PODCAST · health
Surviving Private Practice In Malaysia
by Sevellaraja Supermaniam
I am an obstetrician and gynaecologist working in private practice in Malaysia for the last 27 years. Many students who want to become doctors and young doctors, do not know how private practice in Malaysia works. This podcast is aimed to educate them about private practice in Malaysia. In this podcasts I will talk about my experiences working in private practice in Malaysia. I will also discuss how private practice works . I will also speak to other doctors who are already working in private practice in Malaysia. I hope to give you tips to "Survive Private Practice in Malaysia".
Episodes
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The Art of Asking: A Guide for the Private Practitioner
In this episode I will discuss the importance of learning the Art of Asking when working in Private Practice. I will discuss the book of the same title by Amanda Palmar and how it can be applied in Private Practice.
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Art of Overcoming Overthinking
Overthinking is the tendency to ponder all possible outcomes when an event occurs. It's something that happens to all of us, but learning to manage it is crucial, especially for doctors in private practice. In the book entitled "Soundtracks: The Surprising Solution to Overthinking" , Jon Acuff....
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Is it worthwhile doing difficult cases in Private Practice?
In the medical profession, a difficult case refers to a patient with a complex or challenging medical condition that is difficult to diagnose, manage or treat. I have always wondered whether it is worthwhile doing difficult cases in Private Practice. In this episode I will discuss the advantages...
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Under promising and over delivering in Private Practice
Under-promise and over-deliver was a term coined by business author and speaker Tom Peters, in 1987. His concept is to set lower expectations and then deliver more than what was promised. The concept is simple: a good surprise is much better than a bad surprise. In other words, stakeholders would...
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Group Practise For Specialists in Private Practise
In this episode I will look at different group practices among specialists in Private Practice and discuss its advantages and disadvantages.
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Failures – Why doctors don’t learn from them
In this episode I will compare the airline industry with the healthcare industry. By learning from mistakes the airline industry has improved their safety record. This is not so in the health care industry. I will discuss why this is so and attempt to give some suggestions as to how doctors can...
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How to get invited as a speaker in conference
When I was younger, I always wondered what I could do to make organizers select me as a speaker in their conferences. I must say, I have come a long way in this area. Here, are some strategies I have adopted which I hope will serve as a guide for young doctors who have the ambition of becoming...
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Is Moving your Practice From One Hospital To Another, good for Private Practice
I have always wondered what are the reasons for moving your practice from one hospital to another. Is staying in one hospital for a long time considered loyal. Do hospitals appreciate long staying doctors? In this episode I will contemplate these questions and discuss the advantages and...
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How I use data to improve myself
I learned very early in my career about the importance of keeping data to improve myself as a doctor. In this podcast I will describe the challenges I went through over the last 28 years as a private practitioner to keep good data which helped me to learn from my patients. I will also give some...
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How to deal with your colleagues in a private hospital
In this episode I will try to discuss about dealing with your colleagues in private practie. This will include touching on a sensitive topic of jealousy in private practice and how to avoid and deal with it.
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Organising Operation time for Surgery
The operating theater, to me, is the actual “engine” of a hospital. It is the place where the most revenue (per unit time spent) is made by the hospital and the surgeons. Optimal running of the operating theatre is vital for the success of any private hospital. Every private hospital has its own...
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Should you get your own nurse to assist you in private practice?
When working in private practice, one of the difficulties is to get good assistants in performing your work. In this episode I will be discussing my experience in training nurses to assist me and the frustration I faced when trained nurses leave. This led me to employing my own personal nurse. I...
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Mark-up of Drugs and Medical Supplies in Private Practice
In this episode, I will be discussing about Mark-ups of drugs and medical devices in Private Practice. Mark-up of Drugs and medical supply plays an important part in generating revenue for a hospital. In this podcast I will be answering several questions regarding mark-ups : 1. Why are mark-ups...
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Private Healthcare Facilities and Services Act 1998 – Is it Stifling Medical Progress in Malaysia
The Private Healthcare Facilities and Services Act 1998 (Act 586) and Regulations 2006 (PHFA) on the medical practice in the corporate private hospitals (for profit) in Malaysia was implemented on the 1st May 2006. The whole of the doctors fee schedule is included in this Act. In this podcast I...
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How I use checklists in my practice
Our brains can probably hold 5 or 6 items at one time. Beyond that, we will miss things.A checklist is a type of job aid used to reduce failure by compensating for the potential limits of human memory and attention. It helps to ensure consistency and completeness in carrying out a task. In this...
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Is being a specialist always better than being a generalist in your field
The general view among doctors is that it is better to be a specialist in your field than a generalist in your field. In this podcast I will discuss the benefits of being a generalist or better still being a specialist but also have a good idea of being a generalist. I will also give some of my...
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Interview Mr Allan Fernandez - Executive Director at Asia Clinic Group, JB on General Practice in Malaysia
Malaysia is now experiencing a glut of doctors. Many young doctors will be moving to General Practice. Mr Allan Fernandez has 22 years of experience in the health care industry. He runs the Asia Group Practice in JB. He will give his views of what is expected of doctors joining General Practice…
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How do you deal with walk-in patients
Walk-in patients are not uncommon in private practice in Malaysia. In this episode I will discuss the pros and cons of having an appointment system in your clinic and give some tips as to how to deal with walk-in patients.
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Interview Datuk Dr. Tamil Selvam, Consultant Cardiologist CVSKL: Difference between working in a corporate hosptial and working in a hospital that you also own
Datuk Dr. Tamil Selvam is a consultant Cardiologist at CVS KL. Having worked in a corporate hospital before, he will explain the difference between working in a corporate hospital and working in a hospital that he partially owns.
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Medical Reports – Oh why I hate writing them
Writing Medical Reports is one of job that I despise. In this episode I will explain why I hate writing medical reports as well as give some tips as to how to make writing medical reports easier.
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The Grandfather Clause
A grandfather clause is a provision whereby an old rule continues to apply to some existing situations while a new rule applies to all future cases. In this episode I will describe how "the grandfather clause" affects medical practitioners in Malaysia
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Kick back and Fee splitting in Private Practice
What is a kickback? The dictionary describes it as an illicit payment made to someone in return for facilitating a transaction or appointment. Fee splitting is the practice of sharing fees with professional colleagues, such as physicians or lawyers, in return for referrals.In this episode I will...
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Interview Dr. Jaspal Singh - Working in a maternity centre verses working in a private hospital
Maternity hospitals were popular in the 80's and 90's. Before joining Mahkota Medical Centre, I actually toyed with the idea of opening my own maternity centre. In this episode I will be talking to Dr. Jaspal Singh, Consultant Obstetrician and Gynaecologist at Park City Medical Centre who was...
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Credentialing and Privileging in Private Practice.
Credentialing and Privileging is a process that every private hospital have to undertake for all physicians practicing in that hospital. It is important for doctors to understand this process and to be prepared for it. In this podcast I will discuss my experience with Credentialing and…
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Reusing disposable instruments
Disposable instruments are commonly used by surgeons especially during lapararoscopic surgery. Disposable instruments are expensive. Can we reuse them instead of throwing them away after single use. Is it ethical to reuse disposable instruments? In this podcast I will discuss my experience using...
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Interview Dr Selina Chew - Medic Footprints Malaysia
Medic Foot prints Malaysia is an organisation by doctors for doctors, with doctors' wellbeing at the centre of their focus. With Industry 5.0 already on the horizons they believe that doctors should not be boxed into just one field - i.e. clinical. Healthcare is such a vast and wide ocean that...
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15 tips on how to be progressive in Private Practice
The common thinking is that self- improvement should be the domain of those in the universities or public hospitals and that a private practitioner’s duty is only to provide service. I beg to differ. In his book entitled “ The Anatomy of Success’ the late Dr. Rakesh Sinha said that there are 2...
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What does Guaranteed Income mean in Private practice
Providing a guaranteed income is a common method used by private hospitals to entice doctors to join them. It provides a sense of security to the doctors who are leaving government hospitals to go to private practice. In this episode I will be talking about my experience with a guaranteed income...
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Interview Timothy Chang - Doctor owned Speciality Hospitals
There are many private hospitals in Malaysia. Most of them are owned by government linked organizations or by business man. Very few are actually owned by doctors. Today we are fortunate to have Mr. Timothy Chang who works for a private equity firm, TPG capital and they have set up hospitals…
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How to deal with difficult patients
In this episode I will try to explain what is a difficult patient and how I deal with them.
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Taking a consent for surgery
Taking a consent for surgery in private practice can be tricky. In this episode I will discuss what factors to consider when taking a consent for surgery in private practice.
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How to manage your time in private practice?
We only have 168 hours in a week.How we utilize this time will determine how successful we can be in private practice. I will first give you my experience managing my time as an obstetrician and gynaecologist and then give you some advice as to how you could maximize your time to achieve your…
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How to deal with your emotions when a complication occurs during Surgery
A junior specialist recently asked me “How do you deal with complications: the shame, the gossip, the emotional discouragement and the potential litigation?” This is a topic that we doctors often do not talk about because it exposes our weaknesses and makes us vulnerable in the eyes of the public...
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Interview Dr Muruga Vadivale - My experience working as a doctor in the Pharma industry
In this interview Dr. Muruga Vadivale will share his experience working for the Pharma Industry for 25 years. He will give advise to doctors thinking of moving to work for Pharmaceutical companies.
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Interview with Prof Lokman Saim - How I started the Masters Programme in the Private Hospitals in Malaysia
In this interview I will be asking Prof Lokman Saim, Dean of the KPJ Healthcare University College the challenges he faced in starting a Masters Programme in the Private Hospitals in Malaysia as well of the future of such programmes in other private hospitals in Malaysia.
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Interview Dr Prema Sundaralingam - My experience working as a doctor in the insurance industry
Most of us working in private practice will know that the whole private practice will not work without medical insurance. Today I am fortunate to speak to Dr. Prema Sundaralingam, a medical doctor who works for the insurance industry. She will not only answer how is it to work for an insurance...
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Medical Insurance– is it a boon or a bane for private practice
Medical insurance is an important and integral part of private practice in Malaysia. Almost all patients seen in the private sector have medical insurance. In this podcast I will explore the advantages as well as the challenges faced by doctors and the public when the use medical insurance to get...
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Interview Dr Naveen Rajadurai - Consultant Radiologist on his experience being a trainer for the Masters in Radiology in the private sector
In this episode I will be speaking to Dr Naveen Rajadurai, Consultant Radiologist and subspecialist in Musculoskeletal Radiology at Damansara Specialist Hospital. The KPJ university also runs a Masters in Radiology programme and Dr Naveen is a teacher and trainer of Master Students in Radiology
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What happens after I have obtained my Masters and how I obtained my NSR
This is part 2 of the interview with Dr Ho Hon Lian Consultant ENT specialist at Ampang Puteri Hospital in Kuala Lumpur. In this second part, I will be asking him what happens after he has passed his Masters exam and how he obtained his NSR and became a consultant ENT specialist at Ampang Puteri...
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Interview Dr Ho Hon Lian - How I became a ENT consultant completely trained in the private sector in Malaysia
We know that many junior contract doctors will be out of job soon. Many of them who want to become specialist have to find alternative ways to get training. I believe that the private sector can also take on this challenge of training specialist in private hospitals. In this Podcas, I will be...
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Part 2 interview Dr HM Goh – what advise I can give young doctors who want to be in health care management and what is the future of private practice in Malaysia
Dr. HM Goh started his career as a medical doctor. Then he transitioned to an informatics expert. Later he moved to health care management and now he is a health care investor working with a private equity. In part 1 he described how he transitioned from a medical doctor to his current job as a...
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Interview Dr HM Goh - From a Medical Doctor to a Health Care Investor Part 1 My journey
In this podcast I will be interviewing Dr. HM Goh. Dr. HM Goh started his career as a medical doctor. Then he transitioned to an informatics expert. Later he moved to health care management and now he is a health care investor working with a private equity. This podcast is divided into 2 parts.…
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Pharmaceutical industry and the Private Practitioner
There is an unseen bond between pharmaceutical companies and doctors. Pharmaceutical companies need the doctors to promote their products and doctors need the financial assistance and marketing capabilities of pharmaceutical companies. The Malaysian Medical Council has a specific guideline…
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Getting assistance and providing assistance in private practice
There are many situations in which you will need assistance from your colleagues or a specialist from another specialty. When and how to get assistance can be tricky. There will be situations where a colleague will ask you for assistance. You will have to decide whether you want to provide that...
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Do you waive your fees when a doctor consults you?
You are a government doctor and you want to move to the private sector. In the government service you get a fixed salary. You do not charge for your work that you do. In the private sector, you earn a living by charging a fee for your service. One decision you will have to make is when are you...
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Which speciality to choose - A Private Practitioner’s view.
As a practicing private practitioner, I will divide specialists in private practice into 2 categories and I will call them frontline specialists and supportive specialists. Let me explain further. A frontline specialist is a specialist who has direct contact with patients. These are the…
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What factors attract patients to your consultation? (Race, religion, language, looks, age, gender, personality?)
When I first decided to move to private practice, I applied to a well-known private hospital in Johor Bahru. My application was turned down, as I was considered “not marketable”. This had nothing to do with my skills or ability to work very hard. The decision was just based on my physical...
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Marketing yourself in Private Practice
So you have decided to move to Private Practice. How are you going to persuade the public to consult you in preference to your colleagues? At medical school, you were never taught about the economics of medicine or marketing for patients. In fact talking about money in the medical field is...
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Your contract with the Private Hospital
One clause in that contract that has always bothered me is that I am not allowed to practice anywhere else unless I get prior approval from the management. I have always wondered about the unfairness of this clause. We are not allowed to practice elsewhere but the management can bring in anyone...
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16 tips for a young specialist joining a private hospital
I left government service for Mahkota Medical Centre, Melaka in 1994 at the age of 34. I was a young specialist at that time. Most of the pioneer doctors were off about the same age. Being in a brand new hospital, we worked very hard to build it. As time passes, more doctors joined the hospital.…
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ABOUT THIS SHOW
I am an obstetrician and gynaecologist working in private practice in Malaysia for the last 27 years. Many students who want to become doctors and young doctors, do not know how private practice in Malaysia works. This podcast is aimed to educate them about private practice in Malaysia. In this podcasts I will talk about my experiences working in private practice in Malaysia. I will also discuss how private practice works . I will also speak to other doctors who are already working in private practice in Malaysia. I hope to give you tips to "Survive Private Practice in Malaysia".
HOSTED BY
Sevellaraja Supermaniam
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