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Indonesian Medical Council - Kebijakan Kesehatan Indonesia

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KONSIL KEDOKTERANINDONESIAREGULATION OF MEDICAL PRACTICESIN INDONESIAHardyanto SoebonoChairman <strong>Medical</strong> <strong>Council</strong>


Content• <strong><strong>Indonesia</strong>n</strong> <strong>Medical</strong> <strong>Council</strong>• Registration of Practitioners• Regulation of <strong>Medical</strong> Education• Guarding <strong>Medical</strong> Practices26/10/09 Melbourne Visit


<strong><strong>Indonesia</strong>n</strong> <strong>Medical</strong> <strong>Council</strong>(InaMC)• A national independent and non-structural bodyestablished in 2005 under the <strong>Indonesia</strong> <strong>Medical</strong> ActNo 29/2004• Consists of <strong>Medical</strong> <strong>Council</strong> and Dental <strong>Council</strong>• Directly responsible to President of RI26/10/09 Melbourne Visit


Registration of Practitioners• Every doctor or dentist including specialist mustbe registered by KKI before practicingprofessional job• Registration is valid for 5 years26/10/09 Melbourne Visit


• Requirements for registration :– Graduates from university (doctors/ dentists/specialists)– Certificate of competence issued by <strong><strong>Indonesia</strong>n</strong>colleges of physicians– Health certificate• Recertification is based on CPD or CME whichis organized by professiobnal organizations26/10/09 Melbourne Visit


Data Registered Physicians(<strong>Medical</strong>/Dental)26/10/09 Melbourne Visit


Higher Education System in <strong>Indonesia</strong>• Regulation : the National Higher EducationSystem Act No. 20/ 2003• Three tracks:– Academic– Profession(al)– Vocational26/10/09 Melbourne Visit


Regulation of <strong>Medical</strong> EducationNational EducationSystem Act (No.20/2003)<strong>Medical</strong> PracticeAct (No. 29/2004)<strong>Medical</strong> /DentalEducation26/10/09 Melbourne Visit


Higher Education System in <strong>Indonesia</strong>(National Education System Act UU No 20/2003)PG Med.TrainingDoctorateMasterMDB.Med.D4BachelorD1Profesion(al)AcademicVocational26/10/09 Melbourne Visit


Trilogy of <strong>Medical</strong> Education(WFME,2003)Basic <strong>Medical</strong> EducationContinuingProfessionalDevelopmentPost Graduate Training26/10/09 Melbourne Visit


Basic <strong>Medical</strong> EducationInternshipG.P.M.D.B.Med.26/10/09 Melbourne Visit


Career Path of <strong>Medical</strong> Profession4 yrs 2 yrs 3 – 5 yrsAcademicTrackProfessionalTrackBachelor Master Doctorate4 yrs 2 yrs 3 - 6 yrs 2 yrs1 yrsBachelor MD Clinical SpecialistInternshipSubspecialist26/10/09 Melbourne Visit


Ina-MCCollegesUniversityTeachingHospital26/10/09 Melbourne Visit


Basic <strong>Medical</strong> Education• Requirements:– High School Graduates (Natural & Math)– Admission Exams (National/ University)• Length of study :– 6 years• University :– Medicine : 72 Schools ( 31 Public, 41 Private)– Dental : 26 Schools ( 14 Public, 12 Private)26/10/09 Melbourne Visit


24221111221341433141221211111126/10/09 Melbourne Visit


INDONESIAN MEDICAL COLLEGES1. <strong><strong>Indonesia</strong>n</strong> College of GPs2. <strong><strong>Indonesia</strong>n</strong> College of Neurologists3. <strong><strong>Indonesia</strong>n</strong> College of Pulmonologists4. <strong><strong>Indonesia</strong>n</strong> College of Patologists5. <strong><strong>Indonesia</strong>n</strong> College of E,N,Ts6. <strong><strong>Indonesia</strong>n</strong> College of Internists7. <strong><strong>Indonesia</strong>n</strong> College of Pediatricians8. <strong><strong>Indonesia</strong>n</strong> College of Surgeons9. <strong><strong>Indonesia</strong>n</strong> College of Orthopedics10. <strong><strong>Indonesia</strong>n</strong> College of Ophtalmologists26/10/09 Melbourne Visit


INDONESIAN MEDICAL COLLEGES9. <strong><strong>Indonesia</strong>n</strong> College of Orthopedic andTraumatology10. <strong><strong>Indonesia</strong>n</strong> College of Cardiology11. <strong><strong>Indonesia</strong>n</strong> College of Urology12. <strong><strong>Indonesia</strong>n</strong> College of Anaestesiology13. <strong><strong>Indonesia</strong>n</strong> College of <strong>Medical</strong> and PhysicalRehabilitation14. <strong><strong>Indonesia</strong>n</strong> College of Plastic Surgery15. <strong><strong>Indonesia</strong>n</strong> College of Ophtalmology16. <strong><strong>Indonesia</strong>n</strong> College of Obstetricians &Gynecologists26/10/09 Melbourne Visit


INDONESIAN MEDICAL COLLEGES17. <strong><strong>Indonesia</strong>n</strong> College of Neurosurgery18. <strong><strong>Indonesia</strong>n</strong> College of Clinical Microbiology19. <strong><strong>Indonesia</strong>n</strong> College of Sport Medicine20. <strong><strong>Indonesia</strong>n</strong> College of Radiology21. <strong><strong>Indonesia</strong>n</strong> College of Radiological Oncology22. <strong><strong>Indonesia</strong>n</strong> College of Dermatology &Venerology23. <strong><strong>Indonesia</strong>n</strong> College of Forensic Medicine24. <strong><strong>Indonesia</strong>n</strong> College of Clinical pathology25. <strong><strong>Indonesia</strong>n</strong> College of Psychiatry26/10/09 Melbourne Visit


INDONESIAN MEDICAL COLLEGES25. <strong><strong>Indonesia</strong>n</strong> College of Clinical Pharmacology26. <strong><strong>Indonesia</strong>n</strong> College of Marine Medicine27. <strong><strong>Indonesia</strong>n</strong> College of Nuclear Medicine28. <strong><strong>Indonesia</strong>n</strong> College of Aviation Medicine29. <strong><strong>Indonesia</strong>n</strong> College of OccupationalMedicine30. <strong><strong>Indonesia</strong>n</strong> College of Clinical Parasitology31. <strong><strong>Indonesia</strong>n</strong> College of Clinical Nutrition32. <strong><strong>Indonesia</strong>n</strong> College of <strong>Medical</strong> Acupuncture33. <strong><strong>Indonesia</strong>n</strong> College of Pediatric Surgery26/10/09 Melbourne Visit


Continuing Professional Development(CPD)• Organized by professional organization:– <strong><strong>Indonesia</strong>n</strong> <strong>Medical</strong> Association• Accredited as a pre-requisite for recertificationby colleges26/10/09 Melbourne Visit


Regulation of <strong>Medical</strong> Practice according <strong>Medical</strong> Practice Act No. 29 / 2004Education Division Registration Division Guardian DivisionKONSIL KEDOK TERAN INDONESIA<strong>Medical</strong>DisciplinaryBoardDisciplinBoard of EthicsPOEthicsEducationRegistrationLisenceCourtLegalAIPKI / AFDokGIFK / FKGKolegiumOPHealth Officer26/10/09 Melbourne Visit


POSSIBILITY OF ALLEGEDMEDICAL MALPRACTICEEthicsBoard of <strong>Medical</strong>Ethics IMADisciplineMEDICALMALPRACTICE ?LawBoard of <strong>Medical</strong> Discipline(MKDKI)General Court26/10/09 Melbourne Visit


Standard of <strong>Medical</strong> PracticeDisciplineStandard toimplement medicineStandard of<strong>Medical</strong> Ethics)EthicsLawCompliance tolaw26/10/09 Melbourne Visit


SERIOUS PROFESSIONAL MISCONDUCT(Decree of KKI No. 17/KKI/KEP/VIII/2006)• Fail to medical management :– incompetence– gross negligence• Unprofessional behavior• Unfit to practice26/10/09 Melbourne Visit


Jumlah Pengaduan ke MKDKISejak 2006 - Maret 20111279 1120364922006 2007 2008 2009 2010 Maret201126/10/09 Melbourne VisitTotal


Sanctions to discipline• Written warning• Suspending registration (temporary –>permanent)• Re-schooling26/10/09 Melbourne Visit


KONSIL KEDOKTERANINDONESIAThank You

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