QUOTE(limeuu @ Feb 1 2009, 08:12 PM)
anybody still in doubt that there are differences in the standards and competency of doctors graduating from different medical schools?.......
and why many 3rd world med schools cannot be recognised by the 1st world countries......?
btw, anyone saw the midnight news on tv last night?......15% of housemans are deemed incompetent, and had to be retained, some for several years.....
something those of us in the profession have known a long time........
msia recognises more than 300 medical schools all over the world, and they are 'trying to identify where these doctors come from and ask these medical schools to buck up'.........
amazing but true........any other country would just de-recognise these med schools.....
While there is an
article in the NST on that matter, it seems to be down for me. However, the Singapore Straits Times
does a good job in describing the issue:
QUOTE
Housemen lack proper skills
KUALA LUMPUR - THE Malaysian Medical Council (MMC) and Health Ministry want substandard medical universities to buck up, after many housemen turn up at hospitals unable to carry out common medical procedures.
Besides not having proper clinical exposure, the housemen were also found unable to communicate effectively and take down the history of patients properly for diagnosis and treatment, reported New Straits Times.
Each year, Malaysia's medical fraternity sees 1,200 new doctors from local and overseas institutions. The MMC recognises the medical degrees awarded by more than 300 institutions around the world.
The new doctors must serve a two-year housemanship period. But senior medical consultants complain that many of these housemen could not meet the standards and have to be retained in their training for up to six years.
Kuala Lumpur Hospital's Medical Department head, Datuk Dr Jeyaindran Sinnadurai, who handles about 140 housemen a year, noticed that at least 15 per cent of them do not have enough experience to take down the medical history of patients.
He also expressed great concern that some housemen were unable to perform common procedures such as drawing blood for a blood test, setting up an intravenous line and inserting a chest tube.
As a result, many of the housemen had to be retained for their training 'in order to ensure the standard of medical practice is maintained in this country for the safety of our patients', added Dr Jeyaindran.
The MMC has ordered government hospitals, which train the housemen, to record the university they graduated from, besides their performance and shortcomings.
The council and the Health Ministry aims to nail down the substandard medical universities by the end of the year.
On his part, Dr Jeyaindran has come up with a syllabus, listing the core knowledge and experience that a houseman must acquire before he leaves for his next posting.
'A houseman who comes in for training should be able to manage hypertension, asthma, diabetes and common medical emergencies appropriately, based on current clinical practice guidelines, besides acquiring adequate generic skills,' Dr Jeyaindran said.
But, he noted some were never taught this properly during their years in medical school.
"Medicine is not black and white but lots of grey in between, and in order to identify the grey areas, the only way is 'the more you see, the more you do, the more you understand',' he added.
So 15% of 1200 is 180. So potentially we have about 200 potential Dr Death's walking the wards of government hospitals every year. And if nothing is done, their numbers is only going to go up.
According to
Medical Act 1971(warning: 2MB PDF file), up to 1 Jan 2006, 253 foreign medical schools are listed. Even throwing in Malaysian IPTA and IPTS'es who
have a medical school , excluding those designated as
"UNSCHEDULED UNIVERSITIES AND COLLEGES", only bumps it up to 280, so unless I'm missing something I'm not sure how Malaysia/MMC recognises "medical degrees awarded by more than 300 institutions around the world".
I think people should start reaslising that they are not doctor material. I did, despite half my genetic makeup coming from a doctor and more than a few of my family being doctors. I respect them. When people ask me why I did not follow my father's footsteps, I simply reply "I'm not smart enough".
And move on from there. A MBBS is not the only end. Esepcially when doing basic research seems to be out of the grasp of many Lowyat.net members.
This post has been edited by haya: Feb 2 2009, 10:57 AM