Conclusion Meeting Day 1.

14 May 2014

Note by: Prof. Laksono Trisnantoro

Meeting Day 1 of the Physician Migration in conjunction with the Health System in South East Asia as well as the implications on curriculum concludes :

1. Southeast Asian countries has two poles of different communities, namely : (1) in remote areas or difficult; and (2) in an area that has direct access to the international health system. The second area has a health care system that is largely determined by the laws of the market, and have service levels such as five-star hotels or jasmine.
2. Demographics and disease patterns in Southeast Asian communities closer to equality, there are convergence.
3. Based on the data in the speaker presentations and needs, physicians who perform the migration is the dynamic moving specialists , especially in areas that have international access and there are a lot of people can afford. Remote areas usually for international migration of doctors in primary care level, which is supported by international funding agencies or foreign governments who want to serve. Activity in this area is not based on the principle of market mechanism.
4. Situation is mainly an impact on resident education ( PPDS1 , specialists ) and fellow ( PPDS2 , sub - specialists). International atmosphere must go into resident education, although in medical education (undergraduate) should also be given international development. But in Indonesia, the need for doctors in remote areas must also be met.

In overall: Educational physician , resident , and fellow users in Indonesia is facing two different extremes : ( 1 ) the needs of international medical services including medical tourism ; and ( 2 ) the need for medical services in remote areas . How strategies to improve the quality and capabilities of graduates ? This is a challenge that has a faculty of medicine (FK-FK) accreditation (which is authorized to conduct residency education).