The Model for Thais Physician Competency Development Based on Focus Discussion Group (FDG): A Review


  • Chutima Pingmuang
  • Somboon Sirisunhirun
  • Mohd Ekhwan Toriman
  • . .





Thailand, Physicians, Competency, Development, Healthcare.


Current changes and priorities in the country regarding population patterns and health care programs will require reforms in older health care and the increasing incidence of chronic diseases. In this study, the data was collected using with a systematic-purposive sampling using the snowball Delphi technique, key informants comprising 21 experts were selected from the Medical Council of Thailand, the Medical Association of Thailand and Health Systems Research Institute (HSRI). The tools used in this research include in-depth interview, the Likert scale with five-level Likert items for measuring the dispersion and congruence of consensus, and the Likert scale with three-level Likert items for content validity which is analyzed using the items of objectives congruence (IOC), the median (MD) and the quartile deviation (QD). The results show to be both valid and reliable for measuring physicians’ competency in Thailand. The results of the competency-based instrument can be used as of to be the healthcare public policy to encourage and guide regarding healthcare agencies to modify their competency according to the evaluation criteria, and also cultivate physicians with strong knowledge and skills, innovation and redesign the curriculum in medical schools inevitably. Overall, the level of physician’s desirable competency will be increased in Thailand.




[1] John R. Combes, M. D & Elisa Arespacochaga. (2012). Physician Competencies for a 21st Century Health Care System J Grad Med Educ., 4(3), 401–405.

[2] Morris S., Otto C. N., Golemboski K. (2013). Improving patient safety and healthcare quality in the 21st century--competencies required of future medical laboratory science practitioners. Clin Lab Sci., Autumn, 26(4), 200-214.

[3] Weinberger S. E. (2011). Providing high-value cost-conscious care: a critical seventh general competency for physicians. Ann Intern Med., 155(6), 386–39.

[4] Lolekha S. Future direction of medical practices in Thailand. Bangkok: Medical Council of Thailand. (2015). http://www.thaihospital .org/board /index.php?topic =2295.0;wap2.

[5] Bodenheimer T., Grumbach K. (1996). Competent Health Care Providers. Understanding Health Policy: A Clinical Approach, 6th Ed. pp. 2-32.

[6] Zipes P. D. (2015). ACC/AHA/HRS Advanced Training Statement on Clinical Cardiac Electrophysiology (A Revision of the ACC/AHA 2006 Update of the Clinical Competence Statement on Invasive Electrophysiology Studies, Catheter Ablation, and Cardioversion). American College of Cardiology Foundation, American Heart Association. Inc, and the Heart Rhythm Society. Elsevier Inc. 2015.

[7] Chitradub S. A (2013). Capacity development system for advisor of children and youth council in Thailand, Full Research report. Office of Promotion and Protection of Children, Youth, the Elderly and Vulnerable Groups. Bangkok: Ministry of Social Development and Human Security;

[8] Mitchell D. Feldman, John F. Christensen, Jason M. Satterfield. (2014). Core Competency for Vulnerable Patients Behavioral Medicine: A Guide for Clinical Practice, 4ed, pp: 12-48.

[9] Wedchayanon N. (2011).Competency Based Approach, School of Public Administration, National Institute of Development Administration. Bangkok: Graphico System, pp. 12-43.

[10] Levinson W., Ginsburg S., Frederic W. Hafferty., Catherine R. Lucey. (2014). Understanding Medical Professionalism. United States of America: McGraw-Hill Education, pp. 33-53.

[11] Mary Ellen, Rick A. Nishimura & Patrick O’Gara. (2014). Physician Competence: A Perspective from the Practicing Cardiologist Methodist Debakey Cardiovasc J. 10(1), 50–52.

[12] Iglehart J. K., Baron R. B. (2012). Ensuring physicians’ competence — is maintenance of certification the answer? N Engl J Med. 27 (26):43–49.

[13] Mosser G., James W. Begun. (2013). Understanding Teamwork in Health Care. 1st ed. New York: LANGE Publishing, pp: 11-34.

[14] Donabedian A. (2000). Evaluating physician competence Bull World Health Organ. 78(6):57–60.

[15] Frank J. R., Snell L. S., et al. (2010). Competency-based medical education: theory to practice. Med Teach, 32:638–645.

[16] Shanafelt T. D. (2012). Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med., 172 (18): 1377-1385.

[17] Choudhry N. K., Fletcher R. H., Soumerai S. B. (2005). Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med., 142(4):260–273.

[18] Cate O, Scheele F. (2007). Competency-based postgraduate training: can we bridge the gap between theory and clinical practice? Acad Med., 82:542–547.

[19] Srikam S. (2013). Job burnout among residents of King Chulalongkorn Memorial Hospital Chulalongkorn University. J Med Assoc Thai., 59(2): 139-50.

[20] Kamarudin, M. K. A., Toriman, M. E., Rosli, M. H., Juahir, H., Aziz, N. A. A., Azid, A., ... & Sulaiman, W. N. A. (2015). Analysis of meander evolution studies on effect from land use and climate change at the upstream reach of the Pahang River, Malaysia. Mitigation and Adaptation Strategies for Global Change, 20(8), 1319-1334.

[21] Azid, A., Juahir, H., Toriman, M. E., Endut, A., Rahman, A., Nordin, M., & Umar, R. (2015). Identification source of variation on regional impact of air quality pattern using chemometric. Aerosol and Air Quality Research, 5, 1545–1558

[22] Toriman, M. E., F. M. Ata, M. K. A. Kamarudin and M. Idris, 2013. Bed-load sediment profile and effect of river bank erosion on river cross-section. Am. J. Environ. Sci., 6, 292-300.

Passi V. (2010). Developing medical professionalism in future doctors: a systematic review. IJME, 1, 19-29

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How to Cite

Pingmuang, C., Sirisunhirun, S., Ekhwan Toriman, M., & ., . (2018). The Model for Thais Physician Competency Development Based on Focus Discussion Group (FDG): A Review. International Journal of Engineering & Technology, 7(3.14), 61–66.
Received 2018-08-05
Accepted 2018-08-05
Published 2018-07-25