1. Pathways to Specialization in Malaysia

2. During the wait for an offer from MOH, you can
Graduation!! =)
Foundation (aka Housemanship aka *H/O) for 2 Years
During the wait for an offer from MOH, you can or
District Hospital (Primary care, *M/O) 2 years
SLAB (Skim Latihan Bumiputera)
Take MRCP exam part 1
Apply (buat permohonan) during 2nd year of housemanship.
If pass, join the MRCP programme
Specialization Under MOH (Ministry of Health) Masters Programme (MMED)
Registrar / Subspecialty training
Attach to University Postgraduate Programme
*H/O –house officer
M/O – medical officer
Junior Specialist!!

3. Post Graduate Specialization Programmes in Malaysia
SLAB
You can skip posting at district hospital because entry into MMED can be as fast as one year after housemanship
(possibly) save 1-2 years
MMED
4 year programme
1 yr basic surgery + exam, part 1
2 yrs rotation + exam, part 2
1 year work as registrar (6 mths in general medicine + 6 mths in a subspecialty of your choice)
Present research in Part 3 exam
The competing pool for training in subspecialty as registrar is only within the university
No years saved (2 yrs H/O + 2 yrs M/O)
MRCP
less training in all the gen. med. subspecialties and more training focused on specific subspecialty of your choice
less 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 accreditation
and, you will have to queue up for places for subspecialty training
the competing pool is whole Malaysia (harder to get a place)

4. Meantime possibly Graduation Foundation 2 years
District hospital cycle 2 years (primary care)
(SLAB) 1 year (possibly)
Apply to MOH and WAIT
Stuck in primary care until decision
MASTERS (MMED)
Wait 6 months for accreditation
Subspecialty training
District hospital cycle 1 year (primary care)
MRCP part 1
Apply transfer to major hospital setting
2 more exams
Wait 18 months for accreditation
Possibly wait for space for subspecialty training and seniority
Meantime
possibly

5. MMED vs MRCP 1 years of basic clinical stuff
2 years rotation of SUBspecialty rotations 3 months each
1 year as registrar
MASTERS in INTERNAL MEDICINE
6 months accreditation
Compete only with space in university
Subspecialty training
MRCP examinations
No rotational training
18 months accreditation
INDEFINITE wait (if in Malaysia)

6. SLAB = Skim latihan bumiputera
Adjustable geographical places
Can apply during 2nd foundation year
Application into MMED could be completed as early as 1 year (possibly) post foundation
You have to work then
Higher INITIAL pay rise
After 10 years in fact – you will get higher pay rise
Similar 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 teaching
Could possibly research to get higher status (professorship) and earn more money
MOH = Ministry of health
Subspecialty  specific organ system

7. MMED = 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 examination
Must wait 18 months after graduation
6 months clinical practice (foundation)
Needs to involve emergency medical patients
To work for UK (GMC approved)
1 year if wish to work elsewhere
Can apply during 2nd foundation year
Useful to cut short even foundation practice
Go straight into SUBspecialty training
Obviously ur not well rounded then and lacking in practice Application into MMED could be completed as early as 1 year (possibly) post foundation

8. Concept of specialist vs masters PHD
clinical degree
Masters – academic research degree
Note: Malaysia only offers MASTERS
Prerequisite for specialist TRAINING in Malaysia
OR MRCP
PHD ranked highest
Academic RESEARCH degree
Nice to have but not necessary as a specialist (most don’t)
May not be recognised in malaysia

9. PHD in HK Graduate 1st year Work Showing english proficiency
Work out lecture/publication
Submit research project
Prove stastistical knowledge
2nd year
Attend 80% of planned seminars
Presentation of results
3rd year
Specialised instruction
Data collection
Process data
Prepare for publication
Pass state doctoral exam
Publish 1 – 2 papers

10. Study Duration: Three years Study Duration: Four years
PHD in HK
Study Duration: Three years
Study Duration: Four years
Clinical oncology and radiotherapy
Clinical Biochemistry
Anatomy, histology and embryology
Physiology and pathological physiology
Gynaecology and obstetrics
Hygiene, preventive medicine
Surgery
Clinical biochemistry
Medical biophysics
Medical biology
Medical pharmacology
Medical chemistry and biochemistry
Medical immunology
Medical microbiology
Ophthalmology
Pathological anatomy
Paediatrics
Psychiatry
Radiology
Dentistry
Internal medicine
Note: 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.