JAKARTA - Secretary General of the All-Indonesian Doctors Association (PDSI), dr. Erfen Gustiawan Suwangto continues to encourage the government, in this case the Ministry of Health and the Indonesian House of Representatives, to revise the rules regarding the authority of medical professional organizations.
Erfen assessed that the authority of the Indonesian Doctors Association (IDI) as a professional organization is overpowerful and very vulnerable to abuse. For example, related to competency test certificates, registration certificates, and recommendations for doctor practice licenses.
"Everything has to go through IDI, why not directly under the Ministry of Health through medical consil. Examples of competency test certificates, just a certificate of examination from the state that applies, there is no need for competency recognition from IDI. After all, the matter of state competency exams is made by medical lecturers and is standard with Singapore, "Erfen told VOI on February 2, 2023.
Likewise with a registration letter and a recommendation for a doctor's practice permit. Erfen also asked for the doctor's collegium, both general and specialists, but under the authority of the Ministry of Health. This is because IDI is only a professional organization, not a state institution.
So controlling it is difficult. Vulnerable deposits or buying and selling practices in managing them all. Moreover, the standard amount of costs is not clear. In fact, there are tens of millions of rupiah for recommendations. It's sad, if there are a lot of money members, maybe it doesn't matter. But if those who have just graduated, let alone tens of millions, millions of them feel heavy. Want to complain but don't dare, it becomes difficult," said Erfen.
It's just difficult for the KPK to intervene if no member reports. Except IDI state institutions. This rule of authority that we want to revise. If it's just a professional organization, it's the same as PDSI, there's no need for neko-neko. Leave the authority to the Ministry of Health," Erfen continued.
The medical professional organizations in America and Britain also do not have the authority to determine whether doctors have a practice permit or not. They actually become a forum for the struggle for justice and well-being of doctors.
"It should be like that, they struggle if doctors are paid low, their doctor is sued for malpractice to defend themselves by providing legal assistance or using insurance for compensation. Make a business together so that they can be both prosperous. So, focus on things like that," he said.
Member of the Indonesian House of Representatives Commission IX Irma Suryani Chaniago also wants IDI to only become a professional organization like the others. In the Omnibus Law Health Bill, their authority has been stripped because it is very troublesome for members and the state.
Indonesia needs many specialist doctors and general practitioners, so far our medical faculty is very limited, so medical schools are very expensive. Not to mention the doctor's license which is very difficult for various unclear reasons, is feudal.
"So, it is very true that IDI's authority is adjusted like other organizations. Everything is transferred to the government that regulates it, the government is the regulator. The professional organization functions more to control to fight for the needs of members, not to hinder and make its own regulations," Irma told VOI on February 3, 2023.
"But if they insist on not wanting to be adjusted, just be issued and used as an ordinary professional organization, the consequences of which of course there can be more than one organization," he added.
VOI on February 3, 2023 tried to confirm directly with IDI regarding the issue. However, until 18.00 WIB, IDI did not want to give a response.
"There has been no response yet," said IDI External Public Relations Officer Elizabeth.
Health Minister Budi Gunadi Sadikin also wants the process of granting practical permit recommendations to be carried out based on a structured and transparent system. This is done to avoid abuse of authority.
Budi did not deny that there have been reports from many doctors to his desk regarding the practices of collusion, corruption, and nepotism. There are specialist doctors who complain that it is difficult to get a practice permit in an area for various reasons. Starting from having to submit deposits and others.
"Some friends find it difficult to enter the recommendation if, for example, a rival to their son the recommendation giver there," he said in a webinar YouTube show entitled 'Polemic of Doctor Practice Permit Recommendation' on the Riau Region Indonesian Doctors Association (IDI) YouTube, as reported by VOI on January 30.
The perpetrators advised to keep his mouth shut. Meanwhile, the victim also did not dare to do anything because he was worried about his career.
"So it's like farting, smells but I don't know who," said Budi
If implementing a structured and transparent system, such things can be minimized, the supervision will be easier. Budi suggested that recommendations could be published by medical organizations in the regions.
"For example, IDI Riau can transparently make mechanisms, what kind of unethical doctors are. There is an ethics committee, competence. If he does not pass, just enter it blacklist. Later I will tell everyone, the central, regional governments, people who are included in the IDI Riau blacklist cannot practice," said Budi.
Meanwhile, those who qualify no longer need to take care of a practice permit. This, according to Budi, Avoids the persecution of power, negotiations one by one non-system, under the table,OOM knows because of transactional recommendations.
Erfen hopes that all these problems can be resolved properly. Thus, the world of Indonesian medicine can develop more in the future.
"While Mr. Budi is the minister. He is not a doctor, so there is no conflict of interest and can move more freely. In essence, we hope to be better," said Erfen Gustiawan Suwangto emphasized.
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