2During the wait for an offer from MOH, you can Graduation!! =)Foundation (aka Housemanship aka *H/O) for 2 YearsDuring the wait for an offer from MOH, you canorDistrict Hospital (Primary care, *M/O) 2 yearsSLAB (Skim Latihan Bumiputera)Take MRCP exam part 1Apply (buat permohonan) during 2nd year of housemanship.If pass, join the MRCP programmeSpecialization Under MOH (Ministry of Health) Masters Programme (MMED)Registrar / Subspecialty trainingAttach to University Postgraduate Programme*H/O –house officerM/O – medical officerJunior Specialist!!
3Post Graduate Specialization Programmes in Malaysia SLABYou can skip posting at district hospital because entry into MMED can be as fast as one year after housemanship(possibly) save 1-2 yearsMMED4 year programme1 yr basic surgery + exam, part 12 yrs rotation + exam, part 21 year work as registrar (6 mths in general medicine + 6 mths in a subspecialty of your choice)Present research in Part 3 examThe competing pool for training in subspecialty as registrar is only within the universityNo years saved (2 yrs H/O + 2 yrs M/O)MRCPless training in all the gen. med. subspecialties and more training focused on specific subspecialty of your choiceless wholesome than MMED but faster (possibly save 1-2 yrs)but after passing MRCP exam, you will need to do 18 months training as registrar for accreditationand, you will have to queue up for places for subspecialty trainingthe competing pool is whole Malaysia (harder to get a place)
4Meantime possibly Graduation Foundation 2 years District hospital cycle 2 years (primary care)(SLAB) 1 year (possibly)Apply to MOH and WAITStuck in primary care until decisionMASTERS (MMED)Wait 6 months for accreditationSubspecialty trainingDistrict hospital cycle 1 year (primary care)MRCP part 1Apply transfer to major hospital setting2 more examsWait 18 months for accreditationPossibly wait for space for subspecialty training and seniorityMeantimepossibly
5MMED vs MRCP 1 years of basic clinical stuff 2 years rotation of SUBspecialty rotations 3 months each1 year as registrarMASTERS in INTERNAL MEDICINE6 months accreditationCompete only with space in universitySubspecialty trainingMRCP examinationsNo rotational training18 months accreditationINDEFINITE wait (if in Malaysia)
6SLAB = Skim latihan bumiputera Adjustable geographical placesCan apply during 2nd foundation yearApplication into MMED could be completed as early as 1 year (possibly) post foundationYou have to work thenHigher INITIAL pay riseAfter 10 years in fact – you will get higher pay riseSimilar to those who do research (and apply for associate professorship – not yet attained)Work = Teaching (20%)But 80% of time is given into bedside clinical teachingCould possibly research to get higher status (professorship) and earn more moneyMOH = Ministry of healthSubspecialty specific organ system
7MMED = Masters in medicine (specifically internal medicine) Registrar = A Specialist Registrar or SpR is a doctor in the United Kingdom and Republic of Ireland (similar in Malaysia) who is receiving advanced training in a specialist field of medicine in order eventually to become a consultant (Masters). In surgery, also referred to as Higher Surgical Trainee or HST.MRCP = Purely examinationMust wait 18 months after graduation6 months clinical practice (foundation)Needs to involve emergency medical patientsTo work for UK (GMC approved)1 year if wish to work elsewhereCan apply during 2nd foundation yearUseful to cut short even foundation practiceGo straight into SUBspecialty trainingObviously ur not well rounded then and lacking in practice Application into MMED could be completed as early as 1 year (possibly) post foundation
8Concept of specialist vs masters PHD clinical degreeMasters – academic research degreeNote: Malaysia only offers MASTERSPrerequisite for specialist TRAINING in MalaysiaOR MRCPPHD ranked highestAcademic RESEARCH degreeNice to have but not necessary as a specialist (most don’t)May not be recognised in malaysia
9PHD in HK Graduate 1st year Work Showing english proficiency Work out lecture/publicationSubmit research projectProve stastistical knowledge2nd yearAttend 80% of planned seminarsPresentation of results3rd yearSpecialised instructionData collectionProcess dataPrepare for publicationPass state doctoral examPublish 1 – 2 papers
10Study Duration: Three years Study Duration: Four years PHD in HKStudy Duration: Three yearsStudy Duration: Four yearsClinical oncology and radiotherapyClinical BiochemistryAnatomy, histology and embryologyPhysiology and pathological physiologyGynaecology and obstetricsHygiene, preventive medicineSurgeryClinical biochemistryMedical biophysicsMedical biologyMedical pharmacologyMedical chemistry and biochemistryMedical immunologyMedical microbiologyOphthalmologyPathological anatomyPaediatricsPsychiatryRadiologyDentistryInternal medicineNote: For more information on doing PhD in the Czech Republic, you can ask your respective University Study Departments.So far, Malaysia has not accreditate PhD from Czech Universities. But, PhD may be useful for those working overseas.