GP Summit Meeting

1. GP SUMMIT 2010
THEME: GPs AT THE CROSSROADS
Over the past several months, the Primary Care Providers’ Coalition (PCPC involving MMA, AFPM,
PCDOM, Qualitas, KDM, & Society of FMS) has met several times to discuss the mounting challenges
afflicting the GPs, which have arisen in the recent past few years. A GP Summit was felt to be timely and
necessary to help focus our attention as to the realities of these challenges and problems.
The PCPC felt that this GP Summit should come together to help evolve a robust yet nimble but cost-
effective primary care-led healthcare system. This Summit should provide the initial impetus to establish a
strong network or coalition of GPs who can provide the highest standards of General Practice, within a
restructured healthcare system. We must come together collectively and represent ourselves with one
voice rather than to become divided and self-serving. We must establish strong lobbying power to help
protect our profession and our position from unreasonable challenges and top-down regulatory oversight
which are unfair or which are too micromanaging or potentially discriminating.
We have planned a programme with the objective of getting as many like-minded primary care doctors as
possible to come together to share their thoughts and viewpoints as to what these problems are, how we
perceive these changes or challenges and how these can impact on our livelihood and future. Perhaps
we need to come together to redefine what constitutes a GP for the future. We must reiterate our
strengths and contributions, our worth, rather than to be saddled with perceived weaknesses that have
been dumped against us. But we must be prepared to change for the better, for higher quality primary
care practices.
The ultimate goal is to arrive at some form of a consensus statement or document, which we can then
present to the government, to convey our frustration, our viewpoints and some possible solutions, even
suggest some possible alternate plans for restructuring.
Among the more worrisome challenges are:
1. The impact of the implementation of the private healthcare facilities and services act and the
continuing effects on GP practice;
2. The possible implementation of newer regulations and Acts which can impact on our practice,
e.g. Medical Act 2010, Medical Devices Act?
3. Changing position of the MOH on the future of Private Primary Care Practice; 1Care for
1Malaysia Health reform, single payer system (NHFS).
We also need to comprehensively review of the current and future challenges of the GP's.
By looking at cross border experiences, we can review alternative approaches, which encourage greater
physician buy-in of the reform plans. We need to explore the possible contributory roles of government
agencies (MOH, EPU, MOF etc.) to extend financial assistance in the form of outright start-up or matching
grants, tax relief or incentives or exemptions, and see how these can support efforts to raise the
standards of care delivered in the private sector. Simply mandating changes, regulations or threats would
not help to create a collaborative atmosphere of cooperation or synergy.
We also need to get the authorities to clearly define the role of MOH in the private sector, more
specifically in the sector of Primary Care. How would the proposed integration of primary care services be
implemented? Would the government’s public sector amenities be corporatised or privatised to an outside
agency with the MOH reducing its role to that of regulatory function? Would public sector amenities be
given priority in the distribution of patients, at the expense of GPs. Would GPs be marginalized?
We also need to send a very clear and strong message to the government concerning the problems the
private GP's are in and what needs to be done. Let’s all rally together and unite for a common good!
Supported by a generous unrestricted educational grant from Sanofi-Aventis (Winthrop)

2. ORGANISING COMMITTEE
Advisor : Dr David KL Quek
President MMA
Organising Chairperson : Dr Inderjit Singh Ludher
President Academy of Family Physicians
Committee Members : Dato’ Dr NKS Tharmaseelan
Honorary General Secretary, MMA
Dato’ Dr Mohan Singh
PPS Chairman, MMA
Dato’ Dr Noorul Ameen
Director, Qualitas Medical Group Sdn Bhd
Dato’ Dr M Thuraiappah
Academy of Family Physician
Dr Molly Cheah
Primary Care Doctors Organisation of Malaysia
(PCDOM)
Dr Sudha Nanthan
Secretary, Academy of Family Physicians
Dr Noor Azizah Tahir
Head, Family Medicine Department,
Cyberjaya University College of Medical
Sciences
Dr V Joseph
Koperasi Doktor Malaysia (KDM)

3. GP SUMMIT 2010 : Programme
Time Saturday, 14 August 2010
7.30 – 8.30 am Arrivals & Registration
8.30 – 9.00 am P1 – Overview (Dr David KL Quek, MMA)
Why are we here? What’s expected of this first GP Summit? Where do we see our future
as medical practitioners in Malaysia? Should we agree to the proposed integration of the
primary care service? Does the government via its various agencies need to incentivise the
GPs to enhance our services? Roles of EPU, MOF, MOH, matching grants or tax
incentives, breaks for EHR (H/CIS); Quality enhancement programs; structural or allied
health improvement programs; seamless CPD programs; Objective of Summit: Develop a
consensus blueprint document to present to the MOH and Minister
9.30 – 10.00 am P2 - GPs: Past, Present and Future (Dato’ Dr Noorul Ameen)
Scanning the Scenario for GPs—past to future of primary care providers; Shrinking
income, Diminishing pie, growing intense competition, Realities vis-à-vis current
challenges; Regulations, Funding, Training, Patient Safety, Quality issues; Public Private
Integration, likely scenarios, uncertain future
9.30 -10.00 am P3 - Whither the GP? MOH’s Perspective (Dr Safura)
Role of GPs in the 1Care for 1Malaysia Health restructuring; Integration of GPs into
Public Sector Primary care—how, who, when? What are the roles of Family Medicine
Specialists, Members of Academy of Family Physician diploma? Are they to be de facto
in charge, controlling other GPs? If this is selective and not inclusive, why should the
public contribute to an untried system, which reduces choice, and may not ensure fairness
and equity? Would all GPs be required to become a FMS? Isn’t this potentially increasing
healthcare costs? If so why should GPs buy into such a system? What goals and objectives
have not yet been achieved, since GPs now look about >60% of all primary care patients
in the country? Are there indicators, which have shown inferiority of our current system
compared with other countries’? Credentialing—another layer of bureaucracy? MSQH?
Who pays who? How much? Co-payment for prescriptions, for ‘special care’, chronic
disease management?
10.00 – 10.30 am P4 – Comparative GP systems – US, Australia, Singapore (Dr IS Ludher,
AFPM)
A review of what’s happening around good established GP practices in the region.
Credentialing, CPD/CME programmes, HIS/EHR systems, scopes of practice,
reimbursement mechanisms, GP fees and remuneration
10.30 – 10.50 am MORNING TEA BREAK
10.50 – 12.20 am P5 - Whither the GP? Perspectives from GPs
Views, practical and reality bites from representative GPs from Sabah, Sarawak, Kedah,
Johor, Kuala Terengganu, KlangValley
12.30 – 1.00 pm LUNCH
1.00 – 6.00 pm SANOFI-AVENTIS-WINTHROP MEDICAL SYMPOSIUM
1.00 – 1.30 pm Keynote Address (Dr David Quek)
1.30 – 2.00 pm Managing Allergic Rhinitis in a Primary Care Setting (Dr Ong Chun Chiang)

4. GP SUMMIT 2010 : Programme (Con’t)
2.00 2.30
1.00 – 6.00 pm What they don’t teach you in Medical School & GI Fellowship – The
SANOFI-AVENTIS-WINTHROP MEDICAL SYMPOSIUMRole of Diet in Gut
Dysfunction (Dr Yin Thing Phee)
2.30 – 3.00 pm What’s your legal standing in Malaysia today? (Dr Milton Lum)
3.00 – 3.30 pm Q&A
3.30 – 4.00 pm TEA BREAK
4.00 – 4.30 pm Men’s Health: Sexually Active Men with LUTS – IS there hope? (Prof George Lee Eng
Geap)
4.30 – 5.00 pm Metabolic Issues in the Primary Setting (Dr Alex Tan)
5.00 – 5.30 pm Non-alcoholic Fatty Liver Disease (NAFLD) – What physicians should know (Dr Ong
Tze Zen)
5.30 – 6.00 pm Q&A
6.30 – 10.00 pm Prayers, Breaking of Fast Dinner (Courtesy Sanofi-aventis)
Time Sunday, 15 August 2010
8.30 – 9.00 am P6 – Quality & Patient Safety Issues in GP/FP (Dato’ Dr M Thuraiappah,
AFPM)
Quality In Practice, AFPM diploma, Family medicine specialist diplomas, CPD
programmes
How can the GP improve further, evolution of smart clinics, chronic disease management,
clinic clusters
9.00 – 10.15 am Breakout Session 1 Workshops: Groups of 30-50 GPs
WS1: Scope of Practice (Value-added services/income streams/gatekeepers?)
Dr Inderjit Singh Ludher & Dr Ravi Naidu
WS2: Reimbursement & Fees (including Capitation vs Fee-for-service, grants for
upgrading of services)
Dato’ Dr Noorul Ameen & Dr S R Manalan
WS3: Training & Quality (QIP, Accreditation, Credentialing, CPD/CME)
Dato’ Dr M Thuraiappah & Dr Noor Azizah Tahir
10.15 – 10.45 am MORNING TEA BREAK
10.45 – 12.00 pm Breakout Session 2 Workshops: Groups of 30-50 GPs
WS4: How do we move forward? (How do we as GPs improve ourselves & our
livelihoods?)
Dr Sudhananthan
WS5: National Health Policy (Integration, Restructuring & Change, are we ready,
agreeable?)
Dr David Quek
WS6: Health Information Systems (Electronic Health Records (EHR) &
Information technology enhancements in GP practice; Common platform for National
HIS framework?)
Dr Molly Cheah & Dr P Vythilingam
12.00 – 1.00 pm Report of Workshops, Summary, Plan of Action, GP Summit Consensus
Declaration, Dispersal
1.00 – 2.00 pm FAREWELL LUNCH

5. REGISTRATION FORM
GP SUMMIT 2010
THEME: GPs AT THE CROSSROADS
Date : 14-15 August 2010
Venue: One World Hotel
First Avenue, Bandar Utama City Centre
47800 Petaling Jaya
Selangor Darul Ehsan
Registration Fee: (Inclusive of presentation materials, coffee/tea break and lunch)
Registration Fee: RM 50.00
Full Name : Dato’/Prof/Dr/Mr/Ms/Mrs
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Please tick if you require:-
Vegetarian meals
Enclosed is a cheque/bank draft for RM ……………… made in favour of ‘Malaysian Medical Association’ and mail it to:
Malaysian Medical Association
4th Floor MMA House
124 Jalan Pahang
53000 Kuala Lumpur
For further information please contact:
MMA Secretariat
Tel: 03-4041 1375
Fax: 03-4041 8187, 40419929
E-mail: pps@mma.org.my
IMPORTANT NOTE: ONLY PARTICIPANTS WHO HAVE REGISTERED AND PAID IN FULL WILL BE ENSURED SEMINAR MATERIALS. THE SEMINAR
MATERIALS FOR WALK-IN AND NON-PAID REGISTERED PARTICIPANTS SHALL BE GIVEN ON A FIRST-COME FIRST- SERVED BASIS.
PARTICIPANTS MUST BE REGISTERED IN THE MAIN CONFERENCE. THERE IS NO ADDITIONAL REGISTRATION FEE FOR THE WORKSHOPS.

6. one world hotel
first avenue, off dataran bandar utama
47800 petaling jaya
selangor, malaysia
Photos courtesy of one world hotel, selangor