Over the last few days, I received and read few information regarding the situation of employment of doctors in Malaysia. As I predicted almost 8 years ago, every single prediction of mine is becoming a reality sooner than I had expected. I read the latest Berita MMA (Feb 2014) yesterday where both the editor and the President was talking about the oversupply of doctors and the fact that JPA is asking MMC to remove the compulsory service. It is interesting because when I first wrote about this possibility in 2005 and 2006, the then MMA president said that I am over exaggerating ! While MMA is adamant that the compulsory service of 4 years (including 2 years horsemanship) should remain, how long can the government remain silent that there will be unemployed doctors in near future? As I have written over here, by 2016/17, housemanship will likely be given on contract basis, after which there is no guarantee that you will get a job. In order for them to do this, compulsory service of 4 years must be removed.
2 days ago, our Health Minister has confirmed that MOH and MOE are strongly looking into introducing a common entry exam (MMLE) for ALL medical graduates. At the moment, they will only enforce the minimum entry qualifications as per MMC guideline. It is very likely that those who DO NOT have the minimum entry qualifications after 2011 will not be able to get a job upon their return to the country. Thus, I would like to remind all those who are doing medicine elsewhere without NOC and without the minimum entry requirement, to be prepared to get unemployed. Even though I had not received the official statistics for the year 2013, it is mentioned in the same article that Malaysia has achieved a doctor:population ratio of 1: 600 (1: 790 in 2012) which suppose to be only achieved in 2016!! We are 2 years ahead! Remember that 50% of the 40+ local medical programs have not produced any graduates. I am very sure we can achieve the target of 1:400 by 2017 instead of 2020.
On another note, I was informed that the MO’s post for Peninsular Malaysia is almost FULL. Almost a year ago, I published this circular from MOH which stated that the MO’s post in certain states are deemed full. One year forward, I am pretty sure almost all states are facing the same problem except East Malaysia. Thus, most of those who will be finishing housemanship this year will be posted to Sabah and Sarawak. “You Tak Suka You Boleh Keluar! ” will become MOH’s motto. Be grateful that at least you have a job in MOH. Soon would be graduating doctors may not even get a MO job! It is also confirmed that those who finish Housemanship in Klang Valley and Seremban will be transferred out of the state for MOship.
In my last article about Dengue, I wrote about the extension of Klinik Kesihatan working hours to 10pm in Dengue hotspot areas. I did say that it will remain so even after the Dengue epidemic is over simply because it is the most politically correct thing to do. However, the government will not be able to pay RM 80/hour for all the doctors as overtime allowance for the staffs due to the current financial situation. I mentioned that there will come a time (very soon) that the shift system will be introduced to KKs. In fact, a pilot project was initiated in KK PD last year but did not receive good response from the doctors. I was told that they have started another pilot project at Putrajaya KK recently. With close to 15 MOs in most major KKs now ( use to be less than 5), it is inevitable. Some KKs do not even have enough rooms for the number of doctors.
Today, it was mentioned in the Malaysian Medical Resources website (see below) that the shift system for KKs is almost confirmed coming, very soon. The word came from DG’s mouth itself. Of course, it will start with the KKs in major towns followed by semi-rural and rural areas. The only issue I worry about is the safety of doctors and staffs. As a government servant, you just have to follow what the Ministry says. You can’t overrule MOH. Discussion will be held but whatever decision made by MOH need to be followed. Otherwise ” You Tak Suka, You Boleh Keluar!”
For those who went to KK hoping to have an office hour job and better family life, the time has come to do night calls. Since you decided to become a doctor to help mankind, duty calls……………..
Licensing exam for docs?
| February 14, 2014
Subra says his ministry is considering several ideas aimed at improving health and medical care.
Health Minister Dr S Subramaniam has said that he would propose that Malaysia follow a system similar to the one used in the United States, where there is a qualifying exam for those who wish to practise medicine.
“If this idea is accepted, we have to ensure that those graduating from local and foreign universities have to go through a common exam,” he told FMT in recent interview.
However, he added, his ministry would need the cooperation of the Education Ministry and the Public Services Commission in order to push the proposal.
He also confirmed that the government would raise the minimum educational qualifications for students intending to pursue a medical degree.
At present, a student needs 4Bs in the core science subjects at SPM level and a CGPA score of 3.0 at the STPM/Matriculation level as the minimum requirement for acceptance into the medical programmes of local universities.
Dr Subramaniam said this needed to be reviewed to ensure that standards were not compromised.
However, he acknowledged that this would be difficult to enforce in cases of students going overseas for their degrees because Malaysia could not legally bind foreign institutions to impose minimum requirements.
He said the government would have to work out some legal mechanism to ensure that students going overseas would be subjected to the same requirements imposed upon those entering local universities.
Logistics
Dr Subramaniam also spoke of the country’s need for more specialist doctors, saying the government was providing “various avenues” for general physicians to get specialist training.
He said the total number of places for specialist training in local institutions had been increased from 300 to 1,000.
“We also want to provide more opportunities for the younger doctors to specialise in certain fields so that there will be a range of specialists to cater to future needs,” he added.
He also spoke of the current shortage of doctors, saying his ministry was particularly concerned about increasing their numbers in rural areas.
Malaysia has a doctor-population ratio of 1 to 600, whereas the World Health Organisation (WHO) recommends a ratio of 1 to 400.
But Dr Subramaniam said he was confident that Malaysia would reach the WHO ideal before 2020.
The future of Klinik Kesihatan
Dr. Masliha Harun posted in the DG Datuk Noor Hisham’s FB page
Now because of the workload (at ED) they will sent all the non emergency cases to us (urticaria-3yrs,MC seekers,chronic disease-defaulters and etc) during the extended hours up to 11pm everyday and including public holiday or Sunday whole day. Which actually,as stated earlier,we suppose to “utamakan” dengue and fever as our priority cases,but if this going on- (since we can’t never reject patient) so our workload is getting heavier and heavier,is like we see OPD cases for non stop untill 11pm everyday.
Just because of that,our beloved government would like to make a shift system for all the staff. But only one question i would ask??why we need to please them (people who abuse the system rm1) when we make all our staff suffer…
If u agreed to shift system,we can never had extra allowance to claim,we can never get same cuti (weekend) like other people and we can never enjoy our working area and we getting more stress everyday as a doctor.
to which the DG replied
The future of KK will be in the form of shift duty and the working hours will not be more than what is expected from each and everyone. Extended hours was given because each doctors are doing more than the requirement allocated time. First we need to get more doctors and staff to be posted to KK. Once we have enough staff of all categories the extended hours call allowance will be reviewed. Being a doctors we must adopt to on call system and even shift duty so that’s the future and I agree the implementation will be in stages
As a result of the current surge in Dengue, the MOH has admirably responded with more KKs with extended hours from 8am to 11pm
Working in the Kelinik Kesihatan is no longer that 9 to 5 job which was seen easier than the hospitalists going on night call. However with more and more KKs opening up till 11pm it means doctors serving in KK have to work up to 11 pm. It’s the outpatient equivalent of going on night call and it’s tough on the doctor’s personal life.
When you take up medicine, know that it is not an easy job. It was never meant to be a 9 to 5 “regular office hours” type of job for the clinicians. If you want that, then do something else other than clinical medicine.
When there are more and more MOs in service – inevitable given the current glut in junior doctors and only pending the number of posts allocated for MOs if there is enough money to pay for them (the “staffing issue”) – things will change. As the DG alluded to, it will eventually change to a shift system. No more extended hours call allowance but the working hours won’t be so long.
The issue of abuse of the KK extended hours system needs to be addressed by the administrators in MOH. Get tough on MC seekers, and for chronic disease defaulters, they should be given a short follow-up to regular hours clinic times.
Perhaps the KKs should be strict on the number of patients seen per day. The practice of taking all walk-ins no matter what has to stop. If you want to improve the standard of outpatient care, enough time has to be allocated for the consultation. Patients too should follow an appointment system and walk-ins discouraged.
Dr Paga and the forum, what do you think this would mean for subspecialist malaysians overseas intending to come home at some point? I know a few CT surgeons, electrophysiologists, LVAD/heart failure cardiologists, interventional cardiologist malaysians who have considered coming home at some point. would this mean oversaturated public and private sectors or would this mean a larger referral base because of more caption of the population from oversupply of MOs on diseases that was previously undiagnosed?
I think for specialist there should be no problem as Malaysia still severely lack of specialists of all discipline in public hospitals.
We are still short of specialist in Malaysia. However, the healthcare system in Malaysia is different compared to the US. Unless you work in a tertiary government hospital or a BIG private hospital (very few in numbers), you can’t survive with just your subspecialty. Many do not know how to manage common medical problems. Some of the recent Dengue deaths in Malaysia occurred in private hospitals where the specialist were trained overseas. They do not know how to manage Dengue and failed to pick up the warning signs.
I guess dengue diagnosis would be part of the MMLE then! 😉
From a personal point of view, overseas trained sub-specialists wanting to come back home for personal reasons etc should also give some thoughts of working in our neighbouring country, where technology and expertise wise it would be much at par with US, UK, Australia etc.
I don’t think they are doing the right thing,by implementing the MMLE,they are giving the students that had already enrolled in this course to have no second choice but to take the exam,pass it,or fail and jobless.We spend 5 years in the course,which is already much longer than any other course, or maybe 6 or even 7 years in some other universities,if they are going to implement MMLE,they should include only those who is enrolling in the course now,but not those who are already in it. To solve the problem,they can stop giving recognition to new universities like MAHSA,TAR,Shahputra,Segi. They are giving away the recognition too easily,and this is why,so many new graduates,so little places for HO.
Lincoln, Quest, Asia Metropolitan (Masterskill), CUCMS, MSU, Alliance, Taylor’s and other less qualified overseas institutions
the MMLE if implemented will be an equal playing ground to weed out poorly trained doctors. like the USMLES, it can be a good tool to compare different training on an equal standing. thats never a bad thing
YES, it was the government’s fault to give license to built too many medical schools as a knee jerk reaction to shortage of doctors 15 years ago. BUT it is too late now. In Malaysia, everything is politics and MOST of these medical schools have political connections(look at their board of directors!)
The only way they can control the intake is via the MMLE exams. Many countries have started introducing such exams. It is not something new and it is inevitable.
other university also have students who are full fill the requirement of mmc .. so cant Punish Them to take the exam … n others Oversea uni maybe take long than 5 years … 1st of all the goverment have to do upgrade the restriction or requirement
You need to improve your English! I don’t seem to understand what you are trying to say. If you are good, you should not worry about the exam
Nah, if one already study medicine for 5-6 years, you should be able to do MMLE, not trying to get away from it.
Keyword here is proposal. If the Cabinet agrees to it, then this has to be debated in the Parliament, and then finally enacted, which may take another few years, bearing in mind that all stakeholders being agreeable to this licensing exams.
Although I applaud the notion of having the licensing examination as a standardized measure to gauge competency, but this would mean that graduating medical students would need to pay extra, maybe up to thousands of ringgit for these examinations, including both written and clinical components. In certain countries, the country’s health care service reimburses the fees paid for membership examinations. Hence, for those who passed the licenning examination, I believe they ideally should be reimbursed back too.
Can we ensure that this licensing exam would be free from bias and standardized like the USMLE?
Transparency is none existent in Malaysian dictionary
No 1 reason that those who fail the exam is they are racially discriminated. Politician will be busy entertaining the parents of these candidate to ask MMC to give a special consideration.
Please stop bringing racial issues into medical profession…
Licensing exam is an overdue call. The implementation must be done ASAP. The nitty gritty part of it can be handled later.
If the “nitty gritty part” includes standards, then I would rather these be properly addressed, and strictly adhered to, before implementation. It’s a shame that our new medical graduates are now looked upo with frown and doubtful suspicion. Sometimes it takes just one apple to ruin the entire basket. Not much point to have passed the MMLE to have that same bad apple back in the basket!
There are too many bad apples now!
What’s the job prospect for pharmacists? Any mass production at the moment?
It is coming soon. However, if the government decides to take away the dispensing right of doctors, many more pharmacist will be needed in private sector.
May i know what is your opinion regarding practising medicine in singapore compare to malaysia?
Firstly your degree must be recognised in Singapore for you to be able to practise in Singapore. Only UM and UKM degrees are recognised. Singapore has changed their system to US based residency system. It is a small country where almost all hospitals have subspecialty services.
My institution is recognised by singapore. Just want to know either malaysia or singapore is a better place to practise medicine. Can you give me some opinion?
Better place in what aspect?
Singapore. Although it is competitive, you will become a specialist and sub-specialist faster than your counterparts in Malaysia especially with the US based residency system.
In the aspect of my master training.
Singapore is using residency system since 2010. Preference is usually given to their citizens followed by PRs.The popularity of disciplines also plays a role. Finally, it is up to the Head of Department to recommend you for residency post.
Becoming a specialist faster does not mean it is better. Having said that, training is likely to be better in Singapore for other reasons. But you have to live in Singapore.
I do see a couple of docs from malaysia whose basic medical degree not recognised by singapore then went on to get mrcs so to work in singapore and got accepted into their training. However, i guess you have to have a certain competency for them to accept you as a trainee as competition remains stiff for most specialty training.
Yes, if you have MRCP/MRCS or MRCOG, you can practise in Singapore.
i really dont get it why they dont like to be posted to sabah and sarawak..its a great place with great people..i prefer there than semenanjung..because i belong there..hmm..
Yes, of course but generally, most people want to stay in town areas near their family.
they’re still a child or what?haha..
Hello Sir,
Regarding your recent post about the oversupply of medical graduates, I am worried of my current state. I am currently studying medicine in Taylor’s University under MARA scholarship, and I’ve just finished my first semester, I have some doubts that I would like clarify. My institution isn’t recognized by the MMC yet, because our first batch have not graduated. I would like to know, from your perspective, whether It is advisable to continue my studies, as the pathway for future doctors would only get tougher. I’m passionate about doing medicine, however my employment in the future is more important for my well-being.
Since you are a government scholar, preference is definitely given to scholars. As for Taylor’s recognition, it is usually done when the first batch is in final year
Thanks Sir, but does that mean I should just continue my MBBS degree in Taylor’s University, and be prepared for the unknown future?
YUP.
Medical school is a rigorous curriculum. Getting into a medical school is an arduous process. In the US, you go 4 yrs undergraduate, Heavy emphasis on the sciences. Take MCAT, Write an essay, spend a ton of money on applications and wait for an interview. Meet the panel, explain yrself. Acceptance means another four years.in medical college. Graduate means another four yrs residency in a tertiary academic center. Fellowship two yrs if you want to specialize.
There seems to be a proliferation of local colleges churning out these so called MDs. Where do you find all these instructors? Internships for the students?
What’s the quality of these so called mass produced doctors?
We’ll come to Bolehland
enforcing the minimum requirement after 2011 batch? meaning all legislation would be for 2016/2017…
They cannot enforce the rule for those who started medical training before 2011 as the rule was not in existent. However, if the job scenario becomes critical, SPA/MOH will have to fall back onto something.
Hey doc,
I’ve been reading this blog for some time now and I do have to say that your blog entries have been imperative in me changing my mind and not pursuing medicine. As with the majority of middle income Indian families, I too, was keen in becoming a doctor but after reading your blog and seeing what medicine really encompasses, I changed my mind. While its nice to see well dressed consultants driving swanky cars and making a bomb, I think many dont really understand how much it takes to get there. I was considering Dentistry for some time but figures that its probably not a worthy investment, time wise so I opted for engineering.
Btw, I’m currently about to start my Chemical Engineering degree here in Monash Sunway. How do you think the prospects are for engineers in years to come?
driving swanky cars and making a bomb is no more the same!I would agree with you 10 years ago but not anymore. It is very competitive out there.
Having a Monash degree will give you opportunity to work in other countries. Furthermore, you can do a lot of jobs with your degree: lecturing, university etc etc.
“Having a Monash degree will give you opportunity to work in other countries. ” Which country? US? UK? Australia? Singapore? Canada? There is no guarantee you can get job in these countries despite your huge investment. At most you are eligible to apply for that job but no guarantee the job will be given. One stand better chance (financially) of keeping the RM1 million in the bank with interest of 4% per annum. Your money will be doubled in 18 years while you are doing something else.
I am talking about engineering, not medicine
Dr Paga, are there any regulations or guidelines as to how doctors treat their patients in Malaysia? I see some young doctors shouting or being rude or sarcastic to old patients, even those on wheel chairs. Most specialists I have met are respectful of the elderly. What should be done when one meets a rude doctor who doesnt even want to listen.
There is a professional conduct guideline by MMC. You can visit here
However, if they are a MOH staff, a complain can be made to the Hospital’s pengarah for which no action will be taken!
Let him or her suffer the consequences of their arrogance should they decide to put up with their own practise!.i bet that with this sort of attitude going around spreading like wildfires,it’s about time to hang up the boots!
Is one would refer to a Phychiatrist,clearly his or her opinion would be he or she is under tremendous amount of stress n therefore should try to reduce the stress either by many many ways n finally ….quit being a doctor!
EPF is a life’s saving not forgetting that the employers or the government in this case pays a higher portion (13%) of the EPF to the doctors. Hawker and business entrepreneur do not have EPF. Income tax will be reduced progressively in the future with the GST coming in place.
Yes, of course. I am talking about take home salary.Business entrepreneur do have EPF(infact they can contribute higher). The government has also introduced Private Pension Scheme for all private workers where even hawkers can contribute. Unlikely income tax is going to reduce drastically.
I have a friend who is a medical graduate from Russia – self sponsored. Completed his 2 years housemanship, now in his second year as a MO in the interior. recently promoted to be the director of a district hospital. Salary – RM8000 a month. I thought that is pretty good without any further qualifications. Earning 8000 a month is definitely in the higher bracket of salary among most graduates 4 years into working life. The only draw back is that he is in the rural area.
I guess thats why most people still want to be a doctor – good salary, good life (he plays badminton with his friend quite frequently apart from being on call, travels to the UK recently for a holiday with his family, spent Chinese New Year with his family), job stability and a good pension!
So hey ho hey ho, why not let’s join the bandwagon and pursue medicine!
The only way he can get that salary is if he is working in a rural area in East Malaysia. This is because he will get Elaun Wilayah which will be around 17% of your basic salary as well as acting director allowance. He will also get on call allowance which is usually every other day call. Allowances are not permanent and if he comes back to Peninsular, his salary will shrink to RM 4K Plus. All the extra allowance that you get will dissappear. So don’t get excited. How long do you want to stay in this rural area?
Basic salary (about RM2500) PLUS allowances = about RM4600, thereabouts.
I do not know how long he is planning to stay in the interior but he seems to be enjoying his life there. He hasnt applied for transfer so far.
However, he told me he hope to pursue ENT specialty one day.
He also mentioned to me that his colleagues in the big city with the same years of experience as him are earning about RM 6000 a month, not 4k as you suggested.
RM 4K is the basic salary. The rest are Allowances which are not fixed
BTW, his salary will be around RM 4K +, the rest are non permanent Allowances including on call allowance
Can it be so low? First month ho already get rm4k+
4K+ is including allowance before EPF and Income tax deduction
HO basic salary – about RM2500, total allowances about RM2000, so TOTAL HO income – RM4500 thereabouts.
before EPF and Income tax deduction !
BTW, HO basic salary is about RM2700.
How many jobs vacancy with the elaun menanggung pengarah are available for the tsunami of Russian graduates? I was once the Pengarah of state hospital in East Malaysia earning that kind of money but this is not permanent. Once the MOH is having financial problem, they will tend tot cut your allowance especially oncall allowance.
Feedback from graduates confirmed that HO are earning rm4k+. They too said that their seniors are earning rm6k+ as MO i.e. 2 years after they graduated from local universities. According to their seniors, working life as HO and MO is not too bad nowadays as there are sufficient HO and MO in most public hospital. On the contrary, teachers are getting tougher in their job with more responsiblities. In Malaysia, unemployment will creep in at certain point, not only for doctors but also for other professions like accountant and engineers. In Malaysia, accountants and engineers are produced in millions, not hundreds of thousand, every 5 years. There could be recession and high inflation a few years’ time down the road. Just a comparison of profession, nowadays accounting graduates work as account or admin assistant is a norm and engineers work as sales executive / technical adviser (a nicer version of being called a salesman). No one profession is secured or noble. It’s just that nobody write bad about their own profession. It all depends on individual passion and interest.
MOs are automatically promoted to UD44 after 2 years housemanship which will give a salary of about RM 5K+ not including the on call allowance(which depends on number of calls), before EPF and Income Tax deduction. My wife is a MO of 17 years and her salary is just RM 8K+ without EPF deduction as she is on Pension scheme.
How can we produce accountants and engineers in millions every 5 years when the number of students sitting SPM/year is less than 500K? and our population is only 30million?
Yes, all jobs will become saturated at one point. No job is guaranteed in the future. However the difference is, you would have spent Rm 500-800K to become a doctor!!
The time will come..Good citizens with option will jump off the bandwagon. Please do not blame them and accuse them unpatriotic. In fact the trend is quite obvious nowadays. Hence, leave us with those blue collar expert opps expartriate which may or may not have ic from other countries.Welcome to new Malaysia…
Even a medical officer in district hospital in east Malaysia can earn at least 6-7K per month (including on call allowances). Your friend who is the director hospital in a non specialist district hospital in east Malaysia can in fact earn at least 8K per month (including on call allowance + hospital director flexi allowance). For your information, the ‘so called’ director hospital in non specialist district hospital in east Malaysia still need to do clinical works (ward rounds, seeing patient in OPD, doing on calls), on top of heavy administration works & frequent meetings. This is because of lack of medical officers in most of the rural non specialist district hospital (a lot of junior doctors fear and reluctant to be transferred to east Malaysia).
Working in non specialist district hospital (especially in east Malaysia) is a very valuable experience and definitely make you a more competent and better doctor. You stand much better chance to be promoted as hospital director if you are working in non specialist district hospital. Most of the doctors working in non specialist district hospital in east Malaysia are working happily and satisfied as the local people respect them more. In fact a lot of doctors coming from peninsular who work in rural district non specialist hospitals feel that the environment is much better than what they expected to be.
Don’t be fear to work in east Malaysia, the senior will be always willing to guide you. Stay in rural district for 1 year then transfer to general hospital and you will find yourself a better doctor.
For junior doctors out there, take up the challenge and you will enjoy your job!
Well said
Kim you are very right. My friend is truly enjoying himself.
He still do on calls and boat clinics as there aren’t enough doctors.
He does Caesarean sections as a junior MO. Though I think that is very dangerous to the patients, as there have been a few deaths and he has to attend court hearings for them, I have high respect for him. I am sure he will be a better doctor with his experiences.
I wish him all the best
I got a great news to share with everyone. I wrote abt this issue last year. Our beloved university, CSMU is making a comeback. I already predicted abt this. Our Health Minister gave his green light to an NGO group, MIETA that he will recognised CSMU again. Yes, from this year onwards, we will have another 1000+ grads from Ukraine to work in MOH’s hospital. Great news, right?
Recognition of medical school is by MMC And not by health minister. Furthermore with the common entry exam being planned, it does not matter
Dr Paga, MMC is a council, comes under Parliment. Thus, the Parliment or in practice, the carbinet too can intervene with MMC’s decision. The carbinet overruled MMC in 2005 regarding the same issue, CSMU. It can do the same again. Not to forget, MMC’s reputation as a neutral and independant body already gone when 2 of its council members are under investigations for bribery, 😦
MMC should be run by the professional without interference from the politician. MMC has lost their dignity since the mushrooming of medical colleges. Many of these dubious colleges got their recognition through backdoor forced by the politician on MOH / MMC. It is time the MMC should rise and reclaim their dignity through the common exam and wipe out those bad apples.
After reading most of the comments here, I think majority of future docs in Msia are still under delusion. The delusion abt “big salary”. Is money the only thing matters to all of u???. We are in a field that deals with human life. The quality of medical care in our public sectors now has disintergrated badly. Does anybody care to address this issue??.
That is what I have been saying all this while!! Majority do medicine for wrong reasons
This is why when you ask the medical students today, why they want to study medicine, majority said they want to ‘serve and save human mankind” by becoming cardiothoracic surgeon, brain surgeon etc. Subconsciously they want to be super subspecialist and earning big buck without knowing that the journey to become subspecialist is both taxing mentally and physically. Majority want to do medicine because they don’t only see money in medicine but also they assume that the money is EASY without sweat!
common examination earliest by this year or next year?
It involves a lot of planning. I don’t see it coming this year.
May I know how frequent does a HO or MO do on calls? Also, may I ask is it common for people to be anxious of the long working hours before having the long working hours experience, then starting to get along with it only after doing those on calls? Regarding clinical research, can postgraduate studies be completed overseas? Thank you.
Are you doing a research on long working hours ? Your question seems rather insignificant.
HOs do not do calls anymore as there are doing shift duties
As for MOs, it depends where you are working!
Postgraduate studies cannot be done overseas if your degree is not recognised elsewhere.
There’s another person going by “Jaz”! Am going by Jaz1 now.
Excuse me, do you happen to know the prospects of dentistry in about 5 years time?
IN government sector is almost full. But the prospect is still OK for private sector.
[…] « For Future Doctors: The Hurricane has arrived……….Part 3 […]
Another point, for future med students make sure your medical school is listed under IMED so that you can sit for USMLEs and get ecfmg certified… Then try for residency in the us. This is normal practice for many Egyptians n Middle eastern graduates. Or you can sit for the same exams and try acgme-I institution ( there is only one now after Singapore which is hamad medical
Corporation in Qatar) . I have to say usmle does require a lot of preparation n quite costly.
[…] last I wrote an article with the title above was in February 2014. Since then many new developments are taking place behind the doors. ON 9th June 2014, an article […]
[…] is implemented, MOs will loose their “on-call” allowances,which means a pay cut. When a pilot project of shift system was started in KKs a years ago, most doctors protested. The main reason was due to the lost of RM80/hour overtime allowance and […]