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PRECLINICAL STUDENTS’ PERCEPTION TOWARDS FACTORS OF ACHIEVING MEDICAL COMPETENCE Christine Tjahjadinata; Natalia Puspadewi; Elisabeth Rukmini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.45370

Abstract

Background: Based on the existing research, medical competence achievements in DKI Jakarta’s primary health care was lower than other provinces in Indonesia. Some of the competence achievements in preclinical years were also lower than the level of competence achievement in the Standard of Indonesian Doctor Competence, regardless the diseases are at the third and fourth levels. This research aimed at exploring the factors which influenced the competence achievement of the preclinical years based on student’s perceptions.Methods: The research was a descriptive analytic study with a qualitative approach using Focus Group Disscussion (FGD). Nine preclinical students of 2013 batch were chosen purposefully based on the recommendation from faculty members and students. Data were analyzed qualitatively using thematic analysis method.Results: There are several factors that influence the competence achievement of the preclinical students. These included the factors of student, curriculum, faculty, environmental, and facility.  There were four participants in the first meeting and five participants in the second meeting.Conclusion: Based on student’s perception, the factors which affect the competence achievements in preclinical years are student factors, curriculum factors, faculty factors, environmental factors, and facility factors. Keywords: competence, medical education, preclinical, qualitative
TOPICS IN MEDICAL EDUCATION ELECTIVE BLOCK: A STUDY USING DELPHI METHOD Geraldo Geraldo; Elisabeth Rukmini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 3 (2019): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (804.234 KB) | DOI: 10.22146/jpki.46608

Abstract

Background: Problematic practices performed by doctors and clinical phase students often be found in the workplace settings. Common problems related to team working is the highest rated problems. To overcome this problem, we designed an elective course, Medical Education block (ME) and have implemented the course since 2014. This study aimed to find topics in ME which were meaningful toward medical student’s practices. Methods: A Delphi method were utilized. The experts were the subjects themselves to acknowledge that they were the participants of the ME block, other elective blocks, and clerkship. There were 21 respondents consisted of 2012, 2013 and 2014 bathces. All the subjects were in their clerkship or at the end of their education. They were divided into two groups: who enrolled in ME (n=10), and other blocks (n=11). The questionnaire was consisted of three parts. The first part listed 5 main topics with responses of agree/disagree. The second part listed the same topics, but subjects needed to response the weight on each topic. The last part listed 27 topics in ME Block that might or might not relate to clerkship. Responses were given in agree/disagree. Results: Using two-rounded Delphi method, we found the average of rate of agreement (roa) on the first round was 88% and the second was 81%. There were only 2 statements of the second part which had roa >70%. Thus, the second part went to the 2nd round together with the 3 statements of the third parts. Finally, there were only 2 statements of the second parts achieved roa and there were 2 topics left undecided of the third part. Conclusion: Few topics which were proven useful for medical students were personal education, medical education research, and professionalism. Keywords: practices, medical education, elective course
EXPLORATORY STUDY ON MEDICAL GRADUATES WITH NONCLINICIANS CAREER Elisabeth Rukmini; Kevin Jonathan Bogar
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 1 (2021): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.61406

Abstract

Background: Medical graduates have diverse career choices. Various factors trigger the motivation and interest of alumni to choose non-clinician careers. Research towards medical graduates who chose non-clinician careers was less than doctors with clinicians. This study aims to explore the reasons for choosing non-clinicians as careers for medical graduates. Methods: This research is a descriptive exploratory study. A total of 10 medical alumni subjects, batch 2011, were selected through purposive sampling. They were rich in information. We performed semi-structured interviews to collect qualitative data. Data were analyzed using content analysis. To ensure transferability and dependability of the data, we performed inter-raters meetings and an audit trail. Triangulation between three inter-raters was administered to get an inter-rater agreement. An external auditor performed an audit trail after the data analysis. Results: This study discussed the reasons for choosing non-clinician careers for medical graduates. Three main themes influence the graduates’ reasons: (1) motivation, (2) experiences, and (3) comparative factors between clinician and non-clinician careers. The motivation could be divided into internal and external motivation. Strong motivation, together with experiences, form a firm decision to take non-clinician careers. When comparing clinician and non-clinician careers, subjects mentioned the condition, including financial situation, risk factors, and seniority. Conclusion: The reasons for choosing non-clinician careers related closely to subjects’ motivation, experiences, and comparative factors between careers as clinicians versus non-clinicians. This research showed the importance of medical education to prepare students for mentorship, the risks factor of and the career choices of clinicians and non-clinicians
MANCHESTER CLINICAL PLACEMENT INDEX (MCPI) AS CLINICAL LEARNING ENVIRONMENT ASSESSMENT TOOL: ADAPTATION INTO INDONESIAN LANGUAGE Carolyn Carolyn; Arnold Lukito; Audelia Kathleen Sulaiman; Elisabeth Rukmini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 3 (2021): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.63982

Abstract

Background: Clinical Learning Environment (CLE) involves many active dynamics, perceptions construction, learners' experiences, and behavior while learning. It includes every human resource working and learning together, a health system, and communities. Standard assessment of CLE is essential to evaluate CLE. The Manchester Clinical Placement Index (MCPI) assesses the CLE based on Community of Practice Theory, emphasizing learning according to experience-based learning. Translation of the MCPI into the Indonesian language will be valuable to assess the CLE. This research intends to translate and adapt MCPI into the Indonesian language. Therefore, MCPI can be used to assess the CLE in Indonesian medical schools.Methods: An expert panel translated the MCPI into the Indonesian language (I-MCPI), and a language learning center validated the translation. Participants who were final year students (N: 155) filled up the online I-MCPI after the informed consent. To assess the I-MCPI validity, we performed exploratory factor analysis (EFA) and item discrimination. To seek reliability, we utilized internal consistency reliability showing as the Cronbach's alpha coefficient.Results: The factor analysis and item discrimination showed the I-MCPI's validity. We found two subscales similar to the original MCPI. Leadership, reception, people, facilities, and organization have similar correlation strength to Subscale Learning Environment (0.60-0.71). Instruction and observation have similar correlation strength to Subscale Training (0.86-0.89). Subscale feedback correlates less than 0.60 for both subscales; thus, we concluded that feedback went to the subscale Training as the original MCPI. Reliability of the I-MCPI showed an excellent internal consistency with Cronbach's alpha of 0.87.Conclusion: I-MCPI is a valid and reliable tool to assess the CLE. Further research with broader cohorts of medical schools will be valuable for advancing medical education in Indonesia. 
ANTIOXIDANT AND ANTI-INFLAMMATORY EFFECT OF Morinda citrifolia: A META-ANALYSIS AND SYSTEMATIC REVIEW Ervina Vashti; Bernard Christoper Fernando Oen; Eric Ricardo Yonatan; Venna Bella Sabatina; Sherlyn Sean; Elisabeth Rukmini
FITOFARMAKA: Jurnal Ilmiah Farmasi Vol 12, No 1 (2022): FITOFARMAKA: Jurnal Ilmiah Farmasi
Publisher : Universitas Pakuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33751/jf.v12i1.3359

Abstract

Morinda citrifolia (noni) is a tropical plant from the Rubiaceae family, which contains various active components that have several functions in medical fields that can act as an antioxidant and anti-inflammatory. To assess both effects, we conducted a systematic review and meta-analysis, with the PRISMA statement guidelines, to discuss the efficacy of Morinda citrifolia as an antioxidant and anti-inflammatory. The literature search was performed by searching through 12 databases: Sage Journals, ScienceDirect, Garuda, ProQuest, PubMed, Google Scholar, Web of Science, Taylor and Francis, Wiley Online Library, Cochrane Library, EBSCO, and SINTA from 2000 to 2020. From 4.605 identified record journals, we found six journals which were included in our study analysis. Our analysis showed that Morinda citrifolia has a moderate positive effect as antioxidant and anti-inflammatory agents, with an overall effect size of correlation 0.46 (CI 95% was 0.37-0.54). This study proves the potential of Morinda citrifolia as an alternative herbal medicine. Future research and studies are expected on Morinda citrifolia to investigate its further potential.
USING THE INDONESIAN MANCHESTER CLINICAL PLACEMENT INDEX (I-MCPI) TO ASSESS THE QUALITY OF HOSPITAL-BASED AND COMMUNITY-BASED CLINICAL LEARNING ENVIRONMENT Audelia Kathleen Sulaiman; Carolyn Carolyn; Natalia Puspadewi; Elisabeth Rukmini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 3 (2022): September
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.69652

Abstract

Background: Clinical placement is crucial to develop the fundamental competencies in providing patient care. Therefore, clinical learning environment (CLE) assessment is necessary to ensure its quality. The Indonesian Manchester Clinical Placement Index (I-MCPI) is an instrument for assessing the quality of the learning environment and the quality of training in both hospital and community placements. This study aimed to (1) measure the CLE quality of a school of medicine in Jakarta using I-MCPI and (2) explore the qualitative data resulted from the I-MCPI to draw a comprehensive conclusion about CLE.Methods: 155 respondents filled the online I-MCPI, and ten respondents participated in the in-depth interviews. The quantitative data were analyzed using the guideline provided by the original MCPI. The qualitative data analysis was performed using content analysis method.Results: Quantitative data resulted in ranks of the 18 clinical placements, including primary teaching hospital and its network clinical placements. Trends in Primary Health Care (PHC) placement showed lower rank on the CLE and the training quality. The primary teaching hospital was in the sixth position. The qualitative results identified issues of the supervisor’s role, students’ involvement, and learning facilities were identified as significant factors that influenced CLE.Conclusion: Most respondents were satisfied with the quality of learning in clinical rotation at the school. However, respondents suggested more support for students to be actively involved in clinical services, perform clinical skills, and encourage learning facilities to optimize the CLE.
Antidiabetic properties of analog rice from local raw materials: a systematic review Carolyn Lauwis; Cherilyn Theophila Maringka; Fiona Julieta; Paskalia Evangelista; Vincensius Marcellino; Elisabeth Rukmini
International Journal of Public Health Science (IJPHS) Vol 12, No 2: June 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i2.22130

Abstract

Type 2 diabetes mellitus (T2DM) is a common disease, where about 90% of Indonesians suffer from high white rice consumption. According to various reports, analog rice from many raw materials has benefits for T2DM. This review aimed to identify nutritional content that can be found in various local raw materials for T2DM. In addition, this review explained the antidiabetic effects and mechanisms of the nutritional content. PRISMA guidelines were utilized as the basis of this systematic review. Relevant and related studies were determined by databases such as PubMed, Google Scholar, and Garuda. The identification process in those databases resulted in 284 articles, with only 56 articles included based on the final paper criteria. The primary keywords for the identification process include analog rice, T2DM, antidiabetic, glycemic index (GI), and fiber. Meanwhile, the secondary keywords are based on the review's local raw materials, such as purple yam, corn, banana, sorghum, and cassava. As a result, studies found nutritional compounds with antidiabetic properties inside analog rice made from different local raw materials. which each of them has different mechanisms to overcome T2DM. Therefore, the consumption of analog rice from purple yam, corn, banana, sorghum, and cassava has the potential to prevent T2DM.
Smartphone addiction reduction: effectiveness of print and social media education Robert Shen; Elisabeth Rukmini
International Journal of Public Health Science (IJPHS) Vol 12, No 2: June 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i2.22566

Abstract

Smartphone usage dependency in daily activities also causes vulnerability to addiction and its effects on health, especially the increment during the COVID-19 pandemic because of the switching activities to online. Research on the prevention and treatment to overcome smartphone addiction is still relatively limited. This study aims to analyze the effectiveness of educational media programs using social-media compared to printed-media in reducing smartphone addiction levels. Changes in interpersonal-relationship and self- esteem as a related mediator and affected negative impacts of smartphone addiction were also investigated. Media effectivity was assessed by the decrease of users’ addiction level, and affected interpersonal-relationship and self-esteem. A three-wave cross-sectional series conducted on 54 subjects, divided into two groups were given the routine printed or social-media educational program for a month. Results from comparative analysis showed printed-media is more effective than social-media in reducing smartphone addiction; both are statistically significant (p=0.000). It shows that health education has a role in smartphone addiction prevention, but choosing the right and most effective media for specific populations is necessary. Both groups increased interpersonal-relationship, but self-esteem rose only in the printed-media group. Interpersonal-relationship tended to increase, while self- esteem varied from person to person, showing the addiction level might affect mental-behavioral health but still need further analysis of other influencing confounding factors.
Indonesia higher education’s online learning during the pandemic state Elisabeth Rukmini; Hanna Angelina; Viktoria Cosinta Anggreni
International Journal of Evaluation and Research in Education (IJERE) Vol 12, No 4: December 2023
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijere.v12i4.25103

Abstract

The COVID-19 pandemic has brought significant changes in Indonesian higher education to switch the learning activities to online learning. During the online learning implementations, researchers tried to record the changes and discussed the problems they faced. This systematic review aimed to summarize the growth of online learning for Indonesian higher education during the COVID-19 and to describe the connection between trends of online learning’s growth and stakeholders’ interests. Ultimately, this systematic review wanted to forecast the scenario after seeing the overall progress of online learning in higher education institutions in Indonesia. The authors conducted a systematic literature review using PRISMA protocol and collected articles from Google Scholar, EBSCOHost, SAGE, Taylor & Francis, and Proquest. A total of 1,206 studies were retrieved from all databases. The authors excluded some articles that did not come originally from Indonesia, did not involve participants from universities, and were not empirical research. A final eighty-six articles were collected for analysis. The results revealed that infrastructure, interactivity, and readiness were the three main discussions for all Indonesian higher education stakeholders. The authors provided four scenarios for online learning in Indonesia, and the Cyber Growth scenario was the preferred scenario for higher education in Indonesia.
Reflection on the online learning of Pancasila and Citizenship in an international class program Rukmini, Elisabeth; Artsanti, Pedy; Nugraha, Arya Susila
Jurnal Civics: Media Kajian Kewarganegaraan Vol 18, No 2 (2022)
Publisher : Universitas Negeri Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/jc.v18i2.39857

Abstract

The main problem of the Pancasila and Citizenship courses is the substance problem which is cognitive domains, and the problem of learning approaches. This research results from active collaboration between universities online with the Pancasila & Citizenship learning design for international class students of FTI UII. This research aims to explore the results of online learning Pancasila and Citizenship from student reflections. This goal is to be achieved by analyzing qualitative data on student reflections and analyzing the results of student evaluations of the five-step learning program "To Live Pancasila in Our (Global) Citizenship". Qualitative analysis was carried out through content analysis, while the evaluation results were descriptive responses. The reflections of 24 student respondents were gathered into the categories of Pancasila, Citizenship, Meaningful, and Reflect on the Future. The results of the analysis show that the Pancasila & Citizenship course has a novelty in meaning, learning content, and future reflection. The content of learning is about law/regulation, daily life, religious aspects, and tolerance. Furthermore, tolerance breeds respect/appreciation/appreciation. Learning content is conveyed through virtual interactions towards meaningful learning. Future reflection here is related to the learner's awareness or choice manifested in participation. The learning approach, which is blended learning and flipped material, allows students to understand the material and deposit it in reflection