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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 383 Documents

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The Impacts of Medical Career Day to Medical Students' Interest to Pursue a Career in Public Health Rio Yus Ramadhani; Rizma Adlia Syakurah; Mariatul Fadilah
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 6, No 1 (2017): MARET
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Medical career day is one of the activities to introduce career options that exist and increase interest in a particular career. This study aims to determine the effect of material medical career day activities to increase the interest of medical students to pursue a career to the field of public health sciences.Method: This study is a quasi-experimental study with pretest-posttest control group design. The control group received counseling about the field of public health sciences, whereas the intervention group receive the same counseling accompanied by a description of the activity-based cost and opportunity cost in the field of public health sciences. The study population was 216 students of medical faculty batch 2014. Out of 216 students, 70 met the inclusion criteria, and only 36 who came to the activity. Data analysis was performed using paired t-test.Results: Thirty-six students came to the medical career day activities are divided into 2 groups: the first 18 people who come into the intervention group and 18 others to a control group. Increased interest in the control group (p=0.003) and increased interest in the intervention group was also significant (p=0.023).Conclusion: Material medical career day activities plus activity based cost and opportunity cost may increase the interest of students to pursue a career to the field of public health sciences.

Development and Validity and Reliability Tests of Professionalism Assessment Instrument in Psychiatry Residents Budi Santoso; Carla Raymondalexas Marchira; P. Sumarni
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 6, No 1 (2017): MARET
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: The main objective of specialist training program is professionalism and competence. In modern era, the medical professions have to face legal issues. This problem can be overcome by improving professionalism education and routine evaluation of professionalism during specialist training. Psychiatric specialist training in particular is different from other specialist training due to several unique aspects during the course of the training. Therefore, an instrument to assess professionalism of psychiatric residents is required. The objective of this study was to develop an instrument to assess professionalism for psychiatric residents adapted from ACGME (Accreditation Council for Graduate Medical Education).Method: This study was a quantitative non-experimental study consisted of 3 stages (literature review, peer review, and validity and reliability testing). The subjects were residents on training at the Department of Psychiatry, Medical Faculty, Gadjah Mada University. The construct validity testing was conducted with Confimatory Factor Analysis (CFA) and content validity with Pearson’s product moment. Reliability testing was conducted with Cronbach’s alpha. Results: Statistical analyses results showed that instrument was valid (Pearson’s product moment r = 0.302 – 0.797; p = 0.001 – 0.052) and reliable (Cronbach’s alpha = 0.943). Analyses on the subjects score revealed that professionalism was associated with the stage of training. The t-test results showed that subjects in the post-stasis stage showed higher professionalism score except for the 4th domain (professional behavior).Conclusion: The instrument that developed was valid and reliable to be use as a mean to assess professionalism for resident in training at the Department of Psychiatry, Medical Faculty, Gadjah Mada University.

Penggunaan Template Study Planner untuk Menunjang Proses Self-Directed Learning - Sebuah Studi Literatur Halimah Thania Nasution; Gandes Retno Rahayu; Tridjoko Hadianto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 5, No 3 (2016): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Self-directed learning is a form of independent learning where in the process it is advisable that students create a study planner so that the learning process is more focus and effective. A study planner can be used as a reference that will assist students in evaluating and reflecting the learning process. This study aimed to find out how the application of study planner can support the process of self-directed learning, this will be based on a literature study.Method: This research was in the form of a literature study which covered the application of study planner and its relation to self-directed learning. The literature searches were conducted with two databases (e-sources national library and ERIC), by using 11 keywords, in order to obtain more amounts of readings available, that were in relation to the utilization of study planner in order to support self-directed learning. Based on five inclusion and exclusion criteria were used to select 22 journals that obtained from the results of database searches, two journals that can be used to answer research questions were found. Data were extracted systematically by segmenting and coding. Followed by determining patterns to find broader category. Results: Based on segmenting and coding process and determining important patterns, two broad categories were found, that are (1) The benefit of study planner in self-directed learning; and (2) Factors that affect study planner and self-directed learning.Conclusion: Study planner can assist students in developing their self-directed learning skills, that will be handy to support their lifelong learning skills. Study planner can also give motivations to students in performing self-directed learning

Hubungan Kualitas dan Kuantitas Tidur dengan Prestasi Belajar pada Mahasiswa Fakultas Kedokteran Fenny Fenny; Supriatmo Supriatmo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 5, No 3 (2016): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Sleeping is an essential need for every human beings in fulfilling their lives. There are two main components needed to put into consideration; they are sleeping quality and quantity. If the components are being distracted, it will cause impact on memory and concentration system. Consequently, it will cause the decline in academic achievements. The population who are at risk the most will be the collegestudents, especially medical students. Therefore, a research is conducted in order to determine relationship sleep quality and quantity with FK USU students’ academic achievement’s.Method: This research, which is held from March to December 2015, uses analytic methods of case control study. In this study, there are 594 samples that correspond with inclusion and exclusion criterias; then, 150 subjects are being chosen for the case group and 150 subjects are also being chosen for the control group by using a simple random sampling technique. In addition, the research’s datas are collected by using the PSQI and STQ questionnaires, then, they are analyzed by the SPSS computer program. Results: A frequency distribution of the bad sleep quality and the less sleep quantity are the most in the USU’s medical students with the respective figures of 185 respondents (61,7%) and 163 respondents (54,3%). The result of Chi Square analysis also shows that there is a significant relationship with the p value <0,0001 (p≤0,05). Besides, the result of multivariat analysis, which uses logistic regression, shows a final model formula is log p (bad academic achievement) = -1,068+0,570(sleeping quality)+1,303(sleeping quantity). Conclusion: There is a relationship between the sleep quality and quantity with the FK USU students’ academic achievement.

Validitas dan Reliabilitas Ujian SOCA (Students Oral Case Analysis): Studi di Salah Satu Fakultas Kedokteran di Indonesia Rizka Aries Putranti; Ova Emilia; Efrayim Suryadi
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 5, No 3 (2016): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Medical faculty has to make sure that the students meet the minimal competence needed using apropriate exam. While the exam itself should facilitate students to learn. Oral examination has known for its ability to facilitate students learn but low in validity and reliability. Medical faculty of Lampung University (FK Unila) apply the student oral case analysis (SOCA) exam as one of block assessment component, as with MCQ, tutorial, and laboratory exam. This study aimed to evaluate validity and reliability of SOCA examination at FK UnilaMethod: Video of 65 students doing SOCA examination and 28 question rubrics had taken when odd semester exam year 2014-2015 has been carying out at FK Unila. Video and question rubrics were assessed by 5 panelis and analysed using Lawshe's content validity ratio (CVR) to determinate its content validity. Students performance on the video were re-assessed by another assessor to see inter-rater reliability, than analysed using kappa Cohen. Two expert in medical education assessed the cognitive comlpexity of the question rubrics. Data of SOCA's student's mark from year II, III, and IV were analysed for construct valdity and internal consistency.Results: 93,7% of the overall question in 65 video were valid (CVR>99%) and 71,8% question number in 28 question rubrics also valid according to 5 panelis. SOCA cognitive complexity were at level of analyse, know how and 4a. Inter-rater reliability analysis showed 0,549 (moderate agreement) kappa value. Mann Whitney analysis for construct validity showed no significant difference of all year. Cronbach alpha analysis showed internal consistency at the point 0,575.Conclusion: FK Unila's SOCA of odd semester examination year 2014-2015 has sufficient content validity, sufficient cognitive complexity and sufficent inter-rater reliability but lack in construct validity and internal consistency. Keywords: SOCA, validity, reliability

Validity and Reliability od Postgraduate Hospital Educational Environment Measure - Bahasa Indonesia Version Natalia Widiasih Raharjanti; Adhitya Sigit Ramadianto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 5, No 3 (2016): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Educational environment is an essential factor influencing performance of medical residents, and unsupportive educational environment is associated with considerable harmful impacts. The Postgraduate Hospital Educational Environment Measure (PHEEM) is a self-administered questionnaire designed to measure residents’ perception of their educational environment. This study aims to establish the validity and reliability of PHEEM - Bahasa Indonesia version. Methods: The original PHEEM is translated and modified through an expert panel discussion. Construct validity is measured by corrected item-total correlation. Internal consistency reliability is measured by Cronbach’s alpha. Sample was taken from neurology and radiology residents. Results: The first validation trial was done on 44 neurology residents while the second trial was done in 35 radiology residents. Almost all item scores are correlated with the total score with r > 0,3. Cronbach’s alpha of PHEEM is 0,89 and 0,91 in the first and second trial, respectively.Conclusion: This is the first PHEEM validation study in Indonesia; changes to the instrument were made to maintain face and content validity. While the sample size is small and not selected randomly, PHEEM - Bahasa Indonesia version has acceptable validity and reliability to be used in research and evaluation of residency programs.

Peningkatan Kompetensi Tutor Blok Elektif dalam Pembuatan dan Penilaian Laporan Kasus Titiek Djannatun; Riyani Wikaningrum; Rita Rita Murnikusumawatie; R. W. Susilawati
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 5, No 3 (2016): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Elective block of the Faculty of Medicine YARSI University offers five topics. The evaluation results found a variation of tutor competence in writing and grading the case reports. The aims of this study is to improve the tutors’ competence in writing and grading Case Report.Method: Ten Case reports were selected and assessed by the study team. Thirty Tutor participated in the workshop. The tutor competence in the assessment case reports were analysed by pre test and post test compared with expert. Tutors’ performance was analyzed using the inter-rater reliability and students feedback using questioner.Results: This study found that 13 tutors gave lower absolute number of grade after the workshop, range from 1 to 14 points, and 3 tutors gave higher grade range from 3 to 6 points, and 5 tutors gave the same grade. The differences between the tutors’ and standard widened in 9 (42.9%) shortened in 9 (42.9%), and the same in 3 (14.3%). The workshops have a positive impact on achieving similar perception case report writing and grading. Conclusion: The case report grading must be done by tutors who have the same competence and perception of each grading item. The workshop gave the positive impact to the tutor as a rater. Case report grading with rubric to get a fair and valid must be assessed by more tutors.

The Role of Indonesian Medical Council in Assuring The Quality of Medical Education Titi Savitri Prihatiningsih
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 5, No 3 (2016): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Indonesian Medical Council (IMC) was established in October 2005 as mandated by the Medical Practice Law No.29/2004. The main function of IMC is to safeguard the medical practices through several mechanism, one of which is through ensuring the quality of medical education by approving the standards of competences and standards of medical education as well as by monitoring the implementation of those standards. A new Medical Education Law No.20/2013 is enacted. In this Law, the role of IMC in assuring the quality of medical education disappeared.Method: This is an exploratory qualitative study. Documents are analysed using a content analysis. Typology for medical regulatory framework is applied.Results: Five categories are identified, namely (1) educationally-oriented regulators, (ii) mix regulatory regimes, (iii) collaborative governance, (iv) professional regulation and (v) mix-credentialing regimesConclusion: For governance of medical education, educationally-oriented regulators predominates. In quality assurance for medical education, mix-regulatory, collaborative governance and professional regulation are applied; however there is a contradictory of role between IMC and the Ministry. In funding, mix-regulatory regime and collaborative regime are applied. In education trajectory, educationally-oriented regulator is used and in exam and qualification mix-credentialing regime is applied. Only in quality assurance in medical education, there is a serious contradiction of IMC role.

Perbandingan Kepuasan Mahasiswa terhadap Kinerja Pegawai Sebelum dan Sesudah Penerapan Badan Layanan Umum (BLU) Betty Andiyarti
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 5, No 3 (2016): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: The performance-based system of Public Enterprise (BLU) demanding educational institutions is to provide service to the community as a provider of goods or services without seeking profits and in its implementation is based on the principle of efficiency and productivity. The performance of a public Enterprise already refers to the service of the public sector who apply principles (1) simplicity, (2) clarity, (3) certainty of timing, (4) accuracy, (5) security, (6) responsibilities, (7) the completeness of facilities and infrastructure, (8) ease of access, (9) comfortability, (10) discipline, courtesy, and hospitality. In educational institutions, academic performance in the field, laboratory and process of teaching and learning should be able to provide optimal service to students as users of services, in this study, the employee's performance will be discussed on the basis of 6 (six) criteria of employees’ performance indicators in terms of quality, quantity, timeliness, effectiveness, independence, commitment and work.The purpose of the research: to see the performance of the employees of the Administration section of the Lab Manager, academic and lecturer at performance learning process in providing services to students as users of services in educational institutions.Method: This research uses qualitative type of approach. In this research will provide information about two different situations, namely the experience of the past and experience at this time, so it can be known to the satisfaction of the students against the performance of the employee before and after implementation of Public Enterprise (BLU).Results: Prior to the determine of the employee's performance in BLU provides services not yet optimal, officers have not provided accurate information to students, not working in accordance with the given service time, however after the determine of the employee's performance in BLU provides services to students and employees are already increasing duties in accordance with the auth respectively.Conclusion: The implementation of public Enterprise (BLU) can improve the performance of employees in terms of service so that it can give satisfaction to the students as a user of services in educational institutions.

Area of Interest of Indonesian Researches in Medical and Health Professions Education: Future Direction Mora Claramita; Gandes Retno Rahayu; Rahmi Surayya; Abu Bakar; Murti Mandawati; Michael Andreas Leman; Ova Emilia
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 6, No 2 (2017): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Medical education research has been flourished in the past two decades in Indonesia. It is highly important to study results of medical education researches in Indonesia to provide future direction for medical education. Six published literature in medical education from Asian context was used as the basis of this study.Method: We used the narrative review in which quantitative data were interpreted qualitatively. All national and international publication and the unpublished research in medical education from Indonesia between 2000 - 2013 were collected with multiple methods based on 8 criteria of inclusion/ exclusion. We also grouped the articles into quantitative and qualitative groups based on each method in each study.Results: Total articles interpreted was 151 and grouped into 17 areas of interest and level of evidences from ‘very rarely’ to ‘very frequently’ studied. Studies in the area of understanding problem–based learning (PBL) are still dominating the area of interest including the student-assessment within PBL program. Other areas are still rarely done, especially research in health professions education other than medical doctors.Conclusion: Research in medical education in Indonesia should be more stimulated; in terms of numbers and quality, more importantly to strive for future agent of culture, socio-economic and political changes based on the actual community problems in the universal coverage era toward solid interprofessional team work to accomplish patient safety.

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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

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Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA