Professional Achievements of. Ministry of Health Dietitians in Malaysia

Transcription

1 RIDZONI SULAIMAN BSc Hons Dietetics University Kebangsaan Malaysia, MSc Community Nutrition, University Indonesia Fellowship Nutrition and Dietetics, University Flinders, Australia, Fellowship Hospital Dietetics, University St Mariana Japan Head, Dept. of Dietetic and Food Services Hospital Kuala Lumpur Head, Dietetic Profession, Ministry of Health Malaysia Head, National Dietetic and Food Services, Ministry of Health Malaysia Head, Technical Committee Dietetic Profession, Ministry of Health Malaysia Head, Committee of Allied Health Profession Act (Dietitian), Ministry of Health Malaysia Vice President, Malaysian Dietitians Association (MDA)

2 Professional Achievements of Ministry of Health Dietitians in Malaysia

3 OUTLINE 1 Dietetic Services History in Malaysia Dietitian vs Nutritionist Allied Health Science Division MOH and Appointment of Head of Dietetic Profession MOH Requirements to Qualify as a Dietitian Scope of Dietetic Services and Responsibilities In-patients Out-patients Health Clinics and Community Food Services Sport School Statistics

4 OUTLINE 2 Biro Kompetensi dan Latihan Nutrition Care Process Standard Operating Procedures Medical Nutrition Therapy Guidelines Trainings Undergraduate / Post graduate Inservice training Biro Inovasi dan Penyelidikan Researches and Innovations

5 OUTLINE 3 Biro Perkembangan Profesion Credentialing and Privileging Garis panduan Perkembangan Profesion Workload Indicator Staffing Needs (WISN) Allied Health Profession Act 2016 (AHP Act) Quality Assurance Programs Key Performance Indicator Audit Dietetic Clinical Audit Food Services Other Achievements Future Plan

6 Dietetic Services History in Malaysia

7 Dietetic Services History in Malaysia Before Patient meals managed by Stewards, named as Kitchen Unit/Foodservice Unit First dietitian employed in MOH as Patient Meal Supervisor First Catering Officer employed in MOH Patient Meal Supervisor (Penyelia Jenis Makanan) upgraded to Management and Professional Category Employment of locally graduated dietitians from UKM Patient Meal Supervisor (Penyelia Jenis Makanan) changed to Dietitian (Pegawai Dietetik)

8 Hospital Kuala Lumpur (HKL) has grown considerably since its inception in It is located on a 150 acres of prime land in the city of Kuala Lumpur.

9 Wawasan Perkhidmatan Dietetik & Sajian Jabatan Dietetik & Sajian akan berusaha dalam perkembangan perkhidmatan makanan, dietetik klinikal dan juga promosi kesihatan untuk membantu rawatan pesakit selaras dengan wawasan dan misi hospital serta Kementerian Kesihatan Malaysia Sistem pengurusan akan mengutamakan inovasi, teknologi dan pengetahuan terkini ke arah peningkatan kualiti berterusan.

10 Misi Jabatan Dietetik & Sajian berusaha untuk Perkhidmatan Dietetik Membantu rawatan perubatan melalui perkhidmatan dietetik klinikal dan promosi kesihatan berdasarkan amalan evidence-based disamping menyumbang kepakaran dalam bidang berkenaan. Menyumbang kepada kajian dan penyelidikan dalam bidang pemakanan dan dietetik. Perkhidmatan Sajian Merancang penyediaan makanan dengan mematuhi keperluan nutrien, tatacara proses katering, prinsip kebersihan dan keselamatan makanan, bersesuaian dengan teknologi semasa serta berkualiti. Melaksanakan sistem pengurusan dengan sempurna berdasarkan polisipolisi, pekeliling-pekeliling dan arahan yang ditetapkan.

11 Dietitian Vs Nutritionist in Malaysia

12 Dietitian vs Nutritionist Dietitian an individual who is trained and registered as a Dietitian to perform nutrition assessment and diagnosis, prescribe medical nutrition therapy, monitor, evaluate and document the nutrition care of individuals and groups requiring diet intervention and rehabilitation, provide diet counseling to individuals and care givers, manage foodservices including therapeutic diets, and promote wellness in the community and provide consultation to related industries. Nutritionist an individual who is trained and registered as a Nutritionist to promote nutritional well being, prevent nutrition-related diseases, conduct nutrition intervention, carry out nutrition or nutrition related research and development, provide nutritional consultancy and advice, assess and monitor the nutritional status of individuals and communities.

13 MULTI RESPONSIBILITIES OF DIETITIAN Clinician Trainer Researcher Food Specialist Lifestyle Coacher Councilor Public Health Practitioner Policy development Specialist Marketing professional

14 Organisation Chart Of The Ministry of Health, Malaysia

15 Scope of Services PROMOTIVE PREVENTIVE Nutritionist CURATIVE REHABILITATIVE Dietitian PALLIATIVE

16 Allied Health Science Division MOH and Appointment of Head of Dietetic Profession MOH

17 Allied Health Science Division MOH Found 1 st November 2008 Governs 23 Allied Health Professions in the whole of Malaysia 1 st Director of Allied Health Science Division Dato Tan Yoke Hwa (Dietitian)

18 Appointment of Head of Dietetic Profession MOH

19 Organization Chart for the Dietetic Profession in MOH Malaysia

20 Requirements to Qualify as a Dietitian in MOH Malaysia

21 Skim Pegawai Dietetik Kementerian Kesihatan Malaysia KLASIFIKASI PERKHIDMATAN : PERUBATAN DAN KESIHATAN KUMPULAN PERKHIDMATAN : PENGURUSAN DAN PROFESIONAL GRED JAWATAN : U41, U44, U48, U52, U54 TARIKH KUATKUASA : 1 JULAI 2016 SYARAT LANTIKAN 1. Calon bagi lantikan hendaklah memiliki kelayakan seperti berikut; (a) warganegara Malaysia (b) berumur tidak kurang dari 18 tahun pada tarikh tutup iklan jawatan; dan (c) (i) ijazah sarjana muda kepujian dalam bidang dietetik (dengan latihan internship) yang diiktiraf oleh Kerajaan daripada institusi pengajian tinggi tempatan atau kelayakan yang diiktiraf setaraf dengannya serta diperakui oleh Majlis Akta Kesihatan Bersekutu (Gaji permulaan ialah pada Gred U41 : RM ) atau (ii) ijazah sarjana muda kepujian dalam bidang pemakanan atau sains pemakanan atau bidang berkaitan dan memiliki diploma pascasiswazah dietetik / sarjana dietetik / sarjana pemakanan dan dietetik (dengan latihan internship) yang diiktiraf oleh Kerajaan daripada institusi pengajian tinggi tempatan atau kelayakan yang diiktiraf setaraf dengannya serta diperakui oleh Majlis Akta Kesihatan Bersekutu (Gaji permulaan ialah pada Gred U41 : RM

22 Academic Requirements to Qualify as a Dietitian Universiti Kebangsaan Malaysia (UKM) Bachelor of Dietetics (Hons) Universiti Putra Malaysia (UPM) Bachelor of Science (Dietetics) Universiti Sains Malaysia (USM) Bachelor of Health Sciences (Dietetics) Universiti Islam Antarabangsa Malaysia (IIUM) Bachelor of Dietetics (Hons) International Medical Universiti (IMU) Bachelor of Science (Hons) Dietetics with Nutrition Universiti Sultan Zainal Abidin (UNiSZA) Bachelor of Dietetics (Hons) Universiti Teknologi Mara (UiTM) Bachelor of Nutrition and Dietetics (Hons)

23 Scope of Dietetic Services and Responsibilities

24 In patient Dietetic Services Nutrition Assessment & Screening Individual Bed-side Counseling Nutrition support Enteral Feeding, Oral Nutrition Supplementation Multidisciplinary Ward Rounds

25 In patient Services for Clinical Areas including: Internal Medicine Hematology Neuromedical Neurosurgery Nephrology Urology Dermatology Orthopedic Psychiatry & Mental Health Radiotherapy & Oncology Anaesthesiology & ICU Obstetrics & Gynaecology Otolaryngology Ophthalmology General Surgery Respiratory Medicine Plastic Surgery Oral Surgery Genetic Gastroenterology Burn Unit Pediatric

26 Clinician Dietitian MULTI-DISCIPLINARY TEAM Nurses Pharmacist

27 On-call Dietetic Services for In-patient Every Saturday : active on call Every Sunday : passive on call Public Holiday: No clinical dietetic services yet but will be reviewed in the future if enough manpower.

28 Outpatient Individual Counseling session Group Nutrition Education session Talks/Group Counseling

29 Health Clinic and Community Projects Individual & Group Diet Counseling Domiciliary Care & Home Visits Health Screening & Programmes

30 Health Clinic and Community Projects

31 Foodservice Operations Development of therapeutic diet menus Staff training Managing in-house foodservice operations Monitoring & audit of out-sourced foodservice operations

32 Hospital Diet Manual Manual for Foodservice operation management in the hospital setting Includes all aspects of foodservice operation + preparation of therapeutic diets 2016 edition currently revision in progress

33 Food Safety Assurance Accreditation for MOH Hospitals 33

34 MOH Hospital Foodservices with GMP & HACCP Accreditation as per December 2015 % Pencapaian Terima Sijil Belum Terima Sijil Jenis Pensijilan 0 GMP HACCP 34

35 Sport Schools In Ministry of Education Malaysia SEKOLAH SUKAN KOTA TINGGI JOHOR SEKOLAH SUKAN BUKIT JALIL KL SEKOLAH SUKAN SABAH SEKOLAH SUKAN PAHANG SEKOLAH SUKAN TRENGGANU

36 Current status of Dietitians in MOH

37 Distribution of MOH Dietitians Kementerian Kesihatan Malaysia Bahagian Pengurusan Latihan Kementerian Pendidikan Malaysia Bahagian Sains Kesihatan Bersekutu Hospital= 317 Health Clinics = 60 Ministry = 4 Institut Kesihatan Umum =

38 Current status of Dietitians in MOH (up to 29 Feb 2016) Availability of Dietetic Services in MOH Hospitals Hospital With Dietitians Hospital Without Dietitians Total Hospitals in MOH: 141

39

40 Distribution of MOH Dietitians

41

42 Career Development as a Dietitian GRED U41 GRED U44 GRED U48 GRED U52 GRED U54 GRED JUSA C

43 Perancangan Jawatan dan Keperluan Negara

44 Ratio Unjuran Keperluan Negara Tahun Keperluan Jangkaan Bekalan (IPTA&IPTS dll) * 780 ( 1261 ) ( 1204 ) (1168 ) (925) ( 847) (740) (652) (582) (527) (487) * 6. 8 Pegawai Dietetik : penduduk Sekarang 2.6 Pegawai Dietetik : penduduk (ICDA 2012) Defisit / Surplus Hospital Swasta, Universiti, Syarikat swasta dll mengambil 30% dari keperluan perjawatan

45 Statistics

46 National Clinical Dietetics Census Pesakit Dalam Pesakit Luar Jumlah

47 Comparison of National Clinical Dietetics Census 2014 vs % 14.8 % 5.7 %

48 Number of Nutrition Education Classes by Dietitians in MOH ( ) 0.6 %

49 Biro Kompetensi dan Latihan Standardization of Practices amongst Dietitians in MOH Malaysia

50 Standard Operating Procedures Implemented nationwide 10 SOPs, including: Individual Counseling Group Counseling Nutrition Support Weight Management Diabetes Hypertension Failure to Thrive GDM

51 Standardized Referral Forms To obtain complete information regarding patients, including: background, medical history, current treatment & medications, lab results Also includes, origin of referral, purpose of referral

52 Nutrition Care Process Internalization into daily practice ALL MOH dietitians Development of Dietetic Care Notes incorporation Nutrition Care Process

53

54 E NCPT subscription for members

55 Nutrition Diagnosis Nutrition Assessment Nutrition Intervention Nutrition Monitoring & Evaluation

56 Standardized Patient Educational Materials

57 Training of Undergraduate & Postgraduate Dietetic Students Clinical Dietetics Attachment Foodservice Attachment Research Thesis Delivering Lectures in Universities

58 Example of Student Training Activities Foodservice Attachment Pengenalan Kepada Struktur dan Fungsi Sesebuah Organisasi Perancangan Menu Pembelian, Penerimaan, Penyimpanan dan Kawalan Inventori Pengeluaran Makanan Perkhidmatan Makanan Penyelenggaraan Sanitasi Projek Khas

59 Training of Clinical Instructors, Healthcare Professionals Standardized Guideline for Attachments Including training activities, post- training evaluation

60 Training of Clinical Instructors, Healthcare Professionals Updates and Workshops for other health care providers

61 In Service Training Continuous Dietetics Updates Workshops Continuous Medical Education Session

62 In Service Training Overseas Clinical Attachment Postgraduate Studies

63 DISTRIBUTION OF DIETITIANS (MSc dan Ph.D) According to Facilities and Gender (n=42) by Dec (88%) Master = 42 orang 35 Ph.D = 3 orang 35 (83%) (12%) (17%) 1 (33%) 2 (67%) 0 Hospital KK 0 Master Lelaki PhD Perempuan

64 DISTRIBUTION OF DIETITIANS ACCORDING TO STATES (MSc dan Ph.D)(n=42) by Dec

65 Biro Inovasi dan Penyelidikan

66 Coordination and Promotion of Research Activities Training in Research Skills Database of Research Activities Publication Networking between MOH dietitians and Universities or Malaysia Dietitians Association

67 DISCIPLINES OF RESEARCH (Master and PhD; n=42) by DEC (48%) (38%) Pediatrik Adult Lain-lain Others: - Information Tech - Food services/catering - Counselling - Management - Business Studies 6 (14%)

68 Activities

69 Good Clinical Practice Certification

70 Quality Improvement & Innovation Projects KIK ENTERAL PRODUCT MANAGEMENT COST SAVING

71 Quality Improvement & Innovation Projects QA 2015 IMPROVING SERUM PHOSFATE LEVEL AMONG DIALISYS PATIENT IN HEMODIALISYS UNIT PENANG HOSPITAL

72 Publications and Presentations

73 Publications and Presentations

74 Biro Perkembangan Profesion

75 Credentialing Privileging Credentialing Basic competency to performance the tasks Credentialing Universal standard acceptance by all universities

76 Privileging & Credentialing Competency log book developed to describe and evaluate competency of dietitians Ensure safe and efficient, effective and safe dietetic practice. Describes core procedures, specialized procedures and optional procedures to be performed by dietitians

77 Garis Panduan Pembangunan dan Perkembangan Kerjaya Profession Pegawai Dietetik KKM Determine scope for expansion of dietetic services Define number of dietitians required for each respective institution Identify career pathway for dietitians in each respective institution or hospital Determine key sub-specialty training for dietitians (postgraduate programmes)

78 WISN

79 Workload Indicators of Staffing Need (WISN)

80 Part A : Medical Nutrition Therapy for Nutrition Support Medical Nutrition Therapy for In-Patient Individual Counseling Medical Nutrition Therapy for Out-Patient Individual Counseling Medical Nutrition Therapy for Out-Patient Group Counseling Follow-up visit for Nutrition Support Follow-up visit In-Patient Individual Counseling Follow-up visit Out-Patient Individual Counseling Ward Round (Grand Round, Multidisciplinary Round, Dietetic Round) Home Visit Health Promotion Activities Therapeutic Diet Management Enteral Product Management

81 Part B : Department / Section Meetings Annual Workload Target Customer Charter Revision Occupational Safety and Health Activities Others relevant activities that involved all staff

82 Part C : Procurement Financial management Asset and inventory management Training management Human Resource management Information technology management Reports Quality management Occupational Safety and Health management Meetings Others relevant activities that involved only specific staff

83 AHP Act

84

85 List of Allied Health Professions 1. Audiologist 2. Dietitian 3. Entomologist (Public Health) 4. Physiotherapist 5. Medical Physicist 6. Nutritionist 7. Clinical Psychologist 8. Clinical Scientist (Biochemist) 9. Clinical Scientist (Biomedical) 13. Occupational Therapist 14. Speech-Language Therapist 15. Radiation Therapist 16. Diagnostic Radiographer 17. Medical Laboratory Technologist 18. Dental Technologist 19. Environmental Health Officer 20. Health Education Officer 21. Food Service Officer (Healthcare) 22. Forensic Science Officer 23. Medical Social Officer 10.Clinical Scientist (Embryologist) 11.Clinical Scientist (Medical Geneticist) 12.Clinical Scientist (Microbiologist)

86 Contoh Penggunaan Kad Nama / Designation Ridzoni Sulaiman MSc. R.D (MAHPC No 12345) Pegawai Dietetik Gred JUSA C Hospital Kuala Lumpur

87 Quality Assurance Programs

88 KPI ( DIETETIK) sehingga 2015 Perkhidmatan pemakanan klinikal akan diberi mengikut rujukan doktor. a) Pesakit yang non-urgent akan dilihat dalam tempoh 48 jam selepas rujukan diterima (< 10% kelewatan) b) Pesakit yang urgent akan dilihat pada hari yang sama rujukan diterima, jika rujukan diterima selepas pukul 1 pm, pesakit akan dilihat selewat-lewatnya sebelum 1pm keesokan hari (<5% kelewatan) Taklimat UDM 10/1/2010

89 KPI ( DIETETIK) bermula 1 Jan 2016 Perkhidmatan pemakanan klinikal akan diberi mengikut rujukan doktor. a) Semua pesakit dalam (urgent dan non-urgent) akan dilihat dalam tempoh 24 jam selepas rujukan diterima ( > 85 % atau < 15 % kelewatan) Taklimat UDM 10/1/2010

90 National Key Performance Indicator for Dietetics (Urgent & Non-Urgent) KPI URGENT KPI NON URGENT 90

91 PENCAPAIAN KPI DIETETIK DAN SAJIAN PERINGKAT KEBANGSAAN TAHUN 2015 Pencapaian: 99.1% Pencapaian: 99.5% Urgent: Pesakit yang mendapat perkhidmatan dietetik urgent dalam masa 24 jam. KPI DIETETIK (URGENT) Standard 95 % KPI DIETETIK (NON- URGENT) Standard 90% Non-urgent: Pesakit yang mendapat perkhidmatan dietetik non-urgent dalam masa 48 jam. Pencapaian: 93.3% 42,518 berpuashati/ 45,555 sampel Peratus kepuasan pelanggan terhadap perkhidmatan makanan di hospital. KPI SAJIAN Standard 80% KPI SAJIAN Standard 1% Pencapaian: % 142 kes/ 47,048,118 hidangan pesakit Kontaminasi fizikal makanan yang dijumpai oleh pesakit di wad. UQAPIK 2016

92 Audit of Clinical Dietetics Structured Assessment of Dietetic Practices Standardized Evaluation Form to assess competency & professionalism

93 Audit of Foodservice BIL AUDIT Auditor Kekerapan Kawasan 1 Audit Pemeriksaan Penerimaan Bahan Mentah dan Bahan Kering 2 Audit Ketepatan Hidangan Diet Teraputik Pegawai Audit Sajian Pegawai Audit Sajian 1 kali seminggu Penerimaan Bahan Mentah /kering 1 kali seminggu Wad 3 Audit Stok Produk Enteral dan Formula Bayi di Jabatan Dietetik dan Sajian Pegawai Audit Sajian da Pegawai On Call 2 kali seminggu Stor Harian Produk Enteral 4 Audit StokProduk Enteral dan Formula Bayi di Pantri Wad Pegawai Audit Sajian 1 kali seminggu Pantri Wad

94 BORANG AUDIT

95 BORANG AUDIT

96 Other Achievements

97 Dietetic & Foodservices Conference Platform for updates in practices, sharing of experiences, interaction with dietetics and foodservice staff nationwide

98 Dietetic & Foodservices Conference Platform for updates in practices, sharing of experiences, interaction with dietetics and foodservice staff nationwide

99 Ryle s Tube Insertion Workshops

100 Introduction of Indirect Calorimetry in ICUs INDIRECT CALORIMETRY INTRODUCED IN MAY 2014 TO DETERMINE ENERGY EXPENDITURE OF INDIVIDUAL PATIENTS

101 Publication for Patients Coming Soon Kompilasi Resipi oleh Pesakit mengikut citarasa negeri & budaya 2015/2016

102

103 IMPLEMENTASI LATIHAN KLINIKAL DIETETIK DAN TANGGUNGJAWAB BERSAMA DI ANTARA IPTA/IPTS DAN PEGAWAI DIETETIK KKM

104 Model of Trainers

105 Kandungan Pembentangan 1. Skop Latihan Klinikal Dietetik 2. Tanggungjawab Bersama 3. Lima (5) Ketetapan Berkaitan Status Clinical Instructor 4. Logistik Tempat Latihan dan CI

106 1. Skop Latihan Terdapat EMPAT aspek latihan klinikal dietetik yang diwajibkan; a. Pesakit Luar (Out-patients) b. Pesakit Dalam (In-patients) c. Unit-Unit Khas (Special Units) d. Komuniti Dietetik (Community Dietetics

107 PELBAGAI KAEDAH PENGAJARAN KAJIAN KES (Case Study / Case Presentation) CONTINUOUS DIETETIC EDUCATION (CDE) WARD ROUND / GRAND ROUND (GR) PRODUCT MARKETING SESION (PM) QUALITY ASSURANCE (QA) PROJECT

108 RUJUKAN UTAMA 1. Bengkel Harmonisasi Dietetik Kebangsaan Tempat : Universiti Islam Antarabangsa Malaysia Tarikh 8-9 November Mesyuarat Penyelarasan Program Dietetik Antara Kementerian Kesihatan Malaysia dan Institusi Pengajian Tinggi Tempat : Bahagian Sains Kesihatan Bersekutu KKM Tarikh : 22 Januari 2014

109 2. Tanggungjawab Bersama Pegawai Dietetik KKM yang akan dilantik sebagai Local Preceptor perlu mendapat kelulusan Ketua Jabatan Merancang pelan latihan pelajar bersama CI sebelum latihan dimulakan Melatih dan membimbing CI yang ditetapkan Mengenalpasti kes-kes yang boleh dikendalikan oleh CI Mempermudahkan penempatan CI di wad-wad yang dikenalpasti

110 2. Tanggungjawab Bersama Sebelum dan Seterusnya Semua pelatih dibimbing oleh Pegawai Dietetik yang diberi status Local Perceptor merangkap Clinical Instructor Bayaran bergantung kepada persetujuan IPTA/IPTS dengan Fasiliti tertentu dengan jumlah tertentu Merangkumi komuniti, pesakit luar, pesakit dalam dan unit khas Semua pelatih dibimbing oleh Pegawai Dietetik (LP) dan sebahagian oleh CI (dari universiti) di hospital universiti Bayaran tertakluk kepada ketetapan IPTA/IPTS dan KKM dengan jumlah tertentu yang dipersetujui Merangkumi komuniti, pesakit dalam dan unit khas, Semua pelatih dibimbing oleh CI yang dilantik oleh IPTA/IPTS dengan penyeliaan LP terdiri dari Pegawai Dietetik KKM LP dilantik oleh IPTA/IPTS berperanan sebagai Consultant kepada CI dan melaksanakan CDE kepada CI Bayaran terhad kepada Consultant Fees untuk CDE kepada CI mengikut masa sumbangan Merangkumi komuniti, pesakit dalam dan unit khas Pensyarah dari IPTA/IPTS terdapat yang hadir / tidak hadir di fasiliti memantau pelatih mereka. CI atau Pensyarah diwajibkan hadir dalam tempoh latihan ATAU hadir pada awal, pertengahan dan akhir latihan bagi mengeratkan silaturrahim dan mengadakan perbincangan isu-isu pelajar bersama CI dan PD KKM Pensyarah diwajibkan hadir pada awal, pertengahan dan akhir latihan bagi mengeratkan silaturrahim dan mengadakan perbincangan isu-isu pelajar bersama CI dan PD KKM

111 3. Lima Ketetapan Berkaitan CI / LP Pertama Pihak IPTA/IPTS mestilah menyediakan jumlah CI yang mencukupi dengan Ratio CI : Pelatih sekitar 1 : UP TO 5 bagi mencapai hasil yang efektif Standard MQA adalah 1 CI : 8 pelatih

112 Rumusan Isu UKM UPM USM UIA IMU UITM UNISZA Bilangan Pelajar Tahun Akhir Bilangan CI (merangkumi Pegawai Dietetik atau Pensyarah) Status Tetap Kontrak CI + 8 Lecturer (3) 2 (4) 7 7 (3 kosong) 2 4 (4 kosong) Ratio CI : Pelajar (14)

113 3. Lima Ketetapan Berkaitan CI / LP Kedua Pihak IPTA/IPTS mestilah menghantar CI mereka untuk latihan penyesuaian di hospital tempat pelajar menjalani latihan bagi tempoh 3 bulan (fresh graduate) atau tempoh yang sesuai (telah berpengelaman). IPTS perlulah membayar yuran sebanyak RM 1000 sebulan bagi latihan ini.

114 3. Lima Ketetapan Berkaitan CI / LP Ketiga Pihak CI IPTA/IPTS mestilah menjalani assesement kompetensi bagi mendapatkan pengesahan kompetensi dari PD KKM dan disahkan oleh pihak hospital bagi membolehkan surat pengesahan kompetensi dikeluarkan dan melayakkan mendapat id dan password untuk Sistem HIS hospital tertentu # # Tertakluk kepada persetujuan hospital berkaitan

115 3. Lima Ketetapan Berkaitan CI / LP Keempat Pihak CI IPTA/IPTS boleh menulis ke dalam BHT pesakit mengikut standard yang ditetapkan dan mendapat penyeliaan daripada LP PD KKM mengikut kaedah yang sesuai berdasarkan senario di hospital masing-masing

116 3. Lima Ketetapan Berkaitan CI / LP Kelima Pihak IPTA/IPTS masih perlu melantik LP dari kalangan Pegawai Dietetik (jumlah yang lebih sedikit) bagi tujuan melatih CI dengan bayaran honororium yang bersesuaian bagi tujuan latihan di luar waktu pejabat / luar tugas resmi.

117 4. Logistik Latihan dan CI Terdapat kecenderungan IPTA/IPTS sekarang hanya memilih lokasi tempat latihan yang terdekat dengan IPTA / IPTS bagi memudahkan / meminimumkan kos dan lain-lain perbelanjaan. IMPLIKASI : Jumlah tempat latihan yang dipohon atau telah diluluskan akan DIBATALKAN kerana tidak digunakan dalam tempoh 1 tahun setelah menerima lapuran. Jadi tidaklah berguna setiap tahun IPTA/IPTS memohon menambah kelulusan bilangan penggunaan fasiliti tetapi tiada cadangan untuk menggunakannya. CADANGAN : IPTA/IPTS perlulah menggunakan fasiliti itu secara bergilir-gilir dan terdapat rekod penggunaannya bagi mengelakkan kelulusan ditarik balik. Jika terdapat beberapa isu logistik dll harap diselesaikan sendiri diperingkat IPTA / IPTS.

118 Cadangan Dicadangkan BSKB dan Ketua Profesion dan wakil 7 universiti menyelaraskan tempat pilihan /logistik fasiliti agar adil dan meliputi hospital negeri, hospital pakar dan klinik kesihatan

119

120 Future Plan

121 STRATEGIC PLANNING PROCESS MODEL How will we know when we are there? GAP ANALYSIS Review Strategies - Program, Capacity, Money, Evaluation Strategic Trust Strategic Analysis (SWOT) List of Program / Activities. Objectives. Action Plan (Road Map) Authority Stakeholder Core values

122 8 Strategic Trust untuk Dietetik KKM Mempertingkatkan pembangunan dan pemantapan organisasi 2. Membangunkan kapabiliti, kompetensi dan profesionalisma sumber manusia 3. Menaiktaraf infrastruktur dan persekitaran pekerjaan dengan kelengkapan teknologi terkini 4. Memantapkan perkhidmatan dalam pelbagai kompenen dietetik dan pemakanan dan jaminan kualiti makanan 5. Membudayakan aktiviti penyelidikan, Quality Assurance dan inovasi 6. Memperluaskan jaringan kerjasama dan perkongsian strategik 7. Mengoptimakan penggunaan aplikasi information and communications technology (ICT) 8. Mewujudkan imej dinamik melalui khidmat advocacy kepada pelbagai pihak berdasarkan kepakaran dan pengkhususan

123 What our LOGO meant 5 vital roles Clinical Community Education Industry & Agency Research 123

124 AIMS & OBJECTS Promote the professional practice of dietetics Promote the study & understanding of the science of dietetics & allied fields Encourage closer cooperation between members Promote improvement in recruiting, training & conditions of employment of dietitians Ensure that the profession is protected against persons who are untrained to practise as dietitians

125 Malaysian Dietitians Association Strategic Plan Roadmap

126 Goal 1 : Members regard MDA as important for professional development Strategy 1 Strategy 2 Strategy 3 Strategy 4 Strengthen membership growth (Ordinary, Associate, Corporate and Student memberships) Provide relevant and valued benefits to members Provide professional development opportunities for enhancing competencies Provide support to the changing needs of members

127 Goal 2 : Promote the role and visibility of dietitians food, diet & nutrition experts as Strategy 1 Strategy 2 Strategy 3 Strategy 4 Work collaboratively with national and international committees on nutrition & dietetic related matters Work collaboratively with medical and other healthcare professional and their organizations Enhance relationship with industry and other external stakeholders Increase accessibility of dietitians to the public

128 Goal 3 : Enhance professional standing of dietitians Strategy 1 Strategy 2 Strategy 3 Strategy 4 Promote safe and evidence-based practice in clinical, community and food service Promote self- regulation Empower members with leadership and mentoring capabilities Enhance employment opportunities and career advancement of dietitians

129 Goal 4 : Build research skills to enhance professional practice Strategy 1 Prepare members to contribute, conduct, interpret and use research in practice Strategy 2 Provide avenue for sharing of research findings to be used in practice

130 Awards and recognition AWARDS by MDA Fellows of Malaysian Dietitians Association Description Outstanding professionalism, achievement, leadership and contributions to the field of nutrition & dietetics Undergraduate Prizes MDA Best Dietetic Student Prizes Postgraduate Prize Final year students in local universities who has demonstrated academic excellence and exemplary professional attributes during their studies. Cash prizes awarded. Awarded for a thesis accepted by any of the local universities for a M.Sc. or Ph.D., adjudged to be of significant contribution in the field of nutrition and dietetics

131

132 How to be a Professional Dietitian for ASEAN Free Trade Agreement?

133

134 Terima Kasih