[SP1-5] Current status of ICU and intensive care medicine in Thailand
【
同時通訳付き】
HOSPITAL APPOINTMENT
1999 Staff Surgeon and Intensivist, Phramongkutklao Hospital, BKK
2014-2018 Chief of Military Medicine Center, Phramongkutklao Hospital
MEDICAL CERTIFICATION
2005 Advanced Trauma Life Support™ Instructor, RCST
2002 Diplomat Thai Board of Critical Care of Medicine
1997 Diplomat Thai Board of Surgery
MEDICAL ACTIVITIES
2005-2007 Deputy Secretary General, AGST
2006-2012 Secretary General, TSCCM
2008- present Editorial Board, Journal of AGST
2014- present Editorial Board, Journal of Department of Medical Services, MOH
2016—present President of elect of TSCCM
SPECIAL MED TASK/TRAINING
2003 Executive Officer and Surgeons, UN Hospital, Dili, East Timor
2004 CHART course, CFE-DM, USA
2008 H.E.L.P course, CFE-DM, USA
2013 Certification of Occupational Medicine and ILO Classification 2000, Department of Medical Services, MOH
SPECIAL MED-Related TASK/TRAINING
2014-present Lecturer and Advisory Committee in Occupational Health and Safety, Chitralada Vocational College
2015-present Committee and Physician to National Paralympic Committee of Thailand
Note:
RCST abbreviated of Royal College of Surgeons of Thailand
AGST abbreviated of Association of General Surgeons of Thailand
TSCCM abbreviated of Thai Society of Critical Care Medicine
MOH abbreviated of Ministry of Health, Thailan
After being established in the early 1990s, TSCCM was authorized to certify Diploma of the Thai Subspecialty Board of Critical Care Medicine by Thai Medical Council in 1998. The 2-year multidisciplinary training course gradually develops from 4 trainees a year at the beginning to 27 physicians a year in 7 training-centers at this time.
TSCCM Fellowship syllabus aims our Certified intensivist to achieve knowledge and skill requirements in all entrustable professional activities according to World Federation for Medical Education criteria at basis. Knowledge advancement and Technological innovation make current ICU in Thailand evolved into a complex environment. Hemodynamic monitoring tools, Extracorporeal membrane oxygenation and Continuous Renal Replacement Therapy are examples of equipment developed to enhance care for patients with greater comorbidity and higher disease severity in the era of aging society. To promote familiarity to any complex or emerging field for ICU physicians, TSCCM also facilitate several short-course to refresh or supplement them periodically such as ECMO course or Comprehensive Hemodynamic Optimization in Critically ill patients (CHOC) course besides annual Scientific Conference.
The availability of Thai inpatient services at 2.16 hospital-bed per 1,000 population reveals 12.97 ICU-bed per 100,000 population (6% of all hospital bed). Currently, there are only 124 certified Intensivists dedicating ICU care in 8,589 ICU-bed nationwide (55% of beds in public hospital). Almost 90% of them work fulltime in dual-duty pattern such as providing anesthesia service in operating rooms while also attending for ICU consultation. The ratio of 0.67 physician per 1,000 population in Thailand 2015 makes the number of available intensivists is far away from optimal ICU staffing estimated officially at least four-fold.
According to Thailand Nursing and Midwife Council, there are currently 191,059 registered nurses in Thailand which only 1438 enlisting to TSCCM member. The formal training courses for critical care nurses have been developed in 11 medical institutions to deliver higher quality care. The non-mandatory certification for registered nurses after 4-month of training will be provided to validate nursing knowledge and competency. One thousand of registered nurses participate in TSCCM annual scientific conference each year more than a decade.
Nowadays, growing burden of critical illness in an aging society challenge all health-care professionals in many aspects. We all should foster scientific collaboration and even working coordination among organizations in intensive care field to pursue the best delivery of care in our own services.
TSCCM Fellowship syllabus aims our Certified intensivist to achieve knowledge and skill requirements in all entrustable professional activities according to World Federation for Medical Education criteria at basis. Knowledge advancement and Technological innovation make current ICU in Thailand evolved into a complex environment. Hemodynamic monitoring tools, Extracorporeal membrane oxygenation and Continuous Renal Replacement Therapy are examples of equipment developed to enhance care for patients with greater comorbidity and higher disease severity in the era of aging society. To promote familiarity to any complex or emerging field for ICU physicians, TSCCM also facilitate several short-course to refresh or supplement them periodically such as ECMO course or Comprehensive Hemodynamic Optimization in Critically ill patients (CHOC) course besides annual Scientific Conference.
The availability of Thai inpatient services at 2.16 hospital-bed per 1,000 population reveals 12.97 ICU-bed per 100,000 population (6% of all hospital bed). Currently, there are only 124 certified Intensivists dedicating ICU care in 8,589 ICU-bed nationwide (55% of beds in public hospital). Almost 90% of them work fulltime in dual-duty pattern such as providing anesthesia service in operating rooms while also attending for ICU consultation. The ratio of 0.67 physician per 1,000 population in Thailand 2015 makes the number of available intensivists is far away from optimal ICU staffing estimated officially at least four-fold.
According to Thailand Nursing and Midwife Council, there are currently 191,059 registered nurses in Thailand which only 1438 enlisting to TSCCM member. The formal training courses for critical care nurses have been developed in 11 medical institutions to deliver higher quality care. The non-mandatory certification for registered nurses after 4-month of training will be provided to validate nursing knowledge and competency. One thousand of registered nurses participate in TSCCM annual scientific conference each year more than a decade.
Nowadays, growing burden of critical illness in an aging society challenge all health-care professionals in many aspects. We all should foster scientific collaboration and even working coordination among organizations in intensive care field to pursue the best delivery of care in our own services.