medicine registrar, and not basic GIM trainee. Heck even simple procedure like transvenous pacing needs to be done by cardio registrar

Sorry, oldfag question here - how many years of housemanship is it, in Malaysia? I mean, I know in UK there's the F1 & F2 years, but I always thought Malaysia was the same with Singapore, just a single year?

it has always been 2 years for as long as i can remember. never heard of it being one year before. i can't imagine a one year housemanship when there are many struggling to cope with 2 years and getting extended.

it has always been 2 years for as long as i can remember. never heard of it being one year before. i can't imagine a one year housemanship when there are many struggling to cope with 2 years and getting extended.

Before this there was 1 year housemanship until MOH changed it to 2 years.
You can check older generation doctors' MMC registration pre-2008 (?), it will state date of Provisional Registration -> Full Registration (it will show 1 year)

That was my understanding - after all, when I graduated and applied for housemanship in Malaysia (before I later accepted an offer to do the same in Singapore), I was pretty sure it was only for a year before I would get my full registration. I actually still have my temporary registration licence somewhere as a keepsake haha.

Here is a random example I took from the MMC register (1 year Housemanship before getting full MMC registration):

Wonderful insight. The 1 year housemanship in Singapore is a surprise. As usual there are always Malaysians trying to berate Malaysia at every opportunity they can get.

Biasalah bro. Kan grad sari UK, glamour kot lol. Sebenarnya MRCP pun bukan susah sangat. As long as you read the right books, subscribe to the right question bank, and practice bedside exam regularly, attend at least 3 reputable paces courses, anyone can pass MRCP.

Biasalah bro. Kan grad dari UK, glamour kot lol. Sebenarnya MRCP pun bukan susah sangat. As long as you read the right books, subscribe to the right question bank, and practice bedside exam regularly, attend at least 3 reputable paces courses, anyone can pass MRCP.

i think the real challenge is to study after working hours, not the difficulty of the course itself. if you get like 2 oncalls in a week you'd probably be too drained to study anything for the week. true. the study materials i've seen is impressive. got guided mcq. then wrong and correct answer give explanation. which also links you to another youtube video for even more explanation. and the price is not that expensive.

but the willpower man..

Apologies as Im a UK graduate working in the UK 🤷.
I'm speaking from an international graduate perspective.

From your context and from the NSR website, it seems like 4 years post MO is the earliest possible time. (Which is still much shorter in comparison to UK)
Yes, that's why I'm supporting the fact that doesn't mean you have MRCP, you're competent to be a specialist in the field.
In the UK, mrcp is just a prerequisite. Nothing more.
Still have at least 3-4 years after MRCP to have your CCT aka completion of training.
And for UK trainees, there's 3 years of basic specialty training anyways prior to higher specialty training.
So technically, you can be a specialist registrar in the UK but a full fledged specialist in Malaysia as long you fulfill those rotations mentioned.

Yes you are right. If you are working a full time clinical post in government hospital in Malaysia, studying for MRCP can be difficult with all the oncalls and being drained from daily work. In addition, there is no protected study time like in Singapore or in the UK. In Singapore, the resident / MRCP candidate will be given one or 2 afternoon off just to study. Also, they have weekly tutorial from consultants and professors from NUS. In Malaysia, you are pretty much on your own.

BTW, UK is very short of Dr right now. As long as you have full MRCP, chances of getting a training post in the UK is actually quite high if you are not aiming for high demand supspecialty such as Cardiology or Gastroenterology.

Btw, are you sure you are working in the UK? The info that you have shared is actually wrong

CMT in the UK is now replaced with Internal Medicine Stage 1 training, which is only 2 years (for single CCT). You are expected to have full MRCP by the end of 2 years.
Then, you can choose to enter either single CCT or dual CCT

Single CCT for example GIM, is only 3 years.

So in summary
GIM pathway in the UK: 2 years of foundation training + 2 years of Internal Medicine Stage 1 + 3 years of GIM = 7 years postgraduation
GIM pathway in the Malaysia: 2 years of housemanship + 4 and 1/2 years of Internal Medicine training including gazettement + 1 year post gazettement for NSR registration = 7 and 1/2 years postgraduation


Source

Reference for UK training pathway

One thing I agree though, Malaysia Boleh! as our training is longer and more demanding in terms of procedures required to learn and workload

Yes you are right. If you are working a full time clinical post in government hospital in Malaysia, studying for MRCP can be difficult with all the oncalls and being drained from daily work. In addition, there is no protected study time like in Singapore or in the UK. In Singapore, the resident / MRCP candidate will be given one or 2 afternoon off just to study. Also, they have weekly tutorial from consultants and professors from NUS. In Malaysia, you are pretty much on your own.

BTW, UK is very short of Dr right now. As long as you have full MRCP, chances of getting a training post in the UK is actually quite high if you are not aiming for high demand supspecialty such as Cardiology or Gastroenterology.

With the equal opportunity given to IMGs now, as long you work hard and boost up your CV and polish your interview skills, i believe it's much easier than Malaysia hence why I'm staying put.