In the Deep End

I remember my very first formal interview – it ended in failure. What made it so depressing too was that it was THE interview that my future depended on – medical school.

So having failed at that, I realized that either I was an immature 19 year old that lacked life experience, or that I lacked interview experience. I chose to realize the second option, and vowed that some day, I would be great at interviews.

Since then, I suppose interviews just happened. Interviews for entry into the GP program, some interviews for part time jobs. With each interview, I picked up basic skills, such as knowing what to say, and what not to say. I learned to never offer more information then was required to answer a question. And that advice has served me well.

It just so happens that on the 1st of June, all GP registrars could apply to practices for next year, and of course, this would mean submitting a CV, cover letter, and attending an interview.

So in my holiday in China, I spent a great deal of time updating my CV, looking back at the past 3 years and deciding what to put on my CV. I put effort into making it look neat, and to also demonstrate my well roundedness for GP (to my credit, I have done lots of different rotations including surgery, medicine, ED, psychiatry, Paediatrics, O+G and orthopaedics).

Having submitted my cover letter and CV for 5 different practices, I was offered 3 interviews. It was just a matter of preparation.

I think I may have over prepared for these interviews, since I anticipated questions asked, and thought of thoughtful answers to say. And then I reflected on past cases seen, and what I really wanted out of the practices I applied to. And research. Probably the most important thing was knowing about the practice I applied to.

It was a total pain trying to attend interviews when I’m on ED because of the weird rostering. So I ended up attending an interview even though I finished a night of ED. So, I rocked up probably with only 4 hours sleep.

In the end, I managed to get an offer from all 3 places that I interviewed at, which I was pretty impressed with, since I had failed so miserably in my first ever interview. The interviews were so easy compared to what I expected, and I felt a tad silly for overpreparing. But I don’t think one can ever overprepare for an interview.

Again, I stress the importance of research, because I was asked by one interviewer what I knew about their practice. And that’s when I said “I understand that your practice opens 365 days per year, and holds an excellent philosophical principle of providing affordable and accessible health care which is exactly in line with what I believe health care should be.”

In the end, I chose a practice that would be very busy and most likely stressful. But hey, at least I’d learn a lot from it. The supervisor even told me that he would “throw me in the deep end”, so I even got a warning that it was going to be stressful. But isn’t that how one grows and learns, by being outside of their comfort zone? So why not.

Next year’s going to be interesting….. And probably stressful too.

 

The Chinese Doctor

Fascinated by the Chinese culture, I had researched what it was like to be a doctor in China. My thinking was that if my Chinese was good enough, I could go to China to practice for a few months to a year or so, and develop more of my Chinese, as well as see how healthcare works in another country. I didn’t mind if my wages would be much lower, but it was the experience that would make the decreased wages worth it.

My research led me to see how fractured and weak the healthcare system in China was.

Doctors are overworked, and underpaid. A lot of doctors provided substandard health care as a result of an overwhelming number of patient demand that could not be met by the health care system. With a country that has over a billion people, it’s no wonder. Coupled with the fact that there has been a net migration of rural residents flooding into the cities, and this will burden the health care system a lot.

Last year, my grandma needed to pay a visit to the hospital as a result of what was likely an asthma attack. In the hospital, everything is based around the almighty dollar. A deposit of around 5000 yuan was required upon being admitted as a patient, just so that you will be able to pay for your medical fees. And what should happen if you end up spending all that 5000 yuan? You get refused medical service. My aunty managed to bargain with the doctor’s in hospital and was able to bargain the deposit down to 2000 yuan. But a couple of days as a patient, my grandma was not given her morning medications. When asked why, the nurse advised that her 2000 yuan deposit was all spent, and no medications would be provided until this amount was topped up.

Other things that seem to be wrong with the health system there, is the encouragement of the “hong bao” or red envelope. In China, a red envelope contains money, and is often given as a token of goodwill. For the rich in China, giving a red envelope gives them a sense that things can be accomplished more quickly, that the doctor will spend more quality time with the patient. My mum who had been to one of the hospitals had clearly seen a Chinese sign that states “No red envelopes allowed”, yet I’ve heard that this gets curtailed by the use of credit cards given instead that are loaded with money.

The way that the doctor gets paid is also shocking. Doctors seem to get paid for prescribing things. In that way, this ends up to a lot of unnecessary prescribing for the sake of earning extra money. My father who had gone to one of the hospitals because of an upset tummy and 1 or 2 episodes of diarrhoea was offered IV fluids. He wasn’t dehydrated or anything, and didn’t need the IV fluids. Why give someone something when the risks of infection from the cannula etc outweighed the benefits? Perhaps by giving IV fluids, it is relatively “safe” and makes good money as well, and in the minds of other patients, they think something is being done.

Finally, perhaps the most disheartening thing I’ve read, have been doctor killings from patients. A times article sums up this perfectly here.

It’s quite sad actually, but I’ve been told that being a doctor in China is not what people aspire to, given the great responsibility and little financial reward given. I don’t blame them given the way doctors are being treated there.

 

 

GP Placements

Having just had about 4 weeks of annual leave, I wish I could say that I had a pleasant holiday. However, aside from going to a foreign country that has a great big firewall *Cough* *China*, I have to say that it felt incredibly busy, almost as if I was working.

For starters, on return from my trip from China, I would have to sit a Chinese written exam. I suppose being in China helped somewhat with this by being exposed to the language, but what we get tested on is entirely based off a textbook, which I had to carry around and study in my spare time while at the hotel.

The next most annoying thing, was that I had somehow organized an oral assessment task for my paediatrics diploma for the 3rd of June, also a few days after I returned back home from China. So I ended up studying for that as well, staying up late at night in the hotel to study. It was only after 2 weeks into my trip to china that my assessor advised me that she couldn’t make the 3rd of June, so I was able to push it back to the 17th of June.

Another thing (the tasks just keep piling!), was that I had to do some research into the application process for next year’s GP practice intake. This involved lots of boring reading online about the steps needed, the rules and regulations etc… And I also needed to update my CV, and write a letter of application, not to mention thinking about interview questions and how to best answer them. So this too involved long late nights of work in the hotel as well.

So my holiday kind of went like this….

  1. Arrive in Guangzhou, China all exhausted
  2. Find hotel and place to stay
  3. Study
  4. Go to Guilin and Qingdao by train and plane respectively
  5. Study on the train and on the plane while going to destinations
  6. Start stressing out as date of chinese exam, paediatrics assessment task and GP application date starts approaching
  7. Big sigh of relief once assessor postpones oral assessment task
  8. Continue to study in hotel till late night anyway despite the above

After that, I came back home, having happy memories of my time spent studying in the hotels…….

Well, I still need to work on my applications for GP, which I shall hopefully submit tomorrow.