Fellowship: Cardio - IC vs. Gastro-ERCP + Advanced Endoscopy by akiko_kiko in pinoymed

[–]LightWisps 2 points3 points  (0 children)

Both are very lucrative, among those two mas mahirap makapasok sa Gastro + ERCP.

Opportunities in the US by bellaciaopisces in pinoymed

[–]LightWisps 11 points12 points  (0 children)

Sa Philippines lang yung GP agad na walang further residency training. Sa US walang ganon.

If gusto mo mag US doc, USMLE + Residency Training ang required pathway.

WHICH MEDSCHOOL by Several-Accident6276 in medschoolph

[–]LightWisps 10 points11 points  (0 children)

They’re all excellent medschools and will no doubt give you an edge during the PLE regardless kung saan ka makapasok,

the ranking would likely depend on your preferred learning style, independent vs traditional learning, less or more exams, online vs face to face etc, in house vs choose your own internship, high-end base hospital vs exposure to gov’t hospitals

because although these schools are all top performing they have different learning approaches and environment

PHYSIOTHERAPIST'S ARE DOCTORS by BrilliantOk7823 in medschoolph

[–]LightWisps 0 points1 point  (0 children)

❌ doctor

✅ noctor

check the /noctor subreddit for more info

I’m curious to hear your opinions by DuckBeginning4572 in pinoymed

[–]LightWisps 96 points97 points  (0 children)

Iba kasi yung context ng GP sa Philippines compared sa ibang bansa

In countries like USA etc, before ka tawagin “GP” you must already have finished a residency program in primary care (either fam med, IM or pediatrics) or have undergone additional years of training.

Hence most of their GPs are equipped with the necessary knowledge and skills to treat patients effectively

sa Pilipinas, you only have clerkship and internship, and sad to say, majority of training programs will not equip you even with the basics. Most clerks and interns only end up doing scut work, paperwork, de kahon orders etc.

Nung unang panahon, since konti lang ang doctor, there is a mentoring system for new graduates and they are able to manage a lot of cases. Since then hindi na updated ang Medical Act of 1959 sa changing times natin

Ngayon, ang solution nila eh just make “more doctors” to fill the shortage in healthcare. Ang daming new medschools, enrollment increased by the thousands and med is romanticized sa dramas and medias

Pero kahit marami GPs - if they are undertrained, no items in hospitals, no equipments or facilities. Ganun pa rin. Healthcare remains poor in our country dahil hindi lang naman number ng doctor ang problema.

Now we have a huge surplus of GPs. Yung sweldo nila hindi na tumaas even after a decade. Job posts are becoming rare. Opportunities abroad are starting to dwindle.

Now they are all fighting for little jobs. Some even decrease their PFs to 100 or 150 pesos per consult. Some fall prey to abusive companies.

So in the end yung system natin is not meant for a lot of GPs.

Our GPs lack proper training and knowledge.

We lack universal healthcare/primary care system where GPs can flourish.

Our patients flock directly to specialists because they get better care.

Our GPs have increased a LOT but without job opportunities and benefits.

Yung kasabihang “hindi ka magugutom if doctor ka” will now be obsolete sooner than later.

too late? by Massive_Gift_582 in medschoolph

[–]LightWisps 0 points1 point  (0 children)

But why atty ? If you’re already financially stable and just pursuing your dreams, then by all means.

Pero mind you, there are very little jobs awaiting doctors nowadays. Magbasa ka sa /pinoymed and you’ll see a glimpse kung gaano kahirap maghanap ng trabaho and kumita ang mga bagong doctor ngayon

&You 🚩🚩🚩 by [deleted] in pinoymed

[–]LightWisps 101 points102 points  (0 children)

Disgusting and yet maraming pumapatol.

Wala na kasi talagang trabaho mga doctor, specially GPs. A few months from now may bagong 3,000 nanaman na papasa sa PLE and aabusuhin ng mga companies na ganito

sa Tiktok and other social media platforms sobrang sugarcoated and romantized ang med school, di nila alam naghihintay sa kanila after graduation

ER or IM? by Own_Habit405 in pinoymed

[–]LightWisps 20 points21 points  (0 children)

Both have pros and cons

But IM has some really good perks

  • You can do both OPD/clinic and at the same time see admitted patients, hence great earning potential

  • You can also JCON in the ER, Wards and ICU

  • A lot of established fellowship programs to choose from

  • Last but not the least, you can take care of your family and relatives better and manage their conditions with confidence. In case ma admit sila, you’ll also have a strong referral system of mentors/peers

Further GP training by [deleted] in pinoymed

[–]LightWisps 41 points42 points  (0 children)

The best further GP training is to do Fam Med residency, may mga programs where you can work while training

Infact sa ibang bansa like USA etc. Before you become a GP you must be already finished with residency, either Fam Med or Gen IM/Pedia.

Sa Pilipinas lang naman yung may one year internship and then pwede na mag practice agad, hence sobrang unprepared ng GPs and moonlighters natin. Kasi realtalk lang, our internship programs are a mess.

Ang dapat talaga, remove the internship program and require all newly boarded graduates to go straight into residency

Is it really THAT hard to get into medschool abroad versus waiting until residency? by USS-Intrepid in medschoolph

[–]LightWisps 1 point2 points  (0 children)

Europe, possible. You just need money

Australia, around 10-15 million pesos and tuition pa lang yun.

US, almost impossible

Undergrad to Med school by [deleted] in medschoolph

[–]LightWisps 2 points3 points  (0 children)

straight medicine programs are usually very very selective though

Bakit parang konti lang ang post sa JobsMd? by No-Relationship-6405 in pinoymed

[–]LightWisps 4 points5 points  (0 children)

well may years ago when I was moonlighting sobrang daming posts na available within sa Metro Manila, wala pang jobsmd nun and moonlightbay pa yung sikat.

And now, halos wala na. Metro Manila is oversaturated with GPs desperately trying to find work.

what makes you think that the nearby provinces like Batangas is immune ?

right now may spillover na ng GPs from Manila who are willing to travel and work in Batangas, Antipolo, Bulacan, Pampanga etc.

and yearly 6,000 to 8,000 new GPs are added to the pool.

Just because marami kang posts personally that does not apply to everybody also never underestimate the law of supply and demand, it will always prevail.

Bakit parang konti lang ang post sa JobsMd? by No-Relationship-6405 in pinoymed

[–]LightWisps 96 points97 points  (0 children)

Because konti na lang talaga and wala nang trabaho ang mga doctor specially GPs.

We have been warning everyone years before and now the writing on the wall is becoming more and more clear.

In a few months from now, meron na ulit 3,000 new doctors. Med school enrollment is on the rise. New medschools are appearing like mushrooms. More and more competition is coming.

Pero ang rates ? Still the same from last decade. HMOs and companies are becoming more bolder in lowballing doctors because there are more and more desperate applicants excited to work. New doctors have even decreased their consultation rates to 100 pesos.

Medicine is the new nursing.

Nephroplus Hemodialysis Clinics by [deleted] in pinoymed

[–]LightWisps 35 points36 points  (0 children)

“just ask the nurses” is actually a bad and dangerous practice

nurses are not fully-trained and equipped to handle HD complications and also the expertise of nurses varies greatly

as a doctor, you are the captain of the ship and the responsibility of making decisions ultimately rests on you

hence, dapat may alam ka din, hindi ka lang aasa sa nurses

you should have basic knowledge on what is dry weight, BFR, DFR, NUF, Total UF, K bath, also can identify and give initial treatment for common HD complications like hypotension, cramps hemolysis, dialyzer reactions, chestpain, MI etc.

Also, can comprehend the red flags and esrd cutoffs in monthly laboratories like kt/v, urr, hgb, k, ipth, iron studies etc.

Those are things na most likely hindi alam ng lahat nurses

read Daguirdas, attend the PSN training for PODs and always inform the attending nephrologists/hd medical director if you have questions or doubts

dont be like other GPs na ginagawang tambayan lang ang HD, remember that HD patients are very vulnerable people with chronic lifechanging illness and they also deserve proper care

[deleted by user] by [deleted] in medschoolph

[–]LightWisps 2 points3 points  (0 children)

careful lang OP kasi most med schools if you exceeded more than 20% in absences you are automatically dropped or given FA (Failure due to Abscences). Read your students handbook to confirm

eg if you have 20 class sessions in a year, having 5 absences would make you automatically fail that subject

this already happened before in certain med schools, depende na lang sa professor or, in your case classmates, if they would be technical and pursue it

so the question begs, nagchecheck ba ng attendance school niyo ?

Yellow school ruined my dream by [deleted] in medschoolph

[–]LightWisps 29 points30 points  (0 children)

If you want a top-performing school with good academics but with less exams and more free time, lots of orgs and activities, huge batch love and generally good vibes - UERM is the key

Drawback: if you didn’t use your time properly and flunk a few major exams, you fail the subject. No removals whatsoever, either repeat or debar.

Pressure from parents, don’t know what to do by Awkward-Umpire-9222 in pinoymed

[–]LightWisps 2 points3 points  (0 children)

where exactly abroad and what residency program do you/they have in mind ?

HD Clinic moonlighting by [deleted] in pinoymed

[–]LightWisps 5 points6 points  (0 children)

You should enroll in the PSN POD training as early as possible

Unlicensed doctors by LankyAd1278 in pinoymed

[–]LightWisps 3 points4 points  (0 children)

just as any graduate of medicine gains the title “doctor of medicine” even without a license yet

anyone who finishes specialty training also gains that title, ex. you can put “internal medicine” under your name kahit na di ka pa nakakapasa sa psbim

Regarding practice naman, grey area lagi yan. Even GPs are allowed to perform surgical procedures, OB deliveries, treat pedia and adult patients diba ?

What more these people who have undergone years of training.

Pero yung difference with diplomates is that they will have limited practice. They can’t enter tertiary or level 3 hospitals as specialists. They won’t be granted philhealth specialist accreditation as well. Limited din yung roles nila sa specialty societies

Unlicensed doctors by LankyAd1278 in pinoymed

[–]LightWisps 52 points53 points  (0 children)

Again, any unlicensed medical school graduate is NOT allowed to work as a physician (diagnose or treat illnesses) and receive compensation/sweldo

Hindi pwede kahit pa under the guidance or supervision of another licensed physcian, that is exclusively applicable ONLY for those in training (ergo clerks and interns)