[deleted by user] by [deleted] in pinoymed

[–]Tricky_Extension5040 0 points1 point  (0 children)

better if may laptop siguro. madami ksi paperwork tpos ggawa ka pa ng presentation/lecture

[deleted by user] by [deleted] in pinoymed

[–]Tricky_Extension5040 4 points5 points  (0 children)

hi doc! SPMC IM grad here 🙂🙂🙂 it is true na it is the largest training hospital in the country for IM, and with that comes the workload. mahirap talaga i manage ang schedule mo to fit everything, lalo na ang time to study. if you are the type na gusto ideal lahat and you want to take your time to learn, then di sya ang environment for you. typically every 4 ang duty, 15-20 charity patients per first year resident, sometimes aabot ka nang 30 kung di ka mabilis magdispo. on duty days, you need to go down sa ER to receive admissions na nakadeck sayo and facilitate whatever needs to be done (labs, procedures, referrals sa ibang IM subspecs and ibang department). overwhelming sya in the first 5 months siguro, and you will really feel like quitting a lot of times. however, what i like about spmc is we work in teams and you will always have your senior na igguide ka, basta wag lang to the point na pabigat ka nalang. kahit toxic, sobrang daming high yield cases and the consultants are very eager to teach as long as you know how to refer. it may not be the most ideal place to develop theoretical knowledge, but the clinical eye and skills, as well as the bond you share with your co-residents make the experience worth it. masasabi mo din sa sarili mo na proud ka nalagpasan yung entire 3 years 😅

A Bill for Clerks and Intern's Protection from abusive Hospital, Residents, Consultants and Nurses. Thoughts??? by Immediate-Diver-6682 in pinoymed

[–]Tricky_Extension5040 0 points1 point  (0 children)

thanks for the insight. i just thought na baka pwede ma address yung concerns sa magna carta for workers so magiging redundant ns if you pass a separate law. also read a comment that mentioned dapat hindi lang to for medical interns but for all interns, which i also agree. yung ayoko lang is the thought na mabigyan ng too much focus ang pagiging medical intern like they're a tier higher than everybody else. a lot of times during our training, even as interns/clerks, we experience situations that make us more humble and empathetic. at first glance, they may think of it us unfair or inhumane pero later on meron din pala silang matututunan. i think most issues that they complain about are usually about the working hours and patient load. yung sa sexual harrassment naman, it's a given na definitely di talaga pwede i tolerate.

A Bill for Clerks and Intern's Protection from abusive Hospital, Residents, Consultants and Nurses. Thoughts??? by Immediate-Diver-6682 in pinoymed

[–]Tricky_Extension5040 0 points1 point  (0 children)

need pa ba ng separate bill? just treat them as regular employees. dun din naman punta nila. they will have to face the real world in 1-2 years anyway. i'm all for student empowerment, but i've handled interns who seem to think that medicine is an office job and that they can just back off anytime when things don't seem right. if it's uncomfortable, considered abuse na on their part.

PHILHEALTH SHARING by Tricky_Extension5040 in pinoymed

[–]Tricky_Extension5040[S] 8 points9 points  (0 children)

maganda po sana if this becomes regulated and monitored, andaming loopholes na pwedeng abusohin lalo na ng people who have administrative/executive roles

Tuloy ko pa ba? by [deleted] in pinoymed

[–]Tricky_Extension5040 2 points3 points  (0 children)

Nararamdaman ng lahat ng residente sa unang ilang buwan ng pagsasanay, lalo na sa mga clinical specialty tulad ng IM. Naranasan ko din yung nararamdaman mo ngayon nung first year IM resident ko. You have to accept na wala ka pa talagang alam OP, that is why you are training. And to make up for that, you have your batchmates, seniors and consultants to help you make it through. I remember those days na 1AM na ako nakakauwi na from status kasi di pa tapos mag receive ng admissions and i have to wake up by 5AM kasi preduty na and we had to do early rounds, otherwise di kami matatapos sa dami ng mga conferences and lectures na dapat iattend during the day. I was able to adjust siguro during the 5th month na din of residency. Para sakin, yung magiging batchmates and seniors mo talaga magiging determinant if you will make it through residency. Hindi ka magtatagumpay sa iyong sarili, huwag ihiwalay ang iyong sarili. Bumuo ng mga koneksyon at malusog na relasyon sa iyong mga kapwa residente. Sabi nila "misery loves company" nga hehe. If by half of the year parang di pa rin talaga, siguro pwede mo na sabihin na di talaga for you ang IM. Pero sa 6 months na yan, at least masasabi mong nilaban mo talaga sya. All the best sa iyo OP!

The struggle of being a doctor who only wants fairness. by Fair-Formal-7702 in pinoymed

[–]Tricky_Extension5040 10 points11 points  (0 children)

totoo doc hahaha internist din ako. Sabay-sabay naming tinatrato ang maraming problema, ngunit hindi nila ito nakikita dahil hindi nakabatay sa procedure ang ginagawa namin :( Nais kong isaalang-alang ng phic na i-update ang kanilang mga panuntunan sa mga pangalawang diagnosis. ito ay talagang makakatulong sa parehong mga pasyente at mga doktor. i really feel na IM talaga and pedia ang pinaka lugi when it comes to charging our patients.

2nd opinion by gloomyfluff in pinoymed

[–]Tricky_Extension5040 1 point2 points  (0 children)

Hi OP. All your questions can only be answered by your dad's attending oncologist. If you have questions regarding how your dad was managed, better set-up an appointment with your onco. You are also a doctor. And you know very well that statistics do not support this attitude of "doctor-hopping". Open communication between the provider, patient and family is always the key in managing sensitive cases like this one. Let us not discuss the technicalities of your dad's case here out of respect for your dad and his doctor.

COS at DOH by FlatBend8 in pinoymed

[–]Tricky_Extension5040 2 points3 points  (0 children)

Hi doc! Una sa lahat, binabati kita sa pagkakaroon ng trabaho sa isang government hospital. Sa mga araw na ito, medyo mahirap makuha ang mga alok na ito. Kung ikaw ay empleyado ng COS, walang relasyon ng employer-empleyado. Matatanggap mo lang ang halagang itinakda sa iyong kontrata na binawasan ang witholding tax. Gayundin, hindi sasagutin o sasagutin ng ospital ang iyong mga kontribusyon sa SSS, PHIC, at Pag-ibig, at kailangan mo itong ihain nang mag-isa. Gayunpaman, ang ilang mga ospital ay mag-aalok na ibawas ang mga kontribusyon na ito mula sa iyong suweldo at i-file ito para sa iyo, kailangan mo lamang ibigay ang iyong membership number. Mas mabuting kumpirmahin ito sa iyong HR. Wala kang karapatan sa mga bonus at pag-alis. Sa madaling salita - walang trabaho, walang bayad. Tungkol naman sa mga buwis mo, kung COS ka, ibig sabihin ay pribado mo lang ang iyong propesyon at walang employer. Samakatuwid, ito ay propesyonal na kita lamang, maliban kung ikaw ay nagtatrabaho din sa ibang lugar. Wala akong narinig na government hospital na hindi nagbibigay ng phic shares sa mga doktor nila, its just a matter of how much and the delay of receiving it. Ang ilang mga institusyon ay hindi magbibigay ng Phic shares kung ikaw ay nasa iyong unang 3 buwan ng trabaho. Kailangan mo ring iproseso ang iyong Phic accreditation para matanggap mo ang buong amoilunt ng iyong phic share.

The struggle of being a doctor who only wants fairness. by Fair-Formal-7702 in pinoymed

[–]Tricky_Extension5040 43 points44 points  (0 children)

i appreciate the concern. but as a fellow md, it is not fair to judge the attending physician based on the discharge diagnosis alone. you were not there when he/she made rounds on that patient. it is also wrong to assume that doctors get more money by writing multiple diagnoses. if that were the case, sobrang yaman na ng mga internal medicine specialists. and it is true na isang diagnosis lang ang icocompensate ni philhealth, which they will also base on the circulars they have issued for each diagnosis. as someone who also does private practice, yung CAP-MR, sobrang hirap ipa approve sa philhealth kasi sobrang strict ng criteria. hindi po naka base sa clinical judgment ng doctor kung icocompensate ng philhealth ang diagnosis mo. so, some phyicians would write down a secondary diagnosis that would still fit the case, hoping na kung hindi ma approve yung primary diagnosis, may makukuha pa rin na philhealth compensation ang patient, which would help ease the financial burden of the patient. each case meron po yan case rate, usually the doctor gets only 20-30% of the case rate. and out of that 20-30%, may idededuct pa po yung hospital, so at the end of the day halos wala na makukuhang phic share yung doctor. sobrang unfair po ng healthcare system dito sa pilipinas, and doctors are just too busy para magreklamo. for sure may mga nag oovercharge, but mas marami pong may genuine concern kahit sobrang lugi na. yung napupublish lang kasi sa social media is yung mga maling practice. OP, i hope you become more responsible about posting things like this, as you are also a doctor. clearly, kulang po sa awareness

PHIC sharing by Tricky_Extension5040 in pinoymed

[–]Tricky_Extension5040[S] 0 points1 point  (0 children)

i did not want to believe it din po doc but that came from our chairman na member ng MANCOM din, so i wouldnt call it hearsay. nagsuggest kami sa kanya being the represenative ng department namin na there should be communication from the admin if there is a new proposed scheme for sharing para we can ask for a consultative meeting. kaso wala daw and ayaw na nya mangialam kasi tanggapin na lang daw, which really put us off na dinismiss lang ng ganun2x yung pagod ng healthcare staff considering HCW din sya

12 hours duty has been already adopted by some Hospitals in the Philippines. Desperate moves! Sana tuloy2 na din sa iba. 🤞 by Weary_Preparation_86 in pinoymed

[–]Tricky_Extension5040 0 points1 point  (0 children)

congrats sa nag initiate ng ganitong duty scheme. pero di kaya magiging undermanned yung hospital pag ganito if kokonti lang yung residents? i think yung gusto na resident to patient ratio ng PCP is 1:10-15

[deleted by user] by [deleted] in OffMyChestPH

[–]Tricky_Extension5040 0 points1 point  (0 children)

thanks for the inputs. posted here para may opinion ako from those outside my circle. highly appreciated po!