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All Journal International Journal of Evaluation and Research in Education (IJERE) SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Jurnal Pendidikan dan Pengajaran REiD (Research and Evaluation in Education) Berkala Ilmiah Kedokteran Duta Wacana Jurnal Kedokteran dan Kesehatan MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Journal of Community Empowerment for Health Berita Kedokteran Masyarakat

Gandes Retno Rahayu

Department Of Medical Education And Bioethics Faculty Of Medicine, Public Health And Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia

Author-ID : 3662702

Humanities Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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IDENTIFIKASI MOTIVASI DAN DUKUNGAN YANG DIPERLUKAN MAHASISWA RETAKER UJI KOMPETENSI MAHASISWA PROGRAM PROFESI DOKTER Romadhoni romadhoni; Gandes Retno Rahayu; Umatul Khoiriyah
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.48329

Background: Medical students who experience failure in the final exam are around 10%. In Indonesia, there are students who failed to pass the competency test for medical profession program students (UKMPPD) until 14 times. The impact of this failure is the occurence of mental health disorder. Students need support more than guidance on clinical knowledge and skills. This study aimed to identify the motivation and support needed by the UKMPPD retaker students in the effort to achieve graduation Methods: This research is a qualitative research with phenomenological approach, the data was obtained by in-depth interview and focus group discussion (FGD). This research was followed by 16 respondents. The data analysis was conducted by thematic analysis method. Results: Identified intrinsic motivation predictor originated from learning independence, relation, and low competence. The extrinsic motivation predictors are originated from external regulation, that is UKMPPD regulation. The motivation predictor is originated from anxiety and study period limit. The support needed by the respondents from medical schools are in the form of psychological approach, absolving the retaker students from selection tests, providing form of selection tests that compatible with the blueprint and rules of UKMPPD multiple choice question, also giving the opportunity to pass with other exam methods. Conditions of motivation can change with the factors that influence it. Changes in motivational conditions that may occur are an increase in motivational conditions, decreased motivational conditions, or persistent motivational conditions. Conclusion: The motivation condition of retaker students is amotivated and motivated (external and internal motivation). Support from medical school that can increase motivation is given to students to keep their motivation level.

EXPERIENTIAL LEARNING METHODS IMPROVES RATIONAL PRESCRIBING SKILL IN MEDICAL STUDENTS Mega Pandu Arfiyanti; Gandes Retno Rahayu; Eti Nurwening Sholikhah
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 2 (2021): July
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.56906

Background: Rational prescribing is an important skill for medical doctors. Many graduates still feel insufficiently prepared to make rational prescribing and fail to demonstrate the related clinical reasoning after graduation. For these reasons, it is important to improve the medical student teaching of rational prescribing. The aim of this study is proving the effectiveness of experiential learning methods to improve rational prescribing skills of medical students.Methods: This study used a one-group pretest-posttest design. Rational prescribing courses use experiential learning methods for 6 year medical students. Every student provided evaluation of rational prescribing and clinical reasoning through pretest and posttest, and we analyzed the results by paired t test.Results: The change in the rational prescribing skill of the students is significant between pretest and posttest. However, in the hypertension case the scores are not significant between pretest and posttest. Also, the scores of clinical reasoning based on drug interaction and evidence based methods are not significant in the hypertension and otitis media cases.Conclusions: Experiential learning methods can enhance rational prescribing skill in medical students but the students were still not able to choose appropriate medications based on drug interaction and evidence based approach.

DEVELOPMENT AND VALIDATION OF INSTRUMENT TO MEASURE THE CHARACTERISTICS OF A HEALTHY ROLE-MODEL IN MEDICAL SCHOOL Michael Andreas Leman; Mora Claramita; Gandes Retno Rahayu
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 2 (2021): July
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.61301

Background: A medical teacher as a healthy role-model has a critical role in supporting health promotion effectiveness in medical school. However, an instrument to measure the characteristics of the medical teacher as a healthy role-models is unavailable. This study aimed to develop and validate a questionnaire to evaluate these characteristics by analyzing a model from previous grounded theory.Methods: A total of 442 medical teachers at the Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, were invited to participate. We used hierarchical component models (HCMs) to develop our path model. A partial least squares structural equation modeling (PLS-SEM) were then used to analyze this model.Results: Twenty-six items from seven constructs supports our model. The construct of socially healthy (SH) has the most substantial effect on constructing healthy people's characteristics (H). The constructs of healthy role-models (HRM) in medical schools are mainly influenced by healthy people characteristic (H).Conclusion: A questionnaire with 26 items grouped in these seven constructs showed good reliability and validity. Seven constructs have relevance to the characteristics of a healthy role-model in the medical school model.

NEWLY-GRADUATED MEDICAL DOCTORS AS NEAR-PEER TUTORS FOR PREPARING NATIONAL LICENSING EXAMINATION: A CASE REPORT Prattama Santoso Utomo; Arta Farmawati; James Degnan; Rachmadya Nur Hidayah; Rilani Riskiyana; Gandes Retno Rahayu
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 2 (2021): July
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.62407

Background: Medical students in Indonesia are required to pass a national licensing examination (e.g., UKMPPD) as a requirement of graduation and to obtain their certificate of competence. Medical schools prepared their students based on their needs and capacity. The preparation might use different teaching approaches. Undergraduate medicine program in Universitas Gadjah Mada conducts a national licensing examination preparation program facilitated by both faculty members and peer tutors. The peer tutors are newly graduated medical doctors who were recruited and trained. The use of trained peer tutors in a structured program to prepare high-stake examination such as a national examination is considered novel. This paper aims to describe a peer-assisted learning (PAL) approach used to prepare medical students in facing a national licensing examination.Case Discussion: A preparation program using faculty and peer tutors was deployed to prepare final-year medical students for facing the Indonesian national licensing examination. The ratio of sessions facilitated by faculty to peer tutors was 1:2. The preparation included CBT and OSCE training. Sessions with faculty used a medium to large class approach while sessions with peer tutors used a small to medium group approach. Through February 2020, 147 students have participated in the program. A questionnaire was developed to measure agreement that the program was successful and if the tutees were satisfied with various aspects of the program. The tutees responded with high rates of satisfaction to most items on the questionnaire (responses for all but one item ranged between 72.1% and 90.5% in favorable agreement or satisfaction). The one exception was CBT preparation where the level of satisfaction was lower (54.4% rated CBT favorably). Participants highly valued the involvement and the performance of peer tutors.Conclusion: The use of near-peer assisted learning for national licensing examination preparation has strong potential. Further study is required to investigate the impact of the peer-assisted national licensing examination preparation program on students’ achievement and clinical practice.

FEEDBACK THAT AFFECTS FIRST YEAR MEDICAL STUDENT’S LEARNING IN HIGH POWER DISTANCE & COLLECTIVISM CULTURE Ida Ayu Triastuti; Gandes Retno Rahayu; Yoyo Suhoyo
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 2 (2019): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Background: Constructive feedback is an essential component of learning for medical undergraduate. Communication culture of high-power distance and collectivism might have influence in shaping students' perception of the benefit of feedback. Aim: This study is aimed to identify feedback characteristic which associated with students' perception of learning benefit, and further explored the mechanism feedback influence on students learning process. Method: This is a mixed method study, with explanatory sequential approach. The setting is first-year medical undergraduate students at FK UKDW who enrolled in skill lab class (pulmonary physical examination). The first phase is a quantitative study using questionnaire on feedback characteristics and student’s perception of feedback benefits, further analysed with linear regression methods. The next phase is an interview study on selected students with semi-structured questions, and further analysed with thematic analysis. Result: There are 82 students who returned the questionnaire. Quantitative analysis showed that feedback including comparison to standard (B=2,26; p = 0,003) and follow-up planning (B=3,47; p < 0,001) are associated with perceived benefit by students. Further interview of 11 students discovered that students have received clear and concise outline through the feedback process. On the other hand, the communication culture, poor execution of feedback process, and interconnectedness between each characteristic may influence the students' perception of benefits. Conclusion: Feedback is beneficial for medical undergraduate students in high power distance and collectivist culture, specifically feedback with comparison to standard and follow-up planning.

Pembinaan Desa Wisata Sehat Gabugan dengan melibatkan mahasiswa interprofesi dalam melatih kader Program Indonesia Sehat – Pendekatan Keluarga (PIS-PK) Widyandana Widyandana; Tutik Kusdaryanti; Dimas Septian Eko Wahyu Sumunar; Dianing Pratiwi; Fitriana Fitriana; Nandyan Sulaksana Nugraha; Vita Yanti Anggreni; Gandes Retno Rahayu
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

The Government of Republic of Indonesia launched Healthy Indonesia Program with Family-Centered Approach (PIS-PK). This program intended to improve public health in commons beneath the management of public health care. However, it remains challenging for public health care to reach all families in the working area. Active participation from volunteers or cadres to encourage the implementation of this program is required. Gabugan Tourism Village is an educational tourism village in a vision to develop the concept of "healthy tourism village". Determination from the local government to achieve healthy tourism village taken by joining collaboration with Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada (FK-KMK UGM).Together with interprofessional students from the campus, local government arranged training for cadre and assist during program implementation. This study aimed to identify the Healthy Family Index (HFI) of residents in the Gabugan Tourism Village and evaluate the cadre’s level of knowledge before and after training sessions. This was action research with a quantitative descriptive method. Data collected from August 4th, 2018 to September 7th, 2018. Research subjects were family and health cadres. Sample of 50 families from 100 families population surveyed to discover Healthy Family Index (HFI), while cadres were receiving training session related to "healthy tourism villages". Pre-test and post-test followed by cadres during the training session. Survey results analyzed using quantitative descriptive, meanwhile, Wilcoxon tests set to compare pre-test and post-test scores. From 50 families an HFI average of 0.810 obtained. The highest indicator of healthy family index was access to clean water facilities and the use of healthy latrines. The lowest index found at hypertension patients taking regular medication. The results of pre-test and post-test cadres indicated rising average with value of 3,823 and p = 0,000. Families in Gabugan Tourism Village generally in the healthy group. Training program involving interprofessional students proven to significantly increase the knowledge of health cadres.

Exploration of unhealthy food consumption patterns in Sleman region by interprofessional undergraduate health students Lastdes Cristiany Friday; Doni Widyandana; Nandyan Nurlaksana Wilastonegoro; Fitriana Fitriana; Dessy Christine Hosianna; Haidar Zain; Indah Dwi Setyaningrum; Gandes Retno Rahayu
Journal of Community Empowerment for Health Vol 3, No 3 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.57717

Despite the average life expectancy of Indonesian people increasing from 63.63 in 1990 to 71.69 in 2016, the gap of life expectancy and healthy age life expectancy also increased from 7.49 to 8.72. RISKESDAS (2018) further highlighted that the proportion of Indonesian people with a healthy diet was poor. These data challenged us to implement an outreach program, Community and Family Health Care – Interprofessional Education (CFHC-IPE), involving our medicine, nursing and nutrition students for assisting families and communities with an aim of improving the population health status. Thus, we assessed their baseline status, in particular, people’s dietary habits. We attached batch 2015 and 2016 students to 465 households with 1,254 family members. We deployed them to 15 different sub-villages in Sleman Regency, Yogyakarta. Students surveyed the families and put the data in family folders during field visits in 2018 – 2019. Our focus was to seek eating patterns of the families and performed descriptive analysis of socio-demographic aspects within those with certain dietary habits using chi-squared tests. Of the 1,254 family members, those who routinely consume fried, sweetened, contained preservatives and grilled foods were 70.14%, 61.00%, 38.13%, and 20.08%, respectively. We found the adults tend to consume more sweetened foods and beverages along with grilled foods compared to the elderly, and the differences of proportions are statistically significant. The CFHC-IPE program partner families were often not realizing that a combination of their dietary habits, in particular, the consumption of fried and sweetened meals might result in threats to the family members’ health. Fried foods were the most routinely consumed followed by sweetened food, grilled foods and foods containing preservatives. These patterns were also the same in both urban and rural settings.

Efektivitas peer education terhadap perilaku menjaga kebersihan pribadi pada santri di pondok pesantren Laily Rokhmawati; Gandes Retno Rahayu
Berita Kedokteran Masyarakat (BKM) Vol 33, No 11 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Tujuan: Mengetahui efektivitas peer education terhadap perilaku menjaga kebersihan pribadi pada santri di Pondok Pesantren Al-Iman Putri Babadan Kabupaten Ponorogo.Metode: Pretest dan posttest pada 84 santri Madrasah Tsanawiyah kelas I Al-Iman. Data dianalisis dengan menggunakan paired t-test.Hasil: Ada perbedaan tingkat pengetahuan, sikap dan tindakan dengan intervensi berupa peer education tentang menjaga kebersihan pribadi antara kelompok intervensi dan kontrol. Kelompok intervensi yang diberikan peer education mengalami peningkatan lebih tinggi daripada kelompok kontrol yang tidak diberikan peer education.Implikasi Praktis: Manajemen pondok pesantren dapat menggunakan metode peer education sebagai upaya preventif untuk mempromosikan perilaku hidup bersih dan sehatKeaslian: Studi ini menyatakan bahwa peer education efektif untuk mempromosikan perilaku hidup bersih dan sehat kepada santri di pesantren.

CRITICAL THINKING, CLINICAL REASONING SKILLS AND COGNITIVE ABILITIES OF DENTAL STUDENTS Bernadetta Esti Chrismawaty; Ova Emilia; Gandes Retno Rahayu; Ika Dewi Ana
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.72915

Background: Critical thinking (CT) and clinical reasoning (CR), along with adequate clinical knowledge, are crucial components of thinking in clinical practice. This study aimed to assess, compare and analyze the relationship between CT skills, CR skills, and cognitive abilities in undergraduate (UDS) and clinical dental students (CDS).Methods: This natural experimental study was conducted using the quantitative descriptive-analytic methods with a cross-sectional design. Thirty UDS and sixty-one CDS were selected purposively. Demographic and academic data were obtained through questionnaires. The Critical Thinking Tool (CriTT) was used to measure CT skills, and CR skills were measured by the Diagnostic Thinking Inventory (DTI). Knowledge acquisition was measured through the Cognitive Ability Test (CAT), which is a set of multiple-choice questions specifically developed and validated for this study. The statistical differences between them were analyzed by one-way ANOVA, and their relationship was tested by correlation matrix analyses.Results: There were no differences in CriTT measurements between groups. The overall DTI score and subscale 2 (Structure of memory) showed significant differences between groups, as did the overall CAT score and all clinical science subscales. Correlation matrix analyses revealed CR skills were related to CT skills, while the cognitive abilities or knowledge acquisition were related to CR skills.Conclusion: Results showed the CR skills and cognitive abilities of clinical dental students are superior to undergraduate dental students. Generally, the results indicated the more skilled students are in critical thinking, the better are their clinical reasoning skills. Better cognitive abilities tended to improve clinical reasoning skills.

THE IMPACT OF INDONESIAN MEDICAL DOCTORS NATIONAL COMPETENCY EXAMINATION (IMDNCE) TOWARDS LEARNING AND CLINICAL PRACTICES: A QUALITATIVE STUDY ON THE INTERNSHIP DOCTORS’ PERSPECTIVES Lukas Daniel Leatemia; Yoga Pamungkas Susani; Detty Iryani; Fundhy Sinar Ikrar Prihatanto; Hemma Yulfi; Rilani Riskiyana; Gandes Retno Rahayu
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.73080

Background: The implementation of the national licensing examination for medical doctors is expected to have a broad impact on doctors and society. Indonesian Medical Doctor National Competency Examination (IMDNCE; Indonesian: Uji Kompetensi Mahasiswa Program Profesi Dokter or UKMPPD) as an ‘exit exam’ in the medical education process may significantly impact learning and clinical practices. The study’s objective was to explore the impact of IMDNCE on both the learning and clinical practices of doctors.Methods: The study subjects were internship doctors who had passed the IMDNCE. Participants were recruited by purposive sampling based on the ownership status of the institution (state/private) and the accreditation of respective medical schools and participants’ gender. The study participants consisted of 41 internship doctors working in 6 regions from 33 different medical schools out of 75 medical faculties in Indonesia.Results: IMDNCE has a positive influence on learning and clinical practice. The IMDNCE process emphasizes standard competencies that must be mastered and patient management process with current evidence that is not always achieved during clinical education, increasing clinical knowledge and skills, and increasing awareness of professional development. IMDNCE also has very well affected in the development of self-confidence and a sense of responsibility which are essential in clinical practice. In addition to psychological influences, IMDNCE improves competence in clinical skills and promotes good medical practice.

Co-Authors Abu Bakar Aminuddin Aminuddin Amir Syafruddin Arta Farmawati Asmara, Aditya Hari Banu Aji Dibyasakti Bernadetta Esti Chrismawaty Bulan Kakanita Hermasari Dessy Christine Hosianna Detty Iryani Dian Apriliana Rahmawatie Dian Puspita Dewi Dianing Pratiwi Dimas Septian Eko Wahyu Sumunar Doni Widyandana Efrayim Suryadi Efrayim Suryadi Efrayim Suryadi Efrayim Suryadi Efrayim Suryadi Eti Nurwening Sholikhah Fithriyah C. Ummah Fitriana Fitriana Fitriana Fitriana Fuad Khadafianto Fundhy Sinar Ikrar Prihatanto, Fundhy Sinar Ikrar Haidar Zain Halimah Thania Nasution Harsono Harsono Harsono Mardiwiyoto Harsono Mardiwiyoto Harsono Mardiwiyoto Hasan Nyambe Hemma Yulfi I Dewa Agung Gde Fanji Pradiptha Ibrahim, Juliani Ida Ayu Triastuti Iis Inayati Ika Dewi Ana Imelda Ritunga Indah Dwi Setyaningrum Irwin Aras James Degnan Laily Rokhmawati Lastdes Cristiany Friday Sihombing Lukas Daniel Leatemia Made Bayu Permasutha Made Kurnia Widiastuti Giri Malik, Ummu Kalzum Malik, Ummu Kalzum Maria Magdalena Purba, Maria Magdalena Marindra Firmansyah Martinus Martinus Mega Pandu Arfiyanti Michael Andreas Leman Michael Andreas Leman Miko Ferine Mora Claramita Murti Mandawati Musharyanti, Lisa Nandyan Nurlaksana Wilastonegoro Nandyan Sulaksana Nugraha Nindya Aryanty Nurul Fauziah Ova Emilia Pratomo, Fransiskus Aryo Prattama Santoso Utomo Rachmadya Nur Hidayah Rahmi Surayya Retno Sumiyarrini Rilani Riskiyana Romadhoni romadhoni Rossi Sanusi Rossi Sanusi Rossi Sanusi Savitri Shitarukmi Siti Munawaroh Soenarto Sastrowijoto Sylvia Mustika Sari Tezar Samekto Darungan Titi Savitri Prihatiningsih Tri Nur Kristina Tridjoko Hadianto, Tridjoko Triyani Triyani Tutik Kusdaryanti Umatul Khoiriyah Vita Yanti Anggreni Widyandana Widyandana Widyandana Widyandana Wiwik Kusumawati Yayi Suryo Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yeny Dyah Cahyaningrum Yoga Pamungkas Susani Yoga Pamungkas Susani Yossi Indra Kusuma Yoyo Suhoyo Yuliana Yuliana

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