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
Dr Rajin Arora, Deputy Director of CPIRD, MOPH, Thailand
CPIRD Faculty Development Program
ECME Essential Course for
Medical Educator“12 Expected Outcomes”
!!!!!
Rajin Arora, MD ECME Course Director
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
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
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/
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
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
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
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
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
Increasing number of rural physicians for
MOPH
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%
15Year of graduation 2012-‐2003
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.
Thank you