The Star Malaysia

Medical profession is no longer lucrative

- DR RAJINDEER SINGH Seremban

ABOUT 25 years ago, there were only three medical schools in Malaysia. All were in government-run universiti­es. Entry was based on merit with a fair share for Malaysians of every race. Scholarshi­ps and loans were relatively easy to obtain and poverty was never an issue. At RM800 per year, fees were affordable. Standards were high and getting a job in Malaysia or in Western countries was easy.

Today, many locally produced doctors are heads of department­s overseas and at home. For those who could afford it and couldn’t gain entry into local universiti­es, a handful of reputable overseas universiti­es with strict entrance criteria were recognised.

Due to the demand, private medical schools were set up, and they were initially good. Unlike other courses where a student can jump from one private college to another, medical school students had to stick to one college. Investors had a guaranteed income.

Like mushrooms after a rainy day, medical schools flourished, some with politician­s as directors. Even shop houses were converted into medical schools.

Things got worse with the easy availabili­ty of the Internet. The lecture-student ratio dwindled and students were encouraged to selfstudy. Fewer lecturers and more students would mean heftier profits, and more colleges opened.

In contrast, the lecture-student ratio for medical-related studies in the West has hardly changed for the past 50 years. Medicine is one field where study based on self-learning does not work.

Overseas universiti­es with questionab­le reputation­s, where money and not grades were the criteria for admission, were recognised. Selling a modest house in the city could easily educate four children in these places.

When the former government realised that it had made a grave error, there was no turning back because any decision to drop these colleges from the list of recognised institutio­ns caused an uproar and became a political and racial issue.

Today, due to poor foresight, there is a glut of not only doctors but also nurses, dentists, physiother­apists and pharmacist­s. Thirty years ago, fewer than 100 dentists applied for housemansh­ip every year. Last year, 1,300 dentists applied for jobs. In the 1990s, the waiting period for housemansh­ip for doctors was three weeks. Today, it could be almost a yearlong-wait.

There was almost a zero dropout rate among medical housemen back then. Although housemen are paid four times more than before and work on a more humane shift, the drop-out rate is almost 20% now. After spending the prime of their lives studying, they are now Grab drivers, used car salesmen and fast food waiters. For parents, this means heartache, tears and dried-up coffers.

It’s highly probable that the government will not do anything because it would end up being just another unpopular decision. It’s up to parents and their children to realise that being a doctor is no longer a lucrative profession. If you are a very good student and want to be a doctor, go for it. Otherwise, there are lots of other jobs with good prospects. Spend the prime of your life wisely.

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