Mora Claramita
Departemen Pendidikan Kedokteran Dan Bioetika, Fakultas Kedokteran Kesehatan Masyarakat Dan Keperawatan Universitas Gadjah Mada- INDONESIA

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PROGRAMMATIC ASSESSMENT: BAGAIMANA PENERAPANNYA? Nadia Greviana; Dina Qurratu Ainin; Sylvia Mustika Sari; Mora Claramita
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 4 (2022): Desember
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.73691

Abstract

Background: Assessment is essential in medical education as it provides an overview of the quality of students and the educational process. An urgent problem that arises regarding competence-based education is in ensuring the use of appropriate assessment approaches that provide information regarding the overall performance of students as well as feedback on students learning and provide justification for decision making according to student learning progress. Programmatic assessment is an approach that facilitates various obstacles in conventional assessment.Gaps: Programmatic assessment is a new approach that is rapidly emerging in the world of medical education globally. However, in practice, a more appropriate way is needed to introduce and implement programmatic assessment in Indonesia.Recommendation: Implementation of programmatic assessment requires the role and support from and for all stakeholders. The implementation of the five components of programmatic assessment required flexibility to adapt it to the local context, and accompanied by efforts of mentorship, promoting reflective inquiry, and providing constructive feedback in order to improve the quality of the assessment. This recommendation is expected to help medical and health professions education institutions that will implement programmatic assessment in Indonesia.
Health Family Indicators in North Lombok Regency Yogi Fitriadi; Noor Afif Mahmudah; Mumtihana muchlis; Cornelia Wahyu danawati; Wahyudi Istiono; Mora Claramita; Adi Heru Sutomo; Hari Kusnanto Josef
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 6, No 1 (2023): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.74538

Abstract

Background: Health family indicators are twelve indicators used to assess family health status. The increase in the health family indicator is one of the parameters of The Indonesia Health Program with a Family Approach (PIS-PK) success. This health family indicator can increase if there is an increase in public awareness of family health and the right policies from the health service or government in an area related to health. To make an appropriate policy, accurate health family indicator survey data is needed that can be used as a guideline to make health-related policies and implement health policies in accordance with problems in the community based on the results of the health family indicator survey, especially for family with vulnerable groups in the context of post disaster/crisis phase. Objectives: This study aims to assess the achievement of health family indicator in North Lombok Regency. This study is the first to be conducted with the aim of describing the health family indicator achievement of families who have family members with vulnerable groups in post disaster/crisis phase. Method: This study is a descriptive study that assesses the health status of families in the North Lombok Regency area. The subject of the study was a family that had family members with vulnerable groups selected by purposive sampling. Data retrieval was conducted by interviewing participants who met the criteria for inclusion and exclusion with the guidance of healthy family indicator questionnaires by trained cadres. The data obtained was analyzed using Microsoft Excel and STATA 16 programs. Result: 292 families in six village met the criteria for inclusion and exclusion. The results of this study showed that 6.51% of family respondents belonged to the category of unhealthy families, 57.53% were pre-healthy families and 35.96% were healthy families. The highest percentage of healthy families is in Santong village (44.93%, n = 69) while the highest percentage of unhealthy families is in Santong Mulia village (19.23%, n = 26). The average percentage of healthy families in six villages is 34.02% while the average percentage of unhealthy families is 8.53%. Conclusion: Most families with vulnerable groups in the North Lombok Regency are pre-healthy families.
THE CORRELATIONS AMONG CONSTRUCTS IN THE HEALTH BELIEF MODEL AND SELF-EFFICACY IN APPLYING THE NEWLY DEVELOPED INDONESIAN MODEL OF ASSERTIVE COMMUNICATION (CERDAS) Puspitawati, Theresia; Prabandari, Yayi Suryo; Sastrowijoto, Soenarto; Paramastri, Ira; Claramita, Mora
Public Health of Indonesia Vol. 4 No. 1 (2018): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (468.342 KB) | DOI: 10.36685/phi.v4i1.151

Abstract

Background: One of the most important factors in providing health services is communication. Effective communication between patient-physician will have an impact on health outcomes. Nevertheless, a gap still occurs in patient-physician communication.Objective: This study aimed to determine the correlation between the core concepts of the well-established Health Belief Model: perceived susceptibility, perceived severity, perceived benefits, perceived barriers and cues to action with the concept of self-efficacy in applying the newly developed Indonesian Model of Assertive Communication called "CERDAS”.Methods: A cross sectional study was conducted with 202 eligible women of the Family Welfare Programme in Yogyakarta, Indonesia. The samples were selected using quota sampling. Data were analyzed using Pearson correlation test.Results: Results of the Pearson correlation tests between self efficacy and perceived susceptibiliy showed r: 0.191, perceived severity r: 0.239, perceived benefits r: 0.256, perceived barriers r: 0.272, and cues to action r: 229; with all values p<0.05.Conclusion: There was a significant correlation between perceived vulnerability, perceived severity, perceived benefits and perceived barriers, as well as cues to action with self-efficacy in applying the new Model of Assertive Patient-Physician Communication, "CERDAS”. 
The Noteworthiness of Constructive Feedback and Student-Reflection to Approach Competence-Based Curriculum: An Explanatory Study of Medical Schools in Indonesia Salamy, Achmad Yarziq Mubarak Salis; Claramita, Mora; Suhoyo, Yoyo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 13, No 2 (2024): June
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.87750

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Background: Competence-based medical curriculum requires the acquisition of complex abilities that should be assessed longitudinally. The programmatic assessment model can facilitate a complete picture of students' competencies. The five components of learning, assessment, supporting activities; and intermediate to final evaluation provide holistic learning experiences for students and mentors to participate in the learning strategies. We aim to assess the application of longitudinal components of the programmatic assessment model to the current assessment system based on student perceptions.Methods: This study used a cross-sectional mixed-method sequential explanatory design at six medical schools in Surabaya, East Java of Indonesia. The instrument was 43 items of validated questionnaire based on the five components and the focus group discussions. Results: This study obtained 442 respondents. The results reflected high reliability with a Cronbach alpha value of 0.969, and the validity test showed R arithmetic > R table (R table 0.128 for n 442). The current assessment system was perceived as ‘good’, with 3.9 on 5 points Likert scale; but the ‘supporting activities’ where reflection and feedback lied; was at the lowest score although insignificant. Students underlined the lack of formative aspects (reflection, feedback, mentorship, and middle evaluation).Conclusion: The overall assessment system is well-perceived by the students; however, the 'supportive activities' component has been minimally applied. So the 'assessment of previous learning' is still prominent in the current assessment system.
Publication in Medical Education Scientific Area: A Challenging Journey in Disseminating Scientific Writing in Health Profession Education Nurrokhmanti, Hikmawati; Arif, Luthfi Saiful; Sari, Silvia Mustika; Widyandana, Widyandana; Claramita, Mora
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 13, No 4 (2024): December
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.96347

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Background: Publications in the medical education field need more attention. It was shown by the MERSQI data score that there is no significant difference between medical education publications in the US (Society of General Internal Medicine, 44,4%) and Turkish (Turkish National Medical Education Congresses and Symposia, 11,3%) in 2014/2015. Therefore, specific strategies should be implemented to raise the quality and quantity of publications in the medical education area. With this recommendation, the number of publications in the medical education area is expected to increase.Gaps: In a study on the quality of publication in Turkish National Medical Education Congresses and Symposia, there is a significant difference in MERSQI score between unpublished (oral/poster presentation) and published papers.1 It is indicated that the quality of scientific papers needs to be increased. While in Indonesia, no further study is related to the quantity and quality of published papers. It is assumed that publication problems in the medical education field stem from the quality of scientific papers and could relate to Indonesian scholars' false publication strategy. Recommendation: The quality of scientific publications in Indonesia needs an improvement strategy that should be implemented in every scientific institution in Indonesia, starting from the master's degree level. The increasing proportion of research and any supporting material is expected to increase publication with high-quality research. The following recommendation is about the strategy of publishing the paper, which begins with selecting the fit or right scientific journal, followed by increasing scholar adherence to the journal's requirements. 
Medical Students Preference in Blended Learning after Covid-19 Pandemic: Online vs Offline Widyandana, Widyandana; Izzah, Nurul; Utomo, Prattama Santoso; Claramita, Mora
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 13, No 4 (2024): December
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.98044

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Background: Blended learning has been preferred to be implicated during the transition phase after the pandemic. Nowadays, universities started to shift back into offline learning after being retained for nearly 2 years. The effectiveness of digital learning should be considered. Even though it provided simplicity and ease, the effectiveness was questionable due to a lack of interaction and hands-on practice. Thus, blended learning combines face-to-face and digital learning to maximise the knowledge transfer during classes. However, the efficacy of both offline and online learning was still questioned. Each has benefits and drawbacks, which differ for every student in various conditions. This study assessed medical students’ preferences in the blended learning era.Method: This study used a cross-sectional design. An online survey was conducted among first-year medical students in the Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada (N=201). Data were analysed using a descriptive qualitative approach referring to Doyle et al. Results: Among 201 students who were included in our study, the topmost learning categories chosen to be given in an online setting were lectures (N=97), learning skills (N=18), and discussion (N=16).  For offline settings, they preferred practical skills (N=114), lectures (N=41), and skills laboratory (N=40). Students mentioned network problems as their finest challenge during online classes, and network support was the most needed to improve the learning outcome.  Conclusion: Passive activities that require the least effort were favoured to be given online, and activities requiring active participation were preferred to be given face-to-face. Limitations were challenging for students in participating in online classes; further evaluation and improvement are needed.
Study of Tuberculosis (TB) Management Documentation with Directly Observed Treatment Short Strategy Course (DOTS) in Puskesmas, Hospital, and Lung Disease Treatment Unit (UP3) Slamet, R Sunarko; Josef, Hari Kusnanto; Claramita, Mora
Review of Primary Care Practice and Education Vol 7, No 2 (2024): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.98104

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Background: WHO suggests that pulmonary TB is a global emergency for humans since 1993. Where the burden of TB disease in the community is still very high, it is estimated that there are still about 9.5 million new TB cases, and about 0.5 million deaths caused by TB worldwide. WHO Global Tuberculosis Report states that TB is still a major health issue even though TB is a preventable and treatable disease. WHO Global Tuberculosis Report argues that TB has existed from the first millennium to the millennium and is still a global health problem. Objectives: Monitoring and evaluation is one of the most vital management functions to assess the success rate of TB program implementation. The presence of regular and ongoing monitoring functions to detect problems early in the implementation of planned activities so that they can be fixed as soon as possible. This evaluation also assesses the extent to which the predetermined objectives and outcomes have been achieved at the end of the period. In conducting the assessment of success, indicators, and standards. Method: The method although initially rarely considered in qualitative research methodologies, is today an important and integral part of the qualitative research methodology. This is due to the growing awareness and new understanding in the researchers, that a lot of data is stored in the form of documents and artifacts. So that the excavation of data sources through document studies becomes complementary to the qualitative research process. Even Guba as quoted by Bungin states that the use and use of existing documents determines the credibility level of a qualitative research result. Result: The results showed that all health facilities in Puskesmas, hospitals, and UP3 had followed TB management with DOTS strategy. In general, implementing the five DOTS pillars at puskesmas was better than in hospitals and UP3, but supporting documents on DOTS pillar implementation in hospitals and UP3 were more complete.  Conclusion: The achievement of the DOTS program at the health service facility conducted by the research shows that the puskesmas is better than the hospital and UP3.
Interprofessional Communication from the Perspective of Physiotherapy and Midwifery Lecturer Savirani, Rifda; Widyandana, Doni; Claramita, Mora
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 14, No 2 (2025): June
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.96851

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Background: Effective Interprofessional communication, is one of the essential aspect for optimizing collaboration among healthcare professionals, which in turn enhances patient outcomes and service quality. The World Health Organization advocates for early implementation of Interprofessional Education (IPE) at the university level to prepare students as competent collaborators in healthcare settings.Aims: This study aims to explore physiotherapy and midwifery lecturer’s perceptions regarding learning methods, enabling factors, and inhibiting factors in interprofessional communication as preliminary step before conducting IPE training for lecturers. Methods: This exploratory qualitative study employed focus group discussions with 5 physiotherapy and 6 midwifery lecturers. Data were analyzed using deductive content analysis guided by the 2016 IPEC (Interprofessional Education Collaborative) framework.Results: All participants had experience in interprofessional communication, and realized that as health workers, collaboration is inseparable, with one important aspect is communication. Ten enabling factors were identified, the use of media and communication methods, language, good listeners, feedback, respect differences, communicate the importance of teamwork, sufficient knowledge, leaders and policies, commitment and self-awarness and continuing communication. And eight inhibiting factors were obtained including the use of communication media, language and cultural differences in perception and no feedback, lack of understanding regarding the importance of teamwork, lack of interaction, internal factors and differences in education level.Conclusion: The study revealed both enabling and inhibiting factors in interprofessional communication, along with recommendations for learning methods. These findings provide a basis for developing and evaluating effective IPE training for lecturers.
Culturally Sensitive Primary Care in Indonesia: How Should It Work? Nugraha, Ryan Rachmad; Claramita, Mora
Review of Primary Care Practice and Education Vol 8, No 1 (2025): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.112542

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The Need for a Culturally-Sensitive Primary CareAs globalization rises and populations grow, cultures intermingle, prompting us to understand culture in the way we interact with each other, and most importantly, in care and practice. This coins the term “culturally sensitive primary care,” or often referred to cultural competence or cultural humility, which is the ability of providers to understand and respond to patients’ cultural belief, values, and language needs. Embracing this culture is critical for improving patients’ outcomes and reducing health disparities. Studies have shown when care is tailored to patients' cultural context, it leads to better communication and therefore higher patient satisfaction and adherence to treatment, and even enhanced clinical outcomes1,2. Doctors who have been trained on culturally adapted communication were found to be associated with patients who were more satisfied, had better understanding of their condition, and showed improved health indicators, such as blood pressure and glucose. Conversely, when cultural understanding is not considered in interacting with patients, miscommunication may occur, such as misunderstanding due to language barriers or difference in health beliefs, which may result in distrust and poorer health outcomes3.Cultural sensitivity is especially important in primary care, particularly as primary care physicians (PCP) become the patients’ first point of contact within the health system. Patients’ health beliefs and behavior are driven by their culture, and thus failure to acknowledge this phenomenon might lead to missed critical information. For example, cultural practices may influence patients’ behavior and shift away patients from accessing appropriate care. A study proved that the higher Traditional Birth Attendants (TBAs) density in a given area is linked with higher odds of mothers not utilizing cascades of maternal services4. On the other hand, PCPs that are culturally adept may use it to their advantage to improve care. A meta-analysis showed that, across interventions targeting underrepresented adults, those with cultural relevance tailoring significantly improved medication adherence compared with non-tailored approaches5. 
Empowerment of Dasawisma and Health Cadres as Family Cadres to Optimize Family Posyandu Fitriadi, Yogi; Mahmudah, Noor Afif; Ekawati, Fitriana Murriya; Fauziah, Siti Rizki; Ngang, Inggong; Nababan, Adelina Novita; Claramita, Mora
Review of Primary Care Practice and Education Vol 7, No 1 (2024): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.88130

Abstract

Background: Health cadres are one of the important elements in realizing health in society. In the North Lombok region, the change in the status of ordinary Posyandu to family Posyandu makes health care in the community more comprehensive for all family members. For this reason, efforts to increase the capacity of health cadres are important to improve health status in the family sphere. Objective: This study aims to see the effect of training on increasing the capacity of family cadres on the knowledge of family cadres in the North Lombok Regency area. Method: The sampling process is carried out using the cluster sampling method where each village representative in the Kayangan sub-district of North Lombok Regency sends a cadre representative to train to increase the capacity of Dasawisma cadres to become family cadres. A descriptive analysis of respondents' characteristics and differences in knowledge scores before and after family cadre training activities were conducted. The data analysis process was carried out with the Wilcoxon Test because the data distribution was abnormal. Result: Thirty-three health cadres meet the inclusion and exclusion criteria. The results showed that the median value (maximum-minimum) of family cadres before training, shortly after training and six months after training was 66.67 (36.67-80), 66.67 (53.33-83.33) and 70 (53.33-96.67). From the Wilcoxon test, there was a statistically significant difference between the knowledge score before training and six months after training (p<0.05). There was no statistically significant difference between the knowledge score before training and shortly after training, as well as the knowledge score shortly after training and 6 months after training (p>0.05). Conclusion: Family cadre empowerment training can improve knowledge scores 6 months after training, but there is no significant difference in knowledge score improvement shortly after training as well as between knowledge scores shortly after training and 6 months after training.
Co-Authors ., Widyandana Abu Bakar Achmad Yarziq Mubarak Salis Salamy Adi Heru Sutomo Adi Heru Sutomo Adolfina Nilasari Anita Rahman Hajam Aras Utami Arif, Luthfi Saiful Armyn Nurdin Astrid Pratidina Susilo Bambang Djarwoto Brantas Prayoga Bulan Kakanita Hermasari Cicih Bhakti Purnamasari Cornelia Wahyu Danawati Dhanasari Vidiawati Diah Prasetyorini Dina Qurratu Ainin Elsa Pudji Setiawati Enuk Endah Sunarto Fatmala, Galuh Dyah Fauziah, Siti Rizki Febria, Nyka Dwi Fino Susanto Fitriana Murriya Ekawati Gandes Retno Rahayu Handayani, Fani T. Hari Kusnanto Hari Kusnanto Josef Hikmawati Nurrokhmanti Hikmawati Nurrokhmanti, I Dewa Putu Pramantara I Dewa Putu Pramantara I Dewa Putu Pramantara Ibrahim Amnur Ira Paramastri Irawati, Yulia Dewi Istianto Kuntjoro IZZAH, NURUL Josef, Hari Kusnanto Lisa Soldat Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati M Robikhul Ikhsan Mahmudah, Noor Afif Mariatul Fadilah Michael Andreas Leman Michael Andreas Leman Miko Ferine Mohammad Hakimi Mumtihana muchlis Murti Mandawati Nababan, Adelina Novita Nadia Greviana Ngang, Inggong Noor Afif Mahmudah Nugraha, Ryan Rachmad Nunik Sulistyaningsih Nur Afrainin Syah Nurrokhmanti, Hikmawati Nurul Fauziah Nurul Qomariyah Nurul Qomariyah Ova Emilia Pratama Adi Prabawa Prattama Santoso Utomo Putri Hidayati Rachmadya Nur Hidayah Rahayu, Gandes R. Rahmi Surayya Rilani Riskiyana Riri Indriyanti Ronanarasafa, Ronanarasafa Rosaria Indah Rusetiyanti, Nurwestu Sari, Silvia Mustika Savirani, Rifda Shinta Prawitasari Sintak Gunawan Sistia Utami Siti Solekah Slamet, R Sunarko Soenarto Sastrowijoto, Soenarto Sri Handayani Surya Akbar Syarhan Syarhan Sylvia Mustika Sari Tezar Samekto Darungan Timbul Pranoto Titi Savitri Tri Nur Kristina Tridjoko Hadianto Umi Farida Hidayati Utomo, Prattama Santoso Wahyudi Istiono Widyandana Widyandana Widyastuti Widyastuti Wiwik Salistyaningsih Theresia Puspitawati Dwi Kurniawan Nugroho Yanti Yanti Yayi Suryo Prabandari Yogi Fitriadi Yogi Fitriadi Yoyo Suhoyo Yulia Dewi Irawati Yulita Hendrartini