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Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education
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.
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Articles 10 Documents
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Search results for , issue "Vol 9, No 3 (2020): November" : 10 Documents clear
REFLECTIVE LEARNING IN CHILDBIRTH CARE TO IMPROVE SELF-CONFIDENCE OF MIDWIFERY STUDENTS Lola Noviani Fadilah; Farid Husin; Juntika Nurihsan; Tria Giri Ramdani
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.37925

Abstract

Background: Childbirth care is the core competency of a midwife which is found in midwifery education. Midwifery students must be equipped with the competencies. Self-confidence is an internal factor affecting the professional knowledge and competence of midwives. Low self-confidence shows in the practice of childbirth care thus the condition can be an indicator of the performance of a less-competent midwife in the future. Practice learning methods that support increased confidence should direct students to self-study based on experience so that it can solve the problem. Knowing the advantage of this method, it is valuable if reflective learning is implemented to improve self-confidence. The study aimed to analyse the influence of reflective learning on childbirth care practice for the improvement of student confidence.Methods: This research employed a quasi-experimental control group design, involving all midwifery students of semester IV at midwifery department that divided into treatment and control groups. The treatment is the implementation of reflective learning in laboratory and clinical practice. The confidence score was obtained by using questionnaires before and after treatment. Analysis of the characteristic data and pre-test with normal distribution using an unpaired T test. While the post-test  and percent increased score were not distributed normally, therefore Mann-Whitney U was tested.Results: It was revealed that there was no difference in the characteristics of respondents and pre-tests (p > 0.05). There were significant differences in post-test and percent increase (P < 0.05). Conclusion: Reflective learning can improve students’ confidence in childbirth care. Keywords: reflective learning, confidence, childbirth care. 
PRECLINICAL STUDENTS’ PERCEPTION TOWARDS FACTORS OF ACHIEVING MEDICAL COMPETENCE Christine Tjahjadinata; Natalia Puspadewi; Elisabeth Rukmini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.45370

Abstract

Background: Based on the existing research, medical competence achievements in DKI Jakarta’s primary health care was lower than other provinces in Indonesia. Some of the competence achievements in preclinical years were also lower than the level of competence achievement in the Standard of Indonesian Doctor Competence, regardless the diseases are at the third and fourth levels. This research aimed at exploring the factors which influenced the competence achievement of the preclinical years based on student’s perceptions.Methods: The research was a descriptive analytic study with a qualitative approach using Focus Group Disscussion (FGD). Nine preclinical students of 2013 batch were chosen purposefully based on the recommendation from faculty members and students. Data were analyzed qualitatively using thematic analysis method.Results: There are several factors that influence the competence achievement of the preclinical students. These included the factors of student, curriculum, faculty, environmental, and facility.  There were four participants in the first meeting and five participants in the second meeting.Conclusion: Based on student’s perception, the factors which affect the competence achievements in preclinical years are student factors, curriculum factors, faculty factors, environmental factors, and facility factors. Keywords: competence, medical education, preclinical, qualitative
DEVELOPMENT OF ASYNCHRONOUS BLENDED LEARNING (ABLE) SKILLS LAB WITH PEER EVALUATION IN MIDWIFERY STUDENTS Dita Eka Mardiani; Dedi Rachmadi; Deni Kurniadi Sunjaya; Ike R Husen
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.47423

Abstract

Background: Innovations in midwifery education is needed to strengthen students' skills. The Asynchronous Blended Learning (ABLE) Skills Lab model can improve student motivation, retention and skills, but the evaluation is still not optimal. One solution to overcome it by developing of the ABLE Skills Lab with Peer Evaluation model. This study aims to analyze the differences in the improvement of newborn resuscitation skills between the application of the ABLE Skills Lab model with  Trainer Evaluation and Peer Evaluation.Methods: This study used a quasy experimental  two group pre-post test design.  The participants involved in this research were 40 students of the fourth semester students of Diploma III Poltekkes Kemenkes Tasikmalaya who met the inclusion criteria. Subjects were divided into 4 learning groups that randomized into 2 research groups. Data were analyzed using inferential statistics and Rasch modelling. Results: There is no difference in the improvement of newborn resuscitation skills between the application of the ABLE Skills Lab with Trainer Evaluation model and ABLE Skills Lab with Peer Evaluation model (p=0,344). Conclusion: ABLE Skills Lab with Peer Evaluation model has the same ability with  Trainer Evaluation model in improving newborn resuscitation skills.ABLE Skills Lab with Peer Evaluation can be an alternative method when there are limited staff / instructors during the learning process without reducing the output produced. Keywords: ABLE skills lab, neonatal resuscitation skills, peer evaluation, trainer evaluation
LEARNING OBJECTIVE OF THE ANATOMY CIRCULATION SYSTEM FOR THE MEDICAL STUDENTS: A DELPHI STUDY Marwatunnisa Al Mubarokah; Siti Munawaroh; Yunia Hastami; Nanang Wiyono
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.48768

Abstract

Background: Anatomy is basic science that is important for preclinical students, clinics, and specialists. The development of medical science led to a reduced allocation of learning time in Anatomy. The imbalance between the amount of learning material with time allocation makes various effective teaching methods carried out and examined. The learning objectives guide the faculty in selecting teaching methods as well as appropriate evaluation to measure the progress of student understanding. This study aims to obtain detailed anatomical learning objectives regarding the circulation system for medical students as part of the development of the medical curriculum in Indonesia.Method: This research is qualitative research with the modified Delphi method. The research subjects were anatomy lecturers in Indonesia who. The first round of the Delphi questionnaire was filled out by selecting the Bloom cognition domain between C1-C6 and the respondent composing the sentence of learning objectives according to the core material. The second round of respondents was asked to choose an important level from each point of learning objectives on the Likert Scale 1-4. The consensus level chosen is that 60% of the panel chooses on level 3 or 4.The results of the second round are then processed to ensure the most appropriate selection of operational verbs and cognitive domains.Results: The first Delphi round resulted in 74 learning objectives from 110 core material points with the cognitive domain between C1-C3. While the second round, Delphi generates 59 learning objectives. The third round which was not part of the Delphi method, these results were then consulted to anatomists of the circulatory system and came up with the 32 learning objectives.Conclusion: The learning objectives of the circulation system that need to be known are 32 learning objectives, with cognitive domains varying between C1-C3, include cor, pericardium, mediastinum, arteries, veins, lymphatics system, prenatal and postnatal circulation, dan hepatic portal  system. Keywords: anatomy of circulatory system, Delphi method, anatomy learning objectives, lecturer consensus 
THE MENTAL HEALTH OF FIRST- AND FINAL-YEAR PRECLINICAL MEDICAL STUDENTS Michelle Stephanie; Charles Surjadi
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.52417

Abstract

Background: Medical students consistently have higher rates of mental health problems, these include higher levels of stress, anxiety, and burnout, alongside low levels of overall health, and energy. The study aimed to determine the prevalence and the factors influencing the mental health of first- and final-year preclinical students in Unika Atma Jaya.Methods: A cross-sectional study was conducted on all first-year preclinical students (196 respondents) and all final-year preclinical students (115 respondents) using Self Reporting Questionnaire (SRQ). Data were then analyzed using Mann-Whitney U test, chi square, and Fisher’s exact test.Results: 95 out of 196 (48.5%) of first-year students and 22 out of 115 (19.1%) of final-year students have SRQ score of ³6. Mental health of first-year students were found to be related to their religion and personal life events. Meanwhile factors affecting the mental health of final-year students were their motivation in enrolling to medical school and personal life events.Conclusion: There is a significant difference of mental health in first- and final-year students (48.5% and 19.1%). This may be related to their religion, personal life events, and their motivation in enrolling to medical school. Keywords: mental health, medical students, self reporting questionnaire 
MEDICAL STUDENTS PERCEPTIONS OF THE TRUWINIST INTERDIGITAL METHOD FOR ANTIBIOTIC LEARNING Trully Deti Rose Sitorus; Fadla Khairatu Ismi; Julia Ramadhanti; Muhammad Hasan Bashari
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.53320

Abstract

Background: The field of education began to shift from conventional methods to the e-learning method. Blended-learning method is a method that combines e-learning and conventional methods. Truwinist Interdigital Method (MTI) is a learning innovation using the blended-learning method. The aim of this study was to determine student perceptions about blended-learning: Truwinist Interdigital Method.Methods: This study is a descriptive studies. The subjects of this study were students of the Medical Undergraduate Study Program of Padjadjaran University in 7th semester, add up to 156 students in total. Subjects were presented with material for 4 days by accessing MTI antibiotics and continued face to face for 1 hour on the fourth day. The research instrument in the form of a questionnaire consisted of 16 statements with 4 aspects of assessment, namely ‘students interest’, ‘accessibility’, ‘content’, and ‘discussion activities in MTI’. The calculation method used likert-scale with index interval analysis.Results: Based on the analysis of the data from questionnaire, all items for aspects of students interest in blended-learning and accessibility were categorized as 'strongly agree'. Index number for the aspect of content is 78.21%; 79.97%; 79.97%; and 82.85% were categorized as 'strongly agree' and 72.28% were categorized as 'agree'. The index number per item for the aspect of discussion activities is 79.65% and 90.54% which is categorized as 'strongly agree', while the index number of 69.55% is categorized as 'agree'.Conclusion: The majority of students have a positive response to learning using blended learning: MTI. Keywords: perception, blended-learning, truwinist interdigital. 
STUDENT ACHIEVEMENT IN A PHARMACOTHERAPY PRACTICE COURSE: A CASE STUDY AT AN INDONESIAN PHARMACY SCHOOL Lailaturrahmi Lailaturrahmi; Elsa Badriyya
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.54653

Abstract

Background: Indonesian pharmacy schools are expected to meet required clinical pharmacy components and the proportion of practical courses according to nationally established standards. This is essential to produce competent Indonesian pharmacists. The implementation of Pharmacotherapy of Gastrointestinal, Respiratory Tract Diseases, and Special Conditions Practice was one of the measures taken to meet this requirement. This case study aims to explore obstacles in Pharmacotherapy of Gastrointestinal, Respiratory Tract Diseases, and Special Conditions Practice.Case discussion: Pharmacotherapy of Gastrointestinal, Respiratory Tract Diseases, and Special Conditions (FAF 314) Practice was conducted using group case study with SOAP (subjective, objective, assessment, plan) worksheet. During the sixth week of practice, a modified OSCE was conducted to assess the learning process. The skills that were assessed included problem identification, problem-solving, drug information service, effective communication, as well as attitude and professionalism. However, the students’ average score in this assessment was about 1-2 of maximum score 3, and the required passing score was 2. Conclusion: The sub-optimal students’ achievement in the mid-term assessment of Pharmacotherapy of Gastrointestinal, Respiratory Tract Diseases, and Special Conditions Practice may be due to the students’ obstacles in understanding the information from literature and showing effective communication skills and professional attitude in drug information provision. To address these issues, further measures such as constructive alignment analysis of this practice, revising practice activities design and allocating adequate time to practice effective communication skills and professional attitude in drug information provision. Keywords: constructive alignment, communication, pharmacotherapy practice, OSCE, SOAP
BLENDED LEARNING AS A METHOD FOR IMPROVING STUDENTS’ ACHIEVEMENT IN DERMATOTHERAPY: A PRELIMINARY STUDY Sri Linuwih Menaldi; Hanny Nilasari; Githa Rahmayunita; Siti Farida; Nanda L. Prasetya
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.55485

Abstract

Background: Dermatotherapy is an important topic in Dermatology and Venereology module. The time allocated for dermatotherapy topic is limited, so that the development of learning method is needed to achieve the learning objectives. Blended learning is a combination of e-learning and face to face lecture session. This method is often used when there is less time available for lecturing and limited number of teachers. This learning method is expected to be more effective and efficient for the students and also the teachers. This study was conducted to examine the effectiveness of blended learning method used in dermatotherapy topic, and to identify the obstacle of using this method. Methods: This study is a cross sectional study, using quantitative and qualitative approach, involving 22 fifth-year medical students of Faculty of Medicine Universitas Indonesia who enrolled in dermatology and venereology module. We collected data from questionnaire, pre and post-test, and feedback from the students. Comparison of pre-test and post-test results were analysed using paired T test, and followed by bivariate test of students’ characteristic, gadget usage and e-learning activities associated with the increased post-test score.Results: An increased in post-test score was found to be statistically significant (p<0.05). Approximately 95,4% of students passed the final exam on the dermatotherapy subject. Bivariate analysis revealed that the number of gadgets owned, digital usage and e- learning activities did not have a significant effect on the post-test score. Based on the students’ feedback, blended learning had a positive impact on helping their learning process; however, the materials of e-learning must be interactive, informative and comprehensive. Face-to-face lecture is still an important component in learning hence it is irreplaceable. Conclusion: Blended learning is an effective method of learning and should be considered if there is limitation of lecture time and number of teachers available. By using this method, medical students are more flexible in their study and it can be adjusted to their own learning style hence heling them understand better. Further development and improvement are needed for this method as to achieve the learning objectives.  Keywords: blended learning, dermatotherapy, medical students
THE USE OF REFLECTION FOR SPIRITUAL CARE LEARNING IN CLINICAL EDUCATION: A PILOT STUDY Gisella Anastasia; Yoyo Suhoyo; Prattama Santoso Utomo; Doni Widyandana
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.56923

Abstract

Background: Indonesian society assume spirituality as an important aspect in life especially in sickness. Spiritual care can restore patients’ quality of life by providing them comfort, strength, and compassion. Because lack of education about spiritual care, doctors often feel not fully equipped. Reflection has proven to increase awareness of spiritual care, but the impact of this method still needs further research. This study aims to explore the impact of reflection on student awareness about spiritual care.Methods: This study used Interpretative Phenomenological Analysis with reflective writing and in-depth interview. Nine clinical medical students divided into four groups which was facilitated by clinical teacher. Intervention were three reflective writings interspersed with two small group discussion. The writings were analyzed using Transtheoretical Model to identify behavioral change then content analysis for the transcript to explore the study’s impact and the feasibility.Results: Five students increased their awareness because clinical experience, time-management, writing volume, and reflective thinking. Three students increase faster because learning from peers, engage with patient, and role-model. Two students increase slower because lack understanding of reflection and incorrect facilitators’ feedbacks. Two students stable because lack understanding of discussion and low engagement with patient. One student experienced a decrease because lack of task-commitment and interest. One student did not get awareness because difficulty interpreting emotions.Conclusion: Reflection method can be used to teach spiritual care to clinical medical students by considering several factors that might play a role. Further research with improvement to the method is still needed. Keywords: Spiritual care; spirituality; reflection; clinical medical student
BASIC MEDICAL SCIENCES AND PROBLEM-BASED LEARNING: PITFALLS AND POSSIBLE IMPROVEMENT FROM THE PERSPECTIVE OF TEACHERS AND STUDENTS Teuku Renaldi; Said Usman; Maimun Syukri; Sofia Sofia; Dedy Syahrizal
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.57165

Abstract

Background: Basic medical sciences are essential foundation for the constructive learning of clinical sciences. Faculty of Medicine, Universitas Syiah Kuala is currently implementing Problem-based learning (PBL) for basic medical sciences. Studies have been conducted in many places with inconsistently different results that it is impossible to draw theoretical and practical conclusions regarding the implementation of PBL for basic medical sciences. This study aimed to evaluate the implementation of PBL for basic medical sciences at Faculty of Medicine, Universitas Syiah Kuala from the perspectives of pre-clinical teachers, clinical teachers and medical students.Methods: This is a qualitative study with a phenomenological approach. Respondents were pre-clinical teachers, clinical teachers and medical students. Data collection were carried out by using focused-group discussion (FGD). Data analysis was carried out qualitatively by using thematic analysis.Results: This study identified three themes: (1) integrated thematic blocks are not adequate for the learning of basic medical sciences, (2) inadequacy of basic medical sciences practice activities, and (3) possible improvements through curriculum revision.Conclusion: The implementation of PBL in the form of integrated blocks for basic medical sciences is not adequately constructive to prepare students to learn clinical sciences. Hybrid curriculum which incorporates conventional methods for basic medical sciences and PBL for clinical sciences is recommended to improve students’ constructive learning. Further studies on hybrid curriculum is needed to evaluate its effect of basic medical sciences. Keywords: Basic medical sciences, Problem-based learning (PBL), practical session, hybrid curriculum, constructive learning, self-directed learning.

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