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Conferences and Lectures Research and Reviews Vol. 50 No. 3 May-June 2007 Conferences and Lectures 42nd CMAAO Mid-Term Council Meeting: SYMPOSIUM —Continuing Development in Ethics and Professionalism— ............................................................ 197 [Hong Kong] The Hong Kong Medical Association—Symposium paper for year 2005-2006 .......................... 198 [Indonesia] Ethico—Legal System as Framing Tools to Enhance Professionalism in Indonesia ................ 207 [Japan] Challenges of Physicians and Medical Associations in Japan —Japan Medical Association playing a leadership role in child support activities— ............... 214 [Korea] The Development of Medical Ethics in Korea ......................................................................................... 218 [Macau] Continuing Development in Ethics and Professionalism ..................................................................... 226 [Malaysia] Continuing Development in Ethics and Professionalism by Malaysian Medical Association ........................................................................................................................................................... 228 [New Zealand] International Code of Medical Ethics .......................................................................................................... 234 [Philippines] Continuing Development in Ethics and Professionalism ..................................................................... 236 [Singapore] Continuous Professional Development (CPD) Programmes on Medical Ethics and Professionalism in Singapore ............................................................................................................... 238 [Taiwan] Ethics as Core Competence: Continuing development in ethics and professionalism on Taiwan .............................................................................................................................................................. 243 [Thailand] Continuing Development in Ethics and Professionalism in Thailand (2006) ................................ 254 [Sri Lanka] Development of Ethics and Professionalism in Sri Lanka .................................................................. 255 Research and Reviews The Physician-Patient Relationship Desired by Society Hiroyasu GOAMI ................................................................................................................................................. 259 Contents Local Medical Associations in Japan Activities of the Tochigi Medical Association Takeshi FUKUDA ................................................................................................................................................ 264 Activities of the Gunma Medical Association Toshiro IKEYA ..................................................................................................................................................... 267 International Medical Community Presidential Address at the 57th WMA General Assembly (Summary) Nachiappan ARUMUGAM ................................................................................................................................. 269 Healthcare System Reform in the United States —Analysis based on this year’s State of the Union Address and Budget Message— Kenya NISHIHIRA .............................................................................................................................................. 272 From the Editor’s Desk Masami ISHII ......................................................................................................................................................... 276 Conferences and Lectures 42nd CMAAO Mid-Term Council Meeting: SYMPOSIUM —Continuing Development in Ethics and Professionalism— Grand Copthorne Waterfront Hotel, Singapore November 24–26, 2006 The 42nd CMAAO (Confederation of Medical Associations in Asia and Oceania) Mid-Term Council Meeting was held from Fri. November 24 to Sun. 26, 2006 in Singapore and attended by a total of some 50 representatives of 13 medical associations (12 existing medical associations and Sri Lanka, whose membership has been newly approved). The following is a summary of the symposium that was held on November 26, on the theme of “Continuing Development in Ethics and Professionalism.” CMAAO Meeting in Singapore JMAJ, May/June 2007 — Vol. 50, No. 3 197 Symposium Continuing Development in Ethics and Professionalism [Hong Kong] The Hong Kong Medical Association— Symposium paper for year 2005–2006 CHAN Yee-shing Alvin*1 *1 Council Member, Hong Kong Medical Association, Hong Kong ([email protected]). 198 JMAJ, May/June 2007 — Vol. 50, No. 3 HONG KONG MEDICAL ASSOCIATION JMAJ, May/June 2007 — Vol. 50, No. 3 199 Chan YA 200 JMAJ, May/June 2007 — Vol. 50, No. 3 HONG KONG MEDICAL ASSOCIATION JMAJ, May/June 2007 — Vol. 50, No. 3 201 Chan YA 202 JMAJ, May/June 2007 — Vol. 50, No. 3 HONG KONG MEDICAL ASSOCIATION JMAJ, May/June 2007 — Vol. 50, No. 3 203 Chan YA 204 JMAJ, May/June 2007 — Vol. 50, No. 3 HONG KONG MEDICAL ASSOCIATION JMAJ, May/June 2007 — Vol. 50, No. 3 205 Chan YA 206 JMAJ, May/June 2007 — Vol. 50, No. 3 Symposium Continuing Development in Ethics and Professionalism [Indonesia] Ethico-Legal System as Framing Tools to Enhance Professionalism in Indonesia Agus PURWADIANTO*1 Professionalism is a big issue towards Indonesian At the suprastructure level, there are two doctors nowadays. We have had “malpractice important regulation for medical practitioners’ fever” as a result of cumulative miscommunica- professionalism, i.e. Medical Practice Act 2004 tion gap between doctors/hospitals—patients. and National Social Security Act 2004. Indonesia The Indonesian people become more litigious. is now in a transition period to meet the mostly As a result, mostly Indonesian doctors become a international standard of health care system, by little bit defensive in doing their practice, giving focusing professionalism as an important para- the “out of pocket” health care system more digm of the medical profession. The Medical expensive. Council with it’s subordinate the Medical Disci- The competition between doctors become plinary Board as well as the Ministry of Health fiercer. There are a huge number of new Indone- with National Health Insurance and Indone- sian doctors—approximately about 2,000 first pro- sian Medical Association with it’s “subordinate” fessional degree doctors—come to the medical Medical Ethics Honorary Board will play a signifi- and health sector, as a product from 53 medical cant role to make “law as a social/medical prac- faculty through out Indonesia. But only a few— titioners engineering” to regulate and prescribe about less then 30% out of them—that do not the good competency, quality and professional have opportunity to entry residency as post- conduct of Indonesian doctors. graduate students. The Indonesian College of But professionalism can not stand alone. It Medical Specialist still has difficulties to develop should be packaged as a system. We call it: the “mass production” of specialist to fulfill the soci- ethicolegal system. ety’s existing demand. *1 Secretary of Medical Ethics Honorary Board, Indonesian Medical Association, Jakarta, Indonesia ([email protected]). JMAJ, May/June 2007 — Vol. 50, No. 3 207 Purwadianto A 208 JMAJ, May/June 2007 — Vol. 50, No. 3 INDONESIAN MEDICAL ASSOCIATION JMAJ, May/June 2007 — Vol. 50, No. 3 209 Purwadianto A 210 JMAJ, May/June 2007 — Vol. 50, No. 3 INDONESIAN MEDICAL ASSOCIATION JMAJ, May/June 2007 — Vol. 50, No. 3 211 Purwadianto A 212 JMAJ, May/June 2007 — Vol. 50, No. 3 INDONESIAN MEDICAL ASSOCIATION JMAJ, May/June 2007 — Vol. 50, No. 3 213 Symposium Continuing Development in Ethics and Professionalism [Japan] Challenges of Physicians and Medical Associations in Japan —Japan Medical Association playing a leadership role in child support activities— Sadaomi IMAMURA*1 school as well as at home is an extremely urgent Current State of Japan’s Declining issue. Birthrate Because child abuse has such a tremendous affect on the psychological well-being of children In Japan the total fertility rate is declining at a during their formative years, its early identifica- rapid pace; in fact Japan currently has one of the tion and early intervention are particularly impor- fastest falling birthrates in the world. As the tant; the role of physicians is thus extremely trend for women to continue working and marry significant. later has continued to grow, the birthrate has To enable parents to successfully balance fallen, with the total fertility rate dropping to a work and child-raising, child-raising support in record 1.25 in 2005. The government has been the local community is vital. Considering the putting forward various measures to counter this anxiety about child-raising felt by many women declining birthrate, but unfortunately we cannot and the incidence of child abuse by mothers, say that these have had sufficient effects. How there is a need for physicians—particularly to curb the declining birthrate is an extremely pediatricians—to not only supervise children’s important issue facing Japan today. health and medical treatment, but also act as The enhancement and strengthening of sup- children’s advocates. port activities for child-raising has been promoted as one countermeasure to the falling birthrate; JMA’s Child Support Activities however, in recent years the child-raising envi- ronment has changed tremendously with the rise The Japan Medical Association (JMA) believes of the nuclear family and changes in local com- that we have
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