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KONSIL KEDOKTERAN

INDONESIA

Hardyanto SoebonoChairman Medical Council

REGULATION OF MEDICAL PRACTICES IN INDONESIA

Content

• Indonesian Medical Council

• Registration of Practitioners

• Regulation of Medical Education

• Guarding Medical Practices

26/10/09 Melbourne Visit

Indonesian Medical Council (InaMC)

• A national independent and non-structural body established in 2005 under the Indonesia Medical Act No 29/2004

• Consists of Medical Council and Dental Council

• Directly responsible to President of RI


• To register medical doctors and dentists• To approve standards of medical and dental

education• To guard good medical practice

Roles of InaMC

(Article 7 Medical Act 2004)26/10/09 Melbourne Visit


Medical Council(KK)

Dental Council(KKG)

Indonesian Medical Council(KKI)

Re

gist

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on

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Edu

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D

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Sup

erv

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n

Div

isio

n

Re

gist

rati

on

D

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Edu

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Sup

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Membership of InaMC (KKI)

• Representative of stakeholders :

– Indonesian Medical / Dental Association (4)

– Indonesian Medical / Dental Colleges (2)

– Indonesian Assoc of Medical Schools (2)

– Indonesian Assoc of Teaching Hospitals (2)

– Ministry of Health (2)

– Ministry of National Education (2)

– Non-medical (3)


Competence

Assessment

Registration

Process Practice

Competence

CertificateRegistered

Certificate of

LisenceDegree

Diplomas

Medical/

Dental

Schools

University Colleges KKI DHO

Medical Educ Certification Registration

Quality Med.

Practice

Medical Practice

ROADMAP MEDICAL PRACTICE

Internship

MoH

Internship

InternshipCertificate


Registration of Practitioners

• Every doctor or dentist including specialist must be registered by KKI before practicing professional job

• Registration is valid for 5 years


• Requirements for registration :

– Graduates from university (doctors/ dentists/ specialists)

– Certificate of competence issued by Indonesian colleges of physicians

– Health certificate

• Recertification is based on CPD or CME which is organized by professiobnal organizations


Data Registered Physicians (Medical/Dental)


Higher Education System in Indonesia

• Regulation : the National Higher Education System Act No. 20/ 2003

• Three tracks:

– Academic

– Profession(al)

– Vocational


Regulation of Medical Education


National Education

System Act (No.

20/2003)

Medical Practice

Act (No. 29/2004)

Medical /Dental

Education


BachelorD1

D4

AcademicProfesion(al) Vocational

Master

Doctorate

B.Med.

PG Med.

Training

Higher Education System in Indonesia (National Education System Act UU No 20/2003)

MD


Basic Medical Education

Post Graduate Training

Continuing Professional Development

Trilogy of Medical Education (WFME,2003)

G.P.

M.D.


Internship

B.Med.


Career Path of Medical Profession

Bachelor MD Clinical SpecialistSub-

specialist


Bachelor Master Doctorate

4 yrs 2 yrs 3 – 5 yrs

4 yrs 3 - 6 yrs2 yrs 2 yrs

Academic Track

Professional Track

1 yrs

Inte

rnsh

ip


Colleges

UniversityTeaching Hospital

Ina-MC


• 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)


2

4

2

2

2

2

1

1

4

133

4

2

3

4

1

1

1

1

2

2

1

1

11

1

1

1

1


Postgraduate Medical Education

• University-Hospital based education/training

• Specialties :

– 34 Specialties in Medicine

– 7 Specialties in Dental Sciences

• ca 2000 Specialists/year

• Colleges develop Core Competences of each specialty/subspecialties


INDONESIAN MEDICAL COLLEGES

1. Indonesian College of GPs

2. Indonesian College of Neurologists

3. Indonesian College of Pulmonologists

4. Indonesian College of Patologists

5. Indonesian College of E,N,Ts

6. Indonesian College of Internists

7. Indonesian College of Pediatricians

8. Indonesian College of Surgeons

9. Indonesian College of Orthopedics

10. Indonesian College of Ophtalmologists


9. Indonesian College of Orthopedic and Traumatology

10. Indonesian College of Cardiology

11. Indonesian College of Urology

12. Indonesian College of Anaestesiology

13. Indonesian College of Medical and Physical Rehabilitation

14. Indonesian College of Plastic Surgery

15. Indonesian College of Ophtalmology

16. Indonesian College of Obstetricians & Gynecologists



17. Indonesian College of Neurosurgery

18. Indonesian College of Clinical Microbiology

19. Indonesian College of Sport Medicine

20. Indonesian College of Radiology

21. Indonesian College of Radiological Oncology

22. Indonesian College of Dermatology & Venerology

23. Indonesian College of Forensic Medicine

24. Indonesian College of Clinical pathology

25. Indonesian College of Psychiatry



25. Indonesian College of Clinical Pharmacology

26. Indonesian College of Marine Medicine

27. Indonesian College of Nuclear Medicine

28. Indonesian College of Aviation Medicine

29. Indonesian College of Occupational Medicine

30. Indonesian College of Clinical Parasitology

31. Indonesian College of Clinical Nutrition

32. Indonesian College of Medical Acupuncture

33. Indonesian College of Pediatric Surgery



Continuing Professional Development (CPD)

• Organized by professional organization:

– Indonesian Medical Association

• Accredited as a pre-requisite for re-certification by colleges


Education

OP

Board of Ethics

PO

Health Officer

Kolegium

AIPKI / AFDokGI

FK / FKG

Medical

Disciplinary

Board

Registration Lisence

Regulation of Medical Practice according Medical Practice Act No. 29 / 2004

Education Division Registration Division Guardian Division

KONSIL KEDOK TERAN INDONESIA

Court

Disciplin

Ethics

Legal


POSSIBILITY OF ALLEGED

MEDICAL MALPRACTICE

Ethics

MEDICAL MALPRACTICE ?

LawDiscipline

Board of Medical Ethics IMA

Board of Medical Discipline (MKDKI)

General Court


Standard of Medical Practice

Ethics

Standard to implement medicine

Compliance to law

Standard of Medical Ethics)

Law

Discipline


SERIOUS PROFESSIONAL MISCONDUCT(Decree of KKI No. 17/KKI/KEP/VIII/2006)

• Fail to medical management :

– incompetence

– gross negligence

• Unprofessional behavior

• Unfit to practice


Jumlah Pengaduan ke MKDKI

Sejak 2006 - Maret 2011

9 1120

36

49

2

127

2006 2007 2008 2009 2010 Maret

2011

Total


Sanctions to discipline

• Written warning

• Suspending registration (temporary –> permanent)

• Re-schooling


KONSIL KEDOKTERAN

INDONESIA

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