1. CURRENT STATUS AND PLAN FOR RADIOTHERAPY SERVICES IN MALAYSIA

2. Malaysia Report 2005 – Radiotherapy Planning NATIONAL CANCER REGISTRY (NCR) l Planning greatly enhanced by re- establishment of NCR in 2002 l Comprehensive coverage including private sector l Basic information only l First report - 2002 l Second report - 2003

7. Malaysia Report 2005 – Radiotherapy Planning GOVERNMENT RADIOTHERAPY CENTRES

8. Malaysia Report 2005 – Radiotherapy Planning PRIVATE RADIOTHERAPY CENTRES

9. Malaysia Report 2005 – Radiotherapy Planning CURRENT ISSUES l Inadequate coverage – Most centres are in the west coast l Inadequate manpower – Oncologists – Medical physicist – Radiographers l Equipment maintenence

10. Malaysia Report 2005 – Radiotherapy Planning IMPROVING COVERAGE l Buying services from private centres – Melaka – Mount Miriam l Increasing number of centres – To be established in low coverage areas – Pulau Pinang (North) – Kuantan (East coast) – Sabah (East Malaysia)

11. Malaysia Report 2005 – Radiotherapy Planning RADIOTHERAPY CENTRES IN MALAYSIA Radiotherapy Centres Kepala batas Kuantan Kota Kinabalu

12. Malaysia Report 2005 – Radiotherapy Planning TRAINING PROGRAMS l Clinical oncologists – Universiti Malaya (UMMC) l Radiographers – Hospital Kuala Lumpur – Universiti Kebangsaan Malaysia (UKM) l Medical Physics – UMMC – Universiti Sains Malaysia l Nurses – Hospital Kuala Lumpur – UMMC – UKM

13. Malaysia Report 2005 – Radiotherapy Planning INCREASING NUMBER OF ONCOLOGISTS l Short term – Contract officers from other countries – Private oncologists l Long term – Local training program – Sub-speciality training – Accreditation board

14. Malaysia Report 2005 – Radiotherapy Planning LOCAL ONCOLOGY PROGRAM l Master in Clinical Oncology (UM) l 4 year degree course l Based on FRCR syllabus – Part 1 exam (Basic Sciences) – After 1 st year – Part 2 exam (Clinical) – After 3 rd year l 3 training centres – UMMC – HUKM – HKL l 4 th intake June 2005

15. Malaysia Report 2005 – Radiotherapy Planning LOCAL ONCOLOGY PROGRAM l Lack of teachers eg radiobiology – Supporting programs – IAEA distance learning course – IAEA Radiobiology course l Quality control – External review – External review of questions – External examiners for examinations

16. Malaysia Report 2005 – Radiotherapy Planning LOCAL TRAINING FOR RADIOGRAPHERS l Long established Min. of Health training l New university course – 4 year degree program – Aim at both diagnostic and therapy radiographers – First batch graduated 2004 l Need for continuing education – ? Masters program

17. Malaysia Report 2005 – Radiotherapy Planning LOCAL MEDICAL PHYSICS PROGRAM l Masters in Medical Physics – UMMC – USM – 2 year program with dissertation / thesis l Adequate quality – Brain drain to private – Inadequate renumeration in government service

18. Malaysia Report 2005 – Radiotherapy Planning EQUIPMENT MAINTENENCE l Contract with manufacturer varies with hospital – Comprehensive and non-comprehensive programs – Unexpected expensive repairs may cause downtime while getting budget for repair – No in-house expertise – Few hospitals have in-house engineering department for maintenance of equipment

19. Malaysia Report 2005 – Radiotherapy Planning QUALITY AUDITS l No national audit system – All at hospital level l “Established” quality systems – ISO 9000/ 20001 – Hospital Accreditation – No external systems eg JNCI, l Level of documentation varies

20. THANK YOU