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Quarterly

Bulletin
M alaysian M edic al Council
01-2008

KDN:UKP 100-3/3 Jld.2-(29)

CONTENTS PRESIDENT’S
President’s Foreword
FOREWORD:
T
Editorial Reflection
he Malaysian Medical Council (MMC) has issued
Mediation
a set of nine guidelines on various professional
Secretary’s Report areas of concern. The profession must be seen
by the public to move rapidly to regulate itself when
Highlights of meeting with Honourable
Minister of Health issues that worry the public emerge i.e. matters that may
suggest that the profession is deviating from the high
Stop Press !
standards it has set for itself.

Editorial Board An article in one of our newspapers announced that an


Editor: organisation is shifting its biotechnology manufacturing
Dr. Milton Lum Siew Wah plant from Slovakia to Malaysia. The cost incurred would
be RM280 million over 3 years. The article continued
Associate Editors:
Dr. David Quek Kwang Leng to state that 100 cases involving stem cells have been
Prof. Dr. Yunus Gul Alif Gul treated in Malaysia at a cost of RM 26,000 each onwards.
Prof. Dr. Zaleha Abdullah Mahdy
It was claimed that the therapy could cure diabetes,
Secretary of MMC: hormone deficiency disorders, early menopause, male
Dr. Wan Mazlan Mohamed Woojdy and female infertility, immune deficiency disorders such as
Secretariat: AIDS, cancer and autoimmune diseases, aging diseases
Dr. Karen Sharmini a/p Sandanasamy including menopause, impotence and depression, cirrhosis
(Assistant Secretary) of the liver and chronic hepatitis as well as regeneration
Mr. Perumal a/l Chinaya, of damaged cells and tissues.
(Legal Officer)
This company would be sourcing the stem cells from
Contact Adresses rabbit fetuses which would be inbred with claimed minimal
exposure to vectors of infectious disease. Recently,
Putrajaya Division
Malaysian Medical Council there were even more outrageous claims of cure using
Aras 2, Blok E1, Kompleks E stem cell therapy. What should be the response of our
Pusat Pentadbiran Kerajaan Persekutuan profession to such news items? Both the Ministry of
62518 Putrajaya
Health (MOH) and the MMC will not endorse the practice
Telephone numbers:- of non-evidence based therapies practiced outside the
Secretary – 03-88831400
Full Registration – 03-88831403/09/17 context of clinical trials.
Annual Practising Certificate (APC) – 03-88831411/13
Letter of Good Standing (LOGS) – 03-88831407 There are in existence well defined research guidelines
Provisional Registration – 03-88831408
Temporary Practising Certificate (TPC) – 03-88831402 that govern the conduct of clinical trials. The MOH
Administration – 03-88831401 has made it mandatory for all its clinicians intending
Recognition of Degrees – 03-88831401
to conduct research to have approved GCP training so
Fax: - 03-88831406 that they fully understand the importance of discipline
Email:admin@mmc.gov.my
Web page: www.mmc.gov.my and accountability when conducting clinical trials and
that the safety of human subjects and data integrity are
Kuala Lumpur Division
Tingkat 3, Blok D
paramount. Human subjects must know their rights and
Jalan Cenderasari, 50580 Kuala Lumpur be fully informed of all issues pertaining to research and all
Telephone:- 03-26947920 the relevant information about the product or procedure
Fax:- 03-26938569
Email: admin@mmc.gov.my in question. Consent forms used in research make this
Web page: www.mmc.gov.my clear to the research participants. When innovative or
emerging therapies are translated into clinical practice,

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Safeguarding patients, guiding doctors
such advice on risks and benefits may not be given to indulge in professional misconduct. If they are found guilty,
patients. we have to discipline them to serve as a deterrent to
others. At the same time, we take cognisance of the fact
It is generally unacceptable for new remedies or techniques that the public is now very knowledgeable and demanding
to be applied without ethical overview or independent and expects a lot from the profession. We have to be
assessment. In 2001, the report of the public inquiry aware of these fact at all times in our dealings with the
into children’s heart surgery at the Bristol Royal Infirmary public. A seemingly friendly patient whom we have known
1984-1995 (the Bristol Report) stated that in any case over the years may turn out to be our greatest critique
of a new, untried invasive clinical procedure, permission who may report you to the MMC, simply because you
should be sought from the local research ethics have not accorded him or her enough time.
committee thereby indicating that innovative treatments
should be treated as a form of research, especially when The members of the self governing profession have a
they involve an unknown or increased risk for the patient. pride in their profession that acts in the public interest,
Patients must be informed of why the proposed treatment in that standards are set high and lapses in the conduct
differs from the usual measures and have an opportunity or performance are not taken lightly. Public members
to consider the risks involved. Patients are also entitled to of regulatory authorities in other countries are known
know the experience of the physician or surgeon involved to comment that medical members are harsher in their
in any procedure. judgment of physicians than they are. The doctor answers
to a higher standard than that of the market place namely
Patients involved in innovative therapies need to know: the authoritative judgment of fellow physicians.
Why the therapy is proposed in their case
The evidence to support its use and the areas of Modern medicine is extremely complex. A non-medical
uncertainty surrounding it person would have greater difficulty in developing the
Whether it has had any form of ethical review appropriate expertise and knowledge to operate efficiently
The clinician’s experience in using the drug or and effectively.
doing the procedure
The alternatives, if any Rapid changes in practice brought on by advances in
How it differs from standard treatment medical science may render the knowledge and skills we
The likely risks and benefits for themselves acquire and practise as a young medical doctor, obsolete
The measures for safety monitoring and support and irrelevant. Throughout the developed world, countries
if things go wrong have moved or are moving towards instituting some form of
The likely future use of the therapy, if successful recertification. Nevertheless, public demands for assured
competence are both present and growing, virtually
Public confidence in the profession can be eroded if guaranteeing a future for the processes of relicensure
innovative therapy is perceived to be carried out in a and recertification. The MMC will introduce measures
clandestine manner. for recertification of doctors and specialists in the near
future and this will include CPD (Continuing Professional
Malaysia has attracted a lot of investors and businessmen Development) activities. It is better for us to be the ones
to enhance or purportedly to jumpstart our biotechnology introducing this rather than be compelled to do so by the
industry. While I have no problems with that, I want to public in keeping with practices around the world.
caution our Malaysian counterparts to be critical of all
proposals put forward, lest they be taken for a ride. I always Conflict is inherent in a profession in which individuals
tell the relevant authorities or agencies that the best way are expected to be altruistic while as human beings, still
to deal with the situation is to refer such proposals to the pursue their own interests. As long as the profession
MOH as we are the largest healthcare provider and the remains in high esteem, outside observers presume
main regulatory authority dealing with matters pertaining that altruism would prevail and that the patient’s needs
to health and healthcare. We know how to differentiate would be paramount. Negative events have overtaken
between glass and diamond and between a gem and a those relatively simple days and the situation medicine
fraud. Even some of our own doctors are indulging in the now faces are different. Trust must be continuously
practice of so-called new and innovative therapies that earned from a skeptical public who are very aware of the
are not backed by sound scientific evidence. opportunities for its abuse in a highly competitive market
orientated health care system that encourages and
Doctors should not be too anxious to recommend new & rewards entrepreneurial behaviour. Doctors are exposed
innovative therapies until such evidence appears in peer- to a plethora of potential and real conflicts. Not all these
reviewed scientific journals. Otherwise research protocols conflicts originate from outside the profession. Self
and guidelines should apply. Doctors should be cautious referral to doctor-owned laboratories, surgery centres
and make a considered professional decision and not a or pharmacies and getting non-medical personnel to
commercial one about using innovative and experimental screen patients in a centre and sending those found
therapies. positive, whatever that means, to selected specialists
and centres, can cause a conflict of interest and thus far
The majority of our doctors abide by the Code of the profession’s attempts to regulate conflicts have met
Professional Conduct. Some gets too adventurous and with only limited success.

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Safeguarding patients, guiding doctors
The very high profile problem of unethical or incompetent excellence in medical practice and professional activities.
doctors can tarnish the reputation of the entire medical
profession. This small number of doctors will need to be Hard work and long hours as well as life long education
dealt with. While the methods must be consistent with are still characteristics of the profession although perhaps
the principles of due process and natural justice, the not as highly valued as previously.
main objective must be to protect the public. Although
there certainly have been attempts to improve disciplinary Whatever the circumstances and whichever role we
procedures, both the Institutes of Medicine Reports from may play in our dealings with ourselves, our families, our
the United States have not satiated the public concern friends, colleagues , the community and society at large,
as to whether the profession is meeting its obligation to we must not allow ethics to take a back seat, especially
adhere to the highest standards. as we are doctors. Those in the profession must use their
scientific reasoning, which is inherent in their training
The concept of self-regulation is strongest in the medical as a doctor to distinguish between the truth and sales
profession. Self-regulation implies a voluntary and internal gimmicks of the industry.
regulatory mechanism within the profession, irrespective
of whether such controls are demanded by law or others I believe the profession will prevail because the majority
outside the profession. Self-regulatory mechanisms of us are trained to behave ethically. It is the grounding
must have sufficient transparency before they can gain in ethics that will carry us forward past the cross-roads
credibility in the public eye. on to the road ahead where we look forward to seeing
well trained doctors behaving professionally and ethically
Health care is and should remain a public responsibility. while the medical profession is still held in high esteem by
We, as doctors, should continue to develop standards the public. We owe this to ourselves, our profession, our
and guidelines for the profession and for society. patients and the society at large.

We must value the autonomy of our profession in Thank you.


controlling major aspects of our work as we do not wish
to be dictated by a third party. But to play this game, we
must be fair and not steer away from our professional
responsibilities for monetary gains. We also must be TAN SRI DATUK DR. MOHD ISMAIL MERICAN,
obsessed with enhancing our competence to ensure President

COMMUNICATION &
DOCUMENTATION
Dr Milton Lum FRCOG

Madam A, a single mother, brought her only child and During the inquiry by the Preliminary Investigation
daughter, B, aged six years, to a private hospital, after Committee (PIC), Madam A reiterated her complaints.
B sustained a fall at the playground. There was a deep However, she did not bring any witnesses or medical
laceration on B’s chin, measuring about five centimeters reports. Dr C’s documentation was poor. No consent
long. Dr C, who was the Medical Officer at the Accident form was signed. The PIC recommended an inquiry by
and Emergency Department, carried out toilet and suture the MMC. The charge against Dr C was:
on B. The nurses held B while Dr C sprayed ethyl chloride
on the laceration and then completed the procedure in “That you had disregarded and neglected your professional
less than ten minutes. Madam A and B then went home. duties to the patient, abused your professional privileges
and skills and conducted yourself in a manner derogatory
Madam A consulted a general surgeon, Dr D, a week later, to the reputation of the medical profession by having failed
about B’s management. Dr D opined that a peadiatrician to provide and/or neglected to provide a sufficient and/or
should have been called and the wound would have healed appropriate standard of medical care in the management
better had the toilet and suture been done under general of the patient and violated the Code of Professional
anaesthesia. Conduct as adopted by the Malaysian Medical Council in
that you had proceeded to place three stitches on the
Madam A lodged complaints with the hospital’s management chin of the patient without using either local or general
and the Malaysian Medical Council (MMC), alleging anaesthetic despite the protestations of the mother of
mismanagement and that Dr C carried out the procedure the said child patient/ without obtaining valid consent
without anaesthesia and without Madam A’s consent. prior for the procedure.”
Madam A also claimed that Dr C ignored her protests.

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Safeguarding patients, guiding doctors
The MMC concluded that no case had been made out Dr C was fortunate that the complainant did not provide
against Dr C and directed that the charge be dismissed. evidence to support her allegations. He was reminded
The MMC’s Standing Orders for the Conduct of Disciplinary to be more sensitive towards patients, particularly when
Inquiries requires that the burden of proof lies with the providing care to children. In particular, parents need
complainant. In other words, “He who alleges must reassurance and an explanation of the procedure that is
prove.” to be carried out.

Madam A did not substantiate her allegations with Dr C had not documented in the patient’s medical records
supportive evidence e.g. statutory declaration, medical what he claimed he did. He was reminded that had the
report from Dr D, testimonies from witnesses. Dr C event occurred after the enforcement of the Private
claimed he had obtained verbal consent from Madam Health Care, Facilities and Services Regulations (PHFSR),
A, who sat at the side of the treatment couch. It was he could have faced a criminal charge, in addition. The
a matter of Madam A’s word against Dr C’s word. The punishments, upon conviction, are a fine, imprisonment
benefit of the doubt was given to Dr C. or both as there was non-compliance with the statutory
requirements for written consent to be obtained prior to
Lessons any procedure(1). Council was also of the view that ethyl
chloride is not an appropriate anaesthetic in this case.
The MMC found that there were two main problems in
this case: References
• poor communication; and
• poor documentation. 1. Private Health Care, Facilities and Services
Regulations (Private Hospitals and Private Health
Care Facilities) 2006 Sections 47-48

MEDIATION
Dr Milton Lum

Adverse events occur in medical practice and will continue down a decision. On the other hand, a mediator listens
to occur notwithstanding whatever is done by health to both parties’ case, finds common ground and identifies
care organizations and/or doctors and other healthcare areas of dispute. He then works towards an agreed
professionals. When things go wrong, some victims of solution. The mediator does not give an opinion on the
medical accidents will complain to the Medical Council; law or the merits of the case. There is no finding of fault
others will resort to litigation. It has been reported in or apportioning of blame.
many studies that most victims of medical accidents
want: Mediators help in the definition and analysis of the
1. An honest explanation for what went wrong; differences between the two parties and look at the
2. A genuine apology; underlying interests and needs of both parties.
3. Reassurance that the same event will not happen
again; and Mediation differs from litigation in two other important
4. In some instances, compensation. aspects:
• It is voluntary
Many neutrals are of the view that the legal process • It is without prejudice (i.e. it does not bind either
cannot provide what victims want. party, who are not held to what has been said or has
occurred during the process).
Litigation incurs expenditure and takes a long time to
reach a conclusion. The process, which encourages Mediation can take place at any time. It can be at the
secrecy and entrenched positions, does not result outset of a complaint, or at a later stage, when litigation
in an amicable, early or satisfactory resolution for is underway, but is not meeting the needs of the parties
many. and/or when negotiations to settle the case have broken
down.
Mediation, a mode of alternative dispute resolution, is
increasingly used in many jurisdictions as a way of dealing The advantages of mediation are discussed below:
with patient complaints about medical care which has
resulted in unsatisfactory outcomes. 1. Speed
Litigation usually takes a long time to conclude. In
Mediation is an alternative to litigation. The judge hears general, it takes at least five to ten years for the
the position taken by each party in court and then hands conclusion of a case in the Malaysian courts. In the

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Safeguarding patients, guiding doctors
landmark case, Foo Fio Na vs Assunta Hospital and Dr 6. Cost
Soo Fook Mun, the Federal Court gave its judgement The cost of litigation is increasing as evidenced by
in December 2006 when the incident occurred in the marked increase in the premiums of medical
July 1982, a period of more than 24 years. indemnity organizations in the past two decades.
Legal costs, rather than compensation awarded
In countries where Pre-Action Protocols are to the injured patient, constitute an increasingly
adhered to strictly, there is more rapid movement significant proportion of the expenditure incurred.
of the cases in the courts. However, time is still Sometimes, the legal costs exceed the court award.
needed to get through investigation, proceedings,
settlement or trial. Attempts at negotiation and, There are several factors for the lower costs of
if this fails, the issuing of court proceedings and mediation. They include the more rapid conclusion,
proceeding to trial all takes time. The whole informality and the non-requirement for the exchange
process takes a few years to conclude. Where of all the evidence.
there are no Pre-Action Protocols, or if there are,
no strict adherence to it, the whole process takes 7. Equity and ethics
an even longer time. The high cost of litigation has made it very difficult for
patients without means to commence proceedings.
Mediation can provide a speedier resolution to Furthermore, there are allegations of cases
disputes. It permits both parties to have an earlier being taken on contingency basis, an unhealthy
mutual evaluation of the case. Even if there is no practice which is considered unethical by the legal
settlement or resolution, mediation may be helpful, fraternity.
if the case goes to trial, because, the parties would
have a more focused view of the issues between The lower costs of mediation can make it possible
them. for more aggrieved patients to address their
complaints.
A sine qua non for mediation, however, is the availability
of all medical records and medical reports. 8. Results
It is reported that settlements result in as many as
2. Confidentiality 80% of mediations. For example, court directed
Mediation allows parties to state their grievances resolution (CDR) is offered to all who file law suits
and discuss areas of concern in private rather than in Singapore. It is not mandatory as it takes place
in court, where it may be reported in the print and with the consent of both parties to the lawsuit. The
electronic media. implementation of CDR in its Subordinate Courts has
contributed significantly to the early and amicable
3. Less stress resolution of large number of lawsuits prior to trial,
It is well documented that litigation is stressful to including medical negligence claims. In 2006, about
both patients and doctors. Mediation can help avoid 7,310 cases were resolved through CDR. The
this with the early settlement of complaints. It may Straits Times in Singapore reported that only 11
be healing for both parties. The claimant has his or medical negligence lawsuits were filed in 2005 in the
her say in a setting where he or she is listened to. Subordinate Courts. All the cases were settled out
Many mediated cases have addressed the emotional of court. It further reported that of the 79 medical
aspects of the complaint rather than monetary negligence suits filed in the Subordinate Courts since
compensation. There is greater likelihood of a 1998, only two went to trial.
continuation of the patient-doctor relationship unlike
in litigation, where it is likely to be destroyed in most The disadvantages of mediation are discussed below:
instances.
1. Sub-optimal outcome
4. Control It is possible that, with mediation, the patient may be
Mediation allows both parties to feel that they are in disadvantaged by the settlement, either in monetary
control of the proceedings instead of lawyers and the or accountability terms. There may be pressure to
courts. There is no feeling that a third party’s view is reach a conclusion on the mediation date, as everyone
imposed on them. This leads to no one feeling that is expected to arrive at an agreement. There may be
they have lost out. It may also be less confrontational. a feeling of failure for everyone involved if this does
This is, however, dependent on the parties involved. not occur.

5. Flexibility 2. No changes in medical practice


There is greater flexibility in mediation because the It is believed by some that the increase in litigation has
remedies are more varied. Settlements in litigation lead to a corresponding increase in risk management
are monetary. However, mediation permits more in medical practice and greater awareness of patients’
customized settlements which are not just monetary communication needs. It is unclear if unreported
e.g. explanation, apology, dissemination of lessons mediated cases behind closed doors will create the
from the case to other doctors. same impetus for patient safety.

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Safeguarding patients, guiding doctors
3. Lower damages Conclusion
It is likely that mediation will result in lower payouts
for damages in some cases because it is often the At a time when the litigation process takes so long
threat of the court action that provides the impetus and is inequitable in many respects, the advantages of
for defendants into offering realistic damages. mediation far outweigh its disadvantages. Mediation
can provide benefits, both monetary and otherwise,
4. Lack of control for victims of medical accidents. However, because
As in any informal process, there is less control of few cases in Malaysia have actually been through the
processes which are not controlled by the claimant mediation process, it is not yet possible to determine its
or the usual procedures of the litigation process or usefulness as a means of resolving issues for victims of
the court. medical accidents. A better understanding of mediation
will increase its uptake by claimants, doctors, medical
5. Cost defence organizations and health care facilities.
If a case is mediated after initial investigations, then
the costs of mediation may exceed negotiation. A In summary, one need to bear in mind Richard Lamb’s
negotiated settlement often occurs at this stage and caution “No nation in history has ever sued its way to
well before litigation. greatness.”

6. Stress Dr Milton Lum is a practising gynaecologist and an


It can be stressful for some claimants to have to elected member of Council. The views expressed do
meet doctors and the mediator(s) face to face. On not represent that of any organization he is associated
the other hand, lawyers can obviate direct contact with.
with the other side and also act as a buffer in some
circumstances.

Highlights of Meeting Between


the Honourable Minister of Health
Y.B. Dato’ Liow Tiong Lai
and Members of the Malaysian Medical Council
on 17th April 2008 at 9.00am
at the Conference Room, Block E7, Putrajaya

The Honourable Minister of Health chaired the meeting is concerned, he gave his undertaking that unequivocal
which was attended by the Honourable Deputy Minister support will be provided to the Council in its endeavour to
of Health, the President of the Malaysian Medical Council establish itself as the prime custodian of the healthcare
and 13 Council members as well as several senior services in the country.
Ministry of Health officials.
The President in his response thanked the minister for
The Minister in welcoming the delegation stressed initialling this important meeting with the Council and
that the Council played a pivotal role in the delivery of expressed the Council’s undivided support in all of MOH’s
healthcare services to, not only the public sector but the efforts in improving the healthcare delivery system of the
whole country including the private sector. He expressed country.
his wishes to see that the Council continuing to shoulder
this onerous responsibility by galvanising the energy of He went on to outline some of the achievements of the
all registered practitioners in the country to realise the Council over the last few years namely:-
mission and vision of the Ministry of Health to provide
quality healthcare to all Malaysians. 1. The amendments to the Medical Act 1971 which is
ready to be presented to the MOH
He propounded that it is the core business of all healthcare 2. The approval by the Cabinet for the independent
providers to inculcate professionalism, teamwork and a statutory body for the Council and efforts are underway
caring attitude into all aspects of their daily dealings with to realise this milestone in the near future.
members of the public. Insofar as the Ministry of Health 3. The complete computerisation of the administration

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Safeguarding patients, guiding doctors
and function of the Council and very soon online iv) Disposal of Complaints by the MMC
registration and payment will be introduced.
4. The launching of a comprehensive webpage in August It was emphasised that issues related to negligence
last year; and does not come under the jurisdiction of the Council
5. The endorsement and launching of a further set of 9 and many complainants are disgruntled over the
ethical guidelines for the consumption of practitioners outcome. It was proposed to look into the possibility
as well as the public during the webpage launching. of setting up a mediation/arbitration team to
overcome the deadlock being faced by the Council
Following this a power point presentation of the function over issues that do not fall squarely under the Code
and the current affairs of the Council was presented by of Professional Conduct. The Minister expressed his
Dato’ Dr. Abdul Hamid Kadir, a member of the Council on support for this proposal.
the following headings:
v) Traditional Complimentary Medicine (TCM)
a) Functions of MMC
b) Amendments to the Medical Act 1971 and the The Minister agreed that a clear demarcation be
Medical Regulations 1974; indentified between the practice of a registered
c) Private Healthcare Facilities and Services Act 1998 medical practitioner and TCM practitioner in the
and its Hospital as well as Clinic Regulations 2006; areas of treatment, usage of drugs and equipments,
d) Continuous Professional Development (CPD); taking into consideration all the legislations involved.
e) Independent statutory body status of the MMC;
f) Traditional and Complementary Medicine vi) Advertisement by Registered Medical Practitioner
g) Committees of the MMC
h) MMC Publications There was agreement that there must be more
i) MMC homepage liberalisation of advertisement in consonance with
the “health tourism” policy of the country.
Finally a dialogue session was held between the Honourable
Minister and Council members where the following issues vii) Practice of aesthetic medicine by Registered
were discussed: Medical Practitioners

i) Private Healthcare Facilities and Services Act Only Registered Medical Practitioner who possess the
1999 and its Regulations prerequisite training and qualification be allowed to be
involved in aesthetic medicine to protect the general
The minister, taking cognisance of the reservation public and guidelines related to this issue be given
expressed on various short comings in the said ample publicity and be displayed in the webpage.
Regulations, proclaimed his sincere intention to give
serious consideration to proposals to be forwarded at viii) Emergency Services to be provided by Registered
a meeting of all stakeholders which is to be organised Medical Practitioners
by the Medical Practice Division, Ministry of Health
soon to amend the Regulations to make it more user The Minister proposed that MOH establishes proper
friendly. guideline for emergency services to be provided by a
Registered Medical Practitioner or a facility depending
ii) Amendments to the Medical Act 1971 and on the type of practice conducted by him or services
Medical Regulation 1974. provided by the facility.

The Minister gave his undertaking to give priority for ix) Introduction of Provision of the Private
the submission of the amendments in Parliament this Healthcare Facilities and Services Act 1998 Into
year. Government Facilities

iii) Independent statutory body status of the MMC The Honourable Minister was in total concurrence
with the views of the Council members that the
The Minister directed all parties involved to expedite provisions of the Private Healthcare Facilities and
the process so that the Council can function Services Act be extended to government facilities
independent of MOH as well as sanctioned the as well so that the healthcare needs of the general
allocation of the whole of Block B at MOH office public who cannot afford private care be provided
complex in Jalan Cenderasari, Kuala Lumpur to the for in the same manner as those provided for in the
Council for its activities. private sector.

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x) Credit transfer for Graduate from unrecognised contributions and will ensure that all decisions made will
universities to recognised universities be successfully realized.

The Minister welcomed the noble intention of MMC Thank you.


to allow graduates from unrecognised universities to
pursue their course in recognised universities on a Jointly prepared by:
credit transfer but at the same time stressed that Dr. Wan Mazlan Mohamed Woojdy,
there must be no compromise on the quality of the Secretary for the Council.
medical education to be provided.
and
Finally, on behalf of the Council, the President appreciated Mr. Perumal a/l Chinaya,
and thanked the Minister and all members for their Legal Officer for the Council.

STOP PRESS!!!

RE:
CESSATION OF REGISTRATION
UNDER SECTION 24 OF THE
MEDICAL ACT 1971
The public is hereby informed that the Malaysian Medical Council had ordered the
registration of the name of Mr. Shuib bin Hussain, (NRIC 510610-02-5599/3585996,
Full Registration No. 23116 dated 30/10/1979) address at Poliklinik & Surgeri
Titiwangsa, Dr. Shuib dan Rakan-Rakan, 79-1A, Jalan Raja Abdullah, 50300 Kuala
Lumpur be ceased to be registered from 9 January 2007 till further notice.

However, information has been received by the Council that the said practitioner
is continuing to practice and is signing certificates or documents required by any
written law which is against the Medical Act 1971.

Please take note that the Council will not be responsible for any untoward incidences
that may arise out of the malpractice of this practitioner.

The public is hereby requested to provide the Council with any information regarding
the conduct of practice by Mr. Shuib bin Hussain for our further action.

 Malaysian Medical Council

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