Monday, February 20, 2012

Malaysia Boleh : Medical 'Scholls'....................

27 !!!!!!!!!,at the last count  with the latest addition of diperdana's.
17 private, 10 public.
[ sorry folks, I got it wrong ! it is 30 something at the last count....]

I am not worried too much about the public ones, even then once you get beyond the traditional 'ivy league' stuff of UkM, Mu and USM, and perhaps UIA  if one can stretch one's imagination a wee bit. As for the rest, ...........uitm, putra and etc etc, one can just hope they are doing things right with the correct staffing ratio, experience of teachers, availability of big teaching hospitals etc and etc and etc. 


 [It takes a lot of 'love' to run a decent medical school. That kind of love is hard to come by and on this count I must salute my old professors  and  untiring teachers like Prof TG loh, Somasundram, Khairuddin, Prataph, Marican, Razali, Chan Onn Leng,CK  Lam, Sengupta, Winnie Danaraj, 'Long John' Silva and the rest, some still living, some already dead. The late Prof Tan Sri Danaraj, top of the 'heap', was exemplary of the stuff that I am alluding to.]

With the private ones, mashaallah !!!!.....frankly I do not dare to think or imagine. It is a living nightmare just to think.
It boggles the mind how and where they get their students, at what level of entry they do that; and most importantly, their clinical teachers: what quality of teachers they have , where they get them, with the peanuts they are paying out are they actually getting 'monkeys' teaching 'monkeys' ?..... what level of clinical education and training their students get ?
umno , mic must have one. mca, since they are loaded probably 2 or 3. This and that individuals close to this and that pm and pm's wives must have one. ABIM or ABIM related NGO would like to have one as well. One even get nowadays  'virtual' nursing college and medical school like MEHSA or whatever etc and etc. Getting former DG's to sit on the board just help.
At the end of the day what kind of rojak doctors do we plan to produce ?

Some are probably doing quite well but majority are not .

Medical schools unlike flight schools cannot open today and close tomorrow.
The doctors they produce will be signing prescriptions and mending the sick for generations to come.
it is high time the powers that be review these schools and cut down down those that are just sub-standard and fly by night.
Otherwise we will have thousands of half trained half educated  'wounded' individuals for years to come manning and running around our hospitals. Even now hospital consultants are complaining they have too many housemen under them they dont even who are coming  and who are going. In some hospitals, house officers have  just 'two and half ' patients under their care. My time we have 50 ! At 12 midnight we are still looking just at the 5 pm admissions !

In Malaysia Boleh we can accomodate a few more ' nfc fiascos' , I think, that is all right by our 'malaysia boleh' standard.
But we cannot afford to have young specialists in something and something running around not being able to think and vocalise as well as they should be, and since I have been thirty over years in the business, I have been seeing even this creeping into the proffesion. 

Our DG's in Ministry of Health and their respective think tank have been sleeping on the job too much  and not thinking and not advising their 'political masters' well. And what is our Ministry of Higher Education doing by the way ?

.....and we have a medical doctor as pm for 22 years !
POOR AND 'SHOODY" PLANNING AND THINKING....THAT is what Malaysia Boleh is about !






dr nik howk
class of 72/78 
med school, university malaya




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from Adam,





Salam Howk,
Very aptly described. And that is why I gave my son permission to do his housemanship in Spore, despite comments from some that he was being unpatriotic. As he told me, it is not that there aren't good doctors in Bolehland, but most of them are nearing retirement ( your peers). Housemanship, being part of a doctor's training, I had to let him get about the best  in the region in the expectation  that he will be a much better doctor here when he returns. The powers that be are crazy unleashing half-baked doctors, just like they do half-baked lawyers and other so-called professionals, onto the unsuspecting public. So much for Bolehland!

Wassalam,
Adam


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from dato dc,


The quality and nature of university teaching has changed worldwide. When I graduated many years ago, there were 20 students in my class, discussion groups of 5 students, and tutorials of 1 tutor to 1 student. A few years ago when I re-visited my old College, I found there were over a hundred in a class, discussion groups of 10 students per group, and tutorials of 5 students to a tutor.

Having said that, there were also vast improvements in the technology used in teaching, such as faster access to academic material, and easy online access to one's tutor, etc.

In Medicine, I can see constraints to such rapid expansions, such as availability of cadavers for anatomy students to work on, and good hospitals for attachment. I was pleasantly surprised to note the high quality of teaching of Medicine at the local campus of Monash University. I am a patient of Dato Prof. Khalid Kadir at the Sunway Monash. While examining me (for a diabetic- induced inflamed femoral nerve) he had three students looking on. He taught them well on how to proceed on the clinical diagnosis. I noticed that he taught them how to think. I was impressed by his clear and rational approach, and I think the students there are lucky to have such a world class teacher to tutor them.
We do have good local universities, programmes and teachers. But we also have rubbish universities here that issue degree certificates that state on the back "Valid in Malaysia Only".




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What a pain to hear the devastating state of our medical training .Although I'm not a medical doctor but as a lawyer practising law for more than 35 years and often handled medical negligence cases, I notice even doctors of yesteryears with high standard of admission to medical schools with provision of training of the highest British  , Australian and Commonwealth standards, yet there were serious cases of medical negligence , albeit not many  of such cases.
Furthermore , our courts are generally reluctant to grant high  awards or damages to the plaintiffs. I don't really know what was the reason, most probably is because to avoid a litigious society as in the US.

Some proactive measures must be taken immediately by all parties in the medical industry and the government too.It's never too late to take corrective measures .


Best regards,




Datuk Dr Abdul Raman Saad
Sent from my iPad
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Doc Azman, senior consultant radiologist [ retired] formerly of USM wrote,
It is just money out there to be made NikH! At least $300K-1M per student.
Parents & children attitude - secured jobs, respectable jobs in society, glomour, etc ..... Etc.
Now seem to be low standard & over production!
What were the policy rational then?
I had been MQA official for other courses - I get to know how they run the programs; quality & standards were compromised. What is important is the balance sheets.

Doc Azman
V69 Sulaiman Hs
Sent from my iPhone4 via maxis
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