Monday, April 13, 2009

Response to Blog Comments on Medical Education

I was interviewed by the Al-Jazeera program last Friday at 9.30a.m. Basically it is about the leadership of Najib, the expectation of the rakyat and what Najib needs to do to regain the confidence of the rakyat and the support of the non-Malays.

I was told that the program would be aired on Astro’s Channel 513 on the coming Thursday. The full content of the interview will be uploaded unto the blog after that. 

Apart from that,I like to response to some comments posted in relation to medical education in this country. I left out in my posting that I did have serious discussion with the chairman of MMC that Malaysia should implement a common unified medical examination for all medical graduates, both local or overseas. Of course there was strong objection. To them, it will be unfair to subject graduates from leading overseas universities to a local unified examination. My responses have always be the same, that if you’re good, you should not be worried about examination and the examination conducted properly is the best yardstick to prove that you’re good. However, this idea was not implemented since it has to go through many hurdles. I hope that the Minister of Health would continue what was initiated by me in the year 2007.

I fully agreed because of the rapid increase of private hospitals in our country, the government finds it difficult to retain senior doctors. Often the good ones will leave for greener pasture where working conditions are very much better besides a better remuneration. So, in the government healthcare system, you will find doctors who are not very senior training junior doctors.

When I said the MMC should review some of the degrees from some of the countries including Russia, I am not trying to paint everything black with a stroke of brush. It is a general statement where senior doctors have observed that some of the most poorly trained doctors come from Russia. Like any other system of education and training, there will always be people who are good, even when you place them anywhere. Hence, in any country, there will be great variation of standards.

I will not talk about perennial shortage of medical personnels in the government healthcare system. I will do some posting on it at some other time.

I have to attend a press interview with the Oriental Daily press. I hope to do some posting in late afternoon. 

7 comments:

the observer said...

dear sir,

r u no longer relevant?

critical issue - http://www.merdekareview.com/news/n/9367.html

getting more disappointed about ur judgement and capabilities.

Gemini said...

许子根在308大选中被政治海啸吞没,他领军的槟城执政联盟也一败涂地。许子根所交出的成绩最不符合“绩效”,被委为上议员出任部长简直是对绩效的最大讽刺。

Gemini said...

Everybody seems to be going after you for interviews. This evidently shows you are somebody to be reckoned with. Keep up your good job.

johnny said...

Malaysia Boleh Land. Can we also have a unified exam. for engineers, nurses, pharmacists, business adminstrators, politicians, etc.? Transparency? Fairness? More problems than solving the problem.

呉 和豪 said...

Comrade Doctor Chua
Strongly agree with the following comments as it is in line with
culture of excellence advocated by our prime minister , one of the important requirements for the implementation of culture of excellence is Performance based on measurement and Unified examination is one of the way

To them, it will be unfair to subject graduates from leading overseas universities to a local unified examination. My responses have always be the same, that if you’re good, you should not be worried about examination and the examination conducted properly is the best yardstick to prove that you’re good. However, this idea was not implemented since it has to go through many hurdles. I hope that the Minister of Health would continue what was initiated by me in the year 2007

Mike said...

华人不感恩,受了国阵的恩惠,却不把票投给国阵,令国阵有被愚弄的感觉。

他针对《马来西亚前锋报》提出“每次补选,国阵满足了非马来族群的要求,甚至在武吉干当,给了100万令吉拨款,但华社依然不支持国阵”的问题这么说。

“有时我们也觉得被愚弄,因为表面上看来好像‘ok’,获得如雷掌声,但可能他们的内心已深埋那种想法,就是:‘有些事情不容易改变’。”

These sort of statement was made and published in major newspapers in Malaysia, what is the motive and intention behind. Dr you are a smart fellow you tell us. Why is MCA youth so quite on this?

You see Najib’s new slogan of “One Malaysia” what does it actually means. Many are totally confused by this slogan and its true meaning. When top political leaders are expecting people or the different ethic group to be grateful to funds allocated to them what does it tell you?

Among all the coalition government leaders, you are one the most qualified to be appointed to monitor the performance of the various Ministers. However this academia of Koh KS was appointed instead. What can he do? He is so week and even a district chairman can bully him, asked him to leave and torn up his pictures in front of all the media. He is a dead horse before the race even began.

Anyway, the road to reform is a long long way ahead. Even the coalition leader is also confused with it….

尽管首相纳吉提出的“一个马来西亚”目标,获得一众国阵领袖的称颂及背书,然而前 politican却唱反调,担忧这或将没有实效,又沦为另一个口号。

在部落格上表示,“一个马来西亚”这个口号不明确,让人民觉得很混淆。

“政府必须解释到底纳吉所提的‘一个马来西亚’概念,到底是什么。我看到很多人民都不清楚这个概念。”

由于不清楚该概念,一些人甚至还把它与民主行动党的“马来西亚人的马来西亚”混为一谈。

Anonymous Says said...

Dear Dr. Chua,
You remind me of the one world order system, suggested by someone once upon a time ago. This system would mean everything will be the same. In fact, how we want to call it, a one world order system, globalization, standards etc. etc., it looks like things done are beginning to look alike from one country to another. Going to your last post, sometimes the Senior doctors or the specialists or the consultants or the professors want things done their own way. Very rigid. How can the young doctors think for themselves ? Then at times, these feared specialists behave like they are gods and only they themselves are right. Each time they do rounds, everybody will be hurrying up and down, rushing here and there, just so that the feared specialists would not scold them or embarrass them in front of the public. Even answering them on the phone will create panic and as if all hell break lose. Now that education has no barriers, people are not that narrow in their thoughts. Those times when so and so is to be feared should not be feared any longer. Young doctors should be bold to question these so called feared specialists. On another hand, sometimes these young doctors take the role of the doctors in the television. They think of themselves as supermen. They watch too much doctor television or movies. The young doctors these days lack direction. You may not believe this. Some do not know or care about how they look. They look pitifully like a house maid or like some rock star. If the so called Seniors do not know how to manage themselves, how can they manage another junior doctor ? Then in addition. The knowledge. There is too much knowledge. It is bad because the doctors get confused and cannot decide which is the best one. The medical profession has a team spirit. It is no point giving the best medicine when the patient's wound never get healed. It is no point ordering so much specimen of blood to be taken and the patient has to suffer from the pain of being poked. It is no point prescribing sedative when the root of the patient's mental problem is not cut off. It is no point attending course after course after course but the output is still the same as before. In fact, if a patient were to be healed properly, a holistic approach is very much needed. Make another surprise visit again and you will see that this holistic approach is lacking. Theory wise, the medical professionals are not lacking. But they need to practise much more and they need very good supervision and teaching. Paper work should be cut down and hands on interaction with the patients should be more.

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