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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.
Arjuna Subject : -
Articles 383 Documents
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CLINICAL EDUCATION DURING COVID-19 PANDEMIC: EXPLORING MEDICAL STUDENTS AND CLINICAL SUPERVISORS’ EXPERIENCES Noija, Stazia; Suhoyo, Yoyo; Hidayah, Rachmadya Nur
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 1 (2023): Maret
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.76568

Abstract

Background: COVID-19 has become a global pandemic that has caused significant changes, including in the context of implementing clinical education. Medical students and clinical supervisors face various adjustments that become a dilemma. This study aims to explore the implementation of clinical education in the era of the COVID-19 pandemic based on the experiences of medical students and clinical supervisors.Methods: Qualitative research was performed using purposive sampling. Informant interviews were arranged until data saturation was achieved, followed by an analysis process using thematic analysis.Results: Seven themes were identified, including learning opportunities and engagement, interaction with patients, communication and interaction with colleagues and supervisors, facility and individual management, supervision process, awareness and confidence, and evaluation and assessment on clinical rotation. The results of this study indicate several changes in the implementation of clinical education during the COVID-19 pandemic compared to before the COVID-19 pandemic.Conclusion: There are several noticeable changes in the implementation of clinical education during the COVID-19 pandemic compared to before the pandemic by referring to the experiences of medical students and clinical supervisors. It is related to the factors that influence the implementation of clinical education during the COVID-19 pandemic. 
CHALLENGES AND FACTORS INFLUENCING THE IMPLEMENTATION OF CLINICAL SKILL TRAINING AS A TRANSITION TO CLERKSHIP COURSE Aisyah, Windy Nurul; Hidayah, Rachmadya Nur; Suhoyo, Yoyo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 1 (2023): Maret
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.76580

Abstract

Background: Transitioning from a preclinical environment to clinical practice requires different skills than academic abilities.  Medical students and tutors must make various adaptations that can be challenging during the clinical transition. Efforts to improve student preparation to face the transition from preclinical to clinical can be done with transition-to-clerkship courses (TTCC). The purpose of this study is to find out the benefits and challenges of implementing the Clinical Skill Training (CST) program as a transition-to-clerkship course (TTCC)Methods: Qualitative research with a case studies approach was performed using purposive sampling. Focus Group Discussion (FGD) and the in-depth interview continued until data saturation was reached, after that thematic analysis approach was used to do the analysis.Results: Students stated that CST is a learning program aimed at refreshing or recalling previously obtained material.  Apart from being a material refresher program, CST facilitates peer learning about exchanging information and giving each other feedback. The tutors thought that CST can bridge the knowledge gap possessed by previous students regarding a disease diagnosis. The link between theory and practice of action will be strengthened during CST. The challenges include supervisor absence, lack of facilities, short intervention time, incomplete evaluation tools, and lack of clinical case variety.Conclusion: The implementation of CST can improve clinical reasoning, provide focused skills learning, and as a good transition program. This study should be used as feedback for the CST program, and further study is suggested to generalize the findings nationwide.
STRESS LEVEL OF MEDICAL STUDENTS IN ONLINE LEARNING DURING COVID-19 PANDEMIC AND ITS IMPACT ON ACADEMIC ACHIEVEMENT Tjang, Yanto Sandy; Prihatiningsih, Titi Savitri; Prabandari, Yayi Suryo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 1 (2023): Maret
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.76645

Abstract

research on its prevalence is still very few and inconclusive. The relationship between stress and academic achievement in medical students remains a matter of debate. This study aims to determine the stress level of medical students in online learning during the COVID-19 pandemic and its impact on academic achievement.Method: This descriptive-analytical study used a cross-sectional design on undergraduate medical students from the 2019-2021 class. The questionnaire distributed online contained questions related to characteristics of respondents, 14 questions from DASS-42 questionnaire to measure stress, and questions related to respondents' perceptions of online learning and semester achievement index (IPS). Data were analysed descriptively and analytically using logistic regression method with the help of SPSS Statistics 26 software. Results: Of 431 students, 411 (95%) students participated in this study. The prevalence of stress in respondents was 41.8%, majority was mild (13.4%) and moderate (13.9%). Lack of interaction between lecturers and students increased 1,691 times the risk of stress. A total of 403 (98.1%) respondents had IPS ≥ 3. Stress on respondents did not have negative impact on academic achievement, although statistically not significant (OR = 0.831; 95% CI = 0.196-3.524; p-value 0.801).Conclusion: The prevalence of stress for medical students in online learning during COVID-19 is quite high, majority was mild and moderate. Lack of interaction between lecturers and students increased risk of stress. Majority of respondents have good IPS. Stress on respondents apparently did not have negative impact on academic achievement.
FACTORS AFFECTING MEDICAL STUDENTS’ STRESS DURING COVID-19 PANDEMIC: A CROSS-SECTIONAL STUDY Limanda, Claudia Felicia; Purnawati, Susy; Adiputra, Luh Made Indah Sri Handari; Tirtayasa, Ketut
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 1 (2023): Maret
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.77961

Abstract

Background: Since the emergence of COVID-19 in 2019, Indonesia’s COVID-19 Task Force has implemented distance or online learning in educational sectors, especially in Java and Bali. In its implementation, a certain number of medical students developed a tendency to prefer online learning compared to face-to-face learning without completely understanding its risks. Other factors such as financial barriers, social isolation, limitation of physical activity, change of diet, and anxiety-prone tendencies in COVID-19 pandemic, not much further research has been carried out. This study aims to determine whether medical students’ stress can be aggravated by several factors, namely online learning, financial barriers, social isolation, limitation of physical activity, change of diet, and anxiety-prone tendencies in order to obtain information whether online learning can be applied, even when the pandemic is over.Methods: Research design used a quantitative approach. Data collection was performed through online questionnaires distributed to 238 medical students selected using simplified random sampling. Data was analysed descriptively and inferentially. Inferential analysis used T-Test and ANOVA Test.Results: Online learning, financial barriers, social isolation, limitation of physical activity, change of diet, and anxiety-prone tendencies independently and cumulatively elevate medical students’ stress. Cumulatively, independent factors mentioned above have 85% effect in aggravating of medical students’ stress.Conclusion: Online learning application has to be reconsidered due to additional stress implicated to medical students. In addition, financial barriers, social isolation, limitation of physical activity, change of diet, and anxiety-prone tendencies are important factors in aggravating medical students’ stress.
MIDWAY TO DIGITAL TRANSFORMATION OF MEDICAL EDUCATION: CURRENT PERCEPTION AND ADAPTATION OF MEDICAL STUDENTS TOWARDS SYNCHRONOUS ONLINE LECTURES Tan, Giovanna Renee; Utomo, Prattama Santoso; Suhoyo, Yoyo; Hidayah, Rachmadya Nur
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 2 (2023): Juni
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.73707

Abstract

Background: The Covid-19 pandemic had forced majority of medical institutions to cease face-to-face learning and implement online synchronous technology. Thus, the improvement of online synchronous learning had become a priority for the continuity of medical education. This study explored students’ self-regulated online learning behavior and perception towards synchronous online learning during the Covid-19 pandemic.Methods: This study used a cross-sectional mixed-method design. Stratified random sampling was applied for participant recruitment that included 101 participants, whom are medical students from academic year 1 to 3 (2018-2020) . A total of 12 interview participants were recruited purposively to allow adequate representation of each batch. Data were collected using a modified Self-regulated Online Learning Questionnaire-Revised and a semi-structured interview. Descriptive statistics and thematic analysis were used for data analysis.Results: Approximately 72.28% of participants (N = 101) were of the higher self-regulated online learning behavior group. Batch 2019 had the highest percentage of higher-self regulated learning participants (27.72%, n = 35, p = 0.899). The environmental structuring average score was the highest (x̄ = 5.77), while persistence domain was the lowest (x̄ = 5.03). The participants appreciated the use of technology to provide quality lectures and flexibility of attending lectures. However, classroom interaction and accountability was a major challenge.Conclusion: Synchronous online lectures have the potential to allow students find their effective study time and method during the Covid-19 pandemic. 
LESSON LEARNED FROM PILOTING COLLABORATIVE ELECTIVE POSTING FOR MEDICAL STUDENTS BASED ON LOCAL WISDOM Mustika, Rita; Felaza, Estivana; Fadhilla, Maulida Rohmatul
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 2 (2023): Juni
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.75019

Abstract

Background: The COVID-19 Pandemic urges medical education to adjust the learning process, one of which is to become more efficient. Sharing resources is one of the adjustments that could be applied, and the elective posting based on Indonesia’s local wisdom could be one of the options. Therefore, we want to share the lesson learned from a collaborative elective posting between three faculty of medicine in Indonesia that can be a model for other medical institutions in sharing resources for learning.Aims: This case study aims to describe the implementation and lessons learned from an elective posting program.Case discussion: The collaborative elective posting is the elective posting module developed by three medical institutions from three different areas based on each of their local wisdom. Each institution recruits two pre-clinical students from another institution to join the module together with a group of students from the original institution. The module is four weeks long and worth three credits. Various learning methods, including lectures, small group discussions, and field studies, were used in each module. The goal of each module was assessed by portfolio, final report, and final writing test. At the end of the module, a self-administered questionnaire was used to assess student and team satisfaction. All students (100%) enjoyed the module and received excellent final grades ranging from A- to A; however, there were some difficulties in the module management, including scheduling and facilities.Conclusion: The collaborative elective posting is a learning innovation that can be utilized to improve medical education efficiency and efficacy.
REASONS FOR COMMITTING OR AVOIDING ACADEMIC DISHONESTY AND SOLUTIONS AMONG PRECLINICAL DENTAL STUDENTS DURING THE COVID-19 PANDEMIC: A GROUNDED THEORY APPROACH Asmara, Aditya Hari; Rahayu, Gandes Retno; Prihatiningsih, Titi Savitri
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 2 (2023): Juni
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.75689

Abstract

Background: Virtual education implemented during the COVID-19 pandemic has various limitations and one of the biggest challenges is academic dishonesty. Global research related to reasons for committing or avoiding academic dishonesty among preclinical dental students during the COVID-19 pandemic is still very limited. This study aimed to explain the reasons for committing and avoiding academic dishonesty as well as the solutions among preclinical dental students during the COVID-19 pandemic.Methods: The grounded theory approach was used by conducting semi-structured virtual in-depth interviews with preclinical dental students. Participants were selected using purposive, snowball, and maximum variation sampling. Interview transcripts were analyzed using a constant comparative approach.Results: The reasons for committing and avoiding academic dishonesty as well as the solutions among preclinical dental students during the COVID-19 pandemic can be explained by the same two factors: internal and external. Internal factors are students, while external factors are teachers and learning activities.Conclusion: Teaching adequate professionalism to students, effective faculty development, and "especially" improving learning activities can be preventive efforts against academic dishonesty.  
THE INFLUENCE OF PSYCHOLOGICAL ASPECTS ON STUDENT SUCCESS IN THE INDONESIAN MEDICAL DOCTOR NATIONAL COMPETENCY EXAMINATION (UKMPPD) AT A MEDICAL FACULTY Meida, Nur Shani; Puspitosari, Warih Andan; Majdawati, Ana; Rizqi, Muhammad Arif
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 2 (2023): Juni
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.75863

Abstract

Background: The success of medical professional education can be measured by The Indonesian Medical Profession Program Student Competency Test (in Indonesia known as UKMPPD). UKMPPD can also be used as an indicator of clinical year students’ success in achieving competence based on the Indonesian Doctor Competency Standards (known as SKDI). The UKMPPD exam involve the cognitive domain, measured by the computer-Based Academic Test (CBT) and the psychomotor domain, measure by the Objective Structured Clinical Examination (OSCE). There are several factors that can affect students’ success in UKMPPD, one of which is psychological factors namely optimism, motivation, anxiety, depression and fighting spirit.Aims: This study aimed to measure the influence of psychological aspects on students’ success in UKMPPD at the Doctor Professional Education Program (PSPD), Universitas Muhammadiyah Yogyakarta (UMY).Case Discussion: This was an analytic observational with a cross-sectional design. It was conducted at PSPD UMY in 2018. There were 192 students of Universitas Muhammadiyah Yogyakarta (UMY) who underwent the UKMPPD exam in the August 2018 period, became the samples, aged 20-26 years. Students filled out standardized instruments (assessed optimism, motivation, depression, anxiety, fighting spirit).Conclusion: It can be concluded that there is an influence of psychological aspects (optimism, motivation, depression, and anxiety scores) on UKMPPD pass.
HOW TO DEAL WITH BURNOUT DURING ONLINE LEARNING IN MEDICAL EDUCATION? A SYSTEMATIC REVIEW Arigi, Lalu Ahmad Gamal; Mustika, Rita; Greviana, Nadia
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 2 (2023): Juni
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.75898

Abstract

Background: During their education, medical students face various types of stress in medical school. The COVID-19 pandemic has caused significant changes in communication. Technology improves the usage of telecommunications in medical education, making students spend more time staring at screens, tablets, and smartphones, which may affect stress and lead to burnout. This study aims to explore burnout and strategies for reducing the occurrence of burnout in students during online learning.Method: This study is a systematic review aimed at exploring the burnout phenomena in medical students doing online learning and strategies to prevent it. The journal articles were sought from the PubMed, Google Scholar, and Springerlink databases. We applied the inclusion and exclusion criteria to select the relevant journal articles. We analyze the validity and review the articles descriptively. Results: After the systematic selection of the journal articles, there are 28 full journals related to burnout and prevention strategies. The result defines Burnout as an individual's reaction to long-term work stress that lasts for a long time and can become chronic. In this article, six strategies can be used by institutions, educators, and students to help overcome the incidence of burnout during online learning.Conclusion: There is a need for a strategy carried out by institutions that provide facilities to provide emotional support to students; develop educators to prevent burnout during the learning process; apply healthy practices in preventing the eyes from doing ice-breaking between online learning sessions, and use various visual interactive learning methods to increase the interest and motivation of students to avoid burnout during online learning.
CONTENT VALIDITY FOR THE RESEARCH INSTRUMENT REGARDING TEACHING METHODS OF THE BASIC PRINCIPLES OF BIOETHICS Suryadi, Taufik; Alfiya, Fadilah; Yusuf, Muhammad; Indah, Rosaria; Hidayat, Taufik; Kulsum, Kulsum
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 2 (2023): Juni
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.77062

Abstract

Background: Bioethics teaching especially related to the basic principles of bioethics can be done by several methods. Currently in the Faculty of Medicine, Universitas Syiah Kuala applying conventional lecture methods, so that other methods are needed to make teaching more interesting. To get the teaching method that students want, a research is carried out through filling out questionnaires. In order for the research questionnaire to be valid, it is necessary to validate the instrument through the content validity of the questionnaire.Methods: The content validity of the questionnaire is carried out by determining the score of each statement item and calculating the Item Content Validity Index (I-CVI), Scale Content Validity Index-Average (S-CVI/Ave), Scale Content Validity Index-Universal agreement (S-CVI/UA), Content Validity Ratio (CVR), Content Validity Index (CVI) and Cohen Kappa Index (CKI) was conducted by 10 assessors from 10 different institutions.Result: The results of the validation of the contents of the questionnaire from the 29 statement items tested obtained that 96% the CVR was ≥ 0.800, 96% I-CVI was ≥ 0.900, CVI was 0.903, S-CVI/UA was 0.551, S-CVI/Ave was 0.952 (recommendation 0.90), average proportion of items judges as relevances across the ten experts 0.949 and CKI was 95,17%.Conclusions: The content validity of this research instrument is very high seen from the CVR, I-CVI, the average value of agreement between assessors (S-CVI/Ave), and the average value of the proportion of statement item relevance (S-CVI/UA) so that it can be developed in various similar studies that discuss the teaching methods of basic principles of bioethics.

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