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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 377 Documents

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Culture Influence to Students' Interaction due to Achieving Deep Learning Process in Problem Based Learning Hikmawati Nurokhmanti; Herma Roebertsens
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 2 (2015): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: In order achieving deep learning in tutorial process, collaboration among member of tutorial group becomes important factor. The quality of collaboration is determined by the students’ interaction which is influenced by students’ perception sourced from culture. This study aimed to reveal the relationship between students’ cultural perception with their interaction in tutorial.Method: This study used quantitative approach with distributing questionnaire to students in lecturer session during June – July 2012. The Pleijers et al questionnaire was used in this study. While question for cultural perception were extracted from theoretical background: teacher dependencies, group influence, learning orientation, ethnic influence, and response to feedback. Pearson or Spearman correlation test was chosen for further analysis.Results: There is correlation between students’ interaction with their perspectives since each type of interaction had significant r-value with specific students’ perspectives. Explorative and cumulative reasoning type of interaction could be endangered by students who have negative learning orientation, easily influenced by inactive group, and negative response to feedback. While handling conflict type of interaction is influenced by students’ perception on their ethnicity and response to feedback.Conclusion: Expected interaction during tutorial is complex situation which is influenced by students’ perspectives. Thus also involve teacher as tutor who also has perspectives derived from culture. Another research on tutor derived culture perspectives should be further explored.

Pengaruh Pembelajaran Reflektif dan Metakognisi terhadap Penalaran Klinik Mahasiswa Program Profesi Dokter Eti Poncorini Pamungkasari; Amitya Kumara; Armis Armis; Ova Emilia
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 2 (2015): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Most clinical students still have difficulties in clinical reasoning process. Previous study mentioned that reflection and metacognition are factors could influence clinical reasoning. This study aimed to measure the effect of reflection, metacognition, age, sex, duration of clinical rotation, duration of undergraduate program taken by students, and students’ final remark on undergraduate program to students’ clinical reasoning.Method: This study was a quasi-experimental pretest postest control group design, conducted at RSUD Dr Moewardi Surakarta. We selected 185 clinical students by purposive sampling technique. The study used the Metacognitive Awareness Inventory (‘the MAI’), Motivation scale on Motivated Strategies for Learning Questionnaire (‘the MSLQ’), and Script Concordance Test as instruments. The analyses used multiple linier regressions. Results: The intervention of reflection learning increased clinical reasoning 1,11 unit (p=0,319); The increase of 1 unit score metacognition decreased clinical reasoning 0,01 score (p=0,806), increasing one semester duration of undergraduate program decreased clinical reasoning 1,17 score (p=0,297), increasing students’ final remark on undergraduate program increased clinical reasoning 15,98 score (p=0,006), female students had 1,97 lower score of clinical reasoning than male (p=0,103), increasing one month of duration clinical rotation increased clinical reasoning 0,01 score (p=0,958), increasing one score of motivation increased clinical reasoning 0,01 score (p=0,529). Conclusion: Clinical learning and metacognition can not influence clinical reasoning significantly. Clinical teacher and clinical students should be familiarized with reflection learning. Further researches are needed to exploring influencing factors to clinical reasoning.

Pengaruh Role Model terhadap Pilihan Karir pada Mahasiswa Fakultas Kedokteran Fatty Maulidira; Rizma Adlia Syakurah; Mariatul Fadilah; Hendarmin Aulia
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 2 (2015): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Introduction: Career as a doctor is not finished after graduate from basic medical education and clerkship. It will continue and there are many career options that can be choose, divided into clinician or non-clinician. There are many factors that influencing career choice, and one of them is role model. This research aimed to know how role model influence career choicing at students’ of Medical Faculty of Sriwijaya University. Method: This research is descriptive qualitative research. Data is acquired from Program Studi Pendidikan Dokter students by survey with open questions and in-depth interview.Results: 293 students become respondents of the survey and 8 students become key informants form in-depth interview. Based from informants, positive role model’ criterias are having a good-teaching method, looking good, having a good communication method, good attitude and behavior, skilled, and success in their career so that students want to follow those positive role model. Informants also said that negative role model’ criterias are having bad teaching method, bad looking and having bad attittude and behavior so that students don't want to follow role model’ trait. Conclusion: Positive role model can make students interested to follow positve role model’ career, and negative role model make students do not want to follow negative role model’ trait.

Efektifitas Pelatihan Kader Kesehatan dalam Penanganan Tuberkulosis di Wilayah Binaan Elman Boy
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 2 (2015): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Medan is an area with the largest TB patients in the North Sumatra Province. Since 2014, Medan Denai Distric is a target area of Medical Faculty of University Muhammadiyah North Sumatra (FM UMSU). One of the implemented program is formulating a Community Forum on TB Care. The objective of this study is to find out the effectiveness of TB management training by improving the knowledge of health cadres. Method: This was a one-group pre test-and post-test design. Participants of the research were all the TB care Forum members that was selected by inclusive criterias. Data collection was conducted by using quesionnaires of knowledge. Data analysis used Wilcoxon test with significancy level = 0,05.Results: The cadres knowledge significantly rise after the TB management training.Conclusion: TB management training for health cadre was effective in improving knowledge of health cadre.

Memaknai Checklist bagi Mahasiswa Kedokteran dan Profesi Kesehatan: Resensi Buku Carolyn Carolyn; Kevin Yulianto; Elisabeth Rukmini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 1 (2015): MARET
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Atul Gawande dalam bukunya menceritakan tentang berbagai peristiwa tidak terduga yang terjadi dalam rutinitas karya bidang kedokteran. Rutinitas yang dilakukan karena kecerobohan atau ketidak telitian seseorang dapat berdampak pada orang lain, dalam hal ini pasien yang hidupnya bergantung pada tiap keputusan dan tindakan dokter. Dimulai dari pengalamannya sebagai dokter bedah, Atul Gawande menceritakan kompleksnya manajemen yang harus dilakukan seorang dokter terhadap pasiennya dan mudahnya seorang dokter dapat tertipu oleh gejala pasien. Dalam bidang medis penanganan yang cepat dan tepat diperlukan pasien-pasien UGD maupun bedah, kesalahan yang kecil dalam tindakan medis atau keluputan seorang dokter melakukan anamnesis dapat mengakibatkan kelumpuhan bahkan kematian pasien.

Eksplorasi Sumber Imajinasi Mahasiswa tentang Profesi Dokter Yoga Pamungkas Susani; Gandes Retno Rahayu; Rossi Sanusi; Yayi Suryo Prabandari; Harsono Harsono
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 3 (2015): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: In the process of becoming a doctor, a medical student experiencing the development of professional identity. In this process, students need a broad picture of medical profession. They need to orient themselves in the medical profession to determine the future professional identity as a doctor. Source of the picture of medical profession needs to be explored further. This study aims to explore the ways students get picture of the medical profession.Method: Qualitative research by conducting in-depth interviews to 17 preclinical and clinical medical students. Determinants and emergent coding performed to analyze the results of the interview.Results: Source of imagination can be derived from the curriculum and outside the curriculum. Students get two important things, first was overview of the work environment and how the physician work and second was physician professional values. Characters of role models identified primarily from student interaction with faculties. The characters include faculty’s role as teacher, as doctor, their personal atributes and how they interact with students.Conclusion: Formal curriculum plays important roles in providing and facilitating students to get overview about the work environment and how the doctors work in the health service. Although the transfer of professional value to students is determined by the hidden curriculum, but the formal curriculum can facilitate by providing activities that allows the interaction between generations or conduct review on fiction and non-fiction medical stories and histories that is obtained from media.

Hubungan Antara Kepribadian Dasar dan Kapasitas Mental dengan Persepsi, Perilaku dan Intensi Integritas Akademik Hikmah Muktamiroh; Yayi Suryo Prabandari; Soenarto Sastrowijoto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 3 (2015): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Educational institutions must promote the learning of professional behavior as early as possible and conduct evaluation of the implementation, including evaluation of the academic integrity implementation. This study aims to determine the academic integrity perception, behavior and intention of students and their relation to mental capacity and basic personality of students based on the MMPI-2 measurements.Method: This was a non-experimental, conducting quantitative survey involving 209 medical students from one of Faculty of Medicine in Indonesia.Results: The relationship between mental capacity and basic personality based on the measurement of MMPI-2 and the perceptions, attitude and intentions of academic integrity were found. On mental capacity, a correlation was found between potential performance and perceptions (r = 0.169 and p = 0.014) and academic integrity behavior (r = 0.170 and p = 0.014), between adaptability and perception of academic integrity of fellow students (r = 0.149 and p = 0.032), between psychological constraints and academic integrity behavior score (r = 0.137 and p = 0.049) and between moral integrity and perception score of academic integrity (r = - 0.220 and p = 0.001). On the basic personality, there was a correlation between openness to pressure and perceptions of academic integrity of fellow students (r = 0.141 and p = 0.041), as well as between basic personality and perception (r = 0.169 and p = 0.014) and academic integrity behavior (r = 0.154 and p = 0.026).Conclusion: There is a correlation in some variables of mental capacity and basic personality based on MMPI-2 to perception and academic integrity behavior.

Gambaran Evaluasi Penilaian Mahasiswa Program Studi Pendidikan Dokter terhadap Lingkungan Pembelajarannya Agustina Arundina Triharja Tejoyuwono; Ita Armyanti; Rangga Putra Nugraha
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 3 (2015): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Medical science program Faculty of Medicine Tanjungpura University implements a Competency-Based Curriculum or in Indonesian called as Kurikulum Berbasis Kompetensi (KBK), corresponded to the Kurikulum Inti Pendidikan Tinggi III (KIPDI III). The curriculum is applied since academic year of 2005/2006 and has been evaluated into Curriculum of 2013 (Kurikulum 2013). Learning environment is the manifestation of a curriculum, so that the assessment of the environment in the institution of medical program is a part of the implementation of the evaluation of the curriculum. DREEM questionnaire (Dundee Ready Education Environment Measure) is one of the tools that are appropriate to measure the learning environment. This research aims to assess the students’ perception of the learning environment on academic year of 2013/2014.Method: This research is a descriptive study with cross sectional design, conducted to measure the learning environment in students of medical science program. The DREEM questionnaire was used as the measurement tool. This research was conducted in November 2013 at Faculty of Medicine Tanjungpura University, Pontianak, West Borneo.Results: The total score of the DREEM obtained in this research is 14,55/200, which shows that students considered the learning environment, including lecturers, social environment, learning process, academic achievement, and learning atmosphere as positive environment. The students assumed that the environment could still be improved by optimizing the resources.Conclusion: The students inferred that the learning environment could still be improved by optimizing the existing resources as well as getting support by the faculty and university administrators itself.

Metode Pembelajaran Peer Assisted Learning pada Praktikum Anatomi Saharnauli J. Verawaty Simorangkir
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 2 (2015): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Peer Assisted Learning is an active discussion and cooperative learning method within the framework of a partnership in the peer-aged group with the formal structures of the course. PAL is widely seen to be actualised in two modes of operational implementation, which is refer to as “horizontal” and “vertical” peer support. Vertical method was chosen for this research. Method: This research was used causal-comparative design. Tutees for this research was the students of Faculty of Medicine Universitas HKBP Nommensen from batch 2013 who were undergoing block Respiratory System. Tutees were divided into two groups : 24 students in the control group and 25 students in the treatment group. Both of these group consisted of five tutorial groups in which each group consisted of 4-5 students. Whereas the tutor for the treatment group was 5 students from batch 2011. Pre-test and post-test was given to all of the tutees. This research used a questionnaire modified from Clinical Teaching Preference Questionnaire (CTPQ). Results: Pre-test and post-test was analyzed using dependent T-test and Wilcoxon, and the result showed that there were significant enhancement for both of group (p ˂ 0,05). The result from CTPQ indicated most of the students strongly agree that this method was very helpfull in anatomy lab (4,40 ± 0,96). Conclusion: PAL method provided many benefits in learning process including improved social interaction between students and independence in learning.

Validasi Kuesioner Elemen PBL yang Mempengaruhi Keputusan Belajar Mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan Galuh Suryandari; Yayi Suryo Prabandari; Rossi Sanusi
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 4, No 3 (2015): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Several elements of PBL have been identified and prepared with a questionnaire to be reused. Variables of PBL elements that influence students' learning decisions are assessed using a questionnaire of PBL elements that affect students’ learning decisions. This study is one part of a study reported in a different journal of medical education. The objective of this study was to validate a questionnaire of PBL elements that influence learning decisions of students in FKIK UMYMethods: A total of 584 students from major A, B, C, and D in FKIK UMY on the introductory tutorial groups with Indonesian as discussion language were invited to fill out a questionnaire. Construct validity was assessed by testing the validity of the items, Crönbach alpha, factor analysis, convergent and discriminate validity.Results: A total of 582 students of the major A, B, C, and D FKIK UMY on the tutorial groups with Indonesian as the language of instruction participated in the study (response rate 99.6%). Data showed that the questionnaire on PBL elements that affect student learning decisions have a high construct validity.Conclusion: The questionnaire of PBL elements that influence students’ learning decisions in Indonesian version is valid and can be reused. A deeper, further qualitative research on the other PBL elements can be conducted to improve the questionnaire.

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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

INDONESIA