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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.

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Articles 383 Documents

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Perbedaan Kemampuan Empati Mahasiswa Keperawatan di Program Studi Ilmu Keperawatan Fakultas Kedokteran UGM Anisa Hidayah; Martina Sinta Kristanti; Mariyono Sedyowinarso
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 2 (2013): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Nurses are supposed to be able to show empathy to patients. Empathy is capability to feel the emotion, thought, and condition of the patient without involving self emotion. Capability of showing empathy in nurses is builtsince the period of education. Every stage in nursing education at nursing study program has different learning activities and load of materials. The difference may be affected by capability of showing empathy in students. The objective of this study is to identify difference in empathy capability of nursing students of Faculty of Medicine UGMMethod: This was a quantitative study with cross sectional design. Samples were taken through purposive proportional sampling involving 88 nursing students at Faculty of Medicine Universitas Gadjah Mada undergoing academic education (batch 2009 to 2012) and clinical education (batch 2007 and 2008). Empathy capability was assessed using Jefferson Scale of Physician Empathy – Nursing Student Version R (JSPE-R).Results: Average score of empathy capability was 113.26 with standard deviation 10.45. There was difference in empathy capability of students of batch 2007 to 2012 (p=0.014). Average score of empathy capability of the students decreased along with the duration of education. There was no difference in empathy capability based on gender (p=0.516), age (p=0.668), ethnic group (p=0.167), and stage of education (p=0.541). There was difference in score of standing in the patient shoes between academic and clinical students (p=0.022).Conclusion: There is difference in empathy capability in nursing students from different batch at Faculty of Medicine UGM.

Pengaruh Kuliah Konseptualisasi dengan Peta Konsep pada Awal Pelatihan Keterampilan Medik terhadap Nilai OSCE Akhir Blok B P Suryosubianto; Yayi Suryo Prabandari; Ova Emilia
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 2 (2013): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: OSCE is known as a skills examination method with high level of objectivity and reliability. Many efforts explore to increase OSCE achievement. Increasing the underlying knowledge of medical skills prior to a skills training proven to improve the skills achievement. A lecture delivered using concept maps, are considered better than the conventional lecture. The objective of this study is to find out that a lecture using concept maps before splinting skills training will increase the OSCE scores.Method: A quasi-experimental post test only study was conducted among 151 students of the Faculty of Medicine, General Achmad Yani University studying trauma at the fourth semester. The 74 students of the experiment group got a trauma lecture using concept maps, the 77 students of the control group got a trauma lecture without concept maps. The result of the splinting OSCE scores of the two groups were compared and statistically analyzed.Results: The average value of the OSCE score of the experiment group was significantly higher (89.10) than the control group (84.93). There were no differences in OSCE score among different gender, grade point average value, and the expertise of the instructors.Conclusion: Lecture in trauma before splinting skills training using the concept map that explains on the conceptualization (i.e. indication, contraindication, and how to prevent, identify and treat the splinting complications), will increase the score of OSCE. Demonstration of cases according to the theme of the subject involving a group of students, will enhance student understanding of the lecture topics.

Kontribusi Stresor dan Motivasi Kerja terhadap Kinerja Tenaga Kependidikan Berdasarkan Uraian Tugasnya di Institusi Pendidikan Kesehatan Karya Husada Kediri (Sebuah Analisis Jalur) Wahyu Nuraisya; Firman F. Wirakusumah; Tina Dewi Judistiani
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 2 (2013): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Quality of management education is an important aspect for the continuity of education and the acquisition of quality outcomes. Human resource management requires good performance of educational personnel in providing services to students and the lecturers themselves supporting the implementation of tasks. For the lecturers, the demand of task implementation is sort of a stressor. A good motivation well-achieved the performance of educational personnel. This study aimed to determine the correlation of stressors and motivation of the lecturers’ performance based on job descriptions in the work of health education institution Karya Husada Kediri.Method: This study is an analytical research correlated with cross-sectional approach. The population is all educational personnel in health education institution Karya Husada Kediri. Study sample was 50 educational staff with a total population of the technique. Collecting date using questionnaire.Results: The results of correlation analysis using Pearson test found that work stressors negatively correlated (r = -0.315) with the performance, and there is a positive correlation (r = 0.408) between work motivation and performance. The results of analysis using path analysis showed a influence between stressors and simultaneously with the performance of work motivation with square values of r = 0.359 and the influence of other variables that are not observed at 0.641.Conclusion: Low work stressors and highly motivation could raise the performance of the educational personnel at health education institute Karya Husada Kediri so in that way there is much more thing to do how to deal with work stressors and motivational improvement to gain better performance.

Fleksibilitas Belajar Mengajar Melalui Metode Blended Learning Fandianta Fandianta; Guardian Yoki Sanjaya; Widyandana Widyandana
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 2 (2013): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: E-learning as a new paradigm in modern education, is an alternative learning model than just face to- face. As simply, e-learning is defined as learning to use the electronic media, which aims to increase knowledge and performance. Studying by using e-learning is important to build the education sector in Indonesia, particularly as an effort to improve equity and access in education, particularly in health domain. Implementing of e-learning in health education are very relevant to the concept of continuing medical /health education that leads to continuous professional education. However, the higher education in Indonesia is still slightly to implement learning-based electronic systems. Several studies have shown the enthusiasm of higher education in using e-learning. The benefits and differences of using e-learning need to be carefully evaluated, especially for health education. This study analyzed the use of e-learning for teaching and learning in health education. In addition, identifying the barriers of e-learning for students.Method: The study was conducted in Poltekkes Kemenkes Palembang involving second-year Nursing students. A quasi-experimental approach was used for two groups of students, 1) e-learning users (treatment) and 2) non e- learning users (control), who were taking the Health Promotion subject. The data were collected using a pre-post tests and questionnaires. Data was analysed quantitatively and qualitatively.Results: Pre-post test results showed a significant difference to the increasing of students’s knowledge who is participating in e-learning compared with conventional learning (p <0,05). There is a positive perception of the discussion, assignments, quizzes / exams, and the availability of teaching materials amongst the students who are participating in e-learning.Conclusion: Blended learning method provide a positive impact on teaching and learning in nursing students. This method should be considered as a complement to conventional learning.

Persepsi Mahasiswa dan Tutor tentang Kejadian Kritis Selama Diskusi Tutorial dan Jenis-jenis Interview Terhadap Kejadian Tersebut Amelia Dwi Fitri; Harsono Mardiwiyoto; Efrayim Suryadi
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 3 (2013): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Tutorial group discussion is one of the key features of problem based learning. The tutor-facilitated group discussion is not always work as planned. Critical incident during tutorial is one of the factors that may hinder group dynamics. Six factors hindering group dynamics (unequal participation, lack of cohesion, lack of motivation, lack of elaboration, lack of interaction, and personality problem), play role in critical incidents during tutorial. Tutor’s and students’ perception on critical incidents are affected by each individual point of view on the incidents. The point of view will influence intervention expected by students and actual intervention done by tutor. Tutor’s capability to do proper intervention is one of the factors needed to ensure group discussion to progress well. The aim of this research is to identify students and tutors perception on critical incidents during tutorial and types of intervention done by tutor to overcome these incidents.Method: This is a mixed-method research which combines quantitative and qualitative approaches. 352 students of 4 batches and 21 tutors involved in this research. Students and tutors’ perception on critical incidents were collected using questionnaire consist of 36 Likert-scale items, and 2 open-ended questions. Intervention done by tutors was further explored using focus group discussion with tutor and students, based on quantitative result.Results: Similar perception were found in both students and tutors regarding the factors influenced critical incidents during tutorial the most, which was unequal participation. Nevertheless, different perception was found between students and tutors on factor that hindered discussion which require tutor intervention; students with difficult personality, whereas tutors stated participation imbalance. The other five factors: tutor’s factors, feedback, assessment, quality of scenario, logistics, and scheduling issue were found to have role in critical incidents in tutorial. Tutor’s intervention to critical incidents had been done, even so, further development is needed.Conclusion: Students’ and tutors’ perception on critical incidents were in line in term of the most frequent incidents, but differ in factor that hinder discussion the most and require tutor’s intervention. There were many other factors that influenced critical incidents besides students’ factors. Interventions which had been done by tutors were not adequate in order to overcome arising critical incidents.

Efektifitas Berbagai Metode Pembelajaran untuk Partisipasi Aktif Mahasiswa dan Stimulasi Proses Clinical Reasoning Widyandana Widyandana
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 3 (2013): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Skills lab program can be conducted by several methods, such as training by mannequin, role play with peers, simulated patients, and training in community. Medical students are expected to play an active role in training and always practice their clinical reasoning skills. However, there are still many students not ready for implementing some medical procedure in their clerkship. Therefore, this study aimed to compare the level of active participation and the clinical reasoning process of students obtained in four learning methods in skills lab.Method: This study used a cross-sectional design with random survey questioner to 150 medical students in Medical Faculty of GMU (n=150). This survey were expected to explore the impression of students to each learning method, particularly in the active participation in practice and the clinical reasoning process. The results were analyzed using descriptive quantitative method by comparing total score of each learning method.Results: The results showed that the learning method of medical skills in community is superior to 3 other methods, namely practice with mannequins, role play with peers, as well as simulated patients, both in promoting the active participation of students and stimulating the clinical reasoning skills (p<0.05).Conclusion: Medical skills training in community is more effective in promoting the active participation of students in practice and stimulating the clinical reasoning skills. However, it should considerate with compatibility of topic, students’ readiness, and combined methods if needed.

Pandangan Mahasiswa terhadap Hambatan pada Pelaksanaan Skill Lab di Fakultas Kedokteran Universitas Andalas Hardisman Hardisman; Yulistini Yulistini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 3 (2013): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Skills lab is a clinical skill training using model and simulation, which is very important in the learning process to develop clinical skill competencies of medical students. Through the process, the next step of learning on real patients will be safer and more effective. The study was conducted to explore learning barriers of medical students in the skill lab training to obtain experiences and competencies.Method: A qualitative study was conducted to explore the problems using in-depth interview as method of data collection. Thematic analysis was used to analyze the data. The respondents of the study were 46 medical students in semester V and VII in the Faculty of Medicine, Andalas University.Results: The main barriers that the students faced were clinical instructor factors, such as late attendance and replacement time with shorter allocation. Due to these factors, the students could not obtain optimal learning process, supervision and required competencies. Other factors such as lack of simulation model and limited time had also significant impact.Conclusion: Learning barriers of skill lab training were caused by multi factors. Therefore, systematic arrangement, facility and assessment, and the quality of instructors’ performance need to be improved.

Self-Reflection and Insight pada Mahasiswa Kedokteran dan Hubungannya dengan Persepsi terhadap Perilaku Profesional Shulhana Mokhtar; Ova Emilia; Efrayim Suryadi
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 3 (2013): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: In term of health service duty, physicians unprofessional behavior, than their lack of knowledge or skills, are more likely to cause some problem. The issues of professionalism can be identified when student are still in the process of education. There are several things associated with the development of professionalism, such as self-reflection and the ability to understand (insight) the incidents around them in this study professional behavior was mainly connected with responsibility. This study aimed to examined the relationships between UMI medical students (SRI) and perception of professionalism (responsibility)Method: It is a quantitative study using cross sectional approach. The participants were UMI students of batch 2009-2011 who are still studying at the university data were obtained from the questionnaires SRI scale and perceptions scale. Descriptive statistics, t-test and ANOVA-test and Pearson correlation test were used to analyze the data.Results: In general, students SRI score were LOW (M=2,46), as well as students’ perceptions of responsible behavior (M= 2,25). Based on students characteristics, significant difference in SRI was only found in the high school of origin (p = 0,043) and in the perception was found in father’s occupation (p = 0,018). Correlation analysis found a significant relationship between SRI and perceptions of professionalism (p = 0,0001).Conclusion: Self-reflection and insight of UMI medical students were still low and they were aligned with students’ perceptions of professional conduct (responsibility) which were also low. These values varied by students characteristics but for all intents and purposes, the differences were not significant.

Feedback Menggunakan Telepon Genggam terhadap Latihan Mandiri Mahasiswa: Penelitian Kualitatif Ide Pustaka Setiawan
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 3 (2013): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Feedback is usually delivered face to face, in appropriate manner and appropriate time (Dent & Harden, 2005), from instructor to the students during skills training session. But how the instructor gives feedback when the students conduct independent study? Could recording facility of students’ mobile phone (hand-phone) solve this problem? The aims of this study are to understand whether or not mobile phone could be used to provide feedback toward students’ independent study as well as to develop a process of giving feedback using mobile phone toward students’ independent study.Method: This was qualitative study. All first year students academic year 2010/2011 (n=400) were assigned to do independent study to practice communication skill, basic physical examination, vital sign examination toward 10 differently healthy person in community. During independent study, students asked to record their skill using video recording facility within their own mobile phone. The recording file from mobile phone was then burnt to the CD. Both peers and instructors asked to watch the students’ performance in VCD as well as to give written feedback which is equipped by structured questions. Survey as to feedback given to students toward both peers (n=49) and skills lab instructor (n=50) which are selected randomly was conducted. After receiving written feedback from both peers and instructors, students who perform in VCD were asked to make written reflection about feedback that is given to them.Results: All data obtained from survey were compiled. Three coders were assigned to analyze the data. They worked separately to look for the finding categories (open coding) assisted by atlas-ti 6.0 software. Coders meet frequently to discuss the finding and achieve agreement. The study yielded the following results: 1) feedback on skills feedback on quality of recording includes feedback on: video, recording tools, actor and setting, 3) Students’ reflection said that the feedback is useful; 4) There are suggestions to improve the recording result.Conclusion: 1) Mobile phone could be used to provide feedback toward students’ independent study, 2) Technical things should be noticed in order to get better quality of recording.

Evaluasi Penerapan Metode Pembelajaran Berpusat pada Mahasiswa (Student Centred Learning) pada Program Studi Ilmu Gizi Fakultas Kedokteran Masyarakat Universitas Hasanudin Aminuddin Aminuddin; Gandes Retno Rahayu; Efrayim Suryadi
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 3 (2013): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Shifting method from teaching to learning approaches require students to take the initiative to learn more, while academic staff only acts as a facilitator and requires them to be able to manage learning activities well. Thus it is necessary for them to know several methods of essential student centered learning so they can select the most suitable type of learning method to achieve the learning competencies from a single subject. The objective of this study is to evaluate academic staff knowledge, students of Nutrition Department, Faculty of Public Health class of 2008 and 2009 and supporting staff’s knowledge about student learning centered method.Method: This research was conducted with the mixed method (embedded design, qualitative research as part of the quantitative research) with a primary emphasis on quantitative research involving all students of class 2008 and 2009, who are still in the academic phase, academic staff of nutritional department and supporting staff of Faculty of Public Health, Hasanuddin University.Results: There are 3 methods most answer correctly by 54,5% of respondents that the advantages of using small group discussion, advantages of cooperative learning and problem based learning weaknesses. While the least correct answer is the advantage of problem-based learning method that is 4,5% respondents. For open questions, the most preferred methods are small group of, 18,2%; case studies of 18,2% and PBL of 13,6%. While the least preferred methods are cooperative learning and discovery learning 13,6%, respectively. This question is actually an open question so there were 27,3% of the respondents that did not answer; the preferred method or not.Conclusion: Respondents generally knew and heard the term SCL through correspondence, newspaper and faculty meetings. Respondents define SCL as learning with computers, in small rooms or some sort of FGD. In terms of the benefits of SCL respondents define it variously; to develop the potential and motivation of students, students more actively seek and accept; provide opportunities for students to obtain more sources, students find it easier to find lecture material”; student is more serious in his courses”; students more active in the lecture”; students are more self-sufficient“. Efforts made for the implementation of the SCL, according to in formant sare facilitating room equipments, props and LCD; expedite the administrative process; monitoring, inserting topics, and being ontime in the implementation of lecturers and improvementals of academic staff.

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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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