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The new cabinet line-up was announced today. Since MCA refused to accept any cabinet post due to their worst performance in history, MIC is given the Health Minister post. For the 2nd time, MOH is now being headed by a doctor. Dr Subra is a dermatologist by training and was running his own clinic in Malacca before venturing into politics. However, if his record as Human Resource Minister is anything to go by, his performance can be questionable. Other that this appointment, there is nothing great about the cabinet line-up. Appointing Wathyamoorthy as a Deputy Minister in PM’s department is not a good move. HINDRAF was once declared illegal and all their top leaders were detained under ISA in 2007. Wathya ran away to UK till his return last year. During this time, all the main stream medias condemned the movement as racist and influencing the Indians to go against the government. Unfortunately, it is now a component party of BN and given a Deputy Minister post. So, what say you MIC and IPF? Who is the representative of the Indians under Najib’s cabinet?

Anyway, I hope Dr Subra can put MOH in order again. The recent news about an Houseman becoming a bogus policeman is rather disturbing. Remember what I said before about the deteriorating quality of students who are doing medicine nowadays? Even though this is an isolated case, I am sure it questions on how such a person can become a MBBS holder in the first place. Why was he involved in this crime? Was he in huge debt? I had always said that you should NEVER take huge loans to do medicine. It will take a lifetime to settle it. I know many who do illegal locums to settle their loan which include Car loan etc which will come later. Due to social status, many parents force their child to buy big cars and add more loans to their already huge debt. When the jobless scenario hits the market, many more doctors may land up in illegal activities as what happens in many other countries.

The jobless scenario of nurses hit the market end of last year. Many were left with at least RM 60K PTPTN loan. The government tried it’s best to absorb some into the civil service but could only do so for about 1600 of them. I know many nurses who are asking for a job in GP clinics and even working as Customer Care staffs in some hospitals. The quality is questionable and many do not even have any credits in SPM despite MOHE enforcing at least 3 credits. However, to enter civil service, they need atleast 5 credits!! Was MOHE sleeping? BTW, I still do not understand the logic of combining MOHE and MOE into 1 Ministry but have 2 Ministers!! Who makes the decisions? The minister who was running the MOHE is now the MB of Johor!

After the jobless scenario issue, the government has now enforced a minimum of 5 credits to enter nursing college. A little bit too late, I must say! This will definitely affect the intake of nursing colleges if enforced strictly. I hope MMC will also review its criteria and improve on the quality of the medical schools. The jobless scenario will definitely hit the medical profession soon. With the new Minister and a New DG, I hope something drastic can be taken to improve the quality of medical intakes and graduates.

Junior doc turns bad

Houseman impersonated police officer during robbery with three others
TUESDAY, MAY 14, 2013 – 10:56
Location:
IPOH

 

 toy pistol and other items seizedBUSTED: The toy pistol and other items seized from the group

A 26-YEAR-OLD houseman may have to forgo his dreams of becoming a doctor after he, and three others, were detained in relation to a robbery.

The man, who was pursuing his housemanship at Raja Pemaisuri Bainun Hospital, had also impersonated a police officer during the incident.

In confirming the arrest, Ipoh City Police chief ACP Sum Chang Keong said a 30-yearold businessman was driving his car along Jalan Dato Onn Jaafar when it was blocked by another car with four occupants at 4.25am.

One of the passengers from the car, dressed in an ASP police vest, alighted from the vehicle and punched the victim’s chest before he introduced himself as a CID police personnel.

“The man then pointed a black object, which resembled a pistol, and demanded the driver hand over RM350 or follow them to Sungai Senam police station,” Sum said.

At this juncture, another accomplice alighted from the car, and together with the houseman, got into the victim’s car and went to a bank in Jalan Sultan Idris Shah.

Upon arriving at the bank’s ATM, the robbers increased the amount to RM450. The victim then tried to call a friend for assistance, but was stopped by one of the suspects, who also seized his identity card.

Luckily for the businessman, a police car was dispatched to the scene after the Pekan Baru police station received a tip-off about the incident.

“The two police personnel spoke to the ‘officer’, who informed them he was from the Sungai Senam police station,” Sum said.

When the policemen asked for his authority card, the “ASP” flashed a Malaysian Special Ranger Agency card with his personal particulars.

Realising something amiss, the police officers took the four men to the Pekan Baru police station to conduct further investigations. They also seized the vest with the “officer’s” name tag, the authority card, a police cap, a pair of handcuff s, a toy pistol and two sets of keys.

The car which the four men were driving in was registered under the houseman’s name.

“The case is being investigated under Section 395 of the Penal Code for robbery and Section 6 of the Firearms Act,” Sum added.

The four have been remanded until May 17 to facilitate investigations.

Number of nursing students in Malaysia set to drop

JOHOR BARU – The number of students enrolling in nursing courses in Malaysia is expected to decrease as many students are finding it hard to meet the new entry requirement set by higher education ministry.

Institut Sains dan Teknologi Darul Takzim Chief Executive Officer Shahrul Azila Mohd Salleh said the entry requirement used to be three credit passes but last year, it was changed to five credit passes for nursing students.

“We hope the higher education ministry will review the change as many students are not meeting the mark,” he said after the institute’s seventh convocation here yesterday.

Shahrul said other private higher education institutions were also facing the same problem.

“For the last intake, we managed to enrol 240 to 300 students, but we expect the number to drop to 20 per cent for the intake next year,” he said.

He said the institute would submit an official application to the ministry to review the matter.

Shahrul said that if the institute could not fill the enrolment quota for nursing, it would have no choice but to accept international students from Singapore, Indonesia, the Philippines and China.

“We had quality graduates in the nursing course and among them were students with three credit passes,” he said, adding that the entry requirement should remain at three credit passes to appeal to a wider intake.

Earlier, a total of 411 students obtained their diplomas for various courses including business management, accounting and information technology during the convocation ceremony held at Persada Johor Convention Centre.

The recipient of the institute’s Executive Chairman Award, Siti Zulaikha Zulkifli, 21, said the key to her success was to be brave to ask questions.

“Besides revisions, I do not hesitate to speak up and approach my lecturers if I have questions,” said the Diploma in Accountancy student. She plans to move on to Universiti Kebangsaan Malaysia. Number of nursing students in M’sia set to drop

Well, the 13th GE has just concluded. It has been an interesting election and as I predicted, no one party is going to get 2/3 majority in Parliament. It is one of the worst performance by the ruling regime. Winning only 86 seats compared to Pakatan’s 80 seats in Peninsular is a big shame to PM Najib. If not because of Sabah and Sarawak, he would have lost. He is running the government with simple majority and only gaining 46% of the popular votes! It affected him so badly to the extent that he had to bring up racial issues to back his reasons for the lost. Frankly, Najib was definitely a better leader than Pak Lah but he underestimated the intelligence of the Malaysian population. He thought that throwing money, running some fancy slogans and advertising all over the place with his 1 this and that could get him votes but he failed. People are not interested in money and slogans anymore as they know that it is a political stunt. Giving help to the people is the responsibility of all ruling government. BUT, he never addressed the real issues that people wanted him to address.

People were more interested on how he wants to tackle corruption, cronyism, rising cost of living and economy. He did well in the economic part but failed to address the first 3 issues. A clear corruption involving a CM was not acted upon. In fact he even diverted the question when was asked by the AlJazeera interview. He needed the state’s seats so badly that he failed to act against the CM. Throwing some BRIM, KRIM etc is not going to solve the “rising” cost of living issue. His manifesto was a copycat of Pakatan’s. He refused a debate with Anwar but attacked him from the back by using all the media. That was uncalled for and moved a lot of fence sitters to support the opposition. The media was misused to the maximum to the extent that I wanted to vomit every time I accidentally on the TV or MSM newspaper!

Racial issues were played right from the beginning. Mind you, it was NOT the opposition who played the racial issues. They moved as 1 solid block with no racial or religious issues. It was MCA and UMNO who were playing the issues. BUT, now they blame the Chinese for supporting the opposition. This is a democratic country and every citizen has the right to vote for anyone. Secondly, the real analysis clearly shows that it was NOT a Chinese Tsunami which our PM prematurely said. It was more of an Urban-Rural divide and a class divide. There were Malays who won in Chinese majority area and vice versa. In fact, this scenario worries the ruling government as it spells the end of race based politics. That is what they are worried about. The Chinese only constitutes 3.3 million voters but Pakatan received 5.6 million votes. Even if 3/4 of Chinese voted for opposition, where did the balance of 3.1 million votes came from ? How can Pakatan get 51% of the votes without the support of the Malays?

We should move forward and not backward. Race based politics should end and we should move on as Malaysians. So, it looks like the entire 1Malaysia slogan by PM is just a political gimmick! He expects the non-Malays to vote for him after endorsing Zulkifli Nordin and Ibrahim Ali to contest under UMNO (was it Chinese who voted them out?)! What saddens me the most is the fact that there are many so-called “educated” people who believe in these type of racial issues and numerous conspiracy theories of “so and so” wants to take over the country etc etc. They rather vote for a corrupted leader just for the sake of “demi bangsa, agama dan negara” ! Why is it that only UMNO can protect the Malay rights? Why not PAS or PKR ? These are also Malay majority parties. I still don’t understand how a population of 25% and a so-called racist party(DAP) which is contesting only 51 seats ( NOT all Chinese, BTW) can rule the country where the police, army and civil service is almost 98% Malays! To change the constitution, you need 2/3 majority! Another conspiracy theory is Christianisation of Malaysia !! Malaysian Christian population is only 9% and they are supposed to convert 60% of the population!! Are you saying that your faith is so weak? Please think logically. If you want to believe in conspiracy theories, it will never end!

I don’t blame these people as they have been brainwashed by the ruling government right from younger days. Dr M created Biro Tatanegara for this purpose and it seems to have worked very well. However, I salute the many younger people and urbanites for voting against corruption, cronyism and racism. I also salute Penangites and Selangorians ( of ALL races) who, despite all the money and negative adverts thrown at them, voted for a proven clean and good governance. No religion teaches you to condone racism but yet there are people who claim they are Muslims but full of racism within them. This includes some who I thought were my friends. It saddens me but atleast I know their true colours, now.

It is unbecoming of a PM to issue a statement like “Chinese Tsunami” on international TV and condoning Utusan’s racial headline. To my friends who support racism, I am sorry than I may have to unfriend you in FB. And for those who claim that certain party will sell Malaysia to neighbouring country, please see who is buying all the land and high-end properties in Johor ?

With the election over, I will go back to my writing on medical issues………………..

 

I am writing this piece in the early hours of 5/05/2013, the most interesting, challenging and the most exciting election day that I have ever witnessed since I started voting in 1995. It has been a wonderful election campaign. At the same time, I hated watching TV and listening to radios over the last 2 weeks. It is SOOO one-sided with full of garbage. Listening to Najib promoting himself on radios every 5 min is rather irritating. You want to be fair, you should give equal space for the opposition. This is one of the reason why you notice tens of thousands of people going for Pakatan’s ceramah. They want to listen to the other side.

I attended at least 4 Pakatan’s ceramahs just to listen to them and see what they had to say. I must say that they were very professional, talk only on their policies and NEVER brought up any racial or religious issues. Most of the speakers were well educated and could articulate their policies very well in different languages etc. On the other hand, I am sad to see BN and UMNO using racial sentiments to create uneasiness among the population. The Star has been advertising on Hudud, PAS and DAP almost every day on every other page! Rather irritating and I felt like throwing it into the dustbin! UMNO has been playing around with the same old crap of May 13th! Sadly, we have many people who still believe on this propaganda like Chinese taking over the country, Hudud implementation, Christianisation of Malaysia etc etc. I am sure many who believe this propaganda do not understand how our constitution and Parliament system works! Without 2/3 majority, no one can change the constitution. With DAP contesting 51 seats, PAS 72 and PKR 99, no one party can have the majority.

A well-educated person can definitely think rationally. Unfortunately again, I was mistaken. Many people has been brainwashed since young. One thing that this election thought me was the fact that people who you thought were your good friends are not what they seem to be. I got no issue of you voting for anyone. I have had friends who have voted for both BN and opposition from those days. In fact, I was once a BN supporter myself as my father was a strong MIC man, who was once the Vice Chairman of MIC Negeri Sembilan. My father left MIC in early 1990s when he realised that MIC and BN became corrupted and not interested in helping people. Only now I realise that no matter how close you are and how well you trusted your friends, they had their racial sentiments in their heart!  They still do not accept you as a Malaysian but rather as an Indian/Chinese who is a pendatang who should be gratefull to BN/UMNO for giving you a place to stay in this country. This is a democratic country and we have the right to choose who we want. Just because we choose the opposition for a check and balance system, does not make you a traitor!

Whatever the result of this election today, we should move on. I just hope that there will come a day when we can call ourselves as  MALAYSIANS and not by any other race. I hope to see that happening before I go 6ft underground………………

I can only say that 1Malaysia is just a propaganda!

Please vote wisely………………

Well, I have been busy following the election campaigns all over the country. It is all about election wherever you go and in cyber-world. I just  came back from Singapore after attending a Diabetes Summit over the weekend. Even there, people are talking about our election. Many of the Malaysians who I met at the summit were also talking about election. This is what you call election fever, which only occurs once every 5 years.

There is one difference that I am seeing in this election. This will be my 5th election that I will be voting. The one difference that I see is the eagerness of every registered voter to vote! I had never seen that before. Each and every person who I met is going back to vote. I have friends from Singapore , Sabah and Sarawak who are coming back to their hometown to vote. Previously I had many friends who do not vote. When I ask them why, their answer will always be ” Why bother, BN will win anyway!”

I think the 2008 election changed everyone’s perception. What people thought is impossible became possible in last election. BN was denied 2/3 majority for the first time in history. I feel this had made many people to realise that no matter how big you are, you can fall one day! Thus, in this election everyone wants a change and going for a change. Whether it is for good or bad, remained to be seen but you will never know till you have tried.

We have 6 more days for voting. Wether this be a history in the making or will remain status quo, will be known on 5/5/2013. Whatever happens, we should accept the result and move on. I believe in 2 party system and no one party should be given 2/3 majority. MCA has been playing with the hudud and PAS issue in their newspaper on a daily basis. Pathetic! Pas is only contesting 71 seats which obviously they will not win all. How the hell are they going to change the constitution? I leave the readers to ponder upon!

 

Well, 5th of May 2013 will be the day Malaysians will decide on their future. Since I started voting, I feel this is the longest time taken to conduct an election after dissolution of Parliament. Why? From what I gather, the caretaker government is running scared and are not confident of winning. In fact, I had a policeman who said that if the election is conducted clean, the current caretaker government will fall.

I thought of taking a break from writing about medical issues as the election fever is picking up. The whole mess that this country is facing at the moment is purely due to mismanagement. We are a very rich country and should have progressed way ahead of many other countries. We were better than Korea and Singapore in late 60s and early 70s. In fact, out growth rate in 1970s were higher than anytime after that, despite oil production starting only in late 70s. This is what I call ” The Curse of the Black Gold” ! When we have oil, we forget to develop any other field and try to survive on oil money. What happens when we run out of oil? Despite producing oil, we are a nation with one of the highest debt, reaching almost 55% of our GDP. Why is that so?

We are producing youngsters with instant debts, the moment they leave the university. WE could have easily built more public universities and give subsidised education to everyone irrespective of race or religion. BUT we didn’t. We still have the only race based university in the world (UiTM) but yet shouting 1Malaysia slogan everyday. This very university is funded by public fund aka taxes paid by the citizens of Malaysia of every race. Rather than throwing BRIMs, KRIMs etc etc, why can’t we use this money to pay the PTPTN loan and get our youngsters out of debt! Our cost of leaving is increasing day by day. I can buy an item from eBay, amazon.com and other online stores much cheaper than buying in Malaysia ( including postage)! Doesn’t it look funny? The answer is simple: monopoly and cronyism.

When there is monopoly and cronyism, cost of living will increase. It happened to Russia before and that’s the reason Soviet Union collapsed. It’s socialism and capitalism together! When Penang and Selangor government stopped the leak, they made a tremendous amount of money. The leakage is everywhere due to cronyism. Those who are in medical line in government hospitals will realise that almost ALL drugs are now generic drugs and not the original. The reason given was that it is cheaper and reduces the government’s cost. Unfortunately that is not true. I am sure everyone knows that for all purchases made by government sector, it has to go through a “bumiputera” agent aka UMNO crony!. What this agent does is to sign the forms and transport the drugs from point A to point B. Wholah, the commission is 10% of the total drug price supplied. So, if the total drug price is RM 1 million, he earns RM 100K instantly without doing anything but just signing papers. This is the system created by Dr Mahathir to make instant millionaires among the Malays to compete with the Chinese millionaires, which only backfired later.

Now, the 10% I wrote above is the commission for original drugs. Do you know that the government is buying generic local made drugs for the same price as the original? These cronies are now supplying the generic drugs for the same price as the original, making almost 100% profit!! That’s the reason, the MOH never manage to reduce the total cost despite getting generic drugs! Who suffers at the end ? The RAKYAT as they are getting inferior drugs which most of the time does not work. The doctors in government sector can’t do anything as the decisions are made at the top!

That’s why I believe in what the opposition is trying to say. If they can stop these leakages, we will save tonnes of money which in turn can be channelled to education . By eliminating the “middle man” syndrome, we can reduce the cost of leaving. Of course, this is a difficult task as many of these people are UMNO cronies who need UMNO badly to survive. They will throw all the money they have to sponsor the election campaign in support of BN. Read the book written by Barry Wein on Mahathir tilted “Malaysian Maverick” . How Mahathir created the mess we are in, is clearly stated in this book. I also read “Doctor in the House”, the autobiography of Dr M. I feel the title of the book should have been ” Me and the Malays” . From beginning till the end, it is all about him and the Malays with no mention of the contribution of the non-Malays to this country. Despite bringing physical development to this country, he destroyed it internally.

Well, I will stop here for the moment. As the election comes closer, the country will get heated up. Every single person who is a registered voter should come out to vote. A change might be needed to put things back in place. If we don’t like it, we can always change back! That is what you call ” 2 party system”.

So, the fun begins…………. After weeks of anticipation, our PM has finally announced the dissolution of Parliament, today. His face did not look happy tough! Never in the history of this country, any PM has waited for more than 5 years to call for an election. Co-incidentally, today is also my 14th wedding anniversary with my beloved wife.

This would be the toughest and the most interesting election ever. Looking at the strategy that are being played by the opposition, I must say that they have planned it well. You can throw all the money that you have or control all the mainstream media but the people are getting smarter. A war is won by people with strategy and not money or numbers. Racial politics should GO. In this new era and new generation, there is NO place for racial politics. Anyone who is in need should be helped irrespective of what race he is.

Every single vote counts. I hope each and everyone who is a registered voter would exercise your duty to this country. It does not matter who you vote BUT make sure you vote and please vote wisely. It is for the future of this country. Every registered voter should come home to vote irrespective in which country you are in at the moment. The date of election will be announced soon within the next few days. You will have an ample amount of time to make necessary arrangement.

Vote with your brain and not with your emotion. Open your eyes and see the truth. Listen to both side of the stories and NOt what is being portrayed  in the mainstream news ( TV 3 suku etc etc). The era of internet has made this possible. I support the 2 party system which will keep the government on their toes. I also feel that we should not keep any one party in power for too long.

Let the  FUN begin………………………

 

I am very sure  a lot of us would have read the article in The Sun 2 days ago. It was about the petition that was sent to DPM from a group of Malaysian students graduating from Australian medical schools seeking our government’s intervention in securing an internship place in Australia. I wrote about this issue and the petition concerned almost 3 months ago over here. I had given my views. The person who initiated this petition is a self sponsored student but majority who signed it were government scholars. BTW, I don’t think our Minister of Higher Education knows anything about internship in medicine based on his reply over here. He probably thinks “internship” here means equivalent to internship in other fields where they do it as part of their course. This reply in The Sun is interesting to read.

Now, coming back to the topic above. I mentioned in my last post that I will reveal some changing strategies of medical schools in getting students. IMU, the first and most established private medical school in Malaysia, has sent out a survey to their alumni and students asking for their opinion on the introduction of USMLE preparatory course. What interest me the most was the content of the message that was sent out. Every single issue that I had written in this blog that many refuse to believe over the years has been reinforced and confirmed by this message below:

Below is an important update on postgraduate medical training opportunities and survey:A special invitation from Dr. Mei Ling Young, Provost of IMU

Dear IMU alumni and students,

IMU would like to help our students and graduates develop  career paths.

Up tofairly recently, medical, dental, pharmacy and nursing graduates did not

need to worry about having jobs. This is  now changing rapidly. Even for the

medical graduates, competition is becoming intense and those who have added

degrees,postgraduate training and experience will have more options.

For the medical graduate, IMU is planning to run USMLE preparatory courses.

The USMLE is a licensing examination which is mandatory for doctors who wish to

undertake postgraduate clinical studies or work in the US. It will be a big project as

we can see that the demand is going to increase. The main reason for this is that

the medical graduate is starting to face very serious difficulties getting postgraduate

openings. For those with a Malaysian degree there are only about 800 places for

about 4000 medical graduates a year. The waiting time for this bottleneck can be

over 5 years.

The traditional outlets, for those who have trained overseas, are in the UK,

Ireland and Australasia. Opportunities for training in these countries are

becoming increasingly limited. All these countries are, for the first time,

having difficulties placing their own graduates in house jobs, a situation

never heard of before.

The cause for this is the establishment of new medical schools over 10 years ago and

the ramping up of numbers enrolled in established medical schools, many going up

from 150 to over 350. This had been in response to a lack of doctors.

An analysis of the situation shows that the US is still hungry for doctors and will be

so for the foreseeable future. There are also many opportunities for postgraduate

training (residencies) leading to specialist qualifications in various specialty boards.

These qualifications are in Malaysia, Singapore and many other countries. The

survey below is to give us an idea as to how many of our students and graduates

(both IMU and PMS) are interested  to do the USMLE. It will take only a minute to

complete the questionnaire. Because this problem, of difficulties getting

postgraduate places is going to worsen for medical graduates,  it is important for

IMU to start this project as soon as possible. Thank you.

Click to proceed to survey
https://www.surveymonkey.com/s/CWQ7NCP

Regards,

Dr. Mei Ling Young

Provost of IMU

However, I would like to reiterate that sitting and passing the USMLE exams do not guarantee you a residency post or  a training post in US. Yes, US is still short of doctors simply because many of their own citizens are not interested in being one. The high litigation rate and demanding population are some of the reasons quoted. Oh, don’t forget the high indemnity insurance rate, so much so, it is even higher than the income they earn in a year for some speciality. There was once a saying that there were more doctors resigning in US than being produced, not sure how true was that statement.

USMLE exam is needed for anyone to be able to work in US. It consist of 3 Steps with 2 parts in Step 2. It does not come cheap either. Just this year, the fees has been increased again as mentioned here.  Despite spending huge amount of money, there is NO guarantee that you will get a residency post. If you look at the ECFMG fact card over here, you will realise that only 40% of the Non-US citizen IMG got a matching for the year 2012. If you look at the ECFMG annual report over here (page 20), you will realise that Malaysia is not even in the top 45 countries from where the IMGs are coming from! The highest IMGs are from India (16%). Despite that, I just received a comment from a doctor from India who said this “Fed up of applying to every match, sir. Not getting matched. So quit trying. Looking for other opportunities based on usmle credentials like abu dhabi, malaysia, sir” .

I got no issue of IMU conducting this course but they make it sound like it is very easy for students who pass USMLE to get a training post in US. I think it will be as tough as getting a specialist training post anywhere else in the world. You are competing with the whole world! BTW, IMU is not the only university encouraging students to sit for USMLE. Few of the newer medical schools in Malaysia  have also started to promote USMLE for their students.

Well, once someone said that we will become a maid (aka graduates) exporting nation by 2020. It looks like we will also become a doctor exporting nation soon………………

Welcome to GTP, government  Transformation Program…………………

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