I thought of commenting on some of the amusing news that appeared today in the papers. This news below appeared in the Star from our Ex-Health Minister and the current Health Minister.
Whatever said and done, our ex-Health Minister Dato Dr Chua Soi Lek was the best Health Minister that we have ever had. Being a doctor himself, together with our ex-DG, they did form a good team of administrators running the health ministry. What he said below is the truth, which I have been saying since the last 2 years in this blog. http://thestar.com.my/news/story.asp?file=/2012/7/17/nation/11671578&sec=nation. Oversupply of doctors is a distant reality, which he himself admitted in this article. In fact, he also admits that there is lack of training of junior doctors and this is an unhealthy scenario. Imagine 180 doctors for a 400-bedded hospital, that’s 1 doctor to 2 beds!! As someone said in this blog before, we may have more doctors then patients in some hospitals soon. Most MO post in district hospitals in Peninsular Malaysia is already full. I still have people who do not believe it will happen. I had a budding doctor who said “ doctor don’t die or retire, is it?”. Well, let me explain to you the fact. Yes, doctors do die, retire and migrate but the numbers are less than 1000/year, in fact only about 500-600. On the other hand, we produced almost 5000 doctors last year with only 50% of the 36 medical schools producing graduates. The number will hit almost 8000 by 2016 when all medical schools begin to produce their graduates and later, 10 000 when they produce at maximum capacity. It is increasing exponentially compared to the number of doctors dying, retiring and migrating!
Now, lets come to our “foot in the mouth” syndrome guy, our current Health Minister. When the issue of jobless nurses came into the picture few months ago, our health minister made one of the biggest joke of all time “the nursing colleges are producing general training nurses and not specialized nurses which we are short of”: http://pagalavan.com/2012/02/07/clown-of-the-year-award-part-3/. I thought that was bad enough for a health minister to say but today’s comment by him really made my day “ Private hospitals should start training their own specialist?” http://thestar.com.my/news/story.asp?file=/2012/7/17/nation/20120717175709&sec=nation. I mean, does he know what he is talking about? Does he even know how the private hospitals in Malaysia are run? I seriously feel this guy need proper briefing about the healthcare system of this country. I have written about the pros and cons of using private hospitals for specialist training here: http://pagalavan.com/2012/06/18/specialist-training-in-private-hospitals/. This sentence really made my day: “They should also train their existing doctors to become specialists” What existing doctors??………… I give up!
Just a repeat of what I have said before, private hospitals DO NOT employ specialist. ALL specialists in private hospitals are self-employed and rent’s a room in the hospital to run their service. Private hospitals also DO NOT employ housemen and medical officers (except for emergency department). So, how in the world are these hospitals going to train their own specialist? Can someone explain to me, probably I am too exhausted thinking about the people who are running this country! Since consultants in private hospitals are self-employed, every other specialist is a competitor. So, do you think these consultants would even bother to train anyone to become their own competitor? At least he was right about one thing : we will achieve a doctor: population ratio of 1: 400 by 2020.
And just before we can swallow all this crap, here comes another news http://www.bernama.com/bernama/v6/newsgeneral.php?id=680881. Vinayaka Missions University is going to set up postgraduate medical faculty in Klang Valley!! Gosh, I think I should just stop writing before I blow my top!
Chua: Clinical training needed
By FOONG PEK YEE email@example.com
BIDOR: Many junior doctors lack clinical training opportunities due to an oversupply of medical practitioners, said MCA president Datuk Seri Dr Chua Soi Lek. Citing a district hospital with about 400 beds and 180 doctors as an example, he said the doctors would not be able to get adequate opportunities for their clinical training.
“Clinical training and experience are very important for doctors.
“The lack of it will have serious repercussions on their abilities,” said Dr Chua.
He added that there were more than 300 recognised universities for medicine and about 4,000 medical graduates from local and foreign universities joining the workforce yearly.
He said those who were not offered medicine at public universities should be given science-related courses instead.
“The same principle should be applied to other types of courses,” he said after opening a karaoke competition and dinner here on Sunday.
Earlier, SMJK Sam Tet student Lee Kee Hon appealed to Dr Chua for help to get into dentistry.
Kee Hon, whose CGPA (cumulative grade point average) is 4.0, had put dentistry as one of his first two choices but was offered a course in food science and nutrition instead.
Meanwhile, an MCA Youth spokesman said students could forward a copy of their appeal to MCA Youth Education Bureau, 7th Floor, Wisma MCA, Jalan Ampang, Kuala Lumpur.
Private hospitals urged to train own specialists
KUALA LUMPUR: Private hospitals need to train more specialists on their own to assist the government in tackling the shortage of specialist doctors in the country, said Health Minister Datuk Seri Liow Tiong Lai Tuesday.
He said that, at the moment, the country had 5,000 specialist doctors and of this figure, 3,000 specialist doctors were now serving in the public sector.
“Private hospitals should also have their own specialists and should not depend only on government hospitals to obtain the service of specialist doctors.
“They should also train their existing doctors to become specialists,” he told reporters after opening the 20th International Conference and Exhibition on Health Care, here.
He said there were now 35,000 doctors in the country and the government hoped the ratio of one doctor to 400 people could be achieved by 2020.
Meanwhile, Private Hospital Association president Datuk Dr Jacob Thomas said the three-day conference which focused on human capital development in the hospital service sector attracted participants from 30 countries. – Bernama