KEDOKTERAN INDONESIA MASA DEPAN

Delivered by, Prof. dr. R. Sjamsuhidayat, Sp.B-KBD

FEE FOR SERVICE VS SALARIED PHYSICIAN

MEDICINE STILL A NOBLE CALLING

Those of us who practiced part or all of our careers in the era of fee for service
have a hard time accepting the concept of managed care.
…recent medical school graduates who have no personal experience with fee-for-
service will have less difficulty accepting the new medical care model (meyer,
2013)
*PERLU SATU GENERASI UNTUK DAPAT MENERIMA DAN MEYAKINI
PERUBAHAN SIKAP INI.

THREE PHENOMENA OF MEDICAL MORALITY

TOWARD A RECONSTRUCTION OF MEDICAL MORALITY

At the center of medical morality is the healing relationship. It is defined by three

phenomena: the fact of illness, the act of profession and the act of medicine. The
first puts the patient in a vulnerable and dependent position; it results in an
unequal relationship. The second implies a promise to help. The third involves
those action that will lead to a medically competent healing decision (Pellegrino,
1987)
*TIGA FENOMENA INI ADALAH CIRI MORALITAS KEDOKTERAN. HARUS
SELALU MEMILIH CARA DIAGNOSIS DAN TINDAKAN YANG TERUJI.

OVERLAPPING COMPETENCE VS SHARED COMPETENCE

ADAPTING for THE FUTURE: a plan for improving the flexibility of UK

postgraduate medical medical training (GMC, 2017)

We want trainees to have clarity and confidence in what it will mean for them if
they switch specialities. Equivalent training between related will be recognized.
This will improve efficiency by allowing doctors to transfer their skills more
easily and to avoid repeating training. Patients and health service will benefit
from having doctors who can care for patients with conditions that cross
speciality and subspeciality boundaries.
*KOMPETENSI YANG SAMA DILATIHKAN DALAM MODUL YANG SAMA