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flag Malaysian-trained surgeons abroad breach return agreements, worsening specialist shortage.

flag Several Malaysian doctors who received government-sponsored training abroad for cardiothoracic surgery have failed to return to public service, worsening the country’s shortage of specialists. flag Despite contractual obligations to work for the Health Ministry for four to six years, they now work in the UK, US, and other countries, facing penalties up to RM700,000. flag Weak enforcement and inability to contact defaulters abroad hinder accountability, raising concerns over public investment and patient access to critical heart and lung care.

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