The government should answer a very basic question: do we genuinely want to produce, develop, and retain more doctors, or are we creating a system that steadily reduces the number willing to stay?
About 27% of UM medical grads since 2018, or 314 doctors, hold active Singapore registration. Over 10% registered with the Singapore Medical Council (SMC) after obtaining full registration in Malaysia. SMC-only proportion rose markedly in recent cohorts.
Sarawak is facing a large shortage of doctors and nurses, with over 930 vacancies for medical officers, over 260 for specialist doctors, and over 1,200 for nurses as of June 30. Vacancy rates in the state are 30% (MO), 28% (specialist), and 15% (nurse).
Multiple patients complain about waiting for seven to eight hours at Miri Hospital's emergency department for treatment. A doctor says the green zone is sometimes left with only one medical officer on duty or even occasionally has no doctor in charge.
Doctor shortages are no longer about one department complaining; it's now a national pattern. Doctors leave when the system takes everything and gives back slogans. They leave when “service to nation” becomes a polite phrase for exploitation.
What is often not seen is what health care workers are doing before those calls arrive. Some are actively resuscitating critically ill patients. Others are still completing ward rounds, managing admissions, reviewing deteriorating patients, admin work etc.
A state legislative assembly is where elected reps are meant to translate numbers into policy. Health care manpower is heavily shaped by federal policy, but this doesn't absolve state govts of responsibility. Perak should learn from Johor, Sabah, Sarawak.
Kota Melaka MP Khoo Poay Tiong says the prospect of hiring foreign doctors may need to be considered as a short-term mitigation strategy to address dire shortages of housemen and specialists, but standards can't be compromised. Remuneration must be fair.
MOH’s integrity unit has issued a warning letter to a Miri Hospital specialist, who highlighted doctor shortages on social media. Miri Hospital’s administration is also seeking to identify another specialist, who wrote to CodeBlue about alleged wage theft.