Saturday, October 9, 2010

unsure path...




I had chatted with few of the medical college undergrad months ago. The govt. has planned to shortened the medical school tenure from 7 years to 6 years. The 1st stage of the project is to lengthen the training of current Post Graduate Year(PGY) program from 6 months to 1 years. I was the 1st batch of PGY trainee – the initial training was 3 months (1 months posting in Medicine, Surgery and Community Medicine eacg). The training was not that solid as there was no general medicine and general surgery ward at the time. However I felt the medical ethic part was good. I got a certificate which stated that I had passed the PGY training. According to the Dept. of Health, if the PGY training length had changed in the future my training would be valid though.


 


The training was later lengthen… the worst part was it was incorporated into the specialty training – there were a lot of resident training program that lengthen from 3 years to 4 years due to the PGY training. However start from next year the training would be different. There 2011 batch of medical graduate would be enrolled into the PGY training for 1 year and they would start their resident training 1 year later. The juniors had told me that their salary would be fixed at 40k – 50k during the PGY period. A very bad news for the foreign student – the entry salary for a foreigner(white collar) should be 54k at least! So if no modified criteria are added, our junior would be unable to secure a job. If the training of ED is shortened from 4 years to 3 years, I would considere taking up a training post instead of a medical sub-specialty….


Actually the training environment is the most important part of the program – appropriate ward should be set up – proper exposure is warranted. Doctor’s eye were flooded with money: ENT surgeon claiming that they could handle myocarditis and meningitis and influenza with complication. (How many months did they rotate to peds wards? Murmur ? assessing pulse volume ? ) ED physician who had conducted limited delivery and I guess most of them won't have the guts to come forward facing a lady in labour on a public transport….well, on the paper the training seems to be advance but the basic skill is tracing backwards….a pity….


 


 


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