Pathways to Specialization in Malaysia

Graduation!! =)

Foundation (aka Housemanship aka *H/O) for 2 Years

or

District Hospital (Primary care, *M/O)

2 years

Specialization Under MOH (Ministry of Health) Masters

Programme (MMED)

During the wait for an offer from MOH,

you can

Take MRCP exam part 1

SLAB (Skim Latihan

Bumiputera)

Apply (buat permohonan)

during 2nd year of housemanship.

Attach to University

Postgraduate Programme

If pass, join the MRCP programme

Registrar / Subspecialty

training

Junior Specialist!!*H/O –house officer

M/O – medical officer

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)

Meantimepossibly

MMED vs MRCP

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 practiceApplication into MMED could be completed as early as 1 year (possibly) post foundation

Concept of specialist vs masters PHD

• Specialist– 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

Study Duration: Three years Study Duration: Four years

1.Clinical oncology and radiotherapy2.Clinical Biochemistry

1.Anatomy, histology and embryology2.Physiology and pathological physiology3.Gynaecology and obstetrics4.Hygiene, preventive medicine5.Surgery6.Clinical biochemistry7.Clinical oncology and radiotherapy8.Medical biophysics9.Medical biology10.Medical pharmacology11.Medical chemistry and biochemistry12.Medical immunology13.Medical microbiology14.Ophthalmology15.Pathological anatomy16.Paediatrics17.Psychiatry18.Radiology19.Dentistry20.Internal medicine

PHD in HK

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.