Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education
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.
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<![CDATA[THE EFFECTIVENESS OF CASE-BASED LEARNING FOR PHYSIOLOGY PRACTICUM SESSION ]]>
<![CDATA[Wijaya, Diani Puspa]]>;
<![CDATA[Nurmasitoh, Titis]]>;
<![CDATA[Pramaningtyas, Miranti Dewi]]>
<![CDATA[ Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September ]]>
Publisher : <![CDATA[Universitas Gadjah Mada ]]>
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DOI: 10.22146/jpki.46154
<![CDATA[Background: Basic science laboratory practicum is intended to help improve theachievement of block material. The practical implementation that was applied previously seemed very theoretical. Students find it challenging to associate laboratory practicum's topics with processes that occur in the human body, clinical process, and associate with other material in blocks. The problem has an impact on the score of the pretest and the interest of students in following the laboratory practicum. Physiology laboratory practicum with the method of case-based learning (CBL) is expected to increase the graduation of the pretest and interest of students in following the practicum so that it is expected to improve mastery of the material and link the subject to the real conditions in everyday life. This study aims to determine whether there is an increase in pretest score and student interest in physiology practicum using the CBL method.Methods: The method used in this study is the application of case-based learning inphysiology practicum. After that, the pretest results were analyzed by comparing the control and treatment groups. After completion of the laboratory practicum, the students' perceptions of laboratory practicum with CBL through questionnaires and focus group discussion (FGD) to laboratory practicum participants were completed.Results: The results of the analysis show that the physiological pretest scores ofstudents using the case-based learning method and the addition of local genius material are higher than those who do not use this method (p = 0.00 for blocks 1.4 and 1.6, and p = 0, 03 for block 1.5). Practicum physiology with CBL is attractive for students. In addition, making students better prepared and better understand the material being practiced, and can apply physiological material to the context of everyday life.Conclusion: CBL can be used to increase the effectiveness of physiology learning,especially by increasing student activeness in the learning process, both during preparation before laboratory practicum and also on laboratory practicum process.]]>
<![CDATA[EXCITING STUDENT CURIOSITY FOR A FUTURE CAREER: COVID-19 PANDEMIC ELECTIVE COURSE PROGRAM ]]>
<![CDATA[Astuti, Triwahju]]>;
<![CDATA[Duta, Garinda Alma]]>
<![CDATA[ Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September ]]>
Publisher : <![CDATA[Universitas Gadjah Mada ]]>
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DOI: 10.22146/jpki.65692
<![CDATA[Background: Medical education disruptions as the impact of COVID-19 pandemic transform the way of Faculty of Medicine, Universitas Brawijaya conducted an elective clerkship program session.Aims: We consider evaluating the purpose and passion of 194 medical students that join the 2 weeks virtual Elective Course Program.Curriculum Discussion: Fifty-two tutors and 56 topics are involved. This integrates e-learning program divided into three Google Classrooms elective program. The survey at the end of program expressed the satisfaction of most of the students (59.7%). The online course programs also describe the future plan for the students. Seventy-one per cent students wish to continue specialization programs soon within a year after graduating and this interest is consistent and tends to grow after fifteen years from now.Conclusion: The enthusiasm to pursue a career seems has not been limited due to the COVID 19 Pandemic.]]>
<![CDATA[THE RELATIONSHIP BETWEEN SPIRITUALITY AND RESILIENCE WITH LEVEL OF DEPRESSION IN MEDICAL STUDENTS ]]>
<![CDATA[Chintia, Chintia]]>;
<![CDATA[Nugraha, Yudhi]]>;
<![CDATA[Muktamiroh, Hikmah]]>;
<![CDATA[Pasiak, Taufiq Fredrik]]>
<![CDATA[ Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September ]]>
Publisher : <![CDATA[Universitas Gadjah Mada ]]>
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DOI: 10.22146/jpki.72848
<![CDATA[Background: Depression is a mood disorder that causes distress and affects feelings, thought, and daily activities. Medical students belong to a group that is prone to depression. The high incidence of depression in medical students is caused by stressors in study loads and busy schedules, especially during the COVID-19 pandemic. COVID-19 affects mental health, including a significant increase in depression rates because everyone must adapt to constantly changing situations. Therefore, medical students need the role of spirituality and resilience as protective factors from the occurrence of depression which also allows medical students to rise when faced with difficulties. This study aimed to determine the relationship between spirituality and resilience with the level of depression in medical students.Methods: This research was an observational analytic study with a cross-sectional approach. The research sample was 246 respondents by using the Daily Spiritual Experience Scale (DSES), Connor-Davidson Resilience Scale (CD-RISC), and Beck Depression Inventory (BDI-II) questionnaires.Results: From the results of this study, it was found that the prevalence of depression in respondents was 39%. The bivariate analysis using the Chi-Square test showed a relationship between spirituality with a level of depression (p=0.000) and resilience with a level of depression (p=0.000).Conclusion: The results indicated that there is a significant relationship between spirituality and resilience with a level of depression in medical students. The higher spirituality and resilience, the lower depression level and vice versa. The lower spirituality and resilience, the higher depression level.]]>
<![CDATA[QUALITATIVE EVALUATION OF MORAL DILEMMA DISCUSSION PROGRAM FOR UNDERGRADUATE MEDICAL STUDENTS ]]>
<![CDATA[Pratomo, Fransiskus Aryo]]>;
<![CDATA[Rahayu, Gandes Retno]]>;
<![CDATA[Suhoyo, Yoyo]]>
<![CDATA[ Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September ]]>
Publisher : <![CDATA[Universitas Gadjah Mada ]]>
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DOI: 10.22146/jpki.75423
<![CDATA[Background: In order to achieve professionalism in the medical profession, competence in medical knowledge and skills is crucial. However, equally important are affective components that encompass moral values. At Widya Mandala University Medical School, moral dilemma discussions are employed as a method to enhance the ethical and moral development of students. To optimize the impact of this method on students, it is necessary to delve deeper into the processes that occur within it. This study aims to qualitatively evaluate the student experience of moral dilemma discussions in terms of their moral development and ethical reasoning, their perception of the method as a learning tool, and their assessment of its effects on their moral development and ethical reasoning.Methods: This study utilized a qualitative phenomenological approach to assess the student experience of moral dilemma discussions. In-depth interviews were conducted with 15 student participants from three different academic years. The data obtained were qualitatively analyzed using the thematic analysis method.Results: The in-depth interviews with the 15 study participants yielded four main themes, namely moral development, self-development, the process of assimilation and accommodation, and enabling factors.Conclusion: All students who took part in the study reported a self-perception of higher stage of moral development. According to their experiences, moral development occurred through a process involving ethical contextualization, exposure to various points of view, and reflection. Important factors to consider include sufficient preparation, an active and enjoyable atmosphere, the use of relevant cases, and a longitudinal process.]]>
<![CDATA[SURGICAL EDUCATION AND TRAINING ADAPTATION IN RESPONSE TO THE COVID-19 PANDEMIC: A LITERATURE REVIEW ]]>
<![CDATA[Rudiman, Reno]]>;
<![CDATA[Hapsari, Putie]]>
<![CDATA[ Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September ]]>
Publisher : <![CDATA[Universitas Gadjah Mada ]]>
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DOI: 10.22146/jpki.76235
<![CDATA[Background: As a global health emergency, the COVID-19 pandemic has affected all medical education and training, including surgical specialities. The number of elective surgeries dropped significantly as both an impact of the pandemic and a way of limiting the spread of the disease. There was confusion about continuing surgical education and training at the beginning of the pandemic. However, as the pandemic continued, we adapted to the new conditions and regulations. Social distancing, testing, and quarantine were promoted. The study aimed to show how surgical education and training adapt to the COVID-19 pandemic worldwide and share how we do it in Indonesia.Methods: The authors gathered relevant literature from several publications sites, using the keywords “surgical education,” “surgical adaptation,” and “COVID-19.”Results: In order to decrease contacts, the number of people in the operating room was reduced, clinical rounds were cancelled, and face-to-face training and lectures were moved to online platforms, namely Zoom and Google Meet. The number of residents on clinical duties was decreased to limit the transmission. They are encouraged to study using different models by themselves to keep up with the required skills. They were required to learn and then be tested or reviewed by the supervisor. The use of simulation models and online learning platforms provided by several worldwide institutions has become popular.Conclusion: We learn that surgical education and training from the pandemic can develop into a more modern way of learning, consisting of a virtual learning strategy and simulation model. This hybrid learning of offline and online courses can aid the growth of not only the residents but also the experienced surgeon.]]>
<![CDATA[ONLINE LEARNING SURVEY OF PUBLIC HEALTH STUDENTS IN A HEALTH SCIENCES FACULTY ]]>
<![CDATA[Wicaksono, Arif]]>
<![CDATA[ Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September ]]>
Publisher : <![CDATA[Universitas Gadjah Mada ]]>
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DOI: 10.22146/jpki.77697
<![CDATA[Background: Coronavirus Disease 2019 (COVID-19) pandemic had an impact on all sectors including the education sector. The world of conventional education that prioritizes offline learning in one class was required to turn into offline learning through information technology in order to prevent the transmission of COVID-19 disease. Relatively new online learning process in Indonesia will have a real impact on educational institutions and students.Aims: This survey aimed to find out the characteristics of students, perceptions of online learning, the effectiveness of online learning, and the obstacles found when online learning from the student’s side.Case description: The survey was conducted using a list of questions in the google form filled out by students of the Universitas X Pontianak which were taking Basic Biomedical 2 online course in the second semester of the academic year 2019/2020 in May 2020. A total of 30 students were participated in the survey. Respondents get the most internet access from mobile phone quotas and only 20% of respondents get good internet access conditions. Twenty-six point sixty-seven percent of respondents agreed with online learning and 10 percent of respondents said online learning was effective. internet signal conditions, difficulty understanding the material, too much assignment, and insufficient time are obstacles obtained when learning online. Conclusion: Education institutions and stakeholders should always conduct evaluations, improvements, and updates for facilities and human resources involved in online learning.]]>
<![CDATA[CORRELATION OF LEARNING SELF-REGULATION WITH ACADEMIC STRESS IN FIRST-DEGREE MEDICAL STUDENTS ]]>
<![CDATA[Bayantari, Ni Made]]>;
<![CDATA[Budiapsari, Putu Indah]]>;
<![CDATA[Indonesiani, Suyasning Hastiko]]>
<![CDATA[ Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September ]]>
Publisher : <![CDATA[Universitas Gadjah Mada ]]>
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DOI: 10.22146/jpki.77978
<![CDATA[Background: Academic stress is response to academic activity in school or university especially student’s task and activity caused feelings of discomfort, tension, and changes in behaviour. Academic stress often occurs, especially in college students with a prevalence of 38-71% for college students in the world, 39.6-61.3% in Asia and in Indonesia itself, it is found that 36.7-71.6 students experience stress. As academic stress increases, self-regulation becomes important in learning. Stress and frustration can be resolved by good self-regulation and also problem solving strategies where self-regulation is a process to activate and maintain thoughts, behaviours, emotions to achieve goals. This study aimed to determine correlation of learning self-regulation with academic stress in first degree medical students.Case Discussion: this study was analytic observational with cross sectional approach design, which conducted on 156 college students. The average score of academic stress and self -regulation were 86.92 ± 7.72 and 143.55 ± 38.40; respectively, which negative significance relationship p<0.05 and r= - 0.702.Conclusion: there was negative relationship between stress academic with self-regulation good self-regulation cause lowering academic stress. It was recommended that the students should be decreased the academic stress and increase the self-regulation.]]>
<![CDATA[TARGETING ACADEMIC SURGEONS RESTORING THE DIGNITY OF SURGICAL EDUCATION-TRAINING IN INDONESIA: A MODEL OF EXCELLENCE IN PROFESSIONAL ACHIEVEMENT ]]>
<![CDATA[Lalisang, Toar Jean Maurice]]>
<![CDATA[ Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September ]]>
Publisher : <![CDATA[Universitas Gadjah Mada ]]>
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DOI: 10.22146/jpki.79785
<![CDATA[Background: Due to the dynamic changes in the strategic environment and development of science and technology, the Indonesian national education system has undergone various adjustments, including surgeons' education training programs. To some extent, various essential changes, marginalization, and pragmatization of surgical services have degraded the dignity of surgical education-training programs in Indonesia. This study aims to analyse several causal factors appropriately to direct to an appropriate target based on the present and future situation to prevent inappropriate solutions.Methods: This narrative review is based on related articles freely downloaded, which discuss the what and why of uncertainty in the provision of education-training today and suggest how changes must be made to restore the dignity of Surgeons in Indonesia. Current Indonesian conditions are mainly based on implementation at the Surgery Department, Medicine of Faculty Universitas Indonesia and Cipto Mangunkusumo Hospital.Results: It is challenging to obtain data on evaluating the educational process and the quality of surgeon graduates. Based on observation, there are four main problems, including the recruitment of teaching staff, Ministry of Education and Culture policies, adequateness of learning materials, and the phenomenon of semester-based graduation. These problems lead to quasi-referral and case management of defensive surgery, which gradually declines the surgeon profession's dignity.Conclusion: The fundamental solution to restoring the dignity of surgeons in Indonesia is to provide an education-training which produce academic surgeons.]]>
<![CDATA[COMPARISON OF THE PHYSICAL EXAMINATION SKILLS LEARNING PROCESS BEFORE AND DURING COVID-19 PANDEMIC BASED ON EXPERIENTIAL LEARNING THEORY: A MIXED-METHOD STUDY ]]>
<![CDATA[Sastri, Ni Luh Putu Pranena]]>;
<![CDATA[Hidayah, Rachmadya Nur]]>;
<![CDATA[Widyandana, Widyandana]]>
<![CDATA[ Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September ]]>
Publisher : <![CDATA[Universitas Gadjah Mada ]]>
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DOI: 10.22146/jpki.80274
<![CDATA[Background: COVID-19 pandemic has changed learning physical examination skills. Online learning physical examination skills are challenging because it needs standard practice facilities, and students need opportunities to practice. Physical examination skills are essential in clinical medical practice, but research before pandemic demonstrated students’ lack of skills acquisition. Evaluation is needed to determine the differences in the learning process before and during pandemic. This study aims to compare the learning physical examination skills process before and during COVID-19 pandemic and find recommendations for the future.Methods: This research was a mixed-method study with a convergent design. The samples are students and lecturers in the Faculty of Medicine Universitas Pendidikan Ganesha. Quantitative data was obtained from a developed questionnaire about students’ perception of the physical examination skills learning process, then analyzed descriptively and using the ANOVA test. Qualitative data was obtained by interview, then analyzed using thematic analysis.Results: There are significant differences in the learning process of face-to-face, online, and blended physical examination skills (p<0.05) but no difference between face-to-face and blended. Interview results have seven themes, four themes about difference in the learning process based on Kolb Experiential Learning Theory, other themes about preparation before learning, factors in the learning process, and recommendations.Conclusion: Differences in the physical examination skills learning process are in the skills demonstration, practice opportunities, feedback, and interactions. If learning physical examination skills is carried out face-to-face, online, or blended in the future, it will have different needs to be considered in the design and implementation.]]>
<![CDATA[UTILIZING THE RESULTS OF UJIAN TAHAP BERSAMA AS SELF-REFLECTION FOR MEDICAL STUDENTS ]]>
<![CDATA[Akbar, Resti Rahmadika]]>;
<![CDATA[Garcia, Regilda]]>;
<![CDATA[Khomeini, Khomeini]]>
<![CDATA[ Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September ]]>
Publisher : <![CDATA[Universitas Gadjah Mada ]]>
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DOI: 10.22146/jpki.80868
<![CDATA[Background: Ujian Tahap Bersama is a form of formative exam initiated by AIPKI tomake students think and explore what they have learned. The results of the UjianTahap Bersama can be used as material for self-reflection by students to build,identify, and realize the extent of understanding of the knowledge that has beenobtained by students. This study aims to determine the utilization of the results of theUjian Tahap Bersama as material for self-reflection for students of the Faculty ofMedicine class of 2017 and 2018 at Universitas Baiturrahmah.Methods: This study used a mixed methods method that begins with a quantitativeand cross-sectional approach using secondary data. The results of the Ujian TahapBersama 1 and 2, namely the 2017 and 2018 batches and selected using a totalsampling technique using G-form to fill in the Graham Gibbs reflection of 30respondent. The results of Graham Gibbs' reflections were followed by in-depthinterviews with 7 respondents whose answers were not saturated.Results: Based on UTB marks the average ability of the 2018 class is higher thanthe 2017 class. The results of Graham Gibbs' reflection through the G-form showedthat students of the 2017 and 2018 batches were categorized into themes ofdescription, feelings, evaluation, analysis, conclusion, and action plan. The results ofthe in-depth interviews were categorized into positive and negative response themesusing Kirkpatrick 1 conceptConclusion: Based on the Kirkpatrick concept, the results of the UTB can be usedas material for reflection to improve student performance]]>
