Pathways to Specialization in Malaysia

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!!

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)

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

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)

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

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

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

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

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.