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Govt aims for medical residency reform after cases indicating systemic abuse

The Health Ministry plans to reform the government's specialist residency program after a flurry of cases brought the issue of systemic abuse into the public spotlight, with measures that include mental health screening, a digital logbook and hospital oversight to prevent exploitative practices.

Dio Suhenda (The Jakarta Post)
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Tue, April 22, 2025 Published on Apr. 21, 2025 Published on 2025-04-21T18:29:44+07:00

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Govt aims for medical residency reform after cases indicating systemic abuse Health Minister Budi Gunadi Sadikin (on screen) responds to journalists' questions via video link on April 21, 2025, during the ministry's press conference in Jakarta. (Antara/Bayu Pratama S)

T

he Health Ministry has promised a comprehensive overhaul of the Specialist Doctor Education Program (PPDS), including regular mental health screening for medical residents, following reports of systemic bullying and a recent rape case at a hospital in Bandung, West Java.

“We feel there must be serious, systematic and concrete improvements to the PPDS program [...] so that [our doctors] can be of high quality, not only in their skills but also in their values,” Health Minister Budi Gunadi Sadikin told a press conference on Monday.

One of the most critical gaps in oversight was residents’ mental health, which had received insufficient attention, the minister said, outlining a plan to address this issue by instituting mandatory psychological evaluations and regular follow-up assessments for new residents.

Furthermore, he said specialist doctors supervising medical residents would be required to document their activities in a digital log system.

This measure is intended to prevent a recurrence of the numerous incidents in which attending physicians and senior residents were found to be taking advantage of their juniors, assigning them the majority of the workload and then leaving the hospital premises.

Read also: ‘Bullied’ medical resident at Diponegoro University commits suicide

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The minister emphasized that hospitals must comply with government-mandated standards on residents’ working hours and job descriptions to prevent exploitative practices, such as scheduling them on consecutive day and night shifts or assigning them duties beyond their scope of work.

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