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Professional Regulatory Model
Prof.Abdulaziz H. Al Saigh FRCS, FACS Professor of Surgery Secretary General Saudi Commission For Health Specialties 22 Oct Dubai
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INTRODUCTION The Saudi Commission for Health Specialties (SCHS) is a scientific body having a corporate entity. It was established by a Royal decree No. (M/2) (5/8/1992 G) with headquarter sited in Riyadh and so far has eighteen (18 ) branches.
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Branches 18
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SCHS Vision The Kingdome of Saudi Arabia Healthcare Professions advanced to performance levels on a par with international standards
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SCHS Mission Advance healthcare standards through the design and regulation of postgraduate training Programs, the effective classification and registration of healthcare practitioners, and encourage research and continuing health professional development in the Kingdom, through partnership with local and international institutions.
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SCHS Organizational Structure
ASG -Classification & Registration Classification & Registration Documentation
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SCHS Decision Making Boards and Committees
The Board of Trustees Executive Board Scientific Councils Other Committees
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OBJECTIVES AND FUNCTIONS
1. Establish guidelines and standards for health practice including profession ethics. 2. Accredit health certificate, evaluate performance and classified them accordingly. 3. Issuance of professional certificates, diplomas, fellowships and memberships. 4. Design, accredit and supervise Training Programs.
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OBJECTIVES AND FUNCTIONS
5. Establish scientific boards to implement Training Programs. 6. Assess and accredit health Institution (Hospital etc.) for training purposes and specialization. 7. Supervise examinations in various specialties and approve the results. 8. Promote research, publication of scientific papers within its field.
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OBJECTIVES AND FUNCTIONS
9. Participate in the proposal of general planning in the development of health manpower. 10. Hold symposia and conferences mainly in Medical Education. 11. Encourage scientific health research. 12. Coordinate with other councils, societies, and health colleges inside and outside the Kingdom. 13. Approve the establishment of scientific societies in health specialties.
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Main responsibilities of SCHS :
Classification and Registration ( Licensing ) of all health practitioners. Postgraduate training and Certification . Approval and supervision of scientific professional associations in the healthcare field.
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Registration & Classification
Objectives Guarantee the practitioners’ ability to carry out the functions of the profession Assessment and equivalence of practitioners and their experiences. Introducing standards & work ethics to health professionals in the kingdom.
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Registration & Classification
Follow the practice of health professionals to detect low efficiency or male practice and correct them Reiterate the commitment of practitioners to pursue medical education programs to develop their skills and follow-up in their fields. Create a national standardized database for all health practitioners.
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Requirement for Classification and Registration
Fill-up the form Certificates Employment letter Malpractice Medical Insurances BLS / ACLS / ATLS Passing the Exam / Evaluation Copy of ID 2 Photos medical report - above 60 years Data Flow Pay the Fees
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Requirement for Re-Registration
Valid - BLS / ATLS / ACLS Valid - Malpractice Insurance Required CME hours Employment letter Fees
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Primary Sources Verification (PSV) Requirements
Clear copy of certificates, transcripts, and diplomas needed to have PSV. Clear copy of the passport Certificate of Employment Fill the proper application Sign the form to authorize Data Flow to complete the PSV process Pay the fee PSV Fees: 400 SR for Physicians 350 for Non-Physicians
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C&R Fees Technicians & Assistants 600 SR
Classification Technicians & Assistants 600 SR GP, Residents &other Specialists 1100 SR Registrar & S. Registrar 1500 SR Consultants 1800 SR Technicians & Assistants 240 / 400 SR Registration Specialist, Pharmacist 360/ 600 SR Resident, S. Specialist & Pharmacist 1 480 / 800 SR S. Registrar 600 / 1000 SR Consultants MD 750 / 1250 SR Consultants non-MD 600 / 1000 SR
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Registration & Classification
Compulsory for all health practioners Procedures A Compulsory written examination for masters’ and diploma degree holders and below B fellowships and Board 1- Direct classification a Grant degree 2- Written exam. ( CBT) 3- Assessment committee 4- Written examination + Assessment.
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Current process for classification, registration and re-registration is partially manual; however, by the end of 2014 it will be fully electronic.
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Receiving & Reviewing Application Central Approval Unit (CAU)
Current C&R Process Receiving & Reviewing Application The C&R Staff will review application to ensure that all necessary documents are complete and accurate. Also, the applicant is requested to complete the PSV process via Data Flow. Data Entry The C&R staff will enter the requested data into the C&R computer system, then the process will take one of four different pathways Initial approval Done via the receiving C&R staff. Then forwarded to the Central Approval Unit electronically Central Approval Unit (CAU) Will review and approve the application. Incase if there was any missing information it will be returned to the Receiving staff for completion. Or Incase if there is reservation concerning the qualification, it will be forwarded to the Authorized Person in SCHS. Final Approval The certificate & card will be printed and signed Receiving The card & certificate will be received by the practitioner 1 2 3 4 5 6 Direct C&R Written Exam Electronic Test Professional Evaluation
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Electronic Process
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Eligibility Request for Overseas Practitioners
Start Open an Account In Mumaris System Select Eligibility Request Fill-in related data and upload needed Attachments Practitioner Review & Approve Activation Link Integration Middleware Eligibility Number, Basic Data, Certificate, Result Saudi Licensing Examination Certificate Verification End 29/02/1440
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Registration & Classification eService
Start Login to Mumaris System Select Registration & Classification e-Service Fill-in related data and upload needed Attachments Alpha Practitioner Review Application Communicate with Practitioner Check Selections Approve Process Path based on Alpha Pay Fees Saudi Licensing Examination Certificate Verification Review & Approve End Card Delivery Branch / FedEx Registration Card Printing 29/02/1440
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Grading of Physician Resident ( GP ) Registrar S. Registrar
Bachelor's Degree in Medical / Dentistry + 1 year Internship Registrar Specialty Certificate not less than 2 years S. Registrar Saudi Board / equivalent Consultants Saudi Board / equivalent + 3 years of Experience
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Grading of Non Physician
Technicians High school + Diploma 1-3 years S.Technicians High school + Diploma 3 years Specialist Bachelor's Degree S. Specialist Master Degree 2 years + 2 years of Experience Consultants PhD / equivalent + 3 years of Experience
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Number health practitioners Saudis and non-Saudis registered with the SCHS
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Number of Fraud qualifications Presented to SCHS during 2001 To Sep 2014
Total 2757
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Government private Total
Specialty Government private Total Nursing 523 1108 1631 Pharmacy 27 348 375 Laboratory 60 100 160 Radiology 47 84 131 Dental 17 91 108 Optometry GP 23 39 62 Anesthesia 37 6 34 Physical Therapy 10 22 32 Sterilization 5 Operations Technician 16 2 18 ECG 14 4 Midwifery 9 15 Sciences 3 8 Medical records 7 Prosthetics 1 Blood Banking secondary school Internal Medicine Electronic Engineering Psychiatry Nutrition Chiropractic 828 1,929 2,757
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Collaboration with other agencies
SCHS Board of Trusties, which has representatives from many Health Sectors Many of the day-to-day processes are conducted after collaboration with other government agencies within KSA including: Ministry of Health Ministry of Civil Services Ministry of Higher Education Ministry of Interior Health Services Council Experts Authority Conducting training programs and professional Evaluations are manly provided via approved tertiary care centers SCHS MOH MOHE EA HSC MOCS MOI
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Challenges Collaboration between other government agencies .
Control of fraud certification Blacklist sharing with other countries and Agencies Connecting electronically with other government agencies. Practitioners taking Prometric exams are not fully aware of the regulations of the exam despite the effort made to make them aware.
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Challenges Negative Attitudes/Communication of some HCPs.
Practitioners take un-structured/un-acceptable training, or wants to be classified as consultants without meeting the required SCHS standards. Applicants insist to apply in Riyadh SCHS instead of local branch.
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Conclusion Healthcare practice is continuously evolving, As a result, C&R Process is going through continuous changes, and that is natural but may produce some challenges. Collaboration among various agencies local and international is a must. SMART Plan-of-Action is mandatory at this stage to meet challenges Faced by Regulatory institutions Responsible For C&R of practitioners.
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Thank you…
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