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Archive for October, 2010

360 degree turn?

Our country seems to be taking a 360 degree turn. First, when I saw our new Proton Waja replacement model on TV last week, I was laughing my head off. What replacement model? It is back to square one!

Proton started by using Mitsubishi cars way back in 1985, with Proton Saga and Proton Wira. Proton Wira was basically Mitsubishi Lancer in 1980s. After about 15 years, they came up with their own model, which was Proton Waja and subsequently Proton Gen 2, Savvy,Persona and finally Exora. In stead of moving forward, we are now back to the basic! Go back and rebadge Mitsubishi Lancer 2009 model! Way to go , man! If I am the CEO, I rather commit suicide then appearing on TV claiming it is another new model of Proton!

Then, in the worst and most useless Budget (2011) that I have ever listened, we have our beloved PM going back to mahatirism! Build big towers of erection to look great of yourself. Petronas twin tower is almost more than 50% vacant. Dayabumi is also half vacant and now, our PM wants to build another 100 storey tower worth RM 5b! Where is the logic!. No doubt it will stimulate the economy by producing jobs and companies but only for short term. It does not bring any long-term benefits. This is the reason why you don’t see many countries doing this type of development. Just look at Dubai and what happened during the economy downturn.

We seem to be moving backwards than forward. The below video is interesting

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For Future Doctors: Housemanship, Medical Officer and Postgraduate Training (Part 2)

It has been more than 2 weeks since I last posted on this topic. I have been quite busy lately with increasing workload in my hospital as well as some renovation work going on in my house. In this Part 2, I will write more about what to expect after finishing your 2 years Housemanship posting in Ministry of Health.

1)      Compulsory Service

I am sure everyone knows about the compulsory service for doctors in government service. According to Medical Act 1970, a medical graduate has to undergo compulsory service with the government for at least 4 years. This includes the Housemanship which is now 2 years. This means that you need to serve the government for another 2 years before you decide to leave the service.

2)      District/Rural postings

As I have said in my first part, after completion of your housemanship, you will likely be transferred to rural clinics or district hospitals. With the recent influx of large number of doctors, almost everyone will be transferred to rural areas, mainly Sabah and Sarawak. You can see this from various letters posted in almost every newspaper recently, embarrassingly by parents of “so-called” grown up doctors!

From my experience, district posting is a wonderful experience. Working alone without anyone to consult immediately, gives you a lot of experience. Remember, other than X-rays and some simple blood test, you don’t have anything else in these hospitals. Usually there will be about 3-5 Medical Officers (MO) in each district hospitals. When you are “on-call”, you are all alone and need to manage the A&E department as well as all the wards including obstetrics cases. It is really scary at times, especially if you are working in district hospitals which are far away from the nearest General Hospital. If you are preparing to sit for any exams then this is the time to do your revision as the workload is generally lower than in general hospitals.

The same goes for those who are posted to health clinics (Klinik Kesihatan). These clinics are usually situated in rural and semirural areas. Most of the time there will be 1-2 MOs in each clinic. The major bulk of patients that you see in these clinics are antenatal and outpatient cases. There will also be a lot of administrative work to do in these clinics including school visits, running various health campaigns and public health talks. In cases of any outbreaks, you will be called to assist in containing the outbreak. Basically you are the primary healthcare providers. Many doctors do not like the administrative work that they are supposed to do, and the meetings that you need to attend!

Even though it is a good experience to do rural/district postings, please do not stay long in these clinics/hospitals if you intend to do postgraduate studies. A maximum of 1 year should be adequate. The reason I say so is because you will lose the momentum to further your studies after some time of good life in these centres. Since the workload is lower, you will get carried away with relax life compared to your housemanship training.

This rural/district postings are usually given extra points when you apply for your Master’s programme even though it does not guarantee a place. At the same time you can use your free time to prepare for your exams like MRCP Part 1, MRCOG Part 1 etc etc. After passing your Part 1, you can request to be transferred to the General Hospital for continuation of your training. Again, this may become a problem in the future as the number of post may be limited and it may be increasingly difficult to get a place in bigger hospitals.

I think people who grumble about going to rural and district postings should just give-up medicine. If you choose medicine to help and treat sick people, then these postings is where you really see the real life of people. You will learn a lot about their social life and the struggle they go through daily which you do not see when you work in general hospitals. You will also realise that people here appreciate you better than urban people. I would advise each and every doctor to do rural/semirural and district postings for at least a year after completing your housemanship.

 Next: Postgraduate training…………………

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 Excellent view from the German Ambassador. Spot on……………………… What has Malaysia got after chasing away all the best brains due to NEP!

Just build a building, call it a University and print a degree lah, so easy mah! Malaysia Boleh Mah…………

I wonder where is PERKASA and Mamak Kutty, sorry, I heard the latter is somewhere in Melbourne!

 

Skills, equity hurdles to investment

Malaysia doesn’t need Nobel laureates or a man who can go to the moon but qualified, hands-on people to raise their level of competence, says German Ambassador to Malaysia

Several factors are deterrents to a larger number of German investors putting their money into Malaysia, and top of the list is the lack of a qualified workforce.

“Malaysia doesn’t need Nobel laureates or a man who can go to the moon but qualified, hands-on people to raise their level of competence,” said German Ambassador to Malaysia, Dr Guenter Georg Gruber.

He said Malaysians appear to have the notion that an engineer’s work is to get suited up and sit in the office all day.

“Nobody in Germany does that. A qualified engineer goes down to the pits and repair the machines himself, if need be, and he is respected for the willingness to get his hands dirty. Here, the engineers are … different.”

He said this boils down to the lack of emphasis and importance placed in vocational training.

Possibly, it stems from the lack of social acceptance of a person who works with his hands here, Gruber told Business Times in an interview in conjunction with the 20th anniversary of the reunification of East and West Germany tomorrow.

Social acceptance is equally high in Germany whether you are a painter, an electrician or an engineer – as long as you are a master of your craft. “In fact, if you are a good electrician, you will be highly respected and earn good money.”

This appreciation of applied knowledge is probably what propelled Germany to become a world leader in innovation, science and technology today.

As a case in point, he cited his two brothers: one who is a painter and the other, an electrician. Both earn more than he does.

Malaysians are too engrossed in the paper chase that they forget about skill acquisition. Parents’ role in this obsession cannot be downplayed, Gruber said.

“You should always ask what the industry needs. But here, parents only want to send their children abroad, (probably) to some third-class university to get a foreign degree.”

Another factor which he feels is holding back German investors is the Bumiputera equity policy.

Germany’s “hidden champions” – the powerful, often family-owned small- and medium-scale enterprises (SMEs) – are keen to invest here, but are wary of having to give up a substantial share of their business to a “complete foreigner”.

“These are often businesses which have been kept in the family for possibly hundreds of years. They would not want to share their company with someone they don’t know.”

Although they have heard of many positive news from the government on reducing the equity quota, Gruber said that many were still hesitant and adopting a “wait and see” attitude to assess how the new policies would be implemented.

One major German SME which is already here, B-Braun Medical Supplies Sdn Bhd, is currently suffering from market access problems due to the Bumiputera issue, he disclosed.

B-Braun is a company with worldwide presence and an established history of supplying medical solutions in the surgical, pharmaceutical and healthcare management fields.

It does not have a Bumiputera partner, which prevents the company from bidding for government contracts.

“B-Braun has been investing since 1972 because they have had good experience here and want to continue. But they are being excluded in public tendering because of the Bumiputera issue,” said Gruber.

Although this was initially regarded as a “small issue”, it is now becoming a sore point for the company as a new Asean rule states that any company excluded from public tender in an Asean member’s market “would be excluded from all Asean markets”.

“This is not a very positive image for Malaysia if you want to attract more foreign investments,” Gruber said.

Germany has long been recognised for its “highly specialised small and medium enterprises” segment. They are often called “hidden champions” because most produce inconspicuous products but are global market leaders in their own segments.

“We don’t want to impose any ideas on the Malaysian government. They have to choose for themselves whether they want to evolve to remain competitive. Malaysia is doing a lot of reforms as we speak and many initiatives are laudable and fantastic. But implementation, as always, has been a bit of an issue here.”

Germany is one of the top four investors in Malaysia in terms of cumulative investment value, currently at more than RM16 billion.

Even during times ofeconomic crisis, such as last year, when overall foreign direct investments into Malaysia dwindled considerably, fresh money was still coming in from Germany of about RM200 million.

Gruber said that although German investments have remained quite constant, Malaysia has to work harder to stay competitive.

“We have to be frank. A lot of investment goes to China now and to be and remain a world-class leader, Malaysia has to find its niche.”

He suggested that the country look at expending its efforts in developing the renewable energy and pharmaceutical sectors.

“Malaysia is uniquely blessed with many renewable energy sources – palm oil, biomass, sun, water – but it has not fully capitalised on them,” Gruber said. 

Read more: Skills, equity hurdles to investment http://www.btimes.com.my/Current_News/BTIMES/articles/jermani-2/Article/index_html#ixzz11CCaxiLL

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