Pediatrics

In Indonesia, the service coverage of sub-specialist doctors, especially pediatric sub-specialists is still very lacking. This is due to the limited number of pediatricians who have subspecialty qualifications in various sub-specialties in addition to the lack of facilities and infrastructure that can support these sub-specialist services. To overcome this problem at this time, it is important to have a nationally standardized sub-specialist education program in child health science that requires good cooperation between professional organizations, including collegiums, with the government and also the related stakeholders. The official enactment of the ASEAN Economic Community (AEC) since the beginning of 2016 is a challenge for Indonesia, especially in the development of sub-specialist doctors in pediatric. Therefore, currently, the limited availability of pediatricians with subspecialty qualifications and the uneven distribution throughout the country needs to be addressed immediately.

In the qualification hierarchy of medical doctor profession based in the competence level, pediatrician can be classified in two groups, which are: (1) Pediatrician (Second Professional Degree) who work at the secondary health care facility, and (2) Pediatric Subspecialist (Consultant), who are the Third Professional Degree and work at the tertiary health care facility. The Pediatrics Sub-specialist Physician Education Program is a professional and academic education program that subspecialist doctors in various fields, who will later be qualified as pediatric consultant. All pediatric subspecialists will initially have basic competencies as general pediatrician, who will get the Pediatric Specialist Competency Certificate issued by the Indonesian Collegium of Pediatrics. After completing sub-specialist education, the pediatrician will receive a Sub-specialist Competency Certificate by the Indonesian Collegium of Pediatrics in accordance with their respective fields. Based on the Competency Standards issued by the Indonesian Collegium of Pediatrics, Indonesian Medical Council will issue a certificate of added qualification. In general, doctors who have this consultant degree will work in tertiary level service facilities (highest level referral hospital).

Recognition of the existence of subspecialist pediatricians in Indonesia began in the early 1980s, during which time the Indonesian Pediatrician Association (IDAI) confirmed the title of consultant pediatrician, which was given to senior pediatricians who diligently studied their subspecialty field. This inauguration was given on the basis of an assessment of expertise by the IDAI Coordination Work Unit (UKK) as a peer group from the pediatrician concerned.

In subsequent developments it was realized that in order to produce a subspecialist doctor, a structured education pattern was needed. Only through education with a structured curriculum, adhering to the principles of independent education, continuous active learning and individual achievement patterns will produce high quality subspecialist doctors.

In the early 1990s, the thought arose to create a more structured and accountable educational model, at that time, the contents and learning models began to be compiled, including a 6-month internship program at an accredited Pediatrician Educational Institution. The minimum length of education that is universally applicable is about 2 years. In April 1998 based on the 1997 IDAI Working Meeting in Jakarta. The Indonesian Collegium of Pediatrics approved and determined that the Cardiology Subspecialist Program will need 2 years (4-semester) of education with a more structured curriculum. In 2002, the Pediatric Emergency Sub-specialist Doctor Education Program implemented a 4-semester education pattern. At the XIII National Congress of Child Health Sciences (KONIKA) in Bandung, 2005, the Indonesian Collegium of Pediatrics determined that the inauguration of the title of subspecialist doctor of child health science must go through an educational program with a structured and accountable curriculum created by the Indonesian Collegium of Child Health (KIKAI Collegium). ). For this purpose, various preparations are needed, either in the form of internal consolidation or with other interested parties. Subspecialty fields of Child Health Sciences (fields of interest) consist of: