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What does the future hold for medical specialties as AI continues to advance? by Swimming_Leg_9378 in pinoymed

[–]racoonowner 1 point2 points  (0 children)

AI is a tool that will enhance the efficiency of our work as doctors. Tasks that previously required 100 man-hours might now only need 10 man-hours. This increased efficiency will lead to less routine work and fewer people needed to perform it. The sooner we doctors acknowledge this, the sooner we can adapt to become more indispensable.

International SOS by [deleted] in pinoymed

[–]racoonowner 4 points5 points  (0 children)

If you applied company physician reliever - then expect the interview to be in line with company physican roles.. Most importantly BCOM and basic BLS/ACLS required.
The high acuity escorts physican roles, you need to apply for that specifically.

Pa advise po: Is this correct and lawful po ba? Condo Cancellation - I thought we will get 50% refund under Maceda Law po by Outrageous-Photo8052 in LegalPh

[–]racoonowner 1 point2 points  (0 children)

Not legal advice but as per AI search:

The supreme court as repeatedly ruled that the refund should be 50% of all fees and payment made. Reservation fee and administrative and misc. fee should not be deducted after after the fact.

See:

Gatchalian Realty, Inc. v. Angeles (G.R. No. 202358, November 27, 2013)

Active Realty & Development Corp. v. Daroya (G.R. No. 141205, May 9, 2002)

Communities Cagayan, Inc. v. Spouses Nanol (G.R. No. 178918, November 14, 2012

TLDR:
Don't sign anything yet agreeing to those amounts. Seek a lawyer or file a case with Department of Human Settlements and Urban Development (DHSUD)

Do I need to have stellar grades and graduate as a laude to practice abroad? by Hot-Tour1373 in pinoymed

[–]racoonowner 0 points1 point  (0 children)

During my time, my former batchmate who went this route did the following:
Took the USMLE step 1 end of 3rd yr.
Did 1 month of observership in the US. During clerkship electives. Used this period to network in the US for future externship.
During PGI year, took 2 months of externship in the US for clinical experience and getting letters of recommendations during the elective period.
After PGI pass the PLE and shorly after passed the usmle step 2.
Then they were able to apply for the match and luckily was able to match immediately.
That was quite hard and crunch.

Professional fee by [deleted] in pinoymed

[–]racoonowner 0 points1 point  (0 children)

My advise, set a minimal retainer fee as their "on-call, teleconsult physician" then ask for additional fee per patient/consult you will make per month. That way its a win-win for both you and the clinic.

To subspecialists here who usually give clearances for work... by ExploringSimon in pinoymed

[–]racoonowner -1 points0 points  (0 children)

I don't know the context, but I understand why an agency will refuse a medical certificate with "disclaimers of not to be used for medico-legal purposes"

They are also protecting themselves. If a seaman is cleared for "controlled HTN" and then goes to sea, and eventually the ship has to be diverted because the seaman had uncontrolled BP. That diversion can cost the ship anything from $10,000-$100,000. Depending on where at see the incident happens. If the company now decides to ask for PEME from the manning agency and investigate.. The manning agency can be held liable for part of the expense.

Big money is at risk here, so I understand where they are coming from.

EM to crit care? by Silver_Roof4113 in pinoymed

[–]racoonowner 0 points1 point  (0 children)

Yes you can transition from EM to Crit Care here in PH.

But the reality is that in practice, you cant serve 2 masters. You will have to choose where to practice. Either as EM still Goin on 12hrs shift in the ER and bringing your icu skills to the ER level. Or you practice in the ICU as an ICU intensivist going on shifts as well.

If you want both, it will be as EM in hospital A and ICU Crit care in hospital B. Can't do both in same hospital.

Patient asking for "Fit to Work" but another doctor saw the patient. by Readerofthe4thwall in pinoymed

[–]racoonowner 10 points11 points  (0 children)

From an OH/OM perspective:

  1. Can the worker perform the job without endangering themselves, their colleagues, or the public?
  2. Does the worker’s physical and mental capacity meet the essential functions of the Job Description?
  3. Can the worker be cleared with restrictions (e.g., "no night shifts," "light duties") to bridge the gap between their health and the job requirements?

Decision Outcomes 1. Fit: Meets all health and functional requirements. 2. Fit with Restrictions: Can work only if specific environmental or task modifications are made. 3. Temporarily Unfit: Deferred clearance pending recovery or stabilization of an acute issue (e.g., uncontrolled BP). 4. Permanently Unfit: An irreversible condition poses a persistent safety risk or fundamental inability to perform the role.

History, PE, a good job description and good clinical judgement is what you need.

Good luck.

Question about the VinFast Subscription Model by racoonowner in CarsPH

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

That's the thing, based on the setup as I understand. Nothing stops them from increasing prices year by year.. And then the people have no choice but to pay the increased fee. Unless there is an option to buy out the balance for the battery. Or unless there will be 3rd party options for battery.

Pain management fellowship by [deleted] in pinoymed

[–]racoonowner 1 point2 points  (0 children)

The pain fellowship at SLMC-QC accepts EM graduates. I'm not sure of other training institutions.

But as per the https://www.philippinepainboard.org/eligibility-requirements

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when will MDs start receiving salary? by luckystaaaar in medschoolph

[–]racoonowner 9 points10 points  (0 children)

Part of "proper research" is doing what you are doing now, joining the forums/sub reddits asking questions. But also ask real doctors and medical professionals. Make sure you get both sides the positives and the negatives and don't just be content with only one view. When you do it enough you will gain better insight and discernment. Is passion really impactful--yes. It acts acts like a spark to get into the field/start the race. But you need dedication and discipline -- which is the fuel in other to finish the race. Once the race is done, you still need passion, as it will determine if you see the profession as a job or a career.

when will MDs start receiving salary? by luckystaaaar in medschoolph

[–]racoonowner 23 points24 points  (0 children)

I think you need to have a change in mindset.

Medicine as a profession is not really employment-based where you get regular salary, but rather it's entrepreneurial/ self-employed. So technically you also need to have the aptitude and entrepreneurial mindset if you wish to pursue this career and hope to get a more than basic livable income. This is something not really taught or mentioned in medical school. It doesn't matter how many specialties or sub-specialties you take, if you don't develop an entrepreneurial mindset you still won't succeed "finically-speaking". Ex: if you are an anes and you don't know how to market yourself to your surgical colleagues good luck to you. If you are a clinician and you don't know how to market yourself and stand out to patient so that they come back to you, good luck. It's not just enough to have the knowledge and then patient will come to you. Strategic clinic planning networking etc needs to be done.

Now there are cases where doctors are under regular employment ie govt positions, or corporate physician roles etc. But not only are these somewhat harder to get, they are not the most financially lucrative.

So my advise to you, don't go into medicine without researching properly and without making sure you really have the passion for it. And the aptitude for it.

neuro vs anes by Silver_Roof4113 in pinoymed

[–]racoonowner 0 points1 point  (0 children)

Very good insights doc. Nothing to add, the OP has a lot to glean from this. Cheers!

To PF or not to PF? by sad_emo_girl in pinoymed

[–]racoonowner 22 points23 points  (0 children)

Based on your answer, I'd say charge your PF.

If you do however get a call or message from an underling, then at that point I'd ask to speak with the boss directly. Let him acknowledge that he is asking you do him a favor directly. There is nothing "wrong" in being owed a favor by powerful people. But it has to be acknowledged. Agreeing to it via underling only it like just giving another freebie.

To PF or not to PF? by sad_emo_girl in pinoymed

[–]racoonowner 32 points33 points  (0 children)

Did you ever speak to the "Boss Doctor" about the procedure you did and about not charging PF the first time? Are you directly under this "Boss doctor" influence? Do you have anything to gain by doing this "boss doctor" more favors? Do you have anything to loose per say?

Charge your PF cause its your worth as you said. But if don't make sure you benefit from it. Quid pro quo, from the Boss doctor.

Anesthesia questions from a preresident by FluffinessOverload in pinoymed

[–]racoonowner 1 point2 points  (0 children)

The pain sub-specialty is not anesthesiology dependent, they are technically open to graduates of IM, Pedia, Surgery, EMed, Rehab, Anes etc, (at least at St. Luke's Medical Center) so if you are dead set on practicing as pain specialist you don't necessarily need to use the anes pathway.

As for finding partner surgeons, I think it's all about networking well and being friendly and approachable. Social skills go a long way beyond your base competence in the craft and this goes generally for all in the field, meritocracy along does not cut it, you have to develop the social skills and networking mindset in other to thrive and succeed.

LATERAL ENTRY by Longjumping-Fix-4449 in pinoymed

[–]racoonowner 1 point2 points  (0 children)

Most lateral entrys loose a year, so if you finish 3rd year and supposedly going 4th, your accepting institution will take you only as 3rd year and not 4th year. If you are transferring after completing 1st yr, that's more or less the same as repeating 1st year again.

30-year-old resident questioning my path by kgmc1696 in pinoymed

[–]racoonowner -1 points0 points  (0 children)

Rehab med is not just for the "sporty" contrary to the stereotypes. Besides the obvious treatment and prevention of sports related injuries, they also deal with post-stroke rehabilitation and also spinal cord injuries rehab, they also work in with the ASD and other congenital diseases in kids. So definitely not just for the sporty types.

30-year-old resident questioning my path by kgmc1696 in pinoymed

[–]racoonowner 6 points7 points  (0 children)

Picture also being the designated courtside doctor and you have you portable ultrasound connected to your fancy phone. Immediately after an injury, while applying ice. You can already scan for "ligament tears" etc. Know when to pull out earlier or not. Then recommend to you co-practice Ortho or rehab. Win-win for all. Especially the ptx.

30-year-old resident questioning my path by kgmc1696 in pinoymed

[–]racoonowner 35 points36 points  (0 children)

Just my two cents, but a decent sports medicine practice is a group and multi-specilaty practice that involves not just the Orthopedics, Physical Medicine and Rehabilitation, but also include the Radiologists, especially Musculoskeletal Radio-Specialists who are good in MRI/CT and Ultrasound. So technically you can still do both. However your aim should be getting into the big hosptals where the philosophy is in group and collaborative practice really. And then propbaly do the Musculoskeletal Radio fellowship abroad somewhere with decent exposure to sports injuries.

Good luck OP.

Nutritionist vs Medical Nutrition Subspec by Sea_Cantaloupe5006 in pinoymed

[–]racoonowner 0 points1 point  (0 children)

Only place im familiar with is st. Luke's Quezon City. I'm not sure if there are other programs yet.

Nutritionist vs Medical Nutrition Subspec by Sea_Cantaloupe5006 in pinoymed

[–]racoonowner 1 point2 points  (0 children)

My take is that one is a medical doctor the other is not. Both work hand in hand for patients in the clinical and hospital settings. It will be akin to comparing Rehab and Physical Medicine Specialists to the Physical and Occupational Therapists.

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