flood....

I had read from the internet sometimes ago….the Malaysian Govt. Hospital currently is being crowded with House officer…..really stunning news to me..I remembered the structure of a medical staff in a ward :  1 specialist with 2-3 medical officers plus 2-3 house officers. When time is bad, 1 house officer was allocated to a ward. In surgical ward the condition was bad, when this HO of the ward shared the calls, when there is 3 HOs, it would be 3 days per call, when there is 2 HO, it would be QOD, when there is 1 HO – than it would be real “HOUSE OFFICER”, hospital = house….10 HO in a ward means 3 calls per month and the experience earned from doing calls is definitely beyond imagination…..

One HO would be taking care of 15-30 patients during those days… really busy but good learning environment…. The report claimed that 1 HO caring of only 2 patients….A bad consequence resulting of flourishing of medical school in Malaysia….There were 1 twin linked at my time –the IMU, the affordable one opted to do their senior year in the overseas, many of them obtaining a foreign degree and practicing license elsewhere. Some of them stayed back…. Later on load of private and govt medical school were set up to resolved the doctor shortage….the strategic was a successful in a sense that there were so many HO (and later MO) but there is still short of specialist….the final consequences is load of GP flooding the market….specialist is definitely commanding high fee at the moment; my mother in law told me she was admitted overnight (2d1N stay). The consultation fee was RM 400, 2 visits per day, 1 visit = RM100 in the ward…..our local NHI pay is RM 30-50 per day per caring an in house patient(specialist price of coz...)

I met one of my senior(neurosurgeon) during my last visit back to Malaysia at the airport. He told me a medical center run by one of our senior in Kedah offered him a pay of RM20000/months (guarantee minimum wage).

It would be a very bad practicing condition later on as the base of pyramid had become wider……GP earning less and competition and.....

Sometimes I would think of getting a job back in Malaysia, but my only option would be the govt service….. Just couldn’t bare to earn those money in a private practice…. Only the affordable being served….but still, it would be going back to the bureaucrat working environment, fighting for promoting(not for the pay but for the calls – more senior = less night calls..) and retiring at the age of 56 and wandering which medical center to practice in(back to what I dislike at the first place...)

If everything goes smooth, I would be saving enough studying fund for the kiddos by the age of 55 and maybe I would try to get a contract specialist job with the MOH then.….