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The Bahamas Wasted Three Years Of My Life, Says Doctor

By RASHAD ROLLE

Tribune Staff Reporter

rrolle@tribunemedia.net

THE concern some junior doctors feel about an impending programme they fear will push them out of the public healthcare system is fuelled by experiences with the University of the West Indies' post-grad programmes where matriculation rates are low.

Dr Young Sing was three and a half years into the surgery programme there when he became frustrated and dropped out in 2017.

Despite the setback, he said he will soon enter one of Europe's most prestigious and competitive fellowship programmes for plastic surgeons after just months in the United Kingdom.

Upon completion, he will specialise in breast, hands, skin cancer, microsurgery and breast reconstruction and be capable of practising anywhere in the world, he said.

UWI, the traditional route by which regional doctors gain expertise that leads to independent practice certifications, has such flaws that people find their professional development obstructed, he added.

"For any junior doctor to finish their MBBS and to gain entrance to their postgraduate programme clearly demonstrates their aptitude for work and their intelligence," he told The Tribune.

"Perhaps the high failure rate of students in UWI's post-grad Doctor of Medicine (MD) programme is not the failure of the students, but one of the system, or the ones who control it. If a programme that has such a high failure rate of its candidates when it has included only the cream of the crop of the nation's students of every Caribbean nation then logically this cannot be due to the candidates' sudden deterioration of intelligence as the DM programme seems to infer. I would urge the university to totally relook at the subjectivity surrounding the examination process and the teaching process that does not adequately equip their candidates for their exams."

Dr Sing, a native of Trinidad & Tobago, dropped out of UWI Bahamas not long after failing a key written and oral exam in 2016.

"They gave me no feedback on why I failed," he claimed. "What was I weak in? How could I improve? They never said.

"If they don't like you, they will fail you, no matter how well you do," said Dr Sing, who began working at Princess Margaret Hospital in 2013 while enrolled in UWI's DM programme.

"You cannot get through UWI's post-grad medical programmes if you are not a golden boy or one of the highly favoured. You have a small pool of older guys who let their personal feelings halt younger people from moving up. The process for determining if one passes exams is subjective and doesn't reflect your intelligence level. It's all about the people in power protecting their own business interests."

Health Minister Dr Duane Sands revealed this week that more than 200 senior house officers are "trapped" in the public healthcare system after failing to obtain certifications that would allow them to practice independently.

Dr Sing, however, said the statistics don't tell the whole story. He said either local doctors obtain requisite licences in countries outside the region, in which case many of them never return to the Caribbean, or they go through UWI's system where many fail and get stuck at the SHO level.

"UWI's standards are so high that one of its supposed failures, like me, came to Europe and now has institutions bidding for me to enroll with them," he said sarcastically.

His success in the UK compared with UWI is not because of fluctuating work ethic, he added.

"At UWI, I worked approximately 120 to 140 hour work weeks on average. I was paid for only 40 hours. I was in DM classes an hour before work started and that consisted of me giving presentations and being barraged by continuous questioning that required preparation. Somehow I needed to find the time to read about four chapters of solid research as well as create PowerPoint slide presentations without leniency for working day and night. I have scars on my face where I have blacked out and fell from sheer exhaustion after working five days and four nights without a break or time to shower or eat. I was not given any public holidays or applied vacations. Their explanation was, 'you aren't Bahamian, you don't get any vacation if Bahamians need it, or you are in a trainee programme, you aren't allowed to have vacations.' By contrast, in the UK, I work strictly 40 hours and I leave. I have weekends and public holidays off. I fly every other weekend to a different country as evidence by my Instagram. Yet I am far more successful here where I work less but I wasn't successful where I had slaved and gave blood, sweat and tears to a job and a university programme that said nothing was good enough for them."

Before he came to The Bahamas in 2013, Dr Sing says he passed his Membership of the Royal Colleges of Surgeons of Great Britain and Ireland (MRCS) exam to obtain a postgraduate diploma for surgeons.

He didn't see the certification as a viable option until he became fed up with UWI's programme.

"No one in the Caribbean actually tells you how to get to the UK to practice medicine," he said. "They tell you it's not feasible, that you won't get a visa, that it's closed off to us as juniors. They tell you the MRCS is useless."

"I took a chance and now I am a senior specialist registrar, (which is above an SHO). If I knew then what I know now, I wouldn't have gone to The Bahamas. Bahamas wasted three years of my life. Had I come straight to the UK I would've been the youngest consultant in the Caribbean by now."

Dr Sing will enter the fellowship programme at the St Andrew's Centre for Plastic Surgery and Burns in July.

Meanwhile, beginning this month, some junior Bahamian doctors will be selected to participate in a residency programme within a medical department at PMH. Those not chosen will be mandated to participate in a foundation programme designed to push them into private practice. Doctors who fail the programme or its final exam will be forced out of the profession.

Dr Sing and local doctors fear the foundation programme will mirror the characteristics of UWI's programmes they despise, featuring low lecturer feedback and alleged bias.

They also fear people who could succeed elsewhere in the world will be out of a job in The Bahamas as a result of planned changes.

Comments

sheeprunner12 3 years, 6 months ago

And yet we do not have certified doctors (or nurses) in many of our island communities ..... one doctor to take care of the whole of Long Island (again).............. and God knows if Acklins or Mayaguana ever see a doctor once a month.

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ThisIsOurs 3 years, 6 months ago

I don't know about this particular case, but I do know that students have been blaming their teachers for their own failures for centuries.

But on a subjective exam, Hunan biases can be introduced. Perhaps they need to start recording the exams so if the student protests, an independent review board can determine whether the student passéd or failed

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Ladidi 3 years, 6 months ago

I totally agree with Dr. Sing

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sheeprunner12 3 years, 6 months ago

So, u think the old heads want to see the young guns take their clients?

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joeblow 3 years, 6 months ago

It is a fact that in small countries and small communities 'kisses go by favor' in every respect. It is not difficult to believe this doctors story, as we are all aware of people who have been frustrated out of various systems throughout the length and breadth of this country, not due to lack of competence, but for personal reasons. This mentality is why we are still a third world country!

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Well_mudda_take_sic 3 years, 6 months ago

Becoming a UWI trained medical doctor and then fitting into the regional system is much more about who you know than what you know. This has always been why our best and brightest young students aspiring to be MDs opt to do their medical training in the U.S., Canada or U.K., and then practice in one of those developed countries. As a UWI trained doctor, I am sure Minnis has written many letters of reference for young Bahamians to attend UWI med school even though these same young Bahamians would not stand a chance of being admitted to med school in the U.S., Canada or U.K. even if they could afford to study medicine in one of those countries.

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ThisIsOurs 3 years, 6 months ago

You clearly know nothing about UWI. You have GOT to be kidding about entry requirements for UWI being substandard. You seriously have no idea what you're talking about, I know of several doctors educated at UWI who are excelling abroad. The program is rigorous, if you fail there can you get through an easier program somewhere else? sure. I'm speaking specifically to Jamsica's program. I have no idea about the standards at the local program, I suspect the local program which should never have started is where the problem is. Same issue as BAMSI "agricultural school", "sexy" names

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sheeprunner12 3 years, 6 months ago

Mudda, thats a low down dirty comment. Minnis is a top rated OBGYN and UWI grad. Stop trying to smear them

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ThisIsOurs 3 years, 6 months ago

It's like someone saying I failed the Navy Seals program, they wasted two years of my life, I left and trained for the cross fit games and won. Does it then follow that the Navy Seals has a crappy training program? No. You just didn't make the cut.

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