SPECIALTY TRAINING AND CAREER STRUCTURE FOR FAMILY MEDICINE IN BRUNEI DARUSSALAM SPECIALTY TRAINING AND CAREER STRUCTURE FOR FAMILY MEDICINE IN BRUNEI

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  • SPECIALTY TRAINING AND CAREER STRUCTURE FOR FAMILY MEDICINE IN BRUNEI DARUSSALAM SPECIALTY TRAINING AND CAREER STRUCTURE FOR FAMILY MEDICINE IN BRUNEI DARUSSALAM
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  • OUTLINE Brunei Darussalam Background Primary Health Care System & background Outpatient Services Basic Specialty Training (Family Medicine) Career Progression Advanced Specialist Training (Family Medicine) Challenges
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  • BRUNEI DARUSSALAM Population 390,000 Young population 39.2% below 19 years Malay 66.6% 4 districts Brunei Muara District (69.3% of population) Life expectancy 77.8 yrs female & 75.2 yrs male Infant mortality rate 7.6 per 1000 live births
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  • PRIMARY CARE SERVICES BEFORE NOW Decentralisation Postgraduate Training Brunei/Muara 7 H/Cs (June 2000- March 2001) Belait - 3 H/Cs (Oct 2002) Tutong - 4 H/Cs (Oct 2002) RIPAS Hospital IN LINE WITH MINISTRY OF HEALTH NATIONAL HEALTH CARE PLAN (2000-2010) TO PROMOTE PRIMARY HEALTH CARE
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  • PRIMARY HEALTH CARE SYSTEM Health centres (14) and clinics (13) providing outpatient services and maternal and child health services Travelling health clinics (13) Flying medical services (4) School health services
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  • Mukim Berakas Mukim Gadong Mukim Sengkurong Mukim Serasa Mukim Mentiri Mukim Kota Batu Mukim Lumapas Mukim Kilanas Mukim Pengkalan Batu
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  • OTHER PHC PROVIDER 1 private hospital Jerudong Park MC Ministry of Defence 5 medical centres Brunei Shell Petroleum Panaga Health Centre Private GP clinics 21
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  • OUTPATIENT SERVICES First point of contact for patients Gate-keeper to secondary care (referral rate 1-5% & admission rate