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The editorial proposes practical measures to make service more attractive, improve return-to-service pathways for resignations, and adjust organisation from centralisation toward decentralised regional control with better local incentives and hospital 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central issue does the editorial address regarding doctors’ Government service?","Question",{"text":63,"@type":64},"It addresses the reluctance of doctors to enter Government service or remain in it, describing this as a chronic and so far insoluble problem.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Why does the editorial oppose forcing newly qualified doctors to serve for two years after housemanship?",{"text":68,"@type":64},"It argues that repayment of subsidised education does not justify applying the logic only to doctors, and that a forced rule would not produce a well-staffed, effective medical service.",{"name":70,"@type":61,"acceptedAnswer":71},"What changes does the editorial suggest to attract and retain doctors?",{"text":72,"@type":64},"It recommends clarifying the real value of doctors’ salaries, encouraging resigned doctors to return within a year with retained rights, and decentralising medical administration so states or regions control posts and 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\nHon.Editor and SurgeonMr.H.M.McGLADDERYPhysicianDr.M.R.J.SNELLINGObstetricsDr.J.D.LLEWELLYN JONESPublic HealthDr.L.S.SODHYNorthern BranchDr.V.THURAISINGHAMSouthern BranchDr.LIM KEE JINMedical Malay SectionDr.ZAINAL ABIDINMedical Research  \nProf.A.A.SANDOSHAM  \nIssued Quarterly(Sept.-Dec.-March -June)by  \nTHE MALAYAN MEDICAL ASSOCIATION  \nPublished by:  Young Advertising &Marketing Ltd.,Post Box 664,Singapore.  \nVolume 18MARCH 1964No.3PageEDITORIAL ....….   .….   135RESULTS OF FILARIASIS CONTROL PROGRAMME INTHE FEDERATION OF MALAYA ..A.A.Sandosham ..   …   137ADOPTION IN SINGAPORE …Rosemary Mills..    .…    151THE IMPORTANCE OF LEPTOSPIROSIS IN MALAYA…Dora S.K.Tan ...    …   164DRUG-RESISTANCE IN FALCIPARUM MALARIA INSOUTH-EAST ASIA….A.A.SandoshamDr.Don_E.EylesCol.R.Montgomery172NOTES ON THE BIONOMICS OF ANOPHELES CAM-PESTRIS,REID,AND ON ITS DISAPPEARANCEFOLLOWING HOUSE-SPRAYING WITH RESIDUALINSECTICIDESDouglas E.Moorhouse  \nCONTENTS  \nC.K.Chooi...184FILARIASIS AMONG ABORIGINES AND MALAYS LIV.ING CLOSE TO KUALA LUMPURC.P.Ramachandran  \nC.C.Hoo  \nAbu Hassan bin Omar ...   193THE ISOLATION OF HISTOPLASMA CAPSULATUMFROM A PATIENT IN A CHEST HOSPITALJ.T.Ponnampalam ...   …   201FCETAL SALVAGE IN CORD PROLAPSE..   …T.A.Sinnathuray ...   …   205THE MANAGEMENT OF THE THIRD STAGE OFLABOURDerek Llewellyn-Jones …   212NOTICES …...   ...   ...   ..   215NUTRITION SOCIETY.…    ….…    ….   .…   216  \nThe Medical Journal of MalayaVol.XVIII.No.3.March 1964.  \nEDITORIAL  \nA chronic and so far insoluble problemin Malaya has been the reluctance of doctorsto enter Government Service or to stay in it.Recently it has been seriously suggested thatdoctors should be forced to serve Governmentfor two years or so in addition to their yearshousemanship.There would be no objectionif the doctor had previously freely entered intoa contract to do this,say as a student.inreturn for some personal advantage.Thereis objection to it if it is to be a rule that everynewly qualified doctor must continue to serveGovernment for two years after his houseman-ship.  \nIt has been argued that since nearly alldoctors in Malaya have been educated largelyat the taxpayer's expense it is fair for themto be forced to repay this debt by service.Butall education in Malaya is heavily subsidised.This argument therefore applies to nearlyevery educated person in Malaya and couldbe used to justify a chain gang of engineers.miners.rubber tappers or any other group ofMalayans besides doctors.A medical servicestaffed in this way could hardly be a good one.  \nTo attract doctors into the service a fewchanges are suggested.Obviously money is themain reason why a man works and keeps onworking for a lifetime.Doctors are not saintsor sinners but ordinary men with a standardof living to maintain for themselves and theirfamilies.If a doctor believes that he willdouble his salary by resigning he may do so.But what is his salary?He thinks it is thenumber of dollars he receives each monthand will naively tell you so.   In fact hereceives about double this amount.To findout what his real earnings are he would haveto consult an accountant and an actuary.Hehas pension rights.sick leave and ordinaryleave with pay,housing at far below cost andsecurity of employment.  Many doctors donot put any value on these things until theyhave resigned and have to provide them forthemselves.Moving out from under theGovernment umbrella into the cold rain ofearning his living in private practice washesaway many of a doctor's illusions.Perhapsit would be too drastic to pay doctors in futureexactly what they really earn in hard cash andleave them as responsible adults to find theirown houses and insure themselves against sick-ness and old age.It would be worth while tomake clear to doctors what the real value oftheir salaries is.  \nA second suggestion is that the Ministryshould encourage lost doctors to return to it.At the moment resignation is an abrupt andcomplete severanc","cbCaiuisF5AwwHS5","https://ap.wps.com/l/cbCaiuisF5AwwHS5","pdf",7305154,83,"English","# Editorial\n# Results of Filariasis Control Programme in the Federation of Malaya\n# Adoption in Singapore\n# The Importance of Leptospirosis in Malaya\n# Drug-Resistance in Falciparum Malaria in South-East Asia\n# Notes on the Bionomics of Anopheles Campestris\n# Filariasis among Aborigines and Malays Living Close to Kuala Lumpur\n# The Isolation of Histoplasma Capsulatum\n# Fetal Salvage in Cord Prolapse\n# The Management of the Third Stage of Labour\n# Notices\n# Nutrition Society","[{\"question\":\"What central issue does the editorial address regarding doctors’ Government service?\",\"answer\":\"It addresses the reluctance of doctors to enter Government service or remain in it, describing this as a chronic and so far insoluble problem.\"},{\"question\":\"Why does the editorial oppose forcing newly qualified doctors to serve for two years after housemanship?\",\"answer\":\"It argues that repayment of subsidised education does not justify applying the logic only to doctors, and that a forced rule would not produce a well-staffed, effective medical service.\"},{\"question\":\"What changes does the editorial suggest to attract and retain doctors?\",\"answer\":\"It recommends clarifying the real value of doctors’ salaries, encouraging resigned doctors to return within a year with retained rights, and decentralising medical administration so states or regions control posts and incentives.\"}]","The Medical Journal of Malaya - No. 3 - Editorial | PDF",1791284869,209]