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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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COMPARISON BETWEEN PAPER-BASED AND WEB- BASED TEST IN THE CLINICAL SKILLS LABORATORY OF UNDERGRADUATE STUDENTS Doni Widyandana
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 2 (2019): Juli
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: E-Learning or web-based technology can be used to train undergraduate medical students’ clinicalreasoning skills. Currently, many learning methods are being developed using web-based environment to replacepaper-based because they are more efficient in terms of paper usage and are flexible for a student in accessingmaterials. This study aims to explore student’s working durationaccess time and scores upon the usage of webbasedtest, to compare students’ scores to paper-based test scores, to explore the advantages anddisadvantages, andsuggestions to improve the web-based learning method.Method: This study randomly enlisted 60 medical students of Universitas Gadjah Mada, Yogyakarta, Indonesiaand divided them into web-based (n = 30) and paper- based test (n = 30) groups. Students answered 15 disastermanagement questions and completed a questionnaire. The scores and times needed to answer the questions werecompared using the Mann-Whitney and Independent Sample tests.Results: The duration to answer in the web-based group was shorter than in paper- based group (p = 0.001), butthe average scores difference was not significant (p = 0.169). In the web-based group, similar numbers of studentsaccessed the website during and after working hours. Survey questionnaire results showed that most students realizedthe advantages of this program and gave appropriate suggestions.Conclusion: Practicing clinical reasoning skills using web-based learning method is more time-efficient comparedto the paper-based test. Its high-accessibility improves the learning interest and motivation of the student, with anequal outcome to the paper-based test.

TUTOR’S ABILITY IN IMPLEMENTATION PROBLEM-BASED LEARNING IN A MEDICAL FACULTY Indah Puspasari Kiay Demak; Puspita Sari; Andi Alfia Muthmainnah Tanra
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 2 (2019): Juli
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Problem-based learning is a student-centered learning approach. PBL activities include an implementation of tutorial discussions that will be facilitated by the tutor. The active role of students to search the learning resources and describe it in tutorial discussion until desired learning objectives and expected competencies reached can not be separated from the role of tutor. The aim of this study was to evaluate tutor’s ability in implementation problem-based learning in Medical Faculty Tadulako University.Methods: This was a cross sectional study with quantitative descriptive approach. The subjects were all students in second, third and fourth year. Data collected from 5 likert scale questionnaire of tutor’s ability.Results: The highest score of tutor’s ability was helping students’ comprehend principles theories in constructive learning, make conclusion in self directed learning, and got constructive feedback in collaborative learning. In contextual learning, for second and fourth year students was to apply knowledge in similar situation, while for third year was to apply knowledge in cases discused.Conclusion: Tutor’s ability was high for all PBL aspects, which contextual learning was the highest, while constructive leaning was the lowest.

THE IMPACT OF SOCIAL MEDIA USAGE TO ACADEMIC PERFORMANCE Suita Allemina Gloria; Surya Akbar
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 2 (2019): Juli
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Social media is basically a tool for someone to interact with other people with use of internet. In futher, social media is not only used as a tool for interact with others, but it can be used on learning process. This study aims to analyse correlation betwen duration of using a social media with academic performance.Method: This study used a cross sectional design. Respondents on this study are 126 undergraduates students on fourth years in Faculty of Medicine, Universitas Islam Sumatera Utara. Using of a social media are measured by how long a student use of a social media based on their purpose (learning or entertainment). Results from the measurement will grouping into two different group, that is using of a social media for learning group and for entertainment group. The academic performance was measured by calculating a Grade Point Average (GPA) of each student. The collected data were analyzed by using Spearman Correlation method.Results: There was a significant correlation betwen duration of using a social media for learning process with academic performance (r = 0,554, p = 0,0001). Similarly, there are a significant correlation betwen duration of using a social media for entertainment with academic performance (r = -0,568, p = 0,0001), but the coefficient correlation have a negative value.Conclusion: The social media have an impact to academic performance, where the students who used more social media as a learning process have a good GPA and the students who used more social media as a entertainment have a bad GPA. Sugesstions that can be given based on this study are the use of social media can be considered as a tool for helping students enhancing learning process.

SELF-REGULATED LEARNING IN CORRELATION TO LEARNING OUTCOME OF COMPUTER-BASED TEST PREPARATION OF MEDICAL STUDENTS Ade Pryta R. Simaremare
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 3 (2019): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: After the preclinical and clinical phase, medical students have to pass the Uji Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD) consisting the computer-based test (CBT) and objective structured clinical examination (OSCE). In preparation of the examinations, the student should follow tutoring activity. During the process, the student will be given try outs to measure the learning outcome. This study aimed to measure the self-regulated learning in correlation to learning outcome of Computer-based test of May 2018 batch preparation participants in Medan. Methods: This was an observational correlation analytic study with cross sectional method and 204 respondents collected. The self-regulated learning score obtained using a questionaire and the learning outcome obtained from the try out scores average gained by the respondents. Result: This study revealed that most of the participants represented bad in self-regulated learning (72,1%). The metacognition aspect mainly represented in bad (55,9%), the motivation aspect mainly represented in bad (77%), however, the behaviour aspect mainly represented in good (51,5%). The learning outcomes mainly represented in fail (87,3%). According to chi square test, this study showed that there was no correlation between self-regulated learning and learning outcome of students prepared for the CBT of May 2018 batch in Medan (p value = 0,731). Conclusion: Learning outcome affected by many factors. The students ability of learning, thinking, and problem solving affected by adaptation in values, beliefs, and customs that evolved in their social and cultural environment. Furthermore, it also affected by self confidence, motivation and learning purposes. Keywords: medical student, computer-based test, self-regulated learning, learning outcome

CORRELATION OF STUDENT PERCEPTIONS ON LEARNING ENVIRONMENT, PARTICIPATION, AND ACADEMIC PERFORMANCE IN A MEDICAL SCHOOL Yusril Rahmi Sukmawati; Dian Puspita Sari; Yoga Pamungkas Susani
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 2 (2019): Juli
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Student perceptions of the learning environment can influence student participation in learning. Both of these variables can possibly affect students’ academic performance. The purpose of this study was to assess the correlation between perceptions of the learning environment, participation in PBL tutorials, and academic performance of the pre-clinical stage students of the Faculty of Medicine Universitas Mataram.Methods: This was a cross-sectional study. Student perceptions of the learning environment were assessed using The Dundee Ready Education Environment Measure (DREEM) questionnaire. Participation in PBL tutorials was measured by an instrument that assess preparation for the tutorial, interactions during the tutorial, and students’ self-management. Academic performance was measured from the block’s main exam score. A total of 286 out of 303 medical students from year 1 to year 4 (94.39%) participated in this study.Results: The mean of the total DREEM score, participation score, and academic performance respectively were135.94 ± 17.27; 83.20 ± 9.48; and 61.48 ± 13.47. There was a correlation between student participation and academic performance (r 0.569, p < 0.001), student perceptions of the learning environment and student participation (r = 0.225, p < 0.001), and student perceptions of the learning environment and academic performance (r = 0.190, p < 0.001).Conclusion: Student participation in tutorials is related to student academic performance. Participation possibly mediates the relationship between student perceptions of the learning environment and academic performance.

COMPARING THE EFFECTIVENESS OF LED TV/LCD AND WHITEBOARD AS A LEARNING MEDIA IN PBL TUTORIAL DISCUSSION IN A MEDICAL SCHOOL AT INDONESIA Prattama Santoso Utomo; Savitri Shitarukmi; Noviarina Kurniawati; Widyandana Widyandana
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 3 (2019): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Learning media do have an important role in facilitating learning for medical students, especially in Problem Based Learning (PBL) curriculum. TV-LEDs, LCDs and whiteboards are currently popular to be used as the learning media for PBL tutorial discussions. TV-LEDs and LCDs are digital technologies which are considered more sophisticated when compared to whiteboards. Undergraduate medical students in Faculty of Medicine, Universitas Gadjah Mada (FM UGM), Yogyakarta-Indonesia attend PBL tutorials every week and use those learning media to facilitate their tutorial discussions. This study aimed to compare the effectiveness of TV-LEDs/LCDs and whiteboards as learning media in PBL tutorial discussion.Methods: A cross-sectional study using both qualitative and quantitative (mixed method) survey approaches. A total of 398 third and fourth year undergraduate medical students of FM UGM participated the survey. Data were collected using a questionnaire that incorporated close-ended questions using likert-scale (quantitative) and open-ended questions (qualitative). Quantitative data were analysed based in ARCS (Attention, Relevance, Confidence, Satisfaction) grouping method and qualitative data were analysed using deductive qualitative analysis.Results: The survey found based on ARCS groups that A = 3,68; R = 3,63; C = 3,69; S = 3,71. These results indicate that students are eager and enthusiastic in using the technology of TV-LEDs/LCDs as learning media. The qualitative responses describe the benefits and limitations of both TV-LEDs/LCDs and whiteboards as learning media in PBL tutorial. Students also provide some suggestions to optimise the benefits of both learning medias in facilitating learning in PBL tutorial.Conclusion: The use of TV-LEDs/LCDs as learning media in PBL tutorial received a positive response overall. TV-LEDs/LCDs are considered more effective and interactive rather than whiteboard. Students suggested that TV-LEDs/LCDs should be used side-by-side with whiteboard.Keywords: TV-LED/LCD, whiteboard, tutorial, learning media, effectiveness, medical student

TOPICS IN MEDICAL EDUCATION ELECTIVE BLOCK: A STUDY USING DELPHI METHOD Geraldo Geraldo; Elisabeth Rukmini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 3 (2019): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Problematic practices performed by doctors and clinical phase students often be found in the workplace settings. Common problems related to team working is the highest rated problems. To overcome this problem, we designed an elective course, Medical Education block (ME) and have implemented the course since 2014. This study aimed to find topics in ME which were meaningful toward medical student’s practices. Methods: A Delphi method were utilized. The experts were the subjects themselves to acknowledge that they were the participants of the ME block, other elective blocks, and clerkship. There were 21 respondents consisted of 2012, 2013 and 2014 bathces. All the subjects were in their clerkship or at the end of their education. They were divided into two groups: who enrolled in ME (n=10), and other blocks (n=11). The questionnaire was consisted of three parts. The first part listed 5 main topics with responses of agree/disagree. The second part listed the same topics, but subjects needed to response the weight on each topic. The last part listed 27 topics in ME Block that might or might not relate to clerkship. Responses were given in agree/disagree. Results: Using two-rounded Delphi method, we found the average of rate of agreement (roa) on the first round was 88% and the second was 81%. There were only 2 statements of the second part which had roa >70%. Thus, the second part went to the 2nd round together with the 3 statements of the third parts. Finally, there were only 2 statements of the second parts achieved roa and there were 2 topics left undecided of the third part. Conclusion: Few topics which were proven useful for medical students were personal education, medical education research, and professionalism. Keywords: practices, medical education, elective course

IS CADAVER STILL NEEDED IN MEDICAL EDUCATION? Muhammad Mansyur Romi; Nur Arfian; Dwi Cahyani Ratna Sari
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 3 (2019): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Medical education has been developing very rapidly. Cadavers, which can serve as very important learning resources, need special concern for their availability and utility.Methods: This narrative review is based on related articles freely downloaded which discuss the role and availability of cadavers worldwide. The recent Indonesian condition with Universitas Gadjah Mada as a case will be described.Results: Cadavers play important roles in several aspects, from bioethics and behavioral development until clinical skills, in basic education and especially in postgraduate and advance clinical training. The availability of cadavers has declined significantly, and as a result, the impacts must be considered. Most cadavers are unidentified bodies, eventhough presently a body donation program is recommended as the alternative source.Conclusion: Currently in Indonesia, timely participation is needed from various stakeholders to support effective and efficient cadaver availability and utility. Additional learning resources are needed to be developed in order to assure quality improvement of medical education.Keywords: cadaver, medical education, bioethics, unidentified bodies, body donation.

THE UNDERGRADUATE MEDICAL STUDENTS’ PITFALLS IN EYE EXAMINATION STATION OF OBJECTIVE STRUCTURED CLINICAL EXAMINATION Widyandana Doni; Angela Nurini Agni; Agus Supartoto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 3 (2019): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: High prevalence of eye disorders in Indonesia requires medical doctors to be skillful and well trained in ophthalmologic examination. Undergraduate medical students usually start their clinical simulation practice and ophthalmology assessment in a safe learning environment. Skill laboratory as the learning facility should be evaluated and improved regularly. This study aimed to evaluate student’s pitfalls in the eyes OSCE station. Methods: Descriptive analytic study involving Objective Structured Clinical Examination (OSCE) eye examination station score from 1st - 4th year undergraduate medical students batch 2010 in Faculty of Medicine, Universitas Gadjah Mada, Indonesia (n=516). All checklists’ scores were analyzed based on particular sub-scales in every examination topic to explore the most pitfalls made by students in eye examination station during OSCE. Results: The order average value of each subscale in OSCE are: Doctor patient interaction (88.42), History taking skills (82.44), Professionalism (76.43), Physical Examination (74.62), Diagnosis (60.68), Management of Pharmacotherapy (54.70). The percentage of failed-students (scores <70) in 1st-4th year OSCE based on topics skills were Year 1: Visual field (5.08%), Visual acuity (14.21%), Anterior Segment (2.54%). 2nd year: IOP by palpation (24.38%), Visual acuity (9.38%), Anterior Segment (29.38%). Year 3: visual field (4.94%), IOP by palpation (2.47%), Visual acuity (12.35%), Anterior Segment (7.41%), Posterior Segment (22.22%). Year 4: Comprehensive eye exam (17.95%). Conclusions: Students mostly challenged in the skills of diagnosis establishment and pharmacological management. The highest number of failed students in each year OSCE vary from each year. 1st year failed most at visual acuity examination, 2nd year was anterior segment examination and 3rd year was posterior segment examination. Those three skills need to be enhanced systematically. Keywords: OSCE, pitfall pattern, eye examination, undergraduate students, skill laboratory

IS PATIENT SAFETY AT THE HEART OF MEDICAL EDUCATION IN INDONESIA? REFLECTION ON THE IMPACT OF THE NATIONAL EXAMINATION Rachmadya Nur Hidayah
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 8, No 3 (2019): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

ABSTRACT Background: National examinations in Indonesia (UKMPPD) has been implemented since 2007 as a quality assurance method for medical graduates and medical schools. The impact of UKMPPD has been studied since then, where one of the consequences were related to how it affected medical education and curricula. This study explored the consequences of UKMPPD, focusing on how the students, teachers, and medical schools’ leaders relate the examination with patient care. This study aimed to explore the impact of UKMPPD on medical education, which focusing on the issue of patient safety. Methods: This study was part of a doctoral project, using a qualitative method with a modified grounded theory approach. The perspectives of multiple stakeholders on the impact of the UKMPPD were explored using interview and focus groups. Interviews were conducted with medical schools’ representatives (vice deans/ programme directors), while focus groups were conducted with teachers and students. A sampling framework was used by considering the characteristics of Indonesian medical schools based on region, accreditation status, and ownership (public/ private). Data was analysed using open coding and thematic framework as part of the iterative process. Results: The UKMPPD affected how the stakeholders viewed this high-stakes examination and the education delivered in their medical schools. One of the consequences revealed how stakeholders viewed the UKMPPD and its impact on patient care. Participants viewed the UKMPPD as a method of preparation for graduates’ real clinical practice. The lack of reference for patient safety as the impact of the UKMPPD in this study showed that there were missing links in how stakeholders perceived the examination as part of quality assurance in health care. Conclusion: The UKMPPD as a high-stakes examination has a powerful impact in changing educational policy and programmes in Indonesia. However, in Indonesia, the examination brought in the reflection on how the “patient” element was lacking from medical education. This research offers an insight on the concept of patient safety in Indonesia and how the stakeholders could approach the issue. Keywords: UKMPPD, national licensing examination, impact, competence, patient safety, curriculum

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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

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