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INDONESIA
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education
ISSN : 22525084     EISSN : 26545810     DOI : https://doi.org/10.22146/jpki.46690
Core Subject : 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 383 Documents
BURNOUT AMONG PEDIATRIC TRAINEES IN INDONESIA: A NATIONAL SURVEY Annang Giri Moelyo; Bambang Tridjaja; Rina Triasih
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 3 (2021): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.63683

Abstract

Background: The intense workload and complex learning environment in pediatric specialist training program may lead to trainees’ burnout. The study aimed to assess burnout and the associated factors among pediatric trainees in Indonesia.Methods: We conducted a multicentre study involving all (15) pediatric training institutions in Indonesia from June to August 2019. A General Oldenburg Burnout Inventory (OLBI) was translated to Indonesian language. The OLBI comprised of 16 questions which assessed exhaustion (8 questions) and disengagement (8 questions). The online questionnaire was self-completed by pediatric trainees in the study sites. Ordinal regressions were performed to assess risk factors (age, marital, sex, resident stage of training, and university) for exhaustion and disengagement.Results: A total of 841 trainees from 15 pediatric training institutions in Indonesia completed the survey (response rate 71.2%). The majority (72.1%) of the trainees was female with mean age of 31.2 ± 2.9 years. The Cronbach’s-alpha was 0.74. The mean exhaustion and disengagement scores were 2.58±0.23 and 2.51±0.23, respectively. The proportion of vigor, mild, moderate and severe exhaustion were 48.3%; 42.0%; 9.0%; and 0.7%, respectively. The proportion of dedicated, mild, moderate and severe disengagement were 36.9%; 46.5%; 14.5%; and 2.1%, respectively. The stage of training (junior-intermediate stage), after adjusted to age, sex and institution was significantly increase the risk for exhaustion [odd ratio 1.47 (95%CI; 1.22-1.76)]. Disengagement level was significantly different among pediatric training institutions (located in Java and outer Java) [odd ratio 0.68 (95%CI; 0.529-0.885)].Conclusion: Burnout was common among pediatric trainees in Indonesia.
MANCHESTER CLINICAL PLACEMENT INDEX (MCPI) AS CLINICAL LEARNING ENVIRONMENT ASSESSMENT TOOL: ADAPTATION INTO INDONESIAN LANGUAGE Carolyn Carolyn; Arnold Lukito; Audelia Kathleen Sulaiman; Elisabeth Rukmini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 3 (2021): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.63982

Abstract

Background: Clinical Learning Environment (CLE) involves many active dynamics, perceptions construction, learners' experiences, and behavior while learning. It includes every human resource working and learning together, a health system, and communities. Standard assessment of CLE is essential to evaluate CLE. The Manchester Clinical Placement Index (MCPI) assesses the CLE based on Community of Practice Theory, emphasizing learning according to experience-based learning. Translation of the MCPI into the Indonesian language will be valuable to assess the CLE. This research intends to translate and adapt MCPI into the Indonesian language. Therefore, MCPI can be used to assess the CLE in Indonesian medical schools.Methods: An expert panel translated the MCPI into the Indonesian language (I-MCPI), and a language learning center validated the translation. Participants who were final year students (N: 155) filled up the online I-MCPI after the informed consent. To assess the I-MCPI validity, we performed exploratory factor analysis (EFA) and item discrimination. To seek reliability, we utilized internal consistency reliability showing as the Cronbach's alpha coefficient.Results: The factor analysis and item discrimination showed the I-MCPI's validity. We found two subscales similar to the original MCPI. Leadership, reception, people, facilities, and organization have similar correlation strength to Subscale Learning Environment (0.60-0.71). Instruction and observation have similar correlation strength to Subscale Training (0.86-0.89). Subscale feedback correlates less than 0.60 for both subscales; thus, we concluded that feedback went to the subscale Training as the original MCPI. Reliability of the I-MCPI showed an excellent internal consistency with Cronbach's alpha of 0.87.Conclusion: I-MCPI is a valid and reliable tool to assess the CLE. Further research with broader cohorts of medical schools will be valuable for advancing medical education in Indonesia. 
BURNOUT IN ACADEMIC PHYSICIAN DURING COVID-19 PANDEMIC Dian Puspita Sari; Yoga Pamungkas Susani; Emmy Amalia
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 10, No 3 (2021): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.64636

Abstract

Background: The COVID-19 pandemic has caused tremendous and abrupt changes in all aspects of social life, including healthcare and education. It has caused stress and psychological impact on physicians and other healthcare workers globally. Exposure to chronic occupational stress can lead to burnout. The multiple responsibilities of academic physicians potentially lead to a higher risk of burnout, particularly during this pandemic. This study aimed to obtain burnout profiles in academic physicians and factors associated with burnout during the COVID-19 pandemic.Methods: This was a cross-sectional study. The MBI-HSS was used to measure the three dimensions of burnout. Academic physicians' perception of distance learning, involvement in the clinical care of COVID-19 patients, involvement in faculty management, and healthcare facilities management were also included in the survey. Results: Among 42 participants (response rate 56%), 45.2% provided care to COVID-19 patients, 42.9% were involved in the management of healthcare facilities, and 35.7% in faculty management. Median of Emotional Exhaustion (EE) was 12 (1-35), Depersonalization (DP) 6 (0-19) and Personal Accomplishment (PA) 32.5 (16-47). Based on Z-score for each dimension, 23.8% have high EE, 16.7% high DP, 50% low PA, and 11.9% categorized as burnout. Involvement in healthcare facilities management and providing care for COVID-19 patients were significantly associated with higher EE (p = .030 and p = .029 respectively), while the perception of the workload of distance learning associated significantly with higher EE (p = .046) and DP (p = .014). Conclusion: Workload related to clinical work, healthcare management, and distance learning, associated with higher burnout in academic physicians during COVID-19 pandemic.
STUDENTS’ KNOWLEDGE AND PERCEPTION TOWARDS ASYNCHRONOUS BLENDED PROBLEM-BASED LEARNING Yuniar Dwi Yanti; Mieke Hemiawati Satari; Ike Rostikawati Husen
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 1 (2022): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.33404

Abstract

Background: Lecture is a dominant learning method that still used in teaching process. This method only focuses to lecturer and does not involving students’ participation enough. Problem Based Learning (PBL) is a learning method that could activate students’ participation, but it has many obstacles on its implementation. Asynchronous blended problem-based learning (ABLE PBL) is an innovative learning method that adopts (Problem Based Learning) PBL learning principles and it is expected to reduce problems in implementing PBL. This study was conducted to analyze the students’ knowledge between ABLE PBL method and lecture and to describe students’ perceptions towards ABLE PBL.Methods: A modified crossover design was conducted to determine students’ knowledge and descriptive study for students’ perception among a total sampling of 44 students who enrolled the third semester at Departement of Midwifery, Diploma Program at Dharma Husada Bandung Health College. It used Mann Whitney test to analyze students’ knowledge to each chapterResult: The result showed that there is no difference significantly of students’ knowledge between two groups for both chapters, ABLE PBL does not influence students’ knowledge but students’s perception about ABLE PBL is positive because the respondent experienced new method of learning. Conclusion: In conclusion, there are no differences between two groups significantly for each chapter with p value bigger than 0.05, yet ABLE PBL could give a positve perception to students.
LEVEL OF KNOWLEDGE, INTEREST, AND PERCEPTION OF CLINICAL ROTATION STUDENTS REGARDING FORENSIC MEDICINE AND MEDICOLEGAL SCIENCE Taufik Suryadi Ismail; Vera Dewi Mulya; Fathin Hidayah
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 1 (2022): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.61785

Abstract

Background: Forensic medicine and medicolegal science (FMMS) as mandatory competences that clinical rotation students must possess. However, the number of forensic medicine and medicolegal specialists is still significantly less. Currently,  there are 271 people recorded and spread across Indonesia, including two people in Aceh Province with three medical faculties to be managed. For this reason, it is necessary to think about how to increase the number of forensic medicine and medicolegal specialists in Aceh. This study describes the level of knowledge, interest, and perceptions of clinical rotation students regarding FMMS.Methods: The type of study was observational analytic with a cross-sectional design. The instrument used was an online questionnaire with a Content Validity Ratio of 0.750. The samples of this study were clinical rotation students who had passed the forensic medicine and medicolegal sciences stages. The samples were collected using the purposive sampling method.Results: A total of 102 respondents were involved in this study. The majority of respondents had good knowledge (97.1%). As many as 63.7% of respondents were interested in studying forensic medicine and medicolegal and 59.8% of respondents positively perceived these studies. Based on the Spearman’s statistical test showed a significant correlation between the interest and perception under the Sig.(2-tailed)  0.002 (Sig.(2-tailed) ≤0.05).Conclusion: Clinical rotation students of the Faculty of Medicine, Syiah Kuala University have good knowledge, high interest, and positive perceptions. This is a new opportunity and challenges for the development of FMMS in Indonesia.
FACTORS ASSOCIATED WITH DEPRESSION AMONG MEDICAL STUDENTS IN A MEDICAL SCHOOL DURING THE COVID-19 PANDEMIC Gilang Samudero; Hadiyanto Hadiyanto; Dharmady Agus
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 1 (2022): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.63305

Abstract

Background: The impact of the COVID-19 outbreak caused mental health problems, one of which is the depression. This study analyzed the factors associated with depression among medical students in a medical school during the COVID-19 pandemic. This study aimed to assess the factors associated with depression during the COVID-19  pandemic such as gender, the year of student, the residence during COVID-19 pandemic, the risk of infecting others, quarantine, and social distancing or physical distancing.Methods: Cross-sectional study was conducted on 185 preclinic medical students of School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia. Data was collected using the identity of participants, Depression Anxiety Stress Scale (DASS 42), and Patient Health Questionnaire (PHQ-9). Chi-square analysis were applied for this study, if the chi-square analysis did not meet the requirements, the researcher had to use the fisher exact test as an alternative test. Researcher also performed logistic regression analysis to determine the most significant factor.Results: The result of study showed that the year of student had the most significant relationship with depression measured by DASS 42 (p:0,043) and PHQ-9 (p:0,006) and the higher year of student or the higher semester of student had the decrease depression measured by DASS 42 (coef: -0,46; OR: 0,63; 95% CI: 0,406-0,985) and PHQ-9 (coef: -0,53; OR: 0,58; 95% CI: 0,404-0,858) with logistic regression analysis Conclusion: The year of student has the most significant relationship with depression . 
VIRTUAL LEARNING ENVIRONMENT AND LEARNING APPROACH AMONG PRE-CLINICAL UNDERGRADUATE MEDICAL STUDENTS DURING COVID-19 PANDEMIC Fellicia Naurah Andryas; Agneta Irmarahayu; Nurfitri Bustamam
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 1 (2022): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.63975

Abstract

Background: The ongoing COVID-19 pandemic has bestowed upon the global citizens what is now known as the new normal. The Ministry of Education and Culture of Indonesia has acted accordingly by commanding every academic institution to practice online learning to lower the transmission of the SARS-COV-2 virus. This abrupt pedagogical transformation imposes a new challenge for both students and teachers. Consequently, continuous monitoring and evaluation of the study process are essential to maintain high quality education. This research aimed to illustrate the perception of student's experienced virtual learning environment (VLE), chosen learning approach, and the association between      them.Methods: A cross-sectional design was chosen for this study. Participants (n=210) currently registered as pre-clinical undergraduate medical students during the 2020/2021  academic year were asked to complete an online survey. Online Learning Environment Survey (OLES) and Revised Study Process Questionnaire 2 Factors (R-SPQ-2F) are used to determine VLE effectiveness and learning approach, respectively.Results: The study showed that 99% (n=208) of the students perceived their VLE as highly effective and 88,6% (n=186) used the deep learning approach. Fisher’s exact test revealed a significant correlation between perceived VLE and the learning approach (p=0,013). Conclusion: An effective VLE is of paramount importance as it influences students' approach to learning during their study. Academic institution needs to support proper evaluation of VLE to ensure high quality education is being delivered continuously. 
QUALITATIVE INTERVIEW WITH SENSITIVE PARTIPANTS Rosaria Indah
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 1 (2022): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.64308

Abstract

Background: Interview is the most frequent data collection method utilized in qualitative research. It is used to explore perceptions and/or life experiences of participants related to a particular research topic. When a research investigates a traumatic topic, participants may show sensitive reactions. However, there is scant literature talks about these reactions and how researchers dealt with them, especially in Indonesian context. This case study aims to discuss the author’s experiences interviewing sensitive participants and ways she overcame dilemmas of stopping the interview or continuing it with caution.Case discussion: The case study draws on reflective practices during interviewing 21 disaster-affected participants in a larger ethnographic study exploring medical education in Aceh, Indonesia, inspired by methodological memos written during data collection processes. Sensitive participants may offer three sensitive reactions: 1) Refuse to do interview, 2) regret the interview after revealing many traumatic experiences, 3) show negative symptoms such as crying during the interview. In dealing with these sensitive reactions, researchers may implement strategies, such as  1) conducting interview at a proper time, 2) avoiding ‘normalization’, 3) putting emotion provoking questions at the last part of an interview, 4) applying communication approaches, such as CARE communication dan 3L actions (Look, Listen, and Link), 5) offering participants some alternative ways to do interviews.Conclusion: The findings suggest researchers exploring traumatic topics to prepare themselves with various interpersonal communication skills that are useful in showing acceptance toward sensitive reactions of their participants.  
THE RELATIONSHIP BETWEEN TYPES OF ADMISSION SELECTION AND ACADEMIC ACHIEVEMENT IN THE FIRST-YEAR STUDENTS DURING THE TRANSITION TO DISTANCE LEARNING DUE TO COVID-19 PANDEMIC Nikla Sekar Salsabila; Kurnia Wahyudi; Yuni Susanti Pratiwi; Eko Fuji Ariyanto; Achadiyani Achadiyani
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 1 (2022): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.64464

Abstract

Background: In 2019, there were three admission pathways in the Faculty of Medicine Universitas Padjadjaran (FMUP), which were SNMPTN (Seleksi Nasional Masuk Perguruan Tinggi Negeri), SBMPTN (Seleksi Bersama Masuk Perguruan Tinggi Negeri), and Seleksi Mandiri Universitas Padjadjaran (SMUP). SNMPTN was based on previous academic achievements in senior high school. SBMPTN was held through a highly competitive national examination, while SMUP was conducted through the test held by Universitas Padjadjaran. In their first year, batch 2019 students had to adapt to college life, and also to the transition into distance learning due to the COVID-19 pandemic. This study aimed to know whether types of student admission selection contribute to academic achievements of the first-year students in the Hemato-immunology system (HIS), where the learning process was held during the transition into distance learning.Methods: This study compared the academic achievement of first-year students (batch 2019) on the second semester’s second half, using their HIS Multidisciplinary Examination (MDE) scores, for three selection methods. The data were 256 MDE scores of those students. Statistical analysis was performed using One Way ANOVA test, followed by Post-hoc Tukey test.Results: There was a statistically significant difference of HIS MDE scores for each selection method. The highest mean was by SNMPTN group (68.29+10.44), followed by SBMPTN group (64.90+11.29) and SMUP group (63.25+9.95).Conclusion: Students of SNMPTN group, who were selected based on previous academic achievements in senior high school, had higher HIS MDE scores than the other groups. 
STRESS LEVELS AMONG UNDERGRADUATE MEDICAL STUDENTS ON EXPOSURE TO ONLINE LEARNING Sanian Inama; Yuke Sarastri
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 1 (2022): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.64507

Abstract

Background: Adolescence is a time of significant psychosocial and physiological changes, such as changes in the reactivity of the hypothalamic-pituitary-adrenal (HPA) axis, which causes an increase in stress-induced hormonal responses. Mental health disorders in medical students are often reported. Moreover, during the COVID-19 pandemic, most medical schools have changed the pre-clinical learning curriculum to online learning, hence most of the student's needs cannot be fulfilled. This study aims to determine the overview of the stress level among undergraduate medical students in Indonesia on exposure to online learning.Methods: This research uses a descriptive cross-sectional design. The primary data was taken with Medical Student Stressor Questionnaire, with undergraduate medical students, especially semester III-VII, as the target population. The minimal population was calculated using a stratified random sampling technique. Data were analyzed using the descriptive method.Results: In this study, most of the students experienced moderate stress (49.1%). Based on their age, the highest stress level was found in students aged 20 years (37%). Based on their gender, a higher stress level was found in female students (61.1%), compared to male students (38.9%). Based on the year, the highest stress level was found in the class of 2019 students (35.2%).Conclusion: Most of the students of the Faculty of Medicine in Indonesia experienced moderate stress during online learning. There is no significant difference between the stress levels of undergraduate medical students before and after the implementation of the online learning system