My Reflection Of 2025

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2025, was indeed a year.

The year started out great, I worked on New Year’s Day as usual in the Department of Medical and in April, I entered into my final posting, the Emergency and Trauma Department. In May, I attended my best friend’s wedding.

In July, I completed my internship and received my full registration under the Malaysian Medical Council (MMC) as well as my Annual Practicing Certificate (APC) and started locumming during my holidays back home and I also started floating as a Medical Officer in the Department of Plastic and Reconstructive Surgery. It was a steep learning curve for me, transitioning from a House Officer into a Medical Officer. The anxiety increased and I was constantly tired. I remembered my love for medicine and service fading to the point I took a long break in October to recharge and reflect.

2025 was also the year, I handed in my 30-days-notice to resign but revoke it the following day. Perhaps it was too much for me, although the working environment and superiors were more than sweet and kind. Physically, I was catching up but mentally, I was fading away.

Looking back, thankfully, I did not. I celebrated my birthday before travelling back to Kuching the following day. 2025 was also the year when my relationship ended. It was a good and lovely 19 months. Perhaps, it was just time.

November was the month I received my letter stating that I will receive my placement and I needed to report for duty on the 24th of November 2025. One thing for sure, I was sure to continue serving in Sarawak. The place? Unknown yet.

On the 18th of November, I found out that I would need to report to the Health Division of Bintulu on the 24th of November 2025.

Bintulu, that’s around 7 hours drive from Kuching. I didn’t have a place to stay nor a car and my things were all unpacked and I was just extremely busy. I packed whatever I could, shipped some boxes back home, those that I managed to do and on the 23rd of November, I flew to Bintulu.

Thankfully, the doctor-in-charge of the Health Division was kind enough to let me know which place or clinic that I would be placed at.

Yes, clinic setting. I did not apply for a clinic setting which so happened to be what many others in my batch longed for. Surprisingly, I got it!

Considering the state of my mental health, I was more than ecstatic to accept it.

2025 was also the year I moved and started working in a new place and also one that speaks a different dialect. I started doing oncalls as well and surprisingly, adapted very quickly into a General Practitioner’s setting as well as the new place. I also met another colleague who was previously my medical officer in the Department of Obstetrics & Gynaecology when I was a House Officer and made new friends and acquaintances.

Overall, 2025 was a mixed of both good and bad experiences. I felt both the highs and also went through a period of low mood. New people entered my life, some stayed and some also left. Nevertheless, I am thankful for all the experiences I went through as well as the lessons learnt.

Hopefully, I can learn from the errors that I have made and grow, making me into a better person.

Thank you 2025. Now, it’s time to move on, to 2026.

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• I SURVIVED My First Month Of Tagging As A Floating Medical Officer
• My First Tagging On-Call Shift As A Floating Medical Officer
• My First Day As A Medical Officer In KKM
• My First Day Of Locum And As A Medical Officer
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• Enjoying The Journey – Housemanship Diaries

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My New Year’s Eve – 2025

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• Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
• Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
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31st December 2025. I was NOT oncall.

It was a Wednesday and it was a normal working day. Hence, at 7:45am, I left to work as usual and was there by 8am. It was the New Year’s Eve. I thought that maybe, just maybe, there would be less patients in the clinic.

The day started off smoothly. Surprisingly, there were many patients who came for their follow up followed by additional patients (the defaulters and walk-ins) but it was manageable. We went about our day, seeing each patient and when lunch time came, we went for our lunch break.

At 2pm, we went about our work, seeing patients as usual and I was taking my time with each patient. The patient load in the afternoon shift was lower compared to the morning shift and both my colleagues were done with their patient load.

Suddenly, a staff nurse barged into my room saying that there is a massive accident that just occurred nearby, 2 patients were already brought in and 2 more were on their way. They called in all available doctors (which were only the three of us) to help out.

I told my colleagues to head out and help out first while I rushed through the consultation of my final patient. After that, I rushed to the tiny Emergency Room of the clinic. My colleague who was oncall on that day was already attending to a child. I went over to the other patient, an old lady and did my primary survey and fast scan.

She was desaturating badly under room air and needed oxygen support. She had an open skull fracture, multiple abrasion and laceration wounds over her face, upper and lower limbs as well as rib fractures and on top of that, her left leg appears shortened and she has a closed fracture over her right lower limb.

I didn’t think that we should proceed with an x-ray at our clinic even if we had the facility at that time, the best would be to send them straight away to the hospital because she could deteriorate further any time. Thankfully, her GCS (Glasgow Coma Scale) was full.

I was focused on my patient, stabilising while referring her to the specialists of various specialities as well as the emergency physician that when I finally got ready to transfer her out that I noticed the child that my other colleague was attending to. The child’s right arm was crushed and the distal limb of his right arm was pale and his right lung was obvious till mid-chest.

Just how in the world is he still awake? The poor child was crying out in pain…

Judging by the state of his and my patient’s injuries, it was definitely high impact.

The story was, the whole family were travelling back from Miri to Kuching. Both the parents were sitting in front and the father was driving whilst the two children and their grandmother were sitting at the back.

The father claimed that he was not speeding but as he was about to make a u-turn at a junction, he claimed to have hit the curb and the car turned many times into the other lane before finally stopping and the grandmother and one of the child were thrown out of the car.

It sounded like a very high impact collision. Thankfully, the parents and the other child were well and unscathed.

We had to transfer both patients in two separate ambulances to the Red Zone of the Emergency Department at Hospital Bintulu as one ambulance could only transport one patient at a time.

Upon arriving, I met my colleague and friend at the Red Zone of the hospital. After we have handed over to the medical officers and specialist in the Emergency Department, we headed back together. However, upon reaching back, there was another patient who came in who was extremely tachypnoiec.

Oh, here we go again… Another Red Zone referral…

We stabilised the patient and referred her to hospital again. The clock was already showing 10pm when we left. The journey to the hospital takes about 45 minutes to an hour for each journey and the both of us have yet to have our dinner. This time, I choose to accompany her for the referral, mainly for emotional support and also in hopes of stopping by McDonald’s to get a takeout.

Yes, we did stop by McDonalds after sending the patient safely to the hospital and yes, we used the ambulance and went through drive-through.

By the time we left, it was already 11pm. The journey takes around 45 minutes to an hour and it was raining heavily. At this point, I was wondering if we would end up celebrating New Year’s in the ambulance.

Me and my friend ate in the ambulance on the way back while we joked and exchange oncall stories. Thankfully, we reached a little before midnight. The day was completely unexpected, not to mention tiring but it was nice to have spent it with a friend.

It’s still the beginning of 2026, so if I’m not too late, Happy New Year!

If you are travelling anytime soon or in the future, do drive safely, stay within speed limits especially if it is raining. Remember to get your car and tyres checked before any long distance journey and NEVER drive under the influence.

Stay safe always!

Related Posts:

• 12 Hours Shift – Counting Down My Hours Each Time At Work
• Reflection: 2 Months As A Floating Medical Officer
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• I SURVIVED My First Month Of Tagging As A Floating Medical Officer
• My First Tagging On-Call Shift As A Floating Medical Officer
• My First Day As A Medical Officer In KKM
• My First Day Of Locum And As A Medical Officer
• 2026 – The Beginning
• My First Night Shift In Emergency & Trauma | Housemanship Diaries
• Life After Offtag In Emergency & Trauma | Housemanship Diaries
• Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries
• Appreciation Towards The Medical Officers (MOs) – Housemanship Diaries
• Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
• Enjoying The Journey – Housemanship Diaries

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Welsh Government hands GPs £41m pay boost after threat of dispute

The deal, struck between ministers, NHS Wales and the General Practitioners Committee (GPC) Wales, includes a 4% uplift to the general medical services contract in 2025‑26 — in line with independent DDRB recommendations — and a guaranteed 5.8% recurrent funding uplift from 2026‑27.

Health Secretary Jeremy Miles said the package “demonstrates our unwavering commitment to general practice in Wales,” adding:

“The 4% pay uplift ensures fair recognition for GPs and practice staff who work tirelessly to deliver care for communities across our country.”

What’s in the deal

The settlement delivers £37.9m in fresh investment, backed up by £4m re‑deployed from capacity funding, to shore up surgeries for 2025‑26. Alongside the pay rise, there’s a 1.77% uplift for expenses to help practices cope with spiralling costs, and a recurrent £20m injection to stabilise services and prepare for reform.

The partnership premium is also being boosted to keep experienced GPs in the system and make partnerships more attractive — a move aimed at securing continuity of care for patients. And in a significant step, the government has promised the first full review in more than 20 years of the allocation formula for the General Medical Services contract, raising hopes that funding will finally reflect the realities of today’s communities.

Hard‑won agreement

But the deal didn’t come easily. Doctors had warned they were prepared to enter a formal contract dispute and even ballot for collective action if ministers failed to meet their demands.

Dr Gareth Oelmann, chair of the BMA’s GP committee in Wales, said:

“This settlement provides much‑needed stability for practices and recognises the tireless work of GPs and their teams. But it comes against a backdrop of years of underinvestment, and we will continue to press for a fairer share of NHS funding for general practice.”

Committee members unanimously backed the final package, describing it as a stabilising step that gives practices the certainty they need to plan ahead. The profession, however, made clear that trust has been strained by years of underfunding — and that the promised review of the allocation formula will be a crucial test of whether funding really reflects the needs of today’s communities.

Wider concerns

Critics warn the funding boost doesn’t undo a decade of decline. The BMA has pointed out that the share of NHS Wales spending on general practice has dropped from 8.7% to just 6% since 2005 — a slide described as “like turning a supertanker.” Only last year, almost 99% of Welsh GPs rejected a government contract offer, underlining how fragile confidence remains.

Miles insisted the multi‑year deal will allow practices to invest in transformation and deliver more care closer to home. Working groups are also being set up to improve access standards and tackle diabetes prevention, with GPs actively involved in shaping new service models.

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£700K support to expand primary care medical training in West Wales
Welsh Government backs Swansea University initiative to train the next generation of GPs.

Welsh Government to invest nearly £25m in new NHS scanners
New PET‑CT technology aims to cut waiting times and boost diagnostic capacity across Wales.

£25m boost for digital services across Welsh NHS
Funding package to modernise NHS systems and improve patient access to care.

NHS bursary extended in Wales
Support scheme for nurses, midwives and healthcare students extended to strengthen the workforce pipeline.

#BMA #BritishMedicalAssociation #doctor #doctorSPay #doctorsSurgery #GeneralPractitioner #GeneralPractitionersCommittee #GP #GPPay #GPC #JeremyMilesMS #payRise #WelshGovernment

New program training GPs in responding to domestic and family violence in Tasmania

Rebecca* credits her general practitioner with saving her life. It was her doctor who, when her child presented…
#NewsBeep #News #Headlines #Abuse #alinathomas #AU #Australia #domesticviolence #dvsigns #engenderequality #generalpractitioner #GP #primaryhealthtasmania #samanthagoss #supportservice #tasmania #thebubble #training
https://www.newsbeep.com/107851/

Via the #Montreal Gazette, October 17, 2024

Losing your #GeneralPractitioner is stressful and the long wait to find a new care provider is frustratingly long. But all #Quebecers should be extremely worried about the plan in the works to resolve the scarcity of family #physicians once and for all: cutting loose all the people in decent #health and assigning only vulnerable patients with chronic conditions to dedicated doctors.

https://montrealgazette.com/opinion/columnists/allison-hanes-we-should-all-be-outraged-by-the-latest-attempt-to-solve-quebecs-family-doctor-crisis

General Practitioners (GPs) play a vital role in providing comprehensive healthcare services within care homes throughout the UK. With their expertise and experience, GPs ensure that residents receive timely and high-quality medical care right at their doorstep.

🔗: https://flic.kr/p/2oRXVcE

#nowmedical #CareHomes #UK #GeneralPractitioner

General Practitioners (GPs) play a vital role in providing comprehensive healthcare services within care homes throughout the UK. With their expertise and experience, GPs ensure that residents receive timely and high-quality medical care right at their doorstep.

🔗: https://www.slideshare.net/NowMedical/the-role-of-general-practitioners-in-care-homes-in-the-ukpdf

#nowmedical #CareHomes #UK #GeneralPractitioner

General Practitioners (GPs) play a vital role in providing comprehensive healthcare services within care homes throughout the UK. With their expertise and experience, GPs ensure that residents receive timely and high-quality medical care right at their doorstep.

🔗: https://nowmedical.wordpress.com/2023/07/27/the-role-of-general-practitioners-in-care-homes-in-the-uk/

#nowmedical #CareHomes #UK #GeneralPractitioner