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Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education

jpki
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Published by Asosiasi Institusi Pendidikan Kedokteran Indonesia

ISSN : 22525084 EISSN : 26545810 DOI : https://doi.org/10.22146/jpki.46690

Core Subject : Health,

Health Professions Medicine & Pharmacology Public Health

The Indonesian Journal of Medical Education (Jurnal Pendidikan Kedokteran Indonesia) is a peer-reviewed open-access journal which publishes research and innovation in curriculum development, student-centred learning, faculty development, assessment, and learning resources in health professions education. Aiming to improve literacy on health professions education in Indonesia and globally, this journal publishes three issues annually in English and Bahasa Indonesia.

Arjuna Subject : -

Articles 377 Documents

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Persepsi Mahasiswa terhadap Instruktur Sebaya pada Praktikum Pendengaran di Laboratorium Ilmu Faal Dakultas Kedokteran Universitas Gadjah Mada Gandes Endah Pakarti; Widya Wasityastuti; Yayi Suryo Prabandari
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 1 (2013): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background:The traditional learning method applies at Physiology Laboratory of Faculty of Medicine at Universitas Gadjah Mada (UGM) is considered ineffective for the lecturers in managing the students. Moreover, the students perceive that their needs are not adequately accommodated by the lecturers. This downside can be resolved by an alternative learning method which provides conducive, active, creative, effective and enjoyable learning environment called peer assisted learning method. This study is aimed at discovering the students’ perceptions on peer assisted learning method and acquiring the students’ feedback and expectations on the effectiveness of peer-teaching method implementation.Method:The study used cross-sectional design of descriptive research.Results:From the questionnaire analysis with 150 respondents, 90 students of regular program and 60 students of international program, the result according to the frequencies of student perception were: 1) factor 1 were 45.8 % for very high category, 29.8 % for high category, 23.7 % for medium category, 0,8 % for very low category and 0 % for low category; 2) factor 2 were 45 % for high category,41.2 % for medium category,11.5 % for very high category,1.5 % for low category and 0.8 % for very low category; 3) factor 3 were 51.9 % for very high category, 31.3 % for high category,16.0 % for medium category,0.8% for very low category and 0% for low category; 4) factor 4 were 47.3 %for high category, 31.3 % for very high category,19.1 % for medium category,1.5 % for low category and 0.8% for very low category. There was no difference in perception between the students of regular and international program. Responses to open questions and FGD show a variety of students’ feedback and expectation on the peer assisted learning method.Conclusion:The students have shown positive perception on peer assisted learning as a learning method. The peer instructors required in Implementing this model are those students with good communication skill, confirmed academic qualification and capability in managing their fellow students’ learning.

Konsep Inovasi Strategi Pendidikan di Institusi Pendidikan Kedokteran Yoyo Suhoyo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 1, No 2 (2012): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Innovation in medical education is essentially a reaction towards various demands and changes in the medical education institutions environment. The innovation of educational strategy is a part of the effort. Innovation in medical education should consider the feasibility level, resources needed, time and duration of implementation, scale and degree, that failure can occur, obstacles faced and the pattern of innovation that will be done. Considering the current condition of medical education institutions that are known through self-evaluation and strategic plan, and a growing trend in medical education at this time, severalinnovation can be proposed. SPICES approach can be taken as a guide in designing innovation in medical education.

Mengapa PBL (Masih) Diperdebatkan di Fakultas Kedokteran? Elisabeth Rukmini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 1, No 2 (2012): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Problem-based learning (PBL) has been implemented widely in most of faculty of medicine in Indonesia. Nevertheless, PBL as a learning method is still debated. This article tried to unravel the debate of PBL implementation in medical schools, as well as recommending important notes in order to find a well-defined PBL and to improve its implementation. PBL should be acknowledged as one of the student centered learning methods. Therefore, this condition would not rule out the possibility of the empirical progress in PBL implementation in faculty of medicine in Indonesia.

Persepsi Mahasiswa dan Dosen terhadap Early Clinical Experience pada Program SI Keperawatan STIK Immanuel Bandung Yuliana Yuliana; Ova Emilia; Gandes Retno Rahayu
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 1, No 2 (2012): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Early Clinical Experiences (ECEs) is a learning strategy that helps students integrate their knowledge through clinical learning in classes easily from their initial semester of study. Advantages have been earned by both students and lecturers; nevertheless, obstacles in the implementation have frequently emerged. Ideally, lecturers and students should know their own perception on ECEs for the sake of creating good communication and expected learning results in order to improve preclinical education. The purpose of this study is to find out different perceptions between students and lecturers on ECEs in nursing undergraduate program.Method: This was a descriptive study using quantitative and qualitative approaches (mix method). Subjects comprised students in the year of 2007 and 2008 as many as 71 nursing students and 21 lecturers, consisting of 11 academic advisors and 10 clinical advisors. Qualitative method was done with Focus Group Discussion for students groups and in-depth interview to academic advisors and clinical advisors. Quantitative analysis used descriptive analysis and comparative analysis used One Way Anova analysis. Qualitative analysis used content analysis that included identification, coding, categorization, and synthesis. In the end, the result of quantitative analysis was integrated with the result of qualitative analysis.Results: Mean score of students’ perception on ECEs was 3.11 (SD 0.24) which was lower than that of academic advisors (3.27 (SD 0.28)) and of clinical advisors (3.30 (SD 0.25)), (F score of 3.18 and p<0.05) while the result of multiple comparison test of students and clinical advisors showed p=0.047. Perception difference of students and clinical advisors on ECEs components in the supervision process showed p=0.00.Conclusion: There was a significant difference among three respondent groups on ECEs perceptions. The significant difference between students and clinical advisors was in the component of supervision process while there was no significant difference between students and academic advisors as well as between academic advisors and clinical advisors. Students posed the lowest ECEs perception score compared to both academic and clinical advisors. Problems came up in the components of structure and content, supervision process, learning experience, and student evaluation.

Mini-CEX Sebagai Metode Penilaian Keterampilan Klinis Mahasiswa Program Pendidikan Kepaniteraan Klinik Fakultas Kedokteran Universitas Gadjah Mada - Studi Pendahuluan Reza M. Munandar; Yoyo Suhoyo; Tridjoko Hadianto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 1, No 2 (2012): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Mini-CEX was developed to assess clinical skills by direct observation. Mini-CEX as a clinical skills assessment tool had to fulfill four requirements: validity, reliability, effects on students, and practicality. The purpose of this study is to understand validity, reliability, and feasibility of Mini-CEX as a clinical skills assessment tool in medical core clerkship program at Faculty of Medicine Universitas Gadjah Mada.Method: Seventy four clerkship students from Internal Medicine and 42 clerkship students from Neurology Department were asked to do an observed Mini-CEX encounter for minimum amount of four in Internal Medicine and two in Neurology Department in the period of September 2010 to January 2011. The validity was analyzed with Kruskal-Wallis method for Internal Medicine, and Mann-Whitney Method for neurology Department, reliability was analyzed based on G coefficient, and feasibility was analyzed using descriptive statistic.Results: Mini-CEX’s validity is shown by p < 0,001 in Internal Medicine and p = 0,250 in Neurology Department, G coefficient for Internal Medicine and Neurology Department is 0,98 and 0,61 respectively. Feasibility in Internal Medicine and Neurology Department is 79,7 % and 100% respectively.Conclusion: Mini-CEX is valid and reliable in Internal Medicine but not in Neurology Department. Feasibility is good for both Internal Medicine and Neurology Department.

Keefektifan Metode Microskill Untuk Meningkatkan Kualitas Supervisi Klinik Sunarko Sunarko; Ova Emilia; Harsono Mardiwiyoto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 1, No 2 (2012): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Clinical education requires competent supervisor to guide student. Supervisory competency should be trained and closely monitored to ensure quality learning process taking place. The aim of this study is to evaluate the effect of micro-skill supervisory model to improve the supervision quality among nursing student. Method: The research used quantitative approach with quasi experimental design. Subject consisted 91 students of the third year Nursing students at Magelang Health Polytechnic. Students were divided into two groups: intervention group (44 students) and control group (47 students) using purposive sampling. Research questionnaire consisted of 21 items which were derived from 5 micro skill domains was used. Intervention was supervision using micro-skill model during 2 weeks in a rotation of clinical practice.Results: There was no difference of quality clinical supervision was used in the control group while in experiment group the pre and post test score was significantly different. The experiment group had higher quality of supervision. The study showed that only 9 items showed significant improvement of supervision and 12 items did not show any improvement.Conclusion: Clinical teaching using micro skill model is more effective in improving the quality of nursing student clinical supervision compare to the conventional method.

Comparison of Learning Environment in 3 Different Settings to Support Clinical Skills Acquisition in Undergraduate Medical Students Kirubashni Mohan; Ova Emilia; Widyandana Widyandana
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 1, No 2 (2012): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Integration between preclinical basic science education, skills training program in the laboratory setting and real clinical setting is recommended. This study explores clinical setting which suitable for undergraduate skills training program. The purpose of this study is to compare 3 different clinical settings (Sardjito Hospital, Klaten Hospital, and Puskesmas), which is appropriate for undergraduate clinical skills training.Method: This was a descriptive quantitative study, using cross sectional method. Data collection used self administrated questionnaire comprised of clerkship students who pooled of Sardjito Hospital, Klaten Hospital and Puskesmas (Primary Health Centre). Data analysis was done using ANNOVA test.Results: The Puskesmas scored the highest mean compared to Sardjito Hospital and Klaten Hospital for an overall learning environment and also in the scales for autonomy, social support, and role clarity. Sardjito Hospital scored the highest mean for the scales of supervision, workload, emphasis on teaching and learning and variety. There is a positive correlation between the learning environment and skills practice opportunity.Conclusion: Puskesmas as primary health centers is a better overall clinical learning environment compared to Sardjito Hospital and Klaten Hospital, but scored low means in domains such as emphasis on teaching and learning and variety. There is a positive correlation between the learning environments and skills practice opportunity with different features for each setting. There is no correlation between skills practice opportunity and gender or marital status.

Korelasi antara Lama Studi dan Tingkat Kecemasan Mahasiswa Mohammad Bakhriansyah
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 1, No 2 (2012): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Medical students face many changes when they entered higher education. These changes of learning occurred in competency-based curriculum compared to at high school learning such as approach of problem based learning and skills lab. The changes create anxiety for them. However, theoretically, anxiety decreases with longer exposure. The aims of this study were to find out the different of students’ anxiety status when they were at semester 1 and 2. It was also to find out the correlation between the length of study and anxiety level.Method: This was a descriptive study involving UNLAM medical students. 73 students were involved in this study at semester 1 and 88 students were involved in semester 2. Anxiety status was defined by using ADS questionnaire. Afterward the data were analyzed using Chi-square and Coefficient of Correlation at 95% level of confident.Results: There was 20 students (37.4%) experiencing anxiety at semester 1 and 11 students (12.5%) at semester 2, the different was statistically different (p=0.000). The correlation between the length of study and anxiety level was also statistically different (p=0.008), with very weak negative correlation (p=0.188).Conclusion: There is a significant difference of anxiety level among medical students at semester 1 and 2. There is also significantly negative correlation between anxiety level and the length of study on medical students.

Peran Umpan Balim Bagi Mahasiswa Kedokteran Herlina I.S Wungouw; Diana V. Doda
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 1, No 3 (2012): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Feedback is an important part in teaching and learning process that serve as a catalyst to enhance learners’ achievement. In medical education, the importance of feedback has been recognized for learners at all level; undergraduate and postgraduate, in preclinical and clinical phases for more that twenty years. This literature review wants to explore what is the effective feedback for medical students and what are the factors that affect giving feedback?Method: Relevant literatures are selected as basis of recommendations on giving feedback in medical education.Results: The eighteen articles that fulfill the inclusion criteria have been collected from several resources include Medline, Pubmed and ERIC databases. Characteristics of effective feedback have been identified from those articles include positive, specific, private, well-timing, non-judgmental, interaction with sender, immediately given, from expert content, simple, and task oriented. While the factors affect giving feedback fall into four topics: the content of feedback, the method of delivery, sender credibility and training.Conclusion: Feedback in medical education has an essential role to enhance students’ learning behavior. Four factors that were affecting feedback delivery are content of the feedback, feedback delivery method, feedback provider’s credibility, and also training in feedback delivery.

Script Concordance Test untuk Menilai Kemampuan Penalaran Klinis Dokter: Bagaimana Mengembangkan Butir Soalnya Berdasarkan Standar Kompetensi Dokter Indonesia? Fundhy Sinar Ikrar Prihatanto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 1, No 3 (2012): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Some methods have been developed to assess clinical reasoning skill. It must be understood the principals of each method for the selection if will be applied. In the other hand, it is realized that uncertainty is one of medical context that is poorly measured by other traditional test. The script concordance test (SCT) may be a better method of assessing students, who are taught in the context of uncertainty. SCT could differentiate examinees according to levels of experience in various fields of study. SCT have practical relevance for clinical education. The objective of this study is to give guidance in developing SCT based on Indonesian medical doctor competenceMethod: Relevant literatures are selected as basis of recommendations of SCT construction.Results: Developing SCT needs to consider its: principles as basis of development; format of test item to build a suitable test item, scoring system and panel selection accommodate context of uncertainty, and optimization of test item to enhance SCT.Conclusion: SCT provide investigation on clinical reasoning skill of examinee in the difficult by other objective written methods. Several studies have showing SCT capacity in different levels of experience, and in several field of studies with good results. SCT could be as supplement to assess clinical reasoning skill comprehensively, not replacing other clinical competence assessment method absolutely.

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Contact Name
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Department of Medical-Health Professions Education and Bioethics Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada Radioputro Bld, 6th floor, West Wing Farmaco St., Sekip Utara, Yogyakarta, 55281

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA