bluuebunny/crossref_metadata_2025 huggingface dataset:
Keefektifan Metode Microskill Untuk Meningkatkan Kualitas Supervisi Klinik
Authors: Sunarko Sunarko , Emilia Ova , Mardiwiyoto Harsono
Published: May 2021

Background: Clinical education requires competent supervisor to guide student. Supervisory competency should be trained and closely monitored to ensure quality learning process taking place. The aim of this study is to evaluate the effect of micro-skill supervisory model to improve the supervision quality among nursing student. Method: The research used quantitative approach with quasi experimental design. Subject consisted 91 students of the third year Nursing students at Magelang Health Polytechnic. Students were divided into two groups: intervention group (44 students) and control group (47 students) using purposive sampling. Research questionnaire consisted of 21 items which were derived from 5 micro skill domains was used. Intervention was supervision using micro-skill model during 2 weeks in a rotation of clinical practice.Results: There was no difference of quality clinical supervision was used in the control group while in experiment group the pre and post test score was significantly different. The experiment group had higher quality of supervision. The study showed that only 9 items showed significant improvement of supervision and 12 items did not show any improvement.Conclusion: Clinical teaching using micro skill model is more effective in improving the quality of nursing student clinical supervision compare to the conventional method.
Peran Umpan Balim Bagi Mahasiswa Kedokteran
Authors: Wungouw Herlina I.S , Doda Diana V.
Published: May 2021

Background: Feedback is an important part in teaching and learning process that serve as a catalyst to enhance learners’ achievement. In medical education, the importance of feedback has been recognized for learners at all level; undergraduate and postgraduate, in preclinical and clinical phases for more that twenty years. This literature review wants to explore what is the effective feedback for medical students and what are the factors that affect giving feedback?Method: Relevant literatures are selected as basis of recommendations on giving feedback in medical education.Results: The eighteen articles that fulfill the inclusion criteria have been collected from several resources include Medline, Pubmed and ERIC databases. Characteristics of effective feedback have been identified from those articles include positive, specific, private, well-timing, non-judgmental, interaction with sender, immediately given, from expert content, simple, and task oriented. While the factors affect giving feedback fall into four topics: the content of feedback, the method of delivery, sender credibility and training.Conclusion: Feedback in medical education has an essential role to enhance students’ learning behavior. Four factors that were affecting feedback delivery are content of the feedback, feedback delivery method, feedback provider’s credibility, and also training in feedback delivery.
Korelasi Kepemimpinan dengan Komitemen dan Lingkungan Kerja Dosen D3 Kebidanan
Authors: Widyasih Hesty , Sutisna Ma’mun , Wirakusumah Firman F.
Published: May 2021

Background: Leadership in midwifery education may bring into positive change such as increase of organization quality. Leadership facilitates to build high working commitment and good working environment. Malcolm Baldrige criteria is a working management system that can measure leadership, working commitment and environment. This study aimed to analyze the correlation between leadership and working commitment or environment based on Malcolm Baldrige Criteria.Method: This was quantitative research with cross sectional design. Subjects of this study were 60 lecturers of diploma 3 midwifery in the DIY Province. The research was conducted in March-April 2011 using questionnaire based on Malcolm Baldrige Criteria. Data were analyzed by Rank Spearman and Chi Square with level of significant p<0,05.Results: There was positive correlation between leadership and working commitment (rs=0,740, p<0,001). Leadership has a positive correlation with working environment (rs=0,719 and p<0,001). The chi square result of leadership and working commitment and environment corellation shows p value<0,001. The more effective the leadership the higher the working commitment and environment would be. Age and work experience had no correlation with variables in this study. there were no difference between respondent who are married and unmarried regarding all variables.Conclusion: Based on Malcolm Baldrige Criteria, leadership has positive correlation with lecturer’s working commitment and environment.
Pengaruh Kinerja Tutor terhadap Kemandirian Belajar Mahasiswa dalam Problem Based Learning di Fakultas Kedokteran UISU
Authors: Martinus Martinus , Rahayu Gandes Retno , Emilia Ova
Published: May 2021

Background: For two years implementation of PBL in Faculty of Medicine Islamic University of Sumatera Utara several phenomenon should be evaluated such as various performance of tutor in facilitating PBL and student’s self study not much. This research aimed to evaluate the relationship between tutor performance and student’s self study and reporting process in PBL.Method: This was observational analytical research, cross sectional study with population of all students of Faculty of Medicine Islamic University of Sumatera Utara. Primary data was collected from June to August 2009. Instrument used were tutor performance evaluation questionnaire, self learning activity evaluation questionnaire and student’s self study and reporting process in PBL questionnaire with Likert scale. Kruskall Wallis test was used to assess the relationship between tutor and student performance.Results: Average score of tutor performance on first year was higher compared to the second year students (p=00,32). There is significant difference in student’s self study and report process in PBL between high and moderate tutor performance’s group (p=0,000; p=0,000), high and low tutor performance’s group (p=0.007, p=0,008), but not significant difference between moderate and low tutor performance’s group (p=0,111, 0,280).Conclusion: Tutor performance is related to higher level of student’s self study and report process in PBL.
Persepsi Mahasiswa Terhadap Pelaksanaan Mini Clinical Examination Excercise (Mini-CEX) Pada Program Pendidikan Kepaniteraan Klinik
Authors: K Gusti Raditya , Suhoyo Yoyo , Hadianto Tridjoko
Published: May 2021

Background: Mini-CEX was developed to assess the clinical skills of students through direct observation and constructive feedback on student achievement. To test Mini-CEX well as assessment methods, it is necessary to evaluate the implementation of Mini-CEX as Mini-CEX assessment methods and benefits of the learning process, as well as the professional development of students as future doctors, in the form of assessment of students’ perceptions of the Mini- CEX implementation. The objective of this study are to validate an instrumen for measuring the level of student perceptions in the implementation of Mini-CEX in Faculty of Medicine, Universitas Gadjah Mada’s clerkship program, to know the student’s opinions about the implementation of Mini-CEX as a method of assessment in clerkship program and benefits to student learning and professional development, to know the relationship students’ Mini-CEX point to student’s perception in the implementation of Mini-CEX in clerkship program medical faculty of GMU, and to compare the perceptions of students in Mini-CEX implementation in clerkship program Medical Faculty of GMU based on the characteristics of the department.Method: Research was conducted with a cross sectional study design. The research utilized closed questionnaires, each contained 5 likert scales. The questionnaires were given to the students who conducted clerkship in Faculty of Medicine, Universitas Gadjah Mada during the period of September 2010–March 2011. A total number of 103 students who become subjects in this study, which are consisted of 72 students in Internal Medicine Department and 32 students in Neurology Department. The correlation between student perception and Mini-CEX score was analyzed by using spearman correlation test. Mann-Whitney test was used to analyze the differences student perception between both Departments.Results: Students who are conducting clerkship program in Internal Medicine Department and Neurology Department Faculty of Medicine Universitas Gadjah Mada agree that Mini-CEX can be as assessment and learning tools, and promote the development of student professionalism. Perceptions of students towards the implementation of Mini-CEX in clerkship are not associated with Mini-CEX score. There was no significant difference in students’ perceptions towards the implementation of Mini-CEX between Internal Medicine Department students and Neurology Department students.Conclusion: Students perceived the Mini-CEX to be a practical assessment tool with a positive impact on their learning and professionalism development during clerkship.
Penggunaan Audit Klinis Sebagai Cara Pembelajaran untuk Meningkatkan Perilaku Peserta Didik PPDS Onkologi Radiasi Periode September 2010 - Maret 2011
Authors: Djuita Fielda , Mardiwiyoto Harsono , Emilia Ova , Soehartati Soehartati
Published: May 2021

Background: Clinical Audit is one of the formative evaluations that conducted to maintain and increase behavior and performance of the Radiation Oncology students, as an effort to maintain radiotherapy services and grant the quality of education. The objective of this study is to evaluate the role of clinical audit in improving students’ behavior.Method: This was a quasi-experimental research time series. We have done audit to the medical record chart of the residences at Policlinic I, II, III and stay at semester 3, 4, 5 in FK UI/RSUPNCM between September 2010 and December 2011 (T0). Audit had done by the author and one of the lectures. After analyzing the audit report, the reports were sent to the students one by one through email followed by forwarding it to the lecturer involved in this research. Then we continue the audit by performing the second clinical audit (T1) from January until March 2011. We used the mean score from the two auditors. The score divided into 4 groups as follows: hospital clinical record, treatment prescription, simulation and planning also evaluation during treatment. After that the author compared the audit score before and after intervention with t-test.Results: There were 16 Oncology Radiation students with 163 cases (To) and 156 cases (T1) who worked at Policlinic I, II and III. Behavior mean score is 1.9229 (T0), standard deviation 0.0514 and mean score after first intervention is 1.9764, standard deviation 0.0479 with p= 0.006.Conclusion: The students’ behaviors and performance are changed significantly after intervention.
Validitas dan Reabilitas Metode Penilaian Students Oral Case Analysis (SOCA) pada Mahasiswa Tahap Sarjana Kedokteran
Authors: Sari Sylvia Mustika
Published: May 2021

Background: Oral case presentations will be a vital component in medical career. The Student Oral Case Analysis (SOCA) is the assessment method of students’ ability in presenting their knowledge in case analysis, communication skills, and appropriate professional interactions. In fact, the studies in SOCA are still very limited. The aim of this study was to observe the validity and reliability of the oral assessment or SOCA in undergraduate medical education.Method: The cross sectional study in the third year students in the Medical Faculty of University Jenderal Ahmad Yani. Content-related validity was achieved by a panel expert in developing case and guide for examiners in SOCA, while concurrent validity was achieved by the correlation between SOCA and MCQ results. Inter-rater reliability was estimated by kappa coefficient.Results: The panel expert has done to receive the content validity. As concurrent validity evidence, the correlation between SOCA and MCQ result was 0.441 (p<0.01). Inter-rater reliability with the result of Kappa coefficient was 0.893 (p<0.01).Conclusion: The result shows that SOCA in undergraduate education was valid enough and reliable to assess the cognitive aspect.
Kriteria Seleksi Masuk Fakultas Kedokteran sebagai Prediktor Presentasi Akademik
Authors: Supantini Dedeh , Darsono Lusiana , Husin Winsa
Published: May 2021

Background: Selection of students into medical school should have two distinct purposes: to enroll students that most likely to succeed in their academic and clinical year, and subsequently become competent and professional medical practitioner. Numbers of applicants and numbers of students accepted in Faculty of Medicine of Maranatha Christian University (MCU) was tend to increase each year. The selection of medical students was based on General Admission Test (GAT) prepared by admission committees of MCU. To improve the selection procedure, since 2009, the Faculty developed Medical Faculty Admission Test (MFAT) as additional selection tool to assess cognitive attributes in basic biomedical sciences. The objective of this study was to evaluate how well the selection criteria predict academic performance, and to identify if there were any aspects of prior academic history and student’s characteristic that correlate with subsequent students performance during medical program.Method: We studied students cohort of the 2009. Selection criteria were GAT and MFAT. Prior academic performance explained by student’s score on National High School Examination (NHSE) and student’s score on biology. Academic performance was defined as cumulative first year Grade Point Average (GPA). Correlation between GPA and selection criteria or student’s characteristic was calculated using Pearson’s correlation coefficient. Multiple regressions was performed for each outcome variable with all variables included. Statistical significance was set at p < 0,05Results: There were 167 students included in this study. Bivariate correlation analysis with Pearson’s correlation showed that MFAT (= 0,354,p<0,01) and GAT ( r=0,301, p<0,01) were correlated with student’s academic performance. The results of multivariate analysis with multiple regression showed that MFAT and GAT are predictors of first year academic performance defined by GPA (R multiple = 0,404, p<0,001).Conclusion: Medical Faculty of MCU selection criteria ere correlated with academic performance.
Pengaruh Pelatihan Caring terhadap Perilaku Memberikan Asuhan Keperawatan pada Mahasiswa Saat Rotasi Klinik di Politeknik Depkes Palangka Raya
Authors: Purba Maria Magdalena , Emilia Ova , Rahayu Gandes Retno
Published: May 2021

Background: Caring in nursing is a very basic component, as the heart of profession, Which means that caring is a fundamental component, and central and unique focus of nursing. Caring, which is a core of nursing practice, must grow from self and deepest heart to help other people since being a nursing student so that caring in nursing education, must be placed as main competency in nursing education. The aim of this research to evaluation the efficacy of caring training in improving understand cognitive, affective and psychomotor competencies of caring, among students during clinical periodMethod: This research used quasi experiment non-randomized control group pretest-posttest design. Respondents of research were nursing students of Poltekes Palangka Raya, Semester V, regular class, X-A period, with total of 37 respondents as intervention group and regular class of X-B period with total of 35 respondents as control group.Results: Data were analyzed using descriptive and inferential statistical analyses. Results of research indicated that cognitive, affective and psychomotor competencies of caring in nursing students with caring training did not show significant effect (cognitive: p-value = 0,21, affective: p-value = 0.58, psychomotor: p-value = 0.07); however, the average scores were higher among student received caring training The caring behavior showed no difference between male and female students.Conclusion: There is insignificant difference between students with caring training and students without caring training. The training should be modified as suggested in the paper.
Pengaruh Kuliah Konseptualisasi dengan Peta Konsep pada Awal Pelatihan Keterampilan Medik terhadap Nilai OSCE Akhir Blok
Authors: Suryosubianto B P , Prabandari Yayi Suryo , Emilia Ova
Published: May 2021

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)
Authors: Nuraisya Wahyu , Wirakusumah Firman F. , Judistiani Tina Dewi
Published: May 2021

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
Authors: Fandianta Fandianta , Sanjaya Guardian Yoki , Widyandana Widyandana
Published: May 2021

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.
Efektifitas Berbagai Metode Pembelajaran untuk Partisipasi Aktif Mahasiswa dan Stimulasi Proses Clinical Reasoning
Authors: Widyandana Widyandana
Published: May 2021

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.
Self-Reflection and Insight pada Mahasiswa Kedokteran dan Hubungannya dengan Persepsi terhadap Perilaku Profesional
Authors: Mokhtar Shulhana , Emilia Ova , Suryadi Efrayim
Published: May 2021

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.
Motivasi dan Strategi Belajar Siswa dalam Pendidikan Pembelajaran Berbasis Masalah dan Collaborative Learning di Fakultas Kedokteran Gigi Universitas Hasanuddin
Authors: Anwar Ayub Irmadani , Prabandari Yayi Suryo , Emilia Ova
Published: May 2021

Background: Education providers in many ways short of expectations. Education strategy is essential in teaching and learning activities. Student who has motivation and learning strategies tends to devote all their ability to get the optimal learning results according to the expected goals. Understanding student motivation and learning strategies will help institution to facilitate students for their study success. This study aimed of determine differences in student motivation and learning strategies at Faculty of Dentistry, University of Hasanuddin among students with collaborative learning and problem-based learning educational strategies.Method: This was quantitative research with observational analytic cross-sectional study design. The subjects were all students of class 2007 and 2008 data were collected using Motivated Strategies for Learning Questionnaire (MSLQ). Descriptive analysis and Mann-Whitney test were used to analysis the data.Results: The subjects consisted of 84 students of class 2007 and 79 students of class 2008. The mean score of learning motivation and learning strategy were higher among students with PBL than students with collaborative learning. There we are significant differences in learning strategies with different education strategies except in organization (p=0,369) and anxiety (p=0.058).Conclusion: There are differences in the learning motivation and learning strategies in students with collaborative learning and problem based learning education strategies, except in organization and anxiety component. Learning motivation and learning strategies in problem based learning students are higher than collaborative learning students.
Health Behavior Among Medical Student at Universitas Padjadjaran
Authors: Afifah Nur , Sari Sri Yusnita Irda , Miftahurachman Miftahurachman
Published: May 2021

Background: Healthy behavior is defined as personal behavior to maintain and improve their health. This includes physical exercise, dietary habit, sleep pattern, stress management, and non smoking behavior, which may greatly contributes to human health. Healthy behavior is essential for medical students as they are becoming future doctors who should advise patients toward healthy lifestyle. This study was conducted to compare healthy behavior between first- and fifth-year medical students.Method: A cross-sectional study was done over 150 medical students of Faculty of Medicine Universitas Padjadjaran (75 first-year students and 75 fifth-year students) between October to November 2013. Data was collected by filling the questionnaire. A scoring mechanism designed to compare healthy behavior between those groups.Results: 75 first and five-year medical students were enrolled in each group. Smoking behavior was more frequent among the fifth-year compared to the first-year students (p=0.013). There were no significant differences in physical exercise (p=0.594), dietary habit (p=0.166) and sleep (p=0.504) between the groups. First year students were more likely to experience mental and emotional stress (p=0.021) than the five-year students. However, there was no significant difference in overall healthy behavior between first-year and fifth-year medical students (p=0.519).Conclusion: Overall healthy behavior is similar between first- and fifth-year medical students. However, in terms of specific behavior, the first-year students tend to be less able to manage mental and emotional stress, whereas smoking is more likely among five-year medical students. Effective intervention needs to be designed to improve healthy behavior among medical students.
Resensi Film Dokumenter King Gimp Mimpi dalam Keterbatasan. Media Video sebagai Sarana Pendidikan Kedokteran
Authors: Maria Jenny , Rukmini Elisabeth
Published: May 2021

Film dokumenter yang telah meraih Penghargaan Oscar ini patut ditonton oleh berbagai kalangan, terutama oleh mahasiswa kedokteran dan profesi kesehatan sebagai salah satu bahan ajar. Materi dalam film ini dapat dikaitkan dengan aspek kedokteran umum ataupun dengan hubungan sosial dan kesehatan masyarakat. Film ini tersedia dalam versi untuk siswa sekolah umum. Versi bagi siswa ini memotong kata-kata yang dipandang vulgar atau berkaitan dengan seksualitas. Dengan demikian, film King Gimp versi siswa menjadi layak ditonton oleh segala usia.
Persepsi terhadap Training From Senior Student dalam Penugasan Keterampilan Klinik
Authors: Saputra Oktadoni , Widyandana Widyandana , Hadianto Tridjoko
Published: May 2021

Background: Peer-Assisted Learning (PAL) has been widely used in medical education. Training From Senior Student (TFSS) is a PAL-scheme program in Skills-Lab FM GMU which one of its aim is to facilitate students to master their cinical skills. However, failure rate in OSCE is still high. This research conducted to explore students’, assistants’ and faculty’s perceptions on the benefits of TFSS in students’ clinical skills acquisition.Method: This study used exploratory focus group discussion (FGD) and in-depth interview with respondents, which were chosen purposively. The data were then transcribed and analysed for themes using deductive content analysis.Results: Thirty-six respondents joined the study (13 medical students; 17 assitants; 6 faculty staffs). The respondents’ perceptions were categorized in 3 aspects: cognitive aspects, social aspects, and organizational aspects of clinical skills learning. As a whole, the view of each respondent was not much differents. TFSS enhanced cognitive and social aspects of both students’ and assistants’ learning, but it didn’t provide the optimal opportunity to practice their skills. Various related problems in organizing were also found.Conclusion: TFSS provided positive benefits on both cognitive and social aspects of clinical skills learning, but not for the opportunity to practice the skills. Improvements need to be done to enhance the quality and quantity of skills training.
Determinan Pilihan Karir Mahasiswa Fakultas Kedokteran sebagai Spesialis di Indonesia
Authors: Syakurah Rizma Adlia , Sari Dwi Atika , Riansyah Dendy , Yolanda Priska
Published: May 2021

Background: In this “Jaminan Kesehatan Nasional” (JKN) era, career preference among medical students became an important issue to be concerned with, especially regarding career as a specialist physician in order to ensure equal distribution of doctor's quantity and profession variation. Several studies had been conducted abroad with aim to analyse career preference's determinants of medical students, but these kind of studies are rarely found in Indonesia. The objective of this study is to analyse the determinants of career preferences in medical speciality among medical students in Indonesia.Method: Cross-sectional study with questionnaire. Population of the study were first year students in 13 public universities with “A” accreditation. Samples collected by stratified consecutive sampling method. Chi square was used to evaluate the association between career preferences with socio-demographic and academic factors.Results: Among 315 samples, 83,8% students chose medical speciality as their preferred career. Determinants which influence career preferences are having parents that works in medical field (P= 0.036), higher parents earning (P= 0.04), and deciding to enrol to medical school since before high school (P= 0.036).Conclusion: Parents social economic state and background, along with personal motivation are some of important determinants to be considered. More studies need to be conducted in this area, especially regarding the underlying behaviour that affect further career preferences. Socialization about the importance and merits of other medical professions needs to be implement to prevent gap in medical profession's distribution later on.
Pengembangan Kuesioner Penilaian Proses Belajar Problem-Based Learning dengan Model SPICES
Authors: Akbar Surya , Claramita Mora , Kristina Tri Nur
Published: May 2021

Background: Every medical education institution in Indonesia must used SPICES model as a strategy/approach on their curriculum. This accord with what is state in Standar Pendidikan Profesi Dokter Indonesia (SPPDI). Assessment of implementation of SPICES model in educational curriculum is highly important in determining the direction of learning process underway. The aim of this study is to develop a questionnaire that helps medical educational institution to assess degree of implement of SPICES model on their curriculum.Method: Questionnaire of Problem-based learning (PBL) learning process with SPICES model development made the two stages. First stage purpose was to develop questionnaire, while second stage was to validate of the questionnaire construct. First stage consists of three steps, i.e literature study, arrangements the items, and content validity. Construct validity of the questionnaire is done by used reliability test, and factor analysis test.Results: Result from questionnaire development in the first stage was 29 items. Construct validity process in the stage two produced 17 items.Conclusion: Assessment of PBL learning process with SPICES model questionnaire proven to be valid and reliable. Further investigation needs to assess stability of the questionnaire in other region.
Persepsi Dampak Ujian dengan MCQ terhadap Proses Belajar Mahasiswa Fakultas Kedokteran
Authors: Aras Irwin , Rahayu Gandes Retno , Prabandari Yayi Suryo
Published: May 2021

Background: Multiple choice question (MCQ) has been used widely as a method to assess the achievement of learning outcomes. MCQ as an assessment instrument may give both expected and unexpected impact. The research’s objective is to identify the impacts of MCQs in term of the structure, content, information and regulation on the learning process of student at Medical Faculty Hasanuddin University Method: The study was a descriptive survey involving 505 medical students from Hasanuddin University who were still in the academic phase, class of 2010, 2011 and 2012. Preliminary study was carried out to explore learning impacts caused by MCQs. Based on the result of preliminary study a questionnaire using rating scale was developed, consisting 92 items of possible learning impacts. Open ended questions were added to get free response from the students. The answers were classified into expected and unexpected learning impacts.Results: The structure, content, information and regulation of the MCQ method gave expected impacts such as learning from many sources (74.4%), group studying (96.2%), mind mapping (37.9%) and re-discussing the exam materials (96.2%). It also gave unexpected impacts such as guessing the answer (44.8%), only studying previous exams (93.5%), cheating (33.7%) and taking pictures of the exam papers (38.2%). Conclusion: Unexpected impacts may occur from the MCQ method, which structurally consists of item flaws, such as only assessing memorizing skills rather than the application of knowledge and incomplete information in the stem. The regulation, in the form of summative exam, will encourage students to prepare themselves more seriously if compared to the formative exam.
Pemanfaatan Progress Test sebagai Tolak Ukur Keberhasilan Belajar Mengajar
Authors: Mirfat Mirfat , Yuhernita Yuhernita
Published: May 2021

Background: Faculty of Medicine, YARSI University has experienced a paradigm shift in higher education from a content-based curriculum to a competency-based curriculum that has been applied since the academic year of 2007/2008 using a problem-based learning approach. Progress test is an evaluation that is used to measure the student’s competency in the field of knowledge in its entirety. Faculty of Medicine, YARSI University has yet to apply these progress test. Thus, this research is aimed to execute a progress test trial in attempt to use it as a standard measurement to observe student capabilities in the field of knowledge, either as the individual or as a whole class.Method: This research uses a qualitative method. The research sample consists of 200 students from the faculty of medicine chosen by using a randomized approach for each class, starting from the class of 2013 (first year students) until the class of 2010 (fourth year students).Results: Based on student entrance levels in years, 4th year students had acquired a higher score on the progress test trial in comparison to the 1st, 2nd and 3rd year students.  The results had also shown that the students in their first year of study had lower scores when compared to the students in their last year of study (4th year). This indicates that the longer the period of study or the more time spent in the study process, the better the scores achieved on the progress test.Conclusion : Faculty of Medicine, YARSI University has successfully executed the progress test trial in the first week of the third block in the odd semester of the academic year of  2013/2014. The progress test itself consisted of 200 questions and was taken by 200 student samples that were chosen in a randomized manner.  The results of the progress test had revealed that there was an increase in the average examination grades of students in the 1st year until the 4th year, which is consistent with the level of understanding of lectures accordingly to each year.  Item Analysis  on the test showed a good distribution in the level of difficulty, where the majority of questions were held in the moderate level of difficulty.
Pengaruh Pelatihan Caring terhadap Perilaku Memberikan Asuhan Keperawatan pada Mahasiswa Saat Rotasi Klinik di Politeknik Depkes Palangka Raya
Authors: Bakar Abu , Widyandana Widyandana , Sanusi Rossi
Published: May 2021

Background: Evaluation and faculty development program for dental faculty at Muhammadiyah University of Yogyakarta are necessary to improve clinical teacher abilities in skills laboratory. The objective of this study is to conduct pilot study of training program on clinical skills laboratory instructors’ teaching abilities; to measure instructors’ teaching ability before and after the training; and to understand instructors’ perception on the given training.Method: This study was a pretest-posttest single group design accompanied with qualitative method. The subjects are 12 clinical teachers and 91 students of Dental School, Muhammadiyah University of Yogyakarta. Quantitative data analysis by measuring effect size. Focus group discussion conducted after quantitative data were collectedResult: (1) There were moderate effect of clinical skills laboratory teacher’s training program to communication and clinical teaching abilities (d> 0,50). (2) The qualitative analysis showed the good perception of participants and feasibility of teacher training program, the lack of teacher of teacher training program, and the advice to improve the quality of teacher training program. Conclusion: Training of skills-lab instructors was needed to improve communication and teaching ability among skills-lab instructors.
Penggunaan AC/ID dan Active Learning dalam Pembelajaran Anatomi dalam Large Group
Authors: Munawaroh Siti
Published: May 2021

Background: Anatomy is a basic medical science that very important for medical students and other health professions. With a good understanding of the anatomy, they can understand the condition of the patient's illness. However, many of students who complain about the difficulty of anatomy. This paper aims to provide an alternative choice of instructional design in large classes (large group) to improve the quality of learning.Method: literature review.Results: There are many designs of learning that can be applied in a large group. Each has advantages and disadvantages. To improve the quality of student learning, need to be actively involved students in the learning process, so that the material being studied can understand and survive long in the memory of the student.Conclusion: Management of the large group on anatomy lesson is required to produce effective learning. One of the instructional design that can be applied to achieve these objectives is the 4C / ID by applying the principles of active learning.
Collaborative Practice Bidang Maternitas pada Tenaga Kesehatan
Authors: Fatalina Femy , Sunartini Sunartini , Widyandana Widyandana , Sedyowinarso Mariyono
Published: May 2021

Background: World's current health systems are in a crisis, causing public health needs are not being met. Mother Mortality Rate in Indonesia was still high. It indicated that  maternity care was not optimal yet.  One of solution is an  implementation of interprofessional collaborative practice. Currently, in Indonesian’s hospitals have not seen an equal team collaboration. The objective of this study was to explore the perceptions and acceptance of health workers maternity’s interprofessional collaborative practice in Dr. Sardjito Yogyakarta’s Hospital. Methods: This study was a qualitative  with a phenomenology design. Subjects were nurses, midwives, obstetrics and gynecologist, pharmacists, and nutritionists who had  collaboration experience in obstetrics gynecology department in Dr. Sardjito Yogyakarta’s Hospital, included 10 respondents. Sampling technique used a purposive sampling, while data collection used a Focus Group Discussion and in-depth interviews. Data’s credibility and reliability obtained by triangulation, debriefing, member checking and rich data. Research ethics included an informed consent and ethics committee’s approval. This study was conducted in February-July 2014. Result: Most respondents had a wrong perception of  interprofessional collaboration’s definition. All of respondents accepted if  interprofesional collaboration implemented properly. Data analysis resulted in six categories: perception of health workers about interprofessional collaboration, implementation of interprofessional collaboration in hospital, application of collaboration’s elements in interprofessional collaboration, health workers’s expectations for better collaboration, health workers’s motivation in doing interprofessional collaboration and variation of health workers’s acceptance of interprofessional collaboration. Conclusion: Most of health workers  have not had a correct perception of interprofessional collaborative practice. All health workers accepted if interprofessional collaborative practice applied properly in maternity area in Dr. Sardjito Yogyakarta’s Hospital.
Memaknai Checklist bagi Mahasiswa Kedokteran dan Profesi Kesehatan: Resensi Buku
Authors: Carolyn Carolyn , Yulianto Kevin , Rukmini Elisabeth
Published: May 2021

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.
Gambaran Evaluasi Penilaian Mahasiswa Program Studi Pendidikan Dokter terhadap Lingkungan Pembelajarannya
Authors: Tejoyuwono Agustina Arundina Triharja , Armyanti Ita , Nugraha Rangga Putra
Published: May 2021

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.