I first wrote about Australian Internship Crisis in August 2012. Subsequently, few more places were created to absorb some of the graduates. Based on the data here, there are still about 50 students who have not got internship post for 2013, as of Nov 2012. As for Monash Malaysia, I was informed that only 7 students were given internship post in Australia, out of which, only 1 is an international student. The rest of the international students will be left in the limbo. I read an interesting letter posted in medicine.com which I have reproduced below.
I also received an interesting email from a Malaysian self funded student in Australia. It seems the Malaysian students in Australia are planning to send a petition to our Government to ask the Australian government to give internship post to all Malaysians. I was informed that almost 50% of all international students doing medicine in Australia are Malaysians, majority under scholarship from MARA, JPA etc etc!! The graph below was taken from their petition and you can clearly see the sudden increase in the number of graduates in Australia starting this year. As I have said before, at only 3326 students (2012 graduates), they are in crisis. We have successfully produced slightly more than 4000 graduates (local + overseas) this year. Imagine when all our 36 grandiose medical school starts to produce graduates by 2016, we will be seeing close to 8000 graduates entering the market. Can we cope? You know the answer.
I know that the students are trying their best to get an internship post in Australia for presumable “better” training. They may be right looking at the total mess that we are in at the moment. I use to say that the practical training in Malaysia is better than developed countries but based on the current scenario, I don’t dare to say that anymore. However, it is still better to work in our own healthcare system as it is different from Australian healthcare system. Even if you do get an internship post in Australia, are you sure you will get a postgraduate training post? You will likely be thrown to a rural clinic or hospital for service. I have received several emails from doctors working there who want to come back home for postgraduate training as they could not get a training post of their choice. Well, the situation may be the same over here as well.
I ask the students the following questions:
The world has not ended (yet) – so, let us look at some pieces to pick up
By Dr L-F Ng, in private practice, Australia
Some days ago, a Malaysia-based specialist colleague who had sent his daughter
to the Monash University (Malaysia) Medical School wrote to me about the
difficulties she was facing in obtaining an internship posting in Australia after
her recent graduation in Medicine.
My colleague had paid high University and tuition fees for his daughter to qualify
with an “Australian” degree – albeit offshore. He and his daughter are now
disappointed and presumably mentally stressed. There will be many more.
It was stated that the Malaysian Monash school had distanced itself from this as
had the Monash Australian School.
The facts:
1. Australia is continuing to face a shortage of doctors and this is likely to be
for some time to come.
2. The rapid and increased production of doctors over the past decade
has produced a ‘tsunami’ of new graduates moving into internship and
resident training positions. These doctors will need supervision and
guidance.
3. Australian public hospitals cannot cope with the demand of intern
positions. The rural and remote ones may not have sufficient experienced
doctors to supervise them.
4. Alternative ways of intern placements (including GP ones) are being
thought out and implemented
What does all this mean?
The matter is complex and is one related to supply, demand, immigration policy,
politics, turf protection and the law.
From the simplistic view of the parent who has spent much money in fees to
empower a son or daughter to qualify with an Australian degree offshore, it
appears to be very disappointing. Some feel misled.
When Monash Medical School Malaysia was formed, it was promised that the
degree conferred would be exactly the same as the one conferred in Australia.
This sounds fair enough.
But, many did not (and do not) know about the intertwining systems in
Australian bureaucracy which leads to an outcome of an Australian medical
graduate (whether on or offshore) being allowed to practise medicine in
Australia.
Recently, in the Australian medical landscape was the publication of a Report
of a Lower House (Australian Federal Parliament) Inquiry into the Registration
Processes and Support for Overseas trained doctors. The report was called “Lost
in the Labyrinth”
Malaysian (and other overseas) medical students – whether they qualify from
Australian medical schools inshore or offshore, will fall into the category of
Overseas Trained Doctors as defined in the Health Insurance Act 1973 the woes
of which had been thoroughly (but not completely) investigated in this Inquiry.
Initial scrutiny of this may not be important to Malaysian parents who have
invested millions in their children in an Australian degree – whether acquired
inshore or offshore. They only wanted the letters after the names. But this is now
different.
It does matter for several reasons:
1. The Australian law governing medical practice opportunities cover
local and overseas born graduates if they have not registered to practise
medicine prior to 1996. The law is called the Health Insurance Act 1973
and the section which applies is s19
2. The law subtly forces those in the above group into rural and remote
regions where doctors are needed most. It is a form of compulsory
service and the current Malaysian Government’s compulsory 3 year
service is nothing compared with the 10 year moratorium.
3. Postgraduate training in a metropolitan area does not count and the clock
only starts when a legally defined rural posting commences.
4. The level of supervision in the rural areas is different from that in the
metropolitan areas and the ‘high’ standards demanded of doctors are
applied and expected. Disciplinary action can follow investigation of
any case outcome or complaint irrespective of whether it is true or not,
frivolous or not, malfeasant or not.
Given this parents or those who already have children in the system should
be alerted to what the real scenario may be.
A formal perspective could be viewed in the Official Report itself “Lost in the
Labyrinth.” Disappointing, though the Government (of Australia) is mandated
to formally respond to this within 6 months, it has not done so. It may be that
it is in the ‘too hard’ basket.
The Author has privately published a personal response to the Report and
has recently written a short article in Independent Australia on
“Psychological False Imprisonment in Australia”
Opinion:
Graduates of offshore Australian medical schools – whether Malaysian
citizens or permanent visa holders are now in the same position as others
anywhere else who are outside Australia. There is a world wide shortage
of doctors but economic and immigration matters impinge on their
employability.
For example, in the UK, the scenario with available house jobs is bleak. UK
graduates attempt to get their internships offshore (but, are they recognised
later on for Full Registration?). The scenario with Australians who are
Australian medical graduates is the same. They may secure internships
offshore, but these are not recognised for General Registration – and they
will need to repeat these inshore if they wish to return – as the current law
stands.
The Malaysian Medical Council remains less administratively obstructionist
but the scenario may change. For the present time, Monash Malaysia
medical graduates will likely be accepted for internship training and postings
in Malaysia – and, that would be good for Malaysia. But, if it were their
parents’ original intent for them to obtain overseas letters in order that they
have an option to relocate to the country of their choice, this will continue to
be a disappointment.
There may be many medical graduates who cannot find a suitable internship
placement which is recognised in their chosen country of practice because of
administrative hurdles to be cleared. Without this they cannot receive Full or
General Registration and therefore cannot proceed with specialist or other
postgraduate training.
This only applies to medical graduates but what about Australia’s offshore
educational industry and the thousands of other graduates they have
produced and are producing? Do they enjoy and equal rating? I doubt it.
If so, this is alleged psychological false imprisonment and it allegedly
breaches the various United Nations Covenants signed by Australia. There
cannot be an easy domestic remedy in Australia because the aggrieved are
offshore residents and have no right of residence – thus having no locus
standii.
To the bureaucrats on both sides of the divide who had invented this scheme
– as the English say, “You have got your nickers in a twist”
To the rural and remote (and the voters) in Australia – nothing appears to be
changing significantly – the impediments remain.
Pagalavan's Avatar 
Hi,
“..in the UK, the scenario with available house jobs is bleak…”
There is a confirmed over subscription for 2013 for training places, but these include IMGS who may not have rights to work in the UK.
With regards to the bias towards training posts:
In Australia, after graduating and completing 1 year of internship, EVERYONE APPLIES FOR A PERMANENT RESIDENCE… and will get it within a year either via general skilled migration OR employee sponsored migration (a sureshot). By PGY3/HMO3, you are competing on an equal footing to the locals. Achieving specialization before 30 years of age is not uncommon.
The masters postgraduate system in malaysia arguably takes longer than the australian system in that aspect.
The so called “regional” Australian hospitals may not be first class tertiary teaching hospitals, but have most basic facilities (eg CT/MRI/24hrPathology onsite), with central air-conditioning and similar working hours to the metropolitan sites (40 hours per week!). You can read what you want into that but at the end of the day, lifestyle balance is achievable with reasonable hours and decent salary – currently ~AU$30 (RM90) per hour for an intern/houseman.
dear mint,
are u in australia working as a doctor.
I have completed the AMC part 1 and ielts, now awaiting for a date for part2…but i cant get a job!!!
would love to chat with you regarding the aussie system..
thanks
mystic
Dear Mint,
So can I say it will be AU$30 X 40 hours = AUS$1200. Any other allowance?
I understand that overtime has been strictly controlled and slashed down. right?
So how much a new HO and a MO is earning (estimated)?
Thanks
Why not ask how high is the revenue tax and the benefit as well as the term of benefit of the tax ? I understand from a PR that the revenue tax is 36% Gross ( she is an IT professional), wonder is it the same overboard. Good to find out. Never make uninformed or misinformed decision.
mystic, I dont know much about the pathway for IMG’s. The department of immigration has been messing around with the rules quite a bit now (eg. The subclass 885 migration visa has been scrapped with a new system in place). The reality is that you may have to work in a regional area for some time depending on the circumstances and job availability. One thing to remember is that “regional” in Australia is not the same as “kampung” in Malaysia. You get decent access to all amenities, and some perks, such as rent (which is already very low) pre-tax.
New HO, to be honest it really really varies depending on the rotation you are assigned to. Some rotations have plenty of overtime and penalties by default. For example, weekends (x1.5) and nights (x1.25) pay more. The record I’ve been paid was on a public holiday Sunday (THREE TIMES award rate OMGWTFHELLYEA). Also note that if you work more hours you get paid double the award rate once above a certain number of hours.
Pay varies by state and sometime individual hospitals, but as of 2012, you’ll be getting just above $60000. Decent I’d reckon given that interns dont really do much or make any big calls.
IMHO, Interns/Housemen are not allowed to claim overtime for two reasons:
1) abuse of the system because…
2) …jobs are pretty routine and mundane and being new to the system, Interns by definition perform less efficiently and are just SLOOOOOW at doing things. Interns leaving late during the first few months is common at all sites (with no overtime) but that is understandable due to simple lack of familiarity with the job. All in all, the amount of work is reasonable and you should be able to finish all work in the rostered hours. Towards the end of the year, interns generally leave on time….sometimes even early when all jobs are done and patients handed over (there is AMPLE 1-2hr overlap between shifts!)
* that said, rostered shifts (eg. shifts you pick up to cover people) are always paid, usually at double the award rate as it exceeds your working hours. Availability of these shifts varies by individual hospital, favoring the more remote sites.
How about the times when your co-intern call in sick and you have to cover him for the rest of the day?
I have read somewhere that interns (after a few months) are the most efficient employee in the hospital because they sort out a thousand things in a time.
PS did u manage to get back to the Metropolitan hospital?
Queen,
If someone calls in sick and you take their shift, It’s paid at double award rate. Which is why workforce really tries to prevent unnecessary sick leave. Statutory declarations are common, and if a family member dies you’ll need a death cert for compassionate leave.
Did i get back to a metro site? Nope. But im not fussed. Oh god i hope this doesnt give away my identity… I got offered first preference in all rotations at my current employer. There are some rotations which are simply not available at metropolitan sites. Notably, I’ll be a PYG2/HMO2 MedReg working directly under a a really really pleasant consultant next year (arguably the most hardcore medical learning curve ever)… ill also be doing an intensive care AND an anaesthethics rotation.
It’s a combination hard to refuse!
I only applied to a few hospitals close to my gf in a metropolitan area. No surprise I didnt get anything (interns typically send out 10+ applications).
To be realistic, quite a number of my colleagues got positions in metropolitan areas. I’ll say roughly half – it is alot easier as a PR. Some got offered metropolitan positions in other states but turned them down.
It’s not that bad working in a regional area. I live 1 minute away from work. Wake up at 7 to make it for rounds at 7.30. You cant do that at metro networks… Comparing the time I spent on the road as a student (in metro hospital networks) and the time I spend now commuting every weekend to see my girlfriend, I dont think im spending any more time driving… and zipping down the freeway is a hell of a lot less stressful than morning/afternoon metro traffic.
You save alot alot on rent, which is also deducted pre-tax, by working in a regional area. In the city you’ll be spending over double that for rent. Ultimately, myself and many of my colleagues have managed to save over $30,000 this year. This despite taking my gf out every weekend and spending on groceries for two people. It makes purchasing a property in 2nd year a real possibility! For perspective, a Civic/Corolla is around $25k brand new (registered and insured).
I appreciate that Mint. I am actually an intern in one of the Metropolitan Hospital in Victoria.
What I was trying to illustrate is sometimes Overtime claim can be justifiable too, especially in the context where one of your teammate called in sick (from the same team), and you have to do 2 person’s job, resulting in staying back late etc.
And congratulations in getting the uber awesome rotations that you want! You cant be a medreg in the metropolitan hospital during HMO2 year! Very steep learning curve indeed.
(PS Honda civic 2012 is on sale, atm it’s 21k DRIVE OUT PRICE!)
Queen, congratulations on securing a job in OZ =)
Never really had an issue with being short staffed as there are resident relievers floating around. Personally i’ve never filed overtime claims though I have done quite a number of extra shifts.
Have no interest in the Civic atm. Was looking more towards an LPG Commodore. The difference between a ~1200kg class light car (like the civic and car im driving) and a full size ~1800kg sedan is quite marked on the open road.
The 21k price is for the manual version. The cheapest Auto Civic is $23800 driveaway… but who would buy it with just budget third party insurance? Once you include comprehensive insurance it’s going to be around $25k.
*rostered, paid shifts.
You may get a permanent residence but not necessary you will get a permanent job! I heard Malaysian( PRs) are regarded as 3rd class residents in Aussie (Chinese from China are treated better as 2nd class because of their investments). Is it true?
So after HOship, you may just ended as chronic dr on contract basis with a high tax package of more than 40%! Many PR works as taxi driver because they cannot get a job, and their bosses are Chinese from China. I had met more than 4 in a week when I was in Aus!!
Anecdotally, looking at the faces and nationalities of the Advanced Registrars (soon to be consultants), I would have to disagree with that statement. Im sure Mystic would agree.
Dont get me wrong, it’s really tough to get into a fellowship, but my point is there isnt much descrimination – or at least nothing like what is observed in Malaysia. It’s not an utopian system but definitely more egalitarian than the Malaysian Masters system.
I cannot comment on other fields. Personally I’ve recently been on a domestic holiday, taking taxis daily, and I have never bumped into an ethnic Chinese taxi driver. Coincidence? There were lots of indian/singh/african ones though.
Thats not true. A PR is a PR is a PR. Principally they do not discriminate. To be honest, I dont even think the selection committee for training cares about where they come from.
You need to know more about taxes in Australia before stating the 40% tax bracket. I have not met a chinese taxi driver myself.
And hospital normally do not employ chronic residents because they are very expensive. There are some chronic ED registrars around though, whom are mostly older IMGs that are not keen to take exams.
Yeah, those i met were actually indian drivers, they told me their boss are Chinese from China. All four! I said ‘Many PR’ and ‘their bosses are Chinese from China’, I did not said the driver are Chinese or Malaysian. Sorry for any confusion.
“You need to know more about taxes in Australia before stating the 40% tax bracket”
Hi, Queen, how about let us (those who want to work in Aus) know the tax braket. I heard it is very high too for those working in Aus as HO or MO comapred to those working in Malaysia. Really appreciate if you could provide this info. Thanks.
Dear New HO,
You can have a look here.
http://www.ato.gov.au/content/12333.htm
All doctors that has a contract to work in a hospital are considered as Australia residents for tax purposes. This is the normal tax imposed by first world country, really, what’s the fuss? It’s like telling the Aussie accountants and investment bankers to come back to Malaysia to work because Aussie is imposing such a high tax rate, but please bear in mind that despite the high tax rate they are paid significantly higher. You can read Mint’s post for further “clues” – new cars/actual savings/ working hours etc.
Also, google “Australia salary packaging for doctors”.
Cheers.
Are you planning to work in the Aus?
also they get free education, cheaper car etc. The tax comes back to you
Education in Australia in NOT free, even for citizens, but it is subsidised, students have to pay about a third of full fees, and even the bulk of that can be ‘deferred’ under HECS (something like PTPTN loan), till the graduate starts working and paying taxes. No running away like PTPTN though, as it is automatically deducted when your taxable income hits a certain level, which is basically when you get a full time job.
I am a first year Undergraduate in Perdana University , having transferred recently from UCSI recently. , under JPA. I am going to fulfill my dream of becoming a doctor with the worlds most famous medical training school .
You are really in a dream world with delusion of grandiose!!
What ‘world famous’ medical school?
Your degree is from Perdana University which is NOT recognized anywhere else in this world.
It is NOT even listed in WHO listing.
Finally, it is not even accreditated by MMC yet, even though it will eventually due to political pressure.
On a fair note, graduates from PU are also conferred with the prestigious MB BCh BAO degree from RCSI, Dublin, Ireland. Eventually, it will be more popular than University Malaya, especially in europe b’cos of its degree conferred by RCSI. All graduates from Perdana U has a double degree. Most public universities in Malaysia are degrading backward b’cos of its intake entry qualification mostly > 90% from the 11 mth- Asasi Matrikulasi course. In future, the Asasi Matrikulasi will be conducted fully in Malay language. This is a fact which cannot be denied. An example is that, MU was formally recognised by GMC, UK but was strike off from their recognition list, partially due to this reason.
RCSI conferred by Perdana Uni is NOT the same as the prestigious RCSI from Ireland. The degree does not mean anything as the recognition is NOT the same. For example, Monash Malaysia offered the same prestigious degree as Monash Australia BUT it is not recognized anywhere else! So, eventhough Ireland may recognize this degree BUT it will not be recognized anywhere else. Same goes to PMC as well as Newcastle. BTW, even if Ireland recognizes Perdana RCSI, your chances of getting a job there is very slim.
Your place of training do play an important role.
Bear in mind that the recognition is as claimed by Perdana Uni.
1st statement: “Students graduating from PU-RCSI School of Medicine are conferred with the primary degrees of the National University of Ireland, Bachelor of Medicine, Bachelor of Surgery and Bachelor in the Art of Obstetrics (MB BCh BAO). In addition, students are also awarded the historical licentiates of the Royal College of Physicians of Ireland and the Royal College of Surgeons in Ireland. ”
2nd statement: “The MB BCh BAO degrees are recognized by the Irish Medical Council, the Malaysian Medical Council and other regulatory bodies throughout the world.”
3rd statement:
The degrees allow the holder to pursue postgraduate training worldwide.
And one can’t assume that the 1st statement leads to the others with no black and white. That’s how most parents and their children becomes so gullible:P
This is how they cheat the public. If you visit Irish Medical Council website, there is NO mention about Perdana University. They lump everyone as graduates from universities outside Ireland and have to sit for PRES exams , effective Jan 2011. Even if Irish medical council recognises them, it is unlikely they will get a job over there.
Probability of a non-EU national getting a Foundation post in the Irish Republic is near zero. Thereafter, it gets even worse for continuing and specialist training. If you think the shortage of jobs is bad in the UK, the Republic of Ireland is in far worse shape. Many doctors from Ireland apply for training posts in UK because of this.
RCSI’s MB BCh BAO might be labelled “prestigious” out in the Far East but in UK, those who still subscribe to undergraduate degree snobbery see Irish medical schools as being 2nd tier to mainland UK medical schools. 25 years ago when I was an undergrad, those who went to the Irish Republic did not do so out of choice but because their applications to UK medical schools had been turned down (akin to many failed medical applicants ending up in dentistry. I’m not deriding dentistry here, please. Just citing statistical data).
It did not help the Irish medical schools’ reputations that they had a much higher proportion of overseas medical students (sometimes >50%!) in comparison to UK where 10-15% was the traditional rule. Thankfully, undergrad degree snobbery is far less prevalent now in UK as the older generations have retired.
I can tell any budding doctor that in the UK, the “prestige” of your undergraduate degree probably counts:
1) Up to 90% when applying for Foundation schools
2) Up to 33% when applying for Continuing training
3) Big Fat Zero when applying for Specialty training (at this stage, what else you have added to your CV since you graduated is what counts)
The way some of these universities market the prestige and desirability of their medical degree to the developing nations is sometimes laughable and to some extent ethically questionable. They almost imply that it is a golden ticket to success. And unfortunately there are a lot of gullible parents and prospective medical students out there
Don’t think that just because you have an OxBridge/Edinburgh/Yale/Harvard or other “prestigious” undergrad degree, your career pathway thereafter is going to be smooth sailing. Most undergrads have almost no comprehension of the voracious competition involved when it comes to securing a Specialty training post.
Another lost soul blinded by the advertistment.
For those who plan to work in Ireland pls think twice. With the economy down turn, and tax as high as 50% may not a good place to go. The local are leaving Ireland
Now I know why HOs from Ireland are sometime also “blur”…
Including “worlds most famous” in your comment has proven you to be completely naive or a dolt!
You really should NOT be doing medicine because I think you are simply not smart enough. Please drop out and do some other thing so that you are not a danger to mankind in need of medical treatment.
Please do mankind this favour by heeding my advice.
Please do not have the feeling that perdana university will promise u to ‘super’ degree. Ur super ‘degree’ is the same as those they got from Russia. Do not believe me? Try to apply job when u finish your med school in US or Singapore.
I think Russia is an understatement and looke up upon to when compared to grads from Middle east countries.
Btw, please check with other country they recognize your world famous ‘Perdana U’s ‘ degree or not. You are really have no idea how the system works, Very naive indeed.
Yant and Juan, the Irish degree from both PMC and soon PU (and one more upstart I think), is NOT the same as the original from Ireland. while it is recognised in Ireland, it is NOT in other countries that may recognise the original degree. The GMC condition is that the major part of the degree must be done in the country of award of degree, and SMC wants the clinical years done in the country of award.
In any case, as pointed out by Jon above, the Irish Med schools are well known ‘degree mills’, taking in large numbers of foreign students, including from the States. The total capacity of medical places in Ireland exceeds their annual needs, so it is obvious they are exporting medical training. They are easier to get in, and as in the past as now, people intending to go to UK for medicine will end up in Ireland if they cannot get into UK. In the IMU-PMS matching, Galway is typically one of the last choices.
A friend just returned from UK (just completed his master in Architecture at UCL) but could not get a job there after trying hard for many months. It seems the immigration rule is very strict now. He did his first degree in UKM and had worked for 3 years before leaving for UCL. Was very disappointed after spending so much money and quiting his job in an architeture firm in KL, now he has to look for job again.
He can try Singapore if he really wants better career prospect. UCL degree ( if it really is University College London that is) is highly looked up upon in Singapore. Singapore really takes meritocracy to a whole new level. But you must be willing to toil, just a downside of Singapore working environment nevertheless.
[In reply to “Not a PR” comment]
“It seems the Malaysian students in Australia are planning to send a petition to our Government to ask the Australian government to give internship post to all Malaysians. ”
It defies all logic. Why on earth the Malaysia gov must bear the resposibility to ensure job vacancies for these Malaysian student in Australia knowing that for sure they will not come back once employed there and worse will give up Malaysian citizenship eventually. they should consider themselves lucky for Malaysia still recognize their Australian medical degree and be eligible for jobs in Malaysia.
These student are desperate, they should do se soul searching themselves. So naive to have such a thinking. Likely their letter will end up in dusbin. Malaysians should stop thinking medicine will give them big and fast money.
Spoilt brats. –> “If i don’t get this, I would want my parents to get them for me. If it still doesn’t work, I’ll get the government instead. Threaten to vote against them, get the favor, and vote against them nevertheless” 😛
At least put an acknowledgement or link back to the Malaysian Medical Resources if you c&p from there
http://medicine.com.my/wp/2012/12/internship-in-australia/
The link is in my post. Click on ‘medicine.com’ at my first paragraph where I put an acknowledgement to medicine.com. I always put an acknowledgement from where the article was taken from but it is embeded.
Dear doctor,
I myself a doctor too. I am now doing my m med final year in one of the local university. As you are aware most of the policy involve the professor in the universities. There is a rumor going around that the Kkm is running out of mo post. I understand the mos’ post will be all taken up by JULY 2013! What is ur comment?
It is inevitable. I had mentioned it many times in this blog. I know many KKs and District Hospitals where the post is full. I know NS, Selangor, Melaka and even Perak is almost FULL. Many will be sent to Sabah and Sarawak.
“I read an interesting letter posted in medicine.com which I have reproduced below.”
i think Dr Pagalavan has given enough credit to the original article..
At least, he is not inconsolably promoting his website/article on the Malaysian Primary Care Network on Facebook
If only there is a like button, I will definitely click on this. 😛
Agreed and touché.
And it pains my eyes looking at the poor layout there with numerous advertisement. At least this site has a better and simpler layout and readable fonts. Keep up the good job! 🙂
Sorry, this has nothing to do with the topic above but I just stumbled upon a Malaysian Dr/ Houseman’s blog…apparently he’s mentally unstable but is still allowed to work! He’s under treatment yes, but he’s not eating his meds!! as a member of the public and a non medical personnel, I feel horrified that such people are allowed to work, treat patients and function in the hospital! What if he goes berserk and attacks his patients! My goodness…
http://falsifiabletruths.blogspot.com/
Oh lol his blog is actually quite an interesting read. Horror stories.
I think he’s just ranting… you know, blowing off steam.
Overall, he talks sense in his recent posts.
Some of the earlier posts however are a bit odd. I would say almost non-sequitur.
From what I can make of it he’s a junior HO somewhere in borneo. The way he describes having increased sensorium after stopping the meds suggests he was on an antipsychotic… probably risperidone or quetiapine…but then he has been on it for 25 years (?!) cant be right…
Generally, the psychiatrist have to decide on the fate of such doctors. If the psychiatrist feel that he can harm patients, the HOD should take action.
And what if, when the HOD himself was the one under Psy? Calling his MO who was on leave back from other states just because of some small mistake. Making 24 hours rounds, extending house officers all for the reasons only he knows. Fortunately, he had it and was transferred elsewhere, sitting in the clinic instead and stopping the torture once and for all..for now.. 😛
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