We were back to square one next months.... O is going for his break again after 45 days of work. The gap was 30 days (better than indefinitely). Lem had shown me that roster and asked me to fill in what ever shifts that I could handle. I adopted a few and still there are 5 holes left to filled. Everything would be up to boss ...
Well, we were actually disturbed lately. Boss had informed that there is a board certified emergency physician interested to join us. The doctor was introduced by one of our head nurse. I chatted with the head nurse( is my nature to dig around...) and found out the below facts:
1. he is currently working in a small hospital nearby
2.his work is heavy - did most the night call
3.he wanted a change of job...
4.he is a filipino medical grad
We waited for a few days and someone had told us that - it was a misunderstanding... this guy didn't even hold a practice license...phased out immediately of coz.
10+ years ago, our hospital had stopped to placed doctor without a license working in ED... now the situation is even worse : any doctor working in our setting need to registered our hospital as his /her alternate working hospital with the local health authority.
Unlike the Malaysia, the practicing certificate here is not renew annualy. The so call practising license is renewed every 7 years. The renewal criteria include adequate CME points....There is a list in the local health bureau which specific where we practised. If we wanted to work locum elsewhere, we need to add an alternating practising site. Alteration of the list would need an agreement from the primary working hospital/clinic. We were strict about this regulation so we had problem to attract doctor for locum nowadays. Getting permission to work locum elsewhere is difficult....
Few days later, boss had told Lem that a surgial chief resident from a teaching hospital had decided to join us and grab some big cash. He had asked Lem to re-arranged the shift so that this guy could share our load with a reasonable shift( that mean he does not come to join us and work only during weekend nor night shift). We tried to "squeezed" some daytime shift for him. However we were in doubt why did surgical resident give up his training ...
But no news from boss since that day - both of us had agreed that it is just another faulty granade. This so called surgical chief resident grade doctor is someone without a practising license stranded in a teaching hospital. Teaching hospital are allowed to hire medical grad without license as "trainee resident". There are still load of such medical grad striving in some local hospital. This doctor may had thought small hospital like us doesn't mind to hire doctor without license and came to approach our boss....
Well, looks like we have to clench our teeth and survive the next 30 days...
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