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Eksplorasi Pembelajaran dengan Keterlibatan Langsung Pasien pada Pendidikan Profesi Dokter Gigi Nur HN Prastiyani; Estivana Felaza; Ardi Findyartini
Majalah Sainstekes Vol 7, No 1 (2020): JUNI 2020
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.374 KB) | DOI: 10.33476/ms.v7i1.1425

Abstract

Background: Clinical stage learning in dentistry provides broad opportunities for students to give services directly to patients (chairside teaching). This certainly requires a great deal of attention to patient safety, so there is a need for supervision and giving feedback in learning. This study aimed to explore learning with the direct involvement of patients in clinical dental stage in dentistry. Methods: This was a qualitative study with a case study design, conducted from January to April 2019. Data collection was carried out through in-depth interviews and focus group discussions (FGD) with clinical supervisors and clincal students at the Dentistry, Universitas Yarsi. Data triangulation was carried out by observation of the implementation of chairside teaching. The data obtained were analyzed qualitatively. Results: In-depth interviews with 5 policy makers and FGDs with 2 groups of clinical supervisors (n = 8 and n = 6), and 2 groups of clincal students (n = 8 each) produced 3 themes. These three themes are the role of clinical teachers, the learning environment with patients, and the role of students. Conclusion: Supervision had been carried out in chairside teaching but it was not optimal yet. Therefore, it is necessary to adjust the level of supervision which is supported by providing constructive feedback to ensure patient safety and help students achieve the expected competencies.
Immunization competence retention in medical students: a comparation between conventional lectures and lectures with simulations method Hartono Gunadi; Rini Sekartini; Retno Asti Werdhani; Ardi Findyartini; Muhammad Arvianda Kevin Kurnia
Paediatrica Indonesiana Vol 55 No 6 (2015): November 2015
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.46 KB) | DOI: 10.14238/pi55.6.2015.339-44

Abstract

Background Immunization is recognized as one of the strategies to reduce vaccine preventable diseases. Competency related to immunization are consequently important for medical students and the medical school needs to assure the competence acquisition. Objective To assess competence related to immunization and its retention following lectures with simulations compared to lectures only. Methods A quasi-experimental study was conducted to the 5th year students of University of Indonesia Medical School during the Child Adolescent Health Module in 2012-2013. The intervention group had lectures with simulations and the control group had lectures only. Immunization knowledge was assessed with a 30 multiple choice question (MCA) items performed before and after the module. Competence retention was assessed by MCQ (knowledge) and OSCE (skills) 2-6 months afterwards. Results Sixty eight subjects for each group with similar characteristics were analyzed. There was significant difference after module MCQ score between two groups. Competence retention in 2-6 months after module completion was better in intervention group, both for the knowledge (median MCQ score of 70.00 (range 37-93) vs. mean score of 58.01 (SD 12.22), respectively; P<0.001) and skill (OSCE mean scores of 75.21 (SD 10.74) vs. 62.62 (SD 11.89), respectively; P < 0.001). Proportion of subjects in the intervention group who passed both the MCQ and OSCE were also significantly greater. Conclusion Lectures with simulations are proved to be more effective in improving medical students’ immunization competence as well as its retention compared to lectures only approach.
INTERPROFESSIONAL SHARED DECISION-MAKING: A LITERATURE REVIEW Chaina Hanum; Ardi Findyartini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 1 (2020): MARET
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.49207

Abstract

Background: The increasing complexity of health problems consequently demands problem solving from various perspectives of health professionals. The interprofessional approach in solving health problems, by working together with patients, their families, and the communities is called Interprofessional Shared Decision-Making (IP-SDM). The capability of various health professionals in IP-SDM becomes one of the abilities to be achieved in Interprofessional Collaborative Practice (IPCP). IP-SDM learning should also be achieved through Interprofessional Education (IPE).Method: This is a literature study aiming to elaborate IP-SDM and its correlation to IPCP and IPE.Results: IP-SDM is a decision making process which involves collaboration between two or more health professionals and also patients aiming at idenfication of best choices while considering patients’ preferences. IP-SDM consists of two core processes: shared decision-making (SDM) between health professionals and patients and collaborative clinical reasoning (CCR) among health professionals. Conclusion: Although SDM and CCR learning has been widely reported, including the potential emphasis in interprofessional education and interprofessional collaborative practice, IP-SDM learning is still limited. For this particular reason, further exploration is needed regarding the development of IP-SDM learning method in IPE, especially in Indonesia context.   
Evaluasi Persepsi dan Kompetensi Pendidikan Interprofesional Mahasiswa di Rotasi Klinik Gita Sekar Prihanti; Diantha Soemantri; Ardi Findyartini
eJournal Kedokteran Indonesia Vol 10, No. 1 - April 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.331 KB) | DOI: 10.23886/ejki.10.109.4-12

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Kolaborasi interprofesional terbukti meningkatkan kualitas pelayanan kesehatan. Pendidikan interprofesional (IPE) di tahap pendidikan akademik dan klinik penting untuk menanamkan kemampuan kolaborasi. Penelitian ini bertujuan untuk mengetahui persepsi dan kompetensi IPE mahasiswa sebelum dan sesudah IPE rotasi klinik. Penelitian ini merupakan penelitian potong lintang yang dilakukan pada bulan November 2020 hingga Januari 2021 di Fakultas Kedokteran dan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Malang (FK-FIKES UMM). Pengambilan sampel dilakukan dengan consequtive sampling. Penelitian ini melibatkan 278 mahasiswa dari tiga program studi yaitu, 152 mahasiswa kedokteran (54,7%), 80 farmasi (28,8%) dan 46 keperawatan (16,5%). IPE di rotasi klinik berlangsung selama dua minggu menggunakan metode pembelajaran aktif. Persepsi IPE diukur menggunakan Interdisciplinary Education Perception Scale (IEPS) sedangkan Interprofessional Collaborative Competency Attainment Survey (ICASS) untuk menilai kompetensi IPE sebelum dan sesudah IPE. Hasil menunjukkan bahwa jenis kelamin (p=0,033) dan persepsi (p=0,000) mempengaruhi kompetensi IPE sesudah IPE. Tidak didapatkan perbedaan persepsi dan kompetensi IPE antar profesi sebelum maupun sesudah IPE, namun semua mahasiswa mengalami peningkatan persepsi dan kompetensi secara bermakna. Di awal pembelajaran, persepsi (61,29±6,537) dan kompetensi IPE (121,92±14,039) mahasiswa kedokteran berada di urutan kedua setelah keperawatan. Setelah IPE, persepsi mahasiswa kedokteran menempati urutan tertinggi (65,22±8,63) sedangkan kompetensi IPE mahasiswa kedokteran berada di urutan terendah (126,08±4,345) dibandingkan dua kelompok lain. Jenis kelamin dan persepsi berperan penting untuk mempengaruhi kompetensi IPE. Upaya berkelanjutan diperlukan untuk membangun persepsi IPE agar dapat meningkatkan kompetensi IPE sehingga menghasilkan kolaborasi yang baik.
Indonesian health professions students’ perceptions toward an interprofessional education program: Findings after five years of implementation Sari, Santi Purna; Soemantri, Diantha; Ayubi, Dian; Martha, Evi; Handiyani, Hanny; Findyartini, Ardi
Makara Journal of Health Research Vol. 24, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The Interprofessional Education (IPE) program is important for preparing health professions students to provide future interprofessional collaborative practice. The Universitas Indonesia Health Sciences Cluster has been implementing the IPE program since 2013. A comprehensive evaluation is required following the implementation of the IPE program. The aim of the study was to evaluate the IPE course based on perceptions of undergraduate students at the Universitas Indonesia from 2013 to 2017. Methods: A mixed-methods study utilizing a semi-structured questionnaire was conducted with first year students following the completion of the first stage of the IPE course. A total of 2355 students (56.35%) from the 2013–2017 academic years completed the questionnaire. Results: The results showed that students’ perceptions of the IPE course improved each year on the domains of clear and relevant learning objectives, student-centered teaching methods, staff support, and supporting infrastructures. However, some room for improvement was identified, such as the need for tutors to have a more neutral attitude toward every student despite their background differences. Conclusion: The IPE course has been well perceived by students because of its comprehensive instructional design and principles of IPE that are implemented in the curriculum. The continuous cycles of improvement to maintain the quality of the IPE program will remain a challenge.
Pediatric residents’ burnout in Indonesia: a national survey during the pandemic Annang Giri Moelyo; Ardi Findyartini; Bambang Tridjaja; Aryono Hendarto
Paediatrica Indonesiana Vol 63 No 1 (2023): January 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.1.2023.22-8

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Background The uncertain and somewhat chaotic clinical learning environment during the COVID-19 pandemic may potentially trigger burnout in pediatric residents. Objective To investigate the prevalence of burnout in pediatric residents in Indonesia during the COVID-19 pandemic and to identify potential risk factors associated with burnout. Methods This analytic observational study was conducted between April and June 2020. A questionnaire-based survey using an Indonesian translation of the Maslach Burnout Inventory-Human Services Survey was conducted online across 15 pediatric training institutions treating COVID-19 patients in Indonesia. Results were interpreted in accordance with the inventory guidelines. The chi-square test was used to analyze for possible associations between each subscale and gender, marital status, training stage, as well as institution of origin. One-way ANOVA of each subscale was performed on pediatric training institutions located in different regions. Results Of 983 respondents (82% average response rate), the prevalences of high emotional exhaustion and high depersonalization were 28.0% and 15.8%, respectively, while more than half of respondents (50.2%) had a low sense of personal accomplishment. Most respondents felt more exhausted than depersonalized. The location of pediatric training institution (Java or outside Java) was the only significant factor associated with burnout (P=0.003). Conclusion In the early stages of the pandemic, more than half of pediatric residents in Indonesia had a low sense of personal accomplishment. The only significant factor associated with burnout among was the location of training institution (Java or outside Java), suggesting a potential role of differences in hospital situation and clinical learning environment during the pandemic between Java and outside Java.
Effective Learning Strategies in The Emergency Department for Medical Students Imamul Aziz Albar; Ardi Findyartini
eJournal Kedokteran Indonesia Vol. 11 No. 3 - Desember 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.182.297

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Clinical learning in the emergency department is one of the rotations carried out by medical students in the medical education program. Learning in the emergency department can help students fulfill their competence in emergency clinical skill, such as basic life support, management of acutely ill patients and some other competencies. However, the emergency department has some limitations, such as the variety of professionals and students serving the patients, various diseases with varying levels of severity, as well as the unpredictable condition and number of patients. Those reasons make it difficult for students to study and practice emergency medicine well. Therefore, clinical educators’ awareness of the conditions in the emergency department and the application of appropriate learning models will enable students to get the best learning experience in the emergency department.
How Community – Oriented Medicine is Implemented in Medical Education Werdhani, Retno Asti; Kusuma Dewi, Dian; Findyartini, Ardi; Ramlan, Andi Ade; Sugiharto, Agus
Journal of Community Medicine and Public Health Research Vol. 5 No. 1 (2024): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v5i1.47512

Abstract

The Community Oriented Medical Education (COME) approach to medical education focuses on the population and individuals while covering all elements of health problem priorities. The World Health Organization (W.H.O) Strategic Framework identifies five key strategic directions for enhancing basic medical education to meet existing health concerns. A long-term, integrated module across disciplines is one strategy that the Faculty of Medicine at Universitas Indonesia has experienced in its implementation in both community and clinical medicine. The module includes a variety of field practices (hospital and primary care) as well as inter-departmental personnel (committees and tutors). The module has bridged the gap between community medicine and clinical medicine, with integrated staff as well as collaboration between the departments of community medicine and clinical medicine. Community medicine has been seen as important not only for epidemiological concerns but also as part of the clinical teaching approach that prepares students for careers in hospitals or primary care after graduation. COME can be taught in multidisciplinary or inter-departmental collaboration to accomplish applied learning outcomes for individuals and community health activities. COME ensures our education system produces medical graduates to meet health system needs with the help of faculties and teachers who are also responsible for community health and well-being.
INTEGRATION OF LEADERSHIP TRAINING IN THE MEDICAL AND HEALTH PROFESSION EDUCATION CURRICULA Ekayani, Ni Wayan Diana; Findyartini, Ardi; Anugrapaksi, Eghar; Nadarajah, Vishna Devi V.
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.75890

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Background: Leadership is a crucial competency for health professions to collaborate and improve health services. Health profession schools should facilitate students in developing leadership competency to prepare them for their duties in the future.Gaps: Indonesia has complex health problems, high-power distance, and collectivist culture. Leadership training in Indonesia has not been widely reported. The tight curriculum, lack of students' awareness about the importance of leadership competency, and students who focus on improving knowledge and skills about their profession are challenges in integrating leadership into formal education.Recommendation: Health profession schools should identify the needs and domain of leadership competency in the respective profession. We should also identify opportunities to integrate leadership into the curricula. Integration of the leadership program should be conducted longitudinally, all along with the curricula. Preparation of learning methods, systematic assessment, and faculty development should be considered. Last, students must be involved and supported in every activity to make them engage with the program and learn best.