1. Resolution regarding
"Profit Guarantee" that reads as follows was passed at the SMA Council Meeting
on 11 March 1998:
"Medical practitioners who are involved directly or indirectly in
the provision of medical services associated with profit guarantees, whether imposed upon
or voluntarily undertaken by them, are putting themselves at increased risk of unethical
behaviour, arising from patients interests no longer always being their first
We have communicated our concerns on this issue to the appropriate
2. Updates on Guidelines for Advertising of Healthcare
Establishments in the Singapore Yellow Pages
3.1.2 (a) The Yellow Pages (guidelines for hospitals and nursing
homes only). Box advertisements for hospitals should not be larger than 2 column width x 1
3.1.2 The Yellow Pages (guidelines for hospitals, nursing homes and
a) Bolding is permitted and need not be limited to those with box
b) The colours allowed are black, red, yellow and white.
3. Consultation fees for extended hours and 24-hour clinics
The issue of consultation fees for clinics which are open beyond the
usual clinic hours was discussed in Council and with doctors who operate such clinics. The
following ideas are presented for further feedback. Two ranges of fees were considered
necessary for such clinics for outside the usual clinic hours.
After usual clinics hours to midnight $25 - $55
After midnight to before usual clinic hours $50 - $80
Usual clinic hours shall be taken as that stated by the clinic
themselves. It was felt that even though some clinics operate on a 24-hour basis, they
should still state their usual clinic hours where the usual SMA recommended guideline on
consultation fees would apply.
The issue of whether such clinics would then be tempted to define their
range of clinic hours very narrowly was discussed. It was felt that the usual consultation
fees must apply from 9am to 9pm from Mondays to Fridays and from 9am to 1pm on Saturdays.
There was no consensus regarding this matter for Sundays and Public Holidays.
The guideline would be finalised later this year.
4. Important Drug News
1. Safety alert for low-molecular-weight heparins and heparinoids (see
page 123 of the Scientific Section)
2. Reclassification of preparations containing phenolphthalein from GSL
to POM (see page 126 of the Scientific Section)
5. Change of address of MPS Legal Advisers
Dr Myint Soe
Myint Soe, Mohamed, Yang & Selvaraj
111 North Bridge Road
Peninsula Plaza #24-03
Tel 334 3811 Fax 334 3116
6. REMINDER: MC where patient is medically unfit to attend
Doctors are reminded to comply with the Courts requirements
regarding medical certificates issued to patients for the purpose of excusing them from
attending Court on medical grounds. These requirements were circulated in the March 1997
SMA Mailbag. We have re-printed them in this months mailbag for your reference.
Private practitioners should note that non possession of medical certificates in the
format of or similar to Form 17A should not be used as an excuse for non compliance with
the requirements. The requisite information can be provided in any certificate printed for
that purpose or an attacked memorandum as devised in the circular.