bluuebunny/crossref_metadata_2025 huggingface dataset:
Validasi Kuesioner Elemen PBL yang Mempengaruhi Keputusan Belajar Mahasiswa Fakultas Kedokteran dan Ilmu Kesehatan
Authors: Suryandari Galuh , Prabandari Yayi Suryo , Sanusi Rossi
Published: May 2021

Background: Several elements of PBL have been identified and prepared with a questionnaire to be reused. Variables of PBL elements that influence students' learning decisions are assessed using a questionnaire of PBL elements that affect students’ learning decisions. This study is one part of a study reported in a different journal of medical education. The objective of this study was to validate a questionnaire of PBL elements that influence learning decisions of students in FKIK UMYMethods: A total of 584 students from major A, B, C, and D in FKIK UMY on the introductory tutorial groups with Indonesian as discussion language were invited to fill out a questionnaire. Construct validity was assessed by testing the validity of the items, Crönbach alpha, factor analysis, convergent and discriminate validity.Results: A total of 582 students of the major A, B, C, and D FKIK UMY on the tutorial groups with Indonesian as the language of instruction participated in the study (response rate 99.6%). Data showed that the questionnaire on PBL elements that affect student learning decisions have a high construct validity.Conclusion: The questionnaire of PBL elements that influence students’ learning decisions in Indonesian version is valid and can be reused. A deeper, further qualitative research on the other PBL elements can be conducted to improve the questionnaire.
Studi Kualitatif Dampak Uji Kompetensi Dokter Indonesia terhadap Pembelajaran pada Mahasiswa Kedokteran
Authors: Firmansyah Marindra , Widyandana Widyandana , Rahayu Gandes Retno
Published: May 2021

Background: There are two important characteristics that need to be considered by the institution of medical education today, the first is about the importance of using assessment as a measuring instrument and the role of curriculum in producing good quality graduates. UKDI is only one exit to be a doctor that will certainly have varied impact on students from the expected and unexpected. The purpose of this study was to determine the impact on student learning UKDI on which will follow UKDI related to the allocation of time for study, the number of hours of study, the distribution of learning, the selection of learning resources and learning materials selection.Method: The research method is qualitative study that use Focus Group Discussion to get the data. The number of participants is 61 people devided into 6 groups. That group of students at the Faculty of Medicine with the accreditation of A, B and C respectively - each of the public and private colleges.Results: The results of the qualitative analysis portrait that UKDI has an impact on the student learning. The impact of learning that occurs associated with two things, the first is related to the quality of student learning and the second related to student metacognitive regulation. The general quality of the student learning that occurs in the face of UKDI is still low quality, learn by rote. For metacognitive regulation is related to the allocation, the number and distribution of learning, the selection of learning materials, the selection of learning resources, the selection of a place of learning, learning strategies, learning to maintain consistency, and monitor the process of learning and improvement.Conclusion: UKDI have an impact on the learning of medical students, both in the quality of learning and metacognitive regulation.
Aplikasi Metode Sequential Three-Stage Integer Goal Programming untuk Penjadwalan Kuliah
Authors: Huda Nisrina Nafi’atul , Budi Dharma I Gusti Bagus , Wasityastuti Widya
Published: May 2021

Background: One of scheduling problems in educational sector currently was the course scheduling in college or well known as University Course Timetabling Problem (UCTP). The UCTP was comprehensive because of the policy difference among the university, faculties, and departments.  The Faculty of Medicine Universitas Gadjah Mada, which organizes a block system has a different and more complex scheduling type than other faculties with non-block system. The porpose of this research was to build a mathematic model of block system UCTP in Faculty of Medicine Universitas Gadjah Mada to optimize the scheduling process time and results.Method: This research was conducted by dividing the scheduling problem into 4 sub – scheduling problems that are sequential, which are the scheduling of the 5 primary courses (lecture, panel discussion, practical sessions, tutorial, and skills laboratory), scheduling topics for each course, student’ group scheduling, and classroom scheduling. The problems are then modeled in the form of integer goal programming. Results: The block system scheduling model in Faculty of Medicine Universitas Gadjah Mada by considering topic and possibility of unavailability room using Sequential Three-Stage Integer Goal Programming has successfully developed and well verified.Conclusion: The model developed in this study is able to produce a schedule that meets all hard constraint in less than 24 hours. The result was more efficient compared to the previous trial-and-error method that consumed 30-45 days.
Refleksi Bagi Mahasiswa Kedokteran dan Profesi Kesehatan: Resensi Buku
Authors: Marshella Sally , Rukmini Elisabeth
Published: May 2021

Better: A Surgeon’s Notes on Performance merupakan buku kedua dari Gawande. Buku pertamanya berjudul Complications: A Surgeon’s Notes on an Imperfect Science menyingkap tabir dari seorang dokter bedah. Dokter bedah, seperti juga manusia pada umumnya, dapat membuat beberapa kekeliruan. Aspek kekeliruan yang dilakukan oleh beberapa dokter bedah, termasuk dirinya sendiri, dikupas oleh Gawande agar dapat menjadi pembelajaran bagi dokter lainnya. Gawande berusaha untuk mengungkapkan bahwa dokter yang biasa dapat melakukan sesuatu yang luar biasa, baik dari segi positif maupun negatif.
Among Students' Internal Factors, Should Motivation be Used as One of Recruitmen for Admission of Medical Students in Indonesia?
Authors: Nurrokhmanti Hikmawati , Claramita Mora , Utomo Prattama Santoso
Published: May 2021

Background: Indonesia medical education recruitment system recruits students directly from high school who had been influenced by mostly teacher centered learning. As part of pedagogical approach in higher education, those students will be obligatory to learn independently and effectively. Self-directed learning (SDL) is an important aspect in latest medical educational evidence which would determine students’ successfulness in learning. Self-directed learning readiness (SDLRS) is influenced by several factors including motivation, age, culture, and previous education experience. Today, the admission process in Indonesia is based on knowledge-test based only. This study aims to reveal correlation between several factors which influence students’ Self Directed Learning Readiness (SDLRS).Methods: This study used SDLRS questionnaire as a valid and reliable toll to measure the students’ self directed learning readiness and correlate with those several factors.Result: From 540 distributed questionnaires, 412 questionnaires returned back. The Spearman correlation showed significant ratio between students SDLRS score and students’ motivation. While, the analysis on age showed that age of 20 has significant ratio with students’ SDLRS score.Conclusion: among age, previous education experience, and culture; students’ internal motivation  should be considered as important factor for students’ SDLRS which will determine their successfulness in learning in medical education. These factors should be regarded as one requirement of students’ admission in medical education.
Pendapat Mahasiswa terhadap Implementasi PBL pada Kurikulum Berbasis Kompetensi Program Studi S1 Keperawatan
Authors: Noprianty Richa
Published: May 2021

Background: New paradigm in health profession education caused exchange of medical education curriculum from conventional to Competency Based Curriculum (CBC). One teaching methode of competence-based curriculum implementation is Problem Based Learning (PBL). PBL was impemented in Bachelor of Nursing Programme STIKes Dharma Husada Bandung since 2010. This research aim was to analyse students opinion about the implementation of Problem Based Learning (PBL) for Bachelor phase of Nursing Programme in STIKes Dharma Husada Bandung.Method: This research was cross sectional study using questionnaires to students of level 2 and 3 Bachelor of Nursing. Total 114 students out of a population of 160 students (with stratified random sampling) involved in this study. Results: This study showed that most students (85.1%) gave positive opinion on PBL if socialized in the beginning of learning process. Scenario has stimulated the students as much as 71.1%, and the role of moderator and secretary duties as much as 77.2%, while skills lab instructors imprecise 50% weighting in accordance with the duties of assessment, there are 41.2% who disagree and knowledge becomes widely agreed as much as 77.2% of studentsConclusion: Most of the students gave positive opinion on PBL socialization in the beginning of the learning process. About 50% students felt skills lab instructor usually hard to be on-time and the literatures provided were not sufficient.
The Relationships of The types of Entry Selection of Students with their Learning Motivation, Learning Strategies, and Learning Achievement
Authors: Ashaeryanto Ashaeryanto , Kristina Tri Nur , Hadianto Tridjoko
Published: May 2021

Background: The learning achievement of students in higher education is reflected in their grade point average (GPA). Selection types in student admission, learning motivation, and learning strategies are believed to influence the effective and efficient learning achievement, thus facilitating achieving the desired learning objectives. Medical students should have good behavior and learning styles that eventually can help to make lifelong learning. Students that can organize themselves to learning tend to use a good strategy in running the study. Learning motivation and learning strategies used by the learner will affect student results. This study aimed to compare the 3 types of selection in student admission to learning motivation, learning strategies and achievement of students of the Faculty of Medicine.Method: This was a quantitative study using a cross sectional design. The subjects were preclinical students at the Faculty of Medicine of Halu Oleo University, Kendari, consisting of 161 first-year students, 137 second year students, and 148 third year students. This study used a questionnaire ‘Motivated Strategies for Learning Questionnaire (MSLQ)’ to measure learning motivation and learning strategies. The results of MSLQ and GPA were compared based on the type of student selection.Results: Within all categories of learning achievement, the highest scores were achieved by the students from selection of SBMPTN, followed by SNMPTN, then SLMPTN. Mean of extrinsic goal orientation of students with all types of student selection was high, whereas the lowest mean was learning self-confidence. Learning strategy with high score was repetition, and the lowest score was critical thinking in students with all types of student’s selection. There was a positive relationship between admission style, learning motivation, learning strategies and achievement of students.Conclusion: Students that were selected by SBMPTN have highest score of learning achievement, and the lowest score were students from SLMPTN. There was no significant different of motivation and learning strategy between all type of student selection.
Conctruct Validity Assessment of Dundee Ready Educational Environment Measurement (Dreem) in a School of Dentistry
Authors: Leman Michael Andreas
Published: May 2021

Introduction: Learning environment in educational institutions of medicine and health is an important thing to be evaluated, so it takes a valid and reliable instrument. Dundee ready Educational Environment Measurement (DREEM) is one of the most frequently used instruments to evaluate the learning environment in various countries, including Indonesia. However, some psychometric study cannot prove the construct validity of DREEM. This study aims to assess the construct validity of Indonesian version of the DREEM in Study Program of Dentistry, Faculty of Medicine, University of Sam Ratulangi.Method: A total of 352 medical students were divided into three groups asked to complete the DREEM. Evaluation of the construct validity of DREEM was assessed by calculating the score of internal consistency, testing the validity of the items by Pearson Product Moment Correlation test, and confirmatory factor analysis.Results: 50 items of DREEM proven to have good reliability score (Cronbach alpha 0.883), but the two subscales have lower internal consistency score (alpha Cönbach <0.7). Seventeen items are categorized as bad items (r <0.3), the item composition is different compare to the original instrument, and there are only two items (item No. 43 and 44) in the same subscale which has strong correlation (r > 0.6).Conclusion: Indonesian translation of DREEM proved to be reliable, but the construct validity of this instrument cannot be proven in this study. It is hoped that this DREEM psychometric research continues in various countries as a basis for improving these instruments.
Mentoring for Senior Preclinical Medical Students in a Faculty of Medicine
Authors: Rukmini Elisabeth , Puspadewi Natalia , Hariadi Nurul
Published: May 2021

Background: Universities’ core values need to be translated into real learning design. At the end of the preclinical phase, the curriculum turned into a more comprehensive and full of trustworthiness of knowledge and attitudes. Meanwhile, the development of attitudes requires intensive support (mentoring). The team intended to translate the core values of Atma Jaya (Christianity, Excellence, Professional, Caring, KUPP) into an instructional design. Mentoring was the selected approach to build a dialogue and work together with students. In this article we presented the implementation of mentoring on the Elective Block of Medical Education (Block IPK) for the 7th semester medical students at Atma Jaya School of Medicine (August-September 2015, 5 weeks). The Block IPK then was followed by an advanced mentoring until the end of November 2015. We intended to realise KUPP through mentorship throughout Block IPK until the end of the first semester of 2015/2016. In particular, this action research was intended to find answers to research questions: (1) What were perceived by the students throughout the mentoring in the Block IPK ?, (2) What were perceived by the students throughout the mentoring after Block IPK?, (3) What products were the students proud of after the mentoring?Method: Qualitative analysis using Delphi method were utilized to determine the main theme. Analyses were fulfilled using interpretive analysis. Data were taken from: reflective writing, FGD or interviews, email communication, and the mentors’ observation. The Delphi was performed in three rounds.  Results: Findings showed positive impression on Block IPK. Students were aware of the meaning or significance of Block IPK. Field trip and working group were learning methods which considered to be important, because the methods had succeeded in generating meaningful learning for students. Approximately 40-50% of the students stated the significance of working group in Block IPK. Approximately 50-75% of students experienced personal cultivation. Approximately 67-75% of the class stated the superiority of Blok IPK and mentoring. Students appreciated the working group, which gave opportunities to have a discussion on campus with mentors. Mentoring had advantages in terms of students’ cultivation of the freedom of thought and to proceed further learning (advance learning).Conclusion: Students perceived positively to mentoring activities during and after the Block IPK. Mentoring benefited to personal cultivation, academic support, role modeling and leadership. The implication to medical education institutions was to implement a mentoring steadily.
Development and Validity and Reliability Tests of Professionalism Assessment Instrument in Psychiatry Residents
Authors: Santoso Budi , Marchira Carla Raymondalexas , Sumarni P.
Published: May 2021

Background: The main objective of specialist training program is professionalism and competence. In modern era, the medical professions have to face legal issues. This problem can be overcome by improving professionalism education and routine evaluation of professionalism during specialist training. Psychiatric specialist training in particular is different from other specialist training due to several unique aspects during the course of the training. Therefore, an instrument to assess professionalism of psychiatric residents is required. The objective of this study was to develop an instrument to assess professionalism for psychiatric residents adapted from ACGME (Accreditation Council for Graduate Medical Education).Method: This study was a quantitative non-experimental study consisted of 3 stages (literature review, peer review, and validity and reliability testing). The subjects were residents on training at the Department of Psychiatry, Medical Faculty, Gadjah Mada University. The construct validity testing was conducted with Confimatory Factor Analysis (CFA) and content validity with Pearson’s product moment. Reliability testing was conducted with Cronbach’s alpha. Results: Statistical analyses results showed that instrument was valid (Pearson’s product moment r = 0.302 – 0.797; p = 0.001 – 0.052) and reliable (Cronbach’s alpha = 0.943). Analyses on the subjects score revealed that professionalism was associated with the stage of training. The t-test results showed that subjects in the post-stasis stage showed higher professionalism score except for the 4th domain (professional behavior).Conclusion: The instrument that developed was valid and reliable to be use as a mean to assess professionalism for resident in training at the Department of Psychiatry, Medical Faculty, Gadjah Mada University.
Validitas dan Reliabilitas Ujian SOCA (Students Oral Case Analysis): Studi di Salah Satu Fakultas Kedokteran di Indonesia
Authors: Putranti Rizka Aries , Emilia Ova , Suryadi Efrayim
Published: May 2021

Background: Medical faculty has to make sure that the students meet the minimal competence needed using apropriate exam. While the exam itself should facilitate students to learn. Oral examination has known for its ability to facilitate students learn but low in validity and reliability. Medical faculty of Lampung University (FK Unila) apply the student oral case analysis (SOCA) exam as one of block assessment component, as with MCQ, tutorial, and laboratory exam. This study aimed to evaluate validity and reliability of SOCA examination at FK UnilaMethod: Video of 65 students doing SOCA examination and 28 question rubrics had taken when odd semester exam year 2014-2015 has been carying out at FK Unila. Video and question rubrics were assessed by 5 panelis and analysed using Lawshe's content validity ratio (CVR) to determinate its content validity. Students performance on the video were re-assessed by another assessor to see inter-rater reliability, than analysed using kappa Cohen. Two expert in medical education assessed the cognitive comlpexity of the question rubrics. Data of SOCA's student's mark from year II, III, and IV were analysed for construct valdity and internal consistency.Results: 93,7% of the overall question in 65 video were valid (CVR>99%) and 71,8% question number in 28 question rubrics also valid according to 5 panelis. SOCA cognitive complexity were at level of analyse, know how and 4a. Inter-rater reliability analysis showed 0,549 (moderate agreement) kappa value. Mann Whitney analysis for construct validity showed no significant difference of all year. Cronbach alpha analysis showed internal consistency at the point 0,575.Conclusion: FK Unila's SOCA of odd semester examination year 2014-2015 has sufficient content validity, sufficient cognitive complexity and sufficent inter-rater reliability but lack in construct validity and internal consistency. Keywords: SOCA, validity, reliability
Peningkatan Kompetensi Tutor Blok Elektif dalam Pembuatan dan Penilaian Laporan Kasus
Authors: Djannatun Titiek , Wikaningrum Riyani , Rita Murnikusumawatie Rita , Susilawati R. W.
Published: May 2021

Background: Elective block of the Faculty of Medicine YARSI University offers five topics. The evaluation results found a variation of tutor competence in writing and grading the case reports. The aims of this study is to improve the tutors’ competence in writing and grading Case Report.Method: Ten Case reports were selected and assessed by the study team. Thirty Tutor participated in the workshop. The tutor competence in the assessment case reports were analysed by pre test and post test compared with expert.  Tutors’ performance was analyzed using the inter-rater reliability and students feedback using questioner.Results: This study found that 13 tutors gave lower absolute number of grade after the workshop, range from  1 to 14 points, and 3 tutors gave higher grade range from 3 to 6 points, and 5 tutors gave the same grade. The differences between the tutors’ and standard widened  in 9 (42.9%) shortened in 9 (42.9%), and the same in 3 (14.3%). The workshops have a positive impact on achieving similar  perception case report writing and grading. Conclusion:  The case report grading must be done by tutors who have the same competence and perception of each grading item.  The workshop gave the positive impact to the tutor as a rater. Case report grading with rubric to get a fair and valid must be assessed by more tutors.
The Role of Indonesian Medical Council in Assuring The Quality of Medical Education
Authors: Prihatiningsih Titi Savitri
Published: May 2021

Background: Indonesian Medical Council (IMC) was established in October 2005 as mandated by the Medical Practice Law No.29/2004. The main function of IMC is to safeguard the medical practices through several mechanism, one of which is through ensuring the quality of medical education by approving the standards of competences and standards of medical education as well as by monitoring the implementation of those standards. A new Medical Education Law No.20/2013 is enacted. In this Law, the role of IMC in assuring the quality of  medical education disappeared.Method: This is an exploratory qualitative study. Documents are analysed using a content analysis. Typology for medical regulatory framework is applied.Results: Five categories are identified, namely (1) educationally-oriented regulators, (ii) mix regulatory regimes, (iii) collaborative governance, (iv) professional regulation and (v) mix-credentialing regimesConclusion: For governance of medical education, educationally-oriented regulators predominates. In quality assurance for medical education, mix-regulatory, collaborative governance and professional regulation are applied; however there is a contradictory of role between IMC and the Ministry. In funding, mix-regulatory regime and collaborative regime are applied. In education trajectory, educationally-oriented regulator is used and in exam and qualification mix-credentialing regime is applied. Only in quality assurance in medical education, there is a serious contradiction of IMC role.
Area of Interest of Indonesian Researches in Medical and Health Professions Education: Future Direction
Authors: Claramita Mora , Rahayu Gandes Retno , Surayya Rahmi , Bakar Abu , Mandawati Murti , Leman Michael Andreas , Emilia Ova
Published: May 2021

Background: Medical education research has been flourished in the past two decades in Indonesia. It is highly important to study results of medical education researches in Indonesia to provide future direction for medical education. Six published literature in medical education from Asian context was used as the basis of this study.Method: We used the narrative review in which quantitative data were interpreted qualitatively. All national and international publication and the unpublished research in medical education from Indonesia between 2000 - 2013 were collected with multiple methods based on 8 criteria of inclusion/ exclusion. We also grouped the articles into quantitative and qualitative groups based on each method in each study.Results: Total articles interpreted was 151 and grouped into 17 areas of interest and level of evidences from ‘very rarely’ to ‘very frequently’ studied. Studies in the area of understanding problem–based learning (PBL) are still dominating the area of interest including the student-assessment within PBL program. Other areas are still rarely done, especially research in health professions education other than medical doctors.Conclusion: Research in medical education in Indonesia should be more stimulated; in terms of numbers and quality, more importantly to strive for future agent of culture, socio-economic and political changes based on the actual community problems in the universal coverage era toward solid interprofessional team work to accomplish patient safety.
Pengembangan Model Pembelajaran Reflektif Untuk Program Studi Profesi Dokter: Enam Langkah Pembelajaran Reflektif Klinik
Authors: Pamungkasari Eti Poncorini , Kumara Amitya , Armis Armis , Emilia Ova
Published: May 2021

Background: Reflection is one of important skills to be possessed by medical professional, which should be developed while studying at medical faculty. In clinical stage of medical education in many medical schools in Indonesia, a reflection-learning model has not developed yet. This often make clinical teacher confuse, how to facilitate the reflection learning correctly.Methods: We developed the reflection-learning model for clinical stage of medical education. The model development was started with a blueprint and a model’s draft development, which referred by reflection learning theory. The next step was a clinical teacher panel discussion and in-depth interviews of medical education experts. After these process, a reflective clinical learning model were developed and six clinical teachers were involved in the models’ trial. They adopted the model in their learning sessions. In-depth interviews were used to explore clinical teachers’ experience when they implemented the model.Result: a six-step clinical reflection learning model developed, consists of (1) case selection, (2) case presentation, (3) self-evaluation, (4) peers’ feedback, (5) teachers’ feedback and (6) reflection writing. The implementation problem is that students and lectureres have not been accustomed to reflective learning and lecturers’ limitation of time. Conclusion: This study shows that the six steps clinical reflection learning model could be used as an alternative learning method of reflection learning. However, in practice, both clinical teachers and students should have sufficient understanding about the model, and clinical teacher should provide sufficient time in the learning process.
Hubungan Antara Preferensi Belajar Terhadap Gangguan Depresi dan Gangguan Cemas Pada Mahasiswa Preklinik Suatu Fakultas Kedokteran
Authors: Faustina Carissa , Agus Dharmady
Published: May 2021

Background: Students have different learning preferences in terms of assimilation and processing information. VARK learning preferences, which were introduced by Fleming, can identify learning preferences based on sensory modality. The model categorizes students into four different learning preferences, namely visual, aural, read/write, and kinesthetic. In his book, Westwood stated that the wrong application of learning preferences may lead to depressive disorder and anxiety disorder. Method: This study is a cross sectional study. The study was conducted by interviewing respondents to determine whether they have  depressive disorder and anxiety disorder. Respondents will fill up a VARK questionnaire to determine their learning preferences. Samples will be collected from as many as 260 pre-clinical student of faculty of medicine of Atma Jaya Catholic University of Indonesia. Data will be collected and analyzed by using Chi Square test. Results: The result showed that there is no significant relationship between learning preferences and depressive disorder (p = 1,000), as well as anxiety disorder (p=0,477). Conclusion: There is no relationship between learning preferences and depressive disorder, as well as anxiety disorder.
Perbedaan Proporsi Gangguan Depresi dan Gangguan Cemas Antara Mahasiswa Preklinik dan Klinik
Authors: Chou Yoan , Agus Dharmady , Juliawati Dwi Jani
Published: May 2021

Background: Medical education is full of burden and pressure, so that medical students are prone to get depressive disorder and anxiety disorder. These have been proven by several researches conducted in the faculties of medicine from abroad as well as in Indonesia. Medical students, either preclinical or clinical, need to face many obstacles, but clinical students have more demands than preclinical students and they are directly responsible for patient safety. The more demands of the clinical students made them prone to have more depressive and anxiety disorder.Method: This research was conducted as a cross-sectional study on 200 students on Atma Jaya Medicine Faculty by choosing 100 pre-clinical and clinical students with simple random sampling. Data were collected with structured interviews by using MINI ICD-10 instrument to determine the depressive and anxiety disorder.Results: There were significant differences between the proportion of depressive disorder and anxiety disorder among preclinical and clinical students in FKUAJ 2015 (p = 0.044 and p = 0.048). The proportion of depressive disorder and anxiety disorder in clinical students are higher than preclinical students (29% vs. 17% and 38% vs. 25%).Conclusions: Clinical students are more prone to get depressive disorder 1,99 times and anxiety disorder 1,84 times than preclinical students FKUAJ year 2015
Efektivitas Modul Komunikasi Interprofesional Pada Mahasiswa Fakultas Kedokteran dan Keperawatan
Authors: Rensa Rensa , Lisum Kristina , Pasaribu Jesika , Indiyah Sri
Published: May 2021

Background: Interprofessional education (IPE) is one of medical professionals’ need to manage the patients’ problem efficiently and comprehensively.Method: This is a cohort prospective study that implemented mixed methods approach that consists of quantitative and qualitative methods. Quantitative data is collected through the Interprofessional Collaborative Competencies Attainment Survey (ICCAS) on pilot study, while qualitative data is collected through the open-ended questions on Focus Group Discussion (FGD). This study involves students from Medical School, Atma Jaya Catholic University and Sint Carolus Nursing School, all of them were at their fourth-year college.Results: Pilot study obtains quantitave data from the ICCAS questionnaire, before and after Interprofessional Learning (IPL) intervention. There are mean differences on domain collaboration before and after IPL intervention using interprofessional communication module (mean difference 6 [95%CI 2 to 10], P 0,007).Conclusion: There are significant differences in collaboration skills between FKUAJ and STIK’s college students after IPL.
The Preceptions of students and Teachers about The Level of The Sanctions for academic Integrity Violans: An Explanatory Sequential Design Study in a Nursing Education Program
Authors: Anggreini Yogik Setia , Prabandari Yayi Suryo , Prihatiningsih Titi Savitri
Published: May 2021

Background: Professional Behavior is a reflection of the professionalism, which includes academic integrity. Some of student’s behavioral violations related to academic integrity are influenced by perception. However, students and lecturers tend to interpret these violations differently associated with severity of academic integrity, for example, the sanction against violations of academic integrity. Thus, these differences may contribute to the number of occurrences of academic integrity violations. This study aims to identify the perception of nursing students and lecturers about the level of sanctions for violations of academic integrity.Method: This study used a mixed method using a sequential explanatory design. This was also a quantitative research survey using a questioner to 101 nursing students, followed by focus group discussion done by the students and in-depth interviews to four lecturers.Results: The behavior deemed not to be in violation was 1% -5.9%. Most students chose sanction level 2 (21.8% - 66.35%), sanction level 3 (23.8% - 28.7%) and the highest sanction level or level 10 (19.8%)Conclusion: The perception of students to the sanction level out of 22 items, 15 items nursing students chose sanction level 2 “verbal warning” (21.8% - 66.35%), 2 items students chose sanction level 3 “written warning” (23.8% -28.7%). The highest sanction level chosen was level 10 “reported to the professional regulatory body” (19.8%). The lecturers assumed that mild sanction first given was in the form of verbal warning and the toughest was being suspended.
The Development of Islamic Dentist Competence In Destistry Education
Authors: Amurwaningsih Musri , Prihatiningsih Titi Savitri , Ana Ika Dewi
Published: May 2021

Background: The subject of dental health care has been receiving a lot of attention from Moslems in Indonesia, especially its accordance with Al-Qur’an and Sunnah. It has encouraged numerous researches which corelate dental health care through Islamic perspective, and ignored the perspective of dentistry. Consequently, this research is aimed to develop, formulate and validate the competence of moslem dentists.Method: Experts’ agreement was develop using Delphi method. The result then was developed into an instrument with 2 criteria was used to determine content validity index (CVI) and content validity ratio (CVR). The result was developed into a 5-point Likert scale instrument which would be used to determine internal consistency (Cronbach’s alpha) and corrected item–total correlation with Pearson’s correlation.Results: The qualitative method generated 4 domains. Domain shiddiq comprised 2 components, domain amanah 2 components, domain tabligh 2 components and domain fathonah 4 components with the value of agreement of each domain was approximately between 67% - 100%. The CVR value of the components of competence was between 0,69 – 1, while the CVI value was 0,877. The reliability test scored 0,923.Conclusion: The Competence Standards of Islamic Dentistry can be used as guidance for designing Islamic dental curriculum. Further research should be conducted to design assessment.
Identifying Dostors' Problems In Breaking Bad News: An Initial Step In Developing Recommendations For The Curriculum
Authors: Ferine Miko , Rahayu Gandes Retno , Claramita Mora
Published: May 2021

Background: The skill of breaking bad news is listed in the 2012 Indonesia’s Doctor Competency Standards so that this becomes one of the skills that must be mastered by all doctors in Indonesia. The curriculum of breaking bad news is much developed in western cultural background. The curriculum may not necessarily be well developed in Indonesia because the communication process is strongly influenced by culture. Therefore, the exploration of the problems faced by the practitioner in delivering bad news in the context of local cultural needs to be done as a first step to develop the right educational curriculum and training.Objective: This study aimed to identify problems of the practicing doctors in delivering bad news to patients or their families in the context of local culture (Banyumas).Methods: This study was a qualitative research with a phenomenological approach. The method used was in-depth interviews to the practicing doctors with experience in delivering bad news selected from various educational backgrounds, sex, and age.Results: This study indicated that the doctors had difficulty in breaking bad news. It was known from the attitude of the doctors who tended to avoid by giving the task to others, to cover the actual condition of the patient or just delivering the bad news to the family. The causes identified were the lack of knowledge and skills, the lack of ability to control emotions, the lack of confidence, the anxiety on the patient’s response, the knowledge gap between doctors and patients, and the limitations of space and time.Conclusion: The main problem of the practicing doctors in delivering bad news was the lack of knowledge and skills. Therefore, it is necessary to develop a training curriculum on breaking bad news adequately for basic and advanced medical education.
Anxiety and Competence Achievement of Midwifery students During Midwifery Clinical Practice of Maternal Neonatal Emergency
Authors: Kusumawati Anis , Prihatiningsih Titi Savitri , Prabandari Yayi Suryo
Published: May 2021

Background: Anxiety is often experienced by students when following clinical education. Anxiety at moderate level is required for the learning process, but at high level it lowers the learning. The objective is to determine the level of anxiety, competency achievement, the relationship between them and the things that are perceived by the students and the clinical instructors when following clinical practice.Methods: A quantitative, cross sectional study using questionnaires to 42 midwifery students continued with the qualitative by in-depth interviews with three students and six clinical instructors.Results: The level of anxiety was no to mild anxiety by 19.05%, mild to moderate anxiety by 66.67%, and moderate to severe anxiety by 14.28%. Around 2.38% of the students earned a grade of a B, 45.24% earned a B + and 52.38% earned an A. The relationship between the level of anxiety and competency achievement was shown with an r value of -0.043.Conclusion: The level of anxiety in clinical practice of midwifery students was mild to moderate, and the competency achievement was excelent. There was a negative and very weak correlation between the level of anxiety and competency achievement. Things perceived by the student following clinical practice were a matter of personalization, innovation, individualization, involvement, task orientation, and satisfaction, while things perceived by the clinical instructors were a matter of time constraints, much work load, student preparedness, student ability level, challenge to patient, student motivation, and hospital environments.
Evaluation of The Clinical Supervision to Clinical Rotation Students In a Faculty of Medicine
Authors: Ashari Irwan , Prihatiningsih Titi Savitri , Agni Angela Nurini
Published: May 2021

Background: The clinical education at the Faculty of Medicine, University of Muhammadiyah Makassar, must be completed in four semesters. During that period, the students are educated and supervised by specialists or doctors on duty at the hospital. Since the first implementation of the clerkship clinical system at this university, evaluation on the implementation of clinical supervision provided by lecturers to the students for their clinical clinic had never been conducted. Therefore, it was necessary to evaluate the clinical supervision provided by the clinical instructor to the students for their clinical clerkship at FK-Unismuh. This study aims to evaluate the clinical supervision provided by lecturers to the clinical clerkship students at FK-Unismuh Makassar.Method: This study was a descriptive survey. The subjects were 123 clinical clerkship students of FK-Unismuh Makassar who had completed clinical rotation at the department of Internal Medicine, Pediatric, Surgery, and Obstetrics and Gynecology. The research subjects were grouped based on their clinical rotation that had been undertaken. The instruments used were the Clinical Teaching Effectiveness Instrument (CTEI) and the students’ log book for their clinical activities. The collected data were analyzed descriptively.Results: The effectiveness of clinical supervision showed that the overall average total score of CTEI was more than 3 with a range from 3.52 (internal medicine) to 3.84 (surgery). The lowest clinical supervision was at setting up a good time for both services and teaching (3.50). The average frequency of supervision received in Internal Medicine was 91.2 times. The average number of timely, late, and delayed supervision was 40 times (44%), 23 times (26%), and 28 times (30%), respectively. The average supervision duration of under 30 minutes, 30-60 minutes, and more than 60 minutes was 63 times (69%), 16 times (18%), and 12 times (13%), respectively.Conclusion: The effectiveness of the overall clinical supervision at 4 departments was rated ‘good’ by clerkship students. However, there were some items of the clinical supervision which were still undervalued by the students. At the Department of Internal Medicine, the number of students accepted uneven supervision, much clinical supervision was carried out not on time, and duration of supervision was inadequate.
GRIT IN MEDICAL PROFESSIONAL EDUCATION STUDENTS
Authors: Rusli Rusdi , Ainy Fardana Nur , Hendriani Wiwin
Published: May 2021

Background: Grit is one of the noncognitive predictors that must be owned by medical professional education students in taking professional education. Grit consists of consistency of interest and perseverance of efforts to deal with various conditions that will be encountered in pursuing the educational process. The purpose of this study was to determine how the level of grit in medical internship students in Indonesia. Methods: This research method used online survey research methods. The procedure for filling out the questionnaire is distributed online and the respondent voluntarily completes the questionnaire with the criteria of the respondent namely active professional medical education students who have completed the profession for at least one year. The survey was responded by 708 medical professional education students from 21 universities that organize medical professional education in Indonesia. Results: The results of grit categorization for medical professional education students were based on five categories: 2 respondents had very low grit levels and 52 respondents with low grit categories. Meanwhile, 238 respondents had moderate grit levels, 314 respondents were in the high category, and 102 respondents were in the very high category. In addition, there is no difference between the average grit scores of medical professional education students who have passed the study period of one, two, or three years. Conclusion: There are variations in grit levels obtained from the results of this study. Grit is a strong predictor for work performance and also academic performance. Individuals with a high degree of grit will be more diligent at work, do not easily give up if they fail, and can even make failure as motivation to strive and be more active in achieving goals. Apart from assessing the cognitive abilities of medical students, it is hoped that the assessment of non-cognitive factors in the form of grit measurement at the beginning of selection and during the medical education process can be carried out both at the pre-clinical stage and at the clinical stage. This aims to determine the level of business persistence and consistency of student interest in the medical field.
Periodontal and chronic kidney diseases: A modifiable association
Authors: Jabbarzadehkhoei Foujan , Bakhshandeh Soheila , Namdari Mahshid , Pakkhesal Mina , Khoshnevisan Mohammad Hossein
Published: May 2021

Objectives: The purpose of this study was to assess the relationship between periodontal diseases and CKD duration.

Methods: This descriptive cross-sectional study was conducted on referral CKD patients to a teaching hospital in 2017. Two instruments were used for data collection. The first one was a self-reported questionnaire regarding oral health status and patientsâ€™ behaviors. The second questionnaire was used for the clinical assessment of oral health status.

Results: Out of 192 patients, 46.9% were male and 53.1% female with a mean (SD) age of 51.9 (Â±15.1) years. The mean duration of CKD was 7.70 (Â±7.34) years. About 67.7% of patients experienced toothache in the past year. Also, 67.7% had gingival bleeding (BOP), 34.4% had Clinical Attachment Loss (CAL) > 4 mm, and over 50% of patients had a pocket depth (PD) > 4 mm. By controlling the patientâ€™s age, a direct correlation was detected between the duration of CKD and DMFT index (r=0.64, P<0.001). Moreover, the prolongation of the disease period was detected in patients with CAL>4 mm (P=0.02). Likewise, a direct correlation was detected between the duration of CKD and the periodontal index (r=0.48, P<0.001).

Conclusion: Given the direct correlation between the periodontal conditions and duration of CKD, regular biannual dental visits are essential for CKD patients. All physicians are encouraged to include regular oral health checkups in the treatment protocol for CKD patients.
Extended-spectrum Î²-lactamase Enterobacteriaceae from patients in Jeddah, Saudi Arabia: Antibiotic susceptibility and molecular approaches
Authors: Alshehri Wafa A. , Moussa Tarek A. A.
Published: May 2021

Objectives: This study aimed to determine the Enterobacteriaceae strains among patients who suffering diarrhea, phenotypic and genotypic characterization of ESBL-producing isolates in Jeddah, Saudi Arabia.

Methods: Stool samples were collected and cultured to determine the different Enterobacteriaceae strains, PCR was done for the isolates to detect the different ESBLs genes and antibiotic susceptibility against different antibiotics was done.

Results: The total number of patients in this study was 200 (114 males [57%] and 86 females [43%]). The patients were categorized to teenagers (21, 10.5%), adults (92, 46%), middle age (25, 12.5%) and elderlies (25, 12.5%) according to age. Five Enterobacteriaceae strains was found: Enterobacter cloaca (7, 3.5%), Escherichia coli (111, 55.5%), Klebsiella pneumoniae (75, 37.5%), Proteus mirabilis (6, 3.0%) and Pseudomonas aeruginosa (1.0, 0.5%). P. aeruginosa was absent in all female patients under investigation. The response of the isolated (E. coli, K. pneumoniae and E. cloaca) strains to ampicillin, cefotaxime, cefotaxime-clavulanate, ceftriaxone, cephalothin and chloramphenicol, ciprofloxacin, nalidixic acid, streptomycin, tetracycline and trimethoprim-sulphamethoxazole was highly resistant, while the response was highly susceptible to ampicillin sulbactam, ceftazidime, ceftazidime-clavulanate, and imipenem. The most frequent gene was blaCTX-M (195) followed by blaTEM (149), blaSHV (73) and blaOXA (3), while the highest pair of genes in the same organism was blaTEM+blaCTX-M (134) followed by blaSHV+blaCTX-M (64), blaSHV+blaTEM (52) and the least pairs were blaTEM+blaOXA (3) and blaCTX-M+blaOXA (2). blaSHV+blaCTX-M+blaTEM was found in 44 organisms and blaCTX-M+blaTEM+blaOXA in two organisms only. The blaSHV+blaOXA, blaSHV+blaCTX-M+blaOXA, blaSHV+blaTEM+blaOXA and blaCTX-M+blaTEM+blaOXA+blaSHV were not present in any organism under investigation.

Conclusion: In teenager group, there were no organism contain blaOXA gene, while blaOXA present in E. cloaca and P. mirabilis only. blaSHV gene was absent in E. coli but present in E. cloaca and K. pneumoniae. The most susceptible group to infection with Enterobacteriaceae was adultsâ€™ group, while teenage was more resist to infection.