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Friday, February 10, 2012

The Nurses Training Scam


Some recent news :

  • PUTRAJAYA: ..creating vacancies at government hospitals to absorb the large number of unemployed graduate nurses.
  • “..promote those already in the system and the vacancies can then be filled up by the graduates”
  • '..private institutions ..would need to streamline their syllabus to match the demands of the local health industry.'
  • '..over 54% of private nursing diploma graduates could not find work ..'
  • 70 private nursing colleges nationwide ..did not meet private sector demand for specialised nurses.

And another piece of news :


  • PETALING JAYA: ..system is needed to monitor the quality of nursing graduates and ensure ...competent
  • “Nursing is a technical job. We do not know if they are getting proper practical work training.
  • “Staff nurses and matrons have complained of poor quality nursing graduates,”
  • ..Nursing Board examination....the passing percentage had decreased from 86.5% to 70.1% for the same period.
  • '..37,702 students were enrolled in nursing courses in 61 IPTS in 2010'
  • '..easy to enrol for nursing diploma even if the student did not have credits in all Science subjects.'
And finally :
  • Nurse the real issues, not the symptoms
  • Each year, some 12,000 enter marketplace but the demand for new nurses in the private sector is only about 1,500 a year.
  • 'the Health Ministry only hired 438 of these diploma holders in 2010..'
  • '..about how picky they are, their lack of soft skills, language competency, and their reluctance to serve beyond their own comfort zone. It is clear that many sign up to become nurses but see this simply as a way to earn an income ..'
  • these are symptoms that reflect the lack of coordination among the various parties.
  • a minimum of five SPM credits instead of three previously. ..one can even get into such courses without credits in all Science subjects.

My comments : Correction : it should be "UNEMPLOYABLE" nurses. So these kids got in with no credits in Science, no interest in Science, they were poorly trained and they are unemployable in the private sector (the market place). And the Minister suggests that we just absorb them into Government hospitals.

Look at the numbers - 12000 IPTS nursing graduates every year versus 1500 demand in the private sector. The Government only took in 438 of these kids. There is an overhang of 10,000 unemployable nurses each year.

I am not happy to say this, but starting today someone better start tracking the number of people who are going to die prematurely under the care of these poorly trained nurses in the Government hospitals. (In the meantime I think Dato Liow the Minister will be heading to the nearest private hospital for his own medical treatment).

Folks I think this nurses training issue is another scam. The papers are not telling the whole story. First things first. I have said it before. Everything in Malaysia is racial. So who are these nurses who have become unemployable? Malays? Chinese? Indians? Kadazans? Lets get straight to the point ok. Dont waste time.

One of the Ministers of Education - Khaled Noordin says the interest in Science is weakening. Again please say among whom? Malays, Chinese, Indians, Kadazans? Everything is racial in Malaysia. Dont forget.

These nurses are also extremely deficient in English language skills. They definitely cannot seek employment overseas (Australia has a severe shortage of nurses). Nak batal PPSMI pula - lagi tipis peluang bagi budak budak kita. Now even the nurses are becoming unemployable in the private sector. They can become poorly paid, poorly trained nurses in Government hospitals where they can shout at the patients and maybe even harm patients through malpractise.

Some of them may turn up at my shop for 'Salesgirl Wanted' positions. Right now we already have two degree holders and two diploma holders (including trainees) working for us. In places like Pakistan, Egypt and Bangladesh even PhDs can become unemployed. I dont know if that is going to happen in Malaysia.

There is more to this nurses training scam. When I was in Government for a short while I used to meet "owners" of IPTS. They would come around asking for help. Their colleges suffered poor student enrolment. I think it was because of poor quality teachers, poor quality management skills, poor quality courses offered and everything else just poor quality lah. Because of this they suffered serious cash flow problems. They were in trouble.

So they would ask the Gomen to "outsource" some of the students from the Government universities and colleges (IPTA) to their IPTS. Of course these are scholarship and loan students whose fees were all taken care of. This was 'buta money' again. The same IPTS which could not attract enough paying students because of their poor quality was now getting Goverment scholarship students with fees fully paid. So they never improved much on the quality of education they offered. Its the curse of easy money again - it really kills their initiative.

Rosak lah negara kita. I believe this type of scam is going on now with some (not all) of the private nursing colleges. It now involves more people. Only this time around, they are taking advantage of the PTPTN loan scheme.

A few days ago I was cruising around a very upmarket gated community full of huge multi million Ringgit mansions. The property agent was pointing out the huge mansions to me. 'This house belongs to Mr So and So (an Indian name) he runs a private nurses training college'.

I thought 'Wow, the "private nurses training college" business must be doing well'. Then the very next day The Star reported about the private nursing colleges problem.

They are taking advantage of the PTPTN loans scheme. If the money is available, then semua boleh jadi. Kids who have only three credits and who do not even like Science are roped into the diploma courses. Once they are in, the college assists them to get the PTPTN loans. Easy money flows.

Obviously some of the PTPTN money was used to buy things like that huge mansion I saw. Less money is used to hire more qualified lecturers or instructors or provide better training. It is just an easy method for these college "owners" to get at the PTPTN money.

The PTPTN scheme is a very good scheme. It is really fantastic. For young people wanting to improve their lives through higher education it provides a life line. But we need better enforcement (we have more than enough rules and regulations I am sure) to make certain that money is not siphoned out by the unscrupulous.

In the past, even in the USA private colleges have taken advantage of easy money from the Government. In the Appalachian and Rocky Mountain States (which were poorer and where higher education was less reachable) the US Government subsidised college students.

Soon private colleges started enrolling farmhands and restaurant workers in college level classes because the US Government paid their fees. These were sometimes known as 'attendance classes'. They took the attendance of the students to claim the subsidies from the Government. Their quality of education was not all that great.

There must be enough enforcement of the rules to make sure this type of thing does not happen where the nursing colleges fleece the students of their PTPTN loans but dont train them enough. Why is there no enforcement? After the lembu condo caper we must check if the people in power (of awarding licenses, monitoring the private colleges etc) plus their family, or any of their cronies, friends, tennis partners etc. are also involved in this 'training nurses' business.


Very often that seems to be the undoing of many things.

24 comments:

Anonymous said...

they are producing like paper mills, alot of them compromise principles for financial gain, what a shame!

Dato , gd u bring out this scam,Minister got to answer for this

Anonymous said...

Tuan Syed. Like in your previous posting, tak boleh jadi juru rawat, jadi perkerja di toll. Tapi kasihan, Bangla boy sekarang rampas kerja itu jugak. Bangla boy lebih senyum dan halus. To add injury to insult, Bangla boy pun ada ijazah. So syabas Malaysia!!

norman fernandez said...

Tuan Syed,

One trait of a cat is it can go from one mischief to another mioschief without ever feeling whatsoever remorse. Thus we have a propensity to be able to create one problem and move on to create another. Thus the situation with unemployed nurses.

As with many policies implemented, thought provoking and deep consideration is merely an option. No doubt there was a shortage for nurses at one time and also many was not interested.

Businessmen saw the oportunity and managed to convince the government to issue licence and approval to conduct nursing courses. One Indian guy buat road show satu Malaysia dari setiap ceruk kampung ke bandar. Thus began to mushroom all sorts of colleges and many without decent teaching facilities. Atas kedai kopi di Seremban pun dulu ada nursing college. Pasal lecturers academic qualification and qualities tak payah cakap lah.

What fuelled the interest was "belajar free nanti bayar". PTPPN loans were made available and thus semua budak kilang, Minah dan Tanggechis semua ambik kursus nursing tapi nak cucuk jarum lepas tiga tahunpun tak tahu. Orang Cina bijak, dia masuk Nursing college owned by hospital macam Assunta, Adventist, Tung Shin etc. After finishing course job awaits in same hospital. Why mereka tapis dan ambil yang terbaik. Bijaknya Cina pilih kolej.

Now we have a glut of unemployed nursing graduates. Nak cari kerja tak dapat, nak kerja klinik jatuh maruah atau minta gaji macam doktor.

So kalau local tak dapat, cuba try kerja overseas. This is where the chickens have finally come to roost.

Budak-budak kita, English bila tanya "How are you?" Dijawab "I am in the well". With English standard such as this, they are not marketable overseas. But nurse-nurse dari Filipina they are working in Singapore. Just go to Gleneaagles, Thomson Hospital, Mt Elizabeth, all full of English speaking Filipino nurses. Also the hospital got no time for staff pi sembayang 5 kali during work etc. Middle-East countries tak payah cakap. Malaysia yang satu agama dengan Arab, lebih sokong Palestine and Arab causes and liat menentang Israel dan cium buntut mana-mana pak Arab janji dia cakap dia investor also dont take our nurses. But the middle east countries take English speaking kafir nurses from Philipines. Bijaknya orang Arab, pasal nyawa dan kesihatan they have no confidence of nurses from Muslim Malaysia.

So, this unemployed nurses now have to cari kerja biar dimanapun. Need to pay back loan... So kedai emas, lawyer office, supermarket pun can consider. Janji dapat kerja.

Yang senyum lebar kira untung duduk rumah besar, si India yang found a niche buka kolej jururawat cepat-cepat before all others moved in and has raked in millions while the nursing graduates pukul lalat cari kerja.

Anonymous said...

negeri ni dah kalut

without a leader FOCUSED on work, progress our ethics etc etc lah...

mana ada najib or leaders from the other-side say anything meaningful and understandable and easy to work out for.

not one problematic issue is HANDLED promptly by najib. all is let loose. this is our problem, no one is steering malaysia....

free for all

sime e&o

nfc

nurse scam

medini

air asia fares

gays melayu kristian

mas proton ktm

say and do things please PM

Anonymous said...

Good of you to bring out this article. Very True.

I was warded recently for MI/heart attack at a hospital. They wanted to insert a plug for easy application of medicines.
Here comes a group of Missy trainees and Started the procedure.They started fiddling with the veins under my thumb and poked a needle and when no blood flow out, they said to each other, Aik orang ini ta da darah lah.
I got the worst shock of my life.
Then their supervisor came and
started poking under my third finger and started to attach/poke the plug into place with an oversupply of tapes.

On the subject of PTPTN loan.
I believe that competition is the way to ensure quality.As it is, once the ptptn loan is given under the name of the enrolling college and cannot be transfered to another college.This ties up the student to that particular college for the duration of the course.
The ptptn loan must be free to be transfered to any other college offering the same course.
At the moment, the colleges work very hard to enroll the students, but once the students are in, they will be milked for the duration of the course with the student having no choice to transfer to a better college.
The MGT. of the colleges then hires inferior/transit lecturers who conduct lectures and normally the turnover of lecturers are very high due to inferior salary scale .
The students must be free to transfer to any other college if they are not satisfied with the current one and PTPTN must then pay the fees to the new college.Currently, ptptn only pay to the initial college or the loan causes problem for the students.Hence, they are stuck in the hell hole so to speak.

Anonymous said...

Tuan Syed,

Why don't you write about using EPF money to give home loans to unqualified buyers? If they are retired or don't have a fixed income, how would they be able to repay?
Why can't the contributors have a say in how their savings are being used?
Even if they set up another fund to finance this, why only for KLites? What about the unqualified buyers in other states?

Anonymous said...

Only Malaysia we have a glut in nurses.

Overseas like Australia, US, US etc, they don't have enough nurses. And being a nurse you get paid a bomb over there with the benefits and practically no retirement age.

So what is up with Malaysia nurses? Why is so easy to be a nurse over here?

I thought you need a Bachelor degree in nursing. No? Kalau SPM, sains pun tak de credit, cam mana nak jadi nurse?

Aiyoyo...

Anonymous said...

Enc. Norman Fernandez. Jangan2 lupa. Jika kolej jururawat tak laku lagi, tidak mungkin Si Taukeh nak jadi bankrup. Lama kelamaan, Si pompuan Nigera dan China Doll jadi anak murid, ikut sama2 memulih sakit Si Lelaki Malaysia. Mereka juga pakar jual obat sama massage tradisional. Sekarang Si orang asing dah pakar Inggeris selepas lulus di kolej swasta tauke2. Apalagi, jom jadi pakar jururawat.

Anonymous said...

Syed how I wish your article is read by the very people who created this oversupply of nurses in the first place!

And for Health Minister Liow to even suggest that these poorly trained nurses to be absorbed into the government service is both irresponsible and mischievous of him. It is as if he considers government service as a garbage can.

Look, nurses deal with the question of life and death. Miscalculation of drug dosage and giving drugs using the wrong route is highly dangerous to patients. And coupled with their disinterest in science, it is a recipe for disaster!

Perhaps Liow is not really bothered because how many deaths in the hospitals are actually ever investigated?

And on top of this, this man may see the last of his tenure as the minister of health after the next general election!

And laughably, we have a Dunggu DG now heading the Ministry of health, who said on TV that ICare will allow people to choose between public and private hospital at no extra cost?

God help us all.

Anonymous said...

Jangan risau, kerajaan kita kan boleh beri latihan kepada jururawat yang menggangur untuk menceburi lain-lain bidang seperti pertanian ke atau perniagaan ke. Mereka itu semua bukannya orang-orang yang penting pun. Yang penting peringatkan mereka untuk bayar balik pinjaman pelajaran. Orang lain setelah tamat latihan mendapat kerja tetapi mereka setelah tamat latihan menanggung hutang. Menteri pengajian tinggi yang tidak merancang itu betul-betul telah merancang untuk kegagalan mereka ini.

Anonymous said...

that nursing college own by that so so indian is partly own by khazanah. Pandai that so so indian

shuk said...

I dare say that the majority of Malaysian students especially the Malays just go to college for the sake of getting the so called paper degree in order to qualify them for a basic salary...not for the knowledge that they can acquire ...so when that happen, everything goes haywire,low quality students,low quality lecturers....once I come across a senior lecturer from one of the local u whose english is so broken that it turn me off to carry on with the conversation ...its a sad case really but it's the truth and that is the reason why we cannot be competitive and why we as a nations is doomed. Padam muka.

sampalee said...

We all need income,but to profit at the expense of the people by deceitful mean should be considered a traitorous act and punished as one.The firing squad.

mae said...

Go to private or govt hospitals, how many nurses are non-Melayu ? This is also racial. Everything Melayu get blamed.

Anonymous said...

So ,Indians cant own college,airlines etc.? He saw the opportunity and found the niche. Didn't he take the risks? Yes, he did. Then came the rent seekers and policy makers for fast bucks, hence the current scenario. Same story for private hospitals now.

Anonymous said...

It's not just the nursing schools, but secondary schools also. The kids are unemployable. No discipline, no loyalty, no sense of the values of a worker in a modern environment.

In one coffee chain store, the supervisor was a Filipino. Many times I see him opening the store alone and manning the store alone for between 30 mins to one hour before the locals troop in.

Over the holidays, on one occasion I noted that only he was manning the store and customers were just leaving because he could not cope. When asked, he just shrug and say, the locals don't value work.

More and more of my friends are moving their kids to private schools and to chinese schools of all things. They just want the discipline and the 'hard-work' value to be instilled in their kids before its too late.

Anonymous said...

when this happen, some will exploit the situation, they get lower pay for jobs that don't fit their skills.

Then, they complain. Gov will step in and provide more re-training, soft skills , hard skill and even re-train to other fields, all these need money

Anonymous said...

dear syed, this problem is not confined to the nurses alone- i bet you that in a few year you would see a glut of doctors - today in many of the major government hospitals there are more house officers ( just graduated doctors) than patients in a ward and unfortunately many of these junior doctors do not have any basic knowledge of medicine.

why do i say this - i am a senior specialist in a government hospital and many of my colleagues and myself have given up as many of these junior doctors lack basic medical knowledge, many are allergic to hard work and there are some who are plainly dishonest

this glut arose because of the huge number of medical graduates today - both from local and foreign universities. at the last count there are about 30 medical colleges in this country -- 30 in a small country like ours -- every other college in this country sets up a medical faculty as it brings in a lot of money and many of the local colleges say that there are partnered with a government hospital for the training of their students -- how would a medical student learn if their teaching center is a small district hospital

i found that among the local graduates only those from um, ukm and usm are of quality while the rest are crap ( i heard uitm takes in more than 250 students for medicine - imagine how they are being taught)

Anonymous said...

Yes Malaysia is a respected member of Club of Doom.

Anonymous said...

They are satisfying a need. The authority have not faulted them for anything irregular, so how can you assume that they are doing wrong. They are not responsible for guaranteeing jobs and it it the goverbment who are sponsoring most of the students.
Just because there are not enough jobs you are saying those not employed are below par, how do come to that conclusion?

Purple Haze said...

The longer term effect of this glut in unemployable nurses and doctors of poor quality will be the dimunition of Malaysia as a medico-tourism destination, which it is currently promoting.

Plus, those foreigners who live in Malaysia under the MM2H scheme will have 2nd thoughts about quality of medical care - an important consideration for retirees.

Most of the rest of the world faces a shortage of qualified nurses and doctors. Malaysia does not seem to have this problem. Thanks to Syed for highlighting a real issue for Malaysians to ponder - quality vs quantity.

Anonymous said...

Since those days I always felt that there was something wrong with all these private colleges. Too many of these things are not good for the country. Proven that they've created problem for the country. Another obvious problem is the influx of illegal immigrants who went missing in the country after supposedly enrolling in the private colleges.

Anonymous said...

buat duit sebanyak banyak yg boleh sebelum Malaysia lingkup.
May god savea us all.

Anonymous said...

If we have 12,000 nursing graduates, then why are we hiring foreign nurses? Check Prince Court & KPJ group.