Commentary: Is it time to set up Singapore’s fourth medical school?

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Recent reports about long wait times and the recruitment of foreign doctors raise the question of how Singapore can expand our healthcare workforce. Doctors Benjamin Lee and Jeremy Lim say a fourth medical school isn’t the answer.

Doctors are also leaving - some for private practice, while others are leaving the profession entirely - citing reasons such as. It’s a vicious cycle: Those who remain in the public sector are forced to work longer hours, driving more to leave.

Though Senior Minister of State for Health Janil Puthucheary said in Parliament in November that the attrition rate of doctors in the public sector is “acceptable” at about 3 per cent to 5 per cent from 2019 to 2021, attrition is still a serious waste of resources and more can be done to ensure it does not get worse.reducing the demandHealthcare has been physician-centric for much too long when it should be patient-centric.

Empowering our other healthcare professionals not only alleviates doctors’ workload, but it can also have the knock-on effect of improving job satisfaction in these professionals and helping in workforce retention. Technology can also help our overtaxed doctors. Artificial intelligence has the potential to analyse data to facilitate diagnoses and suggest treatment steps, which can help physicians make better clinical decisions faster. This, coupled with an electronic medical record system that supports rather than frustrates doctors, can help lessen their burden.Singapore is coming out of the COVID-19 pandemic but the underlying demographic and epidemiologic transitions will march ahead inexorably.

 

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Must be very lucrative.

I thought only NUS and NTU. Did nlt aware there are 3. Which U is the 3rd medi school.

But it is far easier to form silos (sub specialties) and solve narrow spectrum problems

The crux of the matter is behaviour and expectations where Singapore’s culture value skill, prestige, titles. The healthcare system needs healthcare pros that are passionate at solving patients’ needs

…but at increased costs to the system. Meanwhile, the generalists are considered second class citizens amongst colleagues and become the dumping ground for sub-specialists

The healthcare system needs more generalists, but department heads are encouraging the best of their juniors to be sub-specialists Sub-specialists then create more indications for their skills and existence, in the name of advancement of medicine…

Graduate with 150k debt and work 80hr weeks (with 30hr shifts weekly) only earning 4-5K a month Many already quit before their bond ends, go private sector and work cushy, high paying jobs Take that money and improve attrition more impactful No use if graduate more retain less

Totally agree with the article’s authors view that reduction of attrition in the public healthcare sector (across all professions, not just doctors) is a priority

We need more nurses even more

Setup medical school but still let in Many Many foreigner doctors here to practice what for.

lets see the ratio of foreign to local born doctors to decide.

Conduct self care courses for elderly

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