Too Many Doctors

5:02 AM

This article was in The Star this morning. The front page was even more interesting as a can't comment much as I don't have a private practice yet.

I do agree that there might be little bit too many doctors (read: Houseman). However, there are not enough MOs around. To make it clear, housemans are Pegawai Perubatan Siswazah. Its like a 'lesen P'. Its two years of rotation in 6 postings for training purposes. After completion of two years of housemanship, they automatically become MOs. HOs don't have full responsibility of patients while MOs need to be fully competent.

This issue has been going on for years but I have yet to see the numbers in service. Some hospitals have barely enough MOs to run the department, especially in Emergency Department. Even at the clinic I work at, we only have 5 MOs to cover a big district. Patients are still being seen after 1 - 2 hours of waiting. Even though we see patients at supersonic speed! Just look at this article from a disgruntled patient.



Whenever doctors ask for specific postings at a desired place, they are always told that it is FULL. For example, a HO from Gerik (quite a remote place in Perak) requests for a posting in Gerik but instead gets a posting in Teluk Intan instead (more than 3 hours away). Suddenly another HO from a far away land (KL I think) gets to go to Gerik the very next day. This kind of incidents happens very frequently.

Bila mintak tak dapat walaupun tempat tu ada kosong!

Coming back to the main issue. Yes, doctors are now aplenty but most will try to jump ship the moment opportunity arrives. It is not that doctors do not want to be in government service. We value the scholarships and funds used to train doctors but we don't feel appreciated. The administration keeps giving lame excuses and the public expects too much from doctors.

A few years back, there was an incident whereby a politician caught 2 doctors reading newspapers in the Doctor's room. The public were quick to accuse the doctors of not doing their job and wasting government funds. I can assume that:

1. Doctors should not be reading newspapers
2. Doctors should not be able to rest at their own lounge after a hard day at work
3. Doctors can't have a privacy to take a rest at their own lounge room
4. Doctors are slave robots who shouldn't rest, sleep or eat

Just look report by the Mufti Perlis in Astro Awani.

"Tunggu 5 jam di hospital, hanya dapat Panadol'

Nowhere in the article did it mention how severe his condition was, what was the condition at the hospital or how many staff were on duty then. You just paid RM1 and do you expect to get Celebrex?! Try and buy a panadol at the pharmacy and see how much it costs.

We are not asking for much. Every Malaysian deserves quality healthcare. Doctors need to be doctors anytime, anywhere. We can't deny treatment to any one. But we just ask for ONE simple thing.

Please treat us as a HUMAN being. We are not robots and WE ARE NOT SLAVES

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18 comments

  1. Please take note that I have great respect for Muftis and head of religions. I just have issues on how his matter was being reported. No offense, thanks

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  2. A few years back, there was an incident whereby a politician caught 2 doctors reading newspapers in the Doctor's room. The public were quick to accuse the doctors of not doing their job and wasting government funds. I can assume that:

    1. Doctors should not be reading newspapers
    2. Doctors should not be able to rest at their own lounge after a hard day at work
    3. Doctors can't have a privacy to take a rest at their own lounge room
    4. Doctors are slave robots who shouldn't rest, sleep or eat

    AGREE!!!! EVEN WE WERE JUST ACCIDENTALLY THERE ON A NON-WORKING DAY! THEY ALWAYS ASSUME US THE WORSE!

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  3. Too many HO? It is still a myth in Taiping.

    Now medical has 1-2 HO per ward. Surgical also the same. MO is doing HO's job, yet double checking HO's work. Not sure nowadays medical HO has the chance to go MOPD due to lack of manpower. I think MO has get used to it :) Seriously, cannot imagine how does 'too many doctors' looked like.

    Agree with you. Some PKD in north Perak has not enough MO. I dunno where do those 'many doctors' go.

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    Replies
    1. Hi Kiwi-Bird, Taiping still like that ah? I still rememeber the days when HO had to back to back call in Medical....not EOD,back to back! Macam nak muntah

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    2. It is still so bad. Last time before shift system, 1 medical ward 2-3 HO right, now started shift system, 1 medical ward 1 HO, if lucky, 2. Worse still, some work back-to-back shift. Still, cannot compare with our oncall system last time :)

      Still the same questions, why ppl has 40 HO/ward and Taiping dun have HO?? hahaha. I seriously don't understand.

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    3. The placement system for HO is lacking...they should send HOs to hospitals that need more manpower instead if following their requests...maybe the request thing should not be there...just send them wherever they r needed...i remember last time the ratio in my medical ward in JB was almost about 1HO:20patients, and at the same time somewhere in selangor it was 1:3..how fair is that? And now it looks bad in Taiping it seems..

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  4. 'Tunggu 5jam di hospital, hanya dapat panadol'

    Talk about those who come as late as 3-4am for simple cough and cold, or itchiness, and make so much noise for not being attended early, while u r busy resusitating MI patient, with ED full of critical cases...yeah..I do think the community is treating doctors and hospital staffs as slave robots..

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    Replies
    1. Exactly! They have the nerve to barge in to the resus area to ask "Dr, Saya sudah bayar SATU ringgit, sudah lama tunggu. Saya demam tak tahan"

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  5. That story of 2 doc is actually my collegue.found while resting for a while after finished their shif at ed. Cmon lah..tht stupid politician just wants popularities only by exposing "some truth".

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    1. Should have sued him for breach of privacy. our own room also cannot sit down

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  6. hey i am a malaysian working in Britain as a MO currently (SHO we call ourselves) i have been reading about the situation of overflowing of HOs in Malaysia with some surgical ward with about 40 HOs!

    I have my blog too with my ramblings about work, life etc.

    check it out at www.tillhiskingdomcome.blogspot.co.uk

    wish you every success in your career.

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    Replies
    1. Lucky you, how are things over in the UK?are the public as bad? does the ministry (NHS) treat doctors well?

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    2. uhmm... so what about the upcoming medical graduates? is this a problem? what is our plight?

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    3. It will depend on year of study.if final year,I don't think there will be any major changes. The main problem is what is being mentioned in main stream newspapers is not as it seems. To make things worse MOH website is not up to date and its a hassle to browse through

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    4. Hi MOFrus,

      In the UK, there are issues with oversubscription into the year 1 and year 2 house officer programme, but its relatively trivial- about 200 unable to find jobs after Med school qualification. At the postgraduate level, there are normally no issues getting into a specialty if you are not picky- usually general medical training and family medicine is open. I think currently the production of graduates and posts for career progression is at a good equilibrium (as long as you are not too picky).

      The main issues NHS staff are complaining about is the poor salary increments in that its not keeping up to pace with inflation (ie: 1%). Generally, the NHS tries to ensure everybody with the appropriate skills and experience gets a postgrad job.

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  7. They just keep lie too many ho. My hospital kajang also short of ho badly...
    Sometime one ho have to cover whole ward of 45+ pt...with non stop addmissions...
    Please our respected specilist have to grow their mind up. .show us where is alot ho. Please just dont talk show that...
    Our senior docs keep on saying OUR TIME OUR TIME.....they dont know their time was not so many pts...one ho cover ward for whole one month and that time we didnt had iphone and galaxy smartphones....if technology is improoving .. can we improove our self humanism also.....their time specilist and mo didnt use iphones to fastly see diagnosis. ..but now they become mo specilist they are using iphones. Should we also blame them for this. That last time spec n mo was so hard working..

    Respect this profession...please....treat us humans and see how better few of us can delivery. ..

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