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All Journal International Journal of Public Health Science (IJPHS) Jurnal Penelitian dan Evaluasi Pendidikan MEDIA MEDIKA INDONESIANA Jurnal Konseling dan Pendidikan Jurnal Kesehatan Reproduksi Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Juke Jurnal Kesehatan Masyarakat Global Medical and Health Communication Insisiva Dental Journal : Majalah Kedokteran Gigi Insisiva Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Kesehatan Reproduksi Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Berita Kedokteran Masyarakat Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Gema Kesehatan Ophthalmologica Indonesiana
Widyandana Widyandana
Departmen Pendidikan Kedokteran, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
Decision Sciences, Operations Research & Management Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Journal : MEDIA MEDIKA INDONESIANA

 1 
Clinical Skills Training in the Community: Lesson Learned from Diponegoro and Gadjah Mada University Tri Nur Kristina; Widyandana Widyandana
MEDIA MEDIKA INDONESIANA 2011:MMI Volume 45 Issue 2 Year 2011
Publisher : MEDIA MEDIKA INDONESIANA

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Abstract

ABSTRACTBackground: Community-based education (CBE) clerkship in Faculty of Medicine Diponegoro University (FMDU) is implemented after finishing clinical rotation in tertiary hospital, whereas in Gadjah Mada University (FMGMU), is a part of clinical rotation. To have insight information of this difference method, the CBE clerkship in FMDU and FMGMU were compared.Methods: Close and open-ended students’ questionnaires were administered in the end of CBE clerkship.Results: Response rate to the questionnaire was 97.8% (n=286). FMDU students reported the most unprepared skills for CBE clerkship was blood smear of malaria, whereas FMGMU’s students reported management of PHC centre. Both students perceived that they are well prepared in communication skills, management of communicable diseases, and several clinical skills, and also reported that they have frequent experience in outpatient department. FMDU’ students perceived that CBE clerkship gave opportunity to work independently, and they felt more prepared to work as a doctor in the community. On the other hand, FMGMU students felt not so confident in patient management, and reported that supervisor did not give enough assistance. They suggested that CBE clerkship should be done at least after clinical rotation in two Departments, i.e.: Internal Medicine or Paediatric andSurgery or Ob-gyn.Conclusions: CBE clinical clerkship required students’ confidence and independency. Preparation should be done properly not only for the students but also supervisor in the community. Tertiary hospital, which has enough skillful supervisors, is important to train basic clinical skills to students before sending them to the community.Keywords: Clerkships, clinical skills, medical students, CBE, communityABSTRAKKepaniteraan klinik di masyarakat: pembelajaran di Universitas Diponegoro dan Gadjah MadaLatar belakang: Kepaniteraan klinik di masyarakat di Fakultas Kedokteran Universitas Diponegoro diimplementasikan setelah mahasiswa kedokteran tingkat akhir menyelesaikan rotasi klinik di rumah sakit pendidikan tersier, sedangkan di Universitas Gadjah Mada kepaniteraan klinik di masyarakat menjadi bagian dari rotasi klinik. Dalam rangka mendapatkan informasi yang mendalam mengenai perbedaan metode tersebut, kepaniteraan klinik di masyarakat pada ke-2 institusi tersebut dievaluasi dan dibandingkan.Metode: Penelitian kuesioner dengan pertanyaan tertutup dan terbuka, diberikan pada mahasiswa di akhir dari kepaniteraan klinik di masyarakat.Hasil: Kuesioner yang dikembalikan sebesar 97,8% (n=286). Mahasiswa FK Undip melaporkan bahwa yang paling kurang dipersiapkan untuk kepaniteraan kinik di masyarakat adalah keterampilan dalam melakukan pemeriksaan darah hapus malaria, sedangkan mahasiswa FK UGM melaporkan bahwa mereka kurang dipersiapkan dalam hal manajemen puskesmas. Mahasiswa dari ke-2 institusi sama-sama merasa bahwa mereka cukup dipersiapkan dalam hal keterampilan komunikasi, manajemen penyakit infeksi, dan beberapa keterampilan klinik. Mereka juga sama-sama melaporkan pengalaman yang cukup sering di poliklinik. Mahasiswa FK Undip merasa bahwa kepaniteraan klinik di masyarakat memberi kesempatan pada mereka untuk bekerja secara independen, dan merasa lebih siap untuk bekerja sebagai dokter di masyarakat. Di lain pihak, mahasiswa FK UGM merasa kurang percaya diri dalam mengelola pasien dan melaporkan bahwa supervisor di puskesmas kurang memberikan supervisi. Mereka menyarankan agar kepaniteraan klinik di masyarakat dilakukan setelah minimal menjalani rotasi klinik di 2 departemen, misalnya:interna/pediatrik dan bedah/kebidanan.
Co-Authors Alam, Irmastuti Lukitaning Amitya Kumara Amitya Kumara Andodo, Candra Andrian Fajar Kusumadewi Arif, Luthfi Saiful Aris Setyawan Bakar, Abu Bakrie, Saekhol Bekti Sukoco Carla Raymondalexas Marchira, Carla Raymondalexas Citrawati, Ni Ketut Dewi, Dian Puspita Diana Nur Afifah, Diana Nur Dwi Sri Handayani Dwidjoyono, Bernadeta Dinda Larasati E. Elsa Herdiana Murhandarwati Ekadinata, Nopryan Elisa Nugraha Haryadi Salakay Elsi Dwi Hapsari Endang Lestari Eti Poncorini Pamungkasari Fandianta Fandianta Fatikhu Yatuni Asmara Febria, Nyka Dwi Femy Fatalina Fitri Haryanti Gandes Retno Rahayu Guardian Yoki Sanjaya Herman Herman Indah Dewi Ridawati IZZAH, NURUL Jihan Jihan Kirubashni Mohan Kusumasari, Rizqiani Amalia Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lutfan Lazuardi Marindra Firmansyah Mariyono Sedyowinarso Mawardi, Fitriana Mora Claramita Ni Luh Putu Pranena Sastri, Ni Luh Putu Pranena Noviarina Kurniawati Nurrahma Wahyu Fitriyani Nurrokhmanti, Hikmawati Oktadoni Saputra Oktadoni Saputra Ova Emilia Phillabertha, Paulin Surya Prattama Santoso Utomo R Vivi Meidianawaty Rachmadya Nur Hidayah Rizki Hafidzah Baswedan, Rizki Hafidzah Rizma Adlia Syakurah Rossi Sanusi Rumbino, Samdei Carolina Sari, Silvia Mustika Sasongko, Muhammad Bayu Savirani, Rifda Savitri Shitarukmi Siti Fatimah Sunartini Sunartini Supanji, Supanji Taufan Bramantoro Titi Savitri P Titi Savitri Prihatiningsih Tri Nur Kristina Tridjoko Hadianto, Tridjoko Ujang Sumarwan Utomo, Prattama Santoso Widyaputri, Felicia Wirasto, Ronny Tri Yayi Suryo Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari