THE GALLBLADDER AND THE BILIARY TREE BY MICHAEL BRILLANTES, MD, FPCS, FPSGS.
Healthcare Professionals: Issues Jose Y. Cueto Jr., MD, FPCS, FPSGS, MHPEd Dean MMSU College of...
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Transcript of Healthcare Professionals: Issues Jose Y. Cueto Jr., MD, FPCS, FPSGS, MHPEd Dean MMSU College of...
Healthcare Healthcare Professionals: IssuesProfessionals: Issues
Jose Y. Cueto Jr., MD, FPCS, FPSGS, MHPEdDean
MMSU College of Medicine
Health Beyond BordersHealthcare Challenges in ASEAN and Issues Concerning Health
ProfessionalsSt. Lukes Medical Center
August 24, 2015
Single Market and Production
Base
Competitive Economic
Region
EquitableEconomic
Development
Integration into the Global Economy
ASEAN ECONOMIC COMMUNITY
1. Free Flow of Goods
2. Free Flow of Services
3. Free Flow of Investment
4. Free Flow of Capital
5. Free Flow of Skilled Labor
6. Priority Integration Sectors
7. Food, Agriculture and Forestry
1. Competition Policy
2. Consumer Protection
3. Intellectual Property Rights
4. Infrastructure Development
5. Taxation
6. E-Commerce
1. SME Development
2. Initiative for ASEAN Integration
1. Coherent approach towards external economic relations
2. Enhanced participation in global supply networks
PROFESSIONAL SERVICES DATE / PLACE OF SIGNING
1. ENGINEERING 9 Dec. 2005 Kuala Lumpur, Malaysia
2. NURSING 8 Dec. 2006 Cebu, Philippines
3. SURVEYING 19 Nov. 2007 Singapore
4. ARCHITECTURE 19 Nov. 2007 Singapore
5. DENTISTRY 26 Feb. 2009 Cha-am, Thailand
6. MEDICINE 26 Feb. 2009 Cha-am, Thailand
7. ACCOUNTANCY 26 Feb. 2009 Cha-am, Thailand
8. TOURISM 9 Nov. 2012 Bangkok, Thailand
ASEAN Member States may recognize the education or experience obtained, requirements met, or licenses or certifications granted in another ASEAN Member State, for the purpose of licensing or certification of service suppliers
1. Facilitate mobility of health practitioners within ASEAN
2. Exchange information and enhance cooperation in respect of mutual recognition of health practitioners
3. Promote adoption of best practices on standards and qualifications
4. Provide opportunities for capacity building and training of health practitioners
1. In possession of a qualification recognized by PRA of country of origin and host country
2. In possession of a valid professional registration and current practising certificate to practice profession issued by PRA of country of origin
3. Has been in active practice in country of origin: Dentistry: 5 years Medicine: 5 years Nursing: 3 years
4. In compliance with CPD requirements5. Has been certified as not having violated any
professional or ethical standards, local and international
6. Has declared that there is no investigation or legal proceeding pending against him/her in the country of origin or another country
7. In compliance with any other assessment or requirement as may be imposed by host country
ASEAN Member States PMRA / PRA
Brunei Darussalam Brunei Medical Board
Cambodia Cambodian Medical Council / Ministry of Health
Indonesia Indonesian Medical Council / Ministry of Health
Lao PDR Ministry of Health
Malaysia Malaysian Medical Council
Myanmar Myanmar Medical Council / Ministry of Health
Philippines Professional Regulation CommissionProfessional Regulatory Board of Medicine
Singapore Singapore Medical Council Specialists Accreditation Board
Thailand Thailand Medical CouncilMinistry of Public Health
Vietnam Ministry of Health
V. Services, unlike goods, have 4 modes of supply
COUNTRY A COUNTRY BMode 1: Cross border supply
Mode 2: Consumption abroad
Mode 3: Commercial presence
Consumer A
The service crosses the border
Service
supply
Service Supplier
Service Supplier
Consumer A
Consumer A
Consumer A
Service Supplier
Commercial
Presence
Establishes a commercial presence in AService
supply
Mode 4: Movement of natural persons
Employee sent by firm from B
Naturalperson
Self-employed goes to Member A
COUNTRY A COUNTRY B
Naturalperson
Consumer A
Consumer A
Commercial
Presence Juridical person
Service
supply
Service
supply
1. Variation in qualification requirements across borders
COUNTRY DURATION DEGREE CONFERRED
Indonesia 5 years MD
Malaysia 5 years MBBS
Philippines 5 years MD
Singapore 6 years MBBS
Thailand 6 years MD
Vietnam 6 years MD
Lao PDR 6 years MD
Myanmar 7 years
Cambodia 8 years Diploma of Medical Doctor
COUNTRYCOUNTRY NO. OF NO. OF YEARSYEARS
DIPLOMA/DEGREE DIPLOMA/DEGREE
Brunei Brunei DarussalamDarussalam
3 years3 years
4 years4 yearsDiploma in Health Science (Nursing)Bachelor of Health Science (Nursing)
CambodiaCambodia 3 years 4 years
Associate Degree in NursingBachelor Science Nursing
Lao PDRLao PDR 3 years3 years
2.5 years2.5 years
4 years4 years
Diploma in Nursing Continuing Bachelor in Nursing Science (Upgrade from diploma)
Bachelor Science in Nursing
IndonesiaIndonesia 3 years4 years
Diploma in Nursing Diploma in Nursing Bachelor in Nursing
MalaysiaMalaysia 3 years4 years
Diploma in Nursing Bachelor Science in Nursing
COUNTRYCOUNTRY
NO. OF NO. OF YEARSYEARS
DIPLOMA/DEGREE DIPLOMA/DEGREE
MyanmarMyanmar 3 years3 years
4 years4 yearsDiploma in Nursing Bachelor of Nursing Science
PhilippinesPhilippines 4 years4 years Bachelor of Science in Nursing Bachelor of Science in Nursing (BSN)(BSN)
ThailandThailand 2 years2 years
4 years 4 years BSN for Associate Diploma Nurses BSN for Associate Diploma Nurses
Bachelor of Science in Nursing Bachelor of Science in Nursing (BSN)(BSN)
SingaporeSingapore 3 years3 years
12 months12 months
3 years/4 3 years/4 yearsyears
Diploma in Nursing Diploma in Nursing
Bachelor of Science Conversion Bachelor of Science Conversion Program for RNsProgram for RNsBachelor of Science (Nursing)/(Hounors)
VietnamVietnam 2 years full 2 years full timetime
3 years full 3 years full timetime
4 years full 4 years full timetime
4 years part 4 years part time time
Certificate NurseCertificate Nurse
Junior BsN (College of Nurse)Junior BsN (College of Nurse)
Senior, BsN (Bachelor of Nursing Senior, BsN (Bachelor of Nursing Science)Science)
Bachelor of NursingBachelor of Nursing
Comparability of ASEAN Nursing programs (Basic Nursing Education)
1. Variation in qualification requirements across borders2. Differences in religion and culture
RELIGION COUNTRY / COUNTRIES
Buddhist Cambodia Lao PDR Myanmar Thailand Vietnam
Muslim Brunei Indonesia Malaysia
Catholic (predominant)
Philippines
Diverse Singapore
1. Variation in qualification requirements across borders2. Differences in religion and culture3. Differences in language and difficulty in communication
Healthcare involves person-person interaction
Licensure examinations in native language
*For Filipino health professionals, proficiency in English, which is an added advantage in going to traditional destinations, may not be an advantage in the ASEAN
1. Variation in qualification requirements across borders2. Differences in religion and culture3. Differences in language and difficulty in communication4. Mismatch in available and needed health professional
Quantity Quality Distribution
Surpluses? Shortages? Actual needs?
Profession Number of Schools
Number of Graduates/Year
1. Dentistry 26 1,210
2. Medical Technology 76 1,600
3. Medicine 42 4,500
4. Midwifery 252 7,380
5. Nursing 491 ----301 89,000
6. Nutrition and Dietetics 36 484
7. Optometry 9 100
8. Pharmacy 80 3,000
9. Physical/Occupational Therapy 90 725
10. Radiologic Technology 69 2,000
11. Respiratory Therapy 16 321
12. Veterinary Medicine 20 380
Profession Passing Percentage
Number of Professionals
1. Dentistry 41.8% 27,999
2. Medical Technology 77.0% 30,891
3. Medicine 70.4% 70,418
4. Midwifery 43.9% 73,682
5. Nursing 41.3% 526,897
6. Nutrition and Dietetics 67.0% 6,834
7. Optometry 66.0% 4,778
8. Pharmacy 52.2% 35,912
9. Physical/Occupational Therapy 51.5% 13,202
10. Radiologic Technology 48.0% 8,678
11. Respiratory Therapy
12. Veterinary Medicine 35.0% 4,496
1. Variation in qualification requirements across borders2. Differences in religion and culture3. Differences in language and difficulty in communication4. Mismatch between available and needed health professional5. Adjustment to local rules/regulations6. Acceptance by local practitioners
HEALTHCARE PROFESSIONALS
CHALLENGES
1.Qualifications2.Religion3.Culture
4.Language5.Mismatch 6.Local rules7.Acceptance
HOST COUNTRIES
1. Elevation of professional standards
1. Displacement of locals
2. Transfer of knowledge and skills 2. Wage/salary inequality
3. Transfer of technology 3. Rigid competition
4. Elimination of in-breeding 4. Downgrading of quality standards
5. Job generation 5. More expensive services
6. Solve maldistribution 6. Problem in maintenance of labor standards
7. Encourage teamwork and collaboration between local and foreign health professionals
ASEANMedical
Practitioners
PMRA
QualificationRecognition
Process
PMRA
ConferTemporary
RegistrationLicensing
LimitedPractice
ExpertVisit
EducationTraining
Research
HumanitarianMissions
Dissemination
Engagement
Professional RegulatoryAuthorities
Professionals /Professional
Organizations
Educational and Healthcare Institutions
ASEAN Integration
Regional Standards
Basic Qualification
Postgraduate Qualification
Professional Practice
ContinuingProfessional Development
ASEAN Integration
ASEAN MRA: Mobility
ComparabilityStudies
Identification ofChallenges
Labor Market Conditions
Engagement ofStakeholders
Surgeons from Cambodia and Thailand
Anesthesiologist from Malaysia
Nurses from Indonesia and Philippines
Operating room in Cambodia
THANK YOU FOR YOUR KIND ATTENTION!
email: [email protected]