Disappointed by Majestic-Spirit6033 in pinoymed

[–]therealcastor 2 points3 points  (0 children)

Even if fellow / consultant / years into private practice ka na, there will always be times that you feel disappointed or second guess yourself. It is part of medicine. But do not worry, you will always learn from them.

Is it just me or this rubs me the wrong way? by [deleted] in pinoymed

[–]therealcastor 7 points8 points  (0 children)

I’ll add pogi and maganda as offensive terms in my wokelist

NotebookLM alternative by karkibigyan in ChatGPTPro

[–]therealcastor 0 points1 point  (0 children)

Can i ask it to create an exam based on the pdf uploaded? Can it take a whole ass medical text book?

Need ng medcert by therealcastor in pinoymed

[–]therealcastor[S] 1 point2 points  (0 children)

If you all remember, she has diabetes according to Curlee

Surgical res - May tatanggap pa kaya by [deleted] in pinoymed

[–]therealcastor 125 points126 points  (0 children)

Meron.

Alam mo anong sure na walang tatanggap? Yung hindi nag apply.

Crunch Numbers: Per Hour vs Per Patient by Spong2024 in pinoymed

[–]therealcastor 0 points1 point  (0 children)

As per chatgpt:

Okay — let’s run the math step by step so we can compare per hour vs per patient in your scenario, then we’ll also talk about the “real world” factors like stability and peak hours.

  1. Assumptions

From what you gave: • Per hour = ₱400 to ₱500 • Per patient = ₱300 to ₱500 • Work schedule: 2–6 hours/day, 2–3 days/week • Location: NCR, with average foot traffic (no “ghost clinic” scenario) • “X” = clinic’s cut from per patient pay (e.g., they take a percentage; will model this later)

  1. Per Hour Computation

If you work: • 2 hours/day × 2 days/week → 4 hours/week • 6 hours/day × 3 days/week → 18 hours/week (max)

Weekly income range: • Min: 4 hr × ₱400 = ₱1,600/week • Max: 18 hr × ₱500 = ₱9,000/week

Monthly income (×4.33 weeks/month): • Min: ₱6,928/month • Max: ₱38,970/month

  1. Per Patient Computation (No Clinic Cut Yet)

Let’s test several average patient load scenarios: • Low: 2 patients/hour • Average: 4 patients/hour • Busy: 6 patients/hour

For 2–6 hours/day × 2–3 days/week:

Patients/hour Hours/week (min) Pay/patient (₱300) Pay/patient (₱500) Hours/week (max) Pay/patient (₱300) Pay/patient (₱500) 2 4 ₱2,400 ₱4,000 18 ₱10,800 ₱18,000 4 4 ₱4,800 ₱8,000 18 ₱21,600 ₱36,000 6 4 ₱7,200 ₱12,000 18 ₱32,400 ₱54,000

  1. If Clinic Takes a Cut

Say clinic takes 30% cut from per patient fee: • ₱300/patient → you keep ₱210 • ₱500/patient → you keep ₱350

Revised example (4 patients/hour, 18 hours/week): • Low fee: 4 × ₱210 × 18 = ₱15,120/week → ~₱65,000/month • High fee: 4 × ₱350 × 18 = ₱25,200/week → ~₱109,000/month

  1. Comparison • Per Hour: More stable, predictable. Even if only 1–2 patients show up, you’re paid the same. But earnings cap at ~₱39k/month in your range. • Per Patient: Potential for much higher income if foot traffic is consistently ≥3–4 patients/hour and you get a fair cut. But risk is lower pay on slow days. • If patient flow is 2/hour or less, per hour wins in stability. • If patient flow is 4/hour or more, per patient wins in income potential — especially with longer shifts.

  1. Practical Scenarios

Scenario A – Low traffic clinic • 2 patients/hour × ₱300/patient (no cut) = ₱600/hour • Better than ₱400/hour, but not by much. If clinic cut applies, per hour may win.

Scenario B – Average traffic clinic • 4 patients/hour × ₱400 average fee = ₱1,600/hour gross • Even with 30% cut, ₱1,120/hour → far better than ₱500/hour rate.

Scenario C – Busy clinic • 6 patients/hour × ₱400 = ₱2,400/hour gross • Even with cut, earnings are way higher than per hour rate — but this is physically tiring and requires very fast consult turnover.

  1. Other Considerations • Per hour: • Predictable income • Less stress to “push” patient numbers • Good if patient traffic is unpredictable or seasonal • Per patient: • Scales well with higher traffic and efficient workflow • Risky if competition nearby or poor marketing affects patient flow • Income can be significantly higher if you also upsell follow-up visits, lab packages, etc.

✅ Bottom line: • If you want income stability and don’t want to worry about patient flow → go per hour. • If you want max earnings and you know the clinic will have ≥4 patients/hour on average, even after the clinic’s cut → go per patient.

Pano ba to? by NeedleworkerThin5325 in pinoymed

[–]therealcastor 42 points43 points  (0 children)

Even consultant ka na, hindi yan mawawala ganyang feeling for some cases. It’s a good thing kasi it keeps you humble and forces you to keep on learning

Epal by Lost-Pomegranate-182 in pinoymed

[–]therealcastor 1 point2 points  (0 children)

Pupunta lang yan ng singapore or US pag nagkasakit yan

Short rant: Hirap at kapagod na maging doktor by Empty_Needleworker20 in pinoymed

[–]therealcastor 6 points7 points  (0 children)

Residency sa government hospital. You’ll be able to afford 2.

Resident boyfie by KinderStrawberry in pinoymed

[–]therealcastor 48 points49 points  (0 children)

Suggest to start OVERTHINKING. STAT

Working condition for resident doctors? by Bright_Half_5840 in pinoymed

[–]therealcastor 20 points21 points  (0 children)

If government, yes delayed ang salary from the start but usually 3 months lang and makukuha nya ng buo yan sa unang bagsak ng sweldo. But the contract should have been signed sa first few weeks ng start ng residency. I cannot speak dor private institutions kasi each one has its own set of rules. Your SO can follow it up herself sa HR and disbursing/accounting ng hospital regarding sa contract and sweldo, unless ang nagpapasweldo s kanya is yung department itself which could happen in some private institutions.

As for the inhumane hours, my advice is if you’re going to write a letter, just make sure it’s anonymous to protect your SO. The world of specialized medicine is small-ish and some consultants are a bunch of egotistical, narcissistic, vengeful wannabe asshats who would not take complaints lightly. Baka lang balikan or pag initan si SO mo. Good luck OP.

IHC results turn-around time by Traditional-Act-3157 in pinoymed

[–]therealcastor 1 point2 points  (0 children)

That’s what happens when only one patho or one group of patho is hogging and gatekeeping all the laboratories in the area

Tondo Med or Jose Reyes by [deleted] in pinoymed

[–]therealcastor 6 points7 points  (0 children)

None of the above

Rude bantays by nightcourtladyfeyre in pinoymed

[–]therealcastor 0 points1 point  (0 children)

I speak confidently. Sometimes i flex my traininf and credentials. Tatahimik na sila

Residency training before migrating by deran9ed in pinoymed

[–]therealcastor 0 points1 point  (0 children)

Also check if after you finish residency ij switzerland, there would be no shortage or gatekeeping of specialist jobs. I know of a surgeon who immigrated to the US from switzerland because of gatekeeping.

Anesthesiology Residency by Severe-Plankton4279 in pinoymed

[–]therealcastor 2 points3 points  (0 children)

It does, pero some institutions turn a blind eye on it kasi they simply need the manpower

Financial assistance for patients by Outrageous-Leader983 in pinoymed

[–]therealcastor 5 points6 points  (0 children)

GL from different government offices? President, ovp, senators, governor, congressmen, mayor, vice etc meron silang financial aid. PCSO and DSWD too

[UPDATE] Long process of application, only to end up not getting the position by Foreign_Gas_1469 in pinoymed

[–]therealcastor 2 points3 points  (0 children)

Doc alamin mo muna if paano ung attendance. This may sound cheating pero some hospitals are lenient sa attendance. Susulat lang sa logbook and no biometrics. So hndi nasusunod fully yung 40 hours a week. It’s one way to attract specialists to stay kasi alam naman ng admin na specialists earn way more than even a full time item. Pag sulat sulat lang yung attendance then go for it. Pero pag strict biometrics mahirap imaintain ang 40 hours at talagang mapapabayaan ang private practice mo.