where to get that extra someone to standby?

if they go by shift, then next day not enough doctors during the day. then long queue at clinic patients like you will kpkb

That is where planning fail right?

If u have 9. knowing morning traffic is high.

It can be 6+3 system?

Understand now?

First of all, I am not a doctor nor any family members of me is house officer. Being a house officer is exhausted which we could not deny.

Let us to have some reality, house officer are the pillar of any countireis. They study hard to go though all the 5 tough years and some even 6 years in certain medical school before graduated as a fresh doctor.

They were the first liner in any health emergency and in many instances are being exposed to deadly or highly infected disease no matter it is airborne or accidentally needle pricked.

When u take away those critical allowance, this translate to you , the government taking their risk of exposure to the hazard during work lightly and granted.

Government, these young people worked hard and deserved to be compensated accordingly.

If I am in your government, which I would not and rather not, would first suggest your government to reduce all the hefty pay to your minister.

Remember government, those ministers are elected by the rakyat. We dont know wll or how smart they are prior to their selection. Remember government , those ministers are not any of the smart ceo or directors or engineers or accountant or doctors and many other respected profession that can run a company or organisation which can contribute to the company or organisation earning and the wellbeing of many other employees within.

Government, let me add on another suggestion of mine. Health ministry is with no doubt one of the most complicated ministry. A proper running of this ministry should be fully run by an experienced doctor who at least served in the government hospital during the career.

Your ministry run with the most efficient during Chua soi lek. He knew the weakness in the hospital staff. He is the one that make it 2 years compulsory for housemenship and he is also the one increase housemen allowances.

MR LEE, the deputy health minister, tou are a cardiologist. I believe you certainly know how tough those medical officer that work in this department.

Its like we have a mountain of idiots looking in telling us how to solve our problems


Sei sorhai syndrome

Standby?....lol

Nevermind....you obviously know nothing about healthcare....

Or someone accident n head injured..eh head dun injured 1st..wait tml someone come in. Someone will cover shift. Wait a little while.

standby?hahaha..you never working before?

Shift system doest work for medical field.
already our houseman are turning in to clerks because of the shift system. Ask anything also saya tak tau saya shift petang patient masuk pagi..

If ur not a doctor u wouldn't understand. The amount of info that need to pass over at end of shift itself is a recipe for disaster.

that if why passovers are done in the morning during grand rounds with multiple mos and specialist present.

The post call MO can passover to the on call MO with specialist preset to adjust any plans if needed.

If just 1 to 1 In the middle of the night confirm things will be left out.

This post has been edited by dregatar: Dec 26 2019, 10:03 AM

the problem is not enough staff
u understand that
the reality is staff only got 6, and the day 6 also not enough to handle
how u want staff to standby???

that why got on call
mean when they REALLY need the doctor they will call it
some doctor need to work till 24hour, u know why?
BECAUSE NOT ENOUGH STAFF

Shift can work, if done properly....with good doctors, good command of language, able to communicate effectively and quickly....

It's done in both NHS and Australia....

But yes, the handover is always the weakest point, and prone to omissions.....in the Msian system with doctors with poor language skills (English in this case), the risks is even higher....

That's why the old tested continuity of care and long work hours is still the best....but it's a heavy toll on the worker....

This post has been edited by limeuu: Dec 26 2019, 10:42 AM

The thing is simple only shift system can be done with enough workforce. The problem is can the gov afford to pay the work force?

Isn't that the whole problem now gov got no money.

In Australia and NHS rge work hours cap of 12-14 hours only applies to junior doctors (housemen I assume).

I don't know any hosp in the world where their specialist work in shifts.

what the fuck has this gotta do with morning traffic? or are you referring to patient traffic? you want patients to visit clinics at night?

more than 24 hours la. come in 8-5. workovernight. next day continue 8-5. if your pilot does that you dare to sit his plane?


exactly. so don't bs me with we have too much doctors or pharmacist or dentist or nurse. is no funding hire more.

Some acute specialities work in shifts....eg EM, Gen Med in big hospitals....

I dunno la.. But as far as I can see the problem in funding.
and its unfair to ask a group of ppl to take home less salaries because gov got no money while MP and ministers getting so much incentives.

The government is working hard;


TO TERMINATE ITSELF

just curious why don't those doc/nurse just jump into private?
do they need some kind of requirement before get into private? like 2 years in gov hospital?
because my friend, graduated from RCSI under mara, simply did his HO in Singapore and currently enjoy living as a DR there

Your friend is a traitor who used public tax money and failed to honour commitment to the bond....

There are not that many jobs for junior doctors in private....

Singapore is very selective who can register to work....the bulk of Msian graduate doctors do not qualify to register with SMC....they also have just de-recognised degree mill rcsi earlier this year....

what bond? if JPA, yes u have to serve gov for agreed period. i don't think MARA have that kind of agreement.
he still Malaysian tho, live in JB.

Even if there is no legal bond, there is a moral bond to return serve to the people after taxpayers paid 1+mil for him....