Cardiac Output, Venous Return, and Their Regulation
Seminar 1-Managing GP clinic.pptx
1. FACULTY OF MEDICINE
Family Medicine
MBBS Year 5
Seminar 1:
MANAGING A GENERAL PRACTICE CLINIC
PRESENTERS
TAN SING YING
DEVAKI
SHALINI NAIDU
Satiyakumara
Delvinder
2. Learning Outcomes: Content:
At the end of this session, the students
would be able to:
List down the licensing Authority Involved
in setting up private GP
List down the documents required
Medical Equipments needed
Common drugs used
Staffing, claims,panels etc
Medical Services (Full Registration and Annual Practising Certificate under
Malaysian Medical Council )
1. Photocopy of Dr IC
2. Photocopy of Dr APC Cert
3. Photocopy of Dr Full Registration Cert
4. Photocopy of Dr University Cert
5.Previous Working Experience (Download from MMC website)
6. Online Registration (Submit and Print out)
7. Financial Plan (Penyata Kewangan) ~ Breakdown for clinic pre-setup expenses
8. Copy of Building CF & Cukai Taksiran From PBT
9. Copy of IC for 2 worker (Nurses need copy of APC)
10. Pesuruhjaya Sumpah Letter
11. Clinic Floorplan Layout (ratio 1:100)
12. Clinic Waste Management Agreement
Full Blood Counter
Ultrasound Machine
Professional Monitoring equipment for LIPIDS, GLUCOSE & HEMOGLOBIN
ECG, Emergency trolley, Nebulizer
NSAIDs,Antihistamines, Acetaminophen,Antidepressant,Antifungals,
Antibiotics, Antiviral, Topical applications,Emergency drugs
3. Private Medical Clinic
It means any premises, other than a Government healthcare
facility, used for intended to be used for the practice of
medicine on an outpatient basis including:
a) The screening, diagnosis or treatment of any person suffering
from, or believed to be suffering from, any disease, injury or
disability of mind or body;
b) Preventive or promotive healthcare services; and
c) The curing or alleviating of any abnormal condition of the
human body by the application of any apparatus, equipment,
instrument or device
4. Steps to Setting Up a Clinic
Once you have established that you would like to set up a clinic of your own, you would need
to take the following steps to open a clinic in Malaysia:
Step 1 : Ensure the premise is either rented or a building you own.
Step 2 : Apply for the registration with the respective state (required by the Private
Healthcare Facilities & Services Act 2016).
Step 3 : Prepare a drawn plan of the clinic which will need to fully comply with the room list
and measurement requirements as stipulated in the ACT 586.
Step 4 : Amend the Annual Practicing Certificate (APC) to include your new clinic address
Step 5 : Obtain a license for the clinic advertisement from the Kuala Lumpur City Hall (DBKL)
or Local Council.
Step 6 : APC is required to order drug supplies.
Step 7 : Ensure the EPF and SOCSO accounts of the staff are completed.
Step 8 : If x-ray machines are provided by the clinic, you will need to obtain a specific license
which will allow you to do so.
All clinics would need to be registered with the Companies Commission of Malaysia under
the Registration of Business Act 1956. Foreign companies would need to incorporate their
company under the Companies Act 2016 if they intend to set up a private practice here in
Malaysia.
5.
6. Licencing Authority involved in setting up
private GP clinic
The setting up of medical and health care practice requires the intended
professional to register with the Companies Commissions of Malaysia (CCM)
under the Registration of Businesses Act, 1956 or incorporate a company under
the Companies Act, 1965.
Persons intending to set up private practices in the medical and health services
are required to fulfil the necessary licensing conditions specified by the
respective licensing authorities of the accredited professional services. The
licensing conditions are as follows:
7. Registration of Medical Practitioners with
Malaysian Medical Council
Medical practitioners intending to practise medicine in Malaysia are required to
register with the Malaysian Medical Council (MMC), in accordance with the
Medical Act, 1971.
Only medical graduates from recognised institutions listed in Schedule 2 of the
Medical Act, 1971 are eligible for registration automatically.
Graduates from unrecognised medical schools need to sit and pass the medical
qualifying examination to be eligible for registration. Exemption, however, may
be given to graduates from unrecognised schools with postgraduate degrees
and having not less than five (5) years of clinical experience.
There are three (3) types of registration allowed under the law:
(a) Registration as Provisionally Registered Medical Practitioners (Section 1
Medical Act, 1971)
(b) Registration as Fully Registered Medical Practitioners
(c) Temporary Registration under Section 16
8. (a) Registration as Provisionally Registered Medical
Practitioners (Section 1 Medical Act, 1971)
Under the Medical Act, 1971 newly qualified medical
graduates wishing to practice medicine are required to be
provisionally registered before undergoing internship.
Provisionally registered practitioners need to obtain experience
for a period of two (2) years in hospitals approved by the
Medical Qualifying Board (MQB) in five (5) out of six (6)
compulsory disciplines comprising Paediatrics, Medicine,
Surgery, Orthopaedics, Obstetrics, Gynaecology and Emergency
Medicine. However, at the moment, the Ministry of Health
(MOH) does not allow foreign medical graduates to do
internship in Malaysia.
9. (b) Registration as Fully Registered Medical Practitioners
Upon completion of internship and to the satisfaction of the MQB, practitioners who have been
provisionally registered with the MMC as well as those who have been provisionally or fully registered
with other Medical Councils can apply for full registration.
Under Section 14 of the Medical Act, 1971 there are two types of full registration:
under Section 14 (1):
Section 14 (1) to the Medical Act, 1971 states:
“Subject to the provisions of this Act, no person shall be entitled to be fully registered as a medical
practitioner
under this Act unless:
• He has been provisionally registered under Section 12
• He furnishes proof of having satisfied the provisions of Section 13
For Malaysian practitioners who have completed internship training locally, their respective employers
must process and submit their application within one month of their completion.
For Malaysian practitioners who completed internship overseas, the Evaluation Committee (EC)
appointed by the MMC will determine whether they can be exempted from internship training here,
upon the application made by individual applicants.
10. Registration under Section 14 (3):
Section 14 (3) in the Medical Act, 1971 states:
“Not withstanding anything to the contrary contained in this Act, any person may be fully
registered under this section subject to such restriction and conditions as may be stipulated by
the Minister, provided that the person seeking registration under this subsection possesses a
qualification with respect to which the Minister, after consulting the Council, is satisfied that it is
adequate.”
For non-citizens who wish to practise in Malaysia, registrations are approved for a limited period,
place and scope of practice (study, employment or research). All applications are to be made
through their employer and duly screened by the Evaluation Committee. Eligible applications will
be forwarded to the Minister of Health for approval for registration under Section 14 (3) of the
Medical Act, 1971.
Under the law, every fully registered practitioner must serve with the public services for a period
of not less than two (2) years. This is normally known as the ‘compulsory service’ before they are
allowed to set up a private practice. Exemption may be considered for Exemption maybe
considered on case to case basis for Malaysians practitioners that are returning back from
practicing abroad with the National Specialist Register (NSR) recognized specialties that comply to
the following criteria:-
(i) Practitioners who are self-funding his / her study with more than 10 years of clinical
experience irrespective of specialty or general practice.
(ii) Practitioners who are age above 45.
(iii) Practitioners who are specialised within the lacking area of specialties in Malaysia.
(iv) Practitioners who are to be employed as lecturers by the public or private higher education
institutions for a period of not less than three (3) consecutive years.
11. (c) Temporary Registration under Section 16
Temporary registration is only applicable to foreign medical practitioners who wish to practise
in Malaysia. This type of registration is only approved for the purpose of postgraduate study or
attachment training, demonstration during conferences or research with institutions,
universities or even private hospitals. The registration is renewable on a three (3) monthly
basis.
To be eligible for temporary registration:
• the practitioner must be registered with a foreign Medical Council
• the practitioner has insurance to cover his practice in Malaysia
• the local practitioner acting as a guarantor for the application holds a valid and current Annual
Practising Certificate issued by the MMC.
The practitioner applying for temporary registration need not possess a medical degree from
recognised institutions listed in Schedule 2 of the Medical Act, 1971.
Under the law, whilst holding temporary registration, practitioners are not allowed at all times
to operate or even set up a private practice.
19. The Medical Programme in the Ministry of Health is responsible in monitoring and regulating
private healthcare facilities and services in Malaysia. Initially, the unit which carries out such
duties was called the Licensing Unit of the Medical Practice Division.
The Licensing Unit which was responsible for the licencing of private hospitals, private nursing
homes and private maternity homes had limited capabilities and power to ensure that services
provided by these private healthcare premises were of high standards. As there was an increase in
demand as well as advancement in technology in the private healthcare facilities and services,
there was a need to have a more suitable law and a more appropriate role for the Licensing Unit.
Hence the Private Healthcare Facilities and Services Act 1998 was passed. This Act not only sets
the standards for the quality of healthcare in the private sector, it also ensures the safety and
satisfaction of the public with regards to the private healthcare facilities and services.
Established in 2003, Cawangan Kawalan Amalan Perubatan Swasta (CKAPS) replaces what was
the Licensing Unit. CKAPS is also a branch of the Medical Practices Division of the Ministry of
Health and with the assistance of our fellow units at the State level, known as Unit Kawalan
Amalan Perubatan Swasta (UKAPS) we will continue to monitor, control and regulate all private
healthcare facilities and services in Malaysia based on the Private Healthcare Facilities and
Services Act 1998.
22. Medical Clinic Standards
The Medical Clinic Standards were developed with collaboration between the Ministry of
Health Malaysia, the Ministry of Defence Malaysia and the various professional organisations
representing the medical clinics i.e. the Malaysian Medical Association, the Academy of
Medicine, the Academy of Family Physicians of Malaysia, the Family Medicine Specialist
Association of Malaysia, Primary Care Doctors’ Organization Malaysia, the Federation of
Private Medical Practitioners Association, the Association of Specialist in Private Medical
Practice Malaysia, the Islamic Medical Association of Malaysia, the Association of Private
Hospitals of Malaysia and Qualitas Medical Group Sdn. Bhd.
MSQH Medical Clinic Accreditation standards have been developed to facilitate focus on
patient care with safer outcomes. These standards are written so as to be applicable to
various level and types of public and private Medical Clinics in the Malaysia Healthcare
Industry.
The Medical Clinic Accreditation process provides Medical Clinics with a mechanism/tool to
demonstrate their accountability, quality and safety that are being delivered to their
stakeholders and consumers which have taken into consideration of the requirements of the
Private Health Care Facilities and Services Act 1998 and its corresponding Regulation 2006.
39. ADDITIONAL DOCUMENTS IF REGISTER
UNDER SDN BHD
1. FORM 9
2. FORM 24
3. FORM 44
4. FORM 49
5. MEMORANDUM AND ARTICLES OF
ASSOCIATION (MAA)
6. IC COPY FOR EVERY COMPANY DIRECTOR
45. GP Clinic Setting
◦ Reception Area with Waiting Area
◦ Doctor’s Room
◦ Examination Room
◦ Dispensing Room
◦ Storage Room
◦ Shelves for documents
◦ Toilets
◦ Facilities made suitable for Disabled
47. General Medical Equipment
Investigation/ Management
◦ Cotton wool/buds
◦ Applicator sticks
◦ Drip stand
◦ Peak flow meter
◦ Spacer for inhalers
◦ Specimen collection equipment
◦ Urine test strips
◦ Bandages
◦ Disposable syringes and needles
◦ Tourniquet
◦ Oxygen
◦ Fluorescein staining
Patient's aid
◦ Bed pan
◦ Urinal
◦ Stretcher
◦ Crutches
◦ Wheelchair
48. Specific Medical Equipment
Further investigations/
management
◦ Full Blood Counter
◦ Ultrasound Machine
◦ Professional monitoring
equipment for lipids, glucose &
haemoglobin
◦ ECG machine
◦ Nebuliser
Minor Surgeries
◦ Scissors
◦ Needle holder forceps
◦ Artery forceps
◦ Needle
◦ Surgical blades
◦ Plaster materials/ POP
◦ Autoclave steriliser
49. Equipment for resuscitation
◦ Emergency trolley
◦ AED Defibrillators
◦ Ventilators
◦ CPAP machine
Specific Medical Equipment
Editor's Notes
lab coats for the technicians
getting phone service
hardware such as computers and credit card machines.
Documents:
Clinic Registration
Patient registration and documentation
Referral letters
Laboratory forms
