01 Mar 2009

Berita Akademi - Mar 2009

Message from the Master
Professor Victor Lim

After a long and arduous journey the end is finally in sight. The respective offices are in the process of being furnished by the Academies, Colleges and the various professional organizations which own space in the building. The various parties are expected to move in over the next two or three months. Right up to the very last stages there had been disagreements between the two Academies but thankfully good sense has prevailed and a compromise has been reached in the spirit of give-and-take. There are probably individuals who are still dissatisfied with the arrangements, but to continue squabbling will only be to the detriment of all parties.
A Board of Management has been established to decide on all policy matters related to the administration and management of the building. There are six members on the Board of Management, four from the Academy of Medicine and two from the Academy of Family Physicians. The chairmanship of the Board will rotate between the two academies on an annual basis. The Academy of Medicine currently holds the chair. To assist the Board three committees will be established. They are the Building Management Committee, the Finance Committee and the Tender Committee. Again these will be sixmember committees with four members from the Academy of Medicine and two from the Academy of Family Physicians with the chairmanship being similarly rotated.
A facility/building manager will be employed to oversee the day-to-day running of the building and the environs. An advertisement was placed on jobstreet.com which attracted over sixty applicants (a sign of the bleak times we are in). The Board of Management has made a shortlist of the candidates and interviews will be conducted soon. The Board of Management is also in the process of furnishing our auditorium to make it a state-of-art facility for lectures and symposia. We should now put our past differences aside and work towards making this building the hub of continuing professional development for medicine in Malaysia.

The National Specialist Register

Over 1800 medical specialists have been accepted into the National Specialist Register. The majority of registered specialists are in the private sector as the response from specialists working in the Ministry of Health and the public universities has not been encouraging. The secretariat is working towards reducing the turn-around time for the registration process. The Council meets once in two months solely for the purpose of National Specialist Register. There are still many administrative and policy issues that have to be discussed and decisions made on them. They include creation of new specialties and renaming of specialties. Often there are diverse views on these issues but we need to be constantly cognizant of the principle that the National Specialist Register had been created primarily to protect the public. We have to differentiate between proposals which have been made in the public interest from those that would appear to be largely in the interest of an individual doctor or a group of doctors.


8th Ministry of Health - Academy of Medicine

Malaysia (MOH-AMM) Scientific Meeting

The above meeting will be held on the 17th and 18th of August at the Institute for Health Management. The theme of the meeting will be on “Building A Safety Culture Through Accountability”. This is an increasingly important issue as there is little tolerance for medical errors or iatrogenic diseases in modern medicine. The World Health Organisation has put the subject of Patient Safety on the top of their agenda and so far two Global Patient Safety Challenges has been launched. The first challenge is in the area of hand hygiene and Malaysia has already signed up to this challenge. The second is in the area of safe surgery and the third which will be launched next year is in the area of Antibiotic Resistance to cover infection control and antibiotic stewardship. We hope as many members and fellows of the Academy will attend the various symposia and workshops that will be organized in this very important area of modern medical practice.


Specialist Healthcare to improve

Press Release by Dr Steven Chow, President, College of Physicians & Prof Lee Way Seah, President, College of Paediatrics.

Kuala Lumpur, April 8: The College of Physicians and College of Pediatrics of the Academy of Medicine Malaysia (AMM) is stepping up efforts to tackle the shortage of specialists and set a higher standard of specialist healthcare in the country.

Currently, the doctor to population ratio ranges from 1:398 in Kuala Lumpur to 1:3691 East Malaysia and this needs to be improved further as Malaysia's population of 27 million continues to swell.

To address the situation, the two Colleges will kick off a series of training programs, delivered at local hospitals where doctors are serving so that they can remain in service.

“Our growth in the number of medical specialists is unable to keep up with the burgeoning population if we do not act. We are already overextended, what more now with the increasing demand from the medical tourism sector,” said Dr Steven Chow, President of the AMM's College of Physicians, ahead of the AMM's College of Physicians-College of Pediatrics Annual Postgraduate Teaching Course at the Legend Hotel in Kuala Lumpur, May 2, 2009.

“That is why the comprehensive training programs are made convenient, so as to spur doctors to seek training in specialist fields as well as encourage existing specialists to update their knowledge.”

According to Professor Lee Way Seah, President of the College of Paediatrics, AMM, it will also prevent
the nation from being over reliant on enticing Malaysian specialists to return home.

“It is a supplementary solution to the specialist shortage problem that will allow us to groom specialists that are 'Made in Malaysia' and in touch with the special needs of Malaysian patients. It will also ensure that standards of specialist practice are not compromised.”

On this, Dr Chow said that it is also the intention for these doctors undergoing training to be accredited under the provisions of the National Specialist Register (NSR) of the AMM / Ministry of Health (MOH).

“At the micro-level, the NSR enables the public to access basic information on registered qualified specialists in the country and enable the patient to confirm if the doctor that he or she is seeing is a registered specialist.

“The big picture is that it will help the government strategize and plan for future specialist manpower training and provision of health care services.”

The NSR, a credentialing mechanism, was launched in 2006 as a result of collaborations between the MOH and AMM over two decades.

The NSR serves as a common register for specialists in both public and private practice and also non- MOH organizations who are deemed competent in their respective fields.

The proposed amended Medical Act will provide for registration of specialists. Credentialing of specialists will be undertaken by the National Credentialing Committee (NCC), consisting of members from the MOH and AMM.

The NCC is advised by over 44 Specialty Subcommittees, who are also in charge of defining the criteria for training and competence in the respective specialties.

Besides assisting with the strategizing of healthcare resources and public information purposes, the NSR is also designed to ensure that only qualified and competent doctors, local and foreign, are allowed to be registered and to practice in Malaysia.


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