Spritzer is missing ='(
Happy Lunar New Year 2025
7 months ago
Thursday, April 29, 2010
Spritz is missing!!!! =(
I let him out when I went to uni at 6am on 29/4/2010 and when I came home at 8pm, my dad said he is not back yet =(
Sunday, April 18, 2010
Little updates
There was quite a few incidents that happened past week but I won't want to elaborate much.
So nothing to type anyway...just want to maintain my "activity" in my blog...
Oh ya, spent the whole Saturday reading manga and instead of studying I slept for almost 12 hours from 8pm til 6am. Seriously needed that break but now got to buck up and catch up.
Sem 5 just brought stress to a whole new level...
So nothing to type anyway...just want to maintain my "activity" in my blog...
Oh ya, spent the whole Saturday reading manga and instead of studying I slept for almost 12 hours from 8pm til 6am. Seriously needed that break but now got to buck up and catch up.
Sem 5 just brought stress to a whole new level...
Wednesday, April 14, 2010
Do not study medicine!!! Dr overload...
I received an email from a friend and I find the article written by Dr Hsu Dar Ren (a medical doctor and blogs on socio-economic issues; he believes that a fair and equitable society with good governance is the key to the future of this country) is true in a way. Read it...
Just a few years ago, the number was less than 10. In fact, when my eldest son entered medical school 10 years back, I could count the medical schools with my fingers. Now even with my toes and my fingers, I can no longer. Some of the names are so new that I, as a doctor, did not even know they existed until I did some research for this article.
The list is below:
Public universities:
* University of Malaya, Faculty of Medicine
* Universiti Kebangsaan Malaysia, Faculty of Medicine
* Universiti Sains Malaysia, School of Medical Sciences
* Universiti Putra Malaysia, Faculty of Medicine and Health Sciences
* Universiti Malaysia Sabah, School of Medicine
* Universiti Malaysia Sarawak, Faculty of Medicine and Health Sciences
* International Islamic University Malaysia, Kulliyyah of Medicine
* Universiti Teknologi Mara, Faculty of Medicine
* Universiti Sains Islam Malaysia, Faculty of Medicine & Health Sciences
* Universiti Darul Iman, Faculty of Medicine
Private Universities and Colleges
* UCSI University, Faculty of Medical Sciences — School of Medicine
* Monash University Malaysia, School of Medicine and Health Sciences
* International Medical University, Faculty of Medicine
* AIMST University, Faculty of Medicine and Health Sciences
* Allianze College Of Medical Sciences, Faculty of Medicine
* Management and Science University, Faculty of Medicine
* Cyberjaya University College of Medical Sciences, Faculty of Medicine
* Royal College of Medicine Perak, School of Medicine
* Melaka Manipal Medical College, School of Medicine
* Penang Medical College, School of Medicine
* MAHSA University College, Faculty of Medicine
* Newcastle University Medicine Malaysia (NuMED)
* Taylor’s University College, School of Medicine
* Utar
These are the medical schools in Malaysia. These schools, when fully functional, will produce about 4,000 doctors a year. There will be thousands more Malaysian doctors being produced overseas, since many Malaysians are studying medicine in the UK, Australia, New Zealand, India, Indonesia, Russia, Taiwan and even Ukraine.
The sudden mushrooming of medical schools is apparently due to shortages of doctors in the public sectors. This is because most doctors in government service resign after their compulsory services and opt for the supposedly greener pasture in the private sector.
In most other countries, the logical thing to do to counter this brain drain of doctors to the private sector is to find out why doctors are resigning from government service, and then try to address the woes of the doctors, and hopefully, keep them in service. I call this common logic.
The Malaysian solution, like in many other instances, does not take common logic into account but rather uses the sledgehammer approach. After all, we do have Malaysian logic, which is different from common logic practised in most other countries. For example, if we cannot have spacecraft of our own, we can still produce astronauts by sending Malaysians into space, hitchhiking on other countries’ spacecraft.
In most other countries, the common logic will be to try to improve the working conditions in public sector so that doctors will stay back. But Malaysian logic is sledgehammer logic, and is very different.
If the doctors do not want to stay in government service, then Malaysia shall flood the market with doctors, so goes the Malaysian logic. Never mind that setting up of medical schools and training doctors are expensive businesses. We have petroleum and huge amount of development funds.
By building more buildings and buying expensive medical equipment to equip these medical schools, billions will have to be spent and, of course, in the Malaysian context, everyone will be happy, down from the planners, the contractors, the parents and all others involved, since the perception is that projects in Malaysia inevitably will have some leakages and wastages, and many people are very happy with these leakages and wastages.
Never mind that we may have the hardware but we may not have enough qualified people to man these medical schools.
The Malaysian logic seems to be like this: If enough doctors are produced, the market will be saturated with doctors, and thus, doctors will have nowhere to go but to stay in government service.
Well, the people may be clapping hands and rejoicing that, with more doctors than are needed, medical costs will come down.
Unfortunately, things do not function like this in medical education. Experience in some countries tells us that some doctors in private practice, when faced with too few patients, will charge higher and do more investigations, some of which may not be needed. So instead of medical cost going down, it will go up.
In any advanced nation, the setting up of a medical school requires a lot of planning and is not done on an ad hoc basis. Planning must include where to source for experienced and qualified teachers; where to build new or source for existing teaching hospitals, which are big enough for the placement of these medical students to do training.
Planning such as facilities, equipment, classrooms, curriculum. In the west, it takes many years of training for a medical school to be set up; whereas in Malaysia, we see more than 10 in the last five years.
In Malaysia, due to the sudden “exponential” increase in medical schools, we have medical schools pinching staff from each other, even the mediocre ones. With that number of qualified teachers only, it is unavoidable that many teachers may not have the experience and qualification to be medical lecturers.
The early birds (medical schools) are more fortunate. Their students are placed in bigger hospitals like the General Hospitals of Kuala Lumpur or Penang. Now, some of the medical schools just opened have to send their students to smaller district hospitals to do their training. The smaller hospitals are often manned by more junior doctors who are not qualified to be medical teachers, and these hospitals have only very basic facilities and equipment.
This is just the beginning of the problems. For a doctor, graduating from a medical school is the beginning of a life long journey, and the basic medical degree is more like a license to start to really learn how to manage and treat patients.
The most important year after a doctor graduates is the houseman-ship. If a doctor does not have proper houseman training, then he would face a lot of problems later on. He or she may know all the medical knowledge in the world (just for argument’s sake, since knowledge of medicine is so vast that no one can know everything), but without the proper houseman training, he or she will not get the hand-on experience so crucial and important to doctors.
A doctor without proper houseman training is not unlike a person who has only ever raced in arcade games, suddenly being asked to race in a real life race. He would not have the hands on experience to do well. A doctor without proper houseman training would be like a person given a license to kill, and a disaster waiting to happen.
Now, with 4,000 doctors being produced in a year, where do we find so many houseman positions for these young doctors?
Even now, with some of the medical schools just starting and not yet producing doctors, and the number of doctors being produced is much less than the 4,000, the wards in some of the bigger hospitals are filled with so many housemen that, in some wards, there are not enough patients for these housemen to learn management skills.
About a year back, I was told, in HKL some of the units have more than 20 housemen. Recently one doctor told me that in some units, it may have even more than that. I was aghast. Since with that many housemen in a single unit, and so few senior officers to guide them and so few patients for them to learn from, how are they going to learn the skill of doctoring?
When there is not enough training for these housemen, what do you think our policy planners do? In the typical Malaysian style, they increase the length of houseman-ship from a year to 2, hoping that the longer time will help to give better exposure to these doctors.
Compared to Australia, New Zealand, and United Kingdom, houseman-ship is still one year only. By increasing the length of the houseman-ship, it is a tacit admission that our one-year houseman training is not as good as the above mentioned countries.
A poorly trained houseman will become a mediocre medical officer, and since now most of the specialists are trained internally, it will be a matter of time before future specialists may not be as well trained as presently.
Many parents do not know about the actual situation and still encourage their children to take up medicine. They are not told of the actual situation. The day will come when there are simply so many doctors that none are adequately trained. There will come a day when a doctor graduating from a medical school cannot even be placed in a houseman position.
And that day is actually very near.
A doctor too many
MARCH 26 — Malaysia, a country with about 26 million inhabitants, boasts of 24 medical schools now.Just a few years ago, the number was less than 10. In fact, when my eldest son entered medical school 10 years back, I could count the medical schools with my fingers. Now even with my toes and my fingers, I can no longer. Some of the names are so new that I, as a doctor, did not even know they existed until I did some research for this article.
The list is below:
Public universities:
* University of Malaya, Faculty of Medicine
* Universiti Kebangsaan Malaysia, Faculty of Medicine
* Universiti Sains Malaysia, School of Medical Sciences
* Universiti Putra Malaysia, Faculty of Medicine and Health Sciences
* Universiti Malaysia Sabah, School of Medicine
* Universiti Malaysia Sarawak, Faculty of Medicine and Health Sciences
* International Islamic University Malaysia, Kulliyyah of Medicine
* Universiti Teknologi Mara, Faculty of Medicine
* Universiti Sains Islam Malaysia, Faculty of Medicine & Health Sciences
* Universiti Darul Iman, Faculty of Medicine
Private Universities and Colleges
* UCSI University, Faculty of Medical Sciences — School of Medicine
* Monash University Malaysia, School of Medicine and Health Sciences
* International Medical University, Faculty of Medicine
* AIMST University, Faculty of Medicine and Health Sciences
* Allianze College Of Medical Sciences, Faculty of Medicine
* Management and Science University, Faculty of Medicine
* Cyberjaya University College of Medical Sciences, Faculty of Medicine
* Royal College of Medicine Perak, School of Medicine
* Melaka Manipal Medical College, School of Medicine
* Penang Medical College, School of Medicine
* MAHSA University College, Faculty of Medicine
* Newcastle University Medicine Malaysia (NuMED)
* Taylor’s University College, School of Medicine
* Utar
These are the medical schools in Malaysia. These schools, when fully functional, will produce about 4,000 doctors a year. There will be thousands more Malaysian doctors being produced overseas, since many Malaysians are studying medicine in the UK, Australia, New Zealand, India, Indonesia, Russia, Taiwan and even Ukraine.
The sudden mushrooming of medical schools is apparently due to shortages of doctors in the public sectors. This is because most doctors in government service resign after their compulsory services and opt for the supposedly greener pasture in the private sector.
In most other countries, the logical thing to do to counter this brain drain of doctors to the private sector is to find out why doctors are resigning from government service, and then try to address the woes of the doctors, and hopefully, keep them in service. I call this common logic.
The Malaysian solution, like in many other instances, does not take common logic into account but rather uses the sledgehammer approach. After all, we do have Malaysian logic, which is different from common logic practised in most other countries. For example, if we cannot have spacecraft of our own, we can still produce astronauts by sending Malaysians into space, hitchhiking on other countries’ spacecraft.
In most other countries, the common logic will be to try to improve the working conditions in public sector so that doctors will stay back. But Malaysian logic is sledgehammer logic, and is very different.
If the doctors do not want to stay in government service, then Malaysia shall flood the market with doctors, so goes the Malaysian logic. Never mind that setting up of medical schools and training doctors are expensive businesses. We have petroleum and huge amount of development funds.
By building more buildings and buying expensive medical equipment to equip these medical schools, billions will have to be spent and, of course, in the Malaysian context, everyone will be happy, down from the planners, the contractors, the parents and all others involved, since the perception is that projects in Malaysia inevitably will have some leakages and wastages, and many people are very happy with these leakages and wastages.
Never mind that we may have the hardware but we may not have enough qualified people to man these medical schools.
The Malaysian logic seems to be like this: If enough doctors are produced, the market will be saturated with doctors, and thus, doctors will have nowhere to go but to stay in government service.
Well, the people may be clapping hands and rejoicing that, with more doctors than are needed, medical costs will come down.
Unfortunately, things do not function like this in medical education. Experience in some countries tells us that some doctors in private practice, when faced with too few patients, will charge higher and do more investigations, some of which may not be needed. So instead of medical cost going down, it will go up.
In any advanced nation, the setting up of a medical school requires a lot of planning and is not done on an ad hoc basis. Planning must include where to source for experienced and qualified teachers; where to build new or source for existing teaching hospitals, which are big enough for the placement of these medical students to do training.
Planning such as facilities, equipment, classrooms, curriculum. In the west, it takes many years of training for a medical school to be set up; whereas in Malaysia, we see more than 10 in the last five years.
In Malaysia, due to the sudden “exponential” increase in medical schools, we have medical schools pinching staff from each other, even the mediocre ones. With that number of qualified teachers only, it is unavoidable that many teachers may not have the experience and qualification to be medical lecturers.
The early birds (medical schools) are more fortunate. Their students are placed in bigger hospitals like the General Hospitals of Kuala Lumpur or Penang. Now, some of the medical schools just opened have to send their students to smaller district hospitals to do their training. The smaller hospitals are often manned by more junior doctors who are not qualified to be medical teachers, and these hospitals have only very basic facilities and equipment.
This is just the beginning of the problems. For a doctor, graduating from a medical school is the beginning of a life long journey, and the basic medical degree is more like a license to start to really learn how to manage and treat patients.
The most important year after a doctor graduates is the houseman-ship. If a doctor does not have proper houseman training, then he would face a lot of problems later on. He or she may know all the medical knowledge in the world (just for argument’s sake, since knowledge of medicine is so vast that no one can know everything), but without the proper houseman training, he or she will not get the hand-on experience so crucial and important to doctors.
A doctor without proper houseman training is not unlike a person who has only ever raced in arcade games, suddenly being asked to race in a real life race. He would not have the hands on experience to do well. A doctor without proper houseman training would be like a person given a license to kill, and a disaster waiting to happen.
Now, with 4,000 doctors being produced in a year, where do we find so many houseman positions for these young doctors?
Even now, with some of the medical schools just starting and not yet producing doctors, and the number of doctors being produced is much less than the 4,000, the wards in some of the bigger hospitals are filled with so many housemen that, in some wards, there are not enough patients for these housemen to learn management skills.
About a year back, I was told, in HKL some of the units have more than 20 housemen. Recently one doctor told me that in some units, it may have even more than that. I was aghast. Since with that many housemen in a single unit, and so few senior officers to guide them and so few patients for them to learn from, how are they going to learn the skill of doctoring?
When there is not enough training for these housemen, what do you think our policy planners do? In the typical Malaysian style, they increase the length of houseman-ship from a year to 2, hoping that the longer time will help to give better exposure to these doctors.
Compared to Australia, New Zealand, and United Kingdom, houseman-ship is still one year only. By increasing the length of the houseman-ship, it is a tacit admission that our one-year houseman training is not as good as the above mentioned countries.
A poorly trained houseman will become a mediocre medical officer, and since now most of the specialists are trained internally, it will be a matter of time before future specialists may not be as well trained as presently.
Many parents do not know about the actual situation and still encourage their children to take up medicine. They are not told of the actual situation. The day will come when there are simply so many doctors that none are adequately trained. There will come a day when a doctor graduating from a medical school cannot even be placed in a houseman position.
And that day is actually very near.
Sunday, April 11, 2010
How to Train Your Dragon =)
Let me say this first....
I LOVE THIS MOVIE!!!!!!!
Ok, I just came home from watching "How to Train Your Dragon" and I am still feeling good. The last time I experienced the same feelings was after watching Transformers in 2007. OMG!!! I really really love this movie!!
I TOTALLY feel for Hiccup (The main character) especially the emotions between the father and him. I don't understand why some parents always think that they are always right but this time, Hiccup got the chance to show the father that sometimes they (the parents) are wrong too. Shame on the father when he got angry with Hiccup when he being himself aka unique aka weird and how dare he said "I don't have a son like you!!" (later at the end he said he's so proud to call him his son...BOO~~~)
Anyway, watching Toothless, the Night Fury Dragon reminds me of Spritzer because there was one scene where when Hiccup offered him food, he sat down just like Spritz when he sees us with food, he'll automatically put his bump down on the floor. Or when Toothless refuse to share food with the little dragons and growled, exactly like Spritz when we take his "possessions" such as his cloth/blanket or food, he'll growl at us and give us this look. There was this scene where I laughed the most-- when Astrid was forced to ride on Toothless by Hiccup as he wanted to show her that Dragons are nice, she was skeptical and Toothless sensed it and hence he teased her by flying violently (Quote Hiccup: Thank you for nothing, you useless reptile). It was so funny because just like Sprit, he can sense the lies we tell him especially when it's bathing time. LOL!!!
I love this show because it consist of family values, bravery, how not to feel depress when you're different, how to treat your pets in a proper way and learn to stand out in your own way. Everything was in good proportion. Not too much of romance or self pity or stubbornness, you get what I mean. Oh ya, I forgot to mention-the dragons in the movie somehow act like dogs. They wag their tail, sniff, growl or are loyal. Look at Toothless!! Love him =*
For a music lover, when I watch a movie (of course this does not apply for action pack type) I listen carefully to songs because in my opinion, songs/ music are the one that provide the movie the flow that is needed. Here, I can say that the music is fabulous!! Right music at the right time and for the right mood. Well, just to mention another few movies where the music and sound effect was great was in 2012 and Avatar =P
I'm sure it'll be better if I watch it in 3D so maybe I'll watch it soon, again. Did I tell you how much I love this movie? I was laughing real loud and the noisy kids (half the cinema was filled with them even though it was a night movie) did not ruin the movie too because I was too engrossed in it.
The last part was a little sad because Hiccup lost something similar to Toothless. It's so so sad but having to hear him say "This is Berk. It snows nine months out of the year, and hails the other three. What little food grows here is tough and tasteless. The people that grow here, even more so. The only upsides are the pets. While other places have ponies, or parrots... we have dragons. " just makes me feel less sad. (PS, this is the last line for the movie)
Voices for
Hiccup- Jay Baruchel
Stoick/ Hiccup's father/ chief viking/ head of Berk (the village they stay at)- Gerald Butler
Astrid Hofferson/ Hiccup's love interest- America Ferrera
Gobber/ Viking trainer- Craig Ferguson
The heavy Scottish accent (except for Hiccup and the teenagers) reminded me that vikings originated from Scotland. Gerald Butler and Craig Ferguson have a very thick Scottish accent and I loved it!! After googling, only did I discover that they're Scottish men!!
Evidence for being a VERY good movies:
Rotten Tomatoes reports that 98% of 141 professional critics have given the film a positive review and it has a rating average of 7.9 out of 10.
Metacritic which assigns a weighted mean rating out of 0–100 reviews from film critics, the film has a rating score of 74!!
Oooo...I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!!......I can go on and on and on BUT I got to sleep....to good night =)
I LOVE THIS MOVIE!!!!!!!
Ok, I just came home from watching "How to Train Your Dragon" and I am still feeling good. The last time I experienced the same feelings was after watching Transformers in 2007. OMG!!! I really really love this movie!!
I TOTALLY feel for Hiccup (The main character) especially the emotions between the father and him. I don't understand why some parents always think that they are always right but this time, Hiccup got the chance to show the father that sometimes they (the parents) are wrong too. Shame on the father when he got angry with Hiccup when he being himself aka unique aka weird and how dare he said "I don't have a son like you!!" (later at the end he said he's so proud to call him his son...BOO~~~)
Anyway, watching Toothless, the Night Fury Dragon reminds me of Spritzer because there was one scene where when Hiccup offered him food, he sat down just like Spritz when he sees us with food, he'll automatically put his bump down on the floor. Or when Toothless refuse to share food with the little dragons and growled, exactly like Spritz when we take his "possessions" such as his cloth/blanket or food, he'll growl at us and give us this look. There was this scene where I laughed the most-- when Astrid was forced to ride on Toothless by Hiccup as he wanted to show her that Dragons are nice, she was skeptical and Toothless sensed it and hence he teased her by flying violently (Quote Hiccup: Thank you for nothing, you useless reptile). It was so funny because just like Sprit, he can sense the lies we tell him especially when it's bathing time. LOL!!!
I love this show because it consist of family values, bravery, how not to feel depress when you're different, how to treat your pets in a proper way and learn to stand out in your own way. Everything was in good proportion. Not too much of romance or self pity or stubbornness, you get what I mean. Oh ya, I forgot to mention-the dragons in the movie somehow act like dogs. They wag their tail, sniff, growl or are loyal. Look at Toothless!! Love him =*
For a music lover, when I watch a movie (of course this does not apply for action pack type) I listen carefully to songs because in my opinion, songs/ music are the one that provide the movie the flow that is needed. Here, I can say that the music is fabulous!! Right music at the right time and for the right mood. Well, just to mention another few movies where the music and sound effect was great was in 2012 and Avatar =P
I'm sure it'll be better if I watch it in 3D so maybe I'll watch it soon, again. Did I tell you how much I love this movie? I was laughing real loud and the noisy kids (half the cinema was filled with them even though it was a night movie) did not ruin the movie too because I was too engrossed in it.
The last part was a little sad because Hiccup lost something similar to Toothless. It's so so sad but having to hear him say "This is Berk. It snows nine months out of the year, and hails the other three. What little food grows here is tough and tasteless. The people that grow here, even more so. The only upsides are the pets. While other places have ponies, or parrots... we have dragons. " just makes me feel less sad. (PS, this is the last line for the movie)
Voices for
Hiccup- Jay Baruchel
Stoick/ Hiccup's father/ chief viking/ head of Berk (the village they stay at)- Gerald Butler
Astrid Hofferson/ Hiccup's love interest- America Ferrera
Gobber/ Viking trainer- Craig Ferguson
The heavy Scottish accent (except for Hiccup and the teenagers) reminded me that vikings originated from Scotland. Gerald Butler and Craig Ferguson have a very thick Scottish accent and I loved it!! After googling, only did I discover that they're Scottish men!!
Evidence for being a VERY good movies:
Rotten Tomatoes reports that 98% of 141 professional critics have given the film a positive review and it has a rating average of 7.9 out of 10.
Metacritic which assigns a weighted mean rating out of 0–100 reviews from film critics, the film has a rating score of 74!!
Oooo...I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!! I love this movie!!!......I can go on and on and on BUT I got to sleep....to good night =)
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