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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 ROLE OF SENIOR PEERS IN STUDENTS’ TRANSITION TO CLINICAL CLERKSHIPS Dian Puspita Sari; Yoga Pamungkas Susani
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 2 (2018): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Medical students’ transition to clinical clerkship has been shown to be challenging. Students need to effectively adjust to the new learning environment. This study aims to explore the role of senior peers in students’ experiences during transition to clinical clerkships.Methods: A qualitative methodology was adopted for this study. Eight 4th year medical students (5 female, 3 male) submitted audio diaries during their first 12 weeks of clinical clerkships. 73 audio diaries were collected in total. Data were analyzed thematically. Twenty-five out of the 73 audio diaries contained interactions with senior peer students and these interactions were captured in 38 excerpts. These excerpts were analyzed further to understand the role of senior peer students during the transition.Results: Senior peer students helped to ease out transition to clinical clerkship by serving three roles: (1) transferring information on ways of working in a clinical environment, on social aspects of clinical environments and on learning issues; (2) providing exemplars in performing clinical tasks as well as learning tasks; (3) as co-workers who provided access and support students’ participation. Conclusions: Senior peer students in a clinical clerkship helped newcomers to navigate themselves in a clinical environment by helping them to build situational awareness, by supporting vicarious learning and supporting students’ participation in a clinical environment.

THE INFLUENCE OF ORGANIZATIONAL ACTIVITIES ON MEDICAL STUDENTS’ ACADEMIC ACHIEVEMENT Yolanda Ayu Yashinta; Budi Utomo; Fundhy Sinar Ikrar Prihatanto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 2 (2018): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: The influence of extracurricular activities on academic achievement has been studied in several studies. Some studies support that extracurricular activities can negatively impact academic achievement but other studies emphasize the positive effects of extracurricular activities. Extracurricular activities discussed in this study is the activity of organizing students as measured by organizational activities and committees. The purpose of this study is to determine the effect of organizational activity measured by organizational activities and the committees that are followed by students on academic achievement.Method: Cross-sectional study, using questionnaires distributed to 221 medical students class of 2014 in medical faculty of Airlangga University.Results: This research was analyzed multivariate using R program by using logistic regression test to know the influence of independent variable to dependent variable. From the results of this study found that the organizational activity measured from the student organization and committee activities have no significant effect on academic achievement.Conclusion: organizational activities and committees play an important role in predicting the activity of organizing students, but from the results of this study found that the organizational activity measured from student organizations and committee activities have no significant effect on academic achievement.

DEVELOPING A MODEL OF PROFESSIONAL IDENTITY IN MEDICAL STUDENTS: THE ROLE OF MOTIVATION AND PARTICIPATION Yoga Pamungkas Susani; Gandes Retno Rahayu; Rossi Sanusi; Yayi Suryo Prabandari; Harsono Mardiwiyoto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 3 (2018): November 2018
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: It is very important to develop professional identity among medical students, as it will affect how they work in the future. Factors affecting professional identity in medical education context need to be explored. This study aimed to develop a model of professional identity in medical students which examine the role of motivation, self-efficacy, personal reflection, social interaction, curriculum in action perceived by students and participation in determining professional identity. Methods: A cross-sectional survey was conducted among medical students in Mataram University. A total of 303 pre-clinical (year 1 to 4) and clinical students (year 5 to 6) filled out the questionnaires. Partial least square - structural equation model analysis was performed.Results: The modification model had a good model fit (GoF 0.404). The average path coefficient was 0.303 (p<0.001) and the adjusted average R square was 0.321 (p<0.001). Forty percent of variance in professional identity could be explained by motivation (β=0.51, p<0.001, f2=0.281) and participation (β=0.32, p<0.001, f2=0.118).Conclusions: Motivation and participation of medical students may influence the professional identity. Based on the model, within the medical education processes, academic motivation of students should be maintained and fostered and participation should be supported.

IDENTIFIYING THE SUCCESSFULNESS OF A PROBLEM-BASED LEARNING IN AN UNDERGRADUATE MEDICAL EDUCATION PROGRAMME Luh Ayu Viarini Dewi; Nancy M Rehatta; Budi Utomo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 3 (2018): November 2018
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Problem Based Learning (PBL) is active learning with a student-centered approach where unstructured issues are used as starting points for inquiry and learning process and problem-based learning is one of the teaching uses stimulus materials in helping the college students figure out the problems, questions, or issues. In a PBL system, the instructor helps the students develop problem solving skills, self-directed learning, so students can identify what they need to know how to know and how to access new information they need.Method: A cross-sectional study, using questionnaire distributed to 2015th generation of medical students in medical faculty of Airlangga University.Results: Result of data settlement, got 2 ways that is subjective and objective way, by using questioner by student, and objective using result of graduation of the course. From the results of the study, the results of the study program are prepared from students who are directly graduated from the problem-based learning program.Conclusion: This problem-based learning program is more successful than not using problem-based learning.

DIFFERENCES IN STUDENTS’ ATTITUDES TOWARD COMMUNICATION SKILLS IN A MEDICAL SCHOOL IN INDONESIA Farah Noya; Stazia Noija; Amanda Manuputty
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 3 (2018): November 2018
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Communication skills play an important role in clinical practice. Attitudes toward medical communication skills that are built since a stage of medical student, would affect practice as a doctor later. Good communication skills based on positive attitude will improve other clinical skills that are needed as a doctor, also will help a doctor to consider the importance of the improvement of the skills quality related to it. A number of studies have explored this context widely using CSAS as an instrument that consists of 2 subscales, a positive (PAS) and a negative (NAS) subscale. This study aimed to determine the difference in attitudes among students in Faculty of Medicine Pattimura University Ambon toward medical communication skills. Method: This was a cross-sectional analytical study that used primary data, obtained using an Indonesian version CSAS questionnaire that is first validated, thus, the scale consists of 24 items within 13 items as PAS and 11 items as NAS. Subjects were 124 active students of the academic year 2014/2015, woh undergo pre-clinical (semesters 2, 4, 6 and 8) and clinical study (Co Ass), obtained through stratified random sampling and complied the restriction criteria. Data were analysed using Mann-Whitney, Kruskall-Wallis, Unpaired t-test, One-Way ANOVA, and Post-Hoc Bonferroni tests with significance level of p<0,05. Results: There were no difference in attitude toward communication skills between students across most variables; however, there were differences in negative attitudes (NAS) on medical communication skills between each batch of students (p=0.02).Conclusion: The difference in attitude toward communication skills can be seen between students across study batch in Pattimura University Faculty of Medicine.

COMPARISON OF TRUWINIST INTERDIGITAL METHOD AND CONVENTIONAL IN LEARNING APPROPRIATE DRUG SELECTION AND PRESCRIBING FOR TYPE 2 DIABETES MELLITUS Trully Deti Rose Sitorus; Kuswinarti Kuswinarti; Istriati Istriati
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 3 (2018): November 2018
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Medical education in Indonesia has been using Problem Based Learning curriculum. Meanwhile, the patient management ability evaluation showed the lowest result among all evaluation in Ujian Kompentensi Mahasiswa Program Pendidikan Dokter (UKMPPD). Truwinis Interdigital Method (TIM) has been developed to improve student ability in choosing the appropriate drug and prescribing for Diabetes Mellitus type 2. The purpose of this research is to compare the effectiveness of TIM toward Conventional Method (CM).Methods: This research used cross-sectional design. The subject is 82 student who attend Clinical Skill Laboratory of Endocrine and Metabolism System of Faculty Medicine of Universitas Padjadjaran. The subject is divided into two groups, Group I: CM (control), Group II: TIM (Intervention). TIM consist of e-learning and audiovisual material. Parameters in this research were ability of choosing appropriate drugs test and Objective Skill Clinical Examination (OSCE). The data is analyzed statistically. Results: The data showed homogenousity in both groups (p>0,05). The average test score for CM group was 25,11 ± 10,84 and for TIM group was 80,06 ± 14,19. This was statistically significant (p < 0,0001). The average test score of OSCE for CM group was 39,63 11,73 and for TIM group was 62,74 ±14 ,07. This was also statistically significant (p<0,0001).Conclusion: Truwinist Interdigital Method is more effective than the Conventional Method in learning appropriate drugs selection and prescribing for type 2 Diabetes Mellitus.

DEVELOPING LOW-COST MANNEQUIN FOR UNDERGRADUATE IV LINE PHLEBOTOMY Doni Widyandana
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 3 (2018): November 2018
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Skills laboratory training had been providing students the opportunity to practice medical skills in a longitudinal education curriculum with various methods. The integration of skills lab learning methods and the use of mannequins could provide the students to practice invasive medical procedures on patients like the real condition in the clinical setting, but still remains a safe simulation. However, simulations in the skills lab require commercial mannequins that have been imported with limited design options and very expensive prices. The effect of this expensive training will hamper institutions to facilitate students’ learning. Therefore, Clinical Skills Laboratory, Faculty of Medicine, Universetas Gadjah Mada had initiated to produce low-cost and innovative mannequins. This study is aimed to develop low-cost mannequin in order to facilitate learning.Methods: This study is a comparison study to 3 types of simple infusions mannequin which will be attached to simulated patients. These 3 types of mannequin are based from the materials: silicone, silicone plus oil, and latex. There were three groups of respondents: 30 students, 15 teachers, and 15 simulated patients and were randomly invited to review those mannequins using a questionnaire and structured interviews. The data were analyzed using Mann-Whitney test and an “inductive content analysis”.Results: The low-cost mannequins were highly accepted by the respondents and the best mannequin was made from silicone (p<0.05). However, the mannequins need improvement on the skin design and the prevention of fluid leakage from the pumps and tubes. These mannequins were designed to stimulate undergraduate students not only to practice inserting needle to veins, but also learning how to communicate with patients at the same time.Conclusion: These low-cost mannequins can be used to practice integrated clinical skills in skills laboratory education. However, the mannequins should be evaluated and improved regularly.

STUDENTS’ AND ACADEMIC STAFFS’ PERSPECTIVES ON AN INTERPROFESSIONAL EDUCATION MODEL Eti Poncorini Pamungkasari; Ari Probandari; Amandha Boy Timor Randita; Sri Anggarini Parwatiningsih
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 3 (2018): November 2018
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Teamwork in health care is beneficial because it allows a holistic approach to patient care. Interprofessional education (IPE) provides students with an opportunity to develop their professional roles and their functions as team members. Understanding Interprofessional Collaboration (IPC) from the perspective of student and academic staff is an essential assessment for creating IPE model.Methods: This was a qualitative study with phenomenology approach. We explored students’and academic staff’s perspective of IPE by focus group discussions. We selected fifteen midwifery student, twenty medical students and twenty-two lecturers (midwifery and obstetrician gynecologist doctor) who were involved in IPE project. Data analysis used thematic analysis technique.Results: Findings showed four themes that presented the most common perspective in collaborative experience, (1) interprofessional communication, (2) the role each profession, (3) IPE learning model, and (4) suggested IPE model. The major obstacle was poor communication in daily practices. Developing an IPE model is important to improve patient care.Conclusion: The main common problem of IPC was interprofessional communication. That poor communication problem can be solved by developing intra-curricular and extra-curricular IPE model and train the effective interprofessional communication.

FACTORS THAT CONTRIBUTE TO THE SATISFACTION OF STUDENT IN THE MEDICAL RESIDENCY PROGRAM Vitriana Biben; Dian Marta Sari; Farida Arisanti; Sunaryo B Sastradimadja
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 3 (2018): November 2018
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: A high demand of physiatrist should be supported by quality assurance in education system of Physical Medicine & Rehabilitation (PMR) residency program, that could be done by evaluating satisfaction of its service users. This study was conducted to find the dimensions of service quality that influences the students satisfaction.Methods: A cross-sectional study with fifty subjects using total sampling technique was conducted. Service quality was evaluated using ServQual questionnaire consisted of five dimensions: ‘tangible’, ‘reliability’, ‘responsiveness’, ‘assurance’ and ‘empathy’. Statistical analysis consisted of bivariate analysis followed by a multivariate analysis was performed to determine the most significant dimension associated with student satisfaction which was measured using Likert scale.Results: Bivariate analysis revealed that all dimensions had significant association with satisfaction (p value < 0,05) except for ‘tangible’(p value = 0,060). Further multivariate analysis resulted in ‘reliability’ dimension as the most significant dimension associated with satisfaction (p value = 0,005; Adjusted OR = 142,67; CI 95% = 15,460-1316,587).Conclusion: Reliability is the most significant dimension associated with student satisfaction. Improvement of this dimension, followed by other significant dimensions would lead to satisfaction of the students.

RESIDENT AS TEACHER IN CLERKSHIP: STUDENTS’ AND RESIDENTS’ PERCEPTION Nurrahma Wahyu Fitriyani; Ova Emilia; Doni Widyandana
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 3 (2018): November 2018
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Resident has a significant role and time allocation as a clinical teacher in the learning process of medical students at the clerkship stage in clinical settings. Unfortunately, residents were often not formally asked to be involved in the teaching process. Residents’ role in medical students’ learning process in clerkship is still ill defined. The aim of this study was to explore the perceptions of resident and medical students on residents’ role as a teacher in clerkship using cognitive apprenticeship model.Methods: This study used quantitative descriptive, cross sectional design. Samples taken with total sampling were 153 students (68.3%) and 214 resident (60.6%) of the total population. Respondents were asked to fill The Maastricht Clinical Teaching Questionnaire (MCTQ), and the results were analyzed using ANOVA and independent t-test.Results: Results of quantitative analysis showed a difference of perception between students and residents in modeling (p = 0.008) and overall performance (p = 0.002) factor, in which students placed a higher point than the resident. These results were consistently found in three departments. While in three other, students gave a lower point than the resident. In addition, differences also found in the exploration factor based on residents’ study period and residents’ preferences for teaching.Conclusion: Residents’ role as a clinical teacher in clerkship is very important, especially as a role model for students. Taking into account of time allocations spent between students and the residents, improvement and optimalization of residents’ role as a clinical teacher appears to be an important requirement.

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