I'm aware that insurance company put a cap on consultation fees. ING was RM8-RM11 last time.If a doc takes 15 mins per patient, then only can earn RM44 per hour for consultation?

mMA II am referring to per day basis....if the overheads per day is more than 20 patients' income, it's a too high cost location, and not worth running the clinic......

I’m grateful for your sharing of the blog’s link. It’s an enjoyable experience reading the posts and discussions. Meanwhile, Prime Minister Datuk Seri Najib Tun Razak today launched the country’s first Permata Children’s Specialist Hospital at UKM Medical Centre in Cheras. What should one major in if he or she wants to become a pediatrician?

In kl Sunway area, a GP charges RM80 to RM90 per visit for fever and running nose. Assuming 600 patients a month, gross income is abt RM50k. Less expenses still can get RM30k. Inclusive of lab tests can earn additional 10k at least. Open a nursing home can add another 10k. Do part time lecturing another 5k. Additional income from referrals.
These are facts. But it's the norm when trying to justify increase in fees, costs are jacked up and revenue under declare.

Ok, that's more like it. Thanks.

How exactly do you mean by "major in"?
I think you have to read more of Dr Pagalavan's posts.

and you would extrapolate sunway to the rest of the country?.....

even in sunway, i would suggest you choose a different gp....there are lots charging half of that.....

it's just like extrapolating susan lim to the rest of singapore....

Perhaps I should rephrase my question in clarity. Given what you know professionally as a resourceful medical specialist, maybe you can shed some light on my queries.

(1) How specifically do medical practitioners receive their training in pediatric medicine?

(2) Do medical graduates begin specialization in pediatrics before or after their completion of MBBS degree?

(3) Are medical practitioners required to become licensed before they can undertake the training in pediatric medicine?

And by the way, I’ll follow Dr Pagalavan’s blog.

This post has been edited by Critical_Fallacy: Aug 23 2013, 09:57 PM

I doubt I can get half of that.
In Ipoh, even paying upfront of RM5 with ING card, the bill still comes to RM50 to RM55 per visit to a GP. And physicians in KPJ ipoh are charging RM100 per visit for review. That was why I was informed by an MO at government clinics that there are more patients than before.
Seriously, medical costs are getting out of control. And it doesn't help with all the denial going on. And conclude that we are still cheapest among other countries!!

I am not a medical specialist, that person in this thread would be limeuu, but the following is what I know, in response to your questions:

1) of course you have to finish the GENERAL BASIC medical degree first. Read all 3 parts of "Housemanship, Medical Officer and postgraduate training.
Part 1 here -
http://pagalavan.com/education/for-future-...raining-part-1/

2) many years AFTER completion of MBBS degree

3) Of course!

I know of a cardiologist who charges RM200 for 10 minutes consultation...in accountant speak, that's a charge out rate of RM1200/hour.

your examples are all skews, and not representative....

any insurance associated charge is going to be FULL, unless there is a specific agreement with a particular insurer...

we are talking gp.....don't confuse with specialist and private hospitals....you actually expect to see a specialist in kpj and pay gp rates?.....

and we are talking about consultation fees, with cheap generic medications....if you are walking out with rm50 antibiotics, you expect to still pay 50?.....

like most people, you are confusing doctors' fees with hospital charges.....

doctors's fees are fixed by the PHFA 2005, based on the MMA 4TH schedule of fees 2002, based on cost computation in 2000...it has NOT changed for 13 years.....

private hospitals and medication cost is unregulated, and has gone up 2-4X in that same period of time......

which tree should you think you be barking up to?.....

consultation charge is not time based.....if the consult is 2 hrs, it's still the same charge....

but if consumers prefer it to be time based, like some lawyers, i am sure doctors are only too happy to oblige....

Statusquo is very fine, thank you.

You can say what you want but what I said are all facts. There is no need to be defensive and twist things around. If any, there are doctors who have been exploiting the public and such incidents are getting more regular.

Tell me a cardiologist who charges RM200 for 2 hours consultation and I will recommend many patients to him!

there is nothing defensive, how did i twist around?....

what i have stated are facts, the info are in the public domain...

what you alleged are just allegations....so i need to set the record right....i have told you there are gp in sunway area charging rm50....it's up to you to find them....even if some charge 100, look at the drugs and calculate what they cost.....

if the gp are charging within the phfa, how are they 'exploiting' public?....if they exceed, make a complain...

this discussion is based on a letter by a gp on what the cost of running a practice is, NOT about how expensive healthcare has become due to doctors exploiting public.....

when your relative graduates and decides to become a gp, perhaps, reality will strike....

this is a medical student thread....so in addition to what you can read in pagalavan's blog, you students, in future, will have to face this sort of thing regularly....

the majority of you will be good conscientious doctors....but will face a public suspicious and distrusting of you, and face such complains regularly....

in the public service, you will face complains of poor service and incompetence...

in private practice, you will face complains of excessive charging...even if you comply with all regulations....

and you will often find a more satisfactory work in rural areas, where people are more appreciative, and you may still get offerings of a chicken from grateful patients and relatives.....

go look for tier 3 private hospitals? like tung shin perhaps

Listen and discuss for 2 hours, about how high the LDL is, how bad the arteries have calcified, side effects of the various statins etc? That would be adding unnecessary stress.