The medical profession has long been regarded as a noble calling, one that embodies sacrifice, dedication, and a steadfast commitment to saving lives. Doctors have traditionally been seen as compassionate individuals who are willing to dedicate themselves fully to the well-being of their patients. The journey to becoming a doctor is rigorous and demanding, requiring years of academic excellence, clinical training, and personal sacrifice. In return, the profession historically offered societal recognition, financial stability, and deep respect. However, the landscape has shifted in recent years, and the challenges faced by the profession have grown significantly, impacting its reputation and the morale of those within it.
Medical doctors in Malaysia once enjoyed widespread admiration. The profession was seen as an exclusive and prestigious path, accessible only to the most dedicated and capable individuals. However, the rapid expansion of medical schools and an increasing number of graduates entering the workforce created an oversupply of medical professionals. This oversupply strained the system, forcing the government to introduce a contract system for junior doctors. Unlike their predecessors, these contract doctors were denied job security and career advancement opportunities. Many were left in limbo, uncertain about their futures. By the end of 2022, only 17% of contract medical officers had been absorbed into permanent positions, with the rest facing a precarious career path. While the government announced in 2023 its intention to convert 12,800 contract positions into permanent roles over the next three years, the slow pace of implementation has done little to alleviate the frustration and insecurity among these young professionals.
The COVID-19 pandemic briefly shifted public perception of the profession. During the crisis, doctors were celebrated as heroes, working tirelessly under immense pressure to combat the virus and save lives. Their sacrifices were recognised, with special allowances introduced, and public gratitude peaked. Health Director-General Dr Noor Hisham Abdullah gained international recognition for his leadership, bringing pride to the medical community. Yet this recognition was fleeting. As the pandemic waned, so too did the appreciation for the doctors’ contributions, leaving them to return to the same systemic challenges they faced before the crisis.
Beyond systemic issues, internal conflicts within the medical fraternity further eroded the profession’s standing. Debates over the recognition of specialist training pathways, particularly between the parallel pathway and the local Master’s programme, became a source of division. These disputes played out publicly, often on social media, and created the impression of a fragmented profession. Politicians intervened, leading to amendments to the Medical Act 1971 to address these disparities. While these changes were necessary to create parity, they highlighted the need for greater unity within the profession.
The rising cost of healthcare in Malaysia has also placed doctors under scrutiny. Public dissatisfaction with high medical fees has often been unfairly directed at private practitioners. In reality, the escalating costs are driven by factors such as medical inflation, profit-driven hospital policies, and increasing operational expenses. For instance, in 2023, medical inflation in Malaysia reached 12.6%, more than double the global average. Despite these systemic issues, private doctors have become the face of rising healthcare costs, further straining public trust.
Adding to the challenges faced by doctors is the recent introduction of the Waktu Bekerja Berlainan (WBB) shift system. This policy, aimed at improving work-life balance by limiting doctors’ consecutive working hours to 18, was met with widespread criticism. Many doctors argued that the policy was impractical, given the persistent shortage of medical personnel in the public healthcare system. The removal of on-call claims under this system further demoralised the workforce, which perceived the policy as yet another example of the government’s failure to support its medical professionals.
The erosion of trust between doctors and the government has been compounded by long-standing tensions between medical professionals and administrative officers, particularly the Pegawai Tadbir Diplomatik (PTD). Doctors often feel that administrative decisions are made without a proper understanding of the realities of medical practice. This disconnect has led to policies that are perceived as impractical and unfair, further deepening the divide between the two groups.
The issue of brain drain has also emerged as a significant challenge. Many young doctors, frustrated by the lack of job security, poor working conditions, and limited career progression opportunities in Malaysia, have opted to work abroad. Singapore, in particular, has been a popular destination for Malaysian doctors, offering better pay, career stability, and a supportive work environment. This exodus of talent has further strained Malaysia’s healthcare system, particularly in underserved areas.
Addressing these challenges requires a comprehensive and strategic approach. Proper human resource planning is essential to ensure that the supply of medical graduates aligns with the nation’s healthcare needs. This includes conducting regular workforce assessments, improving the quality of local medical training, and creating opportunities for specialist training both locally and abroad. Incentives should be provided to doctors who pursue advanced qualifications overseas to encourage them to return and serve in Malaysia.
Efforts must also be made to retain talent within the country. Competitive salaries, secure career paths, and supportive working environments are critical to preventing brain drain. The government must prioritise policies that address the welfare of medical professionals, including fair compensation, reasonable working hours, and opportunities for professional development.
Encouraging interest in science and medicine from an early age is another crucial component of workforce planning. By fostering a culture that values and supports the pursuit of medical careers, Malaysia can build a strong pipeline of future healthcare professionals.
Beyond workforce issues, the government must demonstrate a serious commitment to public health by addressing pressing challenges such as tobacco and vaping regulation, the rising prevalence of non-communicable diseases, and health inequities. Comprehensive and effective policies, developed in collaboration with medical professionals, are essential to achieving these goals.
The trust deficit between doctors and policymakers must also be addressed. Open and transparent communication is necessary to align objectives and create policies that are both practical and effective. Policymakers must adopt a compassionate approach, recognising the sacrifices and contributions of doctors, while medical professionals must remain committed to their mission of serving the nation’s health.
Restoring respect for the medical profession in Malaysia requires collective effort and a shared vision for the future. By addressing systemic challenges, fostering collaboration, and prioritising the welfare of doctors, Malaysia can rebuild a healthcare system that is both robust and sustainable. Medical doctors are not only essential to the health of the nation but also to its progress and development. Through strategic planning, investment in training, and a renewed commitment to public health, Malaysia can ensure that its doctors remain a source of pride and strength for the country.