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 Medical specialist salary in Malaysia, How much do specialists earn in private

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wild_card_my
post Jan 29 2020, 09:30 AM

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QUOTE(sean15 @ Jan 29 2020, 09:02 AM)
Sorry boss guess I wasn't clear with my statement. Understood on the example of your client, but I was asking have you come across those that are earning on the higher end like some people have highlighted  in this thread, which is rm100-200k per month. Sorry for the confusion
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Yes I have. They are usually on the older side
dagnarus
post Jan 29 2020, 09:32 AM

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Lecturers in universities only got 10k basic pay.

But then they do locum with these hospitals. Fuh. Part time also easy 20k
tangtang22
post Jan 29 2020, 09:35 AM

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The real smart ones charge millions over the years - " - The $26 million bill that Dr Susan Lim charged for her medical services to a woman member of Brunei's royal family was eye-popping, to say the least."

Source: https://www.asiaone.com/health/surgeon-bill...0m-over-4-years

Py80
post Jan 29 2020, 09:59 AM

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This post has been edited by Py80: Oct 4 2020, 04:54 PM
TSsean15 P
post Jan 29 2020, 11:32 AM

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QUOTE(wild_card_my @ Jan 29 2020, 09:30 AM)
Yes I have. They are usually on the older side
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Then probably it's validated why Malaysia is seeing a huge influx of medical grads. They are all after the gold rush hahah. Although I opine those earning rm100-200k are the ones who are really good, so probably its more of an exception than a norm. Do correct me if I am wrong
wild_card_my
post Jan 29 2020, 11:35 AM

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QUOTE(sean15 @ Jan 29 2020, 11:32 AM)
Then probably it's validated why Malaysia is seeing a huge influx of medical grads. They are all after the gold rush hahah. Although I opine those earning rm100-200k are the ones who are really good, so probably its more of an exception than a norm. Do correct me if I am wrong
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BUt it is not a gold rush. Not everyone can earn that much even if they tried their best

Just like not everyone can be the CEO of multinational companies. There are more applicants than slots available
Py80
post Jan 29 2020, 12:22 PM

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This post has been edited by Py80: Oct 4 2020, 04:55 PM
SUSLiamness
post Jan 29 2020, 01:01 PM

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QUOTE(wild_card_my @ Jan 28 2020, 09:38 AM)
Whatever industry you are or are comfortable in, try specializing in a field related to it
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quoted for truth.. even General practitioners don't earn that much..

But once they become specialist, their salaries will soar..

But not easy being a specialist doctor.. Long hours, lots of patients, can't out-source.. have to have stable and sharp hand eye co-ordination (if doing surgery), have to constantly under-go training and upgrading of skills and knowledge for the rest of their lives, & etc.. once they stop working, that's it.. no more income..

Same goes for any chosen profession. My profession of choice, engineer, also has multiple specialization pathways to take.. You can become an Ir or PE, and your one signature can be worth hundreds of thousands if not millions, in the right chosen profession..

For instance, in Singapore & even in Malaysia, a PE or qualified person (QP) can only certify buildings as safe for occupation, or even work on the design of the buildings.. Every buildings is mandatory to seek a PE or QP engineer for approval prior to occupation.. Each time, the QP or PE will charge at least $20,000 SGD/RM. to $100,000 SGD/RM for their work, time and expertise. And there is no classification of prices to adhere or follow either.. You are solely at the mercy of how much the PE wants to charge. They can simply say, every building is different and require customized application.. boom.. $100k into the pocket of the PE..

Even the work load can be offloaded or outsourced to their junior engineers.. meanwhile, the QP or PE will focus on other things like buying a new landed house or new car or just relaxing playing golf.. lol. You can imagine, the PE just need 10-20 projects to earn $2 million.. most will handle at least 50-60 projects a year, so the amount they make can be tens of millions easily.. without additional need for support or work..

And the thing is, engineering is a far easier pathway to take than becoming a specialist doctor.. Also, to become a PE is just a matter of time spent working in the field, then applying for your PE certs and examination in-front of a board of engineers.. Pretty straight-forwards with little studying or even extra courses required.. Just working your normal job is sufficient & it only cost a few 1000s at most.. compared this to the hundreds of thousands spent to become a specialist doctor, not to mention, down-time, not making an income whilst you study to become a surgeon.. The engineer on pathway to PE is still working, still getting paid a salary & income. No need to take further degree or courses at all.. 4 year degree is enough.

Also, unlike businessman, Doc, Lawyer, Banker, & other professions that require clientele presentation, engineers don't need to 'flaunt' their wealth by buying a new merc, or a big bungalow.. because these are not good investments to make and is more for appearance sake than actual money making investments.

So most of the time, the Engineer who has become a PE, can keep their money in savings & investments.. Meanwhile, drive an old corolla and live in a smaller house. At the end of the day, they are valued for their signature and it is mandatory by law to seek engineer signature already..


It's all relative really.. Even if you earn big bucks, if you are not saving 70% of that income, you will not retire early at all..

So yeah, get a 4 year degree, work a while, then go and become a specialist.. Do not think that becoming a doctor is the only pathway to riches..

This post has been edited by Liamness: Jan 29 2020, 01:06 PM
lcs89
post Jan 29 2020, 01:21 PM

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7-8k with allowance ..around 10k

annually around 130k ..


SUSAscMenhe
post Jan 29 2020, 01:30 PM

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Doctor seriously earns so much? How is that fair?

Majority people works even harder but not even 10k a month

arsenwagon
post Jan 29 2020, 01:41 PM

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QUOTE(AscMenhe @ Jan 29 2020, 01:30 PM)
Doctor seriously earns so much? How is that fair?

Majority people works even harder but not even 10k a month
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Yes... Doctors should earn like those Majlis perbndran ppl. Those ppl work 3d jobs , long hours sumore. Why doctor so unfair one always want to charge alot of money, Majlis perbndran pick up rubbish for free .
tangtang22
post Jan 29 2020, 01:50 PM

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QUOTE(Py80 @ Jan 29 2020, 09:59 AM)
This was considered misconduct and she was struck off the register to practice in singapore and soon the UK as well. So best not to use her as an example... although you are right, there are many top Dr in Sg that command whatever they want. But I can tell you now, overall, Malaysia private Dr on AVERAGE do better due to the lower cost of living and the larger market base over a bigger area. That means there is less patient skewing towards the top doctors/hospital and a more even distribution of patients across private hospitals

For example. A patient in Penang , Melaka or even SJ/Sunway for that matter, is much less likely to go KL to see a supposedly famous doctor / hospital.. unless its a rare condition, or recommended by their local doctor and can't be treated locally.

In Sg however, nothing on the island is more than 30 minutes away so there is no reason not to go somewhere they think is perceived as the best.  And because its smaller but fussier population.. there is a large skew towards the top few centres/doctors.
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The point is, private doctors (skewing towards specialists) are prone to over-charge, recommending unnecessary procedures just because the patient is covered by insurances, recommending medicines/treatments that are biased due to just got back from a conference sponsored by the supplier (think of the big pharma events) or simply pushy phara sales persons recommending the latest products, and a few more practices i feel repulsive of..

But oh well, I accept it as part of how it is over in Msia for private practitioners n tend to choose my doctors carefully.
red4900
post Jan 29 2020, 01:55 PM

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QUOTE(wild_card_my @ Jan 29 2020, 09:30 AM)
Yes I have. They are usually on the older side
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Older like... How old?

Late 50s?
aspartame
post Jan 29 2020, 02:09 PM

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QUOTE(sean15 @ Jan 28 2020, 02:47 PM)
I was of the notion that not all private specialists are earning big bucks due to the competition and the proliferation of private hospitals in Malaysia. It can't be that all doctors in private sector are earning 100-200k right? Otherwise all doctors would be waiting to run away from government! Have you met any specialists or know of anyone who actually makes that amount of money? For me seems to be obscenely paid and I don't want our healthcare market to resemble that of the US.
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From my observation at private hospitals... quite a number of specialists are not doing that well... their consultation suites got hardly 1 or 2 patients for the morning sessions and I guess afternoon session would normally be lesser than that....the really good business ones are famous cardiologists, ent, gynaes... one dermatologist in Jalan Imbi got nonstop patients ... most other dermatologists swat flies often ... as with all professions, only top 10% or so make big bucks... stockbrokers , estate agents, insurance agents all the same ...
petirbuas
post Jan 29 2020, 02:23 PM

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I frequent Columbia Asia for follow up. Dr parking full of Porsche. Got few Ferrari.
If they're financially sound, safe to say most earning more than 50k monthly.
TSsean15 P
post Jan 29 2020, 11:55 PM

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QUOTE(Py80 @ Jan 29 2020, 12:22 PM)
Hi Sean

No worries, civil discussion and debates are always welcome. We can all work together to educate others.

Salary is obviously a sensitive issue to many, and a closely guarded secret... so getting accurate information is difficult. Doctors like many professionals generally don't report to job websites or openly discuss it in forums (they are usually too busy anyway) so theres little first hand knowledge on the income scale. Only LHDN has all the details..  laugh.gif  laugh.gif  laugh.gif  no joke,, they really know everything  LOL.

Without going to specifics....generally majoirty of Doctors in private after a few years established will fall into the range or RM50-80K / month. Larger centres with higher volume will reach 100-120K ...
200-300K/ month definitely exist , but less common but you've got to be good in your field and good in marketing yourself. I won't go into the details of who and what field here.

The discussion of whether they should be allowed to earn that much is another sensitive subject. Limiting income is a communistic approach, it disincentivises work and innovation. you risk falling into public sector mentality - don't look for too much work and go home on time eveyday, use all your MC and AL allowances sweat.gif
I totally agree that healthcare is a human right. I don't think anyone should doubt this fact.
The reality is who pays the bill for this free healthcare ? .. and to what level can we realistically provide free or cheap healthcare to everyone?

The rate at which medical technology is moving is shocking... so is the cost escalation due to this advancement. Who pays for it? Increase income tax further ? take the budget from other departments? The NHS is probably the best example of a comprehensive free public health system. Their budget was over GBP 130bil in 2019 , which is nearly our entire budget. The ENTIRE budget on healthcare. And even then they are not coping. Waiting list for elective ops are over getting longer and longer. Emergency departments waiting times are over 4 hours and  transferring patients to other hospitals around the region to offload. They restrict usage of high end drugs and cutting edge treatments as well to those they deem most needing, even though less severe cases will benefit as well. Its all based on cost benefit ratios rather than just pure benefit.

The American (or rather republican) view is that everyone should buy insurance to cover themselves to get the best treatment when they need it. Rather than everyone pay into and inefficient public system. This obviously has many of its own problems as you rightfully pointed out.  But Cost benefit is not an issue in this model.. you get the best current treatment for your condition. period. (I'm going to go into defensive medicine and litigation of the US system here).

Example: If you were admitted with an illness. There are 2 options, Treatment A : has the best outcomes with least side effects or Treatment B: older method, but results are generally good as well.
which do you want ? The reality would be in most public places you will get Treatment B due to good result at cheaper cost. Then people get angry and complain they can't get good treatment in GH.

Basically everyone wants the best, but no one wants to pay.

Another fact is, the vast proportion of your medical bills are from the cost of medication and equipment charged by the hospital and companies.. not the Dr. A doctors fee is usually less than 10-20% of the total bill.
Also, the private sector takes the load off the public sector, not the other way around. We are literally getting patients requesting to transfer into private because the GH waiting times for procedures are too long.

in my own opinion, the ideal situation is a balance between public and private hospitals. Public hospitals should be able to cater for basic healthcare needs and public specialized centers for advanced specialities/ procedures (these are usually the university hospitals) that doesn't overwhelm the public funds. The private centres will fill the gap for those can can afford/ have insurance or where the public cannot offer the same services. You must remember, every self paying patient or insured patient is saving the public funds by not using it - even though they have paid the tax.

Trying to restrict Dr income based arbitrarily on the fact they don't need to earn so much is a communistic approach. Then you can apply it to sportsmen, businessmen, entertainment personalities...

The government needs to address this issue by increasing the public doctor salary and making it more attractive to stay in public service.. not by restricting the private sector. this protective mentality does not work. e.g : proton, TM, and every Crony company... Government intervention in private enterprises never works out well. If the public hospitals are more attractive, then more people would stay and the service can be improved.. resulting in more patients being treated effectively in public hospitals. As they say, water will find its own level.

this is way toooo long...  sweat.gif
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Thanks for understanding man, appreciate it. I am of the opinion that the majority of doctors in private hospitals earn rm50-80k, as only a select few would be able to break the rm100k ceiling if they are well-known and really good. I do agree that limiting a doctor's income would be a communalistic approach and it disincentives hardwork, but I have come across many stories, and I have experienced it myself, of some private doctors pushing medications and recommending unnecessary procedures the moment that they know you have insurance. This is not how a healthcare system should be run because it adversely impacts a patient's wellbeing too if the doctor only has money in mind. Majority of doctors enter private practice to earn more, and certainly these unethical practices is not something that Malaysians should condone.

The bad thing about our public sector is the severe underfunding that we have, as you have rightfully pointed out. However, doctors in public sector would definitely only do the needful pertaining to the patient's condition as money is not the primary goal. I agree with your treatment A and B example, but I am afraid that due to overcharging in private hospitals (due to overclaiming on insured patients and general costs of procedures), Malaysians who can't afford will only be able to go to public hospitals. It's a double edged sword, what more with the government removing the ceiling price for doctor's consultation fees. Malaysia still has a sizeable B40 population, and moving anywhere close towards the US healthcare system will be detrimental. I personally highly disagree with the US model on healthcare, and like you have rightfully said the UK's NHS is one of the best public healthcare model around.

I agree with you that if you want the best treatment, then you would have to pay for it. But like I said earlier in another post healthcare should not be run like a traditional business. Prices should be kept in check by gov to ensure that private hospital services will not reach a price point that is only affordable to the super rich or insured patients. Its through this lens that I raised this income issue because if left unchecked, doctors will just be greedier and try to make more as healthcare is not something that we can take for granted. I wholeheartedly agree with you on the public-private model, but it seems like our government is shifting further away from this ideal. Its a completely parallel systems now. However we should also note that private hospitals do not deal with complex cases amd in the end those cases will end up at the public hospitals. That's why as you have said, the government should increase the pay of public doctors to make it more attractive for them to stay, and also to reflect their workload and the complexity of cases they attend to.

Private hospitals is morphing into a system where profits come first and patient's wellbeing second. This is what I disagree with strongly and hence why doctors fees should not be allowed to reach a ridiculous level. To be honest, even earning rm50-80k will place them within the top 1% of earners in Malaysia. I wonder what it takes for those doctors that earn rm100-200k, but im sure not many actually reach that level. And hopefully not by unethical practices! Ok now my post is too long too! Hahah😅 Let me know what you think!
TSsean15 P
post Jan 29 2020, 11:58 PM

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QUOTE(Liamness @ Jan 29 2020, 01:01 PM)
quoted for truth.. even General practitioners don't earn that much..

But once they become specialist, their salaries will soar..

But not easy being a specialist doctor.. Long hours, lots of patients, can't out-source.. have to have stable and sharp hand eye co-ordination (if doing surgery), have to constantly under-go training and upgrading of skills and knowledge for the rest of their lives, & etc.. once they stop working, that's it.. no more income..

Same goes for any chosen profession. My profession of choice, engineer, also has multiple specialization pathways to take.. You can become an Ir or PE, and your one signature can be worth hundreds of thousands if not millions, in the right chosen profession..

For instance, in Singapore & even in Malaysia, a PE or qualified person (QP) can only certify buildings as safe for occupation, or even work on the design of the buildings.. Every buildings is mandatory to seek a PE or QP engineer for approval prior to occupation.. Each time, the QP or PE will charge at least $20,000 SGD/RM. to $100,000 SGD/RM for their work, time and expertise. And there is no classification of prices to adhere or follow either.. You are solely at the mercy of how much the PE wants to charge. They can simply say, every building is different and require customized application.. boom.. $100k into the pocket of the PE..

Even the work load can be offloaded or outsourced to their junior engineers.. meanwhile, the QP or PE will focus on other things like buying a new landed house or new car or just relaxing playing golf.. lol. You can imagine, the PE just need 10-20 projects to earn $2 million.. most will handle at least 50-60 projects a year, so the amount they make can be tens of millions easily.. without additional need for support or work..

And the thing is, engineering is a far easier pathway to take than becoming a specialist doctor..  Also, to become a PE is just a matter of time spent working in the field, then applying for your PE certs and examination in-front of a board of engineers.. Pretty straight-forwards with little studying or even extra courses required.. Just working your normal job is sufficient & it only cost a few 1000s at most.. compared this to the hundreds of thousands spent to become a specialist doctor, not to mention, down-time, not making an income whilst you study to become a surgeon.. The engineer on pathway to PE is still working, still getting paid a salary & income. No need to take further degree or courses at all.. 4 year degree is enough.

Also, unlike businessman, Doc, Lawyer, Banker, & other professions that require clientele presentation, engineers don't need to 'flaunt' their wealth by buying a new merc, or a big bungalow.. because these are not good investments to make and is more for appearance sake than actual money making investments.

So most of the time, the Engineer who has become a PE, can keep their money in savings & investments.. Meanwhile,  drive an old corolla and live in a smaller house. At the end of the day, they are valued for their signature and it is mandatory by law to seek engineer signature already..
It's all relative really.. Even if you earn big bucks, if you are not saving 70% of that income, you will not retire early at all..

So yeah, get a 4 year degree, work a while, then go and become a specialist.. Do not think that becoming a doctor is the only pathway to riches..
*
Wow I didn't know that being a PE could also afford you this much income! Guess Malaysians are still stuck with preconceived notions about certain jobs that we do not see the other opportunities around us. Seriously engineer can charge that much?? I never knew!
TSsean15 P
post Jan 30 2020, 12:03 AM

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QUOTE(tangtang22 @ Jan 29 2020, 01:50 PM)
The point is, private doctors (skewing towards specialists) are prone to over-charge, recommending unnecessary procedures just because the patient is covered by insurances, recommending medicines/treatments that are biased due to just got back from a conference sponsored by the supplier (think of the big pharma events) or simply pushy phara sales persons recommending the latest products, and a few more practices i feel repulsive of..

But oh well, I accept it as part of how it is over in Msia for private practitioners n tend to choose my doctors carefully.
*
I totally agree with you! Not all doctors are like that for sure but I have experienced specialists like those you have mentioned above! I'm afraid this practice will become more rampant once competition gets tougher and specialists want to make more money! But we must not let this become a norm as our health is too important for it to be commercialized way too much. That's one of the reasons we need to know the reality and change the mindset in Malaysia that doctors is not always right. Thats why I made a post on income as I wanted to know if majority of doctors are earning on the high end, then something fishy is going on as in the corporate world, not all can become CEOs. So the same should apply to private hospitals as well.
D-Frog
post Jan 30 2020, 12:03 AM

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uncle is specialist at gleneagles, only do consulting, not operational. he's making 250k a month give and take.
pr0pofol
post Jan 30 2020, 12:14 AM

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QUOTE(D-Frog @ Jan 30 2020, 12:03 AM)
uncle is specialist at gleneagles, only do consulting, not operational. he's making 250k a month give and take.
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lol even with simple calculation thats rubbish
250k / 30 days (means he works without any weekend off) = 8333
do u know consultation charges max is 235 for first visit and 105 for subsequent per visit?
which means he is seeing minimum 35 new patients per day every single day for 30 days a month
impossible



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