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

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HIV in Elderly Patient Fatmala, Galuh Dyah; Claramita, Mora; Rusetiyanti, Nurwestu
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.93047

Abstract

The patient is 66-year-old men from a small village in the foot of the Merapi volcano, Java Island, Indonesia. He is a husband and a father of three children with three granddaughters. He describes his life as a happy snack fruit farmer, adores living with his caring wife and enjoying role as a mosque priest in his village. But all are disrupted as his health condition has worsened in the past year. Previously, he has been hospitalized twice with the final diagnosis of chronic obstructive pulmonary disease; the tuberculosis has been ruled out by acid fast bacillus test since he also presenting with significant weight loss. Otherwise, he also has multiple visits to dermatologist due to itchy all over his body which is not improving with primary health center (puskesmas) medication. For his blurry eyes, he has been referred by his general practitioner to the ophthalmologist to be suspected with glaucoma and have lanatoprost medication for his eyes daily. He is also having diagnosis of lumbago with sciatica by neurologist since both of his legs are always sore and tingling. All of his outpatient visits and hospitalizations are covered by government health coverage in the same hospital as he has been referred by puskesmas.
Primary Care-Led Health System in Indonesia Nugraha, Ryan Rachmad; Claramita, Mora; Josef, Hari Kusnanto
Review of Primary Care Practice and Education Vol 6, No 2 (2023): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.95657

Abstract

It is a general consensus that investing more in primary care will lead to better health outcomes overall, and therefore, primary care should be the focus of development for health services. A body of evidence that intervention in primary care is cost-effective and reduces health system burden and disparities (1–7). Making primary care the focus of health development is crucial for the sustainability of the health system, particularly amidst the changing demographic landscape and disease burden. Designing health service or needs to start at primary care at its heart. This is concurrent with WHO 2008 report on Primary Care (8): “… focus of reform that reorganizes health services as primary care, i.e., around people’s needs and expectations so as to make them more socially relevant and more responsive to chancing world while produced better outcomes –  service delivery reforms.” 
The Uncertainty in Family Medicine Training Claramita, Mora; Irawati, Yulia Dewi
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.98083

Abstract

Ever since we heard about family medicine training, there have been lots of differences within the context of primary care compared to the specialization in the hospital’s settings. One of them is the ‘uncertainty.’ The uncertainty of health care started from the process of development of diagnosis because of the first contact nature of patients in primary care settings with possible signs and symptoms can lead to number of diseases1. A cough symptom can be uncomplicated influenza, a very sign of the start of an epidemic, or signs of a more contagious severe illness like Tuberculosis, or a non-infectious problem but can be life-threatening for the patient. We also still need to consider the ‘illnesses’ so that the patients can have their perceptions regarding the health problems and the treatment they should receive. At this point, two-way dialogue to overcome the uncertainty in handling health problems is the key to understanding patients’ perspectives. Only by understanding patients’ perspectives can family doctors work together with the patient to approach a more suitable treatment and health care planning.
CLINICAL SKILLS INSTRUCTOR’S PERCEPTION OF FEEDBACK EXPERIENCE USING THE PENDLETON METHOD Ronanarasafa, Ronanarasafa; Claramita, Mora; Suhoyo, Yoyo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 14, No 3 (2025): September
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.76608

Abstract

Background: Feedback at the    Faculty of Medicine, Universitas Islam Al-Azhar is one of the formative assessments given to the students. The feedback given so far is unstructured and tends to emphasize only the negative side. The process of providing feedback needs to be deeply evaluated by using a framework from the Pendleton method. This study aims to evaluate the training in giving feedback using the Pendleton method for clinical skills instructors.Methods:  A mixed-method design was used. The study assessed changes in instructors’ knowledge and application of the Pendleton feedback method, as well as their experience in delivering structured feedback. Knowledge was measured with a pre–posttest questionnaire, while the ability to deliver feedback was assessed using a Likert-scale rating completed by trained observers during feedback sessions. In addition, a focus group discussion (FGD) with four guiding questions was conducted among instructors who had completed the training and implemented the Pendleton feedback method. Qualitative data were analyzed using content analysis.Results: There was a significant improvement in instructors’ knowledge of how to give structured feedback in clinical teaching settings after the Pendleton training. This improvement was also supported by insights from the FGD, which indicated enhanced confidence and clarity in delivering feedback.Conclusion: The Pendleton technique of feedback is effective in improving instructors’ ability to provide structured and constructive feedback in clinical education. This structured approach was perceived by participants as useful for facilitating student learning and enhancing the overall feedback process.   
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