LONG LIFE EDUCATION (LLE)

Lecture Notes
Block 2: Ethics, Humaniora, and Medical Communication Skill Topic: Long Life Education By Dr. dr. Fachmi Idris,M.Kes

Component of Competency:
- To conduct medical practice with realizing on weakness, strength, and personal limitation - To conduct medical practice with full realizing on ability and weakness - Have a responsibility for long life education, planning, implementation and monitoring continuous professional development Learning Objective: - To realize self ability and limitation in relation to its medical practice -To listening accurately and response appropriately for any constructive critics from patients, colleagues, instructors and supervisors - To manage all the feedback of performance as apart of training and practice

Long Life Education

I. Prolog II. LLE: Compulsory or Voluntary III. LLE: Supervised and Self Directed Medical Education

(I) PROLOG

MEDICAL EDUCATION
BASIC
Indonesia (Clerkship) +

Internship

CONTINUING

PROFESSIONAL
DEVELOPMENT POSTGRADUATE

LLE Related to Maintenance Process of Professionalism

Professionalism describes the

knowledge, skills, attitudes, and behaviors expected by patients and society from individuals during the practice of their profession and includes concepts such as skills of lifelong learning and maintenance of competence, information literacy, ethical behavior, integrity, honesty, altruism, service to others, adherence to professional codes, justice and respect for others
Global Standards for Quality Improvement, WFME, 2003

Medical Professionalism:
The conduct, aims, or qualities that characterize or make profession or professional person; the field of medicine is required. Profession or professional: A calling requirement specialized knowledge and often long and intensive academic preparation
Julia E. Connelly Cambridge Quarterly of Healthcare Ethics (2003), 12: 178-183, Cambridge University Press

PROFESSSION

Not Same With Occupation

Profession is a task which need body of knowledge support as a basic to develop systematical theory, facing many challenging and it so, need long time education and training, have a ethical code and its orientation for serving the community

Ponters: Merdias, A (Azwar, 1996)

CHARACTERISTIC OF PROFESSION
The task of profession is supported by body of knowledge : ontology, epistemology and axiology. The expertise get through education and directional training, continuing planning and step by step. The task of profession is regulated by ethical code,recognize by law and altruism approach. Professional regulation is regulated by professional community itself (professional regulation/self regulation).
Ponters: Merdias, A (Azwar, 1996)

Technical Capability

PROFESSIONALISM Ethic

Three Components of Professionalism

1. Knowledge-best practice 2. Skillful practice 3. Ethics

Professor Somkiat Wattanasirichaigoon, MD, FRCST. Chairman, Section of Medical Education, The Medical Association of Thailand

(II) (LLE: Compulsory or Voluntary)

Back Ground
Hippocrates oath Code of Ethic Regulation

Remembering of Philosophy of Science

EXAMPLE

GASTRIC ACID
Past

HELICOBACTER PYLORI
Present

(III) LLE: SUPERVISED AND SELF DIRECTED MEDICAL EDUCATION

The Improved Health of All Peoples is The Main Goal of Medical Education
Medical Education is a Continuum: Basic Specialist CPD

Funded by MoH

Basic Med Ed

Netherland IHP 1993

Specialist Training
Disciplinary Enforcement

PRACTICE

DEFINITIONS
Postgraduate Medical Education may be defined as the phase in which doctors train under supervision towards independent practice after completion of their basic medical qualification. It comprises pre-registration training, vocational/professional training, specialist and sub-specialist training and other formalized training programmes. Upon completion of a formal postgraduate training programme a degree diploma or certificate is usually granted.
Global Standards for Quality Improvement, WFME, 2003

DEFINITIONS
Continuing Professional Development (CPD) designates the period of education and training of doctors commencing after completion of basic medical education and postgraduate training, thereafter extending throughout each doctors professional working life.

Global Standards for Quality Improvement, WFME, 2003

FUNDAMENTALS OF CONTINUING PROFESIONAL DEVELOPMENT

CPD, therefore, stands as a professional imperative of every doctor, and in the same time is also a prerequisite for enhancing the quality of health care.

CPD differs in principle from the preceding two formal phases of medical education: basic medical education and systematic postgraduate medical training.

CPD mainly implies self-directed and practice-based learning activities rather than supervised training.

CPD aims to maintain and develop competencies ( Knowledge, skills, and attitudes) of individual doctor, essential for: - meeting the changing needs of patients and the health care delivery system - responding to the new challenges from the scientific development in medicine, and - meeting the evolving requirements of licensing bodies and society.

Thank you

Acknowledgements
Some slides from presentations by B. Afandi M. Soedirman

Attachments

Demi Allah saya bersumpah, bahwa :

Sumpah Dokter (Hippocrates Oath)

Saya akan membaktikan hidup saya guna kepentingan perikemanusiaan. Saya akan memelihara dengan sekuat tenaga martabat dan tradisi luhur jabatan kedokteran. Saya akan menjalankan tugas saya dengan cara yang terhormat dan bersusila, sesuai dengan martabat pekerjaan saya sebagai dokter. Saya akan menjalankan tugas saya dengan mengutamakan kepentingan masyarkat. Saya akan merahasiakan segala sesuatu yang saya ketahui kepada orang lain karena pekerjaan saya dan karena keilmuan saya saya sebagai dokter. Saya tidak akan mempergunakan pengetahuan dokter saya untuk sesuatu yang bertentangan dengan perikemanusian, sekalipun di ancam. Saya akan menghormati setiap hidup insani mulai dari saat pembuahan. Saya akan senantiasa mengutamakan kesehatan penderita. Saya akan berikhtiar dengan sungguh-sungguh supaya saya tidak terpengaruh oleh pertimbangan keagamaan, kebangsaan, kesukuan, politik kepartain atau kedudukan sosial dalam menunaikan kewajiban terhadap penderita. Saya akan memberi kepada guru-guru saya penghormatan dan pernyataan terima kasih yang selayaknya. Saya akan perlakukan teman sejawat saya sebagaimana saya sendiri ingin diperlakukan. Saya akan mentaati dan mengamalkan kode Etik Kedokteran Indonesia yang berdasarkan Pancasila. Saya ikrarkan sumpah ini dengan sungguih-sungguh dan dengan mempertaruhkan kehormatan diri saya.

The increasing concern that CPD of medical doctors should be adequate has led to demands for systematic recertification due to regulation written in the constitution No 29, 2004, about Medical Practice, entailing the development of system for examination or other types of reassessment.

CPD ACTIVITIES

1. 2. 3. 4.

Practice Improvement Educator Activities Meeting Attendance Self-Education Activities

PRACTICE IMPROVEMENT

Training
Workshop

Hospital Practice
Practice Audits

EDUCATOR ACTIVITIES
1. publication paper book book chapter 2. formal presentation 3. teaching 4. mentoring 5. training supervision 6. examining

MEETING ATTENDANCE
University Meetings Hospital Meetings Medical Associations (Professional) Meetings National and International Meetings Others

SELF-EDUCATION ACTIVITIES
DISTANCE LEARNING

PROFESSIONAL READING
OTHERS: GROUP MEETINGS CLINICAL CONFERENCES