____________________________________________________________
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The Perfect Score (CPGA 4.0): But all for nothing!
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Old Pics Archive Medical school, dissecting room, 1870’s http://bit.ly/2d7jikv
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Health director-general Dr Noor Hisham Abdullah on Sunday explained that the waiver was to assist medical graduates who did not attend secondary school in Malaysia or went to international school and took the O Levels instead of SPM.
He said the Public Services Department relaxed the requirement on request by the Health Ministry.
According to the Medical Act 1971, medical graduates must undergo compulsory house officer training at teaching hospitals and compulsory public service before they can practise medicine in Malaysia.
Noor Hisham added that the waiver was only for those hired on a contractual basis for the house officer training and compulsory service.
https://www.malaysiakini.com/news/387420
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10 July 2017
malaysiakini.comVerified account @malaysiakini
A doctor and her SPM Malay paper
The demand by certain quarters that a pass in the Bahasa Malaysia SPM paper should be imposed on housemen and doctors in Malaysia is disconcerting to many parties, especially to the medical students and housemen, parents and educationists alike.
Many divided opinions have been aired in the media. But for those who think it is as easy as “quit complaining and sit for the exam”, I think they need a little empathy to understand the situation faced by many medical students.
I was one such person who grew up overseas and came back to Malaysia for medical school. I had no SPM BM, but that was supposed to be fine as the Ministry of Health (MOH) website has listed a credit in SPM BM or equivalent as mandatory. In fact, I had already done my interviews with MOH and subsequently, they had turned around and said they were no longer accepting any other qualification for BM apart from SPM.
That was two years ago and we were the first batch, they said we could start our housemanship first and just have the SPM BM credit ready before MOship. So I signed up to sit the SPM Bahasa paper. I went from long days skipping lunch as a houseman in the medical wards, to skipping dinner so I could make it to my BM classes on time.
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I always wondered why they couldn’t just have made it clear earlier so that I could have done SPM BM during my medical student days. Yet looking back, it was still many times better than having my medical career delayed a further one and a half years like what some are suggesting they do now.
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As mentioned, these future doctors were never stalling at the idea of taking SPM BM. It was just because of the sudden requirement of taking all the compulsory SPM subjects and having to pass history as well – that is the only reason this issue has cropped up now instead of two years ago when it was implemented.
It is sheer preponderance to expect a medical doctor, after graduation, to go back and sit for six high school papers. The complaints are extremely understandable, and we cannot simply put it down to the actions of bratty diplomat kids.
So why has this issue been blown out of proportion? Everyone has his own two sens to say, especially when the story is oversimplified as “23 overprivileged kids pull rank and feel they are entitled to not follow the rules; do not respect country’s language”- and most don’t care to understand the whole story.
https://www.malaysiakini.com/letters/387980
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5 July 2017
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malaysiakini.comVerified account @malaysiakini
Bahasa Malaysia and the medical profession
Controversy over medical graduates
The only answer that Chong could provide to the press was to say that the ministry could help to arrange for medical graduates to do one subject, so that they could meet the requirement for the Sijil Pelajaran Malaysia (SPM) Bahasa Malaysia (BM) qualification in order to serve in public hospitals.
My question is: Who doesn’t know that? As an MCA-appointed deputy minister, Chong should address the question whether passing the SPM Bahasa Malaysia examination is a requirement for medical doctors.
While I fully agree that, like other professionals offering their services to the masses, medical doctors need to be fluent in Bahasa Malaysia. But, about passing the SPM Bahasa Malaysia, I am doubtful!
This is where Chong has missed the point. Passing the BM paper alone does not necessarily mean that the candidate has mastered the language. In fact, the doctor who speaks to an ordinary person from the street does not need to have that high level of language command to explain the disease to the patient.
From my observation, Chong was not addressing the real issue. He courts more controversies by skirting around the real issues. Instead of solving the issue, he complicates it. Now, medical doctors have no excuse not to pass their SPM Bahasa Malaysia.
We all know that the learning of the language takes time and comes with a lot of practice. I can say that, although I had a P8 and subsequently a P7 in my SPM Bahasa Malaysia, today I am still as good in the use of the written and spoken language, which is also why my results caught the teachers by surprise.
I have written scores of letters in Malay, which I believe are far more readable than what some Malays can write. This takes years of learning and polishing the language for me to reach this stage.
Therefore, for comparison, I think the stand of Parti Pribumi Bersatu Malaysia Youth chief Syed Saddiq Syed Abdul Rahman makes more sense to me. It is sufficient for medical doctors to speak some level of Malay with their patients.
Perkasa’s Ibrahim Ali, as usual, is the “clown” who wants to take the Ministry of Health to court, as if there are not enough clowns around.
To get medical graduates to sit for an SPM Bahasa Malaysia examination is as good as saying that they have to go back to learn the puisi, pantun, tatabahasa, simpulan bahasa and all the intricacies of the language. By the time they pass their SPM Bahasa Malaysia paper, they can start giving ceramah sessions as well.
STEPHEN NG is an ordinary citizen with an avid interest in following political developments in the country since 2008.
The views expressed here are those of the author/contributor and do not necessarily represent the views of Malaysiakini.
https://www.malaysiakini.com/news/387448
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4 June 2017
malaysiakini.comVerified account @malaysiakini
Cancel BM waiver or face court action, Perkasa tells MOH
Malay rights group Perkasa today sent a letter of demand to the Health Ministry over the move to waive Sijil Pelajaran Malaysia (SPM) Bahasa Malaysia qualification for medical graduates seeking to register for house officer training.
Perkasa president Ibrahim Ali said the ministry has seven days to rescind the waiver or a lawsuit will be filed against it in the High Court to force it to do so.
Ibrahim said this is because the move is unconstitutional.
“Perkasa has taken a stand to take to court anyone, including the government, when it comes to issues of national interest.
“This is especially if it has to do with the Federal Constitution and Article 153 which clearly states that Islam is the religion of the federation, Bahasa Melayu is the national language, and the role of the Malay rulers and the special position of the Malays,” he told reporters at his office today.
https://www.malaysiakini.com/news/387420
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2 June 2017
malaysiakini.comVerified account @malaysiakini
Umno Youth leader: MOH’s BM requirement waiver unfair
The Ministry of Health’s decision to scrap the Bahasa Malaysia (BM) requirement for contracted medical personnel has come under fire from Umno Youth.
Pahang Umno Youth leader Sahar Abdullah said that doing so would result in “double standards” because all civil servants must possess at least a pass for BM at the SPM level.
He added that the ministry’s decision had also effectively undermined the status of BM as the official language.
“(This policy) challenges the Federal Constitution which under Articles 161 and 152 upheld BM as the national language and official language for all government business.
“Pahang Umno Youth urges the ministry to retract its waiver on BM qualification and review the impact of such a decision, especially on the future status of BM and the Federal Constitution as a basis for nation-building,” he said in a statement today.
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“If the ethnic Chinese and Indians can strenuously defend the existence of vernacular schools to protect their mother tongues, then why should we easily compromise on something as important as this?” he asked.
https://www.malaysiakini.com/news/387194
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29 Feb 2016
Too many doctors, MOH may extend freeze on medical courses http://dlvr.it/Kdt80F
Published: 29 February 2016 9:00 AM
The Ministry of Health (MOH) may extend the freeze on new medical courses and institutions of higher education offering such courses by another five years, in a bid to stem the glut of trainee doctors in the country.
Health director-general Datuk Dr Noor Hisham Abdullah said this would be a continuation of the five-year moratorium imposed by the government in 2011 on new medical programs in the country, and instead encourage existing medical schools to focus more on quality.
He said this was necessary to curb the large influx of future doctors coming out from 32 local institutions, and more than 360 medical programs in 36 countries including Myanmar, Czech Republic, Sri Lanka, Iraq, Russia and Ukraine.
Out of the 4,140 medical graduates employed as house officers in 2015, 2,195 were from local universities while the remaining 1,945 from foreign universities.
There were 4,991 graduates reporting for duty as housemen in 2013, 3,860 in 2014 and 4,140 last year.
The figure was 3,564 in 2011, and 3,743 in 2012.
“Every year, the Public Service Commission appoints between 3,500 and 5,000 medical graduates into the service.
“On average, the accumulative number in Year 1 and Year 2 of training is between 9,500 and 10,300 hosts,” Dr Noor Hisham told The Malaysian Insider.
He said there were currently 10,835 house officer (HO) posts in 44 government hospitals nationwide.
However, according to the Malaysian Medical Association (MMA), about 20% of housemen take more than the stipulated two-year period to finish their training, causing a backlog in the number of available posts.
As a result, hundreds of medical graduates are forced to wait up to six months or a year to get their houseman placings.
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29 December 2015
Medical grads to be screened before housemanship, says report
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Medical graduates from recognised schools will have to undergo interviews by the Public Services Commission before being offered housemanship, The Star Online reports today.
The news portal quoted Malaysian Medical Council (MMC) chairman Datuk Dr Noor Hisham Abdullah as saying that the decision to screen candidates before employing them as house officers (Grade UD 41) was made in a council meeting on December 15.
Dr Noor, who is also health director-general, acknowledged that there was a backlog in the number of house officers placed in government hospitals due to many failing to complete their training within the stipulated two years, mainly from incompetence or health problems.
This, he said, resulted in limited intakes for medical graduates.
“Medical graduates would have to wait longer to undergo their housemanship,” he said in a statement to The Star Online today.
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9 November 2015
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MMA denies lack of English skills cause for housemen’s failure
MMA denies lack of English skills cause for housemen’s failure https://www.malaysiakini.com/news/318941
The Malaysian Medical Association (MMA) has denied that language competency is the main cause behind the reported failure of some 1,000 medical graduates to become full-fledged doctors, despite having completed their two-year housemanship programme.
MMA president Dr Ashok Philip, who referred to claims made by MMA Malacca chapter president Prof Dr M Nachiappan, said the main reason was instead related to a lack of interest in medicine as well as stress.
“The statement to The Star newspaper was made in his (Nachiappan)’s personal capacity and does not reflect the official position of the MMA.
“Many of the housemen studied in countries where the main language is not English, so I believe they are quite able to handle minor problems with English,” Philip said in a statement.
While noting that inability to cope with stress was a contributing factor, Nachiappan had reportedly attributed the main cause of the problem to the students’ poor command of English.
He said without proficiency in English, medical students would find it difficult to keep pace with their peers from other nations.
“There must be an urgency to improve the grasp of the language at the primary level. Otherwise, the quality of doctors will go downhill,” he reportedly said.
Nachiappan, who is also the deputy dean of Malacca Manipal Medical College, added that medical schools were also facing difficulties in churning quality medical graduates due to lack of exposure in English.
https://www.malaysiakini.com/news/318941
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1,000 med students in Malaysia drop out due to poor command of English
1,000 med students in Malaysia drop out due to poor command of English http://ebx.sh/1WKEY2V
MALACCA: Poor command of English has put paid to the ambition for some 1,000 medical graduates to become doctors despite having completed a two-year housemanship in public hospitals.
Malaysian Medical Association (MMA) Malacca chapter president Prof Dr M. Nachiappan said these trainee doctors could not cope with the pressure of continuing to be a full-fledged doctor.
“Despite having completed their housemanship last year, they are no longer keen to be doctors.
“The main reason was poor grasp of English. This is not good for the medical fraternity and does not augur well for the nation if stakeholders do not execute some plans to improve the standard of English,” he said.
“There must be an urgency to improve the grasp of the language at the primary level. Otherwise, the quality of doctors will go downhill,” he said.
Dr Nachiappan, who is also the deputy dean of Melaka Manipal Medical College, said medical schools were also facing difficulties in churning quality medical graduates due to lack of exposure in English.
He said this was evident with the poor results obtained by medical students when pursuing their studies in universities and medical colleges.
“The quality of our students are compromised due to their inabilities to communicate in English,” he said, adding that most reference books on medicine and lectures were delivered in English.
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Star
Monday March 30, 2015 MYT 8:14:12 AM
Housemen do not complete training stint for various reason
PETALING JAYA: One in every five doctors undergoing training as houseman in Malaysia quit each year, an alarming rate of drop out, considering the high cost of studying medicine.
It may cost up to RM500,000 to study medicine in Malaysia and up to RM1mil if it is completed abroad.
Many newly qualified doctors also quit because of the longer wait to be posted as housemen.
Those who left abruptly have been found working as waiters and even running pasar malam stalls and there has also been a case of a trainee doctor taking up a job as an air stewardess.
Deputy Health director-general Datuk Dr S. Jeyaindran said about 1,000 of the 5,000 housemen employed each year do not complete the two-year training stint.
Among the reasons for housemen to leave the service include unsuitability for the profession as they were pressured to study medicine by their parents.
Having a totally different perception of a doctor’s life, inability to work long hours and suffering from burnouts are the other causes.
He said the rise in numbers of housemen quitting had been growing over the past three years.
Star
Monday March 30, 2015 MYT 6:59:01 AM
Long hours and lack of work-life balance prompt one doc to quit
PETALING JAYA: One doctor decided to opt out of her housemanship training after realising that it was not the life she wanted.
The 32-year-old woman, who only wished to be known as Dr MH, said she decided to stop her housemanship after 14 months of training because the long hours were stressful and there was no work-life balance.
“I was on-call every other day and I realised that even after becoming a medical officer or specialist, the schedule would still be heavy. I didn’t want that kind of lifestyle,” she said.
Dr MH, who is now a medical adviser for a pharmaceutical company, said as a houseman in a training hospital in the Klang Valley then, she worked from 7am to 5pm and would be on-call duty from 6pm to 7am the following morning before continuing with the normal working hours the next day.
“During on-call duty, there are usually patients to attend to. We get little sleep in between and have to wake up at 5am to take blood samples of patients before the senior doctors come in,” she said.
She said her late father was horrified when she resigned and even asked relatives to persuade her to change her mind.
She admitted that her father had wanted her to do medicine although she had wanted to do actuarial science.
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There is now no price control mechanism for pharmaceuticals.
Medicine prices soar 20 per cent to 50 per cent in Malaysia http://bit.ly/1CXa4zQ
The Star/ANN
PETALING JAYA – Medicine prices have soared and are expected to continue to rise next year.
The prices of some drugs increased 20 per cent to 50 per cent this year alone, with most companies adjusting their prices twice over the last 12 months, according to the Malaysian Community Pharmacy Guild.
MCPG president Wong Sie Sing said the “normal” annual increase is between 5 per cent and 10 per cent but with the Goods and Services Tax coming into effect next April, consumers have to brace themselves for another round of hikes of 10 per cent to 40 per cent across the board.
“We sympathise with consumers and are working with the Government and stakeholders to ensure affordable drug prices,” he said.
MCPG, which represents more than 2,000 community pharmacies employing some 2,500 pharmacists, is urging the Government to set up a national health financing authority to control medical costs.
“Otherwise, drug prices could rise very rapidly,” Wong said.
http://yourhealth.asiaone.com/content/medicine-prices-soar-20-cent-50-cent-malaysia
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Wouldn’t it be wonderful if they came to our hospitals in Malaysia?
Laughter, just what the doctor ordered
“Clown doctors-in-training” heal patients, but not with scalpels or pills. http://bit.ly/1z5G2U5
The Straits Times
By Kash Cheong
They heal, but not with scalpels or pills.
In the past month, a group of “clown doctors-in-training” have donned red noses and funny hats to perform for patients at KK Women’s and Children’s Hospital (KKH), the National University Hospital (NUH) and St Luke’s Hospital.
Although they do not have medical degrees, they wear white coats to parody doctors, usually singing, dancing or performing magic tricks to put smiles on patients’ faces.
“We don’t put on big wigs or white faces, it might scare some patients,” said clown doctor trainer Thomas Petschner. “We wear red noses but still try and look as human-like as possible.”
Freelance actor and clown doctor Gyan Lee said: “I remember one child who refused to use an inhaler and cried loudly in protest. “My clown partner and I went to the child’s cot and sang and did a silly dance.
“He took the inhaler while watching us perform and stood and said goodbye to us as if the screaming and crying never happened before.”
It is moments like these that the 18 clown doctors look forward to.
http://yourhealth.asiaone.com/content/laughter-just-what-doctor-ordered
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YAHOO! NEWS MALAYSIA
DISPUTE OVER LATE PAYMENTS
Sothi revealed that Academic Medical Centre Sdn Bhd (AMC), which owns Perdana, has so far paid a total of US$34.199 million (RM107.9 million) to Johns Hopkins.
“This includes US$5 million (RM15.7 million) that was paid towards the Swami Institute for International Medical Education established at Johns Hopkins University and a further US$29.199 million (RM92.2 million) as part of the affiliation and collaboration agreement.”
He added that the last payment made to the renowned American university was US$2 million (RM6.3 million) on May 7, 2014.
“AMC and Johns Hopkins are in dispute over whether any further sums are payable and the failure of Johns Hopkins to address the many grievances of AMC and Perdana University. The dispute will be resolved in accordance with the Affiliation and Collaboration Agreement with Johns Hopkins,” Sothi added.
The Malaysian Insider reported today that Johns Hopkins University School of Medicine pulled out of Pugsom, citing frequent late payments as the reason.
https://my.news.yahoo.com/perdana-u-says-students-rights-ensured-ongoing-dispute-091315342.html
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Putrajaya must protect interests of Perdana U medical students, says DAP
The Malaysian Insider
DAP today urged Putrajaya to step in to protect the interests of students at the Perdana University Graduate School of Medicine (Pugsom), which recently had their ties with the prestigious Johns Hopkins University School of Medicine severed over late payments.
Serdang MP Dr Ong Kian Ming (pic) said in light of the development, the RM2.3 billion Perdana University campus project should be put on hold.
“With the announcement of the withdrawal of the Johns Hopkins faculty and its curriculum, the first responsibility of the university and the government of Malaysia is to find a fair and transparent manner to ensure that current cohorts under Pugsom will be able to graduate,” he said in a statement.
Ong, who has been vocal on education issues, said the solution may not be as simple as to suggest a transfer of these Pugsom students to another joint medical programme, between Perdana University and Royal College of Surgeons in Ireland (PU-RCSI), which is a 5-year undergraduate course.
“One must remember that the Pugsom is a GRADUATE programme, meaning that the current students already have a degree,” Ong said.
“Proper consultation must be held with the stakeholders especially the students and their parents,” he added.
https://my.news.yahoo.com/putrajaya-must-protect-interests-perdana-u-medical-students-072114146.html
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Perdana University has confirmed that it is still in dispute with the prestigious Johns Hopkins University over outstanding payments due to the American institution, following today’s report of the termination of partnership between both universities.
Its vice-chancellor Professor Datuk Sothi Rachagan, in addressing concerns over the students enrolled with Perdana University Graduate School of Medicine (Pugsom), said the university will ensure that the rights of the students will not be compromised in any way.
“The 80 students enrolled with Pugsom are entitled to their rights and this includes a teach-out on the terms on which they were admitted into the programme. Perdana University will ensure that the rights of the students are not in any way compromised,” he said in a statement.
“Pugsom continues to operate seamlessly with both foreign and local faculty with no disruption whatsoever since the departure of the three Johns Hopkins seconded staff.”
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The Deputy Education Minister has no solution to offer, just advice, for whatever it’s worth..
Star
Monday August 18, 2014 MYT 5:11:37 PM
Accept offered courses and appeal later, doctor wannabees told
KUALA LUMPUR: Students who failed in their application to do medicine at public universities should accept other medical-related courses and appeal later, said Deputy Education Minister P Kamalanathan.
He said 1,163 of 3,062 students with a cumulative grade point average (CGPA) of 4.0 applied to do medicine this year.
“However, we only have 418 places in local universities,” he told a press conference.
He noted that the places offered at the universities were reduced from 690 last year based on the recommendations of the Malaysian Medical Council because of oversupply of doctors.
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Nine varsities reject top student!
3:18PM Aug 16, 2014
Why keep failing our best and brightest?
Seputeh MP Teresa Kok has taken the Education Ministry to task over the country’s best and brightest being denied the course of their choice, an annual problem.
“Why must top scorers failing to obtain their preferred courses become a perennial problem?
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It is undeniable that there were allegations and suspicions in the past of unfair selection whenever such complaints cropped up,” she said in a statement today.
Kok said this in reference to two STPM top scorers denied the university course of their choice.
She pointed out a case which was taken up by Gerakan where a STPM student from Perak with 4As failed to obtain a spot for the pharmacy programme in Universiti Sains Malaysia despite being offered the same course by Monash University, Australia.
“In the 2014 QS World University Ranking by subjects, Monash University is ranked 8th in the world for pharmacy and pharmacology.
“It is a joke that when a STPM top scorer can gain admission into such a programme at this world renowned university, yet she is only able to gain a spot in biotechnology programme at our local public university,” said Kok.
Nine varsities reject top student
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In another instance, Kok highlighted the case of a straight As STPM student from Klang Ng Li Ying (left) who was denied courses in medicine, dentistry and pharmacy despite applying to nine local universities.
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“With full As in her STPM results, Ng can easily qualify for a medicine programme at a private university but her family is not able to afford the high tuition fees,” said Kok.
“What do the two above cases tell us – that despite the fact that there have been past and open complaints of top students failing to obtain coursers they deserved, the problem is still happening,” she added.
Why keep failing our best and brightest?
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ANOTHER ASPIRING DOCTOR TURNED DOWN: YOU HAVE ONLY A PERFECT SCORE. BE A NURSE, OK?
What’s their excuse this time?
Malaysiakini
7:28PM Aug 15, 2014
Top scorer fails to get favoured varsity course
Despite scoring straight A’s in both the STPM and SPM examinations, Ng Yi Ling has not been able to get a spot in a public university to study any of the three courses she applied for.
The Klang resident said she applied to nine public universities to study either medicine, dentistry or pharmacy, but was only offered a spot in a nursing course.
Ng scored 12 As in the SPM and obtained a grade point average of 4.0 for STPM, which means she scored all As for the four subjects she sat for.
Raising her plight to the media, former Selangor executive councilor Teng Chang Khim said that he will help Ng secure a spot and funding to study at a private university.
“Seeing that there are many ministers in the prime minister’s department…I will contact one of them so they can assist this student,” he told reporters in Shah Alam today.
Top scorer fails to get favoured varsity course
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1. STUDYING TO BE A DOCTOR
FOR THOSE WITH A CPGA OF 4.0, OR CLOSE TO IT, MEDICINE IS MORE OFTEN THAN NOT THE DESIRED COURSE OF STUDY AT UNIVERSITY.
2. THE PROFESSION IS REWARDING BUT EXTREMELY STRESSFUL.
BEING A DOCTOR CAN KILL YOU EARLIER IF IT DOESN’T PUSH YOU TO SUICIDE FIRST!
In the USA, the suicide rate among female doctors is 2.3 times the national average, and the suicide rate of male doctors is 1.4 times higher.
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Enjoy this video!
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IT’S A REAL DILEMMA!
WHAT WOULD YOU HAVE DONE? WHO WOULD YOU HAVE SAVED?
1. Chinese medical shop owner Wong Kok Yew has accused the staff of Raja Permaisuri Bainun Hospital of being negligent and causing his 76-year-old mother’s death on March 16.
2. A nurse had purportedly caused the death of the woman after removing the electro-cardiogram wires and drip hose hooked to her.
3. Perak Health Committee chairman Datuk Dr Mah Hang Soon said the nurse removed the wires and drip hose from Agnes Liu Soo Thye because there was an emergency involving another patient.
4. At about 4.30am, the other patient was in a critical condition and needed the medical equipment. The nearest was that being used for Agnes Liu.
5. Agnes Liu was already in a weakened and semi-conscious state when she was admitted to the hospital at about 8.45am on March 15, and the family was then told to prepare for the worst.
The Star, Mah: Nurse pulled plug to save another patient’s life
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Top 10 killer diseases in Malaysia
FOR THE DETAILS, CLICK ON:
http://health.family.my/top-10-killer-diseases-in-malaysia-malaysia/
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2012 Statistics for Singapore
Principal Causes of Death
| 2012 | ||
|---|---|---|
| Total No. of Deaths | 18,481 | |
| % of Total Deaths | ||
| 1. | Cancer [ ICD10 : C00-C97 ] |
30.1 |
| 2. | Pneumonia [ ICD10 : J12-J18 ] |
16.8 |
| 3. | Ischaemic Heart Diseases [ ICD10 : I20-I25 ] |
16.1 |
| 4. | Cerebrovascular Diseases (including stroke) [ ICD10 : I60-I69 ] |
9.3 |
| 5. | External causes of morbidity and mortality [ ICD10 : V01-Y89 ] |
5.6 |
| 6. | Hypertensive Diseases (including hypertensive heart disease) [ ICD10 : I10-I15 ] |
2.8 |
| 7. | Nephritis, Nephrotic Syndrome & Nephrosis [ ICD10 : N00-N07, N17-N19, N25-N27 ] |
2.4 |
| 8. | Urinary Tract Infection [ ICD10 : N39.0 ] |
2.4 |
| 9. | Chronic Obstructive Lung Disease [ ICD10 : J40-J44 ] |
2.1 |
| 10. | Other Heart Diseases [ ICD10 : I00-I09, I26-I51 ] |
1.9 |
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Forwarded by a friend through email:
“I failed to get into Medical School because of my answers in the entrance exam.”
Antibody – against everyone
Artery – The study of the paintings.
Bacteria – back door to a cafeteria.
Caesarean section – a district in Rome.
Cardiology – advance study of poker playing.
Cat scan – searching for lost kitty.
Chronic – neck of a crow.
Coma – punctuation mark.
Cortisone – area around local court.
Cyst – short for sister.
Diagnosis – person with slanted nose.
Dilate – the late British Princess Diana.
Dislocation – in this place.
Duodenum – couple in blue jeans.
Enema – not a friend.
Fake labour – pretending to work.
Genes – blue denim.
Hernia – she is close by.
Impotent – distinguished/well known.
Labour pain – hurt at work.
Lactose – people without toes.
Lymph – walk unsteadily.
Microbes – small dressing gown.
Obesity – city of Obe.
Pacemaker – winner of Nobel peace prize.
Proteins – in favour of teens.
Pulse – grain.
Pus – small cat.
Red blood count – Dracula.
Secretion – hiding anything.
Tablet – small table.
Ultrasound – radical noise.
Urine – opposite of you’re out.
Varicose – very close
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Malaysiakini
2:43PM Jun 12, 2014
Please, please stop bullying of housemen
A doctor who was on-call at the Alor Gajah Hospital was found dead in the toilet of the doctor’s room. It is learnt that the body of the 29-year-old doctor, who was from Petaling Jaya, was found at about 9am by hospital staff after they forced open the toilet door which was locked from the inside.
This is not the first time a doctor or especially a houseman has died in hospital premises, and many incidents like this have occurred in the past. Though the cause has been pounced on as sudden death by the police, we do not know the exact cause especially when it occurs in the hospital itself while on duty.
The Health Ministry has lengthened the housemanship programme from one year to two years, which is welcomed as it increases their exposure and learning.
However, some may argue otherwise, seeing that others in yesteryears went through a one-year horsemanship and were still able to fare well. Whatever the arguments may be for and against, the ministry must make sure the implementation of the two-year programme of horsemanship is done correctly and comprehensively, where learning and teaching occur to the housemen.
Teaching and learning cannot occur by merely humiliating, pressuring and insulting the housemen by the superior medical officers when the housemen are not able to perform. I do not know what teaching and learning methodology are used in handling housemen in this manner.
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…Many housemen drop out of or leave the service due these high-handed bullying tactics employed by these medical officers who are incompetent in teaching and learning methodology.
Teaching and learning can only occur to adults when they are respected, encouraged, motivated and inspired. Please, please stop this method of humiliating, pressuring, insulting and bullying, which goes against human dignity and human righ
KT Maran
http://www.malaysiakini.com/letters/265502
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SOME TRUTHS YOU NEED TO KNOW ABOUT BEING A DOCTOR…
The following come from research on doctors in the USA but don’t think they are not relevant to you.
5 Horrifying Truths About Being a Medical Doctor
On paper, being a doctor seems pretty great. The money is good, it makes everyone around you feel inferior, and you get a diploma that literally gives you permission to play God.
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1. On average, one doctor a day kills himself. Despite what you hear about lawyers, doctors actually have the highest suicide rate, according to the Journal of the American Medical Association. It’s even worse among female doctors.
The suicide rate among female doctors is 2.3 times the national average, and the suicide rate of male doctors is 1.4 times higher.
Dr. Charles Reynolds, a professor of psychiatry at the University of Pittsburgh School of Medicine and, statistically speaking, a likely suicide waiting to happen, says, “Undiagnosed and untreated depression is the culprit here.” No one is diagnosing the depression? In doctors? Do we need to create an additional breed of doctor that only doctors other doctors, or will this new super-doctor then be more likely to kill himself even harder because of all of his undiagnosed depression?
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2. People make mistakes, and we’re not going to vilify doctors because they’re human; most of our best friends are human. That said, 98,000 people die every year from mistakes doctors make.
98,000. No wonder they’re so depressed.
A mistake is defined as a death that could have been preventable. Either a mistake in surgery or a mistake in a prescription or some other weird mistake (scalpel butt).
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Shocked? Or Horrified?
Read the rest of the article:
http://www.cracked.com/blog/5-horrifying-truths-about-being-medical-doctor_p2/
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Supt Mohamad added police as classified it under “sudden death report’’ until the outcome of post-mortem report.
http://www.thestar.com.my/News/Nation/2014/06/10/Medical-officer-found-dead-on-toilet/
NST
Naked doctor found dead in toilet
By Jason Gerald John – 10 June 2014 @ 8:08 PM
ALOR GAJAH: A doctor who was on-call at the Alor Gajah Hospital was found dead in the toilet of the doctor’s room here, this morning.
It is learnt that the body of the 29-year-old doctor who was from Petaling Jaya was found about 9am by hospital staff after they forced opened the toilet door which was locked from the inside.
According to a source at the hospital, the doctor was found lying naked on the floor of the toilet in the cubicle.
The doctor started working at the Alor Gajah Hospital about two months ago. He was on-call last night till early this morning.
“It is understood that at about 6.30am, the doctor received an emergency call from the paediatric ward and he had gone to attend the case before returning to the doctor’s room to rest.
About 8.30am, there was another call for the doctor but he was nowhere to be found and calls to his handphone went unanswered.
They then informed the Alor Gajah Hospital director, Dr Suraidah Karim.
The hospital staff then checked the toilet in the on-call doctor’s room and found that the toilet was locked from the inside, said the source.
The hospital staff broke open the toilet door and found the victim lying naked on the floor motionless.
The hospital staff tried to give first aid to the victim but he was pronounced dead at the scene,” he said. Meanwhile, Alor Gajah police chief, Superintendent Mohamad Laham said the victim is believed to have fallen from the toilet bowl.
http://www.nst.com.my/node/1454
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Star
Sunday May 25, 2014 MYT 9:07:52 AM
Docs in govt hospitals stretched by private students
PETALING JAYA: Too many private medical programmes nationwide are over-taxing public teaching hospitals.
While the Education Ministry’s university hospital teaching staff taught mainly their students, the general hospitals under the Health Ministry doubled up as teaching hospitals for private university students, resulting in a heavy workload, said a source.
“The doctors are overstretched. They have to divide time to attend to their patients, teach students from private universities and guide house officers,” said the source.
The source was concerned this would lead to students receiving little attention.
Private hospitals in Malaysia were not used as teaching hospitals as they did not have the needed case-mix (various types of patients) and high bed capacity to provide the needed training and exposure to students.
The source said the Cabinet needed to reduce the number of programmes and the number of students entering local medical schools by 70%, or get the private schools to merge and pull their teaching staff together.
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There are 40 private medical colleges in the country and 375 recognised colleges overseas. Those from unrecognised colleges need to complete two years of housemanship, two years of compulsory service and sit for a medical qualifying exam before being given full registration certificates.
NST
10 November 2013| last updated at 11:51PM
‘No jobs for medical grads next year’
IMPOSE MORATORIUM: The Malaysian Medical Association says there are too many medical graduates and too many private medical colleges, writes Audrey Vijaindren
THERE are too many medical students graduating every year and not enough hospitals to train and provide jobs for them, said the Malaysian Medical Association.
If the situation continues, there would be no place for these graduates to undergo training by next year, its president Datuk Dr N.K.S. Tharmaseelan said.
He said there were “too many medical graduates, and too many private medical colleges; almost 40 now for a population of about 28 million”.
“This is probably one of the highest per capita in the world. For many years, the MMA has vehemently opposed the flooding of the market to overcome the shortage of doctors. However, as we were regularly assured that many rural areas still lacked doctors and that there was no likelihood for jobless doctors, many continued to pursue medical courses.
“Today, with about 5,000 medical graduates every year, we have the highest number in Malaysian history.”
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According to MMA president Datuk Dr N.K.S. Tharmaseelan, GPs currently get between RM30 and RM50 per consultation while specialists charge between RM50 and RM80.
Star
Sunday October 13, 2013 MYT 6:58:21 AM
When doctors can’t even afford a Proton
IN the old days, doctors drove Volvos but now they cannot even afford a Proton, says Qualitas Healthcare chairman and managing director Datuk Dr Noorul Ameen.
Having treated patients for 20 years, he knows what he’s talking about.
“I told my only child: ‘no way are you going to become a doctor’.
“Ten years ago our consultation fee was RM15 and today it’s still the same – it’s insulting what doctors earn here.
“Most general practitioners with standalone clinics earn between RM7,000 and RM9,000 per month but spend about 70% of their revenue on overheads,” he claims, adding that cost of healthcare delivery worldwide has increased and that Malaysia is no exception.
He feels the Government should either support the private healthcare industry or allow the free market to determine healthcare pricing in the country.
Qualitas is a chain of over 200 clinics, dental clinics and pharmacies in Malaysia, India, Singapore, New Zealand and Australia.
Dr Noorul says Qualitas has acquired many clinics in the Klang Valley because GPs cannot sustain their practice.
For more, read:
When doctors can’t even afford a Proton
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Free Malaysia Today
Ceiling price needed for medical degrees
Are former top civil servants needed to helm private colleges? Current justifications fall short in answering the question.
PETALING JAYA: The National Higher Education Fund Corporation or popularly known as PTPTN provides a loan of up to RM150,000 to students pursuing medical studies in local institutions. Though other courses may obtain full financing, nevertheless there is a capping for medical studies.
On that note, one could make an assumption or deduction that the actual cost for a medical degree in local institutions may only be in the circle of RM150,000.
FMT in an article dated Sept 13, titled, ‘Exorbitant fees for medical studies’ had explored the various inflated fees charged by local higher learning institutions for their medical degrees; that ran twinning programmes in collaboration with foreign universities.
It led us to the question on why was the Malaysian government allowing these private institutions to charge such ridiculous fees.
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It is high time the Health Ministry address the issue of ensuring affordable and quality medical studies locally by clamping unjustified fees imposed by Malaysian private institutions. There should be no fear or favour in order to produce and contain local pool of doctors.
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The following makes interesting reading
Apparently Medicine is the “holy grail” of Malaysian higher education: if you’re not studying to be a doctor, you’re stupid.
But do any of these people – the students and those that push them – really realize what it means to be a doctor? Do any of these people really know what medical practice involves?
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It’s about sacrificing whole chunks of your life for the sake of someone else’s. It’s about having someone’s life – and death – in your hands. It’s about dealing with wheezy old people and mucusy babies in the middle of the night when you haven’t slept for a week. It’s about not crying too much when a child dies. It’s about being on call 24/7, knowing that even in the middle of a much-needed romantic interlude with your dream partner, your pager could go off because someone somewhere is having a medical emergency. It’s about life.
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The Perfect Score (CPGA 4.0): But all for nothing!
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CIRCUMSTANCES BEYOND YOUR CONTROL
Sometimes, as bad luck will have it, you enrol in a medical degree program recognised by the Malaysian Government but discovers that the same government withdraws its recognition!
This is what has happened with the Crimea State Medical University.
You lose EVERYTHING!
*The Crimea State Medical University (CSMU) in Ukraine must comply with the Malaysian Medical Council’s (MMC) requirements in order to gain recognition for its medical programme. (Crimea Must Comply With MMC Requirements To Have Its Medical …)
*CSMU ready to meet all conditions
(CSMU ready to meet all conditions | Free Malaysia Today)
*Programmes by Ukraine’s premier medical varsity no longer recognised (Programmes by Ukraine’s premier medical varsity no longer …)
*CSMU’s de-recognition racially motivated? (CSMU’s de-recognition racially motivated? | Free Malaysia Today)
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It is indeed atrocious to see such high fees in private colleges. Why does the same programme that cost RM150,000 in Universiti Kebangsaan Malaysia (UKM) is being offered at RM338,000 in AUCMS?
Free Malaysia Today
Exorbitant fees for medical studies
Are the fees imposed by private colleges for a medical degree justified; or are they riding on a false perception on the supply and demand of doctors in Malaysia?
PETALING JAYA: A whopping RM300,000, which is equivalent to the price of a terrace house in the outskirts of Kuala Lumpur, is the minimum amount required by a student to pursue a recognised medical degree in Malaysia today.
Such a high tuition fee in turn evolves into a reason why specialist doctors in private hospitals charge exorbitant fees to even touch their patients.
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A survey by FMT reveals that private colleges in the country are charging between RM250,000 to RM1 million to study medicine.
Following are some colleges offering degree in medicine and the tuition fee they charge currently:
- Quest International University Perak (QUIP): RM249,000
- University Tunku Abdul Rahman (UTAR): RM255,000
- AIMST University: RM250,000
- University Kuala Lumpur (UniKL) has two different options: UniKL Degree: RM280,000, Twinning with Vinayaka Missions University, India: RM300,000
- UCSI University: RM320,000
- Taylor’s University: RM353,000
- International Medical University (IMU): RM410,000
- Management and Science University (MSU): RM295,000
- Perdana University offers the following: Royal College of Surgeons Ireland: RM800,000, John Hopkins University Schools of Medicine: RM1,000,000
- SEGi University: RM300,000
- Asia Metropolitan University (AMU): RM300,000
- Monash University Sunway: RM455,000
- Newcastle University Medicine Malaysia (NuMED): RM450,000
- MAHSA University College: RM300,000
- Allianze University College of Medical Science (AUCMS) has multiple options: In-house: RM279,000, Universiti Kebangsaan Malaysia Programme: RM338,000, Universitas Sumatera Utara: RM267,000, National University of Ireland, Galway: RM578,000, University College Cork: RM578,000
- Cyberjaya University College of Medical Sciences (CUCMS): RM275,000
- Lincoln University College (LUC): RM324,000
- University College Shahputra (UCSA): RM240,000
- Malacca Manipal Medical College (MMMC): RM348,000
- Penang Medical College: RM650,000
All the above mentioned fees exclude accommodation, books, traveling cost, food and other expenses which could easily add another RM100,000 to the total cost of studying medicine.
Exorbitant fees for medical studies
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Free Malaysia Today
Medical degree: A dream or nightmare?
Pursuing a medical degree is no longer glamorous. It burns pockets and bankrupts families.
PETALING JAYA: Her name is Subha (not her real name). She had an ambition to be a medical doctor since the age of 10.
Now as a 27-year-old, she is a second year houseman in a government hospital. It will then take another three years for her to complete her compulsory government service as medical officer before she qualifies for the full registration with the medical council…she graduated from a local private college and her degree cost her RM400,000.
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Subha said she managed to obtain a RM150,000 loan from PTPTN while the balance amount was covered with her father’s savings and borrowings from other sources.
“I pay about RM2,000 a month to settle my education loans, including the PTPTN loan,” she said, adding that she still has to settle the outstanding amount for the next 20 years.
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Taking into account Subha’s predicament, this brings us to the question: is it really worth pursuing a medical degree in Malaysia with such high fees; which is indeed endorsed by the government?
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It is compulsory for all medical graduates to practice in a government hospital for five years to complete their housemanship.
During this period…the salary ranges between RM2,600 to RM4,000.
As housemen they work for a minimum of 12 to 15 hours a day. After two years… salaries range between RM4,500 to RM5,000…
However after 12 years and spending half a million, is it worth just to earn RM5,000 to RM6,000 as a doctor?
Medical degree: A dream or nightmare?
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weehingthong 