Don’t just simply order x-rays unless indicated!!

Risk from radiation is a slope, there is no one “cut-off” point below which it is “perfectly safe” – even small radiation doses may have some risk. Therefore, statutory regulations require the dose to be “as low as reasonably achievable”.
Having said that, there is no absolute “legal” limit to the dose a patient can receive – go ahead and order the scan if you think the investigation is medically indicated, and the benefits outweigh the risk.
What then, is the risk, and how do you explain it to patients in layman terms?

Compulsory service for docs cut to two years with immediate effect.

By NG CHENG YEE

KUALA KUBU BARU: The compulsory service period for medical practitioners has been reduced from three years to two years with immediate effect, said Health Minister Datuk Seri Liow Tiong Lai.

He said this was in accordance with the longer internship training from one year to two years.

“The move to shorten the compulsory service would encourage doctors to remain in the country,” he said, adding that it would indirectly discourage a brain drain.

Liow also announced that Malay­sian doctors working overseas and who had pursued their studies abroad at their own expense were exempted from compulsory service.

“However, they must have documented clinical experience of more than 10 years,” he said at the launch of a healthy lifestyle campaign here yesterday.

Previously, Liow had announced that doctors above 45 years would get total exemption.

For those below 45 years, exemption will be given if they possess a rare sub-specialty as determined by a committee on exemption of compulsory service or if they had served in public or private universities or military hospitals for a continuous period of two years.

Liow also announced that an additional building would be built at the Kuala Kubu Baru Hospital dialysis unit.

“We will also add four more dialysis machines for kidney patients here,” he said.

He said there were currently four dialysis machines servicing 18 patients while 17 others were still on the waiting list.

On Influenza A(H1N1), Liow said 11 cluster cases had been confirmed and noted that the disease is still active in Malaysia.

On dengue fever, Liow said Selangor had recorded the highest number of such cases for 2008 and last year.

“In Hulu Selangor, there were 1,069 cases in 2008, 642 last year and 68 cases until April this year,” he said.

Original source : TheStar

On call allowances.

This form is on call allowance claim form..The rate for specialist,medical officer or house officer for active or passive calls are as follow.

LAMPIRAN A

BORANG EKLWBB

TUNTUTAN BAYARAN ELAUN

Tugas Atas Panggilan Aktif
Pegawai Perubatan, Pegawai Pergigian, PegawaiPerubatan Pakar dan Pegawai Pergigian Pakar yang menjalankan tugas di luar waktu bekerja biasa melebihi 16 jam sehari secara berterusan
…………..

a] Hari bekerja penuh & hari bekerja separuh

RM150.00 = …………..
………….

b] Hari cuti mingguan & hari cuti am

RM170.00 = ……………
Tugas Atas Panggilan Pasif
a] Pegawai Perubatan, Pegawai Pergigian,  Pegawai Perubatan Pakar dan Pegawai Pergigian Pakar yang diarah bersedia di rumah dan dipanggil bertugas selama lebih 4 jam pada:
……. - Hari bekerja penuh dan hari bekerja separuh RM90.00 =
…..… - Hari cuti mingguan dan hari cuti umum RM100.00 =
b] Pegawai Perubatan, Pegawai Pergigian,  Pegawai Perubatan Pakar dan Pegawai Pergigian Pakar yang diarah bersedia di rumah dan dipanggil bertugas selama kurang 4 jam atau tidak dipanggil bertugas pada:
…..… - Hari bekerja penuh dan hari bekerja separuh RM50.00 = ………
…..…. - Hari cuti mingguan dan hari cuti umum RM55.00 = ………
Pegawai Latihan Siswazah yang menjalankan tugas di luar waktu bekerja biasa melebihi 16 jam secara berterusan pada:
…….…. a] Hari bekerja penuh dan hari bekerja separuh RM100.00 = ……………
…………. b] Hari cuti mingguan dan hari cuti umum RM110.00 = ……………

Dikemukakan juga dokumen untuk menyokong tuntutan EKLWBB:
i] Jadual Tugas Kerja Di Luar Waktu Bekerja Biasa
ii] Salinan Kad Perakam Waktu / Buku Daftar Kedatangan
Dengan ini saya mengesahkan bahawa Tuntutan Elaun Kerja Di Luar Waktu Bekerja Biasa seperti maklumat yang disediakan adalah betul dan telah dilaksanakan oleh saya.


Tarikh: [Tandatangan Pegawai]

Dengan ini saya mengesahkan bahawa pegawai ini dikehendaki menjalankan tugas lebih masa dan telah menjalankan tugas di luar waktu bekerja biasa seperti tuntutan tersebut. Tuntutan dan dokumen yang disertakan adalah betul.
……..……………………………

Tandatangan Ketua Jabatan

If you read this posting you would also like to read this one: Doctors’ salaries.

Govt drops compulsory service for docs abroad for more than 10 years.

BY YENG AI CHUN

KUALA LUMPUR: The Government is seeking to woo Malaysian doctors who have been working overseas for more than 10 years to return to country by abolishing the three-year compulsory Government service.

However, Health Minister Datuk Seri Liow Tiong Lai said the new ruling would only be applicable to those who had self-funded their medical studies.

“The Cabinet decided that all Malaysian doctors working overseas for more than 10 years and who self-funded their studies are welcome to return and practice without the compulsory service in Government hospitals.

“This is, however, not for Government sponsored doctors,” he said in a press conference after launching the Healthcare Tourism Congress 2010 at the KLCC Convention centre Monday.

Currently, doctors who return from overseas are required to serve a three-year compulsory Government service.

Only specialists working overseas who are aged 45 years old and above are allowed to return and not serve the Government.

“We will start it this year. We will announce the details later as the Cabinet only made the decision last week,” he said.

Liow explained that the Government targeted doctors who have more than 10 years working experience as they would have a wide expertise and could contribute to the country’s medical sector.

When asked if the Government was forced to take this step because doctors working overseas refused to return because of the three-year compulsory Government service, he replied that the number of doctors trained locally had increased and this had paved the way for the decision.

“One of the factors we have identified is that we are capable of training more doctors in the country. Back in 2001, we could only train about 700 doctors a year, but now, we can train about 3,300 doctors in a year.

“The training has increased and we now have enough doctors to allow self-funded medical students who are working overseas to come back and not serve the compulsory service,” he said.

He said the move was also aimed at attracting more Malaysian specialists working overseas to serve the country.

Liow said that the increasing growth in medical tourism, the high fees foreign patients pay, increased facilities in the private sector and improved medical technology, doctors would be attracted back.

This in return, Liow said would help push the medical industry to greater heights.

“There are a lot of opportunities for Malaysian doctors returning from overseas. A lot of private hospitals are interested in employing them and the Government is willing to accept them if they want to serve us.

“For specialists returning to serve the Government, there are multi-point entries. They should not come in with a rigid pay in mind. We will pay them according to their experience and expertise,” he said.

Original source : The Star

Your characteristics based on blood group.

Yesterday, I was talking about people’s behaviour and characteristics with a friend. Suddenly, the idea of blood group and people’s characteristics came across my mind. I was thinking how people’s characteristics were related to the blood group…I seached the web and found the table below…

Click on the image above to zoom it in.

Is it really related? I don’t know…It’s up to you to decide.

Have fun analysing your friend..hehe