KONSIL KEDOKTERAN
INDONESIA
Hardyanto SoebonoChairman Medical Council
REGULATION OF MEDICAL PRACTICES IN INDONESIA
Content
• Indonesian Medical Council
• Registration of Practitioners
• Regulation of Medical Education
• Guarding Medical Practices
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Indonesian Medical Council (InaMC)
• A national independent and non-structural body established in 2005 under the Indonesia Medical Act No 29/2004
• Consists of Medical Council and Dental Council
• Directly responsible to President of RI
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• To register medical doctors and dentists• To approve standards of medical and dental
education• To guard good medical practice
Roles of InaMC
(Article 7 Medical Act 2004)26/10/09 Melbourne Visit
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Medical Council(KK)
Dental Council(KKG)
Indonesian Medical Council(KKI)
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Membership of InaMC (KKI)
• Representative of stakeholders :
– Indonesian Medical / Dental Association (4)
– Indonesian Medical / Dental Colleges (2)
– Indonesian Assoc of Medical Schools (2)
– Indonesian Assoc of Teaching Hospitals (2)
– Ministry of Health (2)
– Ministry of National Education (2)
– Non-medical (3)
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Competence
Assessment
Registration
Process Practice
Competence
CertificateRegistered
Certificate of
LisenceDegree
Diplomas
Medical/
Dental
Schools
University Colleges KKI DHO
Medical Educ Certification Registration
Quality Med.
Practice
Medical Practice
ROADMAP MEDICAL PRACTICE
Internship
MoH
Internship
InternshipCertificate
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Registration of Practitioners
• Every doctor or dentist including specialist must be registered by KKI before practicing professional job
• Registration is valid for 5 years
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• Requirements for registration :
– Graduates from university (doctors/ dentists/ specialists)
– Certificate of competence issued by Indonesian colleges of physicians
– Health certificate
• Recertification is based on CPD or CME which is organized by professiobnal organizations
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Higher Education System in Indonesia
• Regulation : the National Higher Education System Act No. 20/ 2003
• Three tracks:
– Academic
– Profession(al)
– Vocational
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Regulation of Medical Education
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National Education
System Act (No.
20/2003)
Medical Practice
Act (No. 29/2004)
Medical /Dental
Education
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BachelorD1
D4
AcademicProfesion(al) Vocational
Master
Doctorate
B.Med.
PG Med.
Training
Higher Education System in Indonesia (National Education System Act UU No 20/2003)
MD
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Basic Medical Education
Post Graduate Training
Continuing Professional Development
Trilogy of Medical Education (WFME,2003)
Career Path of Medical Profession
Bachelor MD Clinical SpecialistSub-
specialist
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Bachelor Master Doctorate
4 yrs 2 yrs 3 – 5 yrs
4 yrs 3 - 6 yrs2 yrs 2 yrs
Academic Track
Professional Track
1 yrs
Inte
rnsh
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Basic Medical Education
• Requirements:
– High School Graduates (Natural & Math)
– Admission Exams (National/ University)
• Length of study :
– 6 years
• University :
– Medicine : 72 Schools ( 31 Public, 41 Private)
– Dental : 26 Schools ( 14 Public, 12 Private)
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Postgraduate Medical Education
• University-Hospital based education/training
• Specialties :
– 34 Specialties in Medicine
– 7 Specialties in Dental Sciences
• ca 2000 Specialists/year
• Colleges develop Core Competences of each specialty/subspecialties
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INDONESIAN MEDICAL COLLEGES
1. Indonesian College of GPs
2. Indonesian College of Neurologists
3. Indonesian College of Pulmonologists
4. Indonesian College of Patologists
5. Indonesian College of E,N,Ts
6. Indonesian College of Internists
7. Indonesian College of Pediatricians
8. Indonesian College of Surgeons
9. Indonesian College of Orthopedics
10. Indonesian College of Ophtalmologists
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9. Indonesian College of Orthopedic and Traumatology
10. Indonesian College of Cardiology
11. Indonesian College of Urology
12. Indonesian College of Anaestesiology
13. Indonesian College of Medical and Physical Rehabilitation
14. Indonesian College of Plastic Surgery
15. Indonesian College of Ophtalmology
16. Indonesian College of Obstetricians & Gynecologists
INDONESIAN MEDICAL COLLEGES
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17. Indonesian College of Neurosurgery
18. Indonesian College of Clinical Microbiology
19. Indonesian College of Sport Medicine
20. Indonesian College of Radiology
21. Indonesian College of Radiological Oncology
22. Indonesian College of Dermatology & Venerology
23. Indonesian College of Forensic Medicine
24. Indonesian College of Clinical pathology
25. Indonesian College of Psychiatry
INDONESIAN MEDICAL COLLEGES
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25. Indonesian College of Clinical Pharmacology
26. Indonesian College of Marine Medicine
27. Indonesian College of Nuclear Medicine
28. Indonesian College of Aviation Medicine
29. Indonesian College of Occupational Medicine
30. Indonesian College of Clinical Parasitology
31. Indonesian College of Clinical Nutrition
32. Indonesian College of Medical Acupuncture
33. Indonesian College of Pediatric Surgery
INDONESIAN MEDICAL COLLEGES
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Continuing Professional Development (CPD)
• Organized by professional organization:
– Indonesian Medical Association
• Accredited as a pre-requisite for re-certification by colleges
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Education
OP
Board of Ethics
PO
Health Officer
Kolegium
AIPKI / AFDokGI
FK / FKG
Medical
Disciplinary
Board
Registration Lisence
Regulation of Medical Practice according Medical Practice Act No. 29 / 2004
Education Division Registration Division Guardian Division
KONSIL KEDOK TERAN INDONESIA
Court
Disciplin
Ethics
Legal
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POSSIBILITY OF ALLEGED
MEDICAL MALPRACTICE
Ethics
MEDICAL MALPRACTICE ?
LawDiscipline
Board of Medical Ethics IMA
Board of Medical Discipline (MKDKI)
General Court
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Standard of Medical Practice
Ethics
Standard to implement medicine
Compliance to law
Standard of Medical Ethics)
Law
Discipline
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SERIOUS PROFESSIONAL MISCONDUCT(Decree of KKI No. 17/KKI/KEP/VIII/2006)
• Fail to medical management :
– incompetence
– gross negligence
• Unprofessional behavior
• Unfit to practice
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Jumlah Pengaduan ke MKDKI
Sejak 2006 - Maret 2011
9 1120
36
49
2
127
2006 2007 2008 2009 2010 Maret
2011
Total
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Sanctions to discipline
• Written warning
• Suspending registration (temporary –> permanent)
• Re-schooling
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