PH: JANGAN hukum graduan perubatan. Gred MO permanent UD44 (RM3,700), sedangkan

R2D2

Don’t treat our young doctors so unfairly
November 9, 2019 4:07 PM

Many of our young people aspire to become doctors, not so much to become rich but to serve the community.

Hence the recent action by the health ministry (MOH) to employ some on contract posts is unfair to our young doctors.

There are three concerns over the recent announcement by the health minister regarding the employment of our young doctors on a permanent or contract scheme.

Firstly, the contract medical officers are being paid less than their counterparts who have been accepted as permanent staff.

Medical officers employed on a permanent scheme are paid based on a UD44 grade, while those on a contract scheme are paid based on a UD41 grade.

Both officers will be doing the same work; hence it is unethical to give them different wages.

MOH has suggested that the pay differential between these two groups is small but it can only widen with time as increments and promotions will be totally different.

Secondly, contract medical officers are not being allowed to access local postgraduate training programmes.

These programmes should be an open system for all Malaysians.

Denying entry to postgraduate training for the contract medical officers will result in some of them leaving for other countries, especially those who use the “alternative” training pathways (overseas examinations) for specialist training.

Others will not attempt specialist training. Note that some disciplines (especially the surgical ones) do not have easy “alternative” pathways for specialist training.

Hence, we will retard the number of specialists we train for our country.

We will also probably create a two-tier system in MOH facilities, with permanent officers offered more training in the departments they work in and contract officers being used as “workhorses” to do grunge work.

Thirdly, it does not appear clear as to how doctors are selected for permanent or contract posts.

The MOH must make public its criteria for selection.

In addition, we encourage the MOH to publish a comparative social demographics of those who have been selected for the permanent and contract posts.

We would like to see whether this selection has been based on ethnicity, religion, scholarship holders, children of VIPs (or those with connections), local vs foreign universities, or whether it has been based on merit.

It should be based on the performance of the house officer during the two years’ of training or possibly an exit exam to select the best.

Who is responsible for this failure?

This problem of limited MOH posts for house officers and medical officers has been foreseen and discussed for more than 15 years.

Many individuals have expressed their concerns over the years to the MOH.

We could have acted more than a decade ago to prevent this farce and put in place measures to control the number of doctors being trained. But we have failed to do so.

Will the MOH now take responsibility for this failure?

The suggestions for dealing with the current crisis are not merely to increase the number of new posts for medical officers. It must be two-fold.

Firstly, there must be a drastic reduction in recognised universities overseas, especially locations where our students are poorly trained (Russia, Indonesia, Egypt, etc).

This will limit the centres where our students can train.

Secondly, shrink the local medical schools by 50%. Some of our local medical schools need to improve in the number and quality of trainers and the availability of training sites (hospitals).

The shrinking (or amalgamating) of local medical schools will improve both the quality as well as reduce the manpower glut.

Even if these changes are done within the next one year, it will take another five years (the medical degree takes at least five years to complete) for the changes to affect the outcome of the number of new doctors graduating.

We feel for these young doctors and their families. We would feel cheated if we were in their position.

They want to serve and should be given a fair deal for their service, but many of them have now been left in the lurch.

Real action needs to be taken today and not another decade from now.

Dr Amar-Singh HSS is a senior consultant paediatrician.

R2D2

6,000 new doctors every year, not enough jobs
Minderjeet Kaur -
November 11, 2019 7:00 AM


PETALING JAYA: A non-profit medical organisation has called for a review of the contract system for doctors in public hospitals, and the lack of propects for advancement to becoming specialists.

Malaysian Medics International voiced concern over the increasing number of doctors every year, and the lack of job placements leading to some medical officers being offered contract positions thus depriving them of becoming specialist doctors.

Dr Vikkineshwaran Siva Subramaniam, chairman of the MMI international board of trustees, said the Education Ministry had allowed medical institutions to mushroom.

“There are 33 medical institutions producing 3,000 doctors every year. We have another 3,000 doctors returning home every year from overseas after completing their education.

“But there are not many jobs to cater for all of them every year,” he told FMT.

At the moment, he said about 9,000 contract doctors are undergoing housemanship of whom 4,000 are now given the position of floating medical doctors.

“Those under contract, even though they do the same job as permanent doctors or medical officers, they earn less and are unable to become specialists,” he said.

The contract positions were first introduced in 2016.

Dr Vikkineshwaran said there were no clear guideliness on who is taken on contract and who are placed as permanent staff.

“Either the government should make all medical officers on contract or permanent staff. Medical officers do the same job, but those on contract earn less and are unable to become specialists doctors,” he said.

He said contract medical officers are placed under the UD41 salary bracket and earn RM3,100 while doctors who are permanent staff earn RM3,700 a month under the UD44 bracket. The allowances are also higher for permanent staff.

During housemanship, they earn RM2,900 a month with allowance of RM600 for on-call duties and another RM500 for those placed in Sabah and Sarawak.

“After housemanship, they are placed on the UD44 grade but those under contract have remained at UD41,” he said. He questioned why the doctors in the two grades could not be paid the same salary.

He said contract medical officers are unable to progress to becoming specialists as they need to hold a permanent medical officer position for three years.

With no new jobs being created, the only openings are those left by retiring staff. “Due to that, the government had created contract staffs as there are no new openings.

“But we do not know the criteria of why some are given contract positions while others are employed on permanent basis,” he said.

He further urged the government to look at the issue as there are too many medical institutions and it was crucial to review the quality of graduates passing the exams.

This includes, those graduating overseas.” They may go to substandard medical institutions like in Russia where the language is different.”

He said an entrance exam should be held before the graduates are offered housemanship to gauge who should be employed in the government hospitals to keep up with the quality.

He also urged Putrajaya to allow contract doctors to do their specialisation after 3 years as the country was in dire need of specialists.

“Imagine in Kuala Lumpur Hospital there are only 10 vascular surgeons and 10 liver and gall blader specialists in Selayang hospital,” he said, citing an example.

He said most specialists move to private hospitals for better pay and a better life-work balance.

nusaraya

Kasihan betol ..6000  Doctors baru tambah setiap tahun .. tetapi X ada kerja ...  Mengapa X nak jadi ahli politik saja di Malaysia  .. boleh berbohong dan kianat ...tetapi tetapsaja dijamin  kaya raya ....

RED 666

baru basic tu, belum campur elaun debak debuk lagi

atira

rasanye udah lama warning lambakan doktor ni..
sbb tu sponsorship medic dihentikan sejak bbrp tahun lalu

sampai settle isu tempat kerja

cikdot

bukan selalu dengar doktor meroyan tak cukup staff ke? kena oncall berhari2 tak cukup tido tak cukup rehat. pastu asek nak marah2 patients sebab keletihan.

memang takde kosong or graduan2 ni semua tak boleh buat keje?

fizamn

dah gomen nak nak kurang public servant.... hurrmmm..

najib888

Biasa le tu.. kat private ni lg teruk kot. Ada yg lagi rendah perjawatan, gaji lagi tinggi dari manager. Sebab?  Bangsa je.. ada yg tak dak kelulusan, gaji sama dengan diploma holder. Nak kata kerja lama, tgk muda lg..

Good luck la to young doctors ni demand hak depa..

MFR_IN

RED 666 replied at 11-11-2019 12:06 PM
baru basic tu, belum campur elaun debak debuk lagi

kalau kontrak starting 3.1k + elaun berapa? kontrak elauan apa ja dpt?

tagas

syukur lah ade keje

dua_chzy

Selayaknyah dengan doktors bbnus.

anony-mous

Cadangan i, naikkan sikit byran ke hospital. Instead rm1, cuba naikkan ke rm2. Org skrg pon yg dpt ubat free kebanyakkan nya buang2 je. Rm2 tu baru org hargai. Fair n square. Dah berapa lama xnaik kos tu

RED 666

MFR_IN replied at 11-11-2019 03:33 PM
kalau kontrak starting 3.1k + elaun berapa? kontrak elauan apa ja dpt?

dengar2 campur2 semua seribu lebih gak

Ara_roro93

anony-mous replied at 11-11-2019 04:27 PM
Cadangan i, naikkan sikit byran ke hospital. Instead rm1, cuba naikkan ke rm2. Org skrg pon yg dpt u ...

Ini saya setuju sangat ! Sbb biasa nya jika sampai ke sudah rm1 juga memang isu tak cukup staff/kepincangan kewangan pun akan berlarutan sampai bang jamel mampuih rasa nya !

Situasi Kalau rakyat berbunyi tu ... alaa biasa nya sekejap jee , sbb perubahan baru bermula kan. Lama2 dah biasa ok laa.

Sebab zaman 2019 nie mmg payah nak jumpe RAKYAT yg tiada Handphone sendiri ... walaupun miskin tegar. Kurang2 1 hp dlm 1 rumah. So kalau setakat charge hospital dinaikkan ke rm2 @ rm3 tu ape laa sgt kan. Jgn laa cakap tu pun membebankan. Hurrmmm ,

anony-mous

Ara_roro93 replied at 11-11-2019 05:12 PM
Ini saya setuju sangat ! Sbb biasa nya jika sampai ke sudah rm1 juga memang isu tak cukup staff/ke ...

Yg berbunyi tu biasanya bkn yg miskin pon. Xpyh layan org byk bunyi ni. Mcm car seat tu la. Yg bising2 risau kalau ank 4-5 , bkn yg ank 4-5, tp jantan muka xsiap kahwin pon xlg.

So MOH, tlg naikkan rm1 jd rm2 & increase the service. As long as masih bawah rm5, i think its quite ok & reasonable. Buat la rm2 dlu n tgk mcm mana. I prefer byr rm2 and masa menunggu dpt dipendekkan. Jgn pulak jd rm2 tp xde perubahan. Ubat2 tu kasi kawal sikit, jgn bg byk sgt. Buat peti pemulangan ubat dkt byk tmpt lg 1

Ara_roro93

anony-mous replied at 11-11-2019 05:15 PM
Yg berbunyi tu biasanya bkn yg miskin pon. Xpyh layan org byk bunyi ni. Mcm car seat tu la. Yg bis ...

Yesss betul , saya pun memang dah lama terfikir macam nie. Tapi nak ke munturi2 tu mendengor luahan kita yg kat bawah nie.

Betul tu dah charge naik lagi rm1 , service pun kena laa diupgradekan sikit. Jangan laa masih kekal menung jauh menunggu giliran nk dapatkan rawatan. Pemberian Ubat2 pun memang selayaknya dikawal , bagi yg betul2 diperlukan pesakit shj.

Memang dah biasa sy jumpe situasi Checkup hospital sampai je rumah terus dicampak ubat tu ke dalam tong sampah. Sanggup pegi beli ubat lain kat farmasi , alasan checkup di hospital sebab bayaran murah tapi service checkup lebih memuaskan daripada swasta. Dlm kalangan ahli keluarga sy pun ado 2-3 org yg jonih mcm nih ! Biasa nya level2 veteran yg ado pelbagai jenis penyakit. Tu yg geraamm ! Kadang2 kesian kepada pesakit2 yg betul2 tak mampu dan lebih memerlukan ubat2 tu !

matchstick

Ara_roro93 replied at 11-11-2019 05:33 PM
Yesss betul , saya pun memang dah lama terfikir macam nie. Tapi nak ke munturi2 tu mendengor luaha ...

amboi kak...baru cadang naik bayaran singgit dh mtk upgrade mcm2..dari segi ekonomi nya, naik singgit tu nk tambah sorang doktor kt setiap KK pun x cukup. mmg kerajaan byk tanggung dgn subsidi utk ubat ubatan dan gaji doktor.

Ara_roro93

matchstick replied at 11-11-2019 05:52 PM
amboi kak...baru cadang naik bayaran singgit dh mtk upgrade mcm2..dari segi ekonomi nya, naik sing ...

Maaf kalau komen sy tadi agak keterlaluan yee @matchstick , kalau tak dpt upgrade semua secara serentak pun takpe. At least ada perubahan walaupun secara berubah secara beperingkat , lama2 rakyat mesti faham.

Sy nie mmg antara rakyat yg kerap berkunjung ke Gov Hospital , sbb anak kecik2 lagi kerap sakit. Rawatan dan harga memang sy puji jauh lebih baik dari swasta. Tapi yg tak lalu tu nak menunggu no giliran sampai berejam2. Cth appoinment jam 8 , jam 11 @ 12 baru dapat jumpe Dr. Tu belum kalau anak kena admitted ward , daftar jam 11 malam jam 7 pagi baru dapat masuk wad. Dtg awal atau lambat sama jee tetap lambat kena panggil. Tulang belakang pun boleh bongkok menunggu nya , harap sgt  dapat diperbaiki situasi macam nie.

caprut

RED 666 replied at 11-11-2019 12:06 PM
baru basic tu, belum campur elaun debak debuk lagi

Itu cmpor elaun la

matchstick

Ara_roro93 replied at 11-11-2019 08:53 PM
Maaf kalau komen sy tadi agak keterlaluan yee @matchstick , kalau tak dpt upgrade semua secara ser ...

dgn caj rm1 tu sebenarnya kerajaan dh tanggung almost 100% kos rawatan setiap pesakit..mcm bagi free je tu tapi kerajaan najib dulu nk kutip jgk rm1 sorang sbb dulu kan duk obses 1malaysia kulu kilir padahal dgn rm1 yg dikutip tu nk tampung kos maintainance bangunan hospital/ KK pun x cukup, belum masuk kos rawatan gaji doktor.
sy risau kalau diberi cadangan naikkan kos rawatan, bukan singgit je naik nya..kerajaan skrg mestilah kononnya akan kaji semula berapa kenaikan yg boleh tampung kos rawatan sebenar, so that subsidi tu makin berkurang. worst case, jadi mcm harga minyak tu ha..dh jadi subsidi bersasar pulak.