10/25/2010

ALIRAN PERSEMBAHAN
T&CM PRACTICE: TOWARDS
STANDARDIZATION

Introduction
Why standardization?
How to ensure standardization?
Future plan

Kursus Asas Farmasi dalam

Perubatan Tradisional dan Komplementari
25 26 Oktober 2010
Paradise Sandy Beach Resort, Pulau Pinang

Mohd Hadi b. Mohd Zin

Bahagian Perubatan Tradisional dan Komplementari

T&CM PRACTICE : EXAMPLE

Malay Traditional Medicine = Urut Tradisional, Rawatan Herba, Bekam,
Penjagaan Ibu Selepas Bersalin

T&CM in
Malaysia

Complementary
Medicine

Chinese Traditional Medicine = Tuinalogy, Acupuncture, Moxibustion,

Cupping, Herbal Medicine
Indian Traditional Medicine = Ayurveda, Unani, Siddha

Malay
Traditional
Medicine

Homeopathy

Homeopathy

Chinese
Traditional
Medicine

Complementary Medicine = Chiropractic, Naturopathy, Reiki, Colour

Vibration Therapy, etc.

Indian
Traditional

Medicine
3

T&CM PRACTITIONERS:APRIL 2009

FCPMDAM
[Federation of Chinese Physicians and Medicine-Dealers
Association of Malaysia]

FCPAAM
[Federation of Chinese Physicians & Acupuncturist of Malaysia]

MCMA
[Malaysian Chinese Medical Association]

MSCT
[Malaysian Society for Complementary Therapies]

PEPTIM
[Malaysian Association of Traditional Indian Medicine]

MPHM
[Medical Homeopathy Council of Malaysia]

PUTRAMAS
[Malaysian Association of Malay Traditional Medicine]

Total

4,161
2,272
934
1,322
92
896
3722

CURRENT PRACTICE :
regulation On-line voluntary
registration (e-PENGAMAL)
Code of Practice developed
Code of Ethics available
MOH set up terms of reference for
Practitioner Bodies to distribute
messages to all their members
(practitioners)
Policies made through Standing
Committee of T&CM Regular meetings
and discuss issues related to T&CM
Self

13,399

10/25/2010

CURRENT FOCUS BY MOH

Traditional and Complementary Medicine Bill

AG Chamber waiting for gazettement
Implementation of Integrated Hospital
Currently 6 hospitals
2 new hospitals end of this year (H. PD & H. Alor Star)
1 new hospitals next year in Cameron Highland
Expansion of T&CM activities

Conference, Bengkel, Consumer Education, CME, CPD

Plan to introduce new practice in Integrated Hospital (Evidence-Based
practice)

Promotion of Research
Surveillance
7

NATIONAL
T&CM
POLICY

HUMAN CAPITAL DEVELOPMENT

Amsterdam
Japan

Hong
Kong

Vision

India
Thailand

Integration of Traditional and

Complementary
st revision Medicine
2007
(T&CM)1 into
the Malaysian
Healthcare System

Mission
Taiwan

Ensure Quality and Safe Use of

T&CM practices and products to
attain optimal potential in
healthcare delivery

INTERNATIONAL CONFERENCE

China

Singapore

INTERNATIONAL CONFERENCE

6TH International
Traditional and
Complementary Medicine
Conference
( 6th INTRACOM) 2007

10/25/2010

CONTINUOUS PROFESSIONAL
DEVELOPMENT

CONTINUOUS MEDICAL EDUCATION

Years
Years

No. of CME

2006

2007

11

2008

14

Jun 2009

No. of CPD

2006

2007

11

2008

19

Jun 2009

10

WHY STANDARDIZATION IS
NEEDED?

Ensure safety

Promote professionalism

Why Standardization

Must comply with code of ethics and code of practice.

Set standard of practices

Evidence-based practices

Diversity of practices

of Practice?

Practitioner must undergo proper training to qualified

No unqualified practitioner will be allowed to practice after the Act.

This type of practice will be listed as a recognised practice after the Act.

4 major traditional groups and one large complementary

medicine groups.

TRADITIONAL AND COMPLEMENTARY HEALTHCARE MODALITY

T&CM PRACTICES

WELLNESS EFFECT

THERAPEUTIC EFFECT

EXTERNAL METHOD

BODY CONTACT

INGESTION METHOD

NO BODY CONTACT

NON INVASIVE

Aromatherapy
Spa Therapy
Reflexology
Massage

Meditation
Tai Chi
Qigong
Reiki
Yoga
Aura metaphysic

NUETRACEUTICAL

PHARMACEUTICAL

Homeopathy
Chinese Medicine
Ayurveda
Siddha
Unani
Herbal-based

CERTIFICATE

EXTERNAL METHOD

Naturopathy
Nutritional Therapy
Phytobiophysic
Islamic Medical Practice
Colour Vibration Therapy

DIPLOMA
DEGREE

CERTIFICATE
DEGREE
BODY CONTACT

DEGREE
INVASIVE TECHNIQUE
Acupuncture
Chiropractor
Osteopathy

NO BODY CONTACT

DIPLOMA
NON INVASIVE TECHNIQUE

Aromatherapy
Herbal heat therapy
Vibration therapy

Psychotherapy
Hypnosis

Massage
Crystal healing
Reflexology

10/25/2010

Standardisation of training & practice

Registration of practitioners

Licensing manufacturers - increased

supervision of manufacturers with regards to
hygiene & safety

Advocate reporting of adverse events to a

regulatory body

Formal review of existing herbs

Better labelling of herbal medicines

Increased research & development funding

Ensure professionalism of practitioners

through education

Enhance public safety and health in

T&CM healthcare practices
Empower patients so that they can take
responsibility & assist in regulating the
practitioners

Efficient utilization of government

resources

FUNCTIONS OF THE COUNCIL & SECRETARY

INSTITUTIONAL STRUCTURE OF THE BILL

Minister of Health

The T&CM Council

T&CM Division
(Secretariat)

Practitioner Bodies
Registration &
Practising Certificate

Determine eligibility requirements

Develop complaints procedures

Register practitioners

Issue practising certificate

Recognise academic institutions

or specific academic courses

Specify academic qualifications

Referral rules

General function to mandate or

prescribe on any matter relating to
the practice or the
professionalism of the practice

Obtain information

Advise Minister & comply with

Ministerial directions

Specify apprenticeship or training

requirements

Develop rules on professional

conduct and penalties for breach

Develop disciplinary process

Regulatory
Enforcement
Individual Practitioners

Notes:
1. Practitioner Bodies will refer to T&CM Division pertaining registration of the
practitioners
2. Practitioner will refer to practitioner bodies pertaining professionalism and
practices.

21

22

2006 firstprinciples. 8056-2006-TCM

Guidelines for levels &

kinds of evidence to
support claims for
therapeutic products

Guidelines for the clinical

evaluation of T&CM
interventions

Guide to intellectual
property management

Guidelines for
standardization of herbal
medicinal products

10/25/2010

Develop standard & criteria of T&CM

modality of practices, collaboration with
academician, practitioners & Malaysian
Qualification Agency (MQA)

Benchmarking visit to recognised T&CM

learning institutions

BENCHMARKING VISIT TO CHINA

13 STANDARD AND CRITERIA

T&CM MODALITIES

INSTITUT PENGAJIAN YANG MENAWARKAN PERUBATAN

TRADISIONAL DAN KOMPLEMENTARI DI MALAYSIA

Bachelor in Traditional Chinese Medicine

Bachelor in Traditional Chinese Medicine (Acupuncture)

Bachelor in Complementary Medicine (Natural Medicine)

Bachelor in Complementary Medicine (Chiropractor)

NAMA UNIVERSITI/KOLEJ

TAJUK PROGRAM PENGAJIAN

1.

College of Complementary

Diploma in Natural Medicine

KA 8655

2.

INTI International University

Bachelor of Traditional Chinese

KA 8767

College, Nilai

Medicine (Hons)

Cyberjaya University College of

Bachelor of Homeopathic Medical

Medical Sciences (CUCMS),

Sciences (Hons)

3.

Diploma in Acupuncture

Diploma in Aromatherapy

4.

Management and Science

University (MSU), Shah Alam

Diploma in Traditional Chinese

KA 10021

Medicine

5.

Management and Science

Bachelor in Traditional Chinese

University (MSU), Shah Alam

Medicine (Hons)

6.

International Medical

Bachelor of Science (Honours)

University (IMU), Bukit Jalil

Chiropractic

Diploma in Reflexology
Diploma in Natural Medicine

KA 9621

Cyberjaya

Diploma in Malay Massage

Diploma in Islamic Medical Practice

PROGRAM

Medicine, Melaka

Bachelor in Homeopathy
Bachelor in Ayurvedic Medicine

NO. RUJUKAN

BIL

Bachelor in Malay Medicine

KA 10057

KA 9294

10/25/2010

Training

How To Ensure
Standardization !

Licensing

Registration
T&CM
Practitioners

Credentialing

Standard
Practice

PRACTISE AREAS
TO BE REGULATED IN MALAYSIA
Traditional
Medical
Systems

Mind-Body
Interventions

Biologically-based
therapies

Manipulative & body-based

methods

Energy therapies

Complementary practice

Level of Practice
Practitioner Degree level
Deputy Diploma level
Assistant Certificate level

Examples
Trad. Chinese
Medicine, Trad.
Indian Medicine,
Trad. Malay
Medicine,
Homeopathy

Therapies using
Meditation, mental natural substances
healing, art or music eg. Aromatherapy,
therapy
herbs heat therapy,
etc

Work with Professional Society &

Practitioners Bodies
Osteopathic
manipulation,
Chiropractic,

Massage

Bio-field
therapies e.g.
Qi gong, Reiki,
etc

HOSPITAL KEPALA BATAS

What required for

Standardization ?
Infrastructure of Practice
Site
Type of Practice
Qualification

10/25/2010

HOSPITAL PUTRAJAYA

HOSPITAL SULTANAH NUR ZAHIRAH

TRADITIONAL MALAY MASSAGE

Akupuntur

for post stroke

and chronic pain
Rawatan selepas strok & kesakitan kronik
39

Degree

Type
Degree

Existing Medical/Allied Health

Practitioner
Chinese / Ayurvedic physician
Acupuncturist
Homeopaths/ Naturopathy
Chiropractor
Malay Med Practitioner

Accredited University/
colleges
Program of 4+1
National Qualifying Exam
Full time practitioners

postgrad diploma
Master by coursework

Diploma

Diploma

Certificate

Aromatherapist
Malay masseur
Reflexologist
Islamic Medical Practitioner
Naturopathy

Wellness & Spa therapists

Accredited Colleges/University
National Qualifying Exams
90 credit hours/2.5 yrs
Deputy to Practitioners ?
42

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University/ Colleges
Accredited by
Entry requirement as stipulated
by Malaysian Qualification Agency
Fulfilled other requirements

T&CM Council

Certificate
Minimum of 30 credit hours
(6 months +)

Skill Development
Dept(JPK)

Colour Vibration Therapy

Reiki
Qi gong
Batch Flower
massage
Reflexology
Aromatherapy
Others

Ministry of Higher
Education
Practitioners
bodies/ Society

T&CM Council
Jabatan Pembangunan
Kemahiran(MLVK)
Ministry of Higher
Education
Practitioners
bodies/ Society

43

44

LOCAL PRACTITIONERS
Registration of
T&CM Practitioner

Registration of
Foreign Practitioner

ONLINE REGISTRATION

HTTP://TCMONLINE.MOH.GOV.MY

Registration of
Local Practitioner

REGISTRATION

e-Pengamal
Full registration
Notification
Negative Licensing Scheme
Transition

Licensing
to

registered practitioners
Sit for National Qualifying Exam
Certificate of practice issued
CPD for renewal of PC

10/25/2010

Basis for Licensing

e.g: Massaeur

Have minimum no. of hours in class & practical

passed national certification exams
Maintain specific CPD requirements (30 points)

Credentialing
process of obtaining, verifying and assessing
qualifications to provide patient care services
Assess competence

SKIM PERJAWATAN

Promote Evidence-based T&CM practices

Career Scheme

Good Practice Guidelines

T&CM Practitioner

government agencies

T&CM Deputy Practitioner

Integrative medicine
Regulation
Education
Research

Bilateral with relevant countries.

Diploma in T&CM
Grade UT 29, 32, 36, 38

T&CM Assistant Practitioner

NETWORKING AND INTERNATIONAL

COLLABORATION

Bachelor in T&CM
Grade UT 41, 44, 48, 52, 54

Certificate in T&CM
Grade UT17, 22

TERIMA KASIH
THANK YOU
FOR YOUR
KIND
ATTENTION