My 1st part of this topic was published about a week ago http://pagalavan.com/2012/06/29/for-future-doctors-subspecialist-training-in-moh-new-rules-and-regulations/. I just returned from the Malaysian Rheumatology Society annual conference in Penang last weekend. I had a oppurtunity to discuss various issues regarding the topic above with my colleagues from MOH.
The new rules mentioned before is causing a lot of dissatisfaction and disappointment among the specialist. It seems that the offer letter to do subspeciality must be signed by the DG and KSU. The authority to offer subspeciality training is now directly under the DG. I feel that it is indeed a good idea to have a system like this, if it is transparent. Previously, many specialist can take short cuts to enter subspeciality training. For example, a specialist under certain department in certain hospital can easily enter the subspeciality training as long as the HOD accepts him/her. This scenario will NOT happen again.
I was also made to understand that when you apply for subspeciality training programme, you must now determine where you are going to work after completing the training. The place you choose to work post-sub training must be agreed upon by MOH. If MOH do not agree, they will determine where you will be posted after completing your training. This place of practise will be included in your contract. For example, your contract might say that after completing your subspecialist training, you will be posted to Miri Hospital etc. If you don’t agree, you don’t get the training post. This is to prevent specialist from rejecting any transfer after training. With the new contract, the MOH has already decided where you have to work after completing your training. Furthermore, you will also be bonded with the government. It looks like, it is a well “planned” programme. Didn’t I say it is coming ? Please read my article in MMA which I wrote almost 6 years ago: http://pagalavan.com/my-mma-articles/july-2006future-of-government-doctors-die-another-day/. The same might happen to MO post soon where you can’t reject any transfer if you want to keep your job since the post will be limited with oversupply of doctors. I also heard rumours that the same rule might be applied to Master’s application soon.
However, as I said earlier, it might be counterproductive. It seems that the MOHE hospitals a.k.a University Hospitals do not follow the same rules and regulations. These hospitals can accept you into subspecialist training immediately after MRCP or Master’s gazettement. This is because they have their own rules and regulation of gazettement etc. It looks like, many specialist might resign from MOH and join these hospitals for faster training programme. When the new promotion scheme was introduced by MOH in 2010 http://pagalavan.com/2010/04/02/government-doctors-promotion/, the scheme was better than the MOHE hospital’s promotion scheme. Many who wanted to leave to MOHE hospitals decided to stay put in MOH hospitals. The reverse will happen soon.
Recently I had a comment saying that I am talking rubbish and a lot of issues that I bring up is just rumours and not conclusive. He said that people must only take info provided by the higher authority. Well, I never forced anyone to accept everything that I say but at least I am doing some sort of public service by informing the public and medical fraternity of what is coming. If you go back and read what I have been saying in this blog over the last 2 years and read what I wrote in my MMA Magazine over the last 8 years, you will realise that almost all that I said and predicted have come true. So, it is up to the readers to decide……………….