DOCTOR PROFESSION AND CAREER OPTIONS

DOCTOR PROFESSION AND CAREER OPTIONS Ahmad Aulia Jusuf Bagian Histologi Fakultas Kedokteran Universitas Indonesia 2007

Agenda • Introduction • Career Options • How to decide • Conclussion Doctor Profession and Career options/AAJ/Histologi-FKUI

Introduction • When the children…….. • To be a good and famous doctor • For many people ……… • Doctor is identical with • Rich person • High intellegence and morality • Well dedicated • Discipline • ect • For other people ……… • Doctor is identical with • person can help them treating the diseases • Person can help them to solve the daily problems Doctor….? Doctor Profession and Career options/AAJ/Histologi-FKUI

Introduction • Graduated Senior High School • Most of them are interest in continuing their study to the medical faculty • Occupy the highest rank among another faculty • Favorite faculty • Educational system is good • Can work individually as a practitioner Doctor Profession and Career options/AAJ/Histologi-FKUI

Number of medical faculty increase to become 52 distributed in all part of Indonesia Doctor Profession and Career options/AAJ/Histologi-FKUI

Introduction • Graduated Senior High School • The problem of doctor to practice • Limitation of the chance for practice • Distribution is not equal in all part of Indonesia • Concentrated and accumulated in big cities • Globalization era • Foreign doctors will be present in Indonesia • The number of location for practice is only 3 location (Medical Practice Law No.29/2004) Doctor Profession and Career options/AAJ/Histologi-FKUI

Introduction • The career options for medical doctor • Medical practice • Medical teacher • Medical researchers • Job related to medicine • Health insurance • Administrator in medical regulation • Others : politician, business Doctor Profession and Career options/AAJ/Histologi-FKUI

Doctor Profession and Career Options What is He looking for Where is the paper explaining the Career options ? Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • Practice our knowledge, skill and attitude to overcome the medical problem of patient • as a general practitioners • Specialist • work in • hospitals • policlinic in the factories or offices • 24 hour’s policlinic • individual clinic. • can practice in all medical center belongs to • the government • private • military facilities Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • The general practitioner gives the primary strata of medical services, while the specialist gives the secondary strata of services Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • Medical Practice Laws No. 29/2004 • General practitioner and specialist • Make registration to the Indonesian Medical Council • Have the license • The period of 5 years • Have to be renew • General practitioner and specialist • Attend the Continuing Medical Education (CME) to get the credits • Have the certificate of competence • Do the re-registration • allows the doctor to do the medical practice in 3 different locations maximally Doctor Profession and Career options/AAJ/Histologi-FKUI

A. MEMBERIKAN PERLINDUNGAN KPD PASIEN B. MEMPERTAHANKAN DAN MENINGKATKAN MUTU PELAYANAN MEDIS YG DIBERIKAN OLEH DR & DRG C. MEMBERIKAN KEPASTIAN HUKUM KEPADA MASYARAKAT, DR & DRG UUPK REG ST DIK DISIPLIN P’BIN KKI DEPKES DEPDIKNAS MKDKI IRSPI AIPKI PEMDA ORG. PROF Doctor Profession and Career options/AAJ/Histologi-FKUI

Undang-Undang No 29 / 2004 ttg Praktik Kedokteran HILIR HULU Divisi Registrasi Divisi Standar Pendidikan Divisi Pembinaan Majelis Kehormatan Disiplin Kedokteran KONSIL KEDOK TERAN INDONESIA Disiplin Majelis Etik IDI / PDGI Etika Profesi PENDIDIKAN REGISTRASI S I P Kelalaian Pelanggaran Praktik Hukum ( Privilege ) Kewenangan Kompetensi • Pembinaan etika profesi • Teguran • Diklat • Cabut S.T.Registrasi • Perdata • Pidana • Pra TUN DinKes Kab/Kota AIPKI / AFDokGI FK / FKG Administratif &Kompetensi Kolegium Profesi RS Pendidikan Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • Medical Practice Laws No. 29/2004 • The eligibility of each categories (general practice and specialist) depend to • the competency which is achieved during their study in the faculty • additional knowledge and skill obtained during attending the continuing medical education (CME) held by collegiums or Indonesian Medical Association Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • Professional competence is • the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values, and reflection in daily practice to improve the health of the individual patient and community • What you know • How you use what you know • How you add to what you know (Epstein and Hundert, 2002, JAMA) Doctor Profession and Career options/AAJ/Histologi-FKUI

Definition of Competence Knowledge Technical skill Communication Emotions Reflection Values Clinical reasoning DAILY PRACTICE Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • The principles of family medicine have to be used during giving the services to the patient in all strata of medical services • comprehensive care and holistic approach • continuous care • prevention first • coordinative and collaboration care • individual care as the integral part of his/her family • family, community and environment consideration • ethics and awareness • cost effective care and quality assurance • can be audited and accountable care Goroll, Mulley. Primary Care Medicine. LWW. Fifth Ed. 2006 Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • Primary care can be defined by its clinical tasks: • Medical diagnosis and treatment, • Psychological diagnosis and treatment, • Personal support of patients of all backgrounds in all stages of illness, • Communication of information about prevention, diagnosis, treatment, and prognosis, and • prevention and care of chronic disease and disability through risk assessment, health education, early disease detection, preventive treatment, and behavioral change. • These tasks are a clinical or operational definition of the work of primary care practitioners. Goroll, Mulley. Primary Care Medicine. LWW. Fifth Ed. 2006 Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • The 5 stars doctor (WHO) • Care provider • Decision maker • Community leader • Communicator • Manager Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • The 5 stars doctor (WHO) • Care provider • Who considers the patients holistically as an individual and as an integral part of the family and the community, and provides high quality, comprehensive, continuous, and personalized care within trusting long-term relationship Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • The 5 stars doctor (WHO) • Decision maker • Who makes scientifically sound judgments about investigation, treatments and use of technologies that take into account the patient’s wishes, ethical values, cost effective considerations and the best possible care for the patient Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • The 5 stars doctor (WHO) • Communicator • Who is able to promote healthy lifestyle by effective explanation and advocacy, thereby empowering individual and groups to enhance and protect their health Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • The 5 stars doctor (WHO) • Community leader • Who, having won the trust of the people among whom he or she works, can reconcile individual and community health requirements, advise citizen groups, and initiate action on behalf of the community Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • The 5 stars doctor (WHO) • Manager • Who can work harmoniously with individuals and organizations both within and outside the health system to meet the need of individual patients and communities, taking appropriate use of available health data Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Practitioner • Until now • New medical doctor has a duty as “Pegawai Tidak Tetap (PTT)” • Have to register to the Ministry of Health • In the year of 2010 • Medical practice law is effectively done • Regulation of new doctor is completely set up • “PTT” may be stopped Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Teacher • Medical teacher is one of many career options for the new medical doctors for their future career • can be perform in the government or private medical institution • also have to register to the Ministry of Health and the Indonesian Medical Council • work in the medical institution can be counted as the PTT • define qualifications are required • must be passed the requirement test Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Teacher • Many medical institutions need many new academic staff • Most of medical institutions use the Problem Based Learning (PBL) as the teaching-learning method • Need many facilitators for discussion • Need many instructors for skilled labs and laboratories • Regeneration of old academic staffs • can be a permanent academic staff in the medical institution after finishing the PTT period Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Teacher • Law of National Education System (No. 20/2003) and Teacher-Lecturer law (No. 14/2005), the academic staff have to • Have one level higher in the educational strata than their student • Have the certificate as the medical academic staff Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Teacher • The medical teacher also should have 12 roles as the academic staff as described by Harden • Lecturer • Clinical or practical teacher • Resource material creator • Study guide producer • Teaching role model • On the job role model • Course organizer • Curriculum planner • Curriculum evaluator • Student assessor • Mentor • Learning facilitator Doctor Profession and Career options/AAJ/Histologi-FKUI

12 ROLES OF THE TEACHER Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Teacher • The academic staff should increase their knowledge and capabilities • in medical education by attending the Diploma program and master or PhD course degree • the University of Indonesia and in the Gajah Mada University • in their medical field by attending the master or PhD course degree • In some universities • The medical teacher also can practice individually after their works in the faculty have been finished Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Researcher • One options for the future career • Similar to the medical teacher • has to register • to Indonesia Medical Council • to the Department of Health • They can gather to the research institutions belong to • the government or private Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Researcher • The new curriculum has been established • based on the competency • used the method of problem based learning (PBL) in teaching learning process • Problem Based Learning (PBL) • One method in teaching-learning process • Used 12 steps (Brenda et al) during the discussion process • This is also the steps used in research Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Researcher • Problem Based Learning (PBL) • 12 steps of PBL (Brenda et al) • 1. Clarification and definition of the problem • 2. Analysis of the problem • 3. Development of hypotesis (ses) / plausible explanation • 4. Identification and characterization of knowledge needed • 5. Identification of what is already known • 6. Identification of appropriate learning resources • 7. Collection of new information / knowledge • 8. Synthesis of old and new information • 9. Repetition of all or some of the previous steps as necessary • 10. Identification of what was not learned • 11. Summary of what was learned, and if possible • 12. Testing the understanding of knowledge by its application to another problem Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Researcher • Research for medical doctor is familiar • The steps in research has been used in • the teaching-learning process during the undergraduate course • PBL • Paper in research as the pre-requisite for graduation • The process for making the diagnosis and treatment of the diseases Doctor Profession and Career options/AAJ/Histologi-FKUI

Medical Researcher • Nowadays research is going on • In the pharmaceutical industry • To improve the quality of product • To search the new drugs • In the medical faculty / universities • Develop knowledge and science in every discipline • Other institutions • Therefore there are still the big chances for the new medical doctor to career in the research Doctor Profession and Career options/AAJ/Histologi-FKUI

Others • Other fields • correlated to the medicine • Health insurance • Staff in the Ministry of Health • not correlated to the medicine • Businessman • actress or actors • politician Doctor Profession and Career options/AAJ/Histologi-FKUI

HOW TO CHOOSE AND DECIDE OUR CAREER IN THE FUTURE ? Doctor Profession and Career options/AAJ/Histologi-FKUI

Suggestions • Know our your capability • Think about your interest • Calculate the internal and external factors that may be influence your option. • Ask your senior and other people who can give you the enough information about the career options • Search the information about the career options in the internet. • Discuss with your parent • Do praying and beg the guidance to the God Doctor Profession and Career options/AAJ/Histologi-FKUI

Conclusion • The successful of the career in the future not only depends on its processes but it begins from the choosing one of many career options. Doctor Profession and Career options/AAJ/Histologi-FKUI

Career Options …….. Doctor Profession and Career options/AAJ/Histologi-FKUI

Doctor Profession and Career options/AAJ/Histologi-FKUI

Thank You Good Will and Partnership Doctor Profession and Career options/AAJ/Histologi-FKUI

DOCTOR PROFESSION AND CAREER OPTIONS