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which has not yet had the same specialization service.

(2) The health care facility as referred to in paragraph (1) the letter a includes the health care facilities of TNI/POLRI, Puskesmas, and the hall Government health/treatment hall.

(3) The health care facility as referred to in paragraph (1) letter b includes a public government hospital that works in the form of sister hospital.

(4) The grant of health care as referred to in paragraph (1) letter a and letter b must be notified to the head of the local District/City Health Service.

Article 7

(1) The Doctor and Dentist who have had a SIP provide medical services or provide consulting expertise in terms of:

a. requested by a health care facility in order to fulfill a special, non-continuous or unscheduled medical service fulfillment of a fixed term;

b. in order to perform social/independence services;

c. in the framework of statehood;

d. in order to perform disaster handling or other emergency assistance;

e. in order to provide medical services to families, neighbors, friends, home visit services and community help is unable to be insidentil;

does not require SIP at the venue.

(2) Giving the medical ministry as referred to in paragraph (1) letter a, letter b, letter c and letter d must be notified to the local Chief of the District Health/City.

(3) Notices as referred to in paragraph (2) may be performed by The Home institution.

The Second Part

Requirements and Methods

Article 8

(1) To acquire SIP, Doctor and Dentist must apply to the Head of the County Health Service/City where the medical practice is executed by attaching it:

a. photocopies of STR published and are legalized original by KKI;

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b. statement of statement has a place of practice, or a letter of information from a health care facility as a place of practice;

c. letter of consent from the direct employer to the Doctor and Dentistry who works on the instance/service facility Government health or other health care agencies/facilities in full time;

d. a letter of recommendation from a profession organization, according to the practice place; and

e. 4 (3) of 4 (3) of 4 (3) of 2 (2) sheets and 3x4 of 2 (2) sheets.

(2) In submission of the SIP application as referred to in paragraph (1) must be expressed expressly for SIP requests for the first, second or other practice place. third.

(3) An example of a letter of application as referred to in paragraph (1) is listed in the Form I attached.

Article 9

(1) The Doctor and Dentists who have met the requirements as referred to in Article 8 of the paragraph (1) given SIP for 1 (one) practice place.

(2) Example of the Doctor and Dentistry SIP format as referred to in paragraph (1) set forth in Form II attached.

Article 10

(1) The Head of the Regency/City Health Service/automatically gives SIP to the Doctor and the Dentist that has had an STR placed in the The local government's health care facilities are based on a request that continues to meet the requirements of obtaining SIP.

(2) SIP for places as referred to in paragraph (1) is counted as 1 (one) place of practice.

Section 11

Requests obtained SIP Internsip submitted Doctor Program Internsip to the Head of the District Health Service/City a medical practice place by attaching it to:

a. An STR copy of the STR for internal authority is published and the original legalization by KKI or the STR business receipt of the KKI;

b. a letter from the International Committee of Doctors of Indonesia;

c. letters of recommendation from the profession organization, according to the practice place; and

d. It is a 4x6 image color photo of 3 (three) sheets and 3x4 as much as 2 (two) sheets.

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Section 12

(1) Requests obtained SIP for Doctors or dentists who are participants of the Specialist Doctors Education Program (PPDS) or Specialist Dental Doctor Education Program participants (PPDGS), submitted by Dean of the Faculty of Medicine/Dean of the Faculty of Dentistry collectively to the Head of the District Health Service/City where the hospital where specialist education is located, by staying meet the requirements in acquiring SIP.

(2) The request as referred to in paragraph (1) is accompanied by a list of hospitals and health care facilities used.

(3) The Doctor or dentist as referred to in paragraph (1) is given SIP physician or SIP doctor A tooth with an authority appropriate to the competency defined by the Chair of the Study Program (KPS) for the practice of medical practice.

(4) The SIP as referred to in paragraph (3) applies at the facility where the education program is implemented and the whole the health care facility that is a network of educational hospitals as well as a designated health care facility.

(5) For doctors or dentists participants of a Specialist Doctor Education Program (PPDS) or a participant of the Specialist Dentistry Program (PPDGS) who got a special assignment at a service facility Certain healt SIP specialist physicians, and SIP specialist dentists.

(2) SIP for the participants of internships programs of SIP Internsip with the same authority as clinicians.

(3) SIP for the Program participants Specialist Doctor Education (PPDS) or

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participants of the Specialist Dental Physicians Education Program (PPDGS) are physician SIP or SIP dentists with the authority appropriate to the competency set by the Chair of the Study Program (KPS).

(4) SIP for participants of the doctor's program with additional authority obtaining special assignment at a certain health care facility in the form of a physician's SIP with the authority as set forth in a competency letter. issued by Collegium.

Article 4

(1) SIP Doctors and Dentists are given the mo needs.

(3) utmost efforts as referred to in paragraph (2) in accordance with the local situation and conditions.

Article 22

(1) Doctors or dentists in carrying out medical practice must conform to the authority "

(2) In order to provide emergency aid to life-saving lives, doctors or dentists can perform medical or dental acts outside of their clinical authority as appropriate. medical needs.

(3) the execution of the authority as referred to in paragraph (1) and the verse (2) must be done according to the standard of the profession.

Article 23

(1) The dentist or dentist may provide the devolution of a medical or dental action to a nurse, midwife or any other particular health force. (2) The act of medicine or dentistry as referred to in paragraph (1) can only be done in circumstances where there is a service requirement that exceeds the the availability of doctors or dentists at such service facilities.

(3) The provisions of the action as referred to in paragraph (1) are performed with the provisions:

a. Devolution is included in the skills and skills that are owned by the Abundance Recipient;

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b. The execution of the action remains under the supervision of the Abundance;

c. The disgiver remains responsible for the action which is devolve throughout the execution of the action according to the devolution provided;

d. The action is not included taking the clinical decisions as the basis for the implementation of the action;

e. This is not a continuous action.

Article 24

(1) The Doctor and Dentist who are working in an educational hospital and his jejared health care facility, in carrying out his educational duties may provide (2) The conduct of medical services to a patient.

(2) The implementation of the medical services to the patient by the participants of the medical education or the the dentistry as referred to the verse (1) is carried out under the supervision and Guiding responsibility.

Article 25

(1) The leadership of the health care facility is required to make a list of Doctors and Dentists who conduct medical practice at the health care facility concerned.

(2) The Doctor List And Dentists as referred to in verse (1) include Doctors and Dentists who have a SIP in the health care facility concerned.

(3) The leadership of the health care facility is required to place a list of Doctors and Dentists. as referred to in paragraph (2) in an easily visible place.

Article 26

(1) Doctors and Dentists who have owned SIPs and organizes individual practices are required to install the medical practice name board.

(2) The name board as referred to in verse (1) must contain the name of a doctor or dentist, the STR number, And the SIP number.

(3) In terms of doctors or dentists as referred to in paragraph (2) the impediation of practice may designate a doctor or substitute dentist.

(4) A Doctor or substitute dentist as referred to in verse (3) must doctors or dentists who have an equivalent SIP and do not have to SIP at the venue.

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2011, No. 671 14

(5) In certain circumstances for the benefit of the fulfilment of service needs, physicians or dentists who have a SIP may replace a specialist physician or a specialist dental physician, by notifying the replacement those to the patient.

Article 27

(1) Doctors or dentists who are impeded to practice or have appointed a doctor or substitute dentist as referred to in Article 26 of the paragraph (3) are required to make notice.

(2) Notice as referred to in paragraph (1) must be pasted or placed

(1) Social Work by Doctors and Dentists who have owned SIP performed in the same District/City can be implemented by notifying the Chief of the Health Service. District/City.

(2) Social work by Doctors and Dentists who have owned SIP performed in different districts/Cities executed by obtaining permission from the Head of the District Health Service/City and include the Doctor and Dentist local.

(3) Social work by Doctors and dentists foreign nationals must be carried out in cooperation and under the responsibility of Doctor and Dentists who have STR and SIP in Indonesia with equivalent competences, and acquire Permission from the local District/City Health Service Head.

BAB IV

PENNOTE AND REPORTING

Article 29

(1) The Head of the County/City Health Service is required to record all SIP Doctors and Dentists who have been released.

(2) Notes as referred to in paragraph (1) are delivered in a statement. Minimum of three (three) months to the Head of the Health Ministry's Health Resources Development and Empowerment Agency, KKI, and busan to the Provincial Health Service Chief as well as the local profession organization.

(3) Chief Provincial Health Service is required to record all doctor's duties. specialist and specialist dental specialists who have been released.

(4) The notes as referred to in paragraph (3) are delivered periodically at least 3 (three) months to the Secretary General of the Ministry of Health.

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BAB V

COACHING AND SUPERVISION

Article 30

(1) Minister, KKI, local government, and the professions of the coaching and supervision of the implementation of this Ministerial Regulation in accordance with the function, Duties, and authoring each.

(2) The coaching and supervision as referred to in paragraph (1) is directed at the structuring and improvement of the quality of the ministry provided by Doctor and Dentist.

Section 31

(1) In order of coaching and supervision, the Head The Regency/City Health Service may take administrative action against the violation of this Minister's Regulation.

(2) administrative sanctions as referred to in paragraph (1) may be an oral warning, written up to the revocation of SIP.

(3) The head of the District/City Health Service in providing administrative sanction as referred to in paragraph (2) is first able to hear the consideration of the profession organization.

Article 32

Head of the District Health Service/City can revoke Doctor and Dentistry ' s SIP in terms of:

a. on the basis of the MKDKI recommendation;

b. The Doctors and Dentists are repealed by KKI;

c. the practice place is no longer compatible with the SIPnya; dan/or

d. revoked his recommendation by the organization of the profession through a trial conducted specifically for it.

Article 33

(1) The SIP revocation of the County/City Health Service is required to be delivered to the Doctor and Dentist concerned within the slowest 14 (fourteen) days from the date the decision is set.

(2) In terms of the Decree as referred to in Article 32 of the letter c and the letter d is not acceptable, the concerned may submit objection to the Head of the Provincial Health Service to be forwarded to the Minister in time 14 (fourteen) the day after the Decision is accepted.) The practice of medicine is exercised based on a deal based on the relationship of trust between Doctors and Dentists with patients in health maintenance efforts, disease prevention, health improvement, treatment of disease and health care recovery.

(2) The deal as referred to in verse (1) is the utmost effort of the profession of medical profession that Doctors and Dentists have to do in healing and recovery of patients ' health in accordance with the standard of service, the standard of the profession, standard of operational procedures patient medical

(3) The slowest 14 (fourteen) days after receiving the letter of objection as referred to in verse (2), the Minister in matters of violation of the discipline of medicine, passes it to the MKDKI.

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Article 34

Head of the District Health Service/City reported any revocation of SIP Doctor and Dentistry to Head of the Board of Health Resources Development and Empowerment of the Health Ministry of Health, The chairman of the KKI and the Head of the Provincial Health Service, as well as its release is delivered to the local profession organization.

BAB VI

TRANSITION provisions

Article 35

At the time the Minister ' s Ordinance is in effect, the participants of the Program Education Specialist Education (PPDS) or Specialist Dentistry Specialist Education Program (PPDGS) who obtained special assignment at a specific health care facility, stated to have had a SIP based on this Minister's Regulation.

BAB VII

provisions CLOSING

Article 36

At the time the Minister's Ordinance began In effect, the Regulation of Health Minister Number 512/Menkes/Per/IV/2007 on the Consent Permit and the Implementation of the Practice of Medicine, is revoked and declared not in effect.

Article 37

The rules of this Minister begin to apply on the date of promulgance.

For everyone to know, instructest the Minister's Ordinance with its placement in the News of the Republic of Indonesia.

Specified in Jakarta on 6 October 2011

MINISTER OF HEALTH

REPUBLIC OF INDONESIA,

SCARF RAHAYU SEDYANINGSIH

promulred in Jakarta on October 28, 2011

MINISTER OF LAW AND HUMAN RIGHTS REPUBLIC OF INDONESIA,

PATRIALIST AKBAR

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Form I Subject: Permission Letter

Practice (SIP)

To Yth, Head of District Health/City Services ...... In

.

With respect,

The signature below, the Complete Name: Address: Place, date of birth: Gender: Year of the year of the year of the year of the year of the STR Number: OP recommendation number:.

With this applying for a Practice License (SIP) for the place of practice to ...... As a mutual consideration, it is attached to the following: a. STR photocopies are published and are legalized original by KKI; b. a statement letter has a practice place or a certificate

from a health care facility as a place of practice; c. letter of recommendation from the profession organization, according to the place of practice; d. Fit photo size 4 X 6 as much as 3 (three) sheets and 3 x 4

as many as 2 (two) sheets; e. approval letter from a direct superior to Doctor and Dentists

who works on government agencies/health care facilities or on other agencies/healthcare facilities in full time.

So over the attention -Father.-Our mother says thank you. .,.,.

The applicant,

.

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2011, No. 671 18

Form II KOP

KABUPATEN/CITY HEALTH SERVICE

PRACTICE LICENSE (SIP) DOCTOR/DENTIST No. For:.

Based on Health Minister Regulation No. 2052/Menkes/Per/X/2011 on Practice Permit and the Implementation of Medical Practice, signed below, Head of the District Health Service/City *) ., provide Practice Permit to:

____________________________________ (Complete Name)

Place/Tgl. (Birth of) Address: Address of the Cloud Service The STR number:. .. in effect s s/d ... OP recommendation number (s) For Practice as: dr/drg/dr.specialis/drg. specialist *)

with clinical authority in accordance with its competitors **)

Specified in the .........

The Head of the City/City Health Service ...

(. :

1. Minister of Health

2. Chairman of Indonesian Medicine (Indonesian Medicine)

3. Head of Provincial Health Service

4. Profession organizations

*) Doodling that do not need.

**) in accordance with the Certificate of competence by the Collegium or the Certificate Of Competence by the Chairperson of the Study Program.

Pasfoto

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Form III

KOP PROVINCIAL HEALTH SERVICE

WARRANT DOCTOR SPECIALIS/DENTIST SPECIALIST DENTAL No. A:

Based on Health Minister Regulation Number 2052/Menkes/Per/X/2011 on the Per/X/2011 Practices Permit and the Implementation Of Medical Practice, signed under this, the Head of the Provincial Health Service. provide a Task Letter to:

____________________________________ (Full Name)

Place/Tgl. Born: Address:...

For Practice: dr. Specialist ./drg specialist *) Address of Practice: STR Number: First SIP Number: Second SIP Number: Third SIP Number: Task mail to: The task letter applies to the date of the.

Specified in the ........

on the date of the ...

a.n. Minister of Health of the Provincial Health Service Head of the Province ...

(.) Tembusan: 1. Minister of Health 2. Chairman of Konsil Medicine Indonesia. 3. Organization of the profession; *) Sits speciality, with clinical authority in accordance with

of its competitors

Pasfoto

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