1. Collaborative
Project
to
Increase
Production
of
Rural
Doctors
(CPIRD)
Rajin Arora, MD
FRTCOG, Diploma in Med Ed (Dundee)
Deputy Director of CPIRD
Ministry of Public Health, Thailand

2. Dr Rajin Arora,
Deputy Director of CPIRD, MOPH, Thailand
CPIRD
Faculty Development Program

3. ECME
Essential Course for
Medical Educator
“12 Expected Outcomes”
!
!
!
!
!
Rajin Arora, MD
ECME Course Director

4. Collaborative
Project
to
Increase
Production
of
Rural
Doctors
(CPIRD)
Rajin Arora, MD
FRTCOG, Diploma in Med Ed (Dundee)
Deputy Director of CPIRD
Ministry of Public Health, Thailand

5. WHO
report
:
Density
of
physician
(total
number
per
1,000
population,
latest
available
year)
http://gamapserver.who.int/gho/interactive_charts/health_workforce/PhysiciansDensity_Total/atlas.html

6. Density
of
Physicians
per
1,000
population
JAPAN
IN
2008
2.140
THAILAND
IN
2004
0.298
http://www.who.int/gho/health_workforce/physicians_density/en/

7. CPIRD
• Lack
of
rural
physician
in
1994
• Ministry
of
Public
Health
(MOPH)
started
CPIRD
in
1995
• Collaboration
with
Ministry
of
Education
• Medical
students
(MS)
selected
from
their
rural
domicile
• Pre-­‐clinical
programs
taught
in
14
collaborated
universities

8. CPIRD
• Clinical
subjects
taught
in
37
MECs
• In
2005,
“One
District
One
Doctor”
(ODOD)
program
started
selecting
MS
from
more
rural
areas
• CPIRD
graduates
obliged
to
work
in
rural
hospitals
for
3
years
and
ODOD
for
12
years

9. Network of 37 MECs & 14 Universities
=Siriraj
=Chula
=Thammasat
No. of MEC divided
into service network
(NW)!
!
NW1=5
MECs!
NW2=3
MECs!
NW3=2
MECs!
NW4=1
MECs!
NW5=1
MECs!
NW6=4
MECs!
NW7=4
MECs!
NW8=1
MECs!
NW9=4
MECs!
NW10=2
MECs!
NW11=4
MECs!
NW12=6
MECs!
!
!
Total of 37 MEC in
Thailand
=Chieng mai
=Sonkla
=Khon Khan
=
=Maha sarakam
Payao
=Suranaree
=Ubonratchathani
=
=Faculty of science ,Mahidol U
=
=Narasuan
=Walailak
=Narathiwat
=Burapa
7

10. Outcomes
of
CPIRD
Medical
Students

11. Outcome from 1995-2013
Planned
no.
of
students Actual
no.
of
students
14,727 11,213
(76.1
%)
9

12. CPIRD & ODOD graduates
2000-2012
10
Total
of
4,154
graduates

13. Graduation
results
2000-­‐2013
11
Average %
!
Graduation rate
!
95.6%
!
Passing rate for NT 1-3*
!
99.4%
!
Honors graduation
!
8.52%
*NT
=
National
License
Testing
part
1-­‐3

14. Increasing
number
of
rural
physicians
for
MOPH

15. Physicians
entering
rural
hospitals
2000-­‐2013
13

16. 14
NW 12 (224 : 947) 19.1%
NW5 (209 : 1,066)16.4%
NW 1 (334 : 1,232) 21.3%
NW 8 (246 : 731) 25.2%
NW9 (416 : 1,082) 27.8%
NW2 (397 : 740) 34.9%
NW6 (140 : 1,075) 11.5%
NW11 (208 : 848) 19.7%
NW 10 (188 : 663)22.1%
NW3 (324 : 518)38.5%
NW4 (277 : 882) 23.9%
12 Health Network of Thailand
CPIRD : Normal track physician
NW 7 (230 : 808) 22.2%

17. 15
Year
of
graduation
2012-­‐2003

18. Retention of CPIRD graduates
16
CPIRD
graduates
continue
working
in
the
rural
areas
after
3
years
1.14
times
>
regular
graduates
(HR
0.14,
p<0.001)
Regular
graduates
resign
from
MOPH
before
3
years
1.5
times
>
CPIRD
graduates
(HR
0.66,
p<0.001)
Nongluck
Pakaiya.
Retention
of
CPIRD
graduates.
Journal
of
Health
System
Research
.
2012:
6(2);
219-­‐27.

19. Thank you