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Message from the Master of the Academy of Medicine of Malaysia

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Message from the Master of the Academy of Medicine of Malaysia BERITA AKADEMI / VOL. 24 No. 1 MAY 2016 Message from the Master of the Academy of Medicine of Malaysia This year, we celebrate the at the Opening Ceremony. The highlight of the Golden Golden Jubilee, a significant Jubilee will be a Gala Dinner, on the 20th August 2016. I milestone in the history of would like to urge the Colleges of the Academy to join in the Academy of Medicine of the celebrations of our glorious achievements. Malaysia. It is indeed a very I attended the Opening Ceremony of the College of humbling experience to be Physicians on 26th March 2016, at the Berjaya Times Square Master of the Academy during Hotel, Kuala Lumpur. The Ceremony was indeed dignified this momentous occasion. and steeped in tradition. The sounds of Scottish bagpipes The Academy of Medicine of and the sight of Council Members in the college gowns in Malaysia was founded in August 1957 in Singapore. It was academic procession provided a distinguished backdrop to launched as the Academy of Physicians and Surgeons, and the opening ceremony. The incorporation of the academic was re-named the Academy of Medicine in the following procession for the first time in the Annual Meeting of the year. Following the separation of Singapore from Malaysia College of Physicians, made it a historic and memorable on 9th August 1965, an autonomous Academy of Medicine of event. I hope this pomp and pageantry will continue to Malaysia was established in Malaysia under the Societies be a regular feature in the future annual gatherings. It is Act in 1966. Over the years, the Academy has grown in important to recognise, that while some restructuring took strength and stature. As the body that embraces and place in the unification process of the College of Physicians represents all the Specialties in the country, the Academy with the Academy in 1995, the unique characteristics of the enjoys the confidence of the Ministry of Health and the College were retained. Thus, the Colleges continue to use Malaysian Medical Council. Undoubtedly, we have gone their names, their logos, their constitutions and to adhere through a long, challenging but inspiring journey. It is to their respective traditions. fittingly that while we celebrate our past accomplishments, and pay tribute to the tireless and enormous contributions The Annual Scientific Congress of the College had an of the past leaders of the Academy and its Colleges. interesting theme: “Acute Medicine – Getting it right the first time!”. It was well-organised, and well-attended with To mark the Golden Jubilee, the Academy will be hosting more than 700 delegates. In recent years, acute medicine the 50th Malaysia-Singapore Congress of Medicine and the has rapidly evolved as a new specialty of Internal Medicine 3rd Tripartite Congress of Medicine (incorporating the 1st and there is a growing demand for acute care physicians Emergency Medicine Annual Scientific [EMAS] Meeting) in the country. Advances in scientific knowledge and at the Shangri-La Hotel, Kuala Lumpur, from 19th to 21st technology and the changing demography of the patients August 2016. Our Royal Patron, DYMM Paduka Seri Sultan have triggered the formation of new fields of practice in Perak Darul Ridzuan, Sultan Nazrin Muizzuddin Shah ibni medicine. The challenge of the Colleges is to acknowledge Almarhum Sultan Azlan Shah, has graciously consented these inevitable changes, be inclusive and play a positive to officiate the Opening Ceremony and to deliver the role in promoting and developing these new areas of Golden Jubilee Oration. The Presidents of over 20 overseas practice. Academies and Colleges have confirmed their attendance to grace the occasion. A book to commemorate the Despite the notable achievements of the Masters significant milestones of the Academy will be launched Programmes, we continue to face a shortage of specialist continued on page 2 BERITA 1 AKADEMI continued from page 1 manpower. The local universities are held on 15th May 2016, at the Medical qualifications. It is essential for unable to cope with the increasing Academies of Malaysia. the Specialty Subcommittees to demand for specialist education constantly review these lists and The objective of the Forum is to and training. In response, the provide feedbacks to the National advance postgraduate education Ministry of Health has embarked Credentialing Committee. The and training through effective and on a “Parallel Pathway”, an meeting also recommended the optimal utilisation of resources. It is alternative training pathway to processes to facilitate specialists’ vitally important for the profession produce more medical specialists. attachments to public and to help ensure there are not only The launch of the postgraduate private hospitals for supervised enough specialists but that they Training in Cardiothoracic Surgery, assessment. The revised procedures have the right skills mix in the in collaboration with the Royal and guidelines will be displayed on delivery of specialist care. Our College of Surgeons of Edinburgh the NSR website once it is endorsed planning for education and training recently, is a significant milestone by the Medical Council. must be aligned to the needs of the in the ‘Parallel pathway’ training. community. The Academy Council has agreed It has paved the way for the initiation to the appointment of Dr Sabariah of many more similar programmes. The Forum was fruitful with the stake Jaafar as the Manager of the NSR. While the efforts of the Ministry holders giving their valuable input. Dr Sabariah brings along her many of Health must be applauded, the There was a lot of enthusiasm to years of experience in specialist challenge will be to ensure the have a proper structured training training and specialist credentialing quality and effectiveness of the programme and a consensus for in the Ministry of Health. A total of training programmes. Also, the better governance of specialist 7060 specialists have registered with Masters Programme is more than training. the NSR; 3892 from public service 20 years-old and it was primarily and 3168 from private sector. In view modelled to produce generalist in Report of the National of the increasing workload at the various medical specialties. With Specialist Register NSR secretariat, a proposal to adopt advances in medical science and The amended Medical Act 2012 e-registration and e-filing is being technology, specialisation and requires the establishment of a studied. subspecialisation and establishment National Specialist Register. The Act of new fields of practice in medicine has received the Royal assent on the Report of the Board of is inevitable. However, excessive 5th September 2012, and the gazette Management (BOM) specialisation can be deleterious was published on 20th September to the healthcare system. Specialist As you may be aware, to facilitate 2012. The Medical Council is in the medical education training is at the construction of Duta-Ulu Kelang process of getting the regulations crossroads. It is imperative for the Expressway (DUKE 2), there has been endorsed. Although the Academy profession to deliberate on these compulsory acquisition of 667.98 sq and the Ministry of Health issues and suggest reforms in the meters (7,190 sq ft) of the Academies established the Specialist Register in specialist training programmes. land by the government. The BOM 2006, the Specialty Subcommittees With the amended Medical Act has received the compensation continue to experience difficulty 2012, the Malaysian Medical Council from the acquisition of the land, in interpreting and applying the will oversee the continuum of and this amount has been placed in guidelines. It has been necessary undergraduate and postgraduate fixed deposits in the Joint Colleges to constantly refine and fine tune medical education and training. Development Account for the time the procedures and guidelines. The We hope the amended Medical Act being. Upon re-development, the Academy’s committee on the NSR will facilitate the establishment main access/entrance via Jalan Tun held a meeting with members of the of a National Body to oversee Razak will be maintained. However, Malaysian Medical Council and the the governance of specialty and it is anticipated there may be some Ministry of Health officers to further subspecialty training with inputs inconvenience at certain stages discuss the National Specialist from the specialty bodies, the of the road works. An alternate Register’s procedures and guidelines Ministry of Health, the Universities, access to the Academy will be made on 4th April 2016. The meeting has the Academy and the private sector. available using the Jalan Maran road. requested the Medical Council The Academy, in collaboration with The BOM is also studying proposals to endorse the list of recognised the Malaysian Medical Council, to upgrade the library room, the specialties, list of recognised organised a National Forum on common function room and the car training institutions and recognised Reforms in Postgraduate Training, park area. BERITA 2 AKADEMI VICTORY OVER PAIN – THE STORY OF ANAESTHESIA IN THE MALAY PENINSULA by Dr Mohamed Namazie Ibrahim MBBS (MADRAS) FFARCS (ENG) FRCA (ENG) FAMM FAMS (Hon) “A method of mitigating pain in surgical operations by the inhalation of certain ether has been discovered in America, and it is said that successful experiments have been made” (Liverpool Mercury, Friday, December 18, 1846) The Beginning. The anaesthetic services were provided It could be said that anaesthesia as It had long been a significant problem in mainly in the west coast hospitals in Kuala specialised discipline began on a serious medical science to devise a method of Lumpur, Ipoh, Penang, Malacca, Johor note only after the World War Two and it mitigating the pain of surgical operations. Bahru, and in Kuching in Borneo (Sarawak). was after the independence in 1957 that many local doctors were sent abroad to Such a method was first demonstrated Another prominent colonial medical be trained in anaesthesia.
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