Specialist Medical Education Reviewed Together

Specialist medical education programs that comply with the Medical Education Law and the Health Law need to be implemented immediately.

KOMPAS/KRISTIAN OKA PRASETYADI

Resident doctors who are also students at Sam Ratulangi University (Unsrat) listened to a speech from the Minister of Health, Terawan Agus Putranto, at the Auditorium of the Faculty of Medicine at Unsrat, Manado, North Sulawesi on Tuesday (25/8/2020).

DEPOK, KOMPAS — After the disclosure of cases of depressive symptoms experienced by a number of students in the specialist medical education program or PPDS, a serious evaluation of the implementation of PPDS was carried out by the Ministry of Health and the Ministry of Education, Culture, Research and Technology .

Secretary of the Directorate General of Higher Education, Research and Technology (Diktiristek) at the Ministry of Education and Culture (Kemendikbudristek), Tjijik Sri Tjahjandarie, stated after monitoring the computer-based written test (UTBK) phase one at the University of Indonesia campus in Depok on Tuesday (30/4/2024) that the implementation of PPDS refers to Law Number 20 of 2013 concerning Medical Education, which is currently undergoing the preparation of government regulations draft (RPP).

"It has been harmonized, but is still waiting for approval to become a PP as a reference for the implementation of specialist education," said Tjijik.

Also read: Emergency Conditions in Specialist Medical Education

According to Tjijik, based on the RPP, the admission of PPDS students is conducted through a national selection process under the partnership of the Ministry of Health (Kemenkes) and the Ministry of Education and Culture's Research and Technology (Kemendikbusristek). Until now, admission has been carried out separately by each university.

"We are preparing tools for implementing the RPP so that the national selection system can be implemented well," said Tjijik.

Although there are university-based and hospital-based PPDS, in principle they must be carried out together. The university still collaborates with educational hospital partners. Conversely, when based on an educational hospital, they still partner with universities.

"In principle, standards and quality are both the same, they cannot be different," he said.

Tjijik added, to meet specialist doctors with service ties, PPDS participants who receive assignments and service ties will be given scholarships. So far, for PPDS study assignments, there has been a scholarship from the Ministry of Health with LPDP scholarship support.

DOKUMENTASI DITJEN DIKTIRISTEK

Specialist medical study program in Indonesia.

From the presentation of the Directorate General of Science and Technology for Education in the Ministry of Education and Culture and Technology regarding the Strategic Education Issue for Medical Personnel Post-Medical Education Act and Health No. 17/2023, the implementation of Postgraduate Specialist Medical Education (PPDS) is carried out in 22 universities. Regarding accreditation status for specialist doctor education programs based on the Dikti Database and the Independent Accreditation Institution of Health PT in 2023, out of 353 registered programs, 230 are accredited as A, 54 as B, 1 as C, 11 as excellent, 3 as good, and 54 are yet to be accredited.

The number of specialized medical students currently reaches 15,403 people. Based on this data, the fulfillment of the shortage of about 32,000 specialized doctors in the Ministry of Health can be fulfilled within three years with the support of acceleration policy.

Referring to the evaluation of the implementation of specialist medical education (an unresolved issue from the implementation of the Medical Education Law), there are a number of problems in demand (demand) and availability (supply). From the demand side, it is necessary to complete demand projections and distribution planning per type of specialist in each region, programs for utilizing specialist doctors, standard resident incentive patterns, determining teaching hospitals (only 214 out of a total of 420 hospitals are being utilized medical faculties), resident work standards in teaching hospitals, standardization of hospital clinical education guidelines, as well as scholarships and fellowship assistance.

As for availability, it is necessary to pay attention to issues regarding the national selection system for student admissions (currently by medical faculties and colleges), national competency test standards (currently medical faculties and colleges), unit costs of specialist medical education. , standards for equalizing lecturer credit scores, a career and reward system for NIDK lecturers, as well as accelerating the opening of study programs at A/Excellent accredited medical faculties (organizing 21 medical faculties out of 34 A-accredited medical faculties). Graduate production is 4,000 people per year or 100-300 people per type of graduate.

Hospital based

The Directorate General of Health Services at the Ministry of Health held a Coordination Meeting on Recruitment Procedures and Selection Systems for the Hospital-based Education of Specialist Doctors as the Main Implementers (RSP-PU) on April 21-23, 2024 in Bali. The purpose of this meeting is to agree on recruitment procedures and selection for specialist medical education based on RSP-PU. The meeting involved cross-ministerial and cross-sectoral participation, including representatives from the Ministry of Health, Ministry of Research and Technology and Higher Education, Dean of the Medical Faculty, Chairman of the College, Director of RSP-PPU, as well as experts.

The meeting also prepared multiple choice questions in the form of clinical problem-solving tests (CBT), finalizing psychological test results reports, the Minnesota Multiphasic Personality Inventory (MMPI). ), and integration of hospital information systems for administering MMPI tests, as well as compiling interview blueprints with multiple mini interviews (MMI) consisting of interview instruments and interview probing guides.

Director General of Health Services Arianti Anaya stated that the Ministry of Health has made various efforts to meet the availability of doctors throughout Indonesia through a special healthcare workforce assignment program in areas that require scholarship grants. However, the lack of doctors, especially specialists, remains a shared challenge.

Also read: Overcoming the Doctor Shortage, Hospital-Based Medical Education Will Be Strengthened

KOMPAS/EMANUEL EDI SAPUTRA

Muhammad Asroruddin, a specialist eye doctor at Tanjungpura University Hospital in Pontianak (wearing a batik shirt), is guiding medical students from Tanjungpura University's Faculty of Medicine in their clinical training, on Monday (May 2, 2015), in Pontianak. Clinical training is a professional education program that medical graduates must complete after finishing their academic program.

To meet the shortage of specialist doctors, it takes approximately 10 years. There is a shortage of basic specialist doctors (pediatricians, obstetricians, internists, surgeons, anesthesiologists, radiologists, and clinical pathologists) numbering 826 people to fill the vacancies in the public hospital. By 2024, 2,828 specialist doctors are needed for KJSU-KIA priority services and 1,269 specialist doctors for basic main services, which will be fulfilled through the recruitment of civil servants.

The Ministry of Health initiated a Professional Education Doctor program based on RSP-PU. RSP-PU is an educational hospital with qualifications that meet the requirements to hold a specialist doctor education program. This program will run alongside the specialist doctor education program that has been running at universities.

"The PPDS RSP-PU program is targeted to help accelerate," said Arianti.

The recruitment process will be carried out in a centralized, objective, transparent, integrated, and accountable manner. Several stages that prospective students must go through in this recruitment and selection process are administrative selection, written tests, interviews, and announcement of results.

There are affirmative points given to candidates for civil servants or non-civil servants who come from DTPK or certain designated regions by the minister and will be placed back in those areas. Graduates of the RSP-PU-based PPDS program will later obtain a professional certificate from the main organizing hospital as well as a competency certificate from the college.

Through this coordination, it is hoped that the selection and recruitment process can run optimally and produce quality candidates for the PPDS-RSP-PU education program. "This meeting and coordination is to obtain useful formulations and agreements for the progress of specialist medical education in Indonesia, especially in terms of recruitment and selection systems for PPDS in RSP-PU," said Arianti.