37.Long Life Education (Mhsw)4 Print

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LONG LIFE EDUCATION

(LLE)



Lecture Notes

Block 2: Ethics, Humaniora, andMedical Communication Skill

Topic: Long Life Education

By

Dr. dr. Fachmi Idris,M.Kes



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



Long Life Education

I. PrologII. LLE: Compulsory or Voluntary

III. LLE: Supervised and Self Directed

Medical Education



(I)

PROLOG



MEDICAL EDUCATION

BASIC

POSTGRADUATE

CONTINUINGPROFESSIONAL

DEVELOPMENT

Indonesia

(Clerkship)

+

Internship



LLE

Related toMaintenance Process of

Professionalism



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



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



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



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)



Technical Capability

Ethic

PROFESSIONALISM



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



(II)

(LLE: Compulsory or Voluntary)



“Back Ground”

Hippocrates oath

Code of Ethic

Regulation



Remembering of Philosophy of Science



GASTRIC ACID HELICOBACTER

PYLORI

EXAMPLE

Past Present



(III)

LLE:SUPERVISED AND SELF

DIRECTED MEDICAL

EDUCATION



The Improved Health of AllPeoples is The Main Goal of

Medical Education

Medical Education is a

Continuum:Basic Specialist CPD

Funded by MoH



Basic Med Ed

Specialist Training

PRACTICE

Disciplinary Enforcement

Funded by MoH

Netherland

IHP 1993



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



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



FUNDAMENTALS OF

CONTINUING PROFESIONAL

DEVELOPMENT



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.



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.



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.



Thank you



Acknowledgements

Some slides from presentations by

• B. Afandi

• M. Soedirman



Attachments



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”)



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.



CPD ACTIVITIES

1. Practice Improvement

2. Educator Activities

3. Meeting Attendance

4. Self-Education Activities



PRACTICE IMPROVEMENT

• Training

• Workshop

• Hospital Practice

• Practice Audits



EDUCATOR ACTIVITIES

1. publication

• paper

• book

• book chapter

2. formal presentation

3. teaching

4. mentoring

5. training supervision

6. examining



MEETING ATTENDANCE

• University Meetings

• Hospital Meetings

• Medical Associations

(Professional) Meetings

• National and InternationalMeetings

• Others



SELF-EDUCATION ACTIVITIES

• DISTANCE LEARNING

• PROFESSIONAL READING

• OTHERS:

• GROUP MEETINGS

• CLINICAL CONFERENCES

37.Long Life Education (Mhsw)4 Print

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