thai medical curriculum in a disrupting world
TRANSCRIPT
Thai Medical Curriculum in a Disrupting World
Rungnirand Praditsuwan, MD
Deputy Dean for Undergraduate Education
Faculty of Medicine Siriraj Hospital, Mahidol University
e
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 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 Professional Standards of the Medical Council of Thailand 2012
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.
To start new/revised MD curriculum..
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)
To start new/revised MD curriculum..
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.
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.
Institute for Medical Education Accreditation: IMEAc
• 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))
Institute for Medical Education Accreditation: IMEAc
• 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 [email protected]
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
Rungnirand Praditsuwan, MD [email protected]
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
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
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
The Medical Curriculum in a Disrupting World
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
The Medical Curriculum in a Disrupting World
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
The Medical Curriculum in a Disrupting World
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
The Medical Curriculum in a Disrupting World
Teaching skills
• Good clinical and procedural skills
• Soft skills: bedside manners, human touch, communication, etc.
• Critical thinking, prioritizing and decision making
The Medical Curriculum in a Disrupting World
Teaching skills
• Good clinical and procedural skills
• Soft skills: bedside manners, human touch, communication, etc.
• Critical thinking, prioritizing and decision making
The Medical Curriculum in a Disrupting World
Teaching skills
• Good clinical and procedural skills
• Soft skills: bedside manners, human touch, communication, etc.
• Critical thinking, prioritizing and decision making
The Medical Curriculum in a Disrupting World
Teaching skills
• Adaptability and flexibility
• Lifelong learning
• Innovative and improving skills
• Leadership and working in teams
The Medical Curriculum in a Disrupting World
Teaching skills
• Adaptability and flexibility
• Lifelong learning
• Innovative and improving skills
• Leadership and working in teams
The Medical Curriculum in a Disrupting World
Teaching skills
• Adaptability and flexibility
• Lifelong learning
• Innovative and improving skills
• Leadership and working in teams
The Medical Curriculum in a Disrupting World
Teaching skills
• Adaptability and flexibility
• Lifelong learning
• Innovative and improving skills
• Leadership and working in teams
The Medical Curriculum in a Disrupting World
Teaching professionalism
• Good doctor-patient relationship
• Patient-centered care and sense of ownership
• Compassion and empathy
• Caring attitudes
The Medical Curriculum in a Disrupting World
Teaching professionalism
• Good doctor-patient relationship
• Patient-centered care and sense of ownership
• Compassion and empathy
• Caring attitudes
The Medical Curriculum in a Disrupting World
Teaching professionalism
• Good doctor-patient relationship
• Patient-centered care and sense of ownership
• Compassion and empathy
• Caring attitudes
The Medical Curriculum in a Disrupting World
Teaching attitude
• Commitment to excellence
• Altruism, integrity, responsibility and accountability
• Commitment to patient safety and quality improvement
The Medical Curriculum in a Disrupting World
Teaching attitude
• Commitment to excellence
• Altruism, integrity, responsibility and accountability
• Commitment to patient safety and quality improvement
The Medical Curriculum in a Disrupting World
Teaching attitude
• Commitment to excellence
• Altruism, integrity, responsibility and accountability
• Commitment to patient safety and quality improvement
Rungnirand Praditsuwan, MD [email protected]