TRAINING

Training of Specialists in Palliative Medicine.

Palliative Medicine is a recognized medical sub-specialty. Hence doctors intending to train as Consultants in Palliative Medicine should undergo basic specialist training in internal medicine prior to sub-specialty training. The required qualification at present includes MMed, MRCP(UK), MRCP (Ire), FRACP or any equivalent qualification and completion of gazettement in internal medicine. 

The MOH currently has a 3 year fellowship training programme available to physicians intending to undergo consultant training in palliative medicine. This includes 2 years of local training in an accredited palliative care unit under the supervision of a recognized consultant palliative medicine physician and 1 year of overseas training in a recognized palliative care service.

E-LEARNING

The formal health care system in Malaysia is institution based. Anyone requiring care has to go to a hospital or a clinic. Care is not extended to the homes of patients even though much care can be given at home at reduced costs both to the family as well as the society.

The pioneers of hospice care were aware that though some care was available to patients with advanced illnesses in hospitals, none was on hand at home except for the support of their families. Fortunately, there is still a tradition of care by the family which is enhanced by the knowledge and skills of the hospice home care team. However, it must be pointed out that this tradition is not universal in Malaysia and is already being eroded as the country develops and modernizes.