Transcript Document

Professional Regulatory Model
Prof.Abdulaziz H. Al Saigh
FRCS, FACS Professor of Surgery
Secretary General
Saudi Commission For Health Specialties
22 Oct 2014 Dubai
1
INTRODUCTION
• The Saudi Commission for Health Specialties (SCHS)
is a scientific body having a corporate entity. It was
established by a Royal decree No. (M/2) (5/8/1992 G)
with headquarter sited in Riyadh and so far has
eighteen (18 ) branches.
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Branches
18
3
SCHS Vision
The Kingdome of Saudi Arabia Healthcare
Professions advanced to performance levels on
a par with international standards
4
SCHS Mission
• Advance healthcare standards through the design and
regulation of postgraduate training Programs, the effective
classification and registration of healthcare practitioners,
and encourage research and continuing health professional
development in the Kingdom, through partnership with
local and international institutions.
5
SCHS Organizational Structure
Board of Trustees
Internal Auditor
Secretary General
Executive Council
Board of Scientific
Associations
Regional
Advisors
Office of the SG
· Legal Unit
· Investment Unit
Planning &
Development
Department
ASG -Classification
& Registration
Public Relations
Director – Post Graduate
Studies and Medical
Education
Deputy Secretary General
Training section (design,
evaluate post graduate
programs)
Training centres'
accreditation section
Examinations section
Boards of medical
specialisations
ASG - Health Institutes and
Program Accreditation
CME/CPD
Program
Accreditation
Research/studies
department
Health Institutes
Branches
Operations
Branches and
Operations
Testing Centres’
Operations
Documentation
Classification &
Registration
Classification &
Registration
Finance
Purchasing
Departmental
Communication
Security & Safety
Contracts
Support Services
Warehouse
HR
IT
Transportation
Operations &
Maintenance
Documentation
ASG – Classification &
Registration
ASG – Finance and
Administration
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SCHS Decision Making Boards and Committees
The Board of Trustees
Executive Board
Scientific Councils
Other Committees
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OBJECTIVES AND FUNCTIONS
1. Establish guidelines and standards for health practice including profession
ethics.
2. Accredit health certificate, evaluate performance and classified them
accordingly.
3. Issuance of professional certificates, diplomas, fellowships and memberships.
4. Design, accredit and supervise Training Programs.
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OBJECTIVES AND FUNCTIONS
5. Establish scientific boards to implement Training Programs.
6. Assess and accredit health Institution (Hospital etc.) for training purposes and
specialization.
7. Supervise examinations in various specialties and approve the results.
8. Promote research, publication of scientific papers within its field.
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OBJECTIVES AND FUNCTIONS
9. Participate in the proposal of general planning in the development of health
manpower.
10. Hold symposia and conferences mainly in Medical Education.
11. Encourage scientific health research.
12. Coordinate with other councils, societies, and health colleges inside and
outside the Kingdom.
13. Approve the establishment of scientific societies in health specialties.
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Main responsibilities of SCHS :
1. Classification and Registration ( Licensing ) of
all health practitioners.
2. Postgraduate training and Certification .
3. Approval and supervision of scientific
professional associations in the healthcare
field.
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Registration & Classification
Objectives
Guarantee the practitioners’ ability to carry out the
functions of the profession
Assessment and equivalence of practitioners and their
experiences.
Introducing standards & work ethics to health
professionals in the kingdom.
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Registration & Classification
Follow the practice of health professionals to detect
low efficiency or male practice and correct them
Reiterate the commitment of practitioners to pursue
medical education programs to develop their skills and
follow-up in their fields.
Create a national standardized database for all health
practitioners.
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Requirement for Classification and Registration
• Fill-up the form
• Certificates
• Employment letter
• Malpractice Medical Insurances
• BLS / ACLS / ATLS
• Passing the Exam / Evaluation
• Copy of ID
• 2 Photos
• medical report - above 60 years
• Data Flow
• Pay the Fees
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Requirement for Re-Registration
Valid - BLS / ATLS / ACLS
Valid - Malpractice Insurance
Required CME hours
Employment letter
Fees
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Primary Sources Verification (PSV) Requirements
1. Clear copy of certificates, transcripts, and diplomas needed to have
PSV.
2. Clear copy of the passport
3. Certificate of Employment
4. Fill the proper application
5. Sign the form to authorize Data Flow to complete the PSV process
6. Pay the fee
PSV Fees:
1. 400 SR for Physicians
2. 350 for Non-Physicians
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C&R Fees
Classification
Registration
Technicians & Assistants
600 SR
GP, Residents &other Specialists
1100 SR
Registrar & S. Registrar
1500 SR
Consultants
1800 SR
Technicians & Assistants
240 / 400 SR
Specialist, Pharmacist
360/ 600 SR
Resident, S. Specialist & Pharmacist 1
480 / 800 SR
S. Registrar
600 / 1000 SR
Consultants MD
750 / 1250 SR
Consultants non-MD
600 / 1000 SR
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Registration & Classification
Procedures
Compulsory for all health practioners
A
Compulsory written examination for masters’ and diploma degree
holders and below
B
fellowships and Board
1- Direct classification a Grant degree
2- Written exam. ( CBT)
3- Assessment committee
4- Written examination + Assessment.
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Current process for classification,
registration and re-registration is partially
manual; however, by the end of 2014 it
will be fully electronic.
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Current C&R Process
Receiving &
Reviewing
Application
Data Entry
Initial
approval
Central
Approval
Unit (CAU)
Final
Approval
• The C&R Staff will • The C&R staff will • Done via the
• Will review and
• The certificate &
review
enter the
receiving C&R
approve the
card will be
application to
requested data
staff. Then
application.
printed and
ensure that all
into the C&R
forwarded to the
Incase if there
signed
necessary
computer
Central Approval
was any missing
documents are
system, then the
Unit
information it will
complete and
process will take
electronically
be returned to
accurate. Also,
one of four
the Receiving
the applicant is
different
staff for
requested to
pathways
completion. Or
complete the PSV
Incase if there is
process via Data
reservation
Direct C&R
Flow.
concerning the
qualification, it
will be forwarded
Written Exam
to the Authorized
Person in SCHS.
Receiving
• The card &
certificate will be
received by the
practitioner
Electronic Test
Professional
Evaluation
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Electronic
Process
21
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Eligibility Request for Overseas Practitioners
Start
Open an Account
In Mumaris System
Select Eligibility
Request
Fill-in related data
and upload needed
Attachments
Practitioner
Review & Approve
Email Activation Link
Integration Middleware
Eligibility Number, Basic Data, Certificate, Result
Saudi
Licensing
Examination
Certificate
Verification
End
21/09/1436
Registration & Classification eService
Start
Login to
Mumaris System
Select Registration
& Classification eService
Fill-in related data
and upload needed
Attachments
Alpha
Practitioner
• Review Application
• Communicate with
Practitioner
• Check Selections
• Approve Process Path
based on Alpha
Saudi
Licensing
Examination
Pay Fees
Certificate
Verification
Review & Approve
End
Card Delivery
Branch / FedEx
Registration Card
Printing
21/09/1436
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Grading of Physician
Resident ( GP )
Bachelor's
Degree in
Medical /
Dentistry + 1
year Internship
Registrar
Specialty
Certificate not
less than 2
years
S. Registrar
Saudi Board /
equivalent
Consultants
Saudi Board /
equivalent + 3
years of
Experience
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Grading of Non Physician
Technicians
High school +
Diploma 1-3
years
S.Technicians
High school +
Diploma 3
years
Specialist
Bachelor's
Degree
S. Specialist
Master Degree
2 years + 2
years of
Experience
Consultants
PhD /
equivalent
+ 3 years of
Experience
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Number health practitioners Saudis and non-Saudis
registered with the SCHS
saudi
non-saudi
TOTAL
352947
209457
160446
143490
107988
69199
73927
56807
24534
12392
Doctors
98768
52458
24841
19821
4713
pharmacy
nursing
app-medical
TOTAL
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Number of Fraud qualifications Presented to SCHS during
2001 To Sep 2014
900
800
Total 2757
700
600
500
400
300
200
100
0
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Specialty
Nursing
Pharmacy
Laboratory
Radiology
Dental
Optometry
GP
Anesthesia
Physical Therapy
Sterilization
Operations Technician
ECG
Midwifery
Sciences
Medical records
Prosthetics
Blood Banking
secondary school
Internal Medicine
Electronic Engineering
Psychiatry
Nutrition
Chiropractic
Government
private
Total
523
27
60
47
17
0
23
37
10
27
16
14
6
5
7
5
3
0
0
1
0
0
0
828
1108
348
100
84
91
100
39
6
22
5
2
4
9
3
0
1
0
2
2
0
1
1
1
1,929
1631
375
160
131
108
100
62
34
32
32
18
18
15
8
7
6
3
2
2
1
1
1
1
2,757
30
2.757
Total
1631
375
160 131
108 100
62
43
32
32
18
18
15
8
7
6
3
2
2
1
1
1
1
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Collaboration with other agencies
A. SCHS Board of Trusties, which has representatives from many Health
Sectors
B. Many of the day-to-day processes are conducted after collaboration
with other government agencies within KSA including:
1)
2)
3)
4)
5)
6)
C.
Ministry of Health
Ministry of Civil Services
Ministry of Higher Education
Ministry of Interior
Health Services Council
Experts Authority
Conducting training programs and professional Evaluations are
manly provided via approved tertiary care centers
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Challenges
1. Collaboration between other government agencies .
2. Control of fraud certification
3. Blacklist sharing with other countries and Agencies
4. Connecting electronically with other government
agencies.
5. Practitioners taking Prometric exams are not fully aware
of the regulations of the exam despite the effort made to
make them aware.
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Challenges
6. Negative Attitudes/Communication of some HCPs.
7. Practitioners take un-structured/un-acceptable training,
or wants to be classified as consultants without meeting
the required SCHS standards.
8. Applicants insist to apply in Riyadh SCHS instead of local
branch.
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Conclusion
• Healthcare practice is continuously evolving, As
a result, C&R Process is going through
continuous changes, and that is natural but may
produce some challenges.
• Collaboration among various agencies local and
international is a must.
• SMART Plan-of-Action is mandatory at this
stage to meet challenges Faced by Regulatory
institutions Responsible For C&R of
practitioners.
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Thank you…
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