The first and the best since 1888. Department of Surgery from good to excellence Supakorn Rojananin Professor and Chairman April 17,2006 March 14, 2008.

the first and the best since 1888

Department of Surgeryfrom good to excellence

Supakorn RojananinProfessor and Chairman

April 17,2006

March 14, 2008

Siriraj -1918(30 years after establishment)

“I have visited several medical schools worldwide, East and West, but I have a deep regret to report Your Majesty that Siam's medical school (Siriraj Hospital) is

the poorest I have ever seen”.

Dr. Victor Heiser, an inspector of the Rockefeller Foundation of the United States

1918

2

Siriraj ambition - 2000s

Medical Institute of Excellence in Asia

and

Kingdom’s Hospital

VisionVision

3

Be Ranked As One of The Leading Faculties of Medicine in

S/E Asia

Have The Most Published and Cited Research of Medical Sci. in S/E Asia

Be Recognized for QualityPatient Care with High Innovation in S/E Asia

Build A Sufficient Financial Base To Sustain Our Mission & Achieve Our Vision

L3. Create An Environment to

Support EmployeeEngagement

L1. Recruit, Train & RetainTalented Staff

L2. EnhanceResearch

Society

Human CapitalL5. Develop

Learning Organization With Knowledge

Management

L4. Create Customer-Centric Culture With Competency-based

HRD

L6. Initiate & Implement Health

Leadership

Organization Capital

L7. LeverageICT to Drive

Bu. Operation & Growth

Information Capital

I6. Perform Continued

Clinical Excellence

I7. Provide Extraordinary

Customer Service

Strive For Operational Excellence (OPEX)

I5. Develop Res. Opportunities &

Environment to Develop Researchers Who Are in Targeted Growth Area

I4. Create Networking & Partnerships

with Domestic & International

Medical Agencies

I1. Apply Medical School

Quality Assurance

Criteria

I3. CreateMore CME

I2. DevelopFlexible&Dynamics

Curriculum

S2. Medical School of Choice

AdvancedTechnology

AdvancedKnowledge

S1. Deliver Quality Graduates

Health Care Service Providers / Students

Medical & Granting Agency

Researcher

S3. Produce Impact

Research

S4. Provide TheQualified & NeededMedical Knowledge

& Technology

S5. Build Enduring Relationshipswith Stakeholders

Reasonable Price

Diverse Broad Service

Keep in Touch with

Public

Deliver Superior Values Of Services & Products To Targeted Stakeholders

Patients, Families & Public

Develop Productive Organization Fundamentals

I8. Certified & Surveillance

by External Agencies

Medical Institute of Excellence in Southeast Asia

F1. Financial Surplus

F2. Asset Efficiency F3. Liquidity F4. Capital

StructureF5. Financial

Flexibility

Teach

ing

-tra

inin

g

Researc

h

Serv

ice

Ad

min

. &

Fin

an

ce

Recruit, train, retain staff/ time allocation/ align compensation system/ competency based HRD/customer focused/ learning organization/ employee engagement/ IT/ PR, marketing

VISION, MISSION

Medical Institute of Excellence in Asia

Kingdom’s hospital

Strategy

9

Urology

Plastic &

Reconstructive

Traum

a Surgery

Vascular S

urgery

Pediatric S

urgery

Neurosurgery

Head-N

eck & B

reast

Cardio-thoracic S

urgery

Head of Divisions Vice Chairmen of;

-Administration-Education

- Under-graduate - Post- graduate

-Academy & Research-Service & Quality

development-IT-Medical Record-Budget & Resources

Secre

tary

Administration Board

Chairman

Advisory Boards

Head, Office of Department

General

Surgery

Vice Chairman

Department of Surgery• 9 divisions (Siriraj) -Subject oriented

– Vascular– General

-Endo-Laparoscopic-Hepato-pancreato-biliary &

transplantation-Colo-rectal

– Trauma– Head-neck & breast– Urology– Plastic & reconstructive– Neurosurgery– Cardio-vascular– Pediatric

Always on the

cutting edge

Continuing over 90 years,keep moving to a greater height

MissionFrom Good to Excellence

• Competitive productivities in academy, research and innovation

• Defining areas of excellence in all specialties

• Good surgical Practice and Hospital accreditation

• Seeking partnership with leading hospitals of advanced countries in Asia (Look East)

• Stimulating progress and moving together in one direction

• Academic freedom in a discipline way

Teaching-training center

Look EastExchange program - Post graduate level

• Scientific paper presentation among Asian

• Reform postgraduate curricula to international standard

The Third Hospital, PKU 16

Teaching-training center

Look EastExchange program - Post graduate level

To seek partnership with leading hospitals of advanced countries in Asia

• Visiting Professors among Asian (INBOUND)

• Resident Training Exchange Program(Outbound young ambassador program)

Queen Mary Hospital, HKU15

Teaching-training center

Look EastHelping hand to neighboring countries

To assist and support medical schools of the developing countries in the neighborhood

To strengthen expertise, image, reputation of Siriraj

Lecture or workshop tour to neighboring countries;

: Laos, Cambodia, Burma,

Bangladesh, Nepal, Bhutan, Mongolia, etc.

17

Areas of ExcellenceClinical tracers: the 10 bests of surgery

General Colorectal / hepato-biliary cancer surgery

Vascular Arterial occlusive disease

Trauma Facial trauma surgery

Head-neck & breast Breast cancer surgery

Urology Prostate cancer surgery

Cardio-vascular CABG

Neurosurgery Brain tumor center

Plastic & reconstructive

Microsurgery training center

Pediatric surgery Tongue tie clinic

Area of ExcellenceOne division one area

stimulate progress and moving together in one direction

- Clinical tracer- Best practice guideline

- Holistic approach- One stop service- Education and Research

Center- Publication and

recognition

-

core

8

Mission Mission From Good to Excellence

Research“A department without research is an empty

department” Academic ranks of staff (N=81)•

0

5

10

15

20

25

30

prof clin prof assoc prof assist prof lecturer abroad trainee

52

16 17

27

8 6

ServiceServiceThe Kingdom’s Hospital

“We will provide health care at an international standard for our Thai citizen”

The role model of professional hospital with faith, accountability of academy, medical service and ethics where people can trust.

20

Good Surgical Practice and Hospital Accreditation

Process and Goals

input process output goal

Medical studentsResidents, Fellows,Surgeons, Generalpractitioners

Patients & families,

Publics

Teaching & Learning

Training

Continuing education

Surgical care

Research

Public education

Graduates

Specialists

Validation of practice

Cure

Innovation

Well-being

Good Surgical Practice

Excellenthealth- care

Good Surgical Practice/ Code of ConductWhat is it?

• Standard of Competency -Knowledge, Skill, Experience

• Standard of Care-System, Resource, Budget, Environment

• Standard of Conduct-Ethics, Confidentiality, Communication,

Relationship, Medico-legal, Probity in professional practice, Conflict of interest, Palliative and end of life decision making, etc.

GSP; April 24, 2008

Faculty of Medicine Siriraj Hospital

• Reaccreditation, HA

• Thailand Quality Award, TQA

• Joint Committee of International Accreditation, JCIA

Quality Management

Admin. & FinanceAdmin. & Finance One Faculty - Two Systems?One Faculty - Two Systems?

• New territories– The new plot of land will be

our Research Center & Excellent Service Centers

To become financially independent

- to support total Siriraj- to improve employee

welfare- to minimize Brain-

Drain- to be accredited by JCI

Near Future

Good to great organization

Jim Collins

Thanks for your attention