Transforming the Process of Recognition of Medical Specialist in the Ministry of Health: A Shift from Specialist Gazettement to Supervised Work Experience
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Abstract
The supervised practice of newly credentialed medical practitioners within the public sector following completion of specialist training, referred to previously in Malaysia as specialist gazettement or post-qualification working experience (PQWE), is a unique regulatory mechanism aimed at safeguarding the quality and safety of specialist care. This probationary phase enables senior consultants or specialists to assess the competence and readiness of the practitioners for independent clinical practice. In response to evolving demands on healthcare delivery and workforce governance, the Ministry of Health has introduced a series of strategic reforms to strengthen its framework, especially within the public healthcare setting. These include legislative amendments to formalise and regularise the implementation of the probationary phase through supervised work experience or SWE (legal transformation), fiscal measures to support financing incentives (financial transformation), and digital innovations that enhance experience and administrative efficiency (digital transformation). This paper describes these transformative interventions, positioning the Ministry of Health’s approach within broader policy discourses on clinical governance and health system sustainability.
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References
Ministry of Health Malaysia. Health White Paper for Malaysia: Strengthening people’s health, future-proofing the nation’s health system. [Internet]. Putrajaya; 2023 Jun. [Retrieved 2025 Aug 3]. Available at: https://www.moh.gov.my/moh/resources/Penerbitan/Penerbitan%20Utama/Kertas%20Putih%20Kesihatan/Kertas_Putih_Kesihatan_(ENG)_compressed.pdf
Ismail H, Yacob MA, Abdullah MH, Zun AB, Osman S, Amran SB, et al. The impact of the amendments of the Medical Act 1971 [Act 50] in 2024 on the implementation of specialist training programmes by the Ministry of Health. Malays J Med Sci. 2025;32(3):1–13. https://doi.org/10.21315/mjms-02-2025-s01
Arif MT. National Specialist Register [Internet]. Putrajaya: Academy of Medicine of Malaysia (AMM); 2005. [Retrieved 2025 Aug 6]. Available at: https://www.acadmed.org.my/newsmaster.cfm?menuid=3&action=view&retrieveid=10
#National_Specialist_Register
Jabatan Perkhidmatan Awam Malaysia. Perintah-Perintah Am, Bab F, Perubatan. [Internet]. Malaysia: Jabatan Perkhidmatan Awam Malaysia: 1974 Mar 1. [Retrieved 2025 Aug 6]. Available at: https://docs.jpa.gov.my/docs/myppsm/PA/BAB-F/
Attorney General’s Chambers of Malaysia. Medical Act 1971. Act 50. Malaysia: Federal Legislation, Attorney General’s Chambers of Malaysia; 1971 Sep 30.
Attorney General’s Chambers of Malaysia. Medical Act (Amendment) 2024. Act A1729 Malaysia: Federal Legislation, Attorney General’s Chambers of Malaysia; 2024 Oct 17.
Kementerian Kesihatan Malaysia. Siaran media, KKM perkenal bayaran insentif pakar pra-warta (BIPPW) untuk pegawai perubatan tamat latihan kepakaran. [Internet]. Putrajaya: Kementerian Kesihatan Malaysia; 2025. [Retrieved 2025 Aug 6]. Available at: https://www.facebook.com/photo?fbid=1325452965606167&set=pcb
.1325453072272823
Radio Televisyen Malaysia. KKM lulus BIPPW kepada pegawai perubatan dalam tempoh SWE - Portal Berita. [Internet]. Kuala Lumpur: Berita RTM; 2025. [Retrieved 2025 Aug 6]. Available at: https://berita.rtm.gov.my/nasional/senarai-berita-nasional/senarai-artikel/kkm-lulus-bippw-kepada-pegawai-perubatan-dalam-tempoh-swe
CodeBlue. Doctors get pre-gazettement specialist allowance during provisional period. [Internet]. Malaysia: Social Health Analytics Sdn Bhd; 2025. [Retrieved 2025 Aug 6]. Available at: https://codeblue.galencentre.org/2025/07/doctors-get-pre-gazettement-specialist-allowance-during-provisional-period/
BERNAMA. KKM laksana bayaran insentif pakar prawarta pegawai perubatan dalam tempoh SWE. [Internet]. Kuala Lumpur: BERNAMA; 2025. [Retrieved 2025 Aug 6]. Available at: https://www.bernama.com/bm/news.php?id=2445041
International Federation of Accountants (IFAC), Chartered Institute of Public Finance and Accountancy (CIPFA). International framework good governance in the public sector. [Internet]. London: CIPFA; 2014 Jul. [Retrieved 2025 Aug 6]. Available at: https://www.cipfa.org/policy-and-guidance/standards/international-framework-good-governance-in-the-public-sector
Jabatan Perdana Menteri. Arahan YAB Perdana Menteri no. 1 tahun 2023, gerakan pemantapan tatakelola nasional: penubuhan jawatankuasa tatakelola di peringkat persekutuan, negeri dan kementerian/jabatan/agensi kerajaan. Putrajaya: Jabatan Perdana Menteri; 2023.