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

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TSsean15 P
post Jan 26 2020, 12:01 PM, updated 4y ago

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Many Malaysians are now pursuing medicine due to the perceived good life that they will have in the future, i.e. moving to private sector where they will earn big bucks. Eventhough the situation in the public hospitals are overwhelming, they always convince themselves that once they join the private sector, they will lead a comfortable life raking in big money.

My question I would like to post is, does anyone know how much these specialists can earn in private, like say KPJ or Pantai hospitals? Some say more than RM100k a month, some say reaching RM40k is also considered good. So let's have a discussion on this so that we would have future doctors who enter the profession for passion, not just money per se. Appreciate any input that you guys might have! Thanks smile.gif
ikankering
post Jan 26 2020, 12:10 PM

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great. meaning malaysian income now rm 100k a month?

because malaysian use generalization to think.

This post has been edited by ikankering: Jan 26 2020, 12:10 PM
msacras
post Jan 26 2020, 12:13 PM

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ClericKilla
post Jan 26 2020, 12:14 PM

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https://www.freemalaysiatoday.com/category/...ot-enough-jobs/
hft
post Jan 26 2020, 12:15 PM

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QUOTE(sean15 @ Jan 26 2020, 12:01 PM)
Many Malaysians are now pursuing medicine due to the perceived good life that they will have in the future, i.e. moving to private sector where they will earn big bucks. Eventhough the situation in the public hospitals are overwhelming, they always convince themselves that once they join the private sector, they will lead a comfortable life raking in big money.

My question I would like to post is, does anyone know how much these specialists can earn in private, like say KPJ or Pantai hospitals? Some say more than RM100k a month, some say reaching RM40k is also considered good. So let's have a discussion on this so that we would have future doctors who enter the profession for passion, not just money per se. Appreciate any input that you guys might have! Thanks smile.gif
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Maybe yes, but small majority.
ikankering
post Jan 26 2020, 12:16 PM

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QUOTE(ClericKilla @ Jan 26 2020, 12:14 PM)
can join food delivery job.
ClericKilla
post Jan 26 2020, 12:16 PM

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QUOTE(ikankering @ Jan 26 2020, 12:16 PM)
can join food delivery job.
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They can join your pursuit of opening car wash to attain net income of 28k in 2020
lagista
post Jan 26 2020, 01:35 PM

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some get Rm150k-300k per month smile.gif
hjffgjng
post Jan 26 2020, 01:40 PM

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QUOTE(lagista @ Jan 26 2020, 01:35 PM)
some get Rm150k-300k per month  smile.gif
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doc n supervisor can be fren fren lh liddat
BerusGigi
post Jan 26 2020, 01:49 PM

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My boss is a surgeon at gleaneagles and hukm rake in 400k++ per month
sillybearz
post Jan 26 2020, 01:57 PM

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my son pediatrician sees 20-30 customers half day, 1 patient charge rm100 consultation fees, so u do the math
fun_feng
post Jan 26 2020, 02:01 PM

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Yes BN would like u to believe our doctor is B40...

Plz belif them, so that only smart ppl become doctor
TSsean15 P
post Jan 26 2020, 02:34 PM

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QUOTE(BerusGigi @ Jan 26 2020, 01:49 PM)
My boss is a surgeon at gleaneagles and hukm rake in 400k++ per month
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How is that even possible?? How many surgeries can a doctor do in month🤔
TSsean15 P
post Jan 26 2020, 02:35 PM

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QUOTE(lagista @ Jan 26 2020, 01:35 PM)
some get Rm150k-300k per month  smile.gif
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Really? How do you know that? Any source that you care to share with us? smile.gif
arsenwagon
post Jan 26 2020, 02:38 PM

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QUOTE(BerusGigi @ Jan 26 2020, 01:49 PM)
My boss is a surgeon at gleaneagles and hukm rake in 400k++ per month
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Ur boss is what surgeon first. Sure is subspec kind. And he must be working like hell to get that.
pgsiemkia
post Jan 26 2020, 02:51 PM

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QUOTE(arsenwagon @ Jan 26 2020, 02:38 PM)
Ur boss is what surgeon first. Sure is subspec kind. And he must be working like hell to get that.
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Never pay tax can la...ask hospital to underpay then balance send to own consultation. My friend specialist OBYGN told me that. But 300k a month is over stated, 100-150k a month gross maybe, its the profit sharing end of year and bonus can earn you 500k-2m depending on jow high and femes you are. Another friend in a specialist center near St Georges school is a prof and dato also gets high profit sharing but monthly less than 200k. Perks are better if you are consultant specialists and above.
IRB going after these surgeons anyway..

kavman1984
post Jan 26 2020, 02:55 PM

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QUOTE(lagista @ Jan 26 2020, 01:35 PM)
some get Rm150k-300k per month  smile.gif
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Every industry also got people earning this amount
arsenwagon
post Jan 26 2020, 02:58 PM

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QUOTE(pgsiemkia @ Jan 26 2020, 02:51 PM)
Never pay tax can la...ask hospital to underpay then balance send to own consultation. My friend specialist OBYGN told me that. But 300k a month is over stated, 100-150k a month gross maybe, its the profit sharing end of year and bonus can earn you 500k-2m depending on jow high and femes you are. Another friend in a specialist center near St Georges school is a prof and dato also gets high profit sharing but monthly less than 200k. Perks are better if you are consultant specialists and above.
IRB going after these surgeons anyway..
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Brah if u r in private automatically u r a consultant specialist above

Unless u talking bout MO which is a different story, u shouldn't even be admitted under an MO.

There is no junior specialist etc in private hospitals. Even if they are young specialists they'll call themselves consultants. Lol

This post has been edited by arsenwagon: Jan 26 2020, 02:59 PM
WinkyJr
post Jan 26 2020, 02:59 PM

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i know someone, a specialist, rm120k/m

Asgaard
post Jan 26 2020, 03:01 PM

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100k+average in private hospital per month

This post has been edited by Asgaard: Jan 26 2020, 03:01 PM
wild_card_my
post Jan 26 2020, 03:28 PM

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I have a good number of clients who are medical specialists. They start from RM40k a month and up
TSsean15 P
post Jan 27 2020, 04:14 AM

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QUOTE(pgsiemkia @ Jan 26 2020, 02:51 PM)
Never pay tax can la...ask hospital to underpay then balance send to own consultation. My friend specialist OBYGN told me that. But 300k a month is over stated, 100-150k a month gross maybe, its the profit sharing end of year and bonus can earn you 500k-2m depending on jow high and femes you are. Another friend in a specialist center near St Georges school is a prof and dato also gets high profit sharing but monthly less than 200k. Perks are better if you are consultant specialists and above.
IRB going after these surgeons anyway..
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This is actually quite shocking to hear. I thought that specialists in private are undercutting each other and its a stiff competition. But getting rm150k a month is crazy amount of money! So whats the reality out there?
TSsean15 P
post Jan 27 2020, 04:16 AM

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QUOTE(wild_card_my @ Jan 26 2020, 03:28 PM)
I have a good number of clients who are medical specialists. They start from RM40k a month and up
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Hi there. Care to share the industry you in and how are you aware of the salary of medical specialists in the private sector? Its good to know so that everyone is informed. Thanks a lot!
TSsean15 P
post Jan 27 2020, 04:17 AM

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QUOTE(ikankering @ Jan 26 2020, 12:10 PM)
great. meaning malaysian income now rm 100k a month?

because malaysian use generalization to think.
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What do you mean by that? Seems like many posts in this thread validates the perception of the majority that these medical specialists are raking in the moolah in the private sector!
wild_card_my
post Jan 27 2020, 04:28 AM

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QUOTE(sean15 @ Jan 27 2020, 04:16 AM)
Hi there. Care to share the industry you in and how are you aware of the salary of medical specialists in the private sector? Its good to know so that everyone is informed. Thanks a lot!
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You can start here: I am a service provider in the finance industry, so I get to see people's financial details

Medical specialists really start with RM40k in the private industries; but they are akin to running a business within the hospital, so their income can fluctuate quite a bit. Currently I am doing a service for a specialist, she earns about RM20k plus in her first month in the private sector after about 15 years in the public sector, and hey highest in come so far is RM60k.

QUOTE(sean15 @ Jan 27 2020, 04:17 AM)
What do you mean by that? Seems like many posts in this thread validates the perception of the majority that these medical specialists are raking in the moolah in the private sector!
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You are right, medical specialists really do make money. Those who do not have first-hand knowledge/experience should not talk nonsense they do not know about; I am at the forfront of people's finances, I know more about my clients' finances than their own spouses laugh.gif

This post has been edited by wild_card_my: Jan 27 2020, 04:37 AM
ladytarot99
post Jan 27 2020, 04:52 AM

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My Brother inlaw Cardiac Surgeon +-RM280K/month, My sis in law Family Physician RM 12k/month.
SUSTheBornLoser
post Jan 27 2020, 05:05 AM

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QUOTE(ladytarot99 @ Jan 27 2020, 04:52 AM)
My Brother inlaw Cardiac Surgeon +-RM280K/month, My sis in law Family Physician RM 12k/month.
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I think even Doc himself can share some light on this, though he is a Singaporean surgeon and his compensation is probably among best in the world let alone best in Malaysia - Singapore....
TSsean15 P
post Jan 27 2020, 04:50 PM

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QUOTE(wild_card_my @ Jan 27 2020, 04:28 AM)
You can start here: I am a service provider in the finance industry, so I get to see people's financial details

Medical specialists really start with RM40k in the private industries; but they are akin to running a business within the hospital, so their income can fluctuate quite a bit. Currently I am doing a service for a specialist, she earns about RM20k plus in her first month in the private sector after about 15 years in the public sector, and hey highest in come so far is RM60k.
You are right, medical specialists really do make money. Those who do not have first-hand knowledge/experience should not talk nonsense they do not know about; I am at the forfront of people's finances, I know more about my clients' finances than their own spouses laugh.gif
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That was very informative! Thx for the insight. But do all medical specialists earn that amount though in the private sector? I know they do make money but what is the average? With your experience I'm sure you would be able to give us some insight smile.gif Yes I am aware that it's on a profit sharing model with the hospitals, and they do not get paid a salary.

TSsean15 P
post Jan 27 2020, 04:52 PM

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QUOTE(ladytarot99 @ Jan 27 2020, 04:52 AM)
My Brother inlaw Cardiac Surgeon +-RM280K/month, My sis in law Family Physician RM 12k/month.
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Rm280k a month??? That's alot! Are you sure they earn that amount? What does it take to make that amount in a month?
TSsean15 P
post Jan 27 2020, 04:53 PM

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QUOTE(Asgaard @ Jan 26 2020, 03:01 PM)
100k+average in private hospital per month
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Any source for your info? Thanks smile.gif
aral3005
post Jan 27 2020, 04:58 PM

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kkk8787
post Jan 27 2020, 05:01 PM

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QUOTE(wild_card_my @ Jan 27 2020, 04:28 AM)
You can start here: I am a service provider in the finance industry, so I get to see people's financial details

Medical specialists really start with RM40k in the private industries; but they are akin to running a business within the hospital, so their income can fluctuate quite a bit. Currently I am doing a service for a specialist, she earns about RM20k plus in her first month in the private sector after about 15 years in the public sector, and hey highest in come so far is RM60k.
You are right, medical specialists really do make money. Those who do not have first-hand knowledge/experience should not talk nonsense they do not know about; I am at the forfront of people's finances, I know more about my clients' finances than their own spouses laugh.gif
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Depends, the physicians such as medical specialists like u said are very slowly paid. As they dont do procedures.
Whereas surgeons , orthopedics are well paid. On average 1.5m annual. But of course the training they went through is totally different between a surgeon and physician
itik_emas
post Jan 27 2020, 05:05 PM

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surgical based.maybe starts at 50k
medical based maybe 30k
depend on nego:split with hospital
i know somebody who requested minimal staff (nurses) so he can have staff salary also
Wedchar2912
post Jan 27 2020, 05:35 PM

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QUOTE(wild_card_my @ Jan 26 2020, 03:28 PM)
I have a good number of clients who are medical specialists. They start from RM40k a month and up
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May I ask... whats the average age of these medical specialists and if there is data, at what age generally do they start earning these RM 40K pm salary.

Based on the stats released by BN and PH gov over the years, there are ballpark only 5K persons earning above RM 1 million, and of which around 2K persons earning above RM 2 million.

I always thought the CEOs and c-suites of top firms in Malaysia and MNCs are the ones earning above RM 2 million above.

wild_card_my
post Jan 27 2020, 05:36 PM

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QUOTE(kkk8787 @ Jan 27 2020, 05:01 PM)
Depends, the physicians such as medical specialists like u said are very slowly paid. As they dont do procedures.
Whereas surgeons , orthopedics are well paid. On average 1.5m annual. But of course the training they went through is totally different between a surgeon and physician
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Thanks for sharing. You are right, and I was surprised the person I was talking about only had a "masters".

Are there two pathways to specialization? Masters of medicine and.... Surgeon training? How does a doctor get to become a surgeon?
wild_card_my
post Jan 27 2020, 05:39 PM

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QUOTE(Wedchar2912 @ Jan 27 2020, 05:35 PM)
May I ask... whats the average age of these medical specialists and if there is data, at what age generally do they start earning these RM 40K pm salary.

Based on the stats released by BN and PH gov over the years, there are ballpark only 5K persons earning above RM 1 million, and of which around 2K persons earning above RM 2 million.

I always thought the CEOs and c-suites of top firms in Malaysia and MNCs are the ones earning above RM 2 million above.
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Average age, please dont ask me because I only have a handful of medical specialists that have engaged my services, I would not be able to give an accurate figure

But none of them are below the age of 40. I think that is the time when they would have completed their contract with the government. That specialist I was talking about was approached by the hospital (head hunted) to join them. She was contemplating for a while because she was considering her pension issues (not just the money, but the first class facilities her family would be afforded to)


viole
post Jan 27 2020, 05:42 PM

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QUOTE(wild_card_my @ Jan 27 2020, 04:28 AM)
You can start here: I am a service provider in the finance industry, so I get to see people's financial details

Medical specialists really start with RM40k in the private industries; but they are akin to running a business within the hospital, so their income can fluctuate quite a bit. Currently I am doing a service for a specialist, she earns about RM20k plus in her first month in the private sector after about 15 years in the public sector, and hey highest in come so far is RM60k.
You are right, medical specialists really do make money. Those who do not have first-hand knowledge/experience should not talk nonsense they do not know about; I am at the forfront of people's finances, I know more about my clients' finances than their own spouses laugh.gif
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What about gov MO and at what years they can get 5 figures?

wild_card_my
post Jan 27 2020, 05:46 PM

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QUOTE(viole @ Jan 27 2020, 05:42 PM)
What about gov MO and at what years they can get 5 figures?
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MO lambat naik la, you need to go through the same politic-at-work process to get promotion. Waste time continue become MO unless you are vying for masters spot in the university

If you want 5-figures as a GP, quit MoH and apply for work at Alam Medic or similar private clinics. RM10k starting salary plus locum some more. That's 5-figures for you

This post has been edited by wild_card_my: Jan 27 2020, 05:47 PM
ladytarot99
post Jan 27 2020, 05:47 PM

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QUOTE(sean15 @ Jan 27 2020, 04:52 PM)
Rm280k a month??? That's alot! Are you sure they earn that amount? What does it take to make that amount in a month?
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With the stress, training, headache and s*cks time management? RM280K is not a lot, can make more than that overseas I bet. Well, he just told me,never show me his bank account tho, however i have no reason to doubt him. He has properties everywhere, wife kids all lives comfortably, got d*t*ksri title, own few nice cars, and always gives minimum RM20k hongbao to my son every CNY. i remember he manages +-3 surgeries on daily basis.

I think even hksgmy make roughly $200k/month before tax, is that correct doc?

Of course you are not jumping out of university and get paid that amount.. you have to build your career + skill first.
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post Jan 27 2020, 05:47 PM

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QUOTE(wild_card_my @ Jan 27 2020, 05:46 PM)
MO lambat naik la. Waste time continue become MO unless you are vying for masters spot in the university

U want 5 figures as a GP quit and work at Alam Medic. RM10k starting salary plus locum some more. That's 5-figures for you
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Then being doc is like late bloomer group. Have to fill in years and schools time before getting that nice paycheck.

I guess pilot is still the best job to rake in money quick yeh?
wild_card_my
post Jan 27 2020, 05:52 PM

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QUOTE(viole @ Jan 27 2020, 05:47 PM)
Then being doc is like late bloomer group. Have to fill in years and schools time before getting that nice paycheck.

I guess pilot is still the best job to rake in money quick yeh?
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YES. Ive only seen one commercial airline Pilot that drives a Myvi. That guy is loaded and has a 1.5M house in Cyberjaya but refuses to buy conti cars like his friends

Pilots have a lot of training requirements too but the pay off is huge. Do your hours, don't duck up, and you can easily earn RM100k a month in your 40s as long as you chose to continue flying (some pilots become lazy and do not fly anymore)
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post Jan 27 2020, 05:55 PM

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QUOTE(wild_card_my @ Jan 27 2020, 05:52 PM)
YES. Ive only seen one commercial airline Pilot that drives a Myvi. That guy is loaded and has a 1.5M house in Cyberjaya but refuses to buy conti cars like his friends

Pilots have a lot of training requirements too but the pay off is huge. Do your hours, don't duck up, and you can easily earn RM100k a month in your 40s as long as you chose to continue flying (some pilots become lazy and do not fly anymore)
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And ive heard they can start pilot school just right after spm.

That years off uni shoot up their salary projection like crazy. And they got gaya. People easily attracted to young macho pilot.

Hell if only i realized this facts before.
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post Jan 27 2020, 05:56 PM

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ahhh another celery tered
wild_card_my
post Jan 27 2020, 05:58 PM

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QUOTE(viole @ Jan 27 2020, 05:55 PM)
And ive heard they can start pilot school just right after spm.

That years off uni shoot up their salary projection like crazy. And they got gaya. People easily attracted to young macho pilot.

Hell if only i realized this facts before.
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Every thing u said is accurate and I agree with you

They achieve financial freedom early in their life. My late 20s pilot clients all earn 5 figures of RM20+k a month

Sometimes you want to be rich earlier than later. I want to drive my 330i G20 at age of 31, not at 41. Only pilots and oil and gas engineers can afford those at young age, unlikely for other professions

And then there are people like me, but not all insurance agents are making bank; most got conned with their upline BMW and Merc. They cannot juggle work and rejections from prospects. They get recruited then wither away after 3 years.

p/s I haven't recruited agents yet, I bought my new car for myself not to action action to other people. Maybe I will start now. Who wants to becum an insurance agent? PM me. Im no nonsense, I will not train you. You can learn from me by watching me. That's it, no hand-holding

This post has been edited by wild_card_my: Jan 27 2020, 06:07 PM
SUSBug Juice
post Jan 27 2020, 06:07 PM

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QUOTE(ladytarot99 @ Jan 27 2020, 05:47 PM)
always gives minimum RM20k hongbao to my son every CNY.
He put a cheque in there?
Py80
post Jan 27 2020, 06:07 PM

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This post has been edited by Py80: Jan 27 2020, 06:11 PM
wild_card_my
post Jan 27 2020, 06:12 PM

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QUOTE(Py80 @ Jan 27 2020, 06:07 PM)
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Thank you so much for sharing this. Appreciate it, keep them coming

Why don't most, if not all government based specialist that are not bound to their contracts quit their positions in the GH and make more moolah?

How does MoH retain these specialists, as I am told that the bests are always in government hospitals? Was I misled?
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post Jan 27 2020, 06:15 PM

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QUOTE(Py80 @ Jan 27 2020, 06:07 PM)
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u forgot the anaesthetists wink.gif
pr0pofol
post Jan 27 2020, 06:18 PM

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QUOTE(wild_card_my @ Jan 27 2020, 06:12 PM)
Thank you so much for sharing this. Appreciate it, keep them coming

Why don't most, if not all government based specialist that are not bound to their contracts quit their positions in the GH and make more moolah?

How does MoH retain these specialists, as I am told that the bests are always in government hospitals? Was I misled?
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they don't
MoH never bothered to retain these specialists or the potential to be good specialists
that notion that the bests are in gov hosp are only referring to the tip of the iceberg
and these few stayed on generally due to various personal reasons, not for being blindly faithful to the ministry
Py80
post Jan 27 2020, 06:19 PM

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QUOTE(wild_card_my @ Jan 27 2020, 06:12 PM)
Thank you so much for sharing this. Appreciate it, keep them coming

Why don't most, if not all government based specialist that are not bound to their contracts quit their positions in the GH and make more moolah?

How does MoH retain these specialists, as I am told that the bests are always in government hospitals? Was I misled?
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Sorry I deleted the thread. Draws unwanted attention and there are people (dissatisfied or jealous) that may use to to attack the profession further.

Basically as people said 100k/month is not usually depending on specialty.

I will reply to your second question later. I'm actually just about to go out
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post Jan 27 2020, 06:22 PM

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ladytarot99
post Jan 27 2020, 06:25 PM

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QUOTE(Bug Juice @ Jan 27 2020, 06:07 PM)
He put a cheque in there?
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Cash 😂.
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post Jan 27 2020, 06:29 PM

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Depends on how popular the medical Center and how popular the specialist is.
Lowest I heard of is less than 15k during bad month like during Chinese New Year.
Average in medium-sized town is30-40k for non-surgical based. Surgical based usually double the amount. Popular surgeons easily 150-200k in medium sized cities
wild_card_my
post Jan 27 2020, 06:45 PM

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QUOTE(Py80 @ Jan 27 2020, 06:19 PM)
Sorry I deleted the thread. Draws unwanted attention and there are people (dissatisfied or jealous) that may use to to attack the profession further.

Basically as people said 100k/month is not usually depending on specialty.

I will reply to your second question later. I'm actually just about to go out
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Im currently servicing a medical specialist client, last year she was drawing RM9k basic with fixed allowances that brought her total gross monthly income to RM18k

She got into private hospital in the same year and now earns on average 40k a month on a 6-months payment vouchers. Not bad if I can say so myself

They should all leave GH!! laugh.gif

This post has been edited by wild_card_my: Jan 27 2020, 06:48 PM
kkk8787
post Jan 27 2020, 06:54 PM

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QUOTE(wild_card_my @ Jan 27 2020, 05:36 PM)
Thanks for sharing. You are right, and I was surprised the person I was talking about only had a "masters".

Are there two pathways to specialization? Masters of medicine and.... Surgeon training? How does a doctor get to become a surgeon?
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Medical specialists can just take any external papers like those from uk and so on
Whereas surgical trainings take a very long time, sufferings, as you have to go through proper master programmes. However when u go to private the benefit is u get paid better.
arsenwagon
post Jan 27 2020, 07:25 PM

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QUOTE(Py80 @ Jan 27 2020, 06:07 PM)
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Pls Pm me coz I'm contemplating chasing my dream which involves lots of cash but I need to think about ROI tongue.gif


doczane
post Jan 27 2020, 07:41 PM

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Leaving MOH for money is an obvious choice. Few stay due to job satisfaction in MOH as fussy and difficult patient is more common in private compared to gomen. U can treat patient on what is right, not what the customer / patient wants. U have many subordinates eg. Housemen, medical officers, junior specialist at your beck and call while in private, you are on your own. You deserve to be paid more.
I know surgeons who does only few cases a week MO level cases and earn 50-200k/ mth while consultants in MOH doing few complex cases per day with 4 operating days per week and stuck at earning 15-20k/mth. Gomen are service oriented and not on case basis salaries while private surgeons draw their payment from each cases. You want gomen docs to earn more? Than vote to increase the current rm1-rm5 registration rate to something more lucrative.
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post Jan 27 2020, 08:08 PM

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This post has been edited by Py80: Oct 4 2020, 04:50 PM
Mr. Najib Razak
post Jan 27 2020, 08:09 PM

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High risk high reward
AnimeSinceForever
post Jan 27 2020, 08:11 PM

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Before you can even work private must be bonded to public.

Make sure you ask about how long to work in private before making that kind of money.

And since there is a shortage of placement for doctors, having your own clinic beforehand - or marrying a doctor who does - is a very good idea.

Notice I didn't say anything about love - many people nowadays marry for convenience icon_idea.gif

QUOTE(sean15 @ Jan 26 2020, 12:01 PM)
Many Malaysians are now pursuing medicine due to the perceived good life that they will have in the future, i.e. moving to private sector where they will earn big bucks. Eventhough the situation in the public hospitals are overwhelming, they always convince themselves that once they join the private sector, they will lead a comfortable life raking in big money.

My question I would like to post is, does anyone know how much these specialists can earn in private, like say KPJ or Pantai hospitals? Some say more than RM100k a month, some say reaching RM40k is also considered good. So let's have a discussion on this so that we would have future doctors who enter the profession for passion, not just money per se. Appreciate any input that you guys might have! Thanks smile.gif
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This post has been edited by AnimeSinceForever: Jan 27 2020, 08:11 PM
AnimeSinceForever
post Jan 27 2020, 08:13 PM

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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.

QUOTE(doczane @ Jan 27 2020, 07:41 PM)
Leaving MOH for money is an obvious choice. Few stay due to job satisfaction in MOH as fussy and difficult patient is more common in private compared to gomen. U can treat patient on what is right, not what the customer / patient wants. U have many subordinates eg. Housemen, medical officers, junior specialist at your beck and call while in private, you are on your own. You deserve to be paid more.
I know surgeons who does only few cases a week MO level cases and earn 50-200k/ mth while consultants in MOH doing few complex cases per day with 4 operating days per week and stuck at earning 15-20k/mth. Gomen are service oriented and not on case basis salaries while private surgeons draw their payment from each cases. You want gomen docs to earn more? Than vote to increase the current rm1-rm5 registration rate to something more lucrative.
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This post has been edited by AnimeSinceForever: Jan 27 2020, 08:13 PM
Prinny
post Jan 27 2020, 08:13 PM

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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
SUSTheBornLoser
post Jan 27 2020, 08:30 PM

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QUOTE(ladytarot99 @ Jan 27 2020, 05:47 PM)
With the stress, training, headache and s*cks time management? RM280K is not a lot, can make more than that overseas I bet. Well, he just told me,never show me his bank account tho, however i have no reason to doubt him. He has properties everywhere, wife kids all lives comfortably, got d*t*ksri title, own few nice cars, and always gives minimum RM20k hongbao to my son every CNY. i remember he manages +-3 surgeries on daily basis.

I think even hksgmy make roughly $200k/month before tax, is that correct doc?

Of course you are not jumping out of university and get paid that amount.. you have to build your career + skill first.
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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!
ladytarot99
post Jan 27 2020, 08:33 PM

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QUOTE(TheBornLoser @ Jan 27 2020, 08:30 PM)
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!
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I put $ infront of hksgmy salary. Dollar man... if ringgit like my bro inlaw I’ll put RM. 🤣
kkk8787
post Jan 27 2020, 08:37 PM

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QUOTE(Py80 @ Jan 27 2020, 08:08 PM)
While this is true, it is perhaps oversimplification. I think what you are referring to is procedural specialties. Not necessary just surgical vs non-surgical.

If you offer a procedure, then your charges will naturally be higher per patient. If all you are interested is money, then choose a low risk specialty with common procedures and high volume.

For example.. dermatologist.. they do loads of things in their clinic, from aesthetic injections to skin biopsies for suspicious lesions. I can tell you there are dermatologist who earn huge amounts and don't have to deal with critical inpatients like the rest of us. They do their clinic and go home in the evenings. Good pathologist or radiologist is another one . can report slides from home. If you're good, the volume is crazy because everyone refers to you. Clinic based general ENT or urologist can also make loads without taking on heavy risky cases.
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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
SUSTheBornLoser
post Jan 27 2020, 08:43 PM

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QUOTE(ladytarot99 @ Jan 27 2020, 08:33 PM)
I put $ infront of hksgmy salary. Dollar man... if ringgit like my bro inlaw I’ll put RM. 🤣
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Haha, my error. I stand corrected smile.gif
Jedi
post Jan 27 2020, 08:45 PM

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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.
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post Jan 27 2020, 08:46 PM

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QUOTE(AnimeSinceForever @ Jan 27 2020, 08:13 PM)
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.
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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

kkk8787
post Jan 27 2020, 08:48 PM

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QUOTE(Jedi @ Jan 27 2020, 08:45 PM)
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.
*
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
Jedi
post Jan 27 2020, 08:50 PM

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QUOTE(wild_card_my @ Jan 27 2020, 06:12 PM)
Thank you so much for sharing this. Appreciate it, keep them coming

Why don't most, if not all government based specialist that are not bound to their contracts quit their positions in the GH and make more moolah?

How does MoH retain these specialists, as I am told that the bests are always in government hospitals? Was I misled?
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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
Py80
post Jan 27 2020, 08:53 PM

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QUOTE(Mr. Najib Razak @ Jan 27 2020, 08:09 PM)
High risk high reward
*
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. smile.gif
SUSkevin23
post Jan 27 2020, 08:54 PM

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

Specialist easily min 20k/mth

Those famous ones 100k-200k/mth


wild_card_my
post Jan 27 2020, 08:58 PM

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QUOTE(Jedi @ Jan 27 2020, 08:50 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.

Majority who stay also are those who chose pencen. And u know which majority race choose that.

And for reasons that sensitive to divulge here.

There are also the bests of specialists who chose to stay but are also doing locum and visiting consultant in private hosp.
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Tak habis-habis talk about race... Some group of people are so racially-inclined and then they complain about equality laugh.gif
wargreymon12
post Jan 27 2020, 09:00 PM

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QUOTE(sillybearz @ Jan 26 2020, 01:57 PM)
my son pediatrician sees 20-30 customers half day, 1 patient charge rm100 consultation fees, so u do the math
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KLCC tealive serves 1000-2000 drinks/day. Each drink rm5-8.


Py80
post Jan 27 2020, 09:01 PM

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QUOTE(Jedi @ Jan 27 2020, 08:50 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.

Majority who stay also are those who chose pencen. And u know which majority race choose that.

And for reasons that sensitive to divulge here.

There are also the bests of specialists who chose to stay but are also doing locum and visiting consultant in private hosp.
*
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..
Jedi
post Jan 27 2020, 09:03 PM

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QUOTE(wild_card_my @ Jan 27 2020, 05:36 PM)
Thanks for sharing. You are right, and I was surprised the person I was talking about only had a "masters".

Are there two pathways to specialization? Masters of medicine and.... Surgeon training? How does a doctor get to become a surgeon?
*
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
Jedi
post Jan 27 2020, 09:14 PM

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QUOTE(wild_card_my @ Jan 27 2020, 08:58 PM)
Tak habis-habis talk about race... Some group of people are so  racially-inclined and then they complain about equality laugh.gif
*
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
ladytarot99
post Jan 27 2020, 09:18 PM

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QUOTE(TheBornLoser @ Jan 27 2020, 08:43 PM)
Haha, my error. I stand corrected smile.gif
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Lol.. laugh.gif
arsenwagon
post Jan 27 2020, 09:35 PM

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QUOTE(Py80 @ Jan 27 2020, 08:08 PM)
While this is true, it is perhaps oversimplification. I think what you are referring to is procedural specialties. Not necessary just surgical vs non-surgical.

If you offer a procedure, then your charges will naturally be higher per patient. If all you are interested is money, then choose a low risk specialty with common procedures and high volume.

For example.. dermatologist.. they do loads of things in their clinic, from aesthetic injections to skin biopsies for suspicious lesions. I can tell you there are dermatologist who earn huge amounts and don't have to deal with critical inpatients like the rest of us. They do their clinic and go home in the evenings. Good pathologist or radiologist is another one . can report slides from home. If you're good, the volume is crazy because everyone refers to you. Clinic based general ENT or urologist can also make loads without taking on heavy risky cases.
*
Yeah it is actually procedural Vs non procedural
Example gastroenterologist n cardiologist who do scopes , PCI

Py80
post Jan 27 2020, 10:29 PM

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QUOTE(Jedi @ Jan 27 2020, 09:03 PM)
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 that is also biased i. E cable cable skin color and also CV (usually takes 2 to 6 years upon completion of HO and start of MO)

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.
*
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.
Py80
post Jan 27 2020, 10:32 PM

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Actually, Malaysian trained specialist doctors actually have a broader depth of experience with general cases than UK trained ones.

The US is the worse for pure focus training... they only work in their field of expertise don't do general medicine/surgery like the rest of the world.
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post Jan 27 2020, 10:50 PM

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QUOTE(Py80 @ Jan 27 2020, 10:29 PM)
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.
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eh....i think you confused the mrcs with the old frcs in general.....the later is still recognised as a specialist qualification....

and the mrcs is in 2 parts, a theory part 1 and a osce part 2.....

and no, the general physician is still very much in existence in uk....although most will have a subspeciality interest....that has nothing to do with the mrcp....the certification of a specialist in uk is the cst....and entry into the specialist registry of the gmc....
Py80
post Jan 27 2020, 11:15 PM

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I just came came from the UK not long ago...
With my mrcp and SCE

You do general medicine as part of of the training to sub.
But everyone is in a subspecialty training program and will eventually be sub trained but provide gen med on call as well

Malaysia has pure gen med
wild_card_my
post Jan 28 2020, 04:36 AM

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QUOTE(Jedi @ Jan 27 2020, 09:14 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
*
Be that as it may, let's not take this topic tangent and racially-charge it - although I may have started it by pointing it out.

I appreciate your thorough sharing above though, keep them coming thumbsup.gif
gahpadu
post Jan 28 2020, 05:19 AM

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Junior specialist rm1k perday only
SUSTwenty-Fifth Baam
post Jan 28 2020, 05:39 AM

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that's why there is no such thing as a poor doctor

doctors are all rich as fuck

and all you peasants kowtow to doctors really damn funny la

you paid thousands, tens of thousands, hundreds of thousands, then pray to them and shits like that... topkek lel

unless they do it for free or for a damn damn damn damn damn fucking low price, then i will kowtow and respect them. other than that, they are just a bloodsucking vampire like any other businessman
wild_card_my
post Jan 28 2020, 05:51 AM

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QUOTE(Twenty-Fifth Baam @ Jan 28 2020, 05:39 AM)
that's why there is no such thing as a poor doctor

doctors are all rich as fuck

and all you peasants kowtow to doctors really damn funny la

you paid thousands, tens of thousands, hundreds of thousands, then pray to them and shits like that... topkek lel

unless they do it for free or for a damn damn damn damn damn fucking low price, then i will kowtow and respect them. other than that, they are just a bloodsucking vampire like any other businessman
*
the younger doctors are not having it easy, as per any professions. It is much more difficult in the beginning. They have long hours and their pay reflects that, if any.
SUSTwenty-Fifth Baam
post Jan 28 2020, 06:36 AM

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QUOTE(wild_card_my @ Jan 28 2020, 05:51 AM)
the younger doctors are not having it easy, as per any professions. It is much more difficult in the beginning. They have long hours and their pay reflects that, if any.
*
Still, we give shits to businessman when they charge exorbitant prices, but we don't give shits to doctors that charge exorbitant prices.

Usually people will ask to boycott a certain business, but not to doctors.

What I don't get is the fascination for doctors. What makes them so great? I mean yes, they help to cure patients, they help to patch you up. But in the end, they still make money, unlike voluntary doctors, now those I really do respect them. They give their all without expecting anything in return.
arsenwagon
post Jan 28 2020, 08:01 AM

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QUOTE(Py80 @ Jan 27 2020, 10:32 PM)
Actually, Malaysian trained specialist doctors actually have a broader depth of experience with general cases than UK trained ones.

The US is the worse for pure focus training... they only work in their field of expertise don't do general medicine/surgery like the rest of the world.
*
How does one get FRCS without completing a training position?
Like for example I know ppl who worked in UK /Singapore as registrar and subsequently had FRCS post nominals


QUOTE(Twenty-Fifth Baam @ Jan 28 2020, 06:36 AM)
Still, we give shits to businessman when they charge exorbitant prices, but we don't give shits to doctors that charge exorbitant prices.

Usually people will ask to boycott a certain business, but not to doctors.

What I don't get is the fascination for doctors. What makes them so great? I mean yes, they help to cure patients, they help to patch you up. But in the end, they still make money, unlike voluntary doctors, now those I really do respect them. They give their all without expecting anything in return.
*
Steve Jobs sell iPhone how much
That's more than one life saving appendix operation
Yet u all still line up day n night to get it
And last I checked Steve Jobs was revered more than any doctor in the world. Not even Jonas Salk who didn't patent the polio vaccine is regarded to be his equal. Basically Steve Jobs = god to the masses...

After all, Steve Jobs created something the world needs right. What a visionary. When was the last time the polio vaccine ever made anyone's life easier?


Ever heard of Cristiano Ronaldo, Lionel Messi, Kobe Bryant?
They play sports to their own enjoyment and get paid .handsomely is an understatement -a Medical specialist salary is a joke compared to them, even top tier surgeon won't be paid as much as a second tier player.
Yet they're Hailed as God and when they pass away you'll see tonnes of tribute to them but since when was the last time u saw a patient posting a tribute to his doctor?
Ppl queue up to meet Ronaldo be damn happy just to get his signature
Ppl queue up to see doctors and scold them for seeing patients too slowly.

Last I checked , doctors are being sued everywhere in the world .
I've never seen Ronaldo being sued by bookies for not scoring a goal... A job he is paid few millions to do. I don't know but I wouldn't call putting someone in the accused dock in court respected

So.... Which parallel world you live in where doctors are so respected. Is like to be there.

This post has been edited by arsenwagon: Jan 28 2020, 08:47 AM
pr0pofol
post Jan 28 2020, 08:09 AM

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QUOTE(Twenty-Fifth Baam @ Jan 28 2020, 06:36 AM)
Still, we give shits to businessman when they charge exorbitant prices, but we don't give shits to doctors that charge exorbitant prices.

Usually people will ask to boycott a certain business, but not to doctors.

What I don't get is the fascination for doctors. What makes them so great? I mean yes, they help to cure patients, they help to patch you up. But in the end, they still make money, unlike voluntary doctors, now those I really do respect them. They give their all without expecting anything in return.
*
who says ppl dont give shits to docs who charge exorbitant prices?
all doctors have to follow the fee schedule which stated the maximum/ceiling amount they can charge
the fee schedule is in the public domain
if u think they overcharge, can always complain to MMC
if they followed the schedule and u still think they overcharge, it means ur the one not earning enough money to afford a private doc services

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post Jan 28 2020, 09:05 AM

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QUOTE(wild_card_my @ Jan 27 2020, 05:52 PM)
YES. Ive only seen one commercial airline Pilot that drives a Myvi. That guy is loaded and has a 1.5M house in Cyberjaya but refuses to buy conti cars like his friends

Pilots have a lot of training requirements too but the pay off is huge. Do your hours, don't duck up, and you can easily earn RM100k a month in your 40s as long as you chose to continue flying (some pilots become lazy and do not fly anymore)
*
agreed.

pilot is the best job in the world (other than celebrity/sports athlete)

u get high salary, can travel around the world, and only work for like 3 or 4 days per week
wild_card_my
post Jan 28 2020, 09:07 AM

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QUOTE(munky @ Jan 28 2020, 09:05 AM)
agreed.

pilot is the best job in the world (other than celebrity/sports athlete)

u get high salary, can travel around the world, and only work for like 3 or 4 days per week
*
To add, the can have long career into their 50s too, and they only get paid more as they become more experienced. Their job is also international which means they won't ever find themselves out of jobs

In fact there are shortages for experienced commercial pilot now
viole
post Jan 28 2020, 09:15 AM

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QUOTE(munky @ Jan 28 2020, 09:05 AM)
agreed.

pilot is the best job in the world (other than celebrity/sports athlete)

u get high salary, can travel around the world, and only work for like 3 or 4 days per week
*
Unfortunately our /k pilot already rip due to accident.

I wonder if /k got another pilot here.
wild_card_my
post Jan 28 2020, 09:19 AM

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QUOTE(viole @ Jan 28 2020, 09:15 AM)
Unfortunately our /k pilot already rip due to accident.

I wonder if /k got another pilot here.
*
There are plenty of pilots that found me and sought my services from Lowyat. They would either PM me so I would know their nickname, or they would just drop me a text on Whatsapp and we would discuss there - when asked they would say they found me here. I never pursued for their nicknames here

But just saying that pilots spend time in the forums too, whether or not they would reveal themselves is a whole different story
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post Jan 28 2020, 09:20 AM

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QUOTE(wild_card_my @ Jan 28 2020, 09:19 AM)
There are plenty of pilots that found me and sought my services from Lowyat. They would either PM me so I would know their nickname, or they would just drop me a text on Whatsapp and we would discuss there - when asked they would say they found me here. I never pursued for their nicknames here

But just saying that pilots spend time in the forums too, whether or not they would reveal themselves is a whole different story
*
So /k 20k is true then.


wild_card_my
post Jan 28 2020, 09:27 AM

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QUOTE(viole @ Jan 28 2020, 09:20 AM)
So /k 20k is true then.
*
RM20k a month is not that difficult to get, even err.. yours truly but I'm not employed per se (insurance agents and agency are separate entity to the insurance company they represent)

Typically highly technical jobs would pay their specialists well. Other than the obvious medical specialists, it networking specialist are also making more than 20k a month, pilots too as they are responsible to hundred million Ringgit aircrafts, oil and gas specialists of their own fields...

Managers would generally be older before they can earn that kind of money, their influence and experience must be staggering otherwise they can always be replaced by someone younger and cheaper

Lets get back to sales: its like a pyramid, very few earn more than 20k, a good number earn low 5-figures, and the majority can only make do with 4-figures. Sales data also depends on the industry; insurances, banking and real estate make a lot, gym/clubs memberships and car (used and new) do not, at least not as much. Also depends if you are Independent (like me) or attached to the company (like a banker). I would make more than my counterparts that are employed
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post Jan 28 2020, 09:31 AM

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QUOTE(wild_card_my @ Jan 28 2020, 09:27 AM)
RM20k a month is not that difficult to get, even err.. yours truly but I'm not employed per se (insurance agents and agency are separate entity to the insurance company they represent)

Typically highly technical jobs would pay their specialists well. Other than the obvious medical specialists, it networking specialist are also making more than 20k a month, pilots too as they are responsible to hundred million Ringgit aircrafts, oil and gas specialists of their own fields...

Managers would generally be older before they can earn that kind of money, their influence and experience must be staggering otherwise they can always be replaced by someone younger and cheaper

Lets get back to sales: its like a pyramid, very few earn more than 20k, a good number earn low 5-figures, and the majority can only make do with 4-figures. Sales data also depends on the industry; insurances, banking and real estate make a lot, gym/clubs memberships and car (used and new) do not, at least not as much. Also depends if you are Independent (like me) or attached to the company (like a banker). I would make more than my counterparts that are employed
*
Seems 20k is a norm then.

Nevermind, i can always go cry in my own tiny rented room.

wild_card_my
post Jan 28 2020, 09:38 AM

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QUOTE(viole @ Jan 28 2020, 09:31 AM)
Seems 20k is a norm then.

Nevermind, i can always go cry in my own tiny rented room.
*
Whatever industry you are or are comfortable in, try specializing in a field related to it

This post has been edited by wild_card_my: Jan 28 2020, 09:38 AM
Pain4UrsinZ
post Jan 28 2020, 09:48 AM

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private start from 10 k . month, if government kapcai alot, from 3k , senior MO (about 3 years to 5 years) gaji also 5k to 7k, this amount stated is after all the incentive and oncall allowance.
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post Jan 28 2020, 09:49 AM

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QUOTE(Pain4UrsinZ @ Jan 28 2020, 09:48 AM)
private start from 10 k . month, if government kapcai alot, from 3k , senior MO (about 3 years to 5 years) gaji also 5k to 7k, this amount stated is after all the incentive and oncall allowance.
*
Yeah but gov doesnt have epf deduction. So private 10k is almost the same like gov 8k.
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post Jan 28 2020, 09:50 AM

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specialist earned a lot of money every month
but it takes years of practice to reach that level
SUScatherintherye
post Jan 28 2020, 09:52 AM

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Become a Wuhan virus specialist...you will ear BIG BUCKS now....while the trend is hot....
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post Jan 28 2020, 09:57 AM

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QUOTE(viole @ Jan 28 2020, 09:49 AM)
Yeah but gov doesnt have epf deduction. So private 10k is almost the same like gov 8k.
*
no in this case, GOV also deduct EPF, they can choose EPF or PENSION. mostly will choose EPF for young generation nowadays because they dont want to stay with MOH forever.

This post has been edited by Pain4UrsinZ: Jan 28 2020, 09:57 AM
urnicksux2
post Jan 28 2020, 10:01 AM

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234k per month
Jedi
post Jan 28 2020, 10:57 AM

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QUOTE(arsenwagon @ Jan 28 2020, 08:01 AM)
How does one get FRCS without completing a training position?
Like for example I know ppl who worked in UK /Singapore as registrar and subsequently had FRCS post nominals

*
Can. There is training and non training surgical positions internationally and in the UK. The passing rate is higher for trainees in training position that is all.

In Singapore and Hong Kong, system works similar as the UK. You pass MRCS by end of your Core Training equivalent, interview and get into a specialty of your liking, proceed for 4 to 6 years of training dep on specialty (there are 10) then sit for the FRCS exit exam. Upon completion you can earn post nominals FRCS and MSurg Singapore/ FCSHK together (conjoined and pay higher fee)

In UK u get CCST and eligible for consultant post.

In Malaysia, just add on flower to your name, let you walk with air. Things may change soon once KKM finalises the parallel pathways for the FRCS where MOs can sit for it upon fulfilling logbooks and rotations and the requirements / structured training we do not know yet. Currently we only have Urology (Glasgow) and Cardio thoracic(Edinburgh) which are structured programmes.

It is a very tough exam, make no mistake. Not your typical membership exams since the M assess the base knowledge. This require alot of higher thinking. Finishing and passing the exam prepares a person for day 1 consultant job. Examiners look for attributes of candidates that are on par of a consultant that they can work with/assured of if their family members treating. And the International frcs has the SAME standing and reputation as those in UK.

This post has been edited by Jedi: Jan 28 2020, 10:59 AM
arsenwagon
post Jan 28 2020, 11:10 AM

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QUOTE(Jedi @ Jan 28 2020, 10:57 AM)
Can. There is training and non training surgical positions internationally and in the UK. The passing rate is higher for trainees in training position that is all.

In Singapore and Hong Kong, system works similar as the UK. You pass MRCS by end of your Core Training equivalent, interview and get into a specialty of your liking, proceed for 4 to 6 years of training dep on specialty (there are 10) then sit for the FRCS exit exam. Upon completion you can earn post nominals FRCS and MSurg Singapore/ FCSHK together (conjoined and pay higher fee)

In UK u get CCST and eligible for consultant post.

In Malaysia, just add on flower to your name, let you walk with air. Things may change soon once KKM finalises the parallel pathways for the FRCS where MOs can sit for it upon fulfilling logbooks and rotations and the requirements / structured training we do not know yet. Currently we only have Urology (Glasgow) and Cardio thoracic(Edinburgh) which are structured programmes.


It is a very tough exam, make no mistake. Not your typical membership exams since the M assess the base knowledge. This require alot of higher thinking. Finishing and passing the exam prepares a person for day 1 consultant job. Examiners look for attributes of candidates that are on par of a consultant that they can work with/assured of if their family members treating. And the International frcs has the SAME standing and reputation as those in UK.
*
But I go search ifrcs one of the criteria is that the candidate must have completed Training position in their home country

I tot FRCS is recognised in Malaysia for registration with NSR?
A lot of old timer with nothing but FRCS and loads of experience.

This post has been edited by arsenwagon: Jan 28 2020, 11:12 AM
Jedi
post Jan 28 2020, 11:14 AM

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QUOTE(arsenwagon @ Jan 28 2020, 11:10 AM)
But I go search ifrcs one of the criteria is that the candidate must have completed Training position in their home country
*
Yes in Malaysia need to be at least completed masters programme. (for now)

Not many people do it. In fact can count with fingers. Already got family got kids already pakar, why waste money to do 1 more exam that may even fail or require multiple attempts?

Situation will change once KKM announce the surg parallel pathways in a year or 2.

Refer back my prev post and pgy80 post. Old frcs is the new mrcs.

Last time pass old frcs and train 18 months overseas come back consultant d. Bec last time no structured local masters yet. Can say kesian new doctors need more qualifications now because top echelons hogging the new doctors don't want them graduate fast lol but actual truth also is now got more structured programme and need to ensure safe doctors since medicine changed.



This post has been edited by Jedi: Jan 28 2020, 11:16 AM
ju146
post Jan 28 2020, 11:20 AM

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They deserve with all those perks and pay... Medical specialist life ain't easier, right from the college day
Py80
post Jan 28 2020, 11:54 AM

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QUOTE(arsenwagon @ Jan 28 2020, 11:10 AM)
But I go search ifrcs one of the criteria is that the candidate must have completed Training position in their home country

I tot FRCS is recognised in Malaysia for registration with NSR?
A lot of old timer with nothing but FRCS and loads of experience.
*
like all fellowships, you can be nominated to receive it if you've shown significant contributions or academic achievements in your field.

You don't have to be a grad from their country. You can grad in Malaysia and do your training in Malaysia, but if you publish or are an expert in your field, you can be nominated to receive the FRCP/FRCS or whatever the F they want to give you biggrin.gif biggrin.gif

I think people are confusing a post nominal, MRCP, MRCS etc with NSR / specialist registration.

Once you complete the training in the UK, you are given a CCST - Certificate of completeion of specialist training, then you can be put on their specialist register , and for the college of surgeons they confer the post nominal FRCS(speciality) or MRCP(Speciality)

In Malaysia once you fulfill the training criteria for a subspeciality you will be registered on the NSR for that subspecialty, then you are considered sub trained - Cardiologist , gastroenterologist etc... Having a CCST automatically qualifies you for NSR registration. Or completing a local training program.



The post nominals such as MRCP, MRCS, MRCPsych etc are achieved once you pass the said college exams. They cannot be awarded.

Fellowships can be awarded as for achievement.

Thats why you find some doctors here with locally trained but have FRCP / FRCS






Py80
post Jan 28 2020, 11:57 AM

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Anyway, I think the whole thread has run off topic..

hope the info helps any budding doctor out there or those thinking about a career in medicine.

Holidays over, no time to reply now.. Take care guys.

I am happy to take PMs if anyone has any burning questions.
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post Jan 28 2020, 02:40 PM

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QUOTE(Py80 @ Jan 28 2020, 11:57 AM)
Anyway, I think the whole thread has run off topic..

hope the info helps any budding doctor out there or those thinking about a career in medicine.

Holidays over, no time to reply now.. Take care guys.

I am happy to take PMs if anyone has any burning questions.
*
Hi Py80. I started the thread but I missed your deleted post. Care to explain what you wrote because you said it drew a lot of flak but I genuinely want to know more about the question I posed so appreciate if you could pm me. Thanks a bunch!
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post Jan 28 2020, 02:47 PM

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QUOTE(wild_card_my @ Jan 27 2020, 06:45 PM)
Im currently servicing a medical specialist client, last year she was drawing RM9k basic with fixed allowances that brought her total gross monthly income to RM18k

She got into private hospital in the same year and now earns on average 40k a month on a 6-months payment vouchers. Not bad if I can say so myself

They should all leave GH!! laugh.gif
*
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.

wild_card_my
post Jan 28 2020, 02:50 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.
*
What do you mean have I met? I just wrote that I am currently servicing her finances, and I get to see her latest 6 months payment voucher

So have I met people like her? Errr.... Yes? I have indeed met her
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QUOTE(ngohieng @ Jan 27 2020, 06:29 PM)
Depends on how popular the medical Center and how popular the specialist is.
Lowest I heard of is less than 15k during bad month like during Chinese New Year.
Average in medium-sized town is30-40k for non-surgical based. Surgical based usually double the amount. Popular surgeons easily 150-200k in medium sized cities
*
All surgeons earn that amount?? Then definitely we not going to stop the glut of medical graduates in our country! These figures are based on people you know?
ate
post Jan 28 2020, 03:07 PM

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For sure they wont tell you their actual salary lah laugh.gif .


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post Jan 28 2020, 03:38 PM

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This post has been edited by Py80: Oct 4 2020, 04:53 PM
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post Jan 28 2020, 03:42 PM

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QUOTE(kavman1984 @ Jan 26 2020, 02:55 PM)
Every industry also got people earning this amount
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Exactly!
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post Jan 28 2020, 08:48 PM

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QUOTE(sean15 @ Jan 27 2020, 04:53 PM)
Any source for your info? Thanks smile.gif
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cant show u payslip here.

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QUOTE(wild_card_my @ Jan 28 2020, 02:50 PM)
What do you mean have I met? I just wrote that I am currently servicing her finances, and I get to see her latest 6 months payment voucher

So have I met people like her? Errr.... Yes? I have indeed met her
*
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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QUOTE(Py80 @ Jan 28 2020, 03:38 PM)
Hmm.. here's the thing.. What is it to anyone how much a private surgeon can earn ?

If he has good results and people want him to operate, then he deserves the business he gets. If he does the job he gets the pay.

Fee wise, there is a limit set by the MMA/ MOH .. unlike singapore where they literally charge anything they want.

There are smaller centres that are cheaper and the Dr may discount more as well, so there are options out there... but the big centres won't really go down the discount game.. its a race to the bottom.

One of the reasons why high earners don't reveal their income (except all the /K heroes  laugh.gif  laugh.gif ) .. is they draw too much flak and people questioning why they should earn so much etc etc...
Thats why i decided to delete the post earlier on income.
*
Hey man, sorry if came across as questioning the amount these surgeons earn. I started this thread for two reasons, namely for those medical graduates who blindly think they can just leave MOH and move to private to earn big bucks, and also to ensure that our private medical costs don't skyrocket till it becomes untenable, like what is currently happening in the US. As you may know the gov has removed the price ceilings for consultation fees for doctors in private sector, so we are moving towards the Singapore model.

If private doctors are already earning so much now, nothing is going to stop them from charging exorbitant rates and burdening our public hospitals with even more influx of patients. So yes, this issue has many ramifications actually. Malaysians should be more aware because healthcare cannot be run like a traditional business, as it is a basic human right. Thus appreciate if you could reiterate what you have deleted in your earlier post, or if you don't mind you could pm me. My end goal is to educate others about the reality out there. Income is definitely a major trump card so appreciate your insight smile.gif

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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
*
Yes I have. They are usually on the older side
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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
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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

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

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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
*
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.
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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 ...
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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.
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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!
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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!
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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.
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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


Py80
post Jan 30 2020, 12:25 AM

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This post has been edited by Py80: Oct 4 2020, 04:55 PM
Py80
post Jan 30 2020, 12:40 AM

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QUOTE(sean15 @ Jan 29 2020, 11:55 PM)
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!
*
I share your views on most things.. however, restricting income still won't really address your concerns.

You will find that Doctors that are busy and earning a lot, will be less inclined to do unnecessary procedures.. why take the risk if you've got good business doing legitimate work?

Yes, there will be unscrupulous ones who want to do test and procedures just to earn money. We know this happens.. these are bad characters and restricting their income will not change their practise - they will just try to cheat harder - but in the process you will punish the smaller centres and honest guys instead.

We talk only about doctors trying to over treat and over charge,. but do you know how many patients are trying to abuse their insurance ?

They expect the insurance to pay for tests and screening. and when it gets declined, they blame the hospital doctor for "not writing serious enough on the form" and even refuse to pay the initial consultation fee as they said it should have been covered by insurance after approved. They just leave without paying anything.
If the doctors blatantly lie to get the insurance claim through for the patient.. then they can get blacklisted from the insurance companies ? yes.. there are a quite a few of them already on that list.

There is a 3rd guilty party here that you have not mentioned yet... the insurance agents .. and what they tell their clients.

This post has been edited by Py80: Jan 30 2020, 12:40 AM
SUSLiamness
post Jan 30 2020, 05:26 AM

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QUOTE(sean15 @ Jan 29 2020, 11:58 PM)
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!
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Ya la.. i have yet to come across an engineer below middle class lifestyle. Average engineer also can afford a nice house in a good PJ/KL location, car, kids & etc.

Those that end up specialising in their fields sure earn alot more too.

Then there's also those that come out and do their own business become the next taukei. Hehe.


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post Jan 30 2020, 09:39 AM

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QUOTE(Py80 @ Jan 30 2020, 12:25 AM)
Not to dismiss your uncle's claim... but I agree with propofol, the numbers are slightly off.

250K with only consulting is tough to pull off. However, Gleneagles has a unique difference in that the clinics are privately owned. So he may be earning on the dispensing of medications as well. Also, depending on speciality, there may be clinic based minor outpatient procedures that he is doing as well.

That would make 200K possible on a 25 day month. Its still quite a stretch though...
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Forgot to add he got clinics In bentong too.
Yeap he owned it privately

This post has been edited by D-Frog: Jan 30 2020, 09:40 AM
cactus1
post Jan 30 2020, 09:49 AM

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It is a very silly question to ask how much a rovate doctor can earn. Doctors range from just a normal gp to aesthetic gp to specialist and sub specialist.

The earning for specialist and subspecialist are having big gap and different depending on your specialities. A non surgical cardio perhaps earn rm 100 while a surgical based cardio earn rm 200.

High demand specialities such as cardio, ent, gastro , paeds, while actually I dont call paeds as specialist for certain reasons, o and g, they all can earn much higher than a normal gp.

90% of housemen can be a gp, but only 20 to 30% can be specialist.

So , dont bother how much people earned as you sont know what kinda hardwork and sacrifice they endure during their specialities training.

Go ahead and mind your own business. If u non didcot, just focus on what your job is doing and stop jealousy . If u doctor, work harder until u reach your specialities level .
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post Jan 30 2020, 01:17 PM

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QUOTE(cactus1 @ Jan 30 2020, 09:49 AM)
It is a very silly question to ask how much a rovate doctor can earn. Doctors range from just a normal gp to aesthetic gp to specialist and sub specialist.

The earning for specialist and subspecialist are having big gap and different depending on your specialities. A non surgical cardio perhaps earn rm 100 while a surgical based cardio earn rm 200.

High demand specialities such as cardio, ent,  gastro , paeds, while actually I dont call paeds as specialist for certain reasons, o and g, they all can earn much higher than a normal gp.

90% of housemen can be a gp, but only 20 to 30% can be specialist.

So , dont bother how much people earned as you sont know what kinda hardwork and sacrifice they endure during their specialities training.

Go ahead and mind your own business. If u non didcot, just focus on what your job is doing and stop jealousy . If u doctor, work harder until u reach your specialities level .
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rilek la saudara..takkan sentap kot??? bukan nak cemburu bagai..sekadar mengenali lebih dekat profession kedoktoran.. banyak input yang positif dan berguna yang telah disumbangkan oleh sahabat2 pengamal perubatan kita di sini..
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post Jan 30 2020, 04:53 PM

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QUOTE(Py80 @ Jan 30 2020, 12:40 AM)
I share your views on most things.. however, restricting income still won't really address your concerns.

You will find that Doctors that are busy and earning a lot, will be less inclined to do unnecessary procedures.. why take the risk if you've got good business doing legitimate work?

Yes, there will be unscrupulous ones who want to do test and procedures just to earn money. We know this happens.. these are bad characters and restricting their income will not change their practise - they will just try to cheat harder - but in the process you will punish the smaller centres and honest guys instead.

We talk only about doctors trying to over treat and over charge,. but do you know how many patients are trying to abuse their insurance  ?

They expect the insurance to pay for tests and screening. and when it gets declined, they blame the hospital doctor for "not writing serious enough on the form" and even refuse to pay the initial consultation fee as they said it should have been covered by insurance after approved. They just leave without paying anything.
If the doctors blatantly lie to get the insurance claim through for the patient.. then they can get blacklisted from the insurance companies ? yes.. there are a quite a few of them already on that list.

There is a 3rd guilty party here that you have not mentioned yet... the insurance agents .. and what they tell their clients.
*
Yup, I do agree that there are patients who abuse their insurance as well and I think the onus would then be on the doctors as the experienced ones to reject requests from patients that are unnecessary/detrimental. It will be tough, but doctors should be forthright in their interaction with patients.

I agree that restricting doctor's incomes is not the way, but with doctors being able to earn rm200-300k even with a fee schedule in place begs a lot of questions. I'm not saying that they don't deserve it, but many professions only pay those amount to a really select few, whereas I am getting the impression that many doctors in private sector is earning that amount. If that is the case, this is something that will become untenable at a point and healthcare would be commercialized to a point of no return.

Not really sure of how the insurance companies work though😅

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post Jan 30 2020, 04:56 PM

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QUOTE(Py80 @ Jan 30 2020, 12:25 AM)
Not to dismiss your uncle's claim... but I agree with propofol, the numbers are slightly off.

250K with only consulting is tough to pull off. However, Gleneagles has a unique difference in that the clinics are privately owned. So he may be earning on the dispensing of medications as well. Also, depending on speciality, there may be clinic based minor outpatient procedures that he is doing as well.

That would make 200K possible on a 25 day month. Its still quite a stretch though...
*
Isn't 200k just on consulting alone still obscenely high though? Considering just how many new patients a doctor can see daily. Then I assume these doctors who privately own their clinic are massively overcharging the medications that they prescribe. How does the system in Gleneagles work then? I still remember the case of the specialist in Gleneagles who dodged taxes on income of rm25mil earned over 5 years. This amount is baffling to say the least.
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post Jan 30 2020, 04:59 PM

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QUOTE(pr0pofol @ Jan 30 2020, 12:14 AM)
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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Exactly! How is this even possible? This then begs the question of how these doctors are practising if they are making these amounts of money. In some professions being the best only affords you a rm50-60k salary. And these doctors in private seem to be making a hefty amount of income.
notadupe999
post Jan 30 2020, 05:02 PM

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Based on the paediatrician at Pantai, probably over 100k.

85 for consultancy.
40-50 for injections.
Have ward visits as well.
40-50 patients a day in his clinic.

Should have listened to my dad and studied medicine last time.
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post Jan 30 2020, 05:30 PM

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QUOTE(sean15 @ Jan 30 2020, 04:59 PM)
Exactly! How is this even possible? This then begs the question of how these doctors are practising if they are making these amounts of money. In some professions being the best only affords you a rm50-60k salary. And these doctors in private seem to be making a hefty amount of income.
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the salary actually has limit due to time and labour factor.
the specialist in private has to do their own procedure and consultation therefore it's not like businesses where your profit can be endless if ur customer number increase or by hiring more people.
unless he opens up own multiple clinics and hire other doctors to work for him.
.
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post Jan 30 2020, 05:33 PM

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QUOTE(notadupe999 @ Jan 30 2020, 05:02 PM)
Based on the paediatrician at Pantai, probably over 100k.

85 for consultancy.
40-50 for injections.
Have ward visits as well.
40-50 patients a day in his clinic.

Should have listened to my dad and studied medicine last time.
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becoming doctor is easy, but to become paediatrician is not
the specialist training is tough
and think about 40-50 paediatric patients every day = 40-50 anxious parents to be dealt with
it's tough work
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post Jan 30 2020, 06:21 PM

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QUOTE(Py80 @ Jan 30 2020, 06:21 PM)
Hi Sean

I get the feeling you are unsatisfied by someone earning 200K / month.. especially doctors.  sweat.gif

But you are applying the moral argument of a high fixed salary  in a  self employed , pay for service rendered work model.

For example... In fixed salary situation.. like Directors or employees, you can questions their value. Why pay 100K for a foreign CEO , when a local one can do the same job for 70K ? (the local may do an even better job than the foreigner). Therefore you are right to question the salary in this situation.
For a doctor, its a pay per service model... the charges are the same across the board in Malaysia and go according to the type of consult or procedure done.

You're not going to ask you GP to remove your appendix are you? So you see a surgeon. The total fee for emergency appendicectomy is say 3000rm,.. that for all surgeons.. regardless of complexity of the case even.

You want the famous surgeon ?  go ahead, its your choice.. free to choose in private market.. everyone wants the famous guy. So famous surgeon is operating everyday at the SAME fee rate as less famous surgeon... but because more people want him, he has many cases and earns his 200K / month.

This is fair. Unless you want to say.. you can't operate more than certain amount of cases to limit the income. or Restrict the charges? Then the less busy surgeons who charge the same will drop off and competition drops further.. we are already one of the cheapest private markets in the world btw.

If he over charges for medications, the patients will buy in outside pharmacy. If a Dr recommend doing tests that the patient don't think is needed... The patients will go elsewhere for second opinion. like I said.. water will find its own level.
I know him personally. His only crime was to under declare tax. Not medical negligence or misconduct

All i can say is .. his patients LOVE him.. they bring their whole family to see him.. His own patients are very reluctant to see other doctors when he is not around..  sweat.gif  sweat.gif

His income was over 500K / month at its peak. But he has since slowed down. He does scans and heart tests in his own clinic which is why he earns more, he does it than cheaper than the main hospitals charges

Did he over investigate? .. probably, but his patients love him for not missing anything or picking up things that other doctors dismissed as not important..

High income doctors are  all over la... like someone said.. the best will always rise..

Gleneagles famous Urologist. Earns 400K /month in his early 40s. People choose to go to him because they hear about what he can do and he explains well etc etc.. he has a VIP clientele because of his discretion and expertise in sex related disorders.

What I am trying to say is,.. the market is very complicated. you can't just say there someone earning XXX amount and its immoral and bad.. its actually their earned income by volume and service rendered.. also,  like everyone else has mentioned, there is 60%  of doctors in private (excluding GP) who don't pass 50-60K / month .
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Haha yea i guess i do sound like that😂 But my point is that in most professions no matter how hard you worked, even reaching rm30k a month is considered extremely high. However for most of the private doctors, reaching 200k-300k a month is just plain absurd. If you are telling me that only less than 10 doctors in Malaysia make that money then probably it's understandable. But if a significant number make that amount, how is that justified? I know it depends on volume and procedures, but everyone is limited by the number of hours in a day thus limiting the number of patients that they can see and procedures that they can do.

The doctor that you quoted, rm500k a month just shows how crazy the private sector is. This only shows that the prices they charge is sky high and this will just result in more people in the public sector or ever increasing insurance premiums. There are hardworking and smart people in every profession, who also contribute to the nation and economy. But you rarely hear of these astronomical amounts of income. Doesn't justify just because someone is a doctor. Its just another profession, so they shouldn't get away with charging sky high prices. Afterall healthcare is a basic human right. If the private sector goes off course, we all will be impacted in longer waiting times in public hospitals. Just because doctors want to rake in the moolah, the public shouldn't pay the price.

Even doctors in America, the world's most expensive healthcare market, on average have doctors earning usd300k to usd600k per annum. The really good ones will reach millions per year, and these people are usually in the news because they are really famous. The cardiologist in Gleneagles is only now well known coz he dodged taxes. Malaysia is a developing economy, with gdp per capita miles below those of the US. And if our doctors already have the earning capacity of their US counterparts, it shows something is seriously going awry with our private sector model. However great a doctor can be, try saying that to patients who get turned away when they can't make a payment at the emergency department due to insufficient insurance coverage, or when complicated/botched cases get sent to the government hospitals. I have seen all these with my own eyes, so I get even more of the impression that not doctors are angels.

Sorry if I come across as crass or unsatisfied, but my personal opinion is that doctors should just be like any other profession, more so when healthcare costs can make or break people's lives. Sorry again if I offended anyone, I just feel strongly about this. More so when I hear of medical graduates telling me that the reason they became doctors is because they want to become rich and live a good life. So its a self feeding phenomenon and doesn't do good for Malaysians in the long term. All said and done, I have utmost respect for all the doctors out there who are passionate about their jobs and have the patient's best interest at heart. Hats off to them and I thank them for their hard work, especially specialists who chose to stay in the public sector.

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Rm 10K average per day for a medical consultant, no matter how senior or capable, does appear to be too much, especially after what we know about the max charges per consultation visit.
How effective is a doctor if all he does is see a patient for 15 minutes and then dispense with his advice/prescriptions, and do it for a straight 10 hours for a day (lets forget the fact that the doctor doesn't need to go to toilet or eat or rest). How good will he be?

either the number is wrong, or he should be reported.

btw, I am not saying he should not be earning a high income, but the law on max fee is there. Just do the math.
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post Jan 31 2020, 09:10 PM

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Doctor denies evading taxes on more than RM25mil of his earnings

Tuesday, 09 Aug 2016


KUALA LUMPUR: A cardiologist claimed trial to charges of failing to declare more than RM25mil of his earnings over five years to the Inland Revenue Board.

Dr Lee Chiang Heng, 57, has been accused of wilfully evading taxes by partially omitting the earnings made through Klinik Dr Lee Chiang Heng and his monthly salary in Glen­eagles Hospital, which came up to RM25,063,265 from 2007 to 2011.

This would have amounted to RM6,567,992.59 in income tax that was not paid, the charge sheet said.

Of the RM6.5mil that Dr Lee is accused of not paying throughout the five years, RM638,171.20 was not paid for the year-of-assessment in 2007, RM1,282,035.16 (2008), RM1,415,004.68 (2009), RM1,549,877.13 (2010) and RM1,682,903.82 (2011).”

Dr Lee was charged with five counts of wilful evasion under Section 114(1)(a) of the Income Tax Act.

If convicted, Dr Lee could face a minimum fine of RM1,000 and not more than RM20,000, up to three years imprisonment, or both.

He would also have to pay special penalties three times the amount he failed to pay for each charge, totalling RM19,703,977.77.

Dr Lee was not present in court yesterday due to “unavoidable” matters.

Dr Lee had a letter permitting him to send a representative yesterday.

One of his staff Mohd Idham Omar pleaded not guilty on behalf of Dr Lee to the five counts of wilful evasion.

Magistrate Siti Radziah Kamarudin then set Sept 20 for mention.
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post Jan 31 2020, 09:27 PM

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post Jan 31 2020, 10:21 PM

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post Feb 1 2020, 11:18 AM

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QUOTE(Py80 @ Jan 31 2020, 09:27 PM)
Welcome to the discussion.

I agree 10K a day for non-procedural Doctor would be nearly impossible due to limitations of time. But some do minor procedures in their clinic or have their own ultrasound machines or blood analysers etc . So occasionally they may hit that number.

Thats why we previously mentioned procedural and non-procedural doctors. For good busy procedural physicians, 10K a day is entirely possible... although maybe not every single day. Most do do saturdays as well if there is demand.
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Fair enough for doctors who actual surgeons and/or perform surgery (even minor ones). My analysis was based on the statement by D-Frog that a medical doctor/consultant who just consult can make 250K rm per month. That is almost impossible based on available time and max fee charges imposed by the government.
When it comes to surgeons, for example, it is basically how many surgeries he/she performs in totality. Sad to say, it also means a heart bypass will cost the same whether it is a damn good surgeon or a normal surgeon.
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post Feb 19 2020, 11:53 PM

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QUOTE(Py80 @ Jan 31 2020, 10:21 PM)
I admire your altruistic view of doctors and the world.

There's too much to debate here, so I'm going to pick and choose things that stand out as need a response.

The US physician average is an AVERAGE. That means there many above that. Thats also including GPs by the way. Their average is likely the average of our top 10%

Tier 1 hospitals like Gleneagles, PCMC, SJMC have a policy that they will not send patients away just because they are high risk or ill unless the patient or family requests it. They have a broad range of expertise and therefore can handle nearly all cases. Only the smaller ones will becuse they lack the experts in certain fields. Gleneagles currently even has an Infectious Diseases specialist covering from Sg buloh to help deal with things like this nCoV 2019 risk management.

You seem to think the reason successful private doctors earn alot by overcharging. Like I said , the truth is that they charge according to the set fee schedule. All of them charge the same amount. The only way to make more is to see more and offer more services. If you just want to sit in your clinic and see 10 patients a day, don't do on-call for emergencies and not take the risk of surgery or sick inpatients.. then you're not going to even pass 20K.

But lets say..  you are a good procedure based doctor like a gastroenterologist who sees 15 patients (this is not even that many) a day in clinic, accepts emergency cases and referrals no matter how ill .. usually have between 6-8 inpatients ... Do 2 or 3 colonoscopies a day maybe including removing a tumour/polyp. or stopping a bleeder.. Thats about 10K just there. And thats not even an overly busy day for most doctors that start at 7am -6pm. Sure its not going to like that everyday for everyone.. but I think on average, thats not unusual for a big hospital.

Part of the pay disparity if also driven by our own society.. we have a very Kiasu society.. we want the best only, must ask 5 relatives and friends on who they think is the best... and I'm going to stick my neck out on this... but chinese patients are the worst for this.. picking and choosing.. want only the "best doctor", chinese doctor, cannot too old , cannot too young, don't want empty waiting room .. coz think he must not be good. They are willing to wait HOURS to see the person they think is good. This is the main cause of skewing effect seen in private, all the patients skew to the bigger centres.

doctors are not angels.. not by a mile. But I still believe most mean well and will genuine do what they can. The richer ones are more likely to waive their fees when patients cannot pay

If you really want to go into a national health route, with standardised doctor salary and all, then be prepared not to have any choice in your treatment. It will be dictated by cost based guidelines and what the government budgets says you can do. You will not be able to choose your doctor for his level of seniority or expertise. And you cannot easily get a second opinion in public service. If you want to maintain a scenario where you have an option to get your treatment faster or get the best treatment on offer, then you need private hospitals to fill the gap... And as long as there are private hospitals, this attitude of people to want the "best expert" for their money will continue, and in turn this will make the top 10% of doctors 200K/month earners..

as someone said, this is the same in all professions..

p/s: before anyone starts accusing me of race gaming.. I am qualified to make the statements above as I am Chinese. I have worked in both the public and private sectors , in university and MOH hospitals. I have also spent 10 years in the NHS.. so I know what I am talking about here.
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Hey PY80,

Thanks for the detailed explanation, its really informative and sheds more light onto this issue.

I agree with you in that the private sector is a pay for service model hence enabling the top 10% of doctors to earn in the region of 200k per month. Like you said, around 60% of doctors still earn around 50-60k per month, which is a very comfortable amount. However I am just trying to comprehend how a middle income country in Malaysia could enable health professionals to earn these amounts, when similar countries with per capita gdp like ours don't have this phenomenon. The capacity to earn 10k a day for a one-man business still doesn't sound right to me, furthermore when we are discussing healthcare here. I understand that limiting a doctor's income is not the way, but I am of the view that some sort of national health financing scheme that covers both the public and private sectors should be implemented in Malaysia, like how Australia/UK is currently doing.

If the earning capacity enabled by our private hospitals remains this way, I don't know how will we stop the bleed of doctors from the government sector to the private sector. As I said, in the end the affected people will be Malaysians who can't afford to pay, and no one should be in a position whereby their health is compromised due to commercial reasons.

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QUOTE(sean15 @ Feb 19 2020, 11:53 PM)
Hey PY80,

Thanks for the detailed explanation, its really informative and sheds more light onto this issue.

I agree with you in that the private sector is a pay for service model hence enabling the top 10% of doctors to earn in the region of 200k per month. Like you said, around 60% of doctors still earn around 50-60k per month, which is a very comfortable amount. However I am just trying to comprehend how a middle income country in Malaysia could enable health professionals to earn these amounts, when similar countries with per capita gdp like ours don't have this phenomenon. The capacity to earn 10k a day for a one-man business still doesn't sound right to me, furthermore when we are discussing healthcare here. I understand that limiting a doctor's income is not the way, but I am of the view that some sort of national health financing scheme that covers both the public and private sectors should be implemented in Malaysia, like how Australia/UK is currently doing.

If the earning capacity enabled by our private hospitals remains this way, I don't know how will we stop the bleed of doctors from the government sector to the private sector. As I said, in the end the affected people will be Malaysians who can't afford to pay, and no one should be in a position whereby their health is compromised due to commercial reasons.
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Hi specialist fee is set by the government. They hav a scheduled fee on how much to charge for each procedure. There is a limit to how many specialist that can be hired by private centre as they dont have retirement age. There are many doctors who are happy with government salary as it is also considered high among government servant


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post Sep 4 2020, 11:44 PM

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QUOTE(Py80 @ Jan 27 2020, 10:29 PM)
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.
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I can verify that this is correct. I am an Interventional Cardiology Registrar (ST7) in the UK, soon to be Consultant in 10 months' time (then balik Malaysia yahoo!) and it is a long training process. Gruelling, competitive, but I thrive on that so it was okay for me. Medicine / surgery is not for everyone. Don't think about the money only as someone wise told me once "no matter how rich you are, you can only eat 3 plates of koay teow a day".

I have been contacted by private hospitals back home offering good pay - 20K basic then after 6 months of settling in and building your practice, they claim they can pay 70K/month. If you bring in more work, the top guys in their hospital are earning 150K.
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post Sep 4 2020, 11:48 PM

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QUOTE(sean15 @ Jan 26 2020, 12:01 PM)
Many Malaysians are now pursuing medicine due to the perceived good life that they will have in the future, i.e. moving to private sector where they will earn big bucks. Eventhough the situation in the public hospitals are overwhelming, they always convince themselves that once they join the private sector, they will lead a comfortable life raking in big money.

My question I would like to post is, does anyone know how much these specialists can earn in private, like say KPJ or Pantai hospitals? Some say more than RM100k a month, some say reaching RM40k is also considered good. So let's have a discussion on this so that we would have future doctors who enter the profession for passion, not just money per se. Appreciate any input that you guys might have! Thanks smile.gif
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Fresh graduate that passed expensive medical course (rm500k Indonesia or close to RM1 million in MY private college) starting pay in hospital rm4k.
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QUOTE(wild_card_my @ Jan 26 2020, 03:28 PM)
I have a good number of clients who are medical specialists. They start from RM40k a month and up
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pedicitrian good money or not?
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QUOTE(bauer @ Sep 4 2020, 11:44 PM)
I can verify that this is correct. I am an Interventional Cardiology Registrar (ST7) in the UK, soon to be Consultant in 10 months' time (then balik Malaysia yahoo!) and it is a long training process. Gruelling, competitive, but I thrive on that so it was okay for me. Medicine / surgery is not for everyone. Don't think about the money only as someone wise told me once "no matter how rich you are, you can only eat 3 plates of koay teow a day".

I have been contacted by private hospitals back home offering good pay - 20K basic then after 6 months of settling in and building your practice, they claim they can pay 70K/month. If you bring in more work, the top guys in their hospital are earning 150K.
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Hi Bauer, do come back to Malaysia as our country needs more specialists! That's good pay, more than enough to live comfortably in Malaysia. How was the training process in the UK? And for comparison purposes, what is the salary range for consultants in the UK?
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QUOTE(Py80 @ Sep 4 2020, 11:48 PM)
If that's all they are offering. I can tell you now you're being short changed.
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If you are saying getting a salary if 70k-150k is being shortchanged, it seems really absurd to me as there are countless doctors who don't even make this amount in a private sector. And if doctors are expected to be paid this amount, i stand by my earlier stance that the medical industry in Malaysia is being driven to the ground. How do you expect the hospital to pay this astronomical amounts without charging sky high prices to the patients? Again, healthcare ought not to be a live or die bet. Doctors are also like any other profession. Salaried professionals who earn those amounts in other professions are already at the C-level executive level, which numbers in the single digits even in large organizations. Unless of course you want to run your own hospital.
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QUOTE(Py80 @ Jan 28 2020, 11:57 AM)
Anyway, I think the whole thread has run off topic..

hope the info helps any budding doctor out there or those thinking about a career in medicine.

Holidays over, no time to reply now.. Take care guys.

I am happy to take PMs if anyone has any burning questions.
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Hello, do you still take questions?
Do you mind sharing which medical or surgical specialty have the potential of earning >100-200k/month?

many thanks confused.gif smile.gif
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post Sep 11 2020, 11:29 AM

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QUOTE(misedaap2020 @ Sep 11 2020, 04:39 AM)
Hello, do you still take questions?
Do you mind sharing which medical or surgical specialty have the potential of earning >100-200k/month?

many thanks  confused.gif  smile.gif
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In my very humble opinion:

1. If you're money minded, you will not find it easy to be a good doctor and make a lot of money at the same time. Although being a good doctor does not preclude the practitioner from becoming wealthy, the trajectory of wealth accumulation and generation will be vastly different to that of a successful businessman. It's not uncommon for passionate doctors to take a long time to accumulate wealth, as opposed to people in other professions. A lot of times, doctors make decisions against their own interests - because the patient's condition and illness demands such a conclusion. A simple example is do we give oral antibiotics for what is likely a simple viral infection of the throat with fever? If we don't, we lose out on the margin of profit from the sale of antibiotics, but if we do, we expose the patient to potential future antibiotic resistance because the antibiotics were given unnecessarily.

2. Doctors don't make good investors - because investors sometimes have to take risks to realise big gains, and doctors need to be risk adverse, as taking risks may end up harming the patient's outcome when a more conservative option would have been the safer decision. An example would be conservative treatment vs. surgical intervention for cervical spondylosis with radiculopathic pain. Conservative treatment involves analgesics, nerve relaxants, physiotherapy and the use of a soft neck collar. It's slow, boring and unexciting - but it's safe and most patients do eventually recover. Surgical intervention may involve laminectomy and disc/spine fusion and reconstruction and "cement" injections. With any surgery, there are risks involved - and the ultimate risk is the patient may end up being paralysed and a quadriplegic or a paraplegic. And, if you find yourself armpit-deep in the red from your forays into the stock market, would you then be tempted to push the envelop of risk for your patients, in order to recoup the paper losses?

3. In an ideal medical scenario, money and medicine are mutually exclusive - medical care is given solely only to those who need it, not to those who can best afford to pay a premium for it.

The attitude, character and personality required to be a successful - and dedicated - doctor is quite different from many other professions. I'm not the final judge or arbiter to say one is better to the other; in fact, it's merely different. You'll have to find the profession &/or specialty that best suits your personality and character - otherwise, you may find it a miserable existence for the next 40 or so years of your working life.

QUOTE(bauer @ Sep 4 2020, 11:44 PM)
I can verify that this is correct. I am an Interventional Cardiology Registrar (ST7) in the UK, soon to be Consultant in 10 months' time (then balik Malaysia yahoo!) and it is a long training process. Gruelling, competitive, but I thrive on that so it was okay for me. Medicine / surgery is not for everyone. Don't think about the money only as someone wise told me once "no matter how rich you are, you can only eat 3 plates of koay teow a day".

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bauer, truer words were never spoken. Well done & welcome back to Malaysia.

This post has been edited by hksgmy: Sep 11 2020, 11:35 AM
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post Sep 11 2020, 11:39 AM

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QUOTE(Py80 @ Sep 9 2020, 12:20 AM)
You're misunderstanding what he is saying. They are not paying him a guaranteed 75-150k... That's what they expect him to EARN HIMSELF in the future. (Although it's tough). There's no fixed salary la.

He's saying they are offering him 20k salary to start off. Is called guarantee minimum income. And it comes with conditions. And is usually for a few months only to help you start off. That's where he's being short changed. 20k is considered a very low guarantee
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Hey man, sorry my bad then. I took it as a salary paid. Thanks for the clarification bro.

Yes, I have heard about the money being paid to help the private doctors to start off. What would a justifiable amount be then in your opinion? If you dont mind sharing. Sorry just a question, why do you think it will be tough for a doctor to earn 75k-150k himself in the future?
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post Sep 11 2020, 12:16 PM

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QUOTE(Py80 @ Sep 9 2020, 12:20 AM)
You're misunderstanding what he is saying. They are not paying him a guaranteed 75-150k... That's what they expect him to EARN HIMSELF in the future. (Although it's tough). There's no fixed salary la.

He's saying they are offering him 20k salary to start off. Is called guarantee minimum income. And it comes with conditions. And is usually for a few months only to help you start off. That's where he's being short changed. 20k is considered a very low guarantee
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20k guarantee minimum income to fight with KL Cardiology Dinosaurs


HAHAHAHAHAAHHAHAHHAHAHA




All da best 👍


bauer
post Sep 11 2020, 11:09 PM

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QUOTE(sean15 @ Sep 7 2020, 10:59 AM)
Hi Bauer, do come back to Malaysia as our country needs more specialists! That's good pay, more than enough to live comfortably in Malaysia. How was the training process in the UK? And for comparison purposes, what is the salary range for consultants in the UK?
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Cannot wait to come home. People jokingly say "hujan emas di negara orang, hujan batu di negara sendiri, lebih baik di negara sendiri" but I can tell you hand on heart, that is so so true once you have spent half of your adult life abroad.

Training process in the UK can be summed up in one word - organised. See, the content and exposure is probably just as good in Malaysia, but as is often the case with us as a nation (and this is a problem with other Asian countries too except maybe Singapore), we struggle with organising things and making things run well.

As a junior in the UK you get paid well, but as as a consultant you do not, in comparison to what you get paid as a consultant in Malaysia. In Malaysia, junior pay is shite for what you do, but consultant pay is damn too high for what you do.

I'll illustrate:

As a final year trainee (I graduated in 2010 and have therefore worked > 10 years - 2 years houseman, 2 years MO, 5 years registrar and an extra 2 years of a higher research degree i.e MD/PhD) I am now taking home 3900 GBP a month i.e. 20K ringgit.

As a consultant, normally first take home pay is around 4000 - 4400 GBP a month i.e. around 23K ringgit. This goes up every year for the first 5 years as a consultant by a few hundred pounds a month until the 5th year after which it plateaus. To get further rises, you have to get discretionary "points" - e.g. you improve a service in your department, or teach students, etc2. Basically extra stuff.

This of course means f*** all when you take into account the cost of living, so it is not quite a like for like comparison with Malaysia but you can see how the consultants here are not getting paid as well, compared to say someone in Pantai who can easily make 70K a month by doing very straightforward, less risky procedures (this tends to be the case as the indemnity is higher privately if you take on high risk patients and most people avoid this).

In summary, junior years are great here, consultant years are better in Malaysia. Having flexibility to move around is key in this profession, as with most things. This does require you to be good at what you do.

And before I forget, please do not view medicine/surgery as a way to be wealthy. The way to look at it is - you will never be poor. You can never say never of course because if you are an idiot and gamble away your wealth Bill Gates can also be poor! But the point here is, the stability that the profession provides is unrivalled. Covid-19 brings this to the fore and is a good example. I thank God every day that although my job is hard, I am still able to have a job anywhere in the world I go. When you go for your 20 year reunion you might not be the richest in your batch, but you certainly won't struggle. You might still make millions of course if you bantai lots of private work (some unethically!) , but the happiness that the stability provides while caring for patients is unrivalled in my view. Not to mention the intellectual stimulation.

This post has been edited by bauer: Sep 11 2020, 11:18 PM
hksgmy
post Sep 12 2020, 08:43 AM

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QUOTE(bauer @ Sep 11 2020, 11:09 PM)
Cannot wait to come home. People jokingly say "hujan emas di negara orang, hujan batu di negara sendiri, lebih baik di negara sendiri" but I can tell you hand on heart, that is so so true once you have spent half of your adult life abroad.

Training process in the UK can be summed up in one word - organised. See, the content and exposure is probably just as good in Malaysia, but as is often the case with us as a nation (and this is a problem with other Asian countries too except maybe Singapore), we struggle with organising things and making things run well.

As a junior in the UK you get paid well, but as as a consultant you do not, in comparison to what you get paid as a consultant in Malaysia. In Malaysia, junior pay is shite for what you do, but consultant pay is damn too high for what you do.

I'll illustrate:

As a final year trainee (I graduated in 2010 and have therefore worked > 10 years - 2 years houseman, 2 years MO, 5 years registrar and an extra 2 years of a higher research degree i.e MD/PhD) I am now taking home 3900 GBP a month i.e. 20K ringgit.

As a consultant, normally first take home pay is around 4000 - 4400 GBP a month i.e. around 23K ringgit. This goes up every year for the first 5 years as a consultant by a few hundred pounds a month until the 5th year after which it plateaus. To get further rises, you have to get discretionary "points" - e.g. you improve a service in your department, or teach students, etc2. Basically extra stuff.

This of course means f*** all when you take into account the cost of living, so it is not quite a like for like comparison with Malaysia but you can see how the consultants here are not getting paid as well, compared to say someone in Pantai who can easily make 70K a month by doing very straightforward, less risky procedures (this tends to be the case as the indemnity is higher privately if you take on high risk patients and most people avoid this).

In summary, junior years are great here, consultant years are better in Malaysia. Having flexibility to move around is key in this profession, as with most things. This does require you to be good at what you do.

And before I forget, please do not view medicine/surgery as a way to be wealthy. The way to look at it is - you will never be poor. You can never say never of course because if you are an idiot and gamble away your wealth Bill Gates can also be poor! But the point here is, the stability that the profession provides is unrivalled. Covid-19 brings this to the fore and is a good example. I thank God every day that although my job is hard, I am still able to have a job anywhere in the world I go. When you go for your 20 year reunion you might not be the richest in your batch, but you certainly won't struggle. You might still make millions of course if you bantai lots of private work (some unethically!) , but the happiness that the stability provides while caring for patients is unrivalled in my view. Not to mention the intellectual stimulation.
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Not to mention a consultant’s position, by virtue of the way the NHS is structured, very much depends on whether the trust can afford to create an opening for an ST7 final year trainee. There’s no guarantee that an ST7 will automatically go on to a consultant position - there’ll be interviews, letters of endorsements (especially the one by your final year supervisor), show and tell re your publications and the worry of the increasingly inward looking attitude post-Brexit.

No, you made the right decision in coming back to Malaysia. If you were exiting a decade earlier, I’d perhaps advise you to also consider Singapore (for rather obvious reasons), but what with Singapore’s own issues of rising protectionism and the sheer numbers of Singaporean trainees finding difficulties in securing senior positions, Malaysia is still your best bet.
bani_prime
post Sep 12 2020, 09:00 AM

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Depends on demand also....
If just general surgeon maybe the pay bit lower
If surgeon has speciali skill that not anyone has it, the surgeon can demand higher salary
misedaap2020 P
post Sep 19 2020, 05:54 PM

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QUOTE(hksgmy @ Sep 11 2020, 11:29 AM)
In my very humble opinion:

1. If you're money minded, you will not find it easy to be a good doctor and make a lot of money at the same time. Although being a good doctor does not preclude the practitioner from becoming wealthy, the trajectory of wealth accumulation and generation will be vastly different to that of a successful businessman. It's not uncommon for passionate doctors to take a long time to accumulate wealth, as opposed to people in other professions. A lot of times, doctors make decisions against their own interests - because the patient's condition and illness demands such a conclusion. A simple example is do we give oral antibiotics for what is likely a simple viral infection of the throat with fever? If we don't, we lose out on the margin of profit from the sale of antibiotics, but if we do, we expose the patient to potential future antibiotic resistance because the antibiotics were given unnecessarily.

2. Doctors don't make good investors - because investors sometimes have to take risks to realise big gains, and doctors need to be risk adverse, as taking risks may end up harming the patient's outcome when a more conservative option would have been the safer decision. An example would be conservative treatment vs. surgical intervention for cervical spondylosis with radiculopathic pain. Conservative treatment involves analgesics, nerve relaxants, physiotherapy and the use of a soft neck collar. It's slow, boring and unexciting - but it's safe and most patients do eventually recover. Surgical intervention may involve laminectomy and disc/spine fusion and reconstruction and "cement" injections. With any surgery, there are risks involved - and the ultimate risk is the patient may end up being paralysed and a quadriplegic or a paraplegic. And, if you find yourself armpit-deep in the red from your forays into the stock market, would you then be tempted to push the envelop of risk for your patients, in order to recoup the paper losses?

3. In an ideal medical scenario, money and medicine are mutually exclusive - medical care is given solely only to those who need it, not to those who can best afford to pay a premium for it.

The attitude, character and personality required to be a successful - and dedicated - doctor is quite different from many other professions. I'm not the final judge or arbiter to say one is better to the other; in fact, it's merely different. You'll have to find the profession &/or specialty that best suits your personality and character - otherwise, you may find it a miserable existence for the next 40 or so years of your working life.
bauer, truer words were never spoken. Well done & welcome back to Malaysia.
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Thanks a lot for your reply. I can see where you coming from. Definitely, Im not trying to make a specialty choice based solely on this factor. The reason financial remuneration can be a discerning factor is when, say, one loves medicine and some procedures in one's career, so one cannot decide on nephro or cardio then if cardio has better earning potential, why not go for cardio? Besides, by earning potential, I mean earning within the legal and ethical boundaries. Surely, within this context, from what I know, some specialties working for the same hours can earn higher pay than some other specialties, perhaps because of higher patient demand, or perhaps of unfair fee schedule. What I would like to do is to avoid those specialties, where you work as hard as other specialties but somehow the earning is relatively low.

Unless you are trying to tell me there is no such difference among different specialties, you can earn as much as you want regardless of your specialties, then my question would be reasonable. Just as we all know, some specialties are well-known for having higher compensations compared to other specialties even though all specialties work equally hard. For example, salary surveys from US have like ortho, neurosurg, cardio, cardiothoracic consistently on top of their lists across many years. The difference between these top earning specialties and the low earning specialties can be huge. So are those data relevant in Malaysia private context? Or would you say, in Malaysia, most are roughly the same, there is not so much variation among different specialties?

Thank you very much. smile.gif
crazee
post Sep 19 2020, 06:05 PM

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QUOTE(misedaap2020 @ Sep 19 2020, 05:54 PM)
Thanks a lot for your reply. I can see where you coming from. Definitely, Im not trying to make a specialty choice based solely on this factor. The reason financial remuneration can be a discerning factor is when, say, one loves medicine and some procedures in one's career, so one cannot decide on nephro or cardio then if cardio has better earning potential, why not go for cardio? Besides, by earning potential, I mean earning within the legal and ethical boundaries. Surely, within this context, from what I know, some specialties working for the same hours can earn higher pay than some other specialties, perhaps because of higher patient demand, or perhaps of unfair fee schedule. What I would like to do is to avoid those specialties, where you work as hard as other specialties but somehow the earning is relatively low.

Unless you are trying to tell me there is no such difference among different specialties, you can earn as much as you want regardless of your specialties, then my question would be reasonable. Just as we all know, some specialties are well-known for having higher compensations compared to other specialties even though all specialties work equally hard. For example, salary surveys from US have like ortho, neurosurg, cardio, cardiothoracic consistently on top of their lists across many years. The difference between these top earning specialties and the low earning specialties can be huge. So are those data relevant in Malaysia private context? Or would you say, in Malaysia, most are roughly the same, there is not so much variation among different specialties?

Thank you very much. smile.gif
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Surgeon generaly will earn more as they work ‘hard’ doing a surgery compared with physician who ‘seeing’ patient and giving consultations only
shibear
post Oct 4 2020, 04:12 PM

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QUOTE(doczane @ Jan 27 2020, 07:41 PM)
Leaving MOH for money is an obvious choice. Few stay due to job satisfaction in MOH as fussy and difficult patient is more common in private compared to gomen. U can treat patient on what is right, not what the customer / patient wants. U have many subordinates eg. Housemen, medical officers, junior specialist at your beck and call while in private, you are on your own. You deserve to be paid more.
I know surgeons who does only few cases a week MO level cases and earn 50-200k/ mth while consultants in MOH doing few complex cases per day with 4 operating days per week and stuck at earning 15-20k/mth. Gomen are service oriented and not on case basis salaries while private surgeons draw their payment from each cases. You want gomen docs to earn more? Than vote to increase the current rm1-rm5 registration rate to something more lucrative.
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Yup, specialists in gov salary is according to their pay grade (UD52 and above) which isn’t any more than rm20k after adding critical allowances, on calls, etc. However, the hospital/gov does allow them 2-3 “flexi” days (I can’t remember the term they use) where they are allowed to work in private sector and can earn anywhere between rm20k - rm100k depending on their speciality and clients.

My boyfriend’s boss works an an EP in public sector a few days a week and earns on average rm60k a month. Not sure if that’s with or without his salary from gov.

This is done so that gov don’t lose the specialists in public sector, since we are already lacking specialists.
Farisaa P
post Dec 3 2020, 08:18 PM

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My father is an anaesthethist in private hospital.. the monthly income isnt fixed.. sometimes 70k sometimes 90k.. the most i see his pay slip is 120k .. yearly average is 900k to 1.2 million...
Farisaa P
post Dec 3 2020, 08:24 PM

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QUOTE(sean15 @ Jan 26 2020, 02:35 PM)
Really? How do you know that? Any source that you care to share with us? smile.gif
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I can assure you, their income is not fix, my father earn 70k to 120k per month.. depends on the number of operation he did..
ChaosXP
post Dec 3 2020, 08:28 PM

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Some folks earn wayyyyyyyy moreeee mang

But the best la
TSsean15 P
post Jan 20 2021, 12:27 AM

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QUOTE(Farisaa @ Dec 3 2020, 08:24 PM)
I can assure you, their income is not fix, my father earn 70k to 120k per month.. depends on the number of operation he did..
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Hi Farisaa,

That's definitely a lot of money! Only top 1% in Malaysia earns that amount. Private sector do pay well. But hopefully not many government specialists goes to private otherwise the rakyat will suffer.

But yeah I agree with you that the income is not fixed. However 70k a month is a good minimum already
TSsean15 P
post Jan 20 2021, 12:28 AM

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QUOTE(ChaosXP @ Dec 3 2020, 08:28 PM)
Some folks earn wayyyyyyyy moreeee mang

But the best la
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What do you mean here can't understand
soulmate6063
post Feb 1 2021, 04:39 PM

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Hi guys,

I am researching the possibilities of returning home from US as an interventional cardiologist in 2023. I know it is still early at this point but due to my visa restriction I have to make up my mind by early 2022, otherwise I will have to start looking for a J1 visa waiver job in the US early next year.

I have a couple questions here, and I appreciate any input from you guys.

1) Do I need to serve the government upon returning home? Or can I go to private directly? I was born and raised in Malaysia, went to India for medical school, followed by internal medicine residency and cardiology fellowship in the US. I have recently matched to an interventional cardiology position from 2022-2023. I used to hear that one needs to have "10 years experience" overseas before returning home to avoid compulsory government service. Does this still hold true?

2) How easy, or tough it is for one to join private practice in Malaysia. Do Malaysians (especially my colleagues and patients) appreciate a US-trained physician? I have not worked in Malaysia before and I am sure there will be a huge difference in the medical system back home. My concern would be how easy it is for me to develop my practice from scratch (learning the system at the same time).

3) Would you recommend me joining teaching hospitals for a couple years to learn the system before venturing into the private world? Like joining IJN or some of the university hospitals for instance.


Thank you very much in advance! If there is anyone who went through the similar path that you know of, kindly let me know. Appreciate your help.

This post has been edited by soulmate6063: Feb 1 2021, 04:41 PM
soonming
post Feb 1 2021, 04:41 PM

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QUOTE(soulmate6063 @ Feb 1 2021, 04:39 PM)
Hi guys,

I am researching the possibilities of returning home from US as an interventional cardiologist in 2023. I know it is still early at this point but due to my visa restriction I have to make up my mind by early 2022, otherwise I will have to start looking for a J1 visa waiver job in the US early next year.

I have a couple questions here, and I appreciate any input from you guys.

1) Do I need to serve the government upon returning home? Or can I go to private directly? I was born and raised in Malaysia, went to India for medical school, followed by internal medicine residency and cardiology fellowship in the US. I have recently matched to an interventional cardiology position from 2022-2023. I used to hear that one needs to have "10 years experience" overseas before returning home to avoid compulsory government service. Does this still hold true?

2) How easy, or tough it is for one to join private practice in Malaysia. Do Malaysians (especially my colleagues and patients) appreciate a US-trained physician? I have not worked in Malaysia before and I am sure there will be a huge difference in the medical system back home. My concern would be how easy it is for me to develop my practice from scratch (learning the system at the same time).

3) Would you recommend me joining teaching hospitals for a couple years to learn the system before venturing into the private world? Like IJN for instance.
Thank you very much in advance! If there is anyone who went through the similar path that you know of, kindly let me know. Appreciate your help.
*
What's your motivation in returning in the first place?
soulmate6063
post Feb 3 2021, 03:58 PM

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QUOTE(soonming @ Feb 1 2021, 04:41 PM)
What's your motivation in returning in the first place?
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I have been away from home for many years, from medical school until fellowship. With COVID lockdown I have not been home for the past 2 years. Sometimes it makes me wonder if it is worth spending the rest of my life/career in a foreign country, far away from home, not able to see and take care of my family when they need me. Every time I go back, parents are getting older. And of course, the Char Kway Teow in Penang is unbeatable, after having tried most Malaysian restaurants in NY, Chicago, and LA haha.
TSsean15 P
post Feb 11 2021, 12:44 AM

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QUOTE(soulmate6063 @ Feb 1 2021, 04:39 PM)
Hi guys,

I am researching the possibilities of returning home from US as an interventional cardiologist in 2023. I know it is still early at this point but due to my visa restriction I have to make up my mind by early 2022, otherwise I will have to start looking for a J1 visa waiver job in the US early next year.

I have a couple questions here, and I appreciate any input from you guys.

1) Do I need to serve the government upon returning home? Or can I go to private directly? I was born and raised in Malaysia, went to India for medical school, followed by internal medicine residency and cardiology fellowship in the US. I have recently matched to an interventional cardiology position from 2022-2023. I used to hear that one needs to have "10 years experience" overseas before returning home to avoid compulsory government service. Does this still hold true?

2) How easy, or tough it is for one to join private practice in Malaysia. Do Malaysians (especially my colleagues and patients) appreciate a US-trained physician? I have not worked in Malaysia before and I am sure there will be a huge difference in the medical system back home. My concern would be how easy it is for me to develop my practice from scratch (learning the system at the same time).

3) Would you recommend me joining teaching hospitals for a couple years to learn the system before venturing into the private world? Like joining IJN or some of the university hospitals for instance.
Thank you very much in advance! If there is anyone who went through the similar path that you know of, kindly let me know. Appreciate your help.
*
Hi, I think you should visit a blog called Pagalavan's Avatar, a blog written by a private specialist which is very helpful. It is probably the best place for you to get answers.

Just curious, isn't the opportunities in US better? Heard doctors in US make a lot of money. Or am I understanding it wrong? Appreciate your input.

soulmate6063
post Feb 13 2021, 03:13 PM

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QUOTE(sean15 @ Feb 11 2021, 12:44 AM)
Hi, I think you should visit a blog called Pagalavan's Avatar, a blog written by a private specialist which is very helpful. It is probably the best place for you to get answers.

Just curious, isn't the opportunities in US better? Heard doctors in US make a lot of money. Or am I understanding it wrong? Appreciate your input.
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Thank you. Yes, I have been following Pagalavan's blog but I dont remember seeing any posts about returning to Malaysia (I could have missed those). The blog is mostly about the issues of malaysian medical education. He did talk a little bit about practicing in foreign countries etc.

The physician salary in US is good, taxes are high too. At the same time, patients are more demanding. It is very common for patients to call/message the office with questions and doctors are expected to reply within 24 hours. One of my attendings in private is getting up to 30 medical questions/emails/messages on a daily basis. If we talk about money alone, I don't think there is too much of a difference between interventional cardiologists in US as compared with the private cardiologists in Malaysia. For eg, interventionists here make about USD 400-700k/year in private; those in academic center make about 300-400k. (Forget about the outliers like Samin Sharma who makes 5 mil/year). With such income you are at the highest bracket for federal tax ie. 37%. On top of that, we pay state tax (more than 10% in California), social security, medicare etc. So I am talking about half a paycheck just for taxes, excluding retirement plan and disability/malpractice insurance etc.

From what I heard (correct me if I am wrong), private cardiologists in Malaysia make about RM100k/month which is about RM1.2 mil/year on average. The good earners are making RM 300k/month upwards. Bear in mind our highest tax bracket is less than 30%, with no state tax.

This is just about the money, which I think is important but not everything. Maybe I have been away from home for too long, or maybe the travel ban due to COVID stirred up my emotion. Now at this stage, for me, family is above all else.

This post has been edited by soulmate6063: Feb 13 2021, 03:15 PM
TSsean15 P
post Feb 17 2021, 02:48 AM

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QUOTE(soulmate6063 @ Feb 13 2021, 03:13 PM)
Thank you. Yes, I have been following Pagalavan's blog but I dont remember seeing any posts about returning to Malaysia (I could have missed those). The blog is mostly about the issues of malaysian medical education. He did talk a little bit about practicing in foreign countries etc.

The physician salary in US is good, taxes are high too. At the same time, patients are more demanding. It is very common for patients to call/message the office with questions and doctors are expected to reply within 24 hours. One of my attendings in private is getting up to 30 medical questions/emails/messages on a daily basis. If we talk about money alone, I don't think there is too much of a difference between interventional cardiologists in US as compared with the private cardiologists in Malaysia. For eg, interventionists here make about USD 400-700k/year in private; those in academic center make about 300-400k. (Forget about the outliers like Samin Sharma who makes 5 mil/year). With such income you are at the highest bracket for federal tax ie. 37%. On top of that, we pay state tax (more than 10% in California), social security, medicare etc. So I am talking about half a paycheck just for taxes, excluding retirement plan and disability/malpractice insurance etc.

From what I heard (correct me if I am wrong), private cardiologists in Malaysia make about RM100k/month which is about RM1.2 mil/year on average. The good earners are making RM 300k/month upwards. Bear in mind our highest tax bracket is less than 30%, with no state tax.

This is just about the money, which I think is important but not everything. Maybe I have been away from home for too long, or maybe the travel ban due to COVID stirred up my emotion. Now at this stage, for me, family is above all else.
*
Hi,

It's good that you put it that way as now the comparison is clear between physician salary in the US and Malaysia. Many local graduates yearn to practice overseas in US etc assuming that life will be much better overseas. It's certainly eye opening that you mentioned the work culture and taxes in the US. I for one has always assumed that the US is a good place to practice medicine.

As for the salary of private specialists in Malaysia, there are many sources quoting different amount of earnings for these private doctors which can be confusing. There is a blog post by Dr Paga on this too but he is saying that earning 6 figures means literally selling your soul to the hospital. Also I am sceptical as to how certain doctors can earn that much without doing hanky panky work (unnecessary procedures etc). Because its quite crazy for any salaried professional to be earning that amount when especially in healthcare where it is a fundamental right. But thats just my opinion regarding the situation in Malaysia.

Btw where did you hear about the salary of private cardiologists in Malaysia? Just so we can make an informed judgement and also so that you would be getting an accurate picture about the situation in Malaysia.
soulmate6063
post Feb 28 2021, 11:48 AM

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QUOTE(sean15 @ Feb 17 2021, 02:48 AM)
Hi,

It's good that you put it that way as now the comparison is clear between physician salary in the US and Malaysia. Many local graduates yearn to practice overseas in US etc assuming that life will be much better overseas. It's certainly eye opening that you mentioned the work culture and taxes in the US. I for one has always assumed that the US is a good place to practice medicine.

As for the salary of private specialists in Malaysia, there are many sources quoting different amount of earnings for these private doctors which can be confusing. There is a blog post by Dr Paga on this too but he is saying that earning 6 figures means literally selling your soul to the hospital. Also I am sceptical as to how certain doctors can earn that much without doing hanky panky work (unnecessary procedures etc). Because its quite crazy for any salaried professional to be earning that amount when especially in healthcare where it is a fundamental right. But thats just my opinion regarding the situation in Malaysia.

Btw where did you hear about the salary of private cardiologists in Malaysia? Just so we can make an informed judgement and also so that you would be getting an accurate picture about the situation in Malaysia.
*
Thank you for your note. Oh I did not know that there are a lot of Malaysians interested in coming to the US. There were about 7 Malaysians who matched in my year. I know there are a couple every year (excluding IMU-PMS students). The salary comparison above is only for interventional cardiology. For internal medicine I think US could be a better place to practice for several reasons. Hospitalists work 1 week on, 1 week off. Starting salary about $200k/year in academia, $300k in private. If you work extra shifts, $400-500k/year is possible. There are abundance of support from consultants in most hospitals. The downside is the lack of job satisfaction since hospital medicine is like the middle man and dumping ground for all other services.

A friend of mine first told me about the salary of private cardiologists in Malaysia. One of his family members work in private too but in a different specialty. He said it is a lot of money in private but you work really hard. (I am not sure how does that compare to the US but I would think US physicians have better work-life balance in general especially those in academia).
bauer
post Oct 17 2021, 05:38 PM

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QUOTE(soulmate6063 @ Feb 1 2021, 04:39 PM)
Hi guys,

I am researching the possibilities of returning home from US as an interventional cardiologist in 2023. I know it is still early at this point but due to my visa restriction I have to make up my mind by early 2022, otherwise I will have to start looking for a J1 visa waiver job in the US early next year.

I have a couple questions here, and I appreciate any input from you guys.

1) Do I need to serve the government upon returning home? Or can I go to private directly? I was born and raised in Malaysia, went to India for medical school, followed by internal medicine residency and cardiology fellowship in the US. I have recently matched to an interventional cardiology position from 2022-2023. I used to hear that one needs to have "10 years experience" overseas before returning home to avoid compulsory government service. Does this still hold true?

2) How easy, or tough it is for one to join private practice in Malaysia. Do Malaysians (especially my colleagues and patients) appreciate a US-trained physician? I have not worked in Malaysia before and I am sure there will be a huge difference in the medical system back home. My concern would be how easy it is for me to develop my practice from scratch (learning the system at the same time).

3) Would you recommend me joining teaching hospitals for a couple years to learn the system before venturing into the private world? Like joining IJN or some of the university hospitals for instance.
Thank you very much in advance! If there is anyone who went through the similar path that you know of, kindly let me know. Appreciate your help.
*
Nice one, I am in the same boat, but in the UK. Family is most important - a fact that not many appreciate, until you have been away for a very long time.

I am in the midst of planning my return home in the next year or so, currently about to start a post CCT complex PCI fellowship in Bristol. My view/understanding is that it is very unusual to come home straight to private practice (although possible) if you have never worked in Malaysia before. The reason for this is there are some nuances about practising here that might not be apparent to us and a period of adjustment will do us good and the patients justice as well.

For that reason, a Uni environment is the best middle ground (they have private wings now so you can split your working time between Uni and private and the earning potential is decent) and it gives you the chance to earn as well as teach/do research/find your feet when you come home having previously worked in a completely different working environment. At least that's what I am planning to do. You can then understand the lie of the land and decide what you want to do long-term once you have settled down.

It just so happens that I am in KL this month on leave and have arranged visits to UMMC and UITM to see how things are. Happy to be PM'd.

Never thought I would meet a fellow interventional cardiologist on Lowyat!

This post has been edited by bauer: Oct 17 2021, 05:39 PM
TSsean15 P
post Nov 3 2021, 01:45 AM

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QUOTE(bauer @ Oct 17 2021, 05:38 PM)
Nice one, I am in the same boat, but in the UK. Family is most important - a fact that not many appreciate, until you have been away for a very long time.

I am in the midst of planning my return home in the next year or so, currently about to start a post CCT complex PCI fellowship in Bristol. My view/understanding is that it is very unusual to come home straight to private practice (although possible) if you have never worked in Malaysia before. The reason for this is there are some nuances about practising here that might not be apparent to us and a period of adjustment will do us good and the patients justice as well.

For that reason, a Uni environment is the best middle ground (they have private wings now so you can split your working time between Uni and private and the earning potential is decent) and it gives you the chance to earn as well as teach/do research/find your feet when you come home having previously worked in a completely different working environment. At least that's what I am planning to do. You can then understand the lie of the land and decide what you want to do long-term once you have settled down.

It just so happens that I am in KL this month on leave and have arranged visits to UMMC and UITM to see how things are. Happy to be PM'd.

Never thought I would meet a fellow interventional cardiologist on Lowyat!
*
Hi there,

Good to know that you are thinking of coming back home! How was the visits to UMMC and UITM? Any insights?

Is the earning potential very different between the UK and Malaysia?

Nemozai
post Jul 16 2022, 10:08 PM

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QUOTE(Farisaa @ Dec 3 2020, 08:18 PM)
My father is an anaesthethist in private hospital.. the monthly income isnt fixed.. sometimes 70k sometimes 90k.. the most i see his pay slip is 120k ..  yearly average is 900k to 1.2 million...
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Can I know which private hospital he’s working at ? How’s the working hours ?
kavman1984
post Jul 17 2022, 08:02 AM

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Can somebody post an actual salary slip for verification purposes?

I prefer Malaysian pay gap on instagram. Thats more legit
ketupatlazat
post Jul 17 2022, 08:08 AM

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45k is sort of the median, while the superstars pull in at least 200k a mth
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QUOTE(kavman1984 @ Jul 17 2022, 08:02 AM)
Can somebody post an actual salary slip for verification purposes?

I prefer Malaysian pay gap on instagram. Thats more legit
*
Yup I realised this too. Seems to be a huge range quoted on this forum. Imagine doctors getting 200k a month. Sounds way too overpaid to me
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QUOTE(ketupatlazat @ Jul 17 2022, 08:08 AM)
45k is sort of the median, while the superstars pull in at least 200k a mth
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Can I know how you got the 45k figure please? Just curious
kkk8787
post Aug 14 2022, 05:32 PM

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Big variation according to centers and also specialty. Obviously those medical physicians will earn way less than say orthopaedic surgeon in big privates.

paediatrician and medical physician in private is roughly 30k per month only whereas Ortho surgeons can go up to 200k monthly in private

This post has been edited by kkk8787: Aug 14 2022, 05:32 PM
ketupatlazat
post Aug 14 2022, 08:59 PM

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QUOTE(sean15 @ Aug 14 2022, 05:15 PM)
Can I know how you got the 45k figure please? Just curious
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direct from the horse's mouth a.k.a a Managing Director of a certain large private hospital operator in Malaysia
SUSNoComment222
post Aug 14 2022, 09:03 PM

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QUOTE(sean15 @ Jan 26 2020, 12:01 PM)
Many Malaysians are now pursuing medicine due to the perceived good life that they will have in the future, i.e. moving to private sector where they will earn big bucks. Eventhough the situation in the public hospitals are overwhelming, they always convince themselves that once they join the private sector, they will lead a comfortable life raking in big money.

My question I would like to post is, does anyone know how much these specialists can earn in private, like say KPJ or Pantai hospitals? Some say more than RM100k a month, some say reaching RM40k is also considered good. So let's have a discussion on this so that we would have future doctors who enter the profession for passion, not just money per se. Appreciate any input that you guys might have! Thanks smile.gif
*
5 years uni + 2 years MO at gov hospitals (most quit or no job positions here) + 2 years minimum specialist study + 1 year give & take to search for needle in the haystack private hospital job post-specialist qualification = 10 years of medical suffering.

21 years old + 10 years = 31 years before you can have work life balance.
FrostLance
post Aug 14 2022, 09:16 PM

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Specialist gaji ciput je in private compared to those who owned chain clinics lol. Friend earning 220k a month from 4 clinics
FrostLance
post Aug 14 2022, 09:18 PM

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Owner of Klinik Siti chain... Lel u guess la earning brapa per month. 53 clinics in selangor under them
SUSAngelic Layer
post Aug 14 2022, 09:22 PM

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First girl I dated after graduate is a doctor.
I think her starting is 12k at the time.
Now must have been at least more than 25-30k per month.
She just have hee birthday a few days ago and at age 37 still unmarried, no time to travel overseas.
There is sacrifice.
sairay
post Aug 14 2022, 09:25 PM

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QUOTE(sean15 @ Aug 14 2022, 05:15 PM)
Yup I realised this too. Seems to be a huge range quoted on this forum. Imagine doctors getting 200k a month. Sounds way too overpaid to me
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Surgeons n speciality
personaforever6789
post Aug 14 2022, 09:37 PM

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QUOTE(BerusGigi @ Jan 26 2020, 01:49 PM)
My boss is a surgeon at gleaneagles and hukm rake in 400k++ per month
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who?

This post has been edited by personaforever6789: Sep 8 2023, 01:04 PM
kernel123
post Aug 14 2022, 09:45 PM

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QUOTE(hksgmy @ Sep 11 2020, 11:29 AM)
In my very humble opinion:

1. If you're money minded, you will not find it easy to be a good doctor and make a lot of money at the same time. Although being a good doctor does not preclude the practitioner from becoming wealthy, the trajectory of wealth accumulation and generation will be vastly different to that of a successful businessman. It's not uncommon for passionate doctors to take a long time to accumulate wealth, as opposed to people in other professions. A lot of times, doctors make decisions against their own interests - because the patient's condition and illness demands such a conclusion. A simple example is do we give oral antibiotics for what is likely a simple viral infection of the throat with fever? If we don't, we lose out on the margin of profit from the sale of antibiotics, but if we do, we expose the patient to potential future antibiotic resistance because the antibiotics were given unnecessarily.

2. Doctors don't make good investors - because investors sometimes have to take risks to realise big gains, and doctors need to be risk adverse, as taking risks may end up harming the patient's outcome when a more conservative option would have been the safer decision. An example would be conservative treatment vs. surgical intervention for cervical spondylosis with radiculopathic pain. Conservative treatment involves analgesics, nerve relaxants, physiotherapy and the use of a soft neck collar. It's slow, boring and unexciting - but it's safe and most patients do eventually recover. Surgical intervention may involve laminectomy and disc/spine fusion and reconstruction and "cement" injections. With any surgery, there are risks involved - and the ultimate risk is the patient may end up being paralysed and a quadriplegic or a paraplegic. And, if you find yourself armpit-deep in the red from your forays into the stock market, would you then be tempted to push the envelop of risk for your patients, in order to recoup the paper losses?

3. In an ideal medical scenario, money and medicine are mutually exclusive - medical care is given solely only to those who need it, not to those who can best afford to pay a premium for it.

The attitude, character and personality required to be a successful - and dedicated - doctor is quite different from many other professions. I'm not the final judge or arbiter to say one is better to the other; in fact, it's merely different. You'll have to find the profession &/or specialty that best suits your personality and character - otherwise, you may find it a miserable existence for the next 40 or so years of your working life.
bauer, truer words were never spoken. Well done & welcome back to Malaysia.
*
Thank you for wise words.im pretty sure u already consultant level doctor.while im still an ikan bilis,still doing 2nd year of MOship in primary care,at the age of 30,wondering what to do in my life.
Raddus
post Aug 14 2022, 10:03 PM

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can personally say my dad was a medical specialist, now retired. the fact he bought condo for me and my bro each already goes to show how much specialists can earn.

never asked how much dad earns since what kid of son would ask such a question

but am really grateful for this for all the support

and he never liked buying high end cars compared to what his colleagues drive
ken_hidaibuki
post Aug 14 2022, 10:11 PM

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QUOTE(sean15 @ Jan 26 2020, 12:01 PM)
Many Malaysians are now pursuing medicine due to the perceived good life that they will have in the future, i.e. moving to private sector where they will earn big bucks. Eventhough the situation in the public hospitals are overwhelming, they always convince themselves that once they join the private sector, they will lead a comfortable life raking in big money.

My question I would like to post is, does anyone know how much these specialists can earn in private, like say KPJ or Pantai hospitals? Some say more than RM100k a month, some say reaching RM40k is also considered good. So let's have a discussion on this so that we would have future doctors who enter the profession for passion, not just money per se. Appreciate any input that you guys might have! Thanks smile.gif
*
Just food for tought. Nurses under kkm sponsered program, started training at 18 with allowance until 21/22. After that most confirm got placement in gov hospital.. Nurses livin the dream, no loan no housement. Compared to a doctor in training. 18 to 19 a level then 5years degree with loan or without loan. Then another 5 years of housementship on contract from government. Is itfair for those doctors?
abelyap
post Aug 14 2022, 10:24 PM

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RM500k per year NHS
GambitFire
post Aug 14 2022, 10:33 PM

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Specialist earn alot. My brother after completing his mrcpsych is pulling in £200k per annum. He is working in UK now for 3 years and his only 35. In Malaysia its quite hard to get paid well as a psychiatrist.. his friend is in OBGYN and is pulling in about RM40k per month..

Downside is u need huge amount of capital to spend for your studies during initial years..My brothers MBBS was easily 600k about 10 years ago.
Knnbuccb
post Aug 14 2022, 10:49 PM

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QUOTE(kkk8787 @ Aug 14 2022, 05:32 PM)
Big variation according to centers and also specialty. Obviously those medical physicians will earn way less than say orthopaedic surgeon in big privates.

paediatrician and medical physician in private is roughly 30k per month only whereas Ortho surgeons can go up to 200k monthly in private
*
how come my friend saw those clinic-only paediatrician , say he only earn like GP 15-20k .. meaning he doesnt hospitalize patients , just clinic
Knnbuccb
post Aug 14 2022, 10:50 PM

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QUOTE(FrostLance @ Aug 14 2022, 09:18 PM)
Owner of Klinik Siti chain... Lel u guess la earning brapa per month. 53 clinics in selangor under them
*
air suam himself is owner of chain
Knnbuccb
post Aug 14 2022, 10:51 PM

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QUOTE(Angelic Layer @ Aug 14 2022, 09:22 PM)
First girl I dated after graduate is a doctor.
I think her starting is 12k at the time.
Now must have been at least more than 25-30k per month.
She just have hee birthday a few days ago and at age 37 still unmarried, no time to travel overseas.
There is sacrifice.
*
that means u dated her when she was in her 30s?
Knnbuccb
post Aug 14 2022, 10:53 PM

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QUOTE(kernel123 @ Aug 14 2022, 09:45 PM)
Thank you for wise words.im pretty sure u already consultant level doctor.while im still an ikan bilis,still doing 2nd year of MOship in primary care,at the age of 30,wondering what to do in my life.
*
can tell us your story?
enter uni 20, grad 25, wait 1 year HO started at 26, now 30 after 4 years work?
Knnbuccb
post Aug 14 2022, 10:54 PM

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QUOTE(Raddus @ Aug 14 2022, 10:03 PM)
can personally say my dad was a medical specialist, now retired. the fact he bought condo for me and my bro each already goes to show how much specialists can earn.

never asked how much dad earns since what kid of son would ask such a question

but am really grateful for this for all the support

and he never liked buying high end cars compared to what his colleagues drive
*

then ur mom also very high keras?
then u and siblings now must be high flyer also. usually good genes pass on

vassilius
post Aug 14 2022, 10:56 PM

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Many years back, did a POC project for one of the chain specialists hospital in msia...

Averagely the doctor earns 100k to 200k per month. A few earns 500k to 800k. Just one very super specialized and famous doctor earning 1 million every month shocking.gif
FrostLance
post Aug 14 2022, 10:58 PM

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QUOTE(Knnbuccb @ Aug 14 2022, 10:50 PM)
air suam himself is owner of chain
*
He has 18 clinics in johor
Knnbuccb
post Aug 14 2022, 11:09 PM

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QUOTE(FrostLance @ Aug 14 2022, 10:58 PM)
He has 18 clinics in johor
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theres a lot of cornflake of interest...
Learjet35
post Aug 14 2022, 11:40 PM

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QUOTE(ketupatlazat @ Aug 14 2022, 08:59 PM)
direct from the horse's mouth a.k.a a Managing Director of a certain large private hospital operator in Malaysia
*
can ask for Facilities Management work ? dont want to be sub con, wanna be main con..30over year exp witk KKM.
umboy
post Aug 14 2022, 11:42 PM

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If everyone look at money only, then nobody will work in government hospital
Wait for majority of Malaysian to suffer
Questions12345
post Aug 14 2022, 11:59 PM

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QUOTE(umboy @ Aug 14 2022, 11:42 PM)
If everyone look at money only, then nobody will work in government hospital
Wait for majority of Malaysian to suffer
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Don't worry. Most general doctors don't have the money to go for specialist course which usually cost more than RM 1 mil laugh.gif. And also the time it takes to go through a specialist course which could take almost a decade. only rich kids can afford.
BL98
post Aug 15 2022, 12:10 AM

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QUOTE(umboy @ Aug 14 2022, 11:42 PM)
If everyone look at money only, then nobody will work in government hospital
Wait for majority of Malaysian to suffer
*
But does the gov take care of their doctors?
umboy
post Aug 15 2022, 12:10 AM

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I am wondering how many people actually willing to fork out money to go for private treatment?
Redshelf411
post Aug 15 2022, 12:23 AM

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QUOTE(umboy @ Aug 14 2022, 11:42 PM)
If everyone look at money only, then nobody will work in government hospital
Wait for majority of Malaysian to suffer
*
Increase their salary, perhaps? Should build or upgrade existing government clinics and hospitals also. Everytime I went to a govt clinic or hospital, the facilities look so wonky and outdated.

QUOTE(Questions12345 @ Aug 14 2022, 11:59 PM)
Don't worry. Most general doctors don't have the money to go for specialist course which usually cost more than RM 1 mil  laugh.gif. And also the time it takes to go through a specialist course which could take almost a decade. only rich kids can afford.
*
Was gonna say govt should help foot some of that bill but I remembered out government is very bad at planning. So...may as well forget it.


QUOTE(BL98 @ Aug 15 2022, 12:10 AM)
But does the gov take care of their doctors?
*
innocent.gif innocent.gif innocent.gif


QUOTE(umboy @ Aug 15 2022, 12:10 AM)
I am wondering how many people actually willing to fork out money to go for private treatment?
*
Got extra money maybe they don't mind

umboy
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QUOTE(Redshelf411 @ Aug 15 2022, 12:23 AM)
Increase their salary, perhaps? Should build or upgrade existing government clinics and hospitals also. Everytime I went to a govt clinic or hospital, the facilities look so wonky and outdated.
Was gonna say govt should help foot some of that bill but I remembered out government is very bad at planning. So...may as well forget it.
innocent.gif  innocent.gif  innocent.gif
Got extra money maybe they don't mind
*
Let’s be truthful
A lot of people has extra money but not many willing to spend on private treatment
Even I have extra money but I will not spend on private treatment too
SUStonewow
post Aug 15 2022, 12:57 AM

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Got one Dr.

He not only the top of the food chain. But zero competitor and zero challenger at what he does.

He basically owns the entire industry. Few millions salary average per month ya.

Even biggest celebrity in Malaysia Dato Siti goes to him.

DR AZIZAN OSMAN.

lol sorry kacau.
drumstix
post Aug 15 2022, 01:12 AM

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SUSAngelic Layer
post Aug 15 2022, 03:03 AM

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QUOTE(Knnbuccb @ Aug 14 2022, 10:51 PM)
that means u dated her when she was in her 30s?
*
23-24
WinkyJr
post Aug 15 2022, 03:17 AM

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someone i know
a dr in singapore, specialist
dunno exactly how much he make but he gib hint that RM200k is very easy to get
kavman1984
post Aug 15 2022, 07:38 AM

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QUOTE(BerusGigi @ Jan 26 2020, 01:49 PM)
My boss is a surgeon at gleaneagles and hukm rake in 400k++ per month
*
Pernah tengok salary slip tak or just from the word of mouth. From the word of other peoples mouth
kkk8787
post Aug 15 2022, 07:54 AM

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QUOTE(Knnbuccb @ Aug 14 2022, 10:49 PM)
how come my friend saw those clinic-only paediatrician , say he only earn like GP 15-20k .. meaning he doesnt hospitalize patients , just clinic
*
Those are just GP level paediatricians not sunway or proper hospitals type. Like I say the variation is big . Either GP, medial physicians or surgeons
Knnbuccb
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QUOTE(Angelic Layer @ Aug 15 2022, 03:03 AM)
23-24
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She earn 12k as a fresh grad doctor. Ur friend must be a genius. Or is that in foreign currency
kkk8787
post Aug 15 2022, 08:00 AM

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QUOTE(Questions12345 @ Aug 14 2022, 11:59 PM)
Don't worry. Most general doctors don't have the money to go for specialist course which usually cost more than RM 1 mil  laugh.gif. And also the time it takes to go through a specialist course which could take almost a decade. only rich kids can afford.
*
Specialist course 1m? Apa lu merepek. Depending on which specialties, physicians they usually take parallel papers and no it doesn’t cost 1mil.

For surgeons such as orthopaedics no such parallel papers option , they have to go for national selection process but it’s very competitive, just in entrance exam selection, first stage 250 will take the exam around 8-11% will be selected to go through first stage, then you are entitled to go 2nd stage selection process . After all these you will have to go through 4 years the least just to get a cert again with high failure rate with 2 stages in it first professional and 2nd professional exams . After graduating another 2 years , before u get your NSR. Once you got it you can fight for another sub specialty slot again the process repeats itself.

As you can see the link proper process to be a real surgeon is too long and tedious .
Knnbuccb
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QUOTE(kkk8787 @ Aug 15 2022, 08:00 AM)
Specialist course 1m? Apa lu merepek. Depending on which specialties, physicians they usually take parallel papers and no it doesn’t cost 1mil.

For surgeons such as orthopaedics no such parallel papers option , they have to go for national selection process but it’s very competitive, just in entrance exam selection, first stage 250 will take the exam around 8-11% will be selected to go through first stage, then you are entitled to go 2nd stage selection process . After all these you will have to go through 4 years the least just to get a cert again with high failure rate with 2 stages in it first professional and 2nd professional exams . After graduating another 2 years , before u get your NSR. Once you got it you can fight for another sub specialty slot again the process repeats itself.

As you can see the link proper process to be a real surgeon is too long and tedious .
*
So u alrdy pass ah?
Got a lot of people enter already then halfway through can't make it?
kurangak
post Aug 15 2022, 09:28 AM

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.

This post has been edited by kurangak: Aug 15 2022, 09:28 AM
kkk8787
post Aug 15 2022, 09:53 AM

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QUOTE(Knnbuccb @ Aug 15 2022, 08:02 AM)
So u alrdy pass ah?
Got a lot of people enter already then halfway  through can't make it?
*
Ya it’s common to have drop outs at every single stage .
Yes I’m a surgeon
Knnbuccb
post Aug 15 2022, 09:54 AM

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QUOTE(kkk8787 @ Aug 15 2022, 09:53 AM)
Ya it’s common to have drop outs at every single stage .
Yes I’m a surgeon
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Then how old u graduated from master. Got people grad at 40 years old?
kkk8787
post Aug 15 2022, 09:56 AM

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QUOTE(Knnbuccb @ Aug 15 2022, 09:54 AM)
Then how old u graduated from master. Got people grad at 40 years old?
*
For masters , iinm the policy is at entrance you cannot exceed 35. For non surgical based 37.
Otherwise u enter at 40yo by the time you are established you are at your retirement phase already
Knnbuccb
post Aug 15 2022, 09:57 AM

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QUOTE(kkk8787 @ Aug 15 2022, 09:56 AM)
For masters , iinm the policy is at entrance you cannot exceed 35. For non surgical based 37.
Otherwise u enter at 40yo by the time you are established you are at your retirement phase already
*
Ah I see so got people around late 30s just finished their programme right. Wonder how they Tahan ...
SUSAngelic Layer
post Aug 15 2022, 08:32 PM

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QUOTE(Knnbuccb @ Aug 15 2022, 07:58 AM)
She earn 12k as a fresh grad doctor. Ur friend must be a genius. Or is that in foreign currency
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The time I date is arouns 23-24, relationship lasted 3 years
Knnbuccb
post Aug 15 2022, 08:55 PM

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QUOTE(Angelic Layer @ Aug 15 2022, 08:32 PM)
The time I date is arouns 23-24, relationship lasted 3 years
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I hope you realize fresh doctors graduate from medical school at the age of 23/24/25

scorptim
post Aug 15 2022, 09:02 PM

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QUOTE(sean15 @ Jan 26 2020, 12:01 PM)

Some say more than RM100k a month, some say reaching RM40k is also considered good.
*
This depends on specialisation la. You can’t expect a pediatrician and neurosurgeon to be paid equally right?
TSsean15 P
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QUOTE(vassilius @ Aug 14 2022, 10:56 PM)
Many years back, did a POC project for one of the chain specialists hospital in msia...

Averagely the doctor earns 100k to 200k per month. A few earns 500k to 800k. Just one very super specialized and famous doctor earning 1 million every month shocking.gif
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These numbers sounds way too high! Even businessman don't make money like this sometimes... Looks like patient's wellbeing will go down the drain if like this because private specialists only care about money. Imagine how someone can get 500k per month... Madness man
juvaan
post Aug 19 2022, 01:50 AM

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my school friend's father is a famous eye specialist in my hometown.

back in 2000s already raking in 200k/month

This post has been edited by juvaan: Aug 19 2022, 01:50 AM
juvaan
post Aug 19 2022, 01:53 AM

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Another example is the general surgeon that removed my appendix, back in 2009 he charged me 5k for surgery in private hospital.

Heard he does 2-3 surgeries a day, u do the math.

and yes i completely forgot about one specialist who is resident in a few private hospitals in Klang Valley. I used to audit his sdn bhd which he channels his income to. gross around 1.5 mil (2012) revenue p.a. But sadly i forgot what field he is in.

This post has been edited by juvaan: Aug 19 2022, 02:02 AM
alexandersuk
post Aug 19 2022, 02:29 AM

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Depends I think.
If you are famous surgeon or consultant, >100K.
If you just finished specialist study and work at gov hospital, starting basic salary is around 8K (excluding allowances).Perhaps 12-14K after allowances.
The Retailer
post Aug 19 2022, 02:29 AM

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QUOTE(BerusGigi @ Jan 26 2020, 01:49 PM)
My boss is a surgeon at gleaneagles and hukm rake in 400k++ per month
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I always try to imagine whats in the surgeon mind when they read about their potential patient who is seeking charity funding in newspaper.

NST : "8 years old boy need 800k for surgery"

"ohh... thats my patient, hope he able to get the funding, people nowadays are money minded and stingy!"
TSsean15 P
post Aug 22 2022, 12:24 PM

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QUOTE(juvaan @ Aug 19 2022, 01:53 AM)
Another example is the general surgeon that removed my appendix, back in 2009 he charged me 5k for surgery in private hospital.

Heard he does 2-3 surgeries a day, u do the math.

and yes i completely forgot about one specialist who is resident in a few private hospitals in Klang Valley. I used to audit his sdn bhd which he channels his income to. gross around 1.5 mil (2012) revenue p.a. But sadly i forgot what field he is in.
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Hi there,

My understanding is that you can only be a resident at one hospital and sessional in others. As a resident doctor you would need to be full time in that hospital right?

Also what is the average income of the medical specialists that you have audited?
juvaan
post Aug 22 2022, 01:56 PM

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QUOTE(sean15 @ Aug 22 2022, 12:24 PM)
Hi there,

My understanding is that you can only be a resident at one hospital and sessional in others. As a resident doctor you would need to be full time in that hospital right?

Also what is the average income of the medical specialists that you have audited?
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Sorry i may have used the wrong term. Resident at one hospital, and visiting doctor at others.

So far only audited one. around 1.5m p.a.
TSsean15 P
post Sep 5 2022, 11:34 AM

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I'm wondering if anyone has seen an actual pay slip of a specialist in private so that we can get accurate numbers on here. I realise there is a wide range of incomes quoted so it can be a bit misleading
Avangelice
post Sep 5 2022, 11:36 AM

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QUOTE(sean15 @ Sep 5 2022, 11:34 AM)
I'm wondering if anyone has seen an actual pay slip of a specialist in private so that we can get accurate numbers on here. I realise there is a wide range of incomes quoted so it can be a bit misleading
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IMHO no specialist would do this. Alot of the guys I know don't do their taxes honestly and keep cash to be unreported
TSsean15 P
post Sep 6 2022, 12:38 AM

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QUOTE(Avangelice @ Sep 5 2022, 11:36 AM)
IMHO no specialist would do this. Alot of the guys I know don't do their taxes honestly and keep cash to be unreported
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Wonder if they do this, how much are they actually earning each month😳 sounds like they are trying to hide something

 

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