Importance of CME in

Emergency Management
 GENERAL HOSPITAL

َ ِ‫الر ْح َٰم ِن‬

ِ‫الر ِح ِيم‬ َ ‫ّللا‬
َِِ ِ‫س ِم‬
ْ ‫ِب‬

IMPORTANCE OF CME IN
EMERGENCY MANAGEMENT

DR. Dr. Phyowai Ganap, SpOG(K)

Department of Obstetrics and Gynaecology

Faculty of Medicine
Gadjah Mada University
Yogyakarta
CONTENTS
EARTHQUAKE, 27 Mei 2006
VOLCANO ERUPTION, 5 Nov 2010
BABY DELIVERY PROCESS
Kematian Maternal
Kematian Maternal
±
MAP OF INDONESIA
 SLEMAN
574,82 KM2 YOGYAKARTA CITY
910.586 people 32,50 KM2
Poverty Rate : 506.594 people
17,52 % Poverty Rate: 20,07 %

KULONPROGO
586,28 KM2
458.674 people BANTUL
Poverty Rate : 506,85 KM2
25,81 % 813.592 people
Poverty Rate : 20,07 %

GUNUNG KIDUL
1.485,36 KM2
730.314 people
Poverty Rate: 23,37%
Maternal Mortality in Yogyakarta Five Regions
2012
Anatomy of Yogyakarta Special Province 2018
PROBLEMATIC


 Variabel Mati Hidup OR 95% CI P
Ya 20 50
Jampersal 0,60 0,28-1,29 0,19
Tidak 20 30
Tidak Baik 8 13
ANC 1,29 0,48-3,42 0,61
Baik 32 67
>3 3 4
Paritas 1,54 0,33-7,24 0,58
1-3 37 76
≤ SMP 14 36
Pendidikan 0,66 0,30-1,44 0,29
≥ SMA 26 44
Ada 11 23
Terlalu 0,94 0,40-2,19 0,89
Tidak 29 57
Ada 36 16
Keterlambatan 36 11,18-115,90 0,001
Tidak 4 64
DELAYED IN REFERRAL (%)
Model of The Delay in Obstetric Emergency
CONSEPTUAL FRAMEWORK IN EMERGENCY CARE

(Sumber : Thaddeus dan Maine, 1994).

 SERVICE SYSTEM EMPOWERMENT

Provincial Health Office TERTIARY Provincial Hospitals

Regional Health Office SECONDARY Regional Hospitals

(PONEK)

Public Health Center PRIMARY Maternity Private

(Pustu, Poskesdes) Practices (PONED)

Maternity
Health Center COMMUNITY Selfcare
(UKBM)

EMPOWERING REFERRAL SYSTEM FROM COMMUNITY LEVEL TO LOCAL HOSPITALS

 NEED COORDINATION AND COOPERATION BETWEEN LOCAL HEALTH OFFICES AND HOSPITALS
INTRODUCING A NEW CONCEPTION
APA STRATEGI KITA DALAM TURUNKAN AKI
FIVE MAIN STRATEGY
IN HELP REDUCING MATERNAL MORTALITY

1. FAMILY PLANNING PROGRAM

2. High Quality of ANC, process of labour by skillful Obgyn / Medical
Doctor/ midwife, in adequate Health Center until the process of
PNC
3. Rapid and Proper Services of Obstetrical Emergency
4. Early Detection of KRT and PRT supported by well-planned and
precise Referral System
5. Commitment by all the Stake Holders (Authority, Government,
Health Staff, and Community)
APA YANG HARUS DILAKUKAN?
KUNCI UTAMA
DIPERLUKAN PENINGKATAN PEMAHAMAN DETEKSI DINI DAN PENANGANAN AWAL
KASUS KEGAWAT DARURATAN MATERNAL DARI TENAGA KESEHATAN
 25

CME is one way that doctors can remain up-

to-date, both in their specialty and in
medicine in general.
 26

What the Heck is CME,

and why should you care?
 27

What this means in English:

CME consists of educational activities that teach
practicing doctors new information and skills so
they can take better care of their patients.
 28

But they are doctors. They already have had years

of training, why do they need more education?
 29

Because, as in any field, things change. New

problems are discovered, as are new solutions.
 30

So doctors have a moral obligation to continue

their education, why do you have to get involved?
 31

Most Specialty Boards require CME for continued

certification.
 32

The process used to plan, execute, and evaluate a

CME activity must all be linked together.
 33

CME must:
Be based on an Identified “gap in practice”

What this means is that the group at which the activity is directed
must have demonstrated in practice that they need to acquire
new information or skills.
In even plainer English, “What are the doctors not doing that they
could do that would improve their patients’ health?”
 34

What exactly is a “Gap?”

What Docs should

be doing to improve
their patients’ health
 35

Now, Here is how you can

INADEQUATE MANAGEMENT
APPROPRIATE
MANAGEMENT
THE FINAL RESULTS
HAPPY FAMILY
 THANK YOU
FOR YOUR KIND ATTENTION
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