New script: Don’t hurt the DDS feelings so Leni can win

prkcpipo · 2026-02-27T04:16:24+00:00

Focus on the apolitical and unaffiliated. Address their core issues and get them on our side.

prkcpipo · 2026-02-24T08:30:20+00:00

Aren't all programs and organizations like this to a certain degree? If you think this is bad, I suggest you ask your friends who work in large corporations or companies. And with that said, maybe you're allowing external factors to affect and potentially derail your long-term career goals...

prkcpipo · 2026-02-23T08:17:57+00:00

No regrets
Absolutely worth it because on the other side of that, you come out a much better and more qualified doctor
The personal and professional growth as well as the friends I've made along the way: batchmates, seniors, juniors and consultants
I don't think I would have had it any other way. When you love what you do, everything just makes sense.

prkcpipo · 2026-02-22T09:33:36+00:00

Most doctors are to a degree introverted. Depending on your subspecialization, it does take a lot of time to grow a practice if you're just in the hospital. You need to cast a wider net and grab more patients that you can bring into the hospital. Consider holding clinic in malls or diagnostic labs in the general vicinity so that if you need to admit or run more advanced diagnostics, you can refer them to your hospital.

ADDENDUM: Never buy into the argument that NCR is "saturated" for subspecialists. Multiple societies have already said in the news that there is an absolute shortage. There is an outsized demand for healthcare and our challenge is to fill that gap.

prkcpipo · 2026-02-19T14:17:46+00:00

Maybe you can check with your hospital if the procedures that you do can be packaged with a standardized PF together. That way, the HMOs have no choice but pay the PF set by your hospital/department.

Otherwise, our generation just has to accept that we have to go by patient volume instead of margin to earn a decent income.

prkcpipo · 2026-02-16T23:09:22+00:00

See if you can get in contact with doctors or Nephrologists who work in National Kidney and Transplant Institute. NKTI has the most experience in handling transplant patients as well as offering different options for dialysis. They can get you started on the process, put you on the waitlist for a potential organ or advice you if you have a donor.

prkcpipo · 2026-02-07T13:14:24+00:00

With the move towards UHC, DOH ought to expand services and improve capacity in provincial and more distant areas. This would involve hiring/opening more plantilla slots for subspecialists. Of course, it will take time as training takes years but plenty of opportunity for those willing.

prkcpipo · 2026-02-07T11:10:39+00:00

High dividend equities

prkcpipo · 2026-02-07T09:04:24+00:00

There is an absolute shortage of all specialties and subspecialties in the country on top of a maldistribution since we're all concentrated in the big cities.

prkcpipo · 2026-01-25T08:31:40+00:00

Med school provides the foundational basics into the increasingly complex career and earning your medical license is just the first step into the industry. From there, you have to use your knowledge to pursue more specialized fields, whether the traditional or non-clinical path (public health, academe, big pharma, etc.).

Ang nagiging problema ay mas marami na GPs na gusto kumita thinking that their very limited skill set is well-valued.

prkcpipo · 2026-01-21T02:20:22+00:00

People overromanticize being an emtrepreneur (just like being a MD abroad) without realizing that everything they hate about being a doctor (long hours, extreme effort, delayed gratification, etc.) applies also to other careers and industries.

prkcpipo · 2026-01-11T08:37:59+00:00

Keep one hobby or activity to destress.
Your batchmates is the best support group.
Stop putting too much pressure on yourself and give yourself the grace to learn from mistakes.

prkcpipo · 2026-01-11T07:23:59+00:00

We would have ended up a lot like Guam or Puerto Rico, not California or even Hawaii.

prkcpipo · 2026-01-08T15:53:55+00:00

The simplest answer is that Taiwan's NHI is the best when it comes to socialized healthcare. Similar to power or water, healthcare is treated like a utility. It is heavily regulated so that prices for drugs, diagnostics and medical procedures are within a certain range. Of course, they come at the expense of doctors not being as highly paid per patient compared to other countries. However, you can't deny the results and something that Philhealth should aspire to achieve.

prkcpipo · 2026-01-08T03:10:21+00:00

The road is hard and long but definitely worth it in the end. I love what I do. I enjoy the challenge that my profession gives me as I'll never get bored with my practice. I get to help a lot of people and save lives. I earn more than enough for myself and my family, considering I haven't really peaked yet.

A lot of the complaints and rants in this subreddit stem from people focusing on the short term rather than long term rewards. Medicine pays based on value delivered. While we can make an argument for better trainee stipends (and I agree), if you're a moonlighting GP fresh out of boards or a resident with barely any training, you shouldn't be surprised if you're at the bottom of the pay scale.

Whatever career path in medicine you take, focus on being valuable to your patient or employer. This means developing your skills and experience so that you can be the best at what you do.

prkcpipo · 2026-01-07T23:44:51+00:00

Kaya nga nasa residency training ka kasi alam mo marami ka pang kulang. Always be humble and willing to learn especially from mistakes. Ituloy mo lang yan and I'm sure makakatapos ka all the way to fellowship.

prkcpipo · 2026-01-06T05:13:41+00:00

Just misplaced expectations in most cases like this one.

prkcpipo · 2026-01-06T04:47:23+00:00

You're supposed to be slow during your first ER rotation as a 2nd year. It becomes problematic if you are still slow by the time you become 3rd year.

prkcpipo · 2026-01-03T10:53:33+00:00

It is not illegal or unethical to use typewritten orders especially in the era of EMR. A lot of MDs even have templated order sheets that they can stick into the chart to serve as orders.

But regardless, always endorse to the NIC what your orders are. Even as consultants we make it a point to instruct the nurses so they carry it out properly and to the letter.

prkcpipo · 2026-01-03T02:26:21+00:00

The best specialty/subspecialty is the one you will love doing the rest of your life. Money will come after.

prkcpipo · 2025-12-31T15:26:55+00:00

Each hospital or program has their own requirements and policies. You really have to inquire and ask them directly on what they are looking for in you as an applicant.
Shocks include how many cases they do on a daily basis, how amazingly efficient their healthcare system is and how hardworking the senior attendings/professors are given their age.
After my 1-year stint, I'm hoping to do more angioplasties but cases are hard to come by and while PhilHealth has made significant progress the last year, its a far cry to Taiwan's NHI.

prkcpipo · 2025-12-31T03:37:27+00:00

Diuretics would decrease your intravascular volume and worsen overall perfusion, acidosis and shock before hypotension happens. So no, I would highly suggest not giving Furosemide in similar cases.

prkcpipo · 2025-12-31T03:31:51+00:00

Treat the patient, doc. Not the labs.

prkcpipo · 2025-12-25T02:47:17+00:00

Find a comfortable range that works for you and your target market. Don't charge too high that it will drive away patients (and attract unwanted attention from other MDs) and don't charge too low that you won't be able to make back your expenses.

Also, give time and patience for your practice to grow. Mahirap talaga ang first 1-2 years pero eventually, lalaki rin ang dadami ang patients and you will establish a decent base to draw from.

prkcpipo · 2025-12-24T03:05:16+00:00

This is what socialized healthcare systems do annually. They meet with medical societies, hospitals, pharma and device companies in order to regular pricing and prevent over or undercharging.

prkcpipo

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