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Director General of Health Services Ministry of Health, Amal Taher represented the Government to submit responses concerning Medical Education petitioned the Central Board of the Association of General Practitioners Indonesia (PDUI), Monday (22/12) at the Plenary Room of the Constitutional Court (MK). The government rejected the Petitioner\'s argument regarding the ambiguities in the definition of primary care physicians and institutions dualism competency test.

Taher delivered that in order to achieve the national goals sustainable development is undergone. One of the development efforts undertaken is the development of comprehensive health, directed and integrated. One of the problems in the health development of the issue of medical education that is condemned ignoring basic purpose of medical education and social principles of health services for the community.

Related to the Petitioners\' argument that ponders the phrase "primary care physician" in Medical Education Act cause legal uncertainty and undermines the legal system of medical practice, the Government said primary care physicians is the embodiment of the community needs to be a doctor in a primary care level. This is parallel to the function of primary care akin to a specialist and physician subspecialty graduate medical education in Article 1 paragraph 9 of the Law of Medical Education. Primary care, said Taher, is one form of the system of health care system of health insurance program that is regulated under Law No. 40/2004 on the National Insurance System.

Services primary strata itself serves as the entrance to the community service system and become community partners in implementing healthy behavior, maintaining health, and overcome most of the problems of daily health. The health care system is formed due to the need and demand for health care community that requiring primary physicians treat. The doctor will meet most of the needs and demands of the population nationwide to basic health services during their life-cycle.

Academic measurement must be taken, as primary care physicians earn the equivalent of a specialist education that integrates family medicine, community medicine, and public health. As expected, primary care physicians are able to lead and organize health services in first or primary level.

In accordance to the presence of general practitioners, government says general practitioner continues to be recognized as part of the fulfillment of the already existed needs of people. In accordance with the educational program set out in the Education Act of Medicine, the general practitioner will have several career options namely as a general practitioner, primary care physician, or become a specialist.

To distinguish between general practitioners and primary care physicians, Taher said that it can be done through theberification of each educational level. Medical school graduates or doctors study program (fresh graduates) can be considered as a basic primary care physician or basic primary care doctor.

Competence Test

The government, said Taher, also denied Petitioner\'s argument regarding the examining body dualism ofphysician competence. Taher explains physician competency test is a graduation requirement for students who want to complete the profession of doctor or dentist study before taking an oath as a doctor or dentist. Competency test doctor or dentist is conducted by the faculty of medicine in collaboration with the association of educational institutions medicine, or dentistry and coordinating with professional organizations.

Medical Practice Act itself does not set the norms related to the implementation of competency test. Quo law simply explains the definition of competency certificate is a letter of recognition of the ability of a physician or dentist for medical practice in Indonesia after graduation competency test.

"Against the Petitioners who consider quo provision raises legal uncertainty over the medical profession because of the duality of institutions that deals with student competency testing program medical profession, as well as the agency that issued the certificate of competency doctor. Because organizers competency test set out in Article 36 paragraph (1), paragraph (2), paragraph (3), and Article 39 paragraph (1) and paragraph (2) of the Law of Medical Education at the Medical Practice Act has each distinguished role. So that the provisions in the Law of Medical Education and Medical Practice Act are consistent, aligned, do not overlap and is precisely complementary, "said Taher. (Yusti Nurul Agustin)

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