Faculty of Medicine, Chulalongkorn University, Thailand by uur36286


									   Reassessment of Network: TUFH Full Membership – Faculty of Medicine,
                    Chulalongkorn University, Thailand

                       Summary of the Self-evaluation report

The Faculty of Medicine, Chulalongkorn University (CU) has been officially open
since 1947. It has been founded in keeping with the wishes of H.M. King
Anandhamahidol to “see the University of Medical Science to produce more doctors
for more of health care for the people”. By joining and collaborating with the King
Chulalongkorn Memorial Hospital and the Thai Red Cross Society, the Faculty of
Medicine, Chulalongkorn University has the steadfast philosophy that “In a spiritual of
academic excellence and internationalisation, CU doctors alongside the Thai Red
Cross Society serve the public with virtue”.

In the past, the problems of health-care systems in the rural areas (including a
shortage of doctors, poor distribution of doctors, inappropriate training of doctors and
insufficient health-care services) had persuaded the Ministry of Public Health to
promote the project called Medical Education for the Rural Areas Project (MESRAP).
By hands of our institute, the MESRAP has been successfully launched in 1976. The
project has the major objective to provide more efficient doctors for the district
hospitals. Under the MESRAP’s procedure, the students who enroll in the
programme are recruited from the rural areas in accordance with their highschool
grade, and particularly their behavior. These MESRAP students will be officially
assigned to the hospitals in their own towns after they have graduated. By this
promising circumstance, the MESRAP students have been trained to become a
doctor suitable for the district hospitals.

Together with the contents of community medicine, our new developed curriculum
(1999) has its own philosophy that emphasizes the way of inquiry and problem-based
learning (PBL). Especially, our medical students should know how to learn by
themselves and should have their responsibility and self-confidence under the good
humanity with moral and medical ethics. By way of PBL, case studies on specific
problems are presented to students who are then encouraged to discuss how to
solve such health problems.

During the clinical years, the fourth-year students will be assigned to do health
survey and sociograph for collecting data on the health problems in remote rural
areas. This learning-by-doing process is not only giving them experience but also
motivates them because of the real situation. For the fifth-year students, each
student will be assigned to work for three weeks in four out of eight hospitals in rural
areas of Thailand. They will earn more experience in the community-health-problem
solving process and comprehensive health services. Then, in their sixth year, each
student will be assigned to work for three months in one of 20 hospitals located in
rural community.

However, for the MESRAP students, the programme will assign them for more
experience in a district hospital. That means they have to spend their clinical training
(4th-6th year) at provincial hospitals. In addition, the MESRAP students will have a
special summer programme to make a visit to the community and also to participate
in the clinical service sites. Moreover, by means of the MESRAP programme, the
students will have a chance to have contact with a team of professionals including
doctors, nurses, orderlies or community health workers. For the MESRAP students
who have been taught through ways of inquiry and problem-based learning, it should
be easy to get into the real situation that will provide them to earn more experience
from those professional teams. In particular, the students should be able to apply
their critical thinking with their experience in order to synthesize and get the mutual
understanding for primary health care (PHC).

In our institute, various research works have been produced based on the serious
health problem issues. Especially the majority of community-centred research
including health promotion, healthcare system, health economy, and health policy
analysis have been documented and widely distributed by the Department of
Preventive and Social Medicine. These researches not only provide the significant
data based for the community, but they also provide more experience for our Faculty
staff in order to transfer to our students. Our institute does not only provide and
conduct teaching and doing research among our staff, but it also has a strong
mission to create and develop a network for both aspects to meat the national and
international levels.

By the year 2001, our curriculum will be slightly modified in order to produce our
graduated medical doctors in parallel with the policy guideline of the National Medical
Board, and also with the international aspects. The new curriculum will emphasize
our students on community-based and on the idea of holistic approach. This means
that the PHC has to be strengthening for the community. Three major factors,
including social, government policy and education, are strategies for renovation of
the new health system for our country. Health-for-all is the prospective goal for our
country’s health policy by the year 2002.

For further information: Prof. Pirom Kamol-ratanakul
Email: dean@md2.md.chula.ac.th

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