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7/27/2019 37.Long Life Education (Mhsw)4 Print
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LONG LIFE EDUCATION
(LLE)
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Lecture Notes
Block 2: Ethics, Humaniora, andMedical Communication Skill
Topic: Long Life Education
By
Dr. dr. Fachmi Idris,M.Kes
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Component of Competency:
- To conduct medical practice with realizing on weakness,
strength, and personal limitation
- To conduct medical practice with full realizing on ability and
weakness
- Have a responsibility for long life education, planning,
implementation and monitoring continuous professional
development
Learning Objective:
- To realize self ability and limitation in relation to its medicalpractice
-To listening accurately and response appropriately for anyconstructive critics from patients, colleagues, instructors and
supervisors
- To manage all the feedback of performance as apart of
training and practice
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Long Life Education
I. PrologII. LLE: Compulsory or Voluntary
III. LLE: Supervised and Self Directed
Medical Education
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(I)
PROLOG
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MEDICAL EDUCATION
BASIC
POSTGRADUATE
CONTINUINGPROFESSIONAL
DEVELOPMENT
Indonesia
(Clerkship)
+
Internship
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LLE
Related toMaintenance Process of
Professionalism
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Professionalism describes theknowledge, skills, attitudes, and behaviors
expected by patients and society fromindividuals during the practice of their
profession and includes concepts such asskills of lifelong learning andmaintenance of competence, information
literacy, ethical behavior, integrity, honesty,
altruism, service to others, adherence toprofessional codes, justice and respect for others
Global Standards for Quality Improvement, WFME, 2003
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Medical Professionalism:
“The conduct, aims, or qualities that characterizeor make profession or professional person”; the
field of medicine is required.
Profession or professional:
“A calling requirement specialized knowledge and
often long and intensive academic preparation”
Julia E. Connelly
Cambridge Quarterly of Healthcare Ethics (2003),
12: 178-183, Cambridge University Press
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PROFESSSION
Profession is a task which need body of knowledge support
as a basic to develop systematical theory, facing many
challenging and it so, need long time education and training,
have a ethical code and its orientation for serving the
community
Ponters: Merdias, A (Azwar, 1996)
Not Same With Occupation
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CHARACTERISTIC OF PROFESSION
• The task of profession is supported by body of knowledge : ontology, epistemology andaxiology.
• The expertise get through education and
directional training, continuing planning and stepby step.
• The task of profession is regulated by ethicalcode,recognize by law and altruism approach.
• Professional regulation is regulated byprofessional community itself ( professional regulation/self regulation).
Ponters: Merdias, A (Azwar, 1996)
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Technical Capability
Ethic
PROFESSIONALISM
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Three Components of Professionalism
1. Knowledge-best practice
2. Skillful practice
3. Ethics
Professor Somkiat Wattanasirichaigoon, MD, FRCST.
Chairman, Section of Medical Education,The Medical Association of Thailand
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(II)
(LLE: Compulsory or Voluntary)
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“Back Ground”
Hippocrates oath
Code of Ethic
Regulation
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Remembering of Philosophy of Science
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GASTRIC ACID HELICOBACTER
PYLORI
EXAMPLE
Past Present
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(III)
LLE:SUPERVISED AND SELF
DIRECTED MEDICAL
EDUCATION
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The Improved Health of AllPeoples is The Main Goal of
Medical Education
Medical Education is a
Continuum:Basic Specialist CPD
Funded by MoH
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Basic Med Ed
Specialist Training
PRACTICE
Disciplinary Enforcement
Funded by MoH
Netherland
IHP 1993
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DEFINITIONS
Postgraduate Medical Education may be
defined as the phase in which doctors train
under supervision towards independent practice
after completion of their basic medicalqualification. It comprises pre-registration
training, vocational/professional training,
specialist and sub-specialist training and other
formalized training programmes. Uponcompletion of a formal postgraduate training
programme a degree diploma or certificate is
usually granted.Global Standards for Quality Improvement, WFME, 2003
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DEFINITIONS
Continuing Professional Development
(CPD) designates the period of education
and training of doctors commencing after
completion of basic medical educationand postgraduate training, thereafter
extending throughout each doctor’s
professional working life.
Global Standards for Quality Improvement, WFME, 2003
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FUNDAMENTALS OF
CONTINUING PROFESIONAL
DEVELOPMENT
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CPD, therefore, stands as a
professional imperative of every
doctor, and in the same time isalso a prerequisite for enhancing
the quality of health care.
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CPD differs in principle from the preceding
two formal phases of medical education:
basic medical education and systematicpostgraduate medical training.
CPD mainly implies self-directed and
practice-based learning activities
rather than supervised training.
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CPD aims to maintain and developcompetencies ( Knowledge, skills, andattitudes) of individual doctor, essential for:
- meeting the changing needs of patientsand the health care delivery system
- responding to the new challenges from thescientific development in medicine, and
- meeting the evolving requirements of licensing bodies and society.
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Thank you
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Acknowledgements
Some slides from presentations by
• B. Afandi
• M. Soedirman
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Attachments
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Demi Allah saya bersumpah, bahwa :
• Saya akan membaktikan hidup saya guna kepentingan perikemanusiaan.
• Saya akan memelihara dengan sekuat tenaga martabat dan tradisi luhur jabatan
kedokteran.
• Saya akan menjalankan tugas saya dengan cara yang terhormat dan bersusila, sesuai
dengan martabat pekerjaan saya sebagai dokter.
• Saya akan menjalankan tugas saya dengan mengutamakan kepentingan masyarkat.
• Saya akan merahasiakan segala sesuatu yang saya ketahui kepada orang lain karena
pekerjaan saya dan karena keilmuan saya saya sebagai dokter.
• Saya tidak akan mempergunakan pengetahuan dokter saya untuk sesuatu yang
bertentangan dengan perikemanusian, sekalipun di ancam.
• Saya akan menghormati setiap hidup insani mulai dari saat pembuahan.• Saya akan senantiasa mengutamakan kesehatan penderita.
• Saya akan berikhtiar dengan sungguh-sungguh supaya saya tidak terpengaruh oleh
pertimbangan keagamaan, kebangsaan, kesukuan, politik kepartain atau kedudukan
sosial dalam menunaikan kewajiban terhadap penderita.
• Saya akan memberi kepada guru-guru saya penghormatan dan pernyataan terima
kasih yang selayaknya.
• Saya akan perlakukan teman sejawat saya sebagaimana saya sendiri ingindiperlakukan.
• Saya akan mentaati dan mengamalkan kode Etik Kedokteran Indonesia yang
berdasarkan Pancasila.
• Saya ikrarkan sumpah ini dengan sungguih-sungguh dan dengan mempertaruhkan
kehormatan diri saya.
Sumpah Dokter
(“Hippocrates Oath”)
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The increasing concern that CPD of
medical doctors should be adequate has
led to demands for systematicrecertification due to regulation written in
the constitution No 29, 2004, about
Medical Practice, entailing thedevelopment of system for examination or
other types of reassessment.
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CPD ACTIVITIES
1. Practice Improvement
2. Educator Activities
3. Meeting Attendance
4. Self-Education Activities
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PRACTICE IMPROVEMENT
• Training
• Workshop
• Hospital Practice
• Practice Audits
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EDUCATOR ACTIVITIES
1. publication
• paper
• book
• book chapter
2. formal presentation
3. teaching
4. mentoring
5. training supervision
6. examining
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MEETING ATTENDANCE
• University Meetings
• Hospital Meetings
• Medical Associations
(Professional) Meetings
• National and InternationalMeetings
• Others