t&cm practice_towards standardization

8/9/2019 T&CM Practice_Towards Standardization

1/9

10/25/20

T&CM PRACTICE: TOWARDS

STANDARDIZATION

Kursus Asas Farmasi dalam

Perubatan Tradisional dan Komplementari25 – 26 Oktober 2010

Paradise Sandy Beach Resort, Pulau Pinang

Mohd Hadi b. Mohd Zin

Bahagian Perubatan Tradisional dan Komplementari

ALIRAN PERSEMBAHAN

Introduction

Why standardization?

How to ensure standardization?

Future plan

3

T&CM in

Malaysia

Malay

Traditional

Medicine

Chinese

TraditionalMedicine

Indian

TraditionalMedicine

Homeopathy

Complementary

Medicine

•Malay Traditional Medicine = Urut Tradisional, Rawatan Herba, Bekam,

Penjagaan Ibu Selepas Bersalin

•Chinese Traditional Medicine = Tuinalogy, Acupuncture, Moxibustion,

Cupping, Herbal Medicine

•Indian Traditional Medicine = Ayurveda, Unani, Siddha

•Homeopathy

•Complementary Medicine = Chiropractic, Naturopathy, Reiki, Colour

Vibration Therapy, etc.

T&CM PRACTICE : EXAMPLE

T&CM PRACTITIONERS:APRIL 2009

FCPMDAM[Federation of Chinese Physicians and M edicine-Dealers

Association of Malaysia]

4,161

FCPAAM[Federation of Chinese Physicians & Acupuncturist of Malaysia]

2,272

MCMA[Malaysian Chinese M edical Association]

934

MSCT[Malaysian Society for Complementary Therapies]

1,322

PEPTIM[Malaysian Association of Traditional Indian Medicine]

92

MPHM[Medical Homeopathy Council of Malaysia]

896

PUTRAMAS[Malaysian Association of Malay Traditional Medicine]

3722

Total 13,399

• Self regulation – On-line voluntary

registration (e-PENGAMAL)• Code of Practice developed

• Code of Ethics available

• MOH set up terms of reference – for

Practitioner Bodies to distribute

messages to all their members

(practitioners)

• Policies made through Standing

Committee of T&CM – Regular meetings

and discuss issues related to T&CM

CURRENT PRACTICE :


2/9

10/25/20

CURRENT FOCUS BY MOH

Traditional and Complementary Medicine Bill

AG Chamber – waiting for gazettement

Implementation of Integrated Hospital

Currently 6 hospitals

2 new hospitals end of this year (H. PD & H. Alor Star)

1 new hospitals next year in Cameron Highland

Expansion of T&CM activities

Conference, Bengkel, Consumer Education, CME, CPD

Plan to introduce new practice in Integrated Hospital (Evidence-Based

practice)

Promotion of Research

Surveillance7

NATIONAL

T&CM

POLICY

1st revision 2007

Vision

Integration of Traditional andComplementary Medicine(T&CM) into the Malaysian

Healthcare SystemMission

Ensure Quality and Safe Use ofT&CM practices and products to

attain optimal potential inhealthcare delivery

HUMAN CAPITAL DEVELOPMENT

Hong

Kong

Japan

Taiwan

India

Singapore

Amsterdam

Thailand

China

6TH International

Traditional and

Complementary Medicine

Conference

( 6th INTRACOM) 2007

INTERNATIONAL CONFERENCEINTERNATIONAL CONFERENCE


3/9

10/25/20

CONTINUOUS MEDICAL EDUCATION

Years No. of CME

2006 3

2007 11

2008 14

Jun 2009 8

CONTINUOUS PROFESSIONAL

DEVELOPMENT

Years No. of CPD

2006 6

2007 11

2008 19

Jun 2009 10

Why Standardization

of Practice?

WHY STANDARDIZATION IS NEEDED?

Ensure safety

Practitioner must undergo proper training to qualified

No unqualified practitioner will be allowed to practice af ter the Act.

Promote professionalism

Must comply with code of ethics and code of practice.

Set standard of practices

Evidence-based practices

This type of practice will be listed as a recognised practice after the Act.

Diversity of practices

4 major traditional groups and one large complementary

medicine groups.

TRADITIONAL AND COMPLEMENTARY HEALTHCARE MODALITY

CERTIFICATE DIPLOMA

DEGREE

CERTIFICATE

DEGREE

DEGREE DIPLOMA

WELLNESS EFFECT

NON INVASIVE

BODY CONTACT

EXTERNAL METHOD

NO BODY CONTACT

BODY CONTACT

Naturopathy

Nutritional Therapy

Phytobiophysic

Islamic Medical Practice

Colour Vibration Therapy

PHARMACEUTICAL

INGESTION METHOD EXTERNAL METHOD

THERAPEUTIC EFFECT

Meditation

Tai Chi

Qigong

Reiki

Yoga

Aura metaphysic

NUETRACEUTICAL

Aromatherapy

Spa Therapy

Reflexology

Massage

Homeopathy

Chinese Medicine

Ayurveda

Siddha

Unani

Herbal-based

NON INVASIVE TECHNIQUE

NO BODY CONTACT

INVASIVE TECHNIQUE Psychotherapy

Hypnosis

Aromatherapy ● Massage

Herbal heat therapy ● Crystal healing

Vibration therapy ● Reflexology

Acupuncture

Chiropractor

Osteopathy

T&CM PRACTICES


4/9

10/25/20

Standardisation of training & practice

Registration of practitioners

Licensing manufacturers - increasedsupervision of manufacturers with regards tohygiene & safety

Advocate reporting of adverse events to aregulatory body

Formal review of existing herbs

Better labelling of herbal medicines

Increased research & development funding

Ensure professionalism of practitionersthrough education

Enhance public safety and health inT&CM healthcare practices

Empower patients so that they can takeresponsibility & assist in regulating thepractitioners

Efficient utilization of governmentresources

21

© 2006 firstprinciples.8056-2006-TCM

INSTITUTIONAL STRUCTURE OF THE BILL

Individual Practitioners

Practitioner Bodies

The T&CM Council

Minister of Health

Registration &

Practising Certificate

T&CM Division

(Secretariat)

Regulatory

Enforcement

Notes:

1. Practitioner Bodies will refer to T&CM Division pertaining registration of the

practitioners

2. Practitioner will refer to practitioner bodies pertaining professionalism and

practices.

FUNCTIONS OF THE COUNCIL & SECRETARY

Determine eligibility requirements

Register practitioners

Issue practising certificate

Specify academic qualifications

Specify apprenticeship or training

requirements

Develop rules on professional

conduct and penalties for breach

Develop disciplinary process

Develop complaints procedures

Recognise academic institutions

or specific academic courses

Referral rules

General function to mandate or

prescribe on any matter relating to

the practice or the

professionalism of the practice

Obtain information

Advise Minister & comply with

Ministerial directions

22

• Guidelines for levels &kinds of evidence to

support claims fortherapeutic products

• Guidelines for the clinicalevaluation of T&CMinterventions

• Guide to intellectualproperty management

• Guidelines forstandardization of herbalmedicinal products


5/9

10/25/20

• Develop standard & criteria of T&CM

modality of practices, collaboration withacademician, practitioners & Malaysian

Qualification Agency (MQA)

• Benchmarking visit to recognised T&CM

learning institutions

BENCHMARKING VISIT TO CHINA

13 STANDARD AND CRITERIA

T CM MODALITIES

Bachelor in Traditional Chinese Medicine

Bachelor in Traditional Chinese Medicine (Acupuncture)

Bachelor in Malay Medicine

Bachelor in Complementary Medicine (Natural Medicine)

Bachelor in Complementary Medicine (Chiropractor)

Bachelor in Homeopathy

Bachelor in Ayurvedic Medicine

Diploma in Acupuncture

Diploma in Malay Massage

Diploma in Islamic Medical Practice

Diploma in Aromatherapy

Diploma in Reflexology

Diploma in Natural Medicine

INSTITUT PENGAJIAN YANG MENAWARKAN PERUBATAN

TRADISIONAL DAN KOMPLEMENTARI DI MALAYSIA

B IL NA MA U NI VERSITI/KOLEJ TA JUK PR OGRAM PE NGAJIAN

NO. RUJUKAN

PROGRAM

1 . C ol le ge o f C om pl em enta ry

Medicine, Melaka

Diploma in Natural Medicine KA 8655

2. INTI International University

College, Nilai

Bachelor of Traditional Chinese

Medicine (Hons)

KA 8767

3. Cyberjaya University Col lege of

Medical Sciences (CUCMS),

Cyberjaya

Bachelor of Homeopathic Medical

Sciences (Hons)

KA 9621

4. Management and Science

University (MSU), Shah Alam

Diploma in Traditional Chinese

Medicine

KA 10021

5. Management and Science

University (MSU), Shah Alam

Bachelor in Traditional Chinese

Medicine (Hons)

KA 10057

6. I nternat ional Med ical

University (IMU), Bukit Jalil

Bachelor of Science (Honours)

Chiropractic

KA 9294


6/9

10/25/20

How To Ensure

Standardization !T&CM

Practitioners

Standard

Practice

Training

Registration

Credentialing

Licensing

PRACTISE AREAS

TO BE REGULATED IN MALAYSIA

Traditional

Medical

Systems

Mind-Body

Interventions

Biologically-based

therapies

Manipulative & body-based

methodsEnergy therapies

Trad. Chinese

Medicine, Trad.

Indian Medicine,

Trad. Malay

Medicine,

Homeopathy

Meditation, mental

healing, art or music

therapy

Therapies using

natural substances

eg. Aromatherapy,

herbs heat therapy,

etc

Osteopathic

manipulation,

Chiropractic,

Bio-fieldtherapies – e.g.Qi gong, Reiki,etc

Massage

Examples

Complementary practice

Level of Practice

• Practitioner – Degree level

• Deputy – Diploma level

• Assistant – Certificate level

Work with Professional Society &

Practitioners’ Bodies

What required for

Standardization ?

• Infrastructure of Practice

• Site• Type of Practice

• Qualification

HOSPITAL KEPALA BATAS


7/9

10/25/20

HOSPITAL PUTRAJAYA

HOSPITAL SULTANAH NUR ZAHIRAH

39

TRADITIONAL MALAY MASSAGE

for post stroke

and chronic pain

Akupuntur

Rawatan selepas strok & kesakitan kronik

Type Practitioner

Degree• Chinese / Ayurvedic physician• Acupuncturist

• Homeopaths/ Naturopathy

• Chiropractor

• Malay Med Practitioner

• Aromatherapist

• Malay masseur

• Reflexologist

• Islamic Medical Practitioner

• Naturopathy

• Wellness & Spa therapists

Diploma

Certificate 42

Degree

• Accredited University/colleges• Program of 4+1

• National Qualifying Exam

• Full time practitioners

Diploma

• Accredited Colleges/University• National Qualifying Exams• 90 credit hours/2.5 yrs• Deputy to Practitioners ?

Existing Medical/Allied Health

• postgrad diploma•Master by coursework


8/9

10/25/20

43

University/ Colleges

• Accredited by

• Entry requirement as stipulatedby Malaysian Qualification Agency

• Fulfilled other requirements

T&CM Council

Skill Development

Dept(JPK)

Ministry of Higher

Education

Practitioners

bodies/ Society

44

CertificateMinimum of 30 credit hours

(6 months +)

• Colour Vibration Therapy

• Reiki• Qi gong• Batch Flower • massage•Reflexology• Aromatherapy

• Others

T&CM Council

Jabatan Pembangunan

Kemahiran(MLVK)

Ministry of Higher

Education

Practitioner’s

bodies/ Society

Registration of

T&CM Practitioner

Registration of

Foreign Practitioner

Registration of

Local Practitioner

LOCAL PRACTITIONERS

ONLINE REGISTRATION

HTTP://TCMONLINE.MOH.GOV.MY

REGISTRATION

e-Pengamal

Full registration

Notification

Negative Licensing Scheme

Transition

Licensing

•to registered practitioners

• Sit for National Qualifying Exam

•Certificate of practice issued

• CPD for renewal of PC


9/9

10/25/20

Basis for Licensing

e.g: Massaeur

•Have minimum no. of hours in class practical

• passed national certification exams

•Maintain specific CPD requirements (30 points)

Credentialing

• process of obtaining, verifying and assessing

qualifications to provide patient care services

•Assess competence

Promote Evidence-based T&CM practices

Career Scheme government agencies

Good Practice Guidelines

SKIM PERJAWATAN

T&CM Practitioner

Bachelor in T&CM

Grade UT 41, 44, 48, 52, 54

T&CM Deputy Practitioner

Diploma in T&CM

Grade UT 29, 32, 36, 38

T&CM Assistant Practitioner Certificate in T&CM

Grade UT17, 22

NETWORKING AND INTERNATIONAL

COLLABORATION

Integrative medicine

Regulation

Education

Research

Bilateral with relevant countries.

TERIMA KASIH

THANK YOU

FOR YOURKIND

ATTENTION

t&cm practice_towards standardization

Documents