bluuebunny/crossref_metadata_2025 huggingface dataset:
Persepsi Mahasiswa terhadap Instruktur Sebaya pada Praktikum Pendengaran di Laboratorium Ilmu Faal Dakultas Kedokteran Universitas Gadjah Mada
Authors: Pakarti Gandes Endah , Wasityastuti Widya , Prabandari Yayi Suryo
Published: May 2021

Background:The traditional learning method applies at Physiology Laboratory of Faculty of Medicine at Universitas Gadjah Mada (UGM) is considered ineffective for the lecturers in managing the students. Moreover, the students perceive that their needs are not adequately accommodated by the lecturers. This downside can be resolved by an alternative learning method which provides conducive, active, creative, effective and enjoyable learning environment called peer assisted learning method. This study is aimed at discovering the students’ perceptions on peer assisted learning method and acquiring the students’ feedback and expectations on the effectiveness of peer-teaching method implementation.Method:The study used cross-sectional design of descriptive research.Results:From the questionnaire analysis with 150 respondents, 90 students of regular program and 60 students of international program, the result according to the frequencies of student perception were: 1) factor 1 were 45.8 % for very high category, 29.8 % for high category, 23.7 % for medium category, 0,8 % for very low category and 0 % for low category; 2) factor 2 were 45 % for high category,41.2 % for medium category,11.5 % for very high category,1.5 % for low category and 0.8 % for very low category; 3) factor 3 were 51.9 % for very high category, 31.3 % for high category,16.0 % for medium category,0.8% for very low category and 0% for low category; 4) factor 4 were 47.3 %for high category, 31.3 % for very high category,19.1 % for medium category,1.5 % for low category and 0.8% for very low category. There was no difference in perception between the students of regular and international program. Responses to open questions and FGD show a variety of students’ feedback and expectation on the peer assisted learning method.Conclusion:The students have shown positive perception on peer assisted learning as a learning method. The peer instructors required in Implementing this model are those students with good communication skill, confirmed academic qualification and capability in managing their fellow students’ learning.
Konsep Inovasi Strategi Pendidikan di Institusi Pendidikan Kedokteran
Authors: Suhoyo Yoyo
Published: May 2021

Innovation in medical education is essentially a reaction towards various demands and changes in the medical education institutions environment. The innovation of educational strategy is a part of the effort. Innovation in medical education should consider the feasibility level, resources needed, time and duration of implementation, scale and degree, that failure can occur, obstacles faced and the pattern of innovation that will be done. Considering the current condition of medical education institutions that are known through self-evaluation and strategic plan, and a growing trend in medical education at this time, severalinnovation can be proposed. SPICES approach can be taken as a guide in designing innovation in medical education.
Script Concordance Test untuk Menilai Kemampuan Penalaran Klinis Dokter: Bagaimana Mengembangkan Butir Soalnya Berdasarkan Standar Kompetensi Dokter Indonesia?
Authors: Prihatanto Fundhy Sinar Ikrar
Published: May 2021

Background: Some methods have been developed to assess clinical reasoning skill. It must be understood the principals of each method for the selection if will be applied. In the other hand, it is realized that uncertainty is one of medical context that is poorly measured by other traditional test. The script concordance test (SCT) may be a better method of assessing students, who are taught in the context of uncertainty. SCT could differentiate examinees according to levels of experience in various fields of study. SCT have practical relevance for clinical education. The objective of this study is to give guidance in developing SCT based on Indonesian medical doctor competenceMethod: Relevant literatures are selected as basis of recommendations of SCT construction.Results: Developing SCT needs to consider its: principles as basis of development; format of test item to build a suitable test item, scoring system and panel selection accommodate context of uncertainty, and optimization of test item to enhance SCT.Conclusion: SCT provide investigation on clinical reasoning skill of examinee in the difficult by other objective written methods. Several studies have showing SCT capacity in different levels of experience, and in several field of studies with good results. SCT could be as supplement to assess clinical reasoning skill comprehensively, not replacing other clinical competence assessment method absolutely.
Standarisasi Observer OSCE dengan Rubrik dan Multivideo
Authors: Setiawan Ide Pustaka , Kurniawati Noviarina , Projosasmito Rr. Siti Rokhmah
Published: May 2021

Background: One of the factors influencing the validity and reliability of the assessment is the standardization of the observers in assessing students’ performance. A recent study by Setiawan (2011) found that there is differences in the standard of assessment used by general practitioners and specialized doctors in assessing students in OSCE.7 These differences are considered to be harmful for the students, therefore needs to be improved. Several training methods are developed to overcome the problem. This study aims to assess whether rubric and multi video can be used as a means of standardization of OSCE observers.Method: This was an experimental action research. The instruments used in this study were checklist, rubric, and video recording of students doing OSCE (n=5), which further be called multi-video. The subjects of the study were the OSCE observers in station Integrated Patient Management (IPM) who were divided into control and treatment group. The subjects assessed students’ performance from the multi-video in two data collection sessions. In the first session, both control and treatment group used checklist for assessing the multi-video. Furthermore in the second session, the control group did as the first data collection session, while the treatment group used checklist and rubric for assessing the multivideo. The result of which compared and tested using independent sample t-test.Results: As many as 33 observers, which consists of 23 general practitioners (GP) and 10 specialized doctors (SP), participated in the first data collection session. In the second data collection session, 28 observers consist of 20 GPs and 8 SPs participated. The result of the first data collection session, which used only checklist as an instrument, showed a significant difference in the standard of assessment used by the GPS and SPs (p<0.05), whereas the second data collection session, which used rubric as an additional instrument for the treatment group, showed no significant difference between GPs and SPs in the standard of assessment (p>0.05).Conclusion: Rubrics and multi video can be used as a means of standardization of OSCE observer in assessing students’ performance.
Persepsi dan Perilaku Mahasiswa Keperawatan tentang Integritas Akademik
Authors: Musharyanti Lisa , Rahayu Gandes Retno , Prabandari Yayi Suryo
Published: May 2021

Background: Besides knowledge and clinical skills, nursing students should have professional behavior as an essential component of competences as a side of knowledge and clinical skills. One aspect of professionalism is academic integrity. Lecturer should know about students’ perception of academic integrity and behavior, to make a good way to detect and prevent the deviant behavior. The objective of this study is to describe nursing students’ perception and behavior on academic integrity.Method: Survey was conducted in a nursing school in Yogyakarta. The subject were 230 nursing students who were taken by proportionate stratified random sampling. The data were analyzed with descriptive analysis.Results: There were many deviant or unacceptable behaviors which were not considered as an academic misconduct (by 5.2%-61.3% students). Peer students’ percentage who had done an academic misconduct with 10 of the highest percentage was 50%-82.2% and the behavior ever done by students was 28.7%-68.7%. The intention to do the behavior in the future was 3-38.7%.Conclusion: Perceptions of nursing students on academic integrity varied widely. Many of the actual behaviors were not considered as academic misconduct. Nursing students had different opinions about the behavior that violated academic integrity. Students’ perceptions about the behavior and the behavior of a peer friend were in accordance with the students’ own behavior. Therefore, there is a need for a shared perception between institutions and students about behaviors that violate academic integrity.
Metode Penilaian untuk Perilaku Profesional: The Professionalism Mini-Evaluation Exercise (P-MEX) Sebuah Alternatif?
Authors: Susani Yoga Pamungkas
Published: May 2021

Background: Due to higher attention on professionalism of doctor, greater concern in medical education should be placed on the development of the qualities of professional behavior. Assessment of professional behavior for medical students becomes very essential. However, there is still confusion in selecting and implementing assessment methods. This study aimed to provide an overview of professional behavior assessment and considerations in implementing assessment method especially P-MEX.Method: Relevant literatures are selected as basis of recommendations in P-MEX and professional behavior assessment.Results: P-MEX was discussed using the framework of 7 criteria for good assessment, related to the validity, consistency, equivalence, feasibility, educational effect, catalytic effect and acceptability. Professionalism is multidimensional and one method of assessment cannot give reliable representation of students’ behavior, for that reasons combination of assessment tools is required. The assessment must valid and reliable also. Many methods for assessing professional behavior have been developed, one of them is the Professionalism Mini-Evaluation Exercise (P-MEX), which format is based on Mini-Clinical Encounter Exercise (mini-CEX). This article will describe the outline about professional behavior definition, methods of assessment especially P-MEX, whether P-MEX is a good alternative for assessing professional behavior.Conclusion: P-MEX can be considered as one of assessment method to be applied in assessing student’s professional behavior. However, adapting the instrument to be ready to use here requires a process that can maintain the validity and reliability would be better if the instrument is tailored to Indonesian context.
Pengembangan Area Etika, Moral, Mediko-Legal dan Profesionalisme Serta Keselamatan Pasien dalam Kurikulum Berbasis Kompetensi
Authors: Istadi Yani
Published: May 2021

Background: The existence of the application of competency-based curriculum (CBC) with the strategy of problem based learning (PBL) has influenced the learning process of ethics and professionalism. It poses a challenge for every medical school to develop the new curriculum. There has been a controversy on the model of the curriculum development. This article describes several educational studies on ethics and professionalism and proposes one curriculum model.Method: Relevant literatures are selected as basis of ethics and professionalism development in certain curriculum.Results: The method used in the study of ethics is directed in accordance with the level of education and the complexity of the expertise field. Determination of the material depends on the competence and the expected outcomes. Challenges in the assessment and ethics and professionalism must be faced.Conclusion: The development of a curriculum that will better ensure the achievement of competence 7th SKDI area. Therefore, the curriculum makers must continue to innovate.
Opini Publik tentang Malpraktek Kedokteran
Authors: Hardisman Hardisman
Published: May 2021

Background: In providing services, medical professionals have to be aware of social norms, ethics and laws. Behaviors violate those regulations attract public attention and can lead to medical malpractice allegations. This study aimed to explore public opinion on medical malpractice, which was analyzed base on medical ethic principles.Method: To answer the research question, descriptive and qualitative online survey had been conducted from November 2009 to October 2010, which used structured and open-ended questionnaire. The participants were obtained by employing non-probability convenience sampling. Later, the quantitative data was analyzed descriptively, and the qualitative data was analyzed thematically and presented narratively.Results: In general, public opinion on malpractice is similar to the principles of medical ethics. They believe that wrong procedures, diagnosis and treatments are factors of the malpractice. However, the participants adopt more consequentialism philosophy, which emphasize on outcome of patients and lack of consideration what the doctors has done base on medical standards. More over, participants’ explanations on medical malpractice reflect dissatisfaction of medical services which may due to low quality of information and attitude of doctors and other staffs in providing services.Conclusion: To improve public opinion on medical service and prevent medical malpractice allegation, doctors and other staffs have to obey professional standards and ethics, providing adequate information and good communication.
Pengalaman Belajar Mahasiswa Terkait Peran Skenario dalam Tutorial
Authors: Aryanty Nindya , Rahayu Gandes Retno , Suryadi Efrayim
Published: May 2021

Background: Tutorial in Problem-based Learning is a learning method where faculty prepares a scenario to trigger students learning through small group discussion. In the first meeting of tutorial, a group of students analyze the scenario given by raising and answering questions to explore phenomenon described in the scenario. Unresolved questions then become students’ learning issues which are a starting point for their independent learning. Answers gathered during individual learning then being reported and synthesized on the second meeting. The aim of this study is to investigate student learning experience regarding the role of scenario in tutorial.Method: Reflective writings of 36 medical students about learning experience using PBL collected at the end of first year were analyzed qualitatively through within-case analysis and cross-case analysis. Methods chosen to increase credibility are peer review and verbatim.Results: Students found that some scenarios stimulated their learning since it increase students’ curiosity. Scenarios discussing the latest news in medicine also attract to students to learn more. However, majority students admitted that some scenarios not providing enough clues to guide student determining learning objectives. Student preferred to discuss and formulate learning objectives by listing the title/topic of lecture scheduled on the same week as related tutorial session. Scenario that found identical to scenario given on the previous academic year also demotivates students to learn deeply. Students admitted learning from their senior notes in preference to learning from other valid resources. In addition, this study found that scenarios that lead students to discuss topic beyond their first-year competencies also disencourage students learning.Conclusion: Scenario plays an important role in student learning. Therefore, scenario have to be carefully designed by determining students’ prior knowledge, the length of independent learning session needed and learning resources available for students. It is also necessary to always renew the scenario for every academic year and improve its quality, for example by adding visual trigger along with written text.
Hubungan Motivasi Berprestasi dan Perhatian terhadap Proses Kognitif pada Mahasiswa Tahun Pertama Jurusan Kesehatan Lingkungan Politeknik Kesehatan Maluku
Authors: Marasabessy Nurlaila , Prabandari Yayi Suryo , Emilia Ova
Published: May 2021

Background: Earlier data showed that the mean of achievement index at first year students in Environmental Health Polytechnic of Maluku were decreased for the last 3 years, from 2,9 at year 2008, become 2,6 at year 2010. Studentspresence rate in the first semester for science and skills subjects such as basic of environmental health, microbiology, patophysio-anatomy, and health entomology also decreased from 89,09% at 2008 to 77,04% at 2010. Several studies and experts concludes that both quality and quantity of student’s learning are influenced by some factors like achievement motivation, attention, and cognitive process. The decrease on that factors may influence quality and quantity of learning process. The objective of this study is to identify the correlations between achievement motivation and attention to student’s cognitive process at first year students of Environmental Health Polytechnic of Maluku.Method: This was a quantitative study using survey to 80 first year students academic year 2010/2011. It is used modified instrument Archer’s Health Professional Motivation Survey to assess achievement motivation, Attention Deficit/ Hyperactivity Disorder to assess attention, and Cognitive Processing Inventory to assess cognitive process. Correlation significance between factors analyzed by using Pearson Correlation.Results: There were significant correlations between achievement-motivation oriented to mastery learning and performance towards cognitive process. Attention factor also correlated to the cognitive process.Conclusion: Early stimulations of learning motivation and profession explanation are needed to the first year students. Learning methods that stimulate students engagement are important to improve the quality of student’s learning process.
Perbedaan Kemampuan Empati Mahasiswa Keperawatan di Program Studi Ilmu Keperawatan Fakultas Kedokteran UGM
Authors: Hidayah Anisa , Kristanti Martina Sinta , Sedyowinarso Mariyono
Published: May 2021

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.
Persepsi Mahasiswa dan Tutor tentang Kejadian Kritis Selama Diskusi Tutorial dan Jenis-jenis Interview Terhadap Kejadian Tersebut
Authors: Fitri Amelia Dwi , Mardiwiyoto Harsono , Suryadi Efrayim
Published: May 2021

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.
Pandangan Mahasiswa terhadap Hambatan pada Pelaksanaan Skill Lab di Fakultas Kedokteran Universitas Andalas
Authors: Hardisman Hardisman , Yulistini Yulistini
Published: May 2021

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.
Feedback Menggunakan Telepon Genggam terhadap Latihan Mandiri Mahasiswa: Penelitian Kualitatif
Authors: Setiawan Ide Pustaka
Published: May 2021

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.
Kualitas Karya Tulis Ilmiah Mahasiswa: Hubungan Persepsi dan Karakteristik Dosen Pembimbing
Authors: Wiraharja Regina Satya , Kurniawan Felicia
Published: May 2021

Background: Since 2006 evaluation of scientific writing process, as graduation requirement in Faculty of Medicine Atma Jaya Catholic University, has not been done. The objective of this study is to find out supervisors perceptions on quality of under graduate theses and its relationship to supervisors’ characteristics.Method: This descriptive study was done to 29 supervisors. Interviews were done using questionnaire. Dependent variable was perceptions on quality of under graduate theses (idea, proposal, writing process, presentation and publication). Independent variables were characteristic, knowledge, attitude and behavior of supervisors related to process of scientific writing. Data was analyzed using chi-square test.Results: There was equal proportion (50% vs 50%) between good perception and bad perception on quality of undergraduate theses. Significant relationship was found between perception on quality with supervisors attitude (p=0.04) and master degree (p=0.02). Supervisors aged 45 years old and less (53% vs 47%), have taught for 10 years and less (64% vs 39%), have academic position as assistant and lectur (5% vs 47%), have published articles within the last 3 years (40% vs 60%), have more than one research within the last 3 years (56% vs 4 %), have non positive attitude (78% vs 27%), supervise students twice or more (57% vs 43%), meet student for less than 45 minutes per meeting (67% vs 33%), were more like to perceive low quality of under graduate theses.Conclusion: Supervisors generally perceive that qualities of under graduate theses are still low. Positive attitude and non-magister supervisors tend to perceive the quality of theses to be good.
Evaluasi Penugasan Clinical Reasoning dan Refleksi Mahasiswa di SKills Lab FK UGM
Authors: Widyandana Widyandana
Published: May 2021

Background: Teaching clinical reasoning and reflection skills in skills laboratory are usually neglected, therefore Skills Lab of FM UGM initiate to teach those skills for undergraduate students. This study aimed to evaluate student’s assignment of clinical reasoning and reflection skills and explore how to improve it.Method: An experimental study by giving student assignments to make an essay about particular disease based on SKDI level 4 that written on a medical record and reflection form format. All 4th-year medical students of FM GMU (n=186) and skills lab instructors (n=5) were involved. Assignments were assessed (by the instructors) using instrument by Driessen (2008), and analyzed by correlating those scores with students’ OSCE score and GPA using Pearson Correlation test. Qualitative data collected by deep interview with assessors and analyzed using Inductive Content Analysis by 2 coders.Results: There were no significant correlation between assignment score with OSCE score and GPA. However, there were significant correlations (p<0.05) between score of clinical reasoning with reflection skills, and OSCE score with GPA. Assessors conclude that assignment has been good enough to stimulate clinical reasoning and reflection skills, but still had weaknesses e.g. incompatibility of assignment’s format to assessment’s checklist, unclear instructions, and no assignment’s sample that made students submitted in various format.Conclusion: The assignment has been successfully conducted in Skills Lab FM UGM, however it needs some improvement, such as giving detail instructions, examples, and matching it with assessment instrument.
Efektivitas Metode Kolaboratif Learning dan Kooperatif dalam Pendidikan Kesehatan Berbasis Komunitas
Authors: Hariyanti Tita , Mardiwiyoto Harsono , Prabandari Yayi Suryo
Published: May 2021

Background: The role of the learning methods is changing from teacher centered learning to student centered learning (SCL). One of the SCL methods is collaborative and cooperative learning. The past twenty years have seen an increase in collaborative and cooperative learning based pedagogies in colleges, but not in community based health education. The aim of this study is to identify the efectivity of collaborative and cooperative learning in community based health educationMethod: This research used quasi experimental non-randomized control group post test design. Respondent of the research are 111 geriatric cadres of Kecamatan Kepanjen and 72 geriatric cadres of Kecamatan Singosari.Results: Data shows that cadre’s knowledge in first training, 30 and 90 days after first training increased in both groups (p<0,001). There is no relationship between individual characteristic (age, education, occupation, time to work as a cadre, training) and increase of knowledge (p>0,05).Conclusion: Collaborative and cooperative method can increase cadre’s knowledge of stroke effectively and maintain memory retention longer than conventional method.
Analisis Faktor yang Berpengaruh terhadap Tingkat Kelulusan UKDI Dokter Baru Lulusan Fakultas Kedokteran Universitas Airlangga
Authors: Utomo Budi , Roostantia Roostantia , Safitri Indri
Published: May 2021

Background: The average passing rate of Airlangga University School of Medicine (accredited A) graduates on the Indonesian Doctor Competence Examinations (UKDI) from Batches 1 to 17 was in the range of 90-95%, which was above the national average. The achievement, however, has declined to approximately 80-85% in Batch 23 - the last UKDI. These school’s new graduates are the product of a series of educational processes within the faculty of medicine: input in the form of student selection, educational process incorporating: educational programs, academic staff, educational resources, learning outcomes assessments, evaluation of educational programs and continuous updates, and the output which are medical doctors passing the UKDI. This study aims at exploring the factors that influence the success of newly graduated doctors to pass the UKDI. The results were expected to be used as considerations for the improvements of materials and teaching methods which referring to the National Competencies for Physician (SKDI).Method: The study was divided into two stages. Observational study design was implemented on the first stage. Second, the analytical observational cross-sectional study design was applied. The unit of analysis was derived from secondary data, a collection of documents of students studying in the School of Medicine Airlangga University and of the UKDI test scores.Results: The analysis results showed that the variable most affecting the passing of UKDI in this study was the GPA at the bachelor stage (OR = 67.44; p=0.001). The mathematical model of the logistic regression is: y = constant + a1x1 + a2x2 +..... + anxn, being y = -8.83 + 67.44 (GPA bachelor). The probability (p) of passing a new doctor of the school on the UKDI examination can be predicted using the formula: p = 1 / (1 + e-y), with e = 2.7 (natural number).Conclusion: The variable most affecting the passing of UKDI in this study was the GPA at the bachelor stage (OR = 67.44; p=0.001).
Dampak Pembelajaran dan Efek Katalitik OSCE pada Mahasiswa Tahun I,II, dan III Fakultas Kedokteran UGM
Authors: Triyani Triyani , Rahayu Gandes Retno , Suryadi Efrayim
Published: May 2021

Background: OSCE is one of the assessments used in the Faculty of Medicine of Universitas Gadjah Mada, Yogyakarta since 1993. The uses of the OSCE as assessment tool have been widely proven. However, it also had limitations such as the presence of anxiety of the students and the high complexity of resources. This study aimed at finding out the impact of the OSCE on learning and its catalytic effects on the first, second and third year students of the Faculty of Medicine of Universitas Gadjah Mada.Method: In a qualitative method, data was collected using focus group discussion. There were 25 participants assigned to 3 groups, which were the group of the first year students, that of the second year students and that of the third year students. Samples were drawn using purposive sampling technique. The data was collected once the students have followed the OSCE. Analysis was made using Atlasti verion 6 and intercoding was conducted along with medical and health education experts.Results: The impacts of the OSCE were the learning strategy of the students more focused on clinical skills and their learning motivation increase. The OSCE caused anxiety of the students and they needed constructive feedback. The catalytic effects of the OSCE in the study were: It made the students more aware of the necessity to more diligently learn, to actively look for learning sources, to more creatively learn, to learn in a more integrated and comprehensive manner.Conclusion: The impact of the OSCE on learning was influenced by its organization and students’ characteristics. The positive catalytic effect of the OSCE on the students was that they needed standard OSCE. The study must be continued using other methods for example survey, cross-sectional or mixed methods.
Pembelajaran Penyakit Terkait Perilaku, Merokok, dan Edukasi untuk Berhenti Merokok di Pendidikan Dokter Fakultas Kedokteran UGM
Authors: Prabandari Yayi Suryo
Published: May 2021

Background: As the third big populous smoker country in the world, smoking-related diseases have become a major cause of death in Indonesia. Physician should play role in preventing tobacco epidemic. Therefore, the medical curriculum should prepare graduates who will be competent to explain the health effects of smoking behavior and help patients quit smoking. This study proposed to describe how far tobacco and smoking topic were thought in the medical school curriculum and assess student attitudes toward the necessity of physicians to routinely asked on smoking behavior, advice patients to stop smoking as well as the important of physician to receive smoking related diseases education in medical school.Method: The study was based on five separate cross sectional surveys carried out in 200, 2007, 2009, 2010 and 2011. Participants were 1696 students (733 males and 963 females) of Faculty of Medicine, Universitas Gadjah Mada (FM UGM). They were the Non- Problem Based Learning Curriculum (N-PBLC), the PBL Curriculum (PBL-C) and the Competency Based Curriculum (CBC) batches. Data was collected through a self-administered questionnaire. Descriptive analysis was used to present the data.Results: Cigarettes smoking topic had been delivered in FM UGM by several lectures (N-PBLC students) and blocks (the PBL-C and the CBC students). The amount of 40,6 % to 83,5 % students in 5 years surveys reported that they had been trained on subjects that discussed the cigarette smoking topic. Topics on how to help quit smoking reported lower (12,3%-50%) than topic of tobacco related diseases or tobacco and public health. The majority of students mentioned that doctors should ask and give advice or patient’ education (96,7 % - 99,8 %). More than 95 % of students stated that the teaching that addresses cigarette smoking related diseases is important to be taught and trained in medical school.Conclusion: Teaching and learning on the subject of cigarette smoking related diseases have been given, but needs to be improved, particularly on skills to help patients quit smoking.
Persepsi Mahasiswa, Dosen dan Bidan Pembimbing tentang Model Pembelajaran Klinik Kebidanan yang Ideal
Authors: Yanti Yanti , Emilia Ova , Claramita Mora
Published: May 2021

Background: A large number graduates of midwife even now accompanied with low competency isues in associated with quality of clinical learning. Now implementation of clinical learning with caseload model has problems. Clinical learning model in clinical practice that student, teacher and clinical midwife experienced provide greater insight to develop an effective clinical teaching strategy in midwifery education. The main objective of this study was to investigate student midwife, teacher and clinical midwife’ insight about an ideal clinical learning model in midwifery education.Method: A qualitative study by Focus Group Discussion (FGDs). By selected randomly, this study was conducted 32 from 76 final year midwifery students at Estu Utomo Boyolali Midwifery Academy, 14 lecturer and 13 clinical midwife who involve in Estu Utomo Boyolali Midwifery Academy clinical practice program at 2013-2014. There are 4 groups of student midwife, 2 groups of lecturer and 2 groups of clinical midwife. FGDs were arranged in 3 session differently between students, lecturer and clinical midwife. FGDs were facilitated by researcher and 3 research assistant. Data were analyzed using Atlas.Ti 6.1 software to support the coding process and identifying the main categories from verbatim transcripts.Results: Six themes emerged from the focus group data, “student caseload”, “duration of clinical practice”, “clinical placement”, “clinical mentorship”, “documentation”, and “clinical assessment”. From the sixth themes, demonstrated that an ideal clinical learning model in midwifery education to design preparation clinical learning should consider about that components. An ideal clinical learning model in midwifery education should give priority to quality than quantity especially to suggest decreasing student caseload.Conclusion: This study showed that midwife student, teacher and clinical midwife suggest that clinical learning model should give priority to quality than quantity to gain midwifery care competence. Clinical learning model therefore applied with student case loading that each student have different need. They are suggest that midwifery clinical learning should be consistent with the midwifery care philosophy “women center care” that provide midwifery continuity of care.
Perbandingan Tingkat Motivasi Mahasiswa yang Menempuh Kuliah Konvensional dengan Collaborative Learning
Authors: Herman Herman , P Titi Savitri , Widyandana Widyandana
Published: May 2021

Background: Collaborative learning is a learning method which centered on students’ learning process. Although many theories and research results showed that  interactive lecture is better than conventional lecture, but in fact, only few lecturers use the interactive method in teaching and learning process. Literature stated that using conventional method in teaching and learning process does not motivate students to learn more while using the other one (interactive lecture) will enhance students’ motivation. Collaborative learning is one of interactive lecture method. Based on the facts mentioned above, the researcher wants to compare students’ motivation who participate in conventional method and those who participate in collaborative learning method.Method: This was a quantitative research with experimental approach, used posttest only with control group design. This research measured students’ learning motivation by using Motivated Strategies for Learning Questionnaire (MSLQ). Subjects for the research were the second semester students of  Public Health Scince of Tadulako University which divided into two groups randomly. Data were analyzed by Mann-Whitney test method.Results: There were a distinct disparity in students’ learning motivation after following learning process with conventional and collaborative learning method. Students who followed collaborative learning had higher motivation than students who followed conventional lecture.Conclusion: Collaborative learning improves students’ learning motivation toward the nutrient topic on Public Health Sciences.
Validasi Approaches to Learning and Studying Inventory di Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Authors: Leman Michael A. , Sanusi Rossi , Prabandari Yayi Suryo
Published: May 2021

Background: Short version instruments are being developed to meet the needs of social sciences researchers who simulataneously use a number of instruments. The Approaches to Learning and Studying Inventory (ALSI) is a short version instrument to measure learning approaches used by students. This analysis is part of a study that is published in different medical education periodicals. The objective of this assessment was to validate the ALSI in a population of second year medical students of the Gadjah Mada University Faculty of Medicine (GMU FM), Yogyakarta.Method: 225 second year students in the regular program at the GMU FM were invited to complete the ALSI questionnaire. To suport construct validities of ALSI, an item’ validity, Crönbach alpha, factor analysis, convergent validity, and discriminant validity were measured.Results: A total of 160 students participated in this study (71,11% response rate). The data collected did not support the construct validities of ALSI.Conclusion: ALSI requires improvement, in particular the items of the surface approach subscale. Instead of the initial five subscales, it is probably more appropriate if the instrument is divided in only three subscales - surface approach, effort management-organized studying, and deep approach-monitoring studying.
Perbedaan Efektivitas Diskusi Kelompok, Motivasi Intrinsik dan Nilai Modul dari Mahasiswa yang Difasilitasi Dosen dan Tutor Sebaya
Authors: Pariartha I Made , Sanusi Rossi , Hadianto Tridjoko
Published: May 2021

Background: Peer teaching is a teaching method that widely applied in many medical institutions. This research was designed to evaluate group discussion effectiveness, intrinsic motivation, and student achievement differences between peer tutor−facilitated students and faculty tutor−facilitated students.Method: This research is an experimental research using post−test only control group design during the implementation of third and fourth module of the Cardiovascular Block (consist of five modules). Fifty-nine third year students were randomly assigned into two groups. Three experimental groups (n= 30) was facilitated by peer tutors (PT) and three control groups (n= 29) was facilitated by faculty tutors (FT). Two students were randomly elected from each PT group as peer tutor. A six hour training was given to the peer tutors. In the end of the third and fourth module, group discussion effectiveness, intrinsic motivation, and student achievement in those modules were evaluated using Tutorial Group Effectivenes Instrument (TGEI) questionnaire, Intrinsic Motivation Inventory (IMI) questionnaire, and 20 multiple choice questions, respectively. Mean differences between groups were measured by Cohen's d with the practical significance at Cohen's d > 1.Results: There was no significant differences of group discussion effectiveness (Cohen’s d= -0.41) and intrinsic motivation (Cohen’s d= -0.83) between two groups. Significant difference in student achievement is found between those groups, peer tutor−facilitated students score higher than faculty tutor−facilitated students (Cohen’s d= 2.96). Peer tutors showed higher achievement than discussants (Cohen’s d= 1.86).Conclusion: The results showed that peer tutor can facilitated group discussion as well as faculty tutor in group discussion effectiveness, intrinsic motivation and student achievement paramaters. There was advantage for students who given role as peer tutor.
Refleksi Pembelajaran Aplikasi Medical Writting Presentation pada Mahasiswa Semester Satu Fakultas Kedokteran
Authors: Yulianto Kevin , Rukmini Elisabeth
Published: May 2021

Background: Medical students need the ability to write and present research. Skills needed are referencing, using internet to help their research, and searching literatures through search engines. The lack of students’ ability about searching a valid and reliable literature in the field of health and medicine according to EBM principle is a profound problem. Reflective thinking is also needed for the students to be able to reach meaningful learning. This study aimed to analyze the students’ reflective writings within the Medical Writing Program. Method: This research was a descriptive-explorative study using a qualitative approach. Subjects comprised 207 first semester medical students of Atma Jaya Catholic University of Indonesia batch 2012. Qualitative data were collected from students’ written reflections about their learning experiences in MWP program. Qualitative analysis utilized content analysis included identification, coding, categorization, and synthesis.Results: Students found that Zotero® was helpful as reference manager program in their writings. Zotero® Volunteer Troops also helped them in learning to use Zotero® and they felt more comfortable learning from their peers. EBM helped students searching and synthetizing literatures. Students also indirectly learned soft skills such as teamwork, time management, and speed reading in English (not their natives language)Conclusion: Students had positive views of the program and its implementation. Students understood the importances of learning the MWP and felt that they could implement their studies directly in their academic careers.