Ecme orientate cpird 20 year
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Transcript of Ecme orientate cpird 20 year
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Collaborative Project to Increase Production of Rural Doctors
(CPIRD)
Rajin Arora, MD FRTCOG, Diploma in Med Ed (Dundee)
Deputy Director of CPIRD Ministry of Public Health, Thailand
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Dr Rajin Arora, Deputy Director of CPIRD, MOPH, Thailand
CPIRD Faculty Development Program
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ECME Essential Course for
Medical Educator“12 Expected Outcomes”
!!!!!
Rajin Arora, MD ECME Course Director
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Collaborative Project to Increase Production of Rural Doctors (CPIRD)
Rajin Arora, MD FRTCOG, Diploma in Med Ed (Dundee)
Deputy Director of CPIRD Ministry of Public Health, Thailand
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WHO report : Density of physician (total number per 1,000 population, latest available year)
http://gamapserver.who.int/gho/interactive_charts/health_workforce/PhysiciansDensity_Total/atlas.html
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Density of Physicians per 1,000 population
JAPAN IN 20082.140
THAILAND IN 2004 0.298
http://www.who.int/gho/health_workforce/physicians_density/en/
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CPIRD• Lack of rural physician in 1994 • Ministry of Public Health (MOPH) started CPIRD in 1995
• Collaboration with Ministry of Education • Medical students (MS) selected from their rural domicile
• Pre-‐clinical programs taught in 14 collaborated universities
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CPIRD
• Clinical subjects taught in 37 MECs • In 2005, “One District One Doctor” (ODOD) program started selecting MS from more rural areas
• CPIRD graduates obliged to work in rural hospitals for 3 years and ODOD for 12 years
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Network of 37 MECs & 14 Universities
=Siriraj=Chula
=Thammasat
No. of MEC divided into service network (NW)!!NW1=5 MECs!NW2=3 MECs!NW3=2 MECs!NW4=1 MECs!NW5=1 MECs!NW6=4 MECs!NW7=4 MECs!NW8=1 MECs!NW9=4 MECs!NW10=2 MECs!NW11=4 MECs!NW12=6 MECs!!!Total of 37 MEC in Thailand
=Chieng mai=Sonkla=Khon Khan=
=Maha sarakam Payao
=Suranaree
=Ubonratchathani=
=Faculty of science ,Mahidol U
=
=Narasuan
=Walailak=Narathiwat=Burapa
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Outcomes of CPIRD
Medical Students
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Outcome from 1995-2013
Planned no. of students Actual no. of students
14,727 11,213 (76.1 %)
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CPIRD & ODOD graduates 2000-2012
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Total of 4,154 graduates
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Graduation results 2000-‐2013
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Average % !Graduation rate
!95.6%
!Passing rate for NT 1-3*
!99.4%
!Honors graduation
!8.52%
*NT = National License Testing part 1-‐3
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Increasing number of rural physicians for
MOPH
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Physicians entering rural hospitals 2000-‐2013
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NW 12 (224 : 947) 19.1%
NW5 (209 : 1,066)16.4%
NW 1 (334 : 1,232) 21.3%
NW 8 (246 : 731) 25.2%
NW9 (416 : 1,082) 27.8%
NW2 (397 : 740) 34.9%
NW6 (140 : 1,075) 11.5%
NW11 (208 : 848) 19.7%
NW 10 (188 : 663)22.1%
NW3 (324 : 518)38.5%
NW4 (277 : 882) 23.9%
12 Health Network of Thailand CPIRD : Normal track physician
NW 7 (230 : 808) 22.2%
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15Year of graduation 2012-‐2003
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Retention of CPIRD graduates
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CPIRD graduates continue working in the rural areas after 3 years
1.14 times > regular graduates (HR 0.14, p<0.001)
Regular graduates resign from MOPH before 3 years 1.5 times > CPIRD graduates
(HR 0.66, p<0.001)
Nongluck Pakaiya. Retention of CPIRD graduates. Journal of Health System Research . 2012: 6(2); 219-‐27.
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Thank you