Thai Medical Curriculum in a Disrupting World

Rungnirand Praditsuwan, MD

Deputy Dean for Undergraduate Education

Faculty of Medicine Siriraj Hospital, Mahidol University

Undergraduate Education 6 years

•Input: High school graduates (gr 12)

•Output: MD as GP

To serve the government’s healthcare plan for 3 years

Postgraduate Education

1. Specialty training 3-5 years • Input: General practitioners

(with > 1 year internship experience)

• Output: Diploma of Thai Board = Medical specialists

2. Sub-specialty training 2 years • Input: Medical specialists

• Output: Diploma of Thai Sub-Board

= Medical sub-specialists

• 21 public schools and 2 private schools

• All medical schools are members of the Consortium of Thai Medical Schools (COTMES)

• All medical curriculum need to comply with oThe National Medical Curriculum 2018 (มคอ.๑) (announced by the Ministry of Education)

oThe Professional Standards of the Medical Council of Thailand 2012

oThe Medical Competency Assessment Criteria for National License of the Medical Council of Thailand 2012

The National Medical Curriculum, 2018

• The learning outcomes

• Credits: 192-263

• Curriculum structure

• Strategies for teaching and assessment

• Verification of learning outcomes

• Quantity of teaching and supporting staffs

• Resources

• Faculty development

• Quality assurance

• All medical curriculum need to comply with oThe National Medical Curriculum, 2018 (มคอ.๑) (announced by the Ministry of Education)

oThe Professional Standards of the Medical Council of Thailand, 2012

oThe Medical Competency Assessment Criteria for National License of the Medical Council of Thailand 2012

• All medical curriculum need to follow oThe National Medical Curriculum, 2018 (มคอ.๑) (announced by the Ministry of Education)

oThe Medical Competency Assessment Criteria for National License of the Medical Council of Thailand, 2012 (in term of content)

However, each medical school may set medical graduates’ outcome differently

• Community physicians

• Academic physicians

• Advanced care physicians

• Output: MD graduates

–Medical licenses issued after passing 3-step National Tests: about 2,700+ doctors/yr

Data source: Office of Secretary General, the Medical Council of Thailand, December 2018

• Almost all medical schools have six-year curriculum –Premedical education 1 year

–Preclinical education 2 years

–Clinical education 3 years

Structure of the MD curriculum

Year 1 General Education/English & Thai languages/Basic Science

Year 2 Normal structures & function

Year 3 Abnormal structures & function Principles of investigation & treatment

Year 4 Clinical experiences

Year 5 Clinical experiences

Year 6 Clinical externship rotation

Siriraj MD Curriculum, 2014

• Changed from discipline-based to system-based

• Educational strategies changed

Active Learning

Integration &

Early Clinical Exposure

To get medical license..

Students must pass

• NLE Step 1 : Basic medical sciences; MCQ

• NLE Step 2 : Clinical sciences; MCQ

• NLE Step 3 : OSCE, MEQ, Long cases

Center for Medical Competency Assessment and Accreditation (CMA)

under TMC

To start new/revised MD curriculum..

All medical schools need the compulsory accreditation by the Medical Council of Thailand.

The curriculum must be approved by

• The University Council -> The Office of Higher Education Commission (under the Ministry of Higher Education, Science, Research and Innovation: MHESI)

• the Medical Council of Thailand (via Institute for Medical Education Accreditation: IMEAc)

The curriculum must be approved by

• The University Council -> The Office of Higher Education Commission (under the Ministry of Higher Education, Science, Research and Innovation: MHESI)

• The Medical Council of Thailand (via Institute for Medical Education Accreditation (IMEAc) under COTMES)

Institute for Medical Education Accreditation: IMEAc

• Established since 2016 as an autonomous entity within the Consortium of Thai Medical Schools with the mission of accreditation of medical schools in Thailand and in the region.

• Since October 2018, IMEAc has been awarded WFME Recognition Status.

• Established since 2016 as an autonomous entity within the Consortium of Thai Medical Schools with the mission of accreditation of medical schools in Thailand and in the region.

• Since October 2018, IMEAc has been awarded WFME Recognition Status.

• IMEAc use standards adopted from WFME Global Standards in accrediting medical schools in Thailand since 2013.

• In 2017, IMEAc integrated the WFME.BME standards (2015 Revision) with the Standards of Thai Medical Council to be National Standards for establishment/revision of medical programs and approval of medical schools (TMC.WFME.BME Standards (2017))

• IMEAc use standards adopted from WFME Global Standards in accrediting medical schools in Thailand since 2013.

• In 2017, IMEAc integrated the WFME.BME Standards (2015 Revision) with the Standards of TMC to be National Standards for establishment/revision of medical programs and approval of medical schools TMC.WFME.BME Standards (2017)

Rungnirand Praditsuwan, MD rungnirand.pra@mahidol.ac.th

Quality Assurance System

in Thai Medical Schools

Internal QA for Monitoring and Improvement

External QA

for Accreditation, Control

and Improvement

Internal Quality Assurance

1. Within medical school

2. University level

3. The Office of Higher Education Commission (under MHESI)

EdPEx : Education Criteria

for Performance Excellence

External Quality Assurance

Institutional Level

Consortium of Thai Medical Schools (COTMES) - EdPEx

Program Level

IMEAc - WFME.BME Standards annual progress report

External Quality Assurance

Institutional Level

Consortium of Thai Medical Schools (COTMES) - EdPEx

Program Level

IMEAc - WFME.BME Standards annual progress report

The Medical Curriculum in a Disrupting World

Teaching knowledge

• Good medical knowledge as generalists

• Health promotion and disease prevention

• Personalized medicine

• Adaptation to new knowledge and changing patterns of illness and health systems

Teaching knowledge

• Evidence-based care

• Health Systems Science: healthcare policy, health economics, health informatics, value-based care, health system improvement, systems thinking

• Usage of data, information and technology wisely

Teaching knowledge

Teaching skills

• Good clinical and procedural skills

• Soft skills: bedside manners, human touch, communication, etc.

• Critical thinking, prioritizing and decision making

Teaching skills

• Adaptability and flexibility

• Lifelong learning

• Innovative and improving skills

• Leadership and working in teams

Teaching skills

Teaching professionalism

• Good doctor-patient relationship

• Patient-centered care and sense of ownership

• Compassion and empathy

• Caring attitudes

Teaching attitude

• Commitment to excellence

• Altruism, integrity, responsibility and accountability

• Commitment to patient safety and quality improvement

Teaching attitude

Thai Medical Curriculum in a Disrupting World

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