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Saudi Arabia: An Introduction To Medical Education and Healthcare

Outline 

• History  • Demographics • King Saud University  • Saudi Healthcare system  • Saudi Vision 2030 

Location

Kingdom Of Saudi Arabia

• Saudi Arabia is the birthplace of Islam, and home to Islam's two  holiest mosques, in Mecca and Medina.

• Saudi Arabia is the largest Arab state in Western Asia by land area,  and the second‐largest in the Arab world.  

Demographics

• Area: 2,149,690 sq km • 13 regions • Official language: Arabic • Population: 31,742,308 (2016) • Capital city: Riyadh • Currency: Saudi Riyal (= 1.77 dkk)

Traditional customs' 

History • The Kingdom of Saudi Arabia was founded by Abdulaziz Bin Saud in 1932 , after a 30‐year campaign to unify most  of the Arabian Peninsula. 

• One of his male descendants rules the country today, as  required by the country's 1992 Basic Law.

• 1938 ‐ Oil was discovered and production began under  the US‐controlled Aramco (Arabian American Oil  Company). 

• Till this day Saudi Arabia is the number 1 country in  exporting crude oil and has the world’s largest reserve.

Chief geologist. Max Steineke 

• The King's official title is the Custodian of the Two Holy Mosques.  • King and Prime Minister Salman bin Abdulaziz Al Saud has been on the throne since 23 January  2015 (center)

• Crown Prince, Deputy Prime Minister, and Minister of Interior : Mohammed bin Naif bin  Abdulaziz Al Saud (left)

• Deputy Crown Prince, Second Deputy Prime Minister, and Minster of Defense: Mohammed bin  Salman bin Abdulaziz Al Saud (right)

Saudi & Denmark 

• The kingdom government system is  made of legislation, executive, judicial.

• The king combines all functions • It is an absolute monarchy governed by  the AlSaud family.

‐ Our foundation of ruling is Quraan &  Sunnah.

‐ We follow a civil law system

‐ The three pillars: Saudi Council of Ministers Regional prince Consultative Council or Majlis al‐ Shura (150 seats).

Population pyramid Life expectancy : total population: 75.3 years male: 73.2 years female: 77.4 years (2016 est.) Obesity ‐ adult prevalence rate: 33.7% (2014) Diabetes prevalence: The World Health Organization (WHO) has  reported that Saudi Arabia ranks the  second highest in the Middle East, and is  seventh in the world for the rate of  diabetes.

What’s Not true about Saudi !

• We don’t have Oil in our backyard  • We don’t live in tents  • We don’t ride camels 

Medical Education  in Saudi Arabia

The College of Medicine in King Saud University was established as the first medical college in the Kingdom in 1967. In 1975, the College opened a department for female students. KSU is a public university, and does not charge tuition fees to Saudi students. Enrolled students receive a monthly stipend.

Today, there are 32 medical schools across the Kingdom.

Medical Curriculum at KSU

P Preparatory Year

1 Basic Sciences (Foundation – Musculoskeletal – Cardiac – Respiratory – Renal)

2 Basic Sciences (CNS – Gastrointestinal – hem/onc – Endocrine – Reproductive)

3 Clinical ( Medicine – Surgery – Radiology – Research)

4 Clinical subspecialties (ENT‐ Ophthamology – Orthopedics – Obs/Gyn – Fam Med – Anesthesia ‐ Psych) Elective

5 Core rotations (Medicine – Surgery – Pediatrics) Elective

6 Internship

Courses in professionalism, ethics, health informatics, community medicine, forensic  medicine, and toxicology are part of the curriculum as well.

Research

Research Centers at the Faculty of Medicine: 1. Faculty of Medicine Research Center. 2- Liver Disease Research Center 3 - Autism Research Center 4- Obesity Research Center. 5- Sleep disorders Center. 6- Prince Nayef bin Abdul Aziz Center for Research( for all health colleges )

the Faculty was awarded first prize for accumulative research for the past ten years in 2008 by the prestigious Scopas.

Postgraduate Medical Education

The Saudi Commission for Health Specialties  (SCFHS) is responsible for supervising and  evaluating training programs, as well as  setting controls and standards for the  practice of health professions.

This includes developing, approving and  supervising professional health‐related  programs, and developing sustained medical  education programs for health‐related  disciplines. 

Healthcare systems in Saudi Arabia

• The Saudi government provides its citizens with free public healthcare. • The Ministry of Health is responsible for overseeing the health care system in

Saudi Arabia.

• Currently, MOH is the largest provider of health care services in Saudi Arabia, with a total of 244 hospitals (33,277 beds) and 2037 primary health care centers.

• Many other branches of the government operate hospitals independent of MOH, but still depend on MOH in a regulatory and advisory role.

• Private healthcare contributes as well.

Healthcare systems in Saudi Arabia

Other Government Providers:

• Ministry of Defense • Ministry of Interior • National Guard • Ministry of Education (University  hospitals)

• Specialist hospitals (KFSHRC,  KKESH)

Distribution of hospital beds in Saudi  hospitals

Private Healthcare in Saudi Arabia 

• Funding health care services is a central challenge faced by the MOH.

• The Council for Cooperative Health Insurance was established by the government in 1999.

• Its main role is to introduce, regulate and supervise a health insurance strategy for the Saudi health care market.

Saudi Arabia’s Vision 2030

Saudi Arabia has launched an ambitious reform program with Vision 2030, a long‐term strategy to bolster the country’s fiscal position and diversify its economy in a world of low oil prices. The strategy provides international firms with the opportunity to invest in the country, particularly in its non‐oil sectors.

Capacity: Beds: 1200 Operatig rooms: 32 Procedures: 600 Procedures Outpatient visits: 6600 patients/per month

Economy Total budget: from the ministry of higher education (444.5 Billion SR)

KKUH has several specialized departments like:

Medical Education Anatomy Anesthesia Cardiac Sciences Dermatology Emergency Medicine ENT Family & CommunityMedicine Medicine OBS‐Gynecology

Ophthalmology Orthopedics Pathology Pediatrics Pharmacology Psychiatry Physiology Radiology Surgery Critical Care

• http://rahah.org https://youtu.be/PHZvgIl2bZo

Saudi Arabia’s Vision 2030

Saudi Arabia has launched an ambitious reform program with Vision 2030, a long‐term strategy to bolster the country’s fiscal position and diversify its economy in a world of low oil prices. The strategy provides international firms with the opportunity to invest in the country, particularly in its non‐oil sectors.

Vision 2030

• The drop in global crude prices since 2015 has had a significant impact on oil  exporters in the Gulf Cooperation Council (“GCC”), the majority of whom are  heavily reliant on the revenue those exports generate

• Saudi Arabia has been particularly hit by the new oil price. The country ran a  budget deficit of USD 98 billion in 2015, equivalent to around 16 percent of its  GDP, and USD 79 billion in 2016

• The fiscal pressures resulting from the drop in oil price have brought with it  increased scrutiny of the region’s economic models, built around very low taxes,  heavy subsidies and sprawling public sectors

Initial Reforms 

• Healthcare: The government has earmarked USD 11 billion for  investment opportunities in the sector by 2020, including  opportunities in tertiary and secondary care, procurement and  manufacture of medical devices, education and insurance.

• Transportation: In 2015, the Ministry of Transport set a 10‐year  expansion plan of its public transportation services, earmarking USD  90 billion for new metro lines and bus routes in Riyadh, Jeddah,  Mekkah and Medina. 

Initial Reforms

• Tourism: Historically restricted to religious tourism, Saudi Arabia is  looking to attract 1.5 million leisure tourists by 2020 through the  easing visa restrictions and investment in hospitality projects.  International companies such as the Rezidor Group and Accor have  announced plans to open dozens of new hotels in the next five years

• Wastewater and desalination: As the government looks to increase  its annual production of water to meet growing demand, it has  allocated USD 60 billion for the development of wastewater and  desalination plants.