Kuala Lumpur:The decision to eliminate Malaysia's contract doctor system has been welcomed, but experts emphasize the need for comprehensive reforms to ensure career stability and retain medical talent within the public healthcare sector.
According to BERNAMA News Agency, Dr. Sean Thum Chern Choong, chairman of the Malaysian Medical Association's Section Concerning House Officers, Medical Officers, and Specialists, highlighted that while the announcement in Budget 2027 brings relief, it requires diligent implementation. Concerns remain regarding remuneration, placement fairness, and training pathways, which are crucial for keeping doctors in public service.
Dr. Thum expressed that the current uncertainty affects specialist training, family commitments, and financial decisions, impacting doctors' willingness to stay in the public system and potentially affecting patient care. He noted that permanent positions alone are insufficient; improvements in working conditions and career development are essential to retain doctors.
Reflecting on his experience, Dr. Thum recounted starting his housemanship in 2017 on a three-year contract, later extended during the COVID-19 crisis. Despite facing the same challenges as permanent staff, contract doctors received no promise of further extensions, highlighting the need for equitable treatment.
Advocacy efforts have been ongoing through various campaigns and engagements with government bodies to address these issues. Dr. Thum acknowledged the collective efforts of organizations and individuals in advocating for change.
Dr. Amirul Azhar Zulkifli from International Islamic University Malaysia Hospital added that the plan's implementation needs clarity, particularly for doctors whose contracts have expired or who left due to family commitments. He questioned whether these professionals would have opportunities to return to service amid a doctor shortage.
Dr. Amirul Azhar praised the advocacy movements like Hartal Doktor Kontrak for their non-political commitment to improving doctors' welfare. He stressed the importance of measures to protect healthcare workers' welfare, ensuring their retention and encouraging new entrants into the profession.