1. the first and the best since 1888

2. Department of Surgery from good to excellence Supakorn Rojananin Professor and Chairman April 17,2006 March 14, 2008

3. Siriraj -1918 (30 years after establishment) “I have visited several medical schools worldwide, East and West, but I have a deep regret to report Your Majesty that Siam's medical school (Siriraj Hospital) is the poorest I have ever seen”. Dr. Victor Heiser, an inspector of the Rockefeller Foundation of the United States 1918 2

4. Siriraj ambition - 2000s Medical Institute of Excellence in Asia and Kingdom ’ s Hospital Vision 3

5. Be Ranked As One of The Leading Faculties of Medicine in S/E Asia Have The Most Published and Cited Research of Medical Sci. in S/E Asia Be Recognized for Quality Patient Care with High Innovation in S/E Asia Build A Sufficient Financial Base To Sustain Our Mission & Achieve Our Vision L3. Create An Environment to Support Employee Engagement L1. Recruit, Train & Retain Talented Staff L2. Enhance Research Society Human Capital L5. Develop Learning Organization With Knowledge Management L4. Create Customer- Centric Culture With Competency-based HRD L6. Initiate & Implement Health Leadership Organization Capital L7. Leverage ICT to Drive Bu. Operation & Growth Information Capital I6. Perform Continued Clinical Excellence I7. Provide Extraordinary Customer Service Strive For Operational Excellence (OPEX) I5. Develop Res. Opportunities & Environment to Develop Researchers Who Are in Targeted Growth Area I4. Create Networking & Partnerships with Domestic & International Medical Agencies I1. Apply Medical School Quality Assurance Criteria I3. Create More CME I2. Develop Flexible& Dynamics Curriculum S2. Medical School of Choice Advanced Technology Advanced Knowledge S1. Deliver Quality Graduates Health Care Service Providers / Students Medical & Granting Agency Researcher S3. Produce Impact Research S4. Provide The Qualified & Needed Medical Knowledge & Technology S5. Build Enduring Relationships with Stakeholders Reasonable Price Diverse Broad Service Keep in Touch with Public Deliver Superior Values Of Services & Products To Targeted Stakeholders Patients, Families & Public Develop Productive Organization Fundamentals I8. Certified & Surveillance by External Agencies Medical Institute of Excellence in Southeast Asia F1. Financial Surplus F2. Asset Efficiency F3. Liquidity F4. Capital Structure F5. Financial Flexibility

6. Teaching-training Research Service Admin. & Finance Recruit, train, retain staff/ time allocation/ align compensation system/ competency based HRD/customer focused/ learning organization/ employee engagement/ IT/ PR, marketing VISION, MISSION Medical Institute of Excellence in Asia Kingdom’s hospital Strategy 9

7. Urology Plastic & Reconstructive Trauma Surgery Vascular Surgery Pediatric Surgery Neurosurgery Head-Neck & Breast Cardio-thoracic Surgery Head of Divisions Vice Chairmen of; - Administration -Education - Under-graduate - Post- graduate -Academy & Research -Service & Quality development -IT -Medical Record -Budget & Resources Secretary Administration Board Chairman Advisory Boards Head, Office of Department General Surgery Vice Chairman

8. Department of Surgery 9 divisions (Siriraj) -Subject oriented –Vascular –General -Endo-Laparoscopic -Hepato-pancreato-biliary & transplantation -Colo-rectal –Trauma –Head-neck & breast –Urology –Plastic & reconstructive –Neurosurgery –Cardio-vascular –Pediatric

9. A lways on the c utting edge Continuing over 90 years, keep moving to a greater height

10. Mission From Good to Excellence Competitive productivities in academy, research and innovation Defining areas of excellence in all specialties Good surgical Practice and Hospital accreditation Seeking partnership with leading hospitals of advanced countries in Asia (Look East) Stimulating progress and moving together in one direction Academic freedom in a discipline way

11. Teaching-training center Look East Exchange program - Post graduate level Scientific paper presentation among Asian Reform postgraduate curricula to international standard The Third Hospital, PKU 16

12. Teaching-training center Look East Exchange program - Post graduate level To seek partnership with leading hospitals of advanced countries in Asia Visiting Professors among Asian (INBOUND) Resident Training Exchange Program (Outbound young ambassador program) Queen Mary Hospital, HKU 15

13. Teaching-training center Look East Helping hand to neighboring countries To assist and support medical schools of the developing countries in the neighborhood To strengthen expertise, image, reputation of Siriraj Lecture or workshop tour to neighboring countries; : Laos, Cambodia, Burma, Bangladesh, Nepal, Bhutan, Mongolia, etc. 17

14. Areas of Excellence Clinical tracers: the 10 bests of surgery General Colorectal / hepato-biliary cancer surgery Vascular Arterial occlusive disease Trauma Facial trauma surgery Head-neck & breast Breast cancer surgery Urology Prostate cancer surgery Cardio-vascular CABG Neurosurgery Brain tumor center Plastic & reconstructive Microsurgery training center Pediatric surgery Tongue tie clinic

15. Area of Excellence One division one area stimulate progress and moving together in one direction - Clinical tracer - Best practice guideline - Holistic approach - One stop service - Education and Research Center - Publication and recognition core 8 Mission Mission From Good to Excellence

16. Research “A department without research is an empty department” Academic ranks of staff (N=81) 5 2 16 17 27 8 6

17. Service Service The Kingdom’s Hospital “We will provide health care at an international standard for our Thai citizen” The role model of professional hospital with faith, accountability of academy, medical service and ethics where people can trust. 20

18. Good Surgical Practice and Hospital Accreditation Process and Goals inputprocess outputgoal Medical students Residents, Fellows, Surgeons, General practitioners Patients & families, Publics Teaching & Learning Training Continuing education Surgical care Research Public education Graduates Specialists Validation of practice Cure Innovation Well-being Good Surgical Practice Excellent health- care

19. Good Surgical Practice/ Code of Conduct What is it? Standard of Competency -Knowledge, Skill, Experience Standard of Care -System, Resource, Budget, Environment Standard of Conduct -Ethics, Confidentiality, Communication, Relationship, Medico-legal, Probity in professional practice, Conflict of interest, Palliative and end of life decision making, etc. GSP; April 24, 2008

20. Faculty of Medicine Siriraj Hospital Reaccreditation, HA Thailand Quality Award, TQA Joint Committee of International Accreditation, JCIA Quality Management

21. Admin. & Finance One Faculty - Two Systems? New territories –The new plot of land will be our Research Center & Excellent Service Centers To become financially independent -to support total Siriraj -to improve employee welfare -to minimize Brain- Drain -to be accredited by JCI Near Future

22. Good to great organization Jim Collins

23. Thanks for your attention