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All Journal International Journal of Evaluation and Research in Education (IJERE) Teknofisika Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education
Rachmadya Nur Hidayah
Department Of Medical Education And Bioethics Faculty Of Medicine, Public Health And Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia
Education Engineering Health Professions Medicine & Pharmacology Physics Public Health

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Rancang Bangun Sistem Simulasi Denyut Nadi Pergelangan Tangan pada Vital Sign Simulator Sebagai Media Pembelajaran Keterampilan Medik Mahasiswa Kedokteran Wiraswan, Aditya; Sunarno, Sunarno; Wijaya, Rony; Hidayah, Rachmadya Nur
Teknofisika Vol 1, No 2 (2012)
Publisher : Jurusan Teknik Fisika, Fakultas Teknik, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (60.253 KB)

Abstract

Salah satu kompetensi yang harus dikuasai oleh mahasiswa kedokteran/calon dokter adalah keterampilan klinik. Komponen keterampilan klinik ini meliputi pemeriksaan fisik berupa tanda vital (vital sign) dari seorang pasien. Diperlukan pelatihan keterampilan pemeriksaan tanda vital khususnya denyut nadi untuk meningkatkan kompetensi calon dokter tersebut. Oleh karena itu perlu dikembangkan simulator denyut nadi pada pergelangan tangan/artery radialis berbasis simulasi pasien berupa jaket/kaos menset yang dilengkapi “sistem pintar”. Dengan demikian mahasiswa kedokteran dapat berlatih pengukuran tanda vital dengan tetap memperhatikan etika komunikasi dan profesionalisme. Pada penelitian ini rancang bangun sistem simulasi denyut nadi dengan menggunakan mikrokontroller ATMega16 dan aktuator berupa katup solenoid serta pompa udara. Data yang ditampilkan di LCD berupa pencacah denyut nadi, set point jumlah denyut nadi, dan timer.Dari penelitian ini dihasilkan rancang bangun alat simulasi denyut nadi pada pergelangan tangan/artery radialis dengan rentang 0-180 denyut/menit dan memiliki tingkat akurasi sebesar 99,98% dari metode Palpasi dan 99,95% dari metode penggunaan sensor piezoelectric.
Rancang Bangun Sistem Simulasi Pemeriksaan Suhu Tubuh pada Vital Sign Simulator untuk Pelatihan Keterampilan Medik Mahasiswa Kedokteran Hardiyanto, Denny; Sunarno, Sunarno; Wijaya, Rony; Hidayah, Rachmadya Nur
Teknofisika Vol 1, No 2 (2012)
Publisher : Jurusan Teknik Fisika, Fakultas Teknik, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (60.801 KB)

Abstract

Keterampilan klinik merupakan kompetensi yang harus dikuasai oleh mahasiswa kedokteran/calon dokter. Pemeriksaan tanda vital memiliki nilai kompetensi 4 atau harus mampu dilakukan secara mandiri oleh calon dokter. Untuk mewujudkannya, dilakukan pelatihan keterampilan pemeriksaan tanda vital dan suhu tubuh merupakan salah satu aspek yang perlu diperhatikan oleh calon dokter. Oleh karena itu perlu dikembangkan simulator suhu tubuh berbasis simulasi pasien berupa jaket/kaos menset yang dilengkapi “sistem pintar”. Dengan demikian mahasiswa kedokteran dapat berlatih pengukuran tanda vital dengan tetap mengintegrasikan komunikasi dan profesionalisme. Pada penelitian ini, dibuat rancang bangun simulator suhu yang mampu mensimulasikan suhu tubuh manusia pada rentang suhu 37°C – 42°C menggunakan mikrokontroller AVR ATMega16 dengan sensor suhu LM35 dan aktuator pemanas berupa high power led 3W. Sensor suhu LM35 digunakan sebagai feedback suhu dari aktuator pemanas dan memberikan informasi kepada mikrokontroller untuk melakukan kendali terhadap aktuator pemanas tersebut. Data yang ditampilkan di Liquid Crystal Display (LCD) berupa data ADC, data suhu, dan timer/waktu (detik). Dari penelitian ini, dihasilkan rancang bangun alat simulasi suhu yang mampu mensimulasikan suhu tubuh antara 37°C – 42°C. Simulator ini mempunyai akurasi 98,7%.
Rancang Bangun Sistem Simulasi Denyut Nadi Pergelangan Tangan pada Vital Sign Simulator Sebagai Media Pembelajaran Keterampilan Medik Mahasiswa Kedokteran Aditya Wiraswan; Sunarno Sunarno; Rony Wijaya; Rachmadya Nur Hidayah
Teknofisika Vol 1, No 2 (2012)
Publisher : Departemen Teknik Nuklir & Teknik Fisika, Fakultas Teknik, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (60.253 KB)

Abstract

Salah satu kompetensi yang harus dikuasai oleh mahasiswa kedokteran/calon dokter adalah keterampilan klinik. Komponen keterampilan klinik ini meliputi pemeriksaan fisik berupa tanda vital (vital sign) dari seorang pasien. Diperlukan pelatihan keterampilan pemeriksaan tanda vital khususnya denyut nadi untuk meningkatkan kompetensi calon dokter tersebut. Oleh karena itu perlu dikembangkan simulator denyut nadi pada pergelangan tangan/artery radialis berbasis simulasi pasien berupa jaket/kaos menset yang dilengkapi “sistem pintar”. Dengan demikian mahasiswa kedokteran dapat berlatih pengukuran tanda vital dengan tetap memperhatikan etika komunikasi dan profesionalisme. Pada penelitian ini rancang bangun sistem simulasi denyut nadi dengan menggunakan mikrokontroller ATMega16 dan aktuator berupa katup solenoid serta pompa udara. Data yang ditampilkan di LCD berupa pencacah denyut nadi, set point jumlah denyut nadi, dan timer.Dari penelitian ini dihasilkan rancang bangun alat simulasi denyut nadi pada pergelangan tangan/artery radialis dengan rentang 0-180 denyut/menit dan memiliki tingkat akurasi sebesar 99,98% dari metode Palpasi dan 99,95% dari metode penggunaan sensor piezoelectric.
Rancang Bangun Sistem Simulasi Pemeriksaan Suhu Tubuh pada Vital Sign Simulator untuk Pelatihan Keterampilan Medik Mahasiswa Kedokteran Denny Hardiyanto; Sunarno Sunarno; Rony Wijaya; Rachmadya Nur Hidayah
Teknofisika Vol 1, No 2 (2012)
Publisher : Departemen Teknik Nuklir & Teknik Fisika, Fakultas Teknik, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (60.801 KB)

Abstract

Keterampilan klinik merupakan kompetensi yang harus dikuasai oleh mahasiswa kedokteran/calon dokter. Pemeriksaan tanda vital memiliki nilai kompetensi 4 atau harus mampu dilakukan secara mandiri oleh calon dokter. Untuk mewujudkannya, dilakukan pelatihan keterampilan pemeriksaan tanda vital dan suhu tubuh merupakan salah satu aspek yang perlu diperhatikan oleh calon dokter. Oleh karena itu perlu dikembangkan simulator suhu tubuh berbasis simulasi pasien berupa jaket/kaos menset yang dilengkapi “sistem pintar”. Dengan demikian mahasiswa kedokteran dapat berlatih pengukuran tanda vital dengan tetap mengintegrasikan komunikasi dan profesionalisme. Pada penelitian ini, dibuat rancang bangun simulator suhu yang mampu mensimulasikan suhu tubuh manusia pada rentang suhu 37°C – 42°C menggunakan mikrokontroller AVR ATMega16 dengan sensor suhu LM35 dan aktuator pemanas berupa high power led 3W. Sensor suhu LM35 digunakan sebagai feedback suhu dari aktuator pemanas dan memberikan informasi kepada mikrokontroller untuk melakukan kendali terhadap aktuator pemanas tersebut. Data yang ditampilkan di Liquid Crystal Display (LCD) berupa data ADC, data suhu, dan timer/waktu (detik). Dari penelitian ini, dihasilkan rancang bangun alat simulasi suhu yang mampu mensimulasikan suhu tubuh antara 37°C – 42°C. Simulator ini mempunyai akurasi 98,7%.
IS PATIENT SAFETY AT THE HEART OF MEDICAL EDUCATION IN INDONESIA? REFLECTION ON THE IMPACT OF THE NATIONAL EXAMINATION Rachmadya Nur Hidayah
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 (551.925 KB) | DOI: 10.22146/jpki.48759

Abstract

ABSTRACT Background: National examinations in Indonesia (UKMPPD) has been implemented since 2007 as a quality assurance method for medical graduates and medical schools. The impact of UKMPPD has been studied since then, where one of the consequences were related to how it affected medical education and curricula. This study explored the consequences of UKMPPD, focusing on how the students, teachers, and medical schools’ leaders relate the examination with patient care. This study aimed to explore the impact of UKMPPD on medical education, which focusing on the issue of patient safety. Methods: This study was part of a doctoral project, using a qualitative method with a modified grounded theory approach. The perspectives of multiple stakeholders on the impact of the UKMPPD were explored using interview and focus groups. Interviews were conducted with medical schools’ representatives (vice deans/ programme directors), while focus groups were conducted with teachers and students. A sampling framework was used by considering the characteristics of Indonesian medical schools based on region, accreditation status, and ownership (public/ private). Data was analysed using open coding and thematic framework as part of the iterative process. Results: The UKMPPD affected how the stakeholders viewed this high-stakes examination and the education delivered in their medical schools. One of the consequences revealed how stakeholders viewed the UKMPPD and its impact on patient care. Participants viewed the UKMPPD as a method of preparation for graduates’ real clinical practice. The lack of reference for patient safety as the impact of the UKMPPD in this study showed that there were missing links in how stakeholders perceived the examination as part of quality assurance in health care. Conclusion: The UKMPPD as a high-stakes examination has a powerful impact in changing educational policy and programmes in Indonesia. However, in Indonesia, the examination brought in the reflection on how the “patient” element was lacking from medical education. This research offers an insight on the concept of patient safety in Indonesia and how the stakeholders could approach the issue. Keywords: UKMPPD, national licensing examination, impact, competence, patient safety, curriculum 
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

Abstract

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.
Towards improving soft skills of medical education in the 21st century: A literature review Rilani Riskiyana; Nurul Qomariyah; Rachmadya Nur Hidayah; Mora Claramita
International Journal of Evaluation and Research in Education (IJERE) Vol 11, No 4: December 2022
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijere.v11i4.22951

Abstract

Global challenge forced medical education to be transformative in preparing the future health care professional. Student-centered learning (SCL) has been regarded as the most suitable medical curriculum approach to meet the health care demand. Indonesia, with its hierarchical and collectivistic culture, has long implemented SCL. The necessary skills are needed to be identified to improve the medical curriculum in Indonesia. We did a literature review to generate soft skills for the health care professionals. We distributed the list to stakeholders and medical teachers for a two-round Delphi study. We identify 26 soft skills through literature review. The Delphi study's first-round yielded 95 responses comparing the expectation and reality of the 26 soft skills in the current medical curriculum. The second round Delphi study was performed towards the similar participants to gather the final set of soft skills recommended for curriculum improvement in medical and health professions education. Soft skills, though considered necessary, are not well-understood yet. The unfamiliarity influenced the irresolute delivery of soft skills in medical schools. Faculty developments are recommended to improve the understanding and capability of teachers to facilitate the learning of soft skills.
MIDWAY TO DIGITAL TRANSFORMATION OF MEDICAL EDUCATION: CURRENT PERCEPTION AND ADAPTATION OF MEDICAL STUDENTS TOWARDS SYNCHRONOUS ONLINE LECTURES Tan, Giovanna Renee; Utomo, Prattama Santoso; Suhoyo, Yoyo; Hidayah, Rachmadya Nur
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 2 (2023): Juni
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.73707

Abstract

Background: The Covid-19 pandemic had forced majority of medical institutions to cease face-to-face learning and implement online synchronous technology. Thus, the improvement of online synchronous learning had become a priority for the continuity of medical education. This study explored students’ self-regulated online learning behavior and perception towards synchronous online learning during the Covid-19 pandemic.Methods: This study used a cross-sectional mixed-method design. Stratified random sampling was applied for participant recruitment that included 101 participants, whom are medical students from academic year 1 to 3 (2018-2020) . A total of 12 interview participants were recruited purposively to allow adequate representation of each batch. Data were collected using a modified Self-regulated Online Learning Questionnaire-Revised and a semi-structured interview. Descriptive statistics and thematic analysis were used for data analysis.Results: Approximately 72.28% of participants (N = 101) were of the higher self-regulated online learning behavior group. Batch 2019 had the highest percentage of higher-self regulated learning participants (27.72%, n = 35, p = 0.899). The environmental structuring average score was the highest (x̄ = 5.77), while persistence domain was the lowest (x̄ = 5.03). The participants appreciated the use of technology to provide quality lectures and flexibility of attending lectures. However, classroom interaction and accountability was a major challenge.Conclusion: Synchronous online lectures have the potential to allow students find their effective study time and method during the Covid-19 pandemic. 
CLINICAL EDUCATION DURING COVID-19 PANDEMIC: EXPLORING MEDICAL STUDENTS AND CLINICAL SUPERVISORS’ EXPERIENCES Noija, Stazia; Suhoyo, Yoyo; Hidayah, Rachmadya Nur
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 1 (2023): Maret
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.76568

Abstract

Background: COVID-19 has become a global pandemic that has caused significant changes, including in the context of implementing clinical education. Medical students and clinical supervisors face various adjustments that become a dilemma. This study aims to explore the implementation of clinical education in the era of the COVID-19 pandemic based on the experiences of medical students and clinical supervisors.Methods: Qualitative research was performed using purposive sampling. Informant interviews were arranged until data saturation was achieved, followed by an analysis process using thematic analysis.Results: Seven themes were identified, including learning opportunities and engagement, interaction with patients, communication and interaction with colleagues and supervisors, facility and individual management, supervision process, awareness and confidence, and evaluation and assessment on clinical rotation. The results of this study indicate several changes in the implementation of clinical education during the COVID-19 pandemic compared to before the COVID-19 pandemic.Conclusion: There are several noticeable changes in the implementation of clinical education during the COVID-19 pandemic compared to before the pandemic by referring to the experiences of medical students and clinical supervisors. It is related to the factors that influence the implementation of clinical education during the COVID-19 pandemic. 
CHALLENGES AND FACTORS INFLUENCING THE IMPLEMENTATION OF CLINICAL SKILL TRAINING AS A TRANSITION TO CLERKSHIP COURSE Aisyah, Windy Nurul; Hidayah, Rachmadya Nur; Suhoyo, Yoyo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 1 (2023): Maret
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.76580

Abstract

Background: Transitioning from a preclinical environment to clinical practice requires different skills than academic abilities.  Medical students and tutors must make various adaptations that can be challenging during the clinical transition. Efforts to improve student preparation to face the transition from preclinical to clinical can be done with transition-to-clerkship courses (TTCC). The purpose of this study is to find out the benefits and challenges of implementing the Clinical Skill Training (CST) program as a transition-to-clerkship course (TTCC)Methods: Qualitative research with a case studies approach was performed using purposive sampling. Focus Group Discussion (FGD) and the in-depth interview continued until data saturation was reached, after that thematic analysis approach was used to do the analysis.Results: Students stated that CST is a learning program aimed at refreshing or recalling previously obtained material.  Apart from being a material refresher program, CST facilitates peer learning about exchanging information and giving each other feedback. The tutors thought that CST can bridge the knowledge gap possessed by previous students regarding a disease diagnosis. The link between theory and practice of action will be strengthened during CST. The challenges include supervisor absence, lack of facilities, short intervention time, incomplete evaluation tools, and lack of clinical case variety.Conclusion: The implementation of CST can improve clinical reasoning, provide focused skills learning, and as a good transition program. This study should be used as feedback for the CST program, and further study is suggested to generalize the findings nationwide.
Co-Authors Aditya Wiraswan Aisyah, Windy Nurul Arta Farmawati Denny Hardiyanto Gandes Retno Rahayu James Degnan Jihan Jihan Mora Claramita Ni Luh Putu Pranena Sastri, Ni Luh Putu Pranena Noija, Stazia Nurul Qomariyah Prattama Santoso Utomo Rilani Riskiyana Rony Wijaya Rony Wijaya Sunarno Sunarno Sunarno Sunarno Tan, Giovanna Renee Utomo, Prattama Santoso Widyandana Widyandana Yoyo Suhoyo