It's gonna be political suicide to increase the registration rate, as BOTH PH and BN get the majority of their votes from the B40.

I think very few people earn over RM4,000 monthly (the salary at which you start paying income tax) anyway.

This post has been edited by AnimeSinceForever: Jan 27 2020, 08:13 PM

Overheard my friends conversation saying that one of her friend earns Rm120k, kpj specialist. My friend is also a doctor but not earning that much

Doc is easily making 200k per month before tax.

Question is the denomination:D

Don't think RM200K / month gives one HKD20 million per year income.... sounds more like SGD or USD, LOL!

I put $ infront of hksgmy salary. Dollar man... if ringgit like my bro inlaw I’ll put RM. 🤣

ent is considered surgical as well. Urosurgery too.
Yes procedural charges.


Yes derm can make lots of money too. Heard from my batch mate he is doing well and the working hour is quite balanced
Radiologist, ya IR especially. Same as cardio, interventional can make quite a good fortune.
At the end of the day it varies in private I think.
Anyway the pay shouldn't be our top priority isnt it lol

This post has been edited by kkk8787: Jan 27 2020, 08:47 PM

Haha, my error. I stand corrected

First of all it is very hard to enter private if you do not have the backing and credentials of your peers.

Secondly a fresh specialist who enters private will find it hard to survive bec aunty uncle go based on recommendations of friends, secondly if unsure, see the qualifications of the Dr (the longer the better with UK Ireland Glasgow Edinburgh) since the public wouldn't know his actual skills and management esp those tourists from Indonesia.

Third of TS family members wanna study medicine just don't. It is not worth it at current point of time and a waste of money.

Fourth internal medicine is the fastest route to becoming a specialist but so many tom dick and Harry owns the paper Mrcp and not many of them can do what the old time internists can do namely tubes insertion, echo, bone biopsy for hemato oncology.

Fifth it will take a long time to become a really great surgeon. For a surgeons value is his skills not his long list of qualifications (some surgeons are labelled oral surgeons bec tokok sing song but can't cut or poor results)

There are many fields out there can yield a faster return incl food industry. And medicine is not longer a guarantee.

U need to be in gov sector or in service while u pursue your postgrad, including the UK parallel papers.

This is true... Gov did mention that only around 2.5 million persons pay income tax, while the entire workforce is at around 15 million persons. That's like 85% of working population earns lesser than RM 4K

Most tokking surgeons will not have the guts to jump to private. Usually end up doing some admin jobs
Yes not worth to study medicine. Not worth the effort

This post has been edited by kkk8787: Jan 27 2020, 08:49 PM

Refer to my first post here.
As mentioned it's not easy for one to go to private if you don't have the backings of peer.

There are also the bests of specialists who chose to stay but are also doing locum and visiting consultant in private hosp.

This post has been edited by Jedi: Jan 29 2020, 01:24 PM

this is not true totally true in private work , both here and many places around the world.

The problem is litigation and lack of financial weighting for complex procedures

For example (the numbers are not actual values, by the represented value is roughly correct)


appendix operation - takes 30mins. low risk. patient no compllications no complaints home in 2 days - total fee is rm3000

Vs

complex colon cancer resection. High risk, takes hours.. 4 hours is common. Patient needs to go ICU after , any complications the hospital will keep calling you all hours of the day. Fee is rm4000+

which one seems like a better deal ?



Sure.. doing complicated cases is rewarding from a personal point of view. We all like a challenge from time to time.... but when the novelty of heroics wear off it gets tedious and tiring to deal with complex cases. The money vs stress ratio is much better with simple cases.. and there is much more simple cases than complex cases to do as well.

Everyone wanna earn bigbucks but not many willing to put in the hours

Specialist easily min 20k/mth

Those famous ones 100k-200k/mth

Tak habis-habis talk about race... Some group of people are so racially-inclined and then they complain about equality

KLCC tealive serves 1000-2000 drinks/day. Each drink rm5-8.

Yes , this is true.. In private they are choosy about who take on as they only want Dr who have a skillset they need and can work well with peers. A bad doc on the team can create a lot of havoc. How you worked in GH will be remembered. The word spreads and will affect your attractiveness in the private sector.

But this is true for all industries and busineses... The best will survive and do well. That is the truth in life.

If one has attitude problems or lack the qualifications, then he/she should not go private... they'll have a bad time..

Masters of surgery.
The old FRCS was derecognised late 1990s early 2000s. Because majority of ppl who took the exam were Indians and Chinese.
U know, plotek plotek needed and things like that to give the other a chance.

Nowadays u become a medical officer
Start as a junior surgical trainee, proceed to intermediate or senior surgical trainee (chronic MO)

Enter the programme based on some selective criteria.

Now u start life as Registrar. Upon completion of programme you are now a gazetting specialist (surgeon)
5 years of life as surgeon automatically labelled consultant.

The journey takes about 10 years on average from your starting work life. Another 2 or 3 to consolidate cutting skills.

I disagree with msian route. I believe a competent surgical trainee needs to pass the MRCS (old FRCS) during junior trainee years, enter the masters programme, complete it. A better accomplishment is also to finish the new FRCS (I. E urol, tr and orth, plastics, Ent, OMFS, Gen surg to name a few)

Because for example a masters trained surgeon will only focus on his subject. If orthopaedics he will only know about bone bone and bone but an all round surgeon should have the base covered like in the UK by passing the MRCS that assesses a surgical trainee core topics. Because a surgeon that deals with limbs may also deal with say, burn injury, skin grafting and flap coverage of the plastic surgery.

Hence if you see your surgeon has the new qualification of the sub specialty FRCS and if from UK CCST rest assured you are in good hands.

This post has been edited by Jedi: Jan 29 2020, 01:27 PM

Well this is a truth and a fact. Whichever industry it is.

The minority is always at a losing edge at the start. We as the rakyat do not stir it up and we live in peace, but u cannot deny the fact that our education system and career progression is also based on not meritocracy

Lol..

Yeah it is actually procedural Vs non procedural
Example gastroenterologist n cardiologist who do scopes , PCI

Race issues aside, I think you are slightly mistaken on the Royal College exams.

MRCS was not de-recognised in Malaysia the way you describe it, and certainly NOT because of racial issues.

The MRCS is a written exam only. Taken during your MO years. Purely theory and therefore not proof of qualitication as a surgeon. In the UK system its considered an entrance exam. This means if you didn't pass it, its very unlikely you will not be able to proceed into surgical training of any speciality.

After your MRCS, and once you completed your 5-6 year surgical training, you sit for an exit viva exam. If you pass you will get the CCST and be awarded the FRCS. There is actually no such things as CCST post nominal. The post nominal is just FRCS (speciality). Some non-UK doctors may also carry the FRCS post nominal if they have been awarded the fellowship from the Royal College for outstanding achievement in their speciality.

The problem in Malaysia was that doctors were at the time were using the MRCS it as a recognition of specialist surgical training (in the same way the MRCP is used for internal medicine). This is totally flawed as surgical training is basically a structured apprenticeship program and not something you can just study and pass.

For internal medicine , its more knowledge based.. so for a long time, passing the MRCP(UK) meant you had achieved a certain level of clinical knowledge in general internal medicine. In the UK having the MRCP meant you could then pursue subspecialization , gastro, cardio, oncology, etc.

In Malaysia, due to lack of internal medicine subspecialist in the past, we maintained the general internal medicine physician to cover everything. and the MRCP with 4 years experience as an MO in general medicine was enough to gazette you as a specialist in general medicine.

In the UK there is no longer just a general physician. Everyone must continue into a subspecialty whereby there is another exit exam.. the MRCP SCE for each sub speciality.

Some non-UK subspecialists have also taken the MRCP SCE exam just to see if their knowledge is on par with the UK trained subspecialist.

The FRCP title is automatically awarded to UK consultants working in substantive posts within NHS hospitals after a period of time, the FRCP title can also be awarded to non-uk doctors if they show substantial contribution to their field of expertise.

Hope this clears up some ambiguity.