Wednesday, February 01, 2006

Doctors without Clinical experience?

EXCUSE ME DOC, DO YOU KNOW WHAT YOU'RE DOING?

Why do I have to strip naked; I just had a migrain pain?

Doctor: Do as I tell you. I am the doctor and you are the patient. I am trained to inspect the breast and buttock to diagnose the migrain pain.

Medical colleges churning out sub-standard doctors with no clinical skills?

Doctors incapable of diagnosing disease?

Shocking?

NST reported that some doctors who handle patients have no clinical skills. Bluntly put, the patient is something of a guinea pig in their hands. These doctors may have sufficient theoretical knowledge, but they lack practical experience.

Another shocker: Some of these doctors are products of medical colleges operating out of shoplots, with no proper facilities such as laboratories and insufficient lecturers. The main problem is the mushrooming of private medical colleges. Of the 17 medical colleges in the country, only eight are public medical universities.

There are simply not enough places at designated government hospitals for medical students to undergo practical training? What bullshit!!!!

The problem is expected to worsen as more colleges are approved by the Ministry of Higher Education. Director-general of Health Datuk Dr Ismail Merican asked: "Whom do we blame when we get doctors who do not have the necessary clinical skills?"

Expressing concern, Dr Ismail said he had come across doctors in hospitals who did not have clinical skills such as patient care, familiarity with the signs and symptoms of diseases, diagnosing illnesses, and doctor-patient communication.

"We have the same problem with allied healthcare staff such as pharmacists, radiologists and nurses," Dr Ismail told the NST.

"My advice is, consult the Health Ministry before setting up (or approving) medical colleges," Dr Ismail had this to advice the Education Ministry.

Dr Mohd Amin said, it should not mean "mass production and compromising on standards and quality". UKM vice-chancellor Professor Datuk Dr Mohd Salleh Mohd Yassin said: "There is no shortcut. I have been in the medical faculty for 22 years and I know the biggest problem is getting the proper teacher-student ratio. Can private schools afford this requirement? Do they have the required infrastructure?“

Dr Mohd Salleh called for the consolidation of medical colleges.

Medical lecturer Dr Kuljit Singh said: "Private medical colleges should not be built just because of demand or because the business is lucrative.“ Saying it was difficult to get experienced teaching staff, he added: "The majority of doctors in government hospitals are juniors and lack teaching experience. We seriously lack a good teaching force and thus end up getting foreign lecturers.“

Who do we blame? This is the question posed by Director-general of Health Datuk Dr Ismail Merican. Blame what? There are shortages for thousands of medical staffs and doctors and the Ministry of Education is manufacturing them. Quality and Competency? Oh, doesn't matter as this is Malaysia Boleh.

One day, you go to see a doctor and tell him you have migrain and see if he will strip you naked to check your breast and buttock. That's the new breed of doctors we had manufactured - Made-in-Malaysia!

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