APRM report 2017 full resolution

1

A Message from the Regional Director

Dear Asia-Pacific, This report has been a long time coming. Despite several hurdles at the beginning of last term, we as a region showed that we could overcome anything and managed to deliver a meaningful, high quality event that is the APRM 2017, Tokyo Japan. The Asia-Pacific Regional Meeting has always been a gathering place for IFMSA members within Asia-Pacific.

It is an opportunity for us to get to know each other as well as to exchange ideas and best practices amongst ourselves. This year, with the theme “Healthcare in danger”, we explored how Medical students and medical professionals should and could act in situations that are becoming more and more prevalent these days. Last September, hundreds of members from our region learned, met, and hopefully grew as a result of this meeting. For that, we have several parties I feel should be mentioned for their contributions : First of all, I would like to thank the Organizing Committee of APRM 2017 for the hours upon hours they have put in to the preparation of this meeting. Secondly, I would like to thank my Regional Team and the session facilitators, whose preparation that ensured the content of the session was as enriching and high quality as possible, played a significant part of what made APRM as it was. Lastly, but certainly not least, I would like to thank the participants themselves, for having made the journey to Japan, no doubt through significant personal and professional sacrifices, and for being been the best, most interactive participants anyone could ever wish for.

This will officially mark the last time I will ever address you as the Asia-Pacific Regional Director. To repeat a phrase I have often said before : It was, is, and always will be an honor to have served you and helped you grow as a region, through what limited contributions I was able to give.

Warmest Regards, Satria Nur Sya’ban IFMSA Regional Director for Asia-Pacific 2016/17

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Asia-Pacific Regional Meeting 2017 at a glance

Asia-Pacific Region

18 13

Nat. Member Organizations (NMOs) NMOs represented at APRM 2017

147

Participants

Pre-Regional Meeting

51

Participants trained

• • • •

3

Workshops

Next APRM Host voted upon during the Plenary Successful second plenary of the Asia-Pacific Region with regional decision making capacity Theme Event on Healthcare in danger completed, with high-level speakers, experienced in the global field Acceptance oft he end-term report of the AsiaPacific Regional Team

3

Asia-Pacific Regional Team

4

APRM Organizing Committee

5

Table of Contents 1. Pre-Regional Meeting Workshops

6

2. Capacity Building Sessions

9

3. Standing Committee and Presidents’ Sessions

11

4. Theme Event

17

5. Activities Presentation and Fair

19

6. The Regional Meeting in Numbers

20

6

Pre-Regional Meeting Workshops

22

Training New Trainers Participants

Countries

9 5

This workshop is one of the most popular workshops in Facilitators IFMSA. There are strict regulations to the format and most Signy Amelia Louise ter Pelkwijk part of it is standardized in approximately 13 training IFMSA-NL (The Netherlands) sessions with all types of content. Besides pure non-formal Gabriel Chun Hei Wong education and soft skills training, the aim is also to help the AMSA – Hong Kong participant develop themselves and understand the Training Sudirman philosophy. IFMSA is an organization which counts mainly on CIMSA-ISMKI Indonesia its members and medical students worldwide, thus capacity building and non-formal education are two main ways to achieve the needs, vision and mission of the IFMSA. The TNT essentially prepares our members to become an effective trainer so that you can help develop others such as your local and national members through various high impact training activities and workshop sessions. In the APRM, this workshop had the most participants from the most countries and almost all the participants did their graduation trainings during the APRM itself

Image 1. Facilitator of the session providing training to the TNT Participants of APRM 2017

Image 2. Participants of the TNT of APRM 2017

7

Training New Human Rights Trainers Participants

14 11

Countries

7 5

As future medical practitioners with the responsibility of Facilitators serving all people in the community, to treat disease but Jessica Shiyang Zhang also to prevent suffering, it is perhaps of even greater IFMSA SCORP Director importance to us as medical students. Human rights Hung Wei Pin education is considered by the IFMSA as recognition of SMMAMS – Malaysia (observer) health as a fundamental human right. This training provides a unique platform for medical students from different NMOs to receive the proper tools and skills to create and implement a Human Rights education program in their local communities as well as nationally and internationally if they wish. The outcome from this workshop is • To introduce the concept of Human Rights, give a brief overview and contextualization of the history of Human Rights up until present including the UN Universal Declaration of Human Rights (UDHR) • To discuss the different types of Prejudice and Discrimination, with health and healthcare in mind • To build up the participants soft skills, such as presentation skills, public speaking skills, communication skills and evaluation skills through incorporation of these skills within the human rights topics. E.g. giving a presentation on a human rights issue during the boot camp element of the workshop • To include all participants in the Human Rights Network and share opportunities for them to increase their Human Rights knowledge by promotion of other workshops available.

During this APRM, the training was conducted by none other than IFMSA’s SCORP Director: Jessica Shiyang Zhang. The workshop went successfully with most participants reporting high level of satisfaction and understanding of the topics being discussed. Some graduation trainings were included in the SCORP sessions, while others will need to do it back in their own countries, with experienced trainers mentoring their progress.

Image 3. Facilitator of the session having a discussion with the TNHRT Participants of APRM 2017

Image 4. SCORP D leading the wrap up of one of the days of TNHRT of APRM 2017

8

Training Medical Education Trainers Participants

15 9

Countries

5 8

Training our members in student representation and medical Facilitators education shapes not only the quality of our future doctors, but also the quality of healthcare. The TMET will focus on Mauro Henrique Camacho IFMSA SCORE Director empowering participants to initiate peer education based trainings at home to guarantee the implication of their Rahoul Adrian Gonsalves members and make sure their organizations voices are heard. IFMSA SCOME RA for Asia-Pacific As medical students are directly exposed to medical curricula, Ahmad Mustafa Gebreil they should rightfully be assumed to be experts on their IFMSA-Egypt (observer) educational system, and should therefore have an influence on the creation of an innovative curricula. Before we as medical students can advocate for the highest standards and change in our education, we should be aware of many topics curriculum design, assessment, research, learning methods and how to meaningfully be a part of the medical education system, we should know what to change and how to make the change. This workshop will help with that. As a result of this training, we had 13 graduated trainers, 2 trainers are yet to graduate, (planning to do so in their home country). Graduated trainers have had their graduation forms sent to the SCOME DA for registration into the trainer’s database. Evaluation form was collected and will be shared with the next RA for improvement of the sessions. We also had the pleasure of having Mauro Camacho, the IFMSA SCORE D as one of the facilitators of the workshop. These objectives were assessed to be sufficiently achieved. Most participants reported positive experience with the workshops.

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Image 5. One of the group showing off the result of their discussion in the TMET of APRM 2017

Image 6. Facilitator posing with a discussion group in the TMET of APRM 2017

9

Capacity Building Sessions

67

Leadership + Advocacy in Medical Education Participants

Objective: The training was a combination of the skills Facilitators: Graduating Trainers gathered in the TNT session of the PreAPRM and the TMET Turarova Aliya Maratkyzy Session of the PreAPRM. In this course, the participants are (Kazakhstan) taught and is pushed to discuss the basic attributes and skills Kota Samejima (Japan) associated with leadership positions. Afterwards the session Gary Aghnia Fikriya Nasiha (Indonesia) continues with a discussion on advocacy in Medical Fiemel Setya Amadhea (Indonesia) Education, specifically how it can be done Methods: Presentation from facilitators, Question and Answers, Group Discussions Evaluation: The attendees felt that the Advocacy training is more coherent than the leadership, as it contains more hard knowledge and is more interactive. However, in general, less than 10% of the attendees reported dissatisfaction in the session.

39

Team Dynamics + Leadership in Medical Education Participants

Objective: The session was again a combination oft he skills Facilitators gathered in TNT and TMET. This time the participants are Mukatov Damir Mikhailovich taught about the dynamics within a team. How it is formed, (Kazakhstan) how it should be maintained, and the impact it could have tot Steven he performance of a team. This is then continued by an Heng Jiang (China) Jizaa Rajiv Khandekar (India) intermediate session on leadership in medical education, highlighting the importance of medical students taking the lead in mobilizing their peers to create a shift in the medical education around them.

Methods: Presentation from facilitators, Question and Answers, Group Discussions Evaluation: Several of the participants believed that the session was less than interesting and requested that more realistic experience in team dynamics be shared. While the level of dissatisfaction remains low, there is a significant amount of “neutral� in the

Feedback and Evaluation + Professionalism and Ethics

31 Participants 9

Objective: Through this session, the participants are taught Facilitators how they should properly gather feedback and evaluation Hei Man Kwok (Hong Kong) from the teams and sessions they lead. Including the Rio Taruna Jati (Indonesia) usefulness such feedback can bring to future iterations of Nurlyaina Tileukul (Kazakhstan) their sessions. The first session is then followed by the Mrunmayee Mukesh Mangali (India) Professionalism and Ethics, which is an application of the TMET PreAPRM session. This session discussed definitions and roles of professionalism and ethics in medical education and medical field itself. It highlights the importance of ethics in medical practice and underlines that being professional is one of the criteria of actually accrediting the doctors and giving them a degree.

Methods: Presentation from facilitators, Question and Answers, Group Discussions

10

Evaluation: The attendees thought that the training was not as interesting as it should be, and should have been prepared better. However, it remains well evaluated by the attendees, satisfaction wise.

Conflict Management + Assessment and Evaluation

56 Participants 9

Objective: This session aims to educate the attendees on Facilitators the techniques and importance of conflict management as Kymbat Kabdullina (Kazakhstan) well as what sort of different impacts it could have to the Yu-Yuan Chung (Taiwan, China) quality of work oft he team. It is then continued by the Ashandi Triyoga (Indonesia) Assessment and Evaluation session where the trainers Peeyush (Thailand) provided information on how evaluation of students is done Honoka (Japan) and should be done, in both short term and long term, such as through OSCEs, Examinations, and Portfolios.

Methods: Presentation from facilitators, Question and Answers, Group Discussions Evaluation: Some participants wanted more time to discuss the content of the session.

Almost all participants rated their satisfaction of the session as Satisfied or Very Satisfied.

Advocacy + Curriculum Development Participants

33 9

Objective: The aim of this training session is to share the Facilitators techniques and basics of advocacy to the participants. How Ashylkhanov Abylaikhan advocacy can be a tool for us to make a change, and how to (Kazakhstan) incorporate it in our daily life. This is then continued by the Yuzhou Wu (China) Curriculum Development that aims to bring the participants to Khansa Khairunnisa Azzahra (Indonesia) answer “How do we develop the curriculum when we develop Rose it“.

Methods: Presentation from facilitators, Question and Answers, Group Discussions Evaluation: Participants believe that more time should be given to the session’s discussions and believes that session was well prepared. Most reported to be Satsified or Very-Satisfied of the session.

Learning + Research in Medical Education Participants

57 9

Objective: The aim of this training is to help articulate what Facilitators Learning is to the participants. Followed by a session about Indira Sembiyeva (Kazakhstan) basics of research, research on Medical Education Putri Azzahra Nur Azrina (Indonesia) techniques and using evidence based methods to teach Hsiang - Hua Chiang (Taiwan, China) Ahmed Al Azzam (Jordan) students.

Methods: Presentation from facilitators, Question and Answers, Group Discussions Evaluation: Moderate satisfaction level due to technical problems. It is suggested that the facilitator improve the material by incorporating modern delivery methods.

11

Standing Committee and Presidents’ Sessions

15 14

Presidents’ Session Topics Covered • • • • • • • • • • • •

Participants

Report of the Regional Team VPIA recommendations Plenary Procedure Review IFMSA Servers and Website ExRep in IFMSA IOG proposals and discussion Capacity Building in the Region Standing Committee in the Region IFMSA Strategy 2017/2020 SWG Report on AP Regional Policy Document Presentation of APRM 2018 Host candidates Small Group Discussions

9 Countries

Facilitators Satria Nur Sya’ban IFMSA Regional Director for Asia-Pacific

Omar Cherkaoui IFMSA President

Cheng Jui Hung IFMSA Development Assistant for Asia-Pacific

Cheng Yueh Hsu IFMSA Development Assistant for Asia-Pacific

Evaluation : Most of the evaluation from the participants of the sessions falls under the satisfied or very satisfied banner. One participant was dissatisfied and another was neutral with the time management. No comments were left for the session.

Image 7. President’s Session in full swing, led by the RD for Asia-Pacific

12

Standing Committee on Medical Education (SCOME) Participants

17 14

Countries

6 5

Topics Covered • • • • • •

Introduction to IFMSA and SCOME Identifying medical educations issues Social accountability Activities in SCOME Effective presentation Advocacy and Student Representation

Facilitators Rahoul Adrian Gonsalves IFMSA SCOME RA for Asia-Pacific

Ahmad Mustafa Gebreil IFMSA-Egypt (observer)

Evaluation : Most of the participants evaluated the sessions as “satisfied” or “very satisfied”.

Comments from the participants includes the hope that SCOME Strategy would be discussed in the future and that the SCOME session was better managed than the joint sessions that they were a part of.

Image 8. The participants of the SCOME session taking a picture together at the end of the session.

13

Standing Committee on Professional Exchange (SCOPE) and Research Exchange (SCORE) Participants

Topics covered: • • • • • • • • • •

Introduction to IFMSA, SCOPE and SCORE How to organize an Exchange program How to organize a Social program Perfect Exchange Officer How to declare projects Academic quality and recognition PRET and TNET PET/PDT and UAT Intro to Global Health and GAP Promotion of Exchanges

27 14

10

Countries

Facilitators Mauro Henrique Camacho IFMSA SCORE Director

Evaluation : Some participants were dissatisfied with the time management of the sessions. However the majority of the participants believed that the sessions were well conducted, with most of them evaluating it as nautral, satisfied, or very satisfied. Comments left by the participants includes the punctuality of the survival kits and the fact that the Exchange Fair was absent from the agenda, despite it being promised in the survival kits.

Image 9. Participants in the Exchanges Session of APRM 2017 presenting a result of their Group Discussion

14

Standing Committee on Public Health (SCOPH)

Participants

Topics covered: • • • • • •

Quiz on SCOPH NCDs (Tobacco) Ageing Public Health in Asia-Pacific Universal Health Coverage All about Mental Health

Evaluation : The same trend of mainly positive evaluation was observed for this session. Comments left by the participants includes the ineffectiveness of some of the open discussion sessions, which needs to be more targeted. An idea to open more joint sessions was also raised by one of the participants

32 14

Countries

Facilitators Heiman Kwok AMSA-Hong Kong

Sarah Honjo IFMSA - Japan

Dominique Vervoort BEMSA-Belgium

Hidenori Katsumi IFMSA-Japan

Dominique Vervoort BEMSA-Belgium

Apurva Lunia MSAI-India

Suraj Shrestya NMSS-Nepal

Image 10. One of the slam group discussions in the SCOPH Session taking place.

13

15

Standing Committee on Sexual and Reproductive Health including HIV/AIDS (SCORA)

Topics covered: • • • • • • • • •

Obstetric violence and humanized birth SGI terminology Making AP transfriendly: A way forward Being queer in the Asia Pacific CSE basics CSE for adolescents Introduction to GBV Manifestations of GBV in Asia Pacific Language and its importance in HIV world

24 14Countries Participants

8

Facilitators Anshruta Raodeo SCORA Regional Assistant for Asia-Pacific

Herman Jiang IFMSA-China

Evaluation : The same trend of mainly positive evaluation was observed for this session.

Comments left by the participants includes more time for discussion and opinion sharing.

Image 11. SCORA Session Facilitators and Participants taking a picture at the end of the session

16

Standing Committee on Human Rights and Peace (SCORP)

Topics covered: • • • • • • • • •

Human rights explorer Let’s share your country’s human rights SCORP & IFMSA The Good Project Human Rights Advocacy Disaster Medicine Project Presentation Climate change, human rights and health Small working group

31 14Countries Participants

9

Facilitators Jessica Shiyang Zhang IFMSA SCORP D

Agung Prabowo SCORP Regional Assistant for Asia-Pacific

Cynthia Lam

AMSA-Hong Kong

Evaluation : The same trend of mainly positive evaluation was observed for this session.

Comments left by the participants includes the fact that survival kit for the session was not received by them, an opinion that the format of the session is not innovative or fun, and several other comments requesting more time for the Standing Committee Sessions.

Image 12. Participants and Facilitators of the SCORP Session taking a picture at the wrap up of their session

17

Theme Event | Healthcare in Conflicts and Emergencies ; medical workers towards building peace Background Given the volatile political situations around the world, the Asia-Pacific is not an exception.

There are terror attacks, surge of refugees, ongoing humanitarian crises and conflicts with little hope for a quick solution. According to the UNHCR, in 2015, there are over 65 million people who were obliged to move from their home countries because of ethnic conflicts, poverty, deprived human rights etc. In Asia-Pacific, the Rohingya refugees remain a key operation.

Many countries in the Asia-Pacific region has undergone conflicts which still continues in some areas, and other with lingering political and societal tensions which may spark new conflicts. Talks of nuclear warheads also remain relevant to the Asia-Pacific region. The NonProliferation Treaty has recently been signed but this remains inadequate. Japan has taken a leadership role in the elimination of nuclear weapons, especially in the civil society sector.

That is because, as in needless to say, Japan is the only nation in the world to be bombed with atomic weapons in 1945. Nuclear power plant accident also occur, and it is crucially important for us to discuss nuclear issues in relation to human health and achieving peace.

All of these situations have a grave effect on human life and health. We as future doctors need to be aware of such emergency situations and recognize our responsibilities and roles in saving lives and rebuilding livelihoods as well as advocating for peace.

What is the role of medical workers in building peace? What are our possibilities as medical professional? These are some of the questions that we want to explore as Asia-Pacific region during the APRM. We also hope to celebrate the World Peace Day, which is on the final day of the conference, September 21st, by producing an output document and launching a social media campaign to send out a message for peace.

Objectives Delegates will be given the space to learn and think about the prominent social issues of today, namely, disarmament, nuclear proliferation, conflicts, refugees and their relationship with human health and medicine. Delegates will also have a constructive space to share their experiences, thoughts, and finally to discuss what medical professionals and medical students can do for building peace.

The final day of the APRM, September 21st is the World Peace Day. This day is devoted to strengthening the ideals of peace, both within and among all nations and people. It will be such a memorable day to unite as Asian medical students and share the spirit of its theme, “Together for Peace: Respect, Safety and Dignity for All.� The outcome of this theme event will be made into a statement and social media campaign to spread our message for peace.

Theme Event Session There were two theme event sessions.

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1st Session | 19th September ”Faced with the reality of disarmament and non-proliferation” Format: Lectures by external speakers and a panel discussion Duration: 2 hours We have invited 3 external speakers, Mr. Tadashi Miyazaki, Mr. Nobuyasu Abe, and Ms. Shukuko Koyama for this session. Their biographies can be found at the end of this document. First, each speaker will give us 20 mins lectures about the sub-theme “Faced with the reality of disarmament and non-proliferation” by sharing their expertise and experience in this field. Specific topics include the elimination of weapons of mass destruction such as nuclear weapons and small arms in Asia. After the lectures, we will move on to a 30-minute panel discussion with the speakers as panelists. We are preparing discussion questions such as “how can medical workers contribute towards building peace?” Finally, we are planning to have a small group discussion letting delegates to share their thoughts on how medical professionals and students in Asia-Pacific can advocate for peace.

2nd Session | 20th September ”Refugees and medical support” Format: Lecture followed by workshop Duration: 2 hours An external speaker will give us lecture about refugee and the medical system surrounding refugee. We are negotiating with one speaker who is the UNHCR Japan Office Deputy Head.

After the lecture, the Japanese student organization SOAR (Students’ Organization Assembled for Refugees) will conduct a 50-minute workshop for us which is aimed at understanding the struggles that refugees go through.

The workshop has 3 steps in order to understand what refugees are going through 1. Clarify what our identity is composed of 2. Imagine what will become of us if we lose that identity 3. Think about how we can be of help to refugees

Image 13. Panel discussion of the theme event of APRM 2017

19

Activities Fair 15 Activities presented The Activities Fair has always been a way for the NMOs to share their best events and show their fellow regional NMOs the best practices on various different activity streams. There were 15 events chosen to present and 3 different judges from the regional team scoring the activities. At the end, the workshops were scored and the result was announced in the Plenary of the Asia-Pacific Regional Meeting.

st

1 Place: Neighborhood Health Service AMSA-Singapore nd

2 Place: Rare Disease Awareness Event AMSA-Hong Kong rd

3 Place: Antusias CIMSA-ISMKI Indonesia

Activities Presentation 3 Activities presented The Activities Presentation is presented differently in this APRM. Three best applicants were selected and given the opportunity to present their projects during the Plenary of the APRM 2017 for the entire event to see. It was intended as a visibility event that would raise awareness on the best practices done within our region.

Image 14. One of the selected activities presenting their activity to a visitor during the Activities Fair

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1 Place: BRONKUS CIMSA-ISMKI Indonesia nd

2 Place: ACTION SCORP rd

3 Place: Neighborhood Health Service AMSA-Singapore

Image 15. A picture taken after the announcement of the winners of the Activities Fair

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The Regional Meeting in numbers Logistics Evaluation Logistics 90 80 70 60 50 40 30 20 10 0

Information Shared Prior

Transportation

Registration Visa Facilitation Acommodation

Very Dissatisfied

Dissatisfied

Venue

Neutral

Boarding

Social Program

Satisfied

Sponsors

Opening Ceremony

Closing Ceremony

Very Satisfied

Comments : • Most of the comments fall in the satisfied scale. In some cases, like in the social program, boarding, opening ceremony, and closing ceremony, the sentiment of “very satisfied” dominates the evaluation • Some comments from the participants includes the need of more lax rules surrounding the session room timings, information provided beforehand on the bathroom rules, and the request that free WiFi be provided in the venue. A cooment on better pick-up point information provision is also raised by one participants

Agenda Evaluation Agenda Evaluation 80 60 40 20 0

General Agenda Layout Very Dissatisfied

Dissatisfied

Time Management Neutral

Satisfied

Very Satisfied

Comments : • Most of the evaluation fall under the satisfied scale. Most of the participants did not leave comments on the agenda and time management.

• Some comments from the participants includes better time management, notifications in advance on some room changes, solving of technical issues, and training agendas that are more in line with the theme of the event.