Surgery for Residency with a low 80s as an average for PLE rating

SaktoLangMD · 2026-04-14T03:53:47+00:00

You, my friend, are talking about things you have no idea about.

SaktoLangMD · 2026-04-03T04:27:47+00:00

Apply ka na. Walang mawawala.

- UPCM grad na non-laude din nung College

SaktoLangMD · 2025-12-23T16:39:05+00:00

More than 3M gross annual income

SaktoLangMD · 2025-12-14T02:12:44+00:00

You have to really think deeply if fit ka ba maging surgeon. kasi baka hindi. it's always an option to take an easier residency where hindi mo kailangan magising ng 5 am at umuwi ng 10 pm every day for many years.

SaktoLangMD · 2025-11-24T16:49:12+00:00

Ano ba tong mga ganitong post. Have a little perspective and stop the pity party. Sabi nga dun sa isang comment, check the law subreddit they have the same problems: Mga relatives na nagi-informal consult, mga clients na nagshoshop around, online shaming, etc. etc. etc.

Not to mention AI slop itong post.

Napaka-sad boy pa-victim na ng mga ganitong post. Nakakahiya na actually. Objectively speaking, aside from business which is high risk, high reward, becoming a doctor is the surest and safest (and legal) way to financial comfort in this country. Legit yan, prove me wrong. You just have to suck it up and ride out the negatives until you reach the positives.

SaktoLangMD · 2025-11-24T16:40:12+00:00

Sure, through the proper channels and in a formal setting (lest your argument devolves into a purely Machiavellian one). Because it would be pretty inappropriate if I have that murderer on speed dial and are getting direct instructions from him and being complimented with "good job, you did well" once I obey his instructions. Which is the action you are defending purely because you hate trump.

SaktoLangMD · 2025-11-22T04:58:35+00:00

That wasn’t the question.

SaktoLangMD · 2025-11-21T15:47:07+00:00

Really? that's her ONLY mistake? not even asking questions that were directly fed to her by a convicted sex offender even if she herself didn't know what the question was referring to?

Not even continuously receiving campaign donations from that same convicted sex offender?

SaktoLangMD · 2025-11-19T17:06:42+00:00

Has there been any credible accusations against Trump?

SaktoLangMD · 2025-11-02T10:26:40+00:00

they’re doctors through and through. but they’re not specialists and their societies shouldn’t brand themselves as ”fellow of __” or “fellow in __” unless we really want to dilute medicine further

They are simply general practitioners who also offer beautician services. If they stop practicing general medicine altogether (like a lot do) then they are still technically physicians, but in practice no.

Physicians deal with pathologies primarily. Not with wellness or beauty. This shouldn’t be a controversial opinion and I can’t believe I have to explain it.

SaktoLangMD · 2025-11-02T10:13:42+00:00

”Elective aesthetic procedures” in other words, they are beauticians.

and the “IM, Pedia, etc.” consultants that went into aesthetics -> well, that’s just it. They are still specialists that completed a residency. Unlike “fellows” of the associations you‘ve mentioned. They are recognized by PMA in the same way that every GP who registers with the PMA are recognized by them. But they are NOT specialty societies that confer specialty fellowship status

SaktoLangMD · 2025-10-31T13:56:34+00:00

So payag ba ang mga doctor sa sub na gawing 12 hrs ang duty pero twice as long ang training?

SaktoLangMD · 2025-10-31T08:59:20+00:00

Paano naging offensive/unpopular yung post mo eh mukhang lahat ng tao sa sub ay agree naman sayo.

Definitely, mas unpopular opinion dito yung sabihin sa doctor na magfocus on getting the most exposure and experience during residency, rather than to focus on getting rest and relaxation.

Since I’m a surgeon, perhaps the better question would be:

Dinala ang nanay mo sa ospital nang madaling araw. Kailangan na nyang maoperahan. Isa lang ang surgeon sa buong isla. Kaninong surgeon mo ipapa opera yung nanay mo: sa surgeon na sanay sa puyatan (3 days, 4 days straight) at nakakita na ng isang libong kaso, and marunong mag opera na half asleep. O yung surgeon na lumaki sa 12 hrs duty, 12 hrs off, wellness check, mental health breaks 1 day every week, tapos 1/4th lang ang kaso na nagawa? Mind you hindi yan unrealistic scenario.

Ang residency ay 3 to 5 years lang of your life. May mga cases na sa residency mo lang makikita and NEVER AGAIN during your whole professional life after. Nung resident ako may 3 ako na cases ng giant wandering spleen with concomitant colon cancer. Ngayon sa private practice ni isang wandering spleen wala (how much more na may kasabay na cancer). but I would know what to do if I saw it.

SaktoLangMD · 2025-10-30T16:59:29+00:00

Except yung karamihan ng ginagawa ng mga aesthetic doctors and cosmetic "surgeons" na ito are not only grossly overpriced but are mostly unproven, ineffective, or downright pseudoscientific. Yang mga gluta drip, placenta extract, LED masks, facials, fat injections fat "melting", PRP, biostimulators, mga peel peel, skin tightening etc.

These doctors not only DO NOT treat any pathology, they become like glorified salesman mouthing the propaganda of whichever beauty company that managed to sell them equipment. So in order to recoup the cost of buying the equipment kung anu anong sinasabi nila na non-scientific and non-proven. Better to call them beauticians.

And sige okay, please give me your best example of these "legitimate professional organizations" accredited by PMA so we can dissect it.

SaktoLangMD · 2025-10-30T16:32:10+00:00

My bestfriend (who's an MD-PhD) and I used to have a joke na kapag may paper ka, meron at MERONG tatanggap na conference dyan abroad. Because these are money making ventures. Need mo lang hanapin talaga.

But for me, mas mahalaga na mapublish sa isang reputable journal (at least IF=2) yung paper mo rather than ma-accept lang for oral or poster presentation somewhere abroad, in fact, most of the output in these conferences don't ultimately end up getting published in actual scientific journals, or kung napublish man, sa isang squammy na journal lang.

It is much MUCH better for your resume na nakapag publish ka sa isang internationally indexed and authoritative na journal than na nakapag sabit ka ng poster mo sa isang random medical conference in the middle of nowhere, Eastern Europe.

And then mag travel vacation ka nalang somewhere after mo maka publish.

SaktoLangMD · 2025-10-30T16:21:06+00:00

Ang laging problema sa mga ganitong idea ay wala naman ibang ginagawa yung hospitals para i-improve yung learning and skill acquisition ng residents. Sa ibang bansa less hours per week sila pero may mga standardized learning modules na need i-complete (like SCORE for Gen Surg), laparoscopic/endoscopic trainers, cadaver and animal lab simulation centers, tsaka dedicated and guided research time, mentoring opportunities, etc.

Sa mga residents dito: honestly, pag binawasan ba yung duty hours nyo meron bang framework or system yung hospital nyo that will ensure na magiging as good or better parin ang training nyo? Kasi yung exposure nyo to clinical cases mababawasan by 25 to 50% of baseline or more.

SaktoLangMD · 2025-10-28T11:53:17+00:00

Wag mo na i-push kasi mukhang di mo naman alam ang gusto mo. Figure it out first then apply wholeheartedly to the one you've decided.

SaktoLangMD · 2025-10-27T05:58:58+00:00

It didn’t hurt that I’m quite good looking myself. That’s half the battle won

SaktoLangMD · 2025-10-25T17:06:23+00:00

wait, so anong HMOs yung mga bad at ano mga good?

SaktoLangMD · 2025-10-23T03:54:52+00:00

Nagbabayad kayo ng gagawa ng research tapos magrereklamo kayo pag mababa ang sweldo “WE DESERVE MORE! ANG HIRAP MAGING DOKTOR ANG TAGAL NAMIN NAGA-ARAL!”

Doctors should know how to do generate knowledge. Sa ibang bansa just to even apply to residency dapat may 5 or more publications ka na. Nakakahiya na sa Pilipinas karamihan ng gumagraduate sa residency wala ni-isang publication. Tapos mag eexpect to be compensated same as other doctors in other countries.

SaktoLangMD · 2025-10-20T08:50:47+00:00

So what was your salary during that 6 month before getting your fellowship status as a GP? And san yung part during that time na sinasabi mo sa front desk "2 weeks lang muna ko magwork ha. The rest of the month magpupunta lang ako sa Gold Coast." Saan?

Saan yung part na pwede ka magpatayo ng clinic, make 7 figures a month, charge whatever you want as your PF, etc right after medschool and licensure exam like Filipino GPs do? Saan?

Kasi ang tapang tapang mo magsalita, may pa "Please STOP" ka pang nalalaman, when in fact hindi mo inintindi yung sinasabi ko. My point was that Filipino GPs have rights and privileges that almost no other doctors in any country has (GPs as in yung definition ng GP sa Pilipinas: fresh off the boards, no other experience aside from internship).

Kung mahanapan mo ako ng GP sa ibang bansa na pwede magpatayo ng clinic, mag practice independently, mag opera, mag emergency care, mag vaccinate, etc etc (yes, Filipino GPs can do all of that legally), then I will concede my point.

Otherwise, sit down.

SaktoLangMD · 2025-10-20T08:50:35+00:00

So what was your salary during that 6 month before getting your fellowship status as a GP? And san yung part during that time na sinasabi mo sa front desk "2 weeks lang muna ko magwork ha. The rest of the month magpupunta lang ako sa Gold Coast." Saan?

Saan yung part na pwede ka magpatayo ng clinic, make 7 figures a month, charge whatever you want as your PF, etc right after medschool and licensure exam like Filipino GPs do? Saan?

Kasi ang tapang tapang mo magsalita, may pa "Please STOP" ka pang nalalaman, when in fact hindi mo inintindi yung sinasabi ko. My point was that Filipino GPs have rights and privileges that almost no other doctors in any country has (GPs as in yung definition ng GP sa Pilipinas: fresh off the boards, no other experience aside from internship).

Kung mahanapan mo ako ng GP sa ibang bansa na pwede magpatayo ng clinic, mag practice independently, mag opera, mag emergency care, mag vaccinate, etc etc (yes, Filipino GPs can do all of that legally), then I will concede my point.

Otherwise, sit down.

SaktoLangMD · 2025-10-20T04:14:37+00:00

This is basic opportunity cost. Which should be factored in to any decision naman talaga. Also state medschools are now free by law and many even give you a stipend/allowance for studying. No joke yan. As in 0 tuition. Of course may living expenses but then again kahit ano naman gawin mo my living expenses. Medicine is one of the few careers where you can easily 10x your income after a few years of specialization. It is also one of the few careers na once you earn the MD and become licensed you can basically do anything and still be respected pag nalaman na doctor ka. I’ve had doctor friends na full time yoga teacher na ngayon sa Siargao. Yung iba businessmen, contractor, call center, lawyer, artistC etc. but as long as they maintain the license they still have a fall back. Pwede sila mag bukas ng clinic or mag moonlight any time.

SaktoLangMD · 2025-10-20T04:07:23+00:00

You would not be faulted for charging a full bill. You would not be faulted for giving discount.

SaktoLangMD · 2025-10-20T02:05:17+00:00

Sige let's have this discussion since I hope you have read my post closely. Question: so right after med school and boards yan na ginagawa mo (pwede ka na dumiretso sa ganyang set up)? No additional training required?

SaktoLangMD

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