ON the 8th of July 2015, the medical fraternity was yet again shocked with the death of a medical officer from Sg Buloh Hospital. My deepest condolences to the husband and family members of the deceased. Many doctors went to social media and expressed their sorrow and anger against the life that a doctor goes through in our system. Firstly, I had mentioned several times in this blog that our system is as such that it is difficult to change. No matter how many doctors we have, the job will never get any easier. While the housemen are now doing shift duty, they will end up doing “on-calls” like the old days when they become an MO. However, when each hospital and departments get enough MOs, I hope the same shift system could be implemented to MOs. This could vary from one hospital to another as well as one department to another. Each department have their own problems. Once shift system 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 year ago, most doctors protested. The main reason was due to the lost of RM80/hour overtime allowance and going back home late. The project was not extended further as KKM, while do have enough MOs, did not have enough support staff to run the KKs till 9-10pm daily. However, I feel it will eventually be implemented in KKs.
Secondly, we should not jump into conclusion whenever we hear such an incident. There are many factors that causes an accident. I am sure each and everyone of us would have had minor accidents or near misses during our life time. People die on the road everyday as we have the highest number of road traffic accidents in this region. It could be due to fatigue, car malfunction (as happened to a doctor over HERE) or may not even be entire your fault. I find many become emotional and blame the “on-call” and the system immediately without further investigations. Our DG has given his response over HERE (see below). People must understand that doctors are not the only profession who work long hours. I have seen engineers, accountants, lawyers , contractors etc who also work long hours and go back home late. It is not unique to only medical profession. In JB, we have thousands of people going to work in Singapore daily. They leave their home at 4-5am and return back at around 9-10pm daily, not to forget the 1-2 hours jam they go through daily in each direction. The only difference is the fact that many other professionals can take back home their job except medicine, where we need to finish our work at work and we are dealing with life and death matters. We are also dealing with humans and not machines/computers or structures where mistakes can be tolerated. But again, it is you who chose the profession and we need to work in the system that we have chosen.
No matter, how the system changes, the workload of a doctor will never come down. Even in developed countries like UK, US, Ireland, Canada etc, doctors still work long hours. Only their total number of hours a week is limited. The profession is such that we cannot leave our work unfinished. Emergency happens all the time. I had written about this many many times since I stated blogging.
ON the other hand, the demand and expectation of patients has gone up by leaps and bounds. This is not limited to private hospitals but also in government hospitals. Thus, it increases the workload of each doctors , no matter how many extra doctors we have in a department. The number of patients visiting government hospitals will also increase year by year as the economic situation worsen. Frankly, how many can afford private healthcare if not being supported by insurance. Even insurance have a limit every year. In my hospital, almost 90-95% of the admissions are insurance supported. Very few are cash paying. Most can’t afford anything more than RM 5-10K. FYI, there is no such thing as below RM 5K in a private centre nowadays. Lately, we have been seeing many grouses in the newspaper regarding high charges in private hospital (HERE and HERE). While the consultation fees by doctors are limited by the government, the hospital fees are not regulated. DG has also spoken about this. Almost every consultant in my hospital will receive at least 1 complain a month! That’s how difficult our lives have become. I hope the younger generations will open their eyes on the real life as a doctor rather than the glorious life that the public wants you to believe.
There’s also a you tube video that has been going viral in the social media. It was about a law graduate talking about the reality she faced after she graduated.
In one of my earlier post “Passion vs Debt” I had written on how the younger generations do not understand that passion is one thing but living a life is another. This lady in the video just proves what I have been saying. High expectation that earning a degree will lead to big salary and good life. This is true in almost all profesional field. She also talks about debt and how she struggles to even own a car. From what she says, I can roughly make out where she graduated from. Her degree is not recognised by Bar council which requires her to sit and pass CLP examination in order to practise as a full fledged lawyer. If not, she can only practise as a legal assistant or advisor which would not give you a high enough salary to survive in Klang Valley or any other big towns. What she says is not much different from what most medical graduates are going to face. If you take huge debt to do medicine, whatever salary that you are going to earn will not be enough to live a life. With car loan, house loan, married life coming your way, it will never be what you had expected. I like what she said at the end : it is beyond race and politics! We are in the same ship and we will sink together if people still get carried away with race and religion issues.
Our education system do not teach our students financial literacy. I suggest students to read ” Rich Dad Poor dad” written by Robert Kiyosaki. Also read many of his books which talks about financial literacy. People who chase degrees and salaried job will never be rich. So, never do medicine for wrong reasons and never take huge debt to do it either………..
Selamat Hari Raya to All Malaysians……………………
Ucapan Takziah buat Keluarga Allahyarhamah Dr Nur Afifah Mohd Ghazi
Posted on July 10, 2015 by DG of Health
KENYATAAN AKHBAR
KETUA PENGARAH KESIHATAN MALAYSIA
UCAPAN TAKZIAH BUAT KELUARGA
ALLAHYARHAMAH DR NUR AFIFAH MOHD GHAZI
Pada 8 Julai 2015 bersamaan 21 Ramadan 1436 Hijrah, kita telah dikejutkan dengan satu tragedi yang menyayatkan hati dengan kembalinya ke Rahmatullah Dr Nur Afifah Mohd Ghazi, seorang Pegawai Perubatan daripada Hospital Sungai Buloh. Allahyarhamah telah terlibat dalam satu kemalangan jalan raya ketika dalam perjalanan pulang setelah bertugas ‘on-call’ pada hari sebelumnya. Bagi pihak Kementerian Kesihatan, saya ingin menyampaikan salam takziah kepada keluarga Allahyarhamah dan mendoakan agar roh Allahyarhamah ditempatkan dengan para syuhada.
Pada pagi 9 Julai 2015, beberapa orang pegawai kanan dari Ibupejabat Kementerian Kesihatan Malaysia, Putrajaya dan Hospital Sungai Buloh telah berpeluang untuk menziarahi keluarga Allahyarhamah di rumah kediaman keluarganya di Taman Sri Putra, Sungai Buloh. Daripada pertemuan dengan Mohd Hafizuddin Azman, suami kepada Allahyarhamah, memang tidak dinafikan Allahyarhamah bertugas ‘on-call’ bersama 5 orang rakan yang lain daripada Jabatan Anestisiologi. Dimaklumkan Allahyarhamah tidak terus pulang pada keesokan harinya setelah ‘passing over’ jam 8.00 pagi kerana beliau telah pun mempunyai rancangan untuk bertemu seseorang bersama suaminya pada tengah hari tersebut. Allahyarhamah hanya pulang sekitar jam 2.30 petang selepas selesai pertemuan yg dijanjikan. Sementara menunggu temujanji, beliau telah pun berehat di bilik ‘on-call’ yang disediakan.
Kementerian Kesihatan mengambil maklum isu-isu yang dipertengahkan di mana ianya telah dikaitkan dengan peristiwa malang ini. Sememangnya tugasan seorang Pegawai Perubatan memang berat terutama apabila melaksanakan tugasan ‘on-call’ dan dalam kes ini, pihak pengurusan hospital telah pun berikhtiar memperbaiki keadaan persekitaran kerja dengan menjadualkan sehingga 6 orang Pegawai Perubatan daripada Jabatan Anestisiologi bertugas ‘on-call’ setiap hari. Tidak dinafikan kemalangan jalan raya mungkin terjadi disebabkan oleh keadaan seseorang yang kepenatan setelah melaksanakan tugasan yang berat, tetapi ianya boleh juga disebabkan faktor-faktor lain yang juga harus dipertimbangkan.
Walaubagaimapun, Kementerian Kesihatan mengambil maklum semua cadangan yang telah disarankan dan akan terus mengambil langkah-langkah penambahbaikan dari masa ke semasa. Semua fakta perlulah diteliti terlebih dahulu sebelum sesuatu keputusan itu dilaksanakan.
Innalillahi wa inna ilaihi roji’un
DATUK DR. NOOR HISHAM BIN ABDULLAH
Ketua Pengarah Kesihatan Malaysia
Kementerian Kesihatan Malaysia
10 Julai 2015
Pagalavan's Avatar 
Malaysia medical system just full of irony…2 years back, MOH announced that there are too much MO throughout the country, by overcoming that situation, MOH decided to stop allowing malaysian foreign graduate, and foreign MO to practice is Malaysia.
This situation now point out that due to insufficient amount of MOs, shift system cannot be carry out. So the problem is, the current doctors dont want to give up the extra allowance or there are really having problem regarding the amount of available MOs?
Personally, I think the system can be changed. I wont say it s=can be done easily, but it is not that hard, just have to see those administrators, whether they have the heart. If they pass the bill for common MQE, and let everyone have a fair chance to compete, I think it can ease up the situation.
By allowing more doctors come in, it will affect the salary of the present doctors? What was the motive to become doctor? Is to make money? I dont think the so call reality is an excuse. Once a person pick up medicine, they suppose to know their life will be full of debt, have the resolve to help the patients and live with a simple life, even carrying the debt for the whole life. If thinking medicine is the field that makes money, do pls give up on it. All other field make way more money. Medicine is about commitment, sacrifice, and passion.
We do have enough MOs but the main issue is maldistribution. It is between hospitals, departments, between rural and urban as well as between private and public. Untill we have a public private integration, this problem of overcrowded public hospital will never be solved. So no matter how many MOs we have, work life will never be easy.
Yes, as i have said many times, never do medicine for wrong reasons.
kim tat, things are not as simple as A B C.
the fact that many doctors went to social media to express their anger is because there are many many “zara”s out there.
onca again, my name is ZARA
Whilst we’re on the issue of maldistribution, from the firsthand perspective this is not just for the MO posts but also for specialists. I work in a specialized field where I’ve never had the luxury of having housemen, MOs are just the basic work force of the department and specialists are the backbone of service.
The decision for transfer of specialists in the Ministry of Health is decided by the head of service, and this decision is usually done without bias and with the utmost care to ensure that the states with the most dire needs get priority. The heads of departments will usually get heads-up on whether new specialists will be getting transferred in, however ultimately many these so-called forced transfers never result in fruition because then will come the various stalling tactics– be it calling in favours or “pulling cables”, or if one doesn’t have cables, the backup plan of staying-in-your-present-hospital-and-appeal-until-the-cows-come-home tactics will come into play.
Sad to say, most of the time it works. Until such a time when hospitals can be their own statutory body and have a strictly limited number of posts, hopefully all these “cable pulling” and stalling tactics can be eliminated. For those who wish to stay in prime locations, ie Klang Valley or state hospitals or to choose to be located in the hospital of their choosing, ideally this should be merit based and the hospital administration should be able to have the luxury to choose the best doctors to make up their medical team. This is supposed to be the incentive for people to perform well in medical school and also in their service, because it will be a bargaining chip for one to appeal to work in the hospital of their choice, and the hospital will also get the incentive of getting elite doctors. Unfortunately, this is not the present local scenario.
So yes, I echo Dr Paga’s views that there is indeed a maldistribution. There are attempts to rectify this at ground level but these efforts are thwarted by the powers-that-be. Until our healthcare system can be a completely independent body free from political influences, this issue of maldistribution can never be resolved.
As you said, the only way is to corporatised each hospital and let them choose their own doctors. Cable pulling is a culture in Malaysia!
Maldistribution exist in all countries, especially those with significant rural areas. Even in a developed country like UK, with a very dense population, few real rural areas, and the NHS, maldistributions exist. It has nothing to do with politics, although in the Malaysian context, politics aggravate the problem. It’s to do with the natural human tendency to choose to live in a “better” environment. Even in Australia, where there exist a significant monetary incentive to go regional and rural, maldistribution exist.
To keep perspective, such choices are acceptable for any profession. But it becomes a dirty decision when it come to doctors. That is unfair. Doctors are also humans, with dreams, families, commitments, children etc.
There is no simple solution. To just blame doctors is too simplistic. In practice, a purposeful plan to reduce this distribution is required. In this aspect, Australia has it all worked out, to some success. This include the monetary incentive I mentioned above, but includes other measures like the Rural Bonded places in Med school, Rural Medical School like the Armadale based Newcastle-New England Med school, and the rural Med Campus for all Med schools, where students get to spend a significant part of their studies in a rural setting. Of course, ensuring that rural hospitals are at least well equipped and staffed also helps.
Malaysia had always suffered from an absolute shortage of doctors. This is now over, and we now move over to the next stage, how to fairly distribute adequate workforce. To the politicians who naively think they will solve this by just flooding the system with doctors, they are going to be disappointed.
Crap… yet another sign to show my GenY tech naievity– this is intended as a response to jkl but I couldn’t find a reply button attached to his post but hopefully this get posted to the right place
I wholeheartedly agree with his views. Doctors are humans, we all have rights, we all have spouses and families and should be posted to regional hospitals so that we can be near our families. But this should not be the ultimate trump card. We should EARN the privilege to be in the hospital of our choosing, that is why we should excel in our service so WE can call the shots– SO THAT THE HOSPITAL OF OUR CHOICE WOULD WANT TO EMPLOY US.
It should not be a mere roll or the dice, or be dictated by a wedding certificate or birth certificate, In short, the doctors should hold the trump card. We should be able to CHOOSE where we want to go, by that I do not mean our “cables” or “connections” but our own abilities. It will not be possible until the hospitals are corporatized and the hospitals views the doctors as ASSETS rather than PAWNS.
i guessed that way back in the 90s work related grouses didnt go public not bcos there werent social media as such as in the internet and stuff but people arent as cynical about their work and pay back then as it is now.folks back then are built to like a race car on a race track running on empty most of the time but kept our hot heads chill with some empty talk not about how hard society is kiling us but how hard are we expected to be if we want to be the best in the field.We figured that nobody owes us a living and sure as hell nobody is done fighting our fights for us in this world!.Life id tough out but we were taught to,take the fights out there n sock it one daylight as a time for the rest of our existence!!
Most of us grew up in difficult era where we walk or take public transport all the time. WE fight for everything to achieve something. The current generation grew up in a comfortable life. Thus, when they enter the real world, they begin to fall.
are you saying Zara is a crybaby?
Pleas read THIS
While what Zara says is true, nobody owes you a life. That is the message.
Zara, u have come this far shows you have the guts to fight for what you believed in n that good but dont just stop there,you got to toughen up mentally!U can do it and who knows, u may end up tougher and stronger than before and may even write about it as a guide to success!Go On Zara make yr family proud!
Truth be told, this IS different era and it’s utterly foreign to the the Gen Y generation.
I’ve had friends complain to me that when young people come to be interviewed for (non-physician) jobs, the interviewer actually gets interrogated with a barrage of questions:- ” how much is the pay”, ” how many days leave per year”, “I cannot work weekends and public holidays”.
The feeling of entiltlement is prevalent in the younger generation, in fact it is a global phenomenon. However, in elite professions such as medicine we still do not expect this- how can a doctor, who is supposed to place his own well being above all, come to work begrudging how much sleep he’s had last night, or his poor pay, or that he was berated yesterday for poor performance (and still be holding a grudge instead of doing soul searching to see what he has done wrong).
This all comes down to the reason he chose medicine. As Dr Paga says– do medicine for the right reasons, EARN your way into medical school. There is a reason a system exists- it is true that not all the creme-de-la-creme deserve to be doctors, but the sheer effort and drudgery that one has to go through to enter and finish medical training in a medical school of good standing is the first step that can sieve out the half-hearted ones.
The road to being a good doctor is is a long one, but it is not for the faint hearted, and it is not difficult for a bystander to see if one is true of heart. Patients can tell, even if the administrators do not show you due appreciation of your service.
No one owes you a life! The younger generation should learn that. As I mentioned, most younger generations grew up in a comfortable era. They assume that others should follow what they want. Parents are to be blamed as well. They still treat their grown up child as a school going kid!
I agree with doctor Pagavalan. He pointed the problem of our medical system – maldistribution. The problem is not that complicated, and dr. Did point out once public and private hospital comply with each other. Why cant this happen? Profit, benefit, privilage etc.. i have plenty dr. Friends they say they have earn back whateverthe sacrificed during medical school years, they want to make it back from d patients. I always wonder, is this field a business field, or it is a sacred field where d priority is to safe d patients.
I agree with mr. Guay as well. To be a doctor have to b mentally prepared. Medical students suppose to know at least every 3 days there is on call duty. I believe different medical school have that included in the course. If a student cant take it, he/she should drop out earlier or just get used to it. As a I said, medicine is about commitment, sacrification, determination and passion. Money comes into place because it is needed to buy d resources to treat the patient; it is not for the statisfication of personal needs. This is my point of view, and I dont think I will change my concept regarding medicine in no time.
Well said! When you ask anyone why you want to be a doctor, the standard answer will always be ” i want to treat and help people”. But when the reality hits them along the way, it will be converted into a business to earn money. All the passion will be thrown out of the window. As I said, passion is one thing but living a life is another.
I thought some KKs hours are extended until 10pm
Only some major KKs, and the MOs who does the extended hours are pooled from various KKs, not from the same KK. They are paid RM 80/hour. So, when KKM suggested that their own KK doctors to do shift duty, they protested.
Mara makes U-turn on 31 UK-bound med students. http://www.malaysiakini.com/news/305022
33 at IB is actually quite a poor result. The approximate equivalence is BBB at A levels. Most Med schools will want about 39 which is about A*AA. So I would think many of these scholars will not be get a place in UK. It is however easier to get into Ireland.
Application process for this Sept would have started last year. If they have not done the applications, including sitting for UKCAT/BMAT last year, then there was never any intention, nor possibility of entering this September anyway.
Most probably they will be given local medical uni like NuMed, Perdana and so on…….
hello jkl, you are very right, even 44 in IB could not get a place in Aberdeen.
I didn’t realise NuMed selects from such low results as the MMC minimum of BBB? If so, then they are no better than Monash Malaysia, where the selection is worlds apart from their Clayton campus.
For the other local IPTS, understandable as they scrape the bottom of the barrel, and then try to get their underqualified students to appeal to MMC.
Yes, with so many IPTS Med schools, many unable to fill their quota with suitably qualified students, it now makes no sense to send students to the likes of Russia, Egpyt, Indonesia. If they can get into British or Australian Med schools, it may still be justifiable, in the interest of reducing inbreeding and maximising cutting age knowledge and experiences.
Yet we have so many medical schools but still send our students to overseas.
Glamour mah!
Agree with you. Not only doctors have long working hours. I as an engineer do work more than 8 hours daily and most of us can not bring back work since we are dealing with delicate and confidential documents . In fact most engineering designs require special software that are only available in the office. Everything has to be completed in the office. I agree with you that the long working hours is not unique to only the doctor’s profession however it is applicable to all professions. People seems to have the mindset that being a doctor is the hardest profession however I believe each profession has it own challenges. All graduates (regardless of their chosen field) need to be mentally prepared to venture into the working life with positive attitude.
some engineers who work offshore on oil rig (i used to) even worse. working non stop for 5-6 days logging for subsurface data, only get few hours sleep on the chair in between operations. forget about shower and nice meal.
and one thing offshore engineer have to stay there for months leaving family alone with no entertainment.
http://www.themalaysianinsider.com/malaysia/article/too-many-medical-grads-too-few-housemanship-spots
Let’s all go overseas!!!
The degrees are not accepted elsewhere. The chance for working overseas is almost nil.
Go where? Medicine is the worst degree to do if you plan to work elsewhere!
Dr Paga,i understand that the Dato’ DG reads your blog but just how much can we expect him to act?
He is a civil servant. He has his limitations. In 2005/6 when Tan Sri Ismail Merican was the DG, i use to communicate with him via SMS. Even he failed to change the system due to veto power by JPA and politicians.
thanks for the prompt reply Dr Paga.Now that the matter is been discussed openly, here’s hoping that Dato’ DG would proof us wrong?.
hello Dr , I’m a student who’s about to pursue medicine (soon to start my degree) and would like to consult you regarding certain doubts I have. After reading many of your topics posted , I am both confused and lost. I would be obliged if you could help me out ? May I know how I can contact you personally regarding this matter?
Thank you
Regards.
You can email me at pagal72@gmail.com
Read:
http://www.dailymail.co.uk/health/article-3168051/We-paid-Pret-Manger-manager-despite-doing-9-years-work-Doctor-s-furious-letter-David-Cameron-7-day-shifts-shared-150-000-times-Facebook.html
Same story everywhere!
her basic salary is £50,000, which us equivalent to RM 300,000. That means average RM 25,000 per month. The average salary of an MO in Malaysia is RM 5,000. So Janis is earning 5x of what we are earning here. But she is still complaining. She must be the “Zahra” of UK
You can’t compare as such. You should not convert as such. Figure to figure the cost of living is the same! A rental in London can also be 1000 pounds!
I remember someone commented that he earned less than a fast-food restaurant worker when he was a houseman. Now Janis complained she is earning less than an assistant manager……ha ha sounds all so familiar!
Reality as it is!
I hope this comment is not for real? Cause if it is, it reflects the limited brain space that zahra has to merely convert directly without putting into perspective the cost of living, average + minimum pay and etc. lol.. Malaysians- what a joke!
You will be surprised!
Miss Zahra, you cannot convert £ into RM , and claim £ 50,000 is a lot of money. It is not. The cost and standard of living between UK and Malaysia is different. It should be on a 1 to1 ratio. That is imagine, earning RM50,000 per year in Malaysia. It is just enough to survive nicely. Furthermore, this doctor’s earning after tax, would just be under £3,000 per month.
Room rental in London easily costs you £700 per month. Public transportation at least £100.00 per month. For food, it is at least £15 per day. Mobile phone would be about £50 per month. So,almost half of salary gone. If one were to socialise, at least £ 50 per night….and this is just a meal and some wine with friends.. Then if you are studying for your exams, a course could easily cost you £600 to £ 1000. Exam fees are least £350.
Ok?
Now tell me, how would you feel if you only has just RM1000 left per month after your neccessary expenditure when you are in 5 to 6 years of work after graduation?? What about money for baju, cosmetics, hair saloons, books, and money for the folks back home? Do not even try to think to buy a car or a house, ok?
Before people make a fool of themselves making comments about this, please go read what Jeremy Hunt said, for context.
It is better to read the letter in full. Read:
Yea totally stupid, whiny and self-righteous monkey..they should give her a consultant level salary, like right away lol.
Dr Pagavalan, what’s your take on the recent Low Yat incident and its spill-over? Too much political upheaval, eh?
we don’t discuss politics here.
otherwise this blog to be suspended by MCMC, Paga will be prevented from leaving this country, his bank account frozen using Anti Money Laundering Act & he will be charge in court using Prevention of Terorrism Act.
is this what you want Raymond?
this, i agree with you.
everyone knows the answer!
i know its out of d topic… but how did u get time to prepare for mrcp, d dr working hour is just not conducive for exams
YES! in UK, MRCP is just an entrance exam.
It is very easy to pass. so many of us made it. No big deal at all!
and dont do O&G!!!
http://www.thestar.com.my/News/Nation/2015/07/27/Obstetricians-are-quitting-Theyre-disappointed-with-changes-in-their-indemnity-coverage/
That’s the life of a doctor! You just have to find time.
[…] « For Future Doctors: Passion vs Debt vs Reality………. […]
Dear dr…
I would like to seek for opinion regarding my route on becoming a general surgeon. I am currently doing my medical course in overseas, and with recent issues about longer waiting period for new housemen to start their training makes me feel a bit worried. I’m finishing my course in 2017, 2 more years to go, and I have a thought of doing my internship year over there before coming back to Malaysia and serve the government (I have bond for 10 years), however, I am quite sure that they won’t allow this to happen. And I’ve heard that if I am to apply for scholarship for my specialties and subspecialties, of course the bond period will be longer (up to 20 years). So, my question is:
Can you please help me to list out all possible options for me to become a surgeon, including the total costs, both local and overseas? Thanks.
Regards.
Please read this blog from A-Z, all the answers are there. You can read the topics under FOR Future Doctors page
Come back and serve the country..
waiting period can get longer, finish your HO and apply for master after service MO…
take MRCS so you may apply for specialist training abroad… and stands a higher chance for local masters program..
I would love to serve the country, I thought I can buy some time by doing internship there while waiting for local housemanship. But based on the comments, I don’t think that’s do-able though.
A bond of 10 years would suggest a JPA scholar. You are thus morally and financially bonded to return to work, and no, lately, JPA will NOT allow scholars to stay back to work.
A longer wait list is no justification. What is 6 months or 9 months, in a career that will eventually span 35+ years of work?
Of course you can break the bond and pay up.
As to how to specialise in a surgical discipline in Malaysia, read the appropriate thread as pointed by Dr. Paga.
Apparently many scholars in the UK are trying to finish F1 and F2 before coming back to serve.
Yes, to get their GMC registration
They have always tried to, and were allowed to, until as recent as 3 years ago. Some even stayed on beyond FY into CT/ST. The “lucky” ones from more than 5 years ago, many just paid off their bond, when it was only a fraction of the actual cost spent on them.
My plan is to buy some time while waiting to be called for local housemanship but I don’t think it’s do-able now. Coz the long waiting list means that I might as well forget some of the things I’ve learned and practiced. Any suggestions for this?
You can try applying a job as an assistant at any clinic nearby while waiting for housemanship…
There is no such job for doctors. But you can do some attachment in GP clinics as a observer.
No clinic is going to employ a fresh graduate temporarily. It is illegal for anyone not registered to work as a doctor. Take the break to do something you like, something you always want to do, go backpacking, holiday etc. This will likely be the last time you will ever have a long break, until you retire.
jkl is right!
go for a holiday like this student
http://www.independent.co.uk/student/news/student-spends-90000-university-fund-on-expensive-clothes-and-trip-to-europe–then-blames-parents-for-not-teaching-her-budgeting-10402192.html
spend more of your parents’ money! enjoy yourself
[…] Remember, what I said few months ago in my post ” Passion vs Debt” and “Passion vs Debt vs Reality” , passion is one thing but living a life is another! That’s exactly what this doctors […]
[…] months ago I wrote my first part. 2 months before that, I wrote an article titled ” Passion vs Debt” when some students […]