Estimation

You think my calculation yesterday was irrelevant? Let's see what our extra-terrestrial friends are now proposing:

• Physicians should be promoted to a senior position 5 years after fellowship, i.e. 12 years after graduation.
• Since the life-expectancy of his career remains 35 years, he wound spend 23 years as a senior.
• This system would only be sustainable if, on average, a physician senior leave the public hospital 12 years after being promoted (and no junior leaves the system prematurely). or we accept a senior-to-junior ratio of 2:1.

The former situation is obviously not what's happening, and it is not going to happen if our pay is too high !

How about the latter? Isn't it what's being proposed?

True. But, the number of front line staff needed is determined by the patient load. If we have two seniors for each junior doctor, we have to either accept some seniors doing front line job (and my friend KM could assure you how difficult it is), or to double the current number of senior post.

I shouldn't say any more.