CURICULUM VITAE

Name : Agustinus Sudibyo, S.Kep., Ns

Place of birth : Bangunrejo

Date of Birth : August 14, l983

Status : Maried with 1 children

Adress : Jl. Semangka No. 62 RT/RW 005/002 Yosomulyo Metro

Pusat Kode Pos 34173

E Mail : sudibyo_agustinus@yahoo.com

Education :

1. Medical Faculty of University of Indonesia 1972 - 1978.

2. Residency training in Surgery Departement of Medical Faculty

University of Indonesia , 1981 - l986

3. Hospital Management study, Magister program in School of Public Health

University of Indonesia , 1999 - 2001

4. Clinical Epidemiology study , PhD program in Department of Epidemiology,

School of Public Health University of Indonesia, 2008- now

Courses :

1. Advanced Trauma Life Support, student course, Jakarta 1997

2. Advanced Trauma Life Support, Instructor course, Jakarta 2002

3. Emergency and Disaster Management course, Japan 1998

4. Hospital Strategic Management, Bandung 2002

5. Hospital Acreditation surveyor course, Jakarta 2009

6. Training of Trainers for KARS Surveyors on International Hospital

Accreditation (JCI), Jakarta 2012.

Working Experience :

1. Head of District Health Center in Balohan ,

Sabang, Aceh province , 1978 - l980

2. Chief of Municipal Hospital in Sabang,

Aceh province , l980 – l981

3. Residency training in Department of Surgery, Cipto

Mangunkusumo Hospital, Jakarta, l981 – l986

4. General Surgeon in Karawang regency Hospital.

West Java province l986 – 2002

5. Chairman of Medical Staff Organization of Karawang

Regency Hospital, 1999-2002

7. Vice Director of Karawang Regency Hospital. 2002- 2005

8. Director of Karawang Regency Hospital , 2005 – 2009

9. Board of Trustee of Karawang Regency Hospital, January 2009- 2012.

11 Surveyor/Assesor of National Comitee on Hospital Acreditation,MOH Indonesia

12.Consultant for Hospital management.

Experience in Profesional Organization :

1.Indonesian Medical Ascociation, local level ( Karawang branch )

- Chairman of Ethical Commitee 2001-2004
- Chairman of CPD Department 2004-2007
- Chairman of CPD and Recertification 2007- 2010

2.Indonesian Society of General Surgeon, local level ( Pursukasi branch )

- Secretary 2005- 2011 :

3.Indonesian Surgeon Ascosiation , National level:

- Secretary General

4.Indonesian Medical Ascosiation, National level:

- Vice Chairman of CPD Board
5. National Instructor of ATLS Course , Commitee on Trauma of ISA, 2003- now

6, Surveyor of Hospital Acreditation Commitee,2009

7. Member of Health care manager ascociation (PERMAPKIN)

8. Member of Red Cross Society of Karawang regency 1990-2007

Experience in other Organization :

1. Chief of Blood Transfusion Section of Karawang Red Cross Organization.

2. Chapter President of Intercultural Learning Foundation, in Karawang chapter

1998-2006

3. Member of Board of trusty Intercultural Learning Foundation (Yayasan Bina

Antar Budaya/AFS) in National level, 2006- now

4. Ascosiation of Regency Hospital (ARSADA /Asosiasi Rumah Sakit Daerah )

: as board member of West Java province, 2007-2009

5. Indonesian Hospital Ascosiation (PERSI / Persatuan Rumah Sakit se

Indonesia) : as board member of West Java province, 2008-2009