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Higher Education Harmonization & Mobility:
Towards Regional Integration and Mutual Recognition
in Southeast Asia
Forum on Promoting Harmonization and Mobility in Higher Education Focusing on
Health Professions in Southeast Asia
SEAMEO College Module 2: High Officials Country Case Studies
11-13 March 2015, Bangkok, Thailand
Assoc. Prof. Dr. Sauwakon Ratanawijitrasin
Mahidol University
[Former Director, SEAMEO RIHED]
Political-
Security Pillar
Socio-Cultural
Pillar
Economic
Pillar
ASEAN Community 2015
Bali Concord II 2003:
Establish ASEAN
Community by 2020
Cebu Declaration
2007: Acceleration
of ASEAN Community
by 2015
• Education in Socio-
Cultural Pillar
• Role of education
extends to all 3 pillars:
development of human
resources
Education is the
foundation for
development of all 3.
ASCC
• Engineering Services
• Architectural Services
• Accountancy Services
• Nursing Services
• Medical Practitioners
• Dental Practitioners
• Surveying Qualification
• Tourism Professionals
ASEAN MRAs
Mutual Recognition Arrangements
AEC
Mutual Recognition
Medical and Nursing MRAs:
Recognition of foreign practitioners
• qualification
• license/ registration/ practicing certificate
• practice experience (≥ 5 years, 3 years)
• ethics and law
Higher education as the foundation
for mutual recognition
Strengthen coordination and
collaboration between the professions
and higher education at national and
regional levels
Create Southeast Asia
Higher Education Common
Space
Regional HE Harmonization
SEA Higher Education Area
Harmonization & Diversity
• Comparability
• Compatibility
Meeting
• Needs
• Preferences
▪To share and learn from member countries on
• higher education frameworks and standards,
policies, programs, implementation mechanisms,
quality assurance, monitoring and evaluation
• issues, challenges, lessons learned, and good
practices
▪To identify areas and mechanisms of possible
cooperation on higher education in general and
of health professions in particular
SEAMEO College Module 2
Study of Country Cases
Foci:
• Higher education in
general
• Medical professional
education
• Nursing professional
education
Methods:
• Questionnaire
• Country case
presentation
• Group discussion
Questionnaire Responses
Country
Questionnaire
HE MED NURSE
Brunei X X X
Cambodia X X X
Indonesia
Laos
Malaysia
Myanmar X X
Philippines
Singapore X X X
Thailand X X X
Timor Leste X X X
Vietnam
Preliminary analysis of 

questionnaire data
Higher Education
• Student mobility
• Common national policies
• Priority regional collaboration &
collective actions
% foreign students (inbound) studying in HE 

out of total # students enrolled in HEIs
  2005 2006 2007 2008 2009 2010 2011 2012 2013
Indonesia         0.1
7
0.1
7
0.1
6
0.1
0
0.1
3
Laos               0.7
2
 
Malaysia 6.0 5.7 5.4 7.3 7.6 7.6 6.7 7.4 7.0
Myanmar 0.0
1
0.0
1
0.0
1
0.0
1
0.0
1
0.0
2
0.0
2
0.0
2
0.0
3
Philippines 0.2
8
0.0
9
0.2
8
0.2
6
0.1
8
0.1
1
0.1
2
0.2
2
0.1
3
# Foreign Students (inbound): ASEAN & All
# Foreign
Students
(outbound):
ASEAN & All
Common national policies towards making HE
more comparable and compatible
• academic mobility: students and
faculty
• quality assurance: implemented &
planned
• qualification framework:
implemented & planned
Other Key efforts by Member States
• Basic education reform: K-12 --Philippines
• Introduce credit system --Myanmar
• Move HEI academic calendar --Thailand
immediate priority regional collaboration &
collective actions
Indonesia Laos Malaysia Myanmar
establish regional
regulatory body
to develop
standards &
guidelines for
harmonization of
NQF,
accreditation,
registration &
certification
• share info on
HE
• discuss how
to make HE
more
compatible
and
comparable
• regional
accreditation
system
• increase use
of English
• facilitate
academic
mobility
• academic
mobility
• develop
global
researchers
• reform and
management
• additional
common
regional
language
Professional Higher Education & MRA
• Professional education
• Licensing
• Policies on MRA
• Priority regional collaborations
# HEIs offering undergraduate 

medical & nursing programs
#HEIs
0
225
450
675
900
Indonesia Laos Malaysia Philippines Vietnam
93
3933
1
73 82
301
234
862
Nursing program
Medical program
# years for undergraduate professional education
# years Indonesia Lao PDR. Malaysia Philippines Vietnam
Medical
program: pre-
clinic level
3.5 3 2 3 2
Medical
program:
clinic level
2 3 3 1 4
Nursing
program
Diploma : 3
yrs
Bachelor : 5
Diploma: 3;

BSc nursing: 4
4 yrs and 2
summers
4 yrs
3 yrs
Nursing Education: # credits
Indonesia Lao PDR. Malaysia Philippines Vietnam
# credits
required for
undergraduate
nursing
education
Diploma :
110- 120
credits
BSN : 180 –
200
credits
BNS (directly
education): 142 

BNS (continuing
education): 94
Pre
Registration:
120 

Post
Registration :
80-100
202 credit
units
(1 unit = 18
hrs)
4-yr
program: 165
3-yr
program: 130
# hours
undergraduate
nursing are
required to take
nursing
internship/
1 year :
2208 hours
Directly
Education : 448
hrs

Continuing
education: 192
hrs
Pre-
Registration:
4704 hrs

Post-
Registration:
2688 hrs
2346 hrs
about 60% of
total hrs
takes for
internship/
practicum
Medical Education: # credits
Indonesi
a
Lao PDR. Malaysia Philippines Vietnam
# credits required
for pre-clinic
undergraduate
medical
education
144 106
240
(1 unit = 18
hrs)
66
# credits required
for clinic
undergraduate
medical
education
72 122 155 166
# hours
undergraduate
medical are
required to take
medical
1 yr 2750 hrs
2 years
housemanshi
p training
and rotated
4 monthly in
1 yr medical
internship
after
graduation: 10
months of
national licensing examination
Medical Indonesi
a
Lao PDR. Malaysia Philippines Vietnam
Is national
licensing
examination
required?
Yes Not yet No
Yes
(English)
Yes
Is licensing
examination
available in foreign
language?
No Not yet No
Yes
(English)
No
Nursing Indonesi
a
Lao PDR. Malaysia Philippines Vietnam
Is national
licensing
examination
required?
Yes Not yet Yes
Yes
(English)
Yes
Is licensing
examination
available in foreign
language?
No No Yes
Yes
(English)
No
National Qualification Framework
Indonesia Lao PDR. Malaysia Philippines Vietnam
Nursing Ed. Yes n/a Yes Yes
Med. Ed Yes Yes Yes Yes
MRA: Forms of Professional Mobility
AJCCM: 5 areas where foreign
medical practitioners will be given
temporary license or registration:
• Limited Practice
• Expert visit
• Research
• Education and training
• Humanitarian missions
policy/ law/ rules/ guidelines for MRA
MEDICAL Indonesia Laos Malaysia Philippines
implemente
d  
implemented
& in
progress 
implemented
*
 NURSING Indonesia Laos Malaysia Philippines
implemented
& planned planned 
implemented
& in progress  
implemented
*
Proposed priority areas for 

regional collaboration
• academic mobility/ exchange:
• students & professors
• study, internship, work
• harmonization of standards & qualifications/
standardize core curriculum, competencies
• research
• capacity development
• info exchange
• experience sharing
• comparison studies
• ASEAN language proficiency
• cultural programs
Build a shared process to harmonize
the diverse systems to create a
regional higher education area
where borders will no longer be
barriers for academic mobility,
credits and qualification recognition.
Thank you for your
contribution
Contact: <sauwakon.r@gmail.com>

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2 sauwakon r-harmonization&mobility in he sea-module2

  • 1. Higher Education Harmonization & Mobility: Towards Regional Integration and Mutual Recognition in Southeast Asia Forum on Promoting Harmonization and Mobility in Higher Education Focusing on Health Professions in Southeast Asia SEAMEO College Module 2: High Officials Country Case Studies 11-13 March 2015, Bangkok, Thailand Assoc. Prof. Dr. Sauwakon Ratanawijitrasin Mahidol University [Former Director, SEAMEO RIHED]
  • 2. Political- Security Pillar Socio-Cultural Pillar Economic Pillar ASEAN Community 2015 Bali Concord II 2003: Establish ASEAN Community by 2020 Cebu Declaration 2007: Acceleration of ASEAN Community by 2015
  • 3. • Education in Socio- Cultural Pillar • Role of education extends to all 3 pillars: development of human resources Education is the foundation for development of all 3. ASCC
  • 4. • Engineering Services • Architectural Services • Accountancy Services • Nursing Services • Medical Practitioners • Dental Practitioners • Surveying Qualification • Tourism Professionals ASEAN MRAs Mutual Recognition Arrangements AEC
  • 5. Mutual Recognition Medical and Nursing MRAs: Recognition of foreign practitioners • qualification • license/ registration/ practicing certificate • practice experience (≥ 5 years, 3 years) • ethics and law Higher education as the foundation for mutual recognition
  • 6. Strengthen coordination and collaboration between the professions and higher education at national and regional levels
  • 7. Create Southeast Asia Higher Education Common Space Regional HE Harmonization
  • 8. SEA Higher Education Area Harmonization & Diversity • Comparability • Compatibility Meeting • Needs • Preferences
  • 9. ▪To share and learn from member countries on • higher education frameworks and standards, policies, programs, implementation mechanisms, quality assurance, monitoring and evaluation • issues, challenges, lessons learned, and good practices ▪To identify areas and mechanisms of possible cooperation on higher education in general and of health professions in particular SEAMEO College Module 2
  • 10. Study of Country Cases Foci: • Higher education in general • Medical professional education • Nursing professional education Methods: • Questionnaire • Country case presentation • Group discussion
  • 11. Questionnaire Responses Country Questionnaire HE MED NURSE Brunei X X X Cambodia X X X Indonesia Laos Malaysia Myanmar X X Philippines Singapore X X X Thailand X X X Timor Leste X X X Vietnam
  • 12. Preliminary analysis of 
 questionnaire data
  • 13. Higher Education • Student mobility • Common national policies • Priority regional collaboration & collective actions
  • 14. % foreign students (inbound) studying in HE 
 out of total # students enrolled in HEIs   2005 2006 2007 2008 2009 2010 2011 2012 2013 Indonesia         0.1 7 0.1 7 0.1 6 0.1 0 0.1 3 Laos               0.7 2   Malaysia 6.0 5.7 5.4 7.3 7.6 7.6 6.7 7.4 7.0 Myanmar 0.0 1 0.0 1 0.0 1 0.0 1 0.0 1 0.0 2 0.0 2 0.0 2 0.0 3 Philippines 0.2 8 0.0 9 0.2 8 0.2 6 0.1 8 0.1 1 0.1 2 0.2 2 0.1 3
  • 15. # Foreign Students (inbound): ASEAN & All
  • 17. Common national policies towards making HE more comparable and compatible • academic mobility: students and faculty • quality assurance: implemented & planned • qualification framework: implemented & planned
  • 18. Other Key efforts by Member States • Basic education reform: K-12 --Philippines • Introduce credit system --Myanmar • Move HEI academic calendar --Thailand
  • 19. immediate priority regional collaboration & collective actions Indonesia Laos Malaysia Myanmar establish regional regulatory body to develop standards & guidelines for harmonization of NQF, accreditation, registration & certification • share info on HE • discuss how to make HE more compatible and comparable • regional accreditation system • increase use of English • facilitate academic mobility • academic mobility • develop global researchers • reform and management • additional common regional language
  • 20. Professional Higher Education & MRA • Professional education • Licensing • Policies on MRA • Priority regional collaborations
  • 21. # HEIs offering undergraduate 
 medical & nursing programs #HEIs 0 225 450 675 900 Indonesia Laos Malaysia Philippines Vietnam 93 3933 1 73 82 301 234 862 Nursing program Medical program
  • 22. # years for undergraduate professional education # years Indonesia Lao PDR. Malaysia Philippines Vietnam Medical program: pre- clinic level 3.5 3 2 3 2 Medical program: clinic level 2 3 3 1 4 Nursing program Diploma : 3 yrs Bachelor : 5 Diploma: 3;
 BSc nursing: 4 4 yrs and 2 summers 4 yrs 3 yrs
  • 23. Nursing Education: # credits Indonesia Lao PDR. Malaysia Philippines Vietnam # credits required for undergraduate nursing education Diploma : 110- 120 credits BSN : 180 – 200 credits BNS (directly education): 142 
 BNS (continuing education): 94 Pre Registration: 120 
 Post Registration : 80-100 202 credit units (1 unit = 18 hrs) 4-yr program: 165 3-yr program: 130 # hours undergraduate nursing are required to take nursing internship/ 1 year : 2208 hours Directly Education : 448 hrs
 Continuing education: 192 hrs Pre- Registration: 4704 hrs
 Post- Registration: 2688 hrs 2346 hrs about 60% of total hrs takes for internship/ practicum
  • 24. Medical Education: # credits Indonesi a Lao PDR. Malaysia Philippines Vietnam # credits required for pre-clinic undergraduate medical education 144 106 240 (1 unit = 18 hrs) 66 # credits required for clinic undergraduate medical education 72 122 155 166 # hours undergraduate medical are required to take medical 1 yr 2750 hrs 2 years housemanshi p training and rotated 4 monthly in 1 yr medical internship after graduation: 10 months of
  • 25. national licensing examination Medical Indonesi a Lao PDR. Malaysia Philippines Vietnam Is national licensing examination required? Yes Not yet No Yes (English) Yes Is licensing examination available in foreign language? No Not yet No Yes (English) No Nursing Indonesi a Lao PDR. Malaysia Philippines Vietnam Is national licensing examination required? Yes Not yet Yes Yes (English) Yes Is licensing examination available in foreign language? No No Yes Yes (English) No
  • 26. National Qualification Framework Indonesia Lao PDR. Malaysia Philippines Vietnam Nursing Ed. Yes n/a Yes Yes Med. Ed Yes Yes Yes Yes
  • 27. MRA: Forms of Professional Mobility AJCCM: 5 areas where foreign medical practitioners will be given temporary license or registration: • Limited Practice • Expert visit • Research • Education and training • Humanitarian missions
  • 28. policy/ law/ rules/ guidelines for MRA MEDICAL Indonesia Laos Malaysia Philippines implemente d   implemented & in progress  implemented *  NURSING Indonesia Laos Malaysia Philippines implemented & planned planned  implemented & in progress   implemented *
  • 29. Proposed priority areas for 
 regional collaboration • academic mobility/ exchange: • students & professors • study, internship, work • harmonization of standards & qualifications/ standardize core curriculum, competencies • research • capacity development • info exchange • experience sharing • comparison studies • ASEAN language proficiency • cultural programs
  • 30. Build a shared process to harmonize the diverse systems to create a regional higher education area where borders will no longer be barriers for academic mobility, credits and qualification recognition.
  • 31. Thank you for your contribution Contact: <sauwakon.r@gmail.com>