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Ikhwan Rinaldi
Penetapan Aktivitas Residen Program Pendidikan Dokter Spesialis Penyakit Dalam sebagai Entrustable Professional Activities dalam Kurikulum Berbasis Kompetensi pada Program Pendidikan Dokter Spesialis Penyakit Dalam Indonesia = Determination of Resident Activity of Internal Medicine Residency Program as Entrustable Professional Activity in the Framework of Competency Based Curriculum in the Internal Medicine Residency Program in Faculty of Medicine Universitas Indonesia
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Entrustable professional activities (EPA) adalah kerangka kerja asesmen dengan pemberian tanggung jawab dari staf pengajar kepada peserta didik untuk dilakukan tanpa supervisi setelah peserta didik memiliki kompetensi yang memadai. EPA diharapkan dapat menjembatani kinerja sehari-hari peserta didik, kompetensi yang dimiliki dan supervisi yang sesuai sehingga meningkatkan secara sinergis keselamatan pasien dan kualitas pendidikan. Tujuan penelitian adalah menetapkan aktivitas residen program pendidikan dokter spesialis penyakit dalam sebagai EPA dalam kurikulum pendidikan berbasis kompetensi program pendidikan dokter spesialis penyakit dalam Indonesia. Penelitian dilakukan dengan desain kualitatif yang meliputi telaah pustaka, panel ahli (expert panels) untuk menentukan daftar aktivitas residen program pendidikan dokter spesialis penyakit dalam Indonesia yang dapat ditetapkan sebagai EPA menggunakan kuesioner Taylor dkk, serta pengambilan kesimpulan pendapat pemangku kepentingan melalui metode Delphi terhadap butir EPA yang telah disusun menggunakan kuesioner Hauer et al. Diskusi paneh ahli penelitian ini menghasilkan  28 EPA terbaru melalui penilaian kelayakan EPA sebagai unit kerja, esensi, dan peran menggunakan kuesioner Taylor dkk.  Metode Delphi menetapkan 28 butir EPA dapat diterima (Content Validity Index ≥ 80%). Pada analisis statistik tidak didapatkan perbedaan bermakna. Akhir tahap pendidikan butir EPA menunjukkan sebagian besar variasi yang tidak berbeda bermakna antara keempat kelompok dalam menentukan akhir tahap pendidikan suatu butir EPA.

 

Entrustable professional activities (EPA) is an assessment framework where teaching staff gives students responsibility to be carried out without supervision after students have sufficient competence. EPA is expected to be able to bridge daily performance of students, their competencies, and appropriate supervision so as to synergistically improve patient safety and education quality. Objective of this study was to determine activities of internal medicine resident as EPA in the competency-based educational curriculum of Indonesian internal medicine specialist education program. The study used a qualitative design which included literature review, expert panels to determine list of resident activities in Indonesian internal medicine specialist education program that could be designated as EPA using questionnaire by Taylor et al and drawing conclusions on stakeholder opinions through Delphi method on EPA items. Expert panel discussion resulted in 28 new EPAs through assessment using questionnaire by Taylor et al. The Delphi method determines that 28 EPA items are acceptable (Content Validity Index ≥ 80%). In statistical analysis, there was no significant difference. At the end of the education stage, the EPA item shows most of the variations do not differ significantly between the four groups in determining the final stage of education for an EPA item.

 

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Depok: Fakultas Kedokteran Universitas Indonesia, 2020
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UI - Tesis Membership  Universitas Indonesia Library
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Aulia Rizka
Gambaran efek pelatihan 'Resident as Teacher (RaT)' terhadap kemampuan membimbing chief resident: suatu pendekatan kualitatif di Program Pendidikan Dokter Spesialis Penyakit Dalam Fakultas Kedokteran Universitas Indonesia = Effect of resident as teacher training to improve teaching skills of internal resident chief resident: a qualitative study in Internal Medicine Residency Program Faculty of Medicine Universitas Indonesia
"Latar belakang: Chief resident merupakan bagian penting dalam proses pendidikan di program studi pendidikan dokter spesialis (PPDS). Salah satu kompetensi chief resident adalah membimbing residen juniornya, namun kompetensi ini jarang diajarkan secara formal. Telah dilakukan program pelatihan Resident as Teacher dengan durasi 5 jam untuk 20 chief resident di PPDS Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia. Penelitian ini bertujuan mengevaluasi efek pelatihan tersebut terhadap kemampuan membimbing chief resident.dengan menggunakan metode Kirkpatrick tingkat 1 hingga 3.
Metode: Penelitian kualitatif dengan dengan rancangan fenomenologi. Rancangan fenomenologi ini berupa deskripsi perspektif chief resident dan senior mengenai peningkatan kemampuan membimbing chief resident PPDS IPD FKUI setelah mengikuti pelatihan RaT. Sesuai dengan metode evaluasi Kirkpatrick, dilakukan evaluasi kepuasan peserta pelatihan, peningkatan pengetahuan pasca pelatihan, dan Focus Group Discussion untuk chief dan residen junior. Dilakukan pula triangulasi berupa observasi ronde chief dan observasi acara ilmiah siang serta analisis kasus negatif berupa in depth interview serta studi dokumen.
Hasil: Berdasarkan hasil kuesioner kepuasan peserta pelatihan, materi pelatihan RaT bermanfaat untuk chief, praktis untuk diterapkan, sesi dalam pelatihan menarik dan instruktur dapat membawakan materi dengan baik. Hasil pre dan post test serta FGD menunjukkan peningkatan pengetahuan chief resident mengenai teknik microskills dan pemberian umpan balik efektif. Materi pelatihan RaT mampu laksana namun hambatan yang didtemui adalah kesulitan mencari waktu membimbing di antara beban pelayanan di Rumah Sakit Cipto Mangunkusumo (RSCM) dan kesulitan memberi umpan balik positif.
Simpulan: Pelatihan RaT yang telah dilakukan sesuai dengan kebutuhan chief resident dan mampu meningkatkan pengetahuan serta keterampilan membimbing chief resident. Sebagian besar chief resident belum dapat memberi umpan balik positif. Selain itu, waktu membimbing terbatas karena tugas pelayanan yang banyak di RSCM.
Background: Teaching junior resident and medical student is one of the responsibilities of chief resident. However, teaching skill is rarely trained formally to them. A format of Resident as Teacher (RaT) training program was developed and conducted for 20 chief residents in Internal Medicine Residency Program. The aim of this study is to evaluate the improvement of chief?s teaching skill after joining this training program, based on the first three steps of Kirkpatrick evaluation program.
Methods: Qualitative research based on phenomenology study was performed within two months after the training. Program questionnaire and pre-post test were conducted to evaluate the first (reaction) and second (learning) step of Kirkpatrick evaluation method respectively. The third step (behavior change) was evaluated by performing Focus Group Discussion for chief residents and junior residents. To increase the validity of the study, triangulation by doing indirect observation or rounds, classroom based activities and document study were done. Negative case analysis was also performed to explore further about the result of FGD.
Result: Based on the questionnaire, the participants were satisfied by the RaT program. Pre and post test evaluation and FGD show that there is improvement of knowledge about teaching and giving effective feedback. FGD results supported by observations and document study show that chiefs applied the microskills technique but had difficulty in giving positive feedback, as well as finding appropriate time for discussion within very busy schedule of junior resident in the main teaching hospital.
Conclusion: The training fulfills the need of chief resident, improves knowledge of teaching method and giving constructive feedback. However the chief residents was not used to give positive feedback to the junior residents and the busy clinical situation was identified as barrier to effective chief to junior resident learning process."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
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UI - Tesis Membership  Universitas Indonesia Library
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Meilania Saraswati
Studi Pemanfaatan Ujian Formatif Diskusi Berdasarkan Kasus dalam Program Pendidikan Dokter Spesialis Patologi Anatomik Fakultas Kedokteran Universitas Indonesia = Case-based Discussion as Formative Assessment in Postgraduate Program for Anatomical Pathology Specialist Faculty of Medicine Universitas Indonesia: A Qualitative Study
"Latar Belakang: Program Pendidikan Dokter Spesialis Patologi Anatomik Fakultas Kedokteran Universitas Indonesia (PPDS PA FKUI) menggunakan kurikulum berdasarkan kompetensi/outcome (competency-/outcome-based curriculum). Namun, PPDS PA FKUI selama ini belum pernah melaksanakan ujian formatif berdasarkan kerja (workplace-based Metode Penelitian: Penelitian ini bersifat kualitatif untuk mengekplorasi secara mendalam pemanfaatan ujian formatif Diskusi berdasarkan Kasus dalam proses pendidikan di PPDS Patologi Anatomik FKUI. Dilakukan wawancara dan focused group discussion terhadap pengelola program, staf pengajar dan peserta PPDS PA FKUI. Staf pengajar diminta melakukan intervensi berupa ujian formatif DbK terhadap PPDS PA FKUI sebanyak tiga kali menggunakan borang yang telah diterjemahkan. Setelah intervensi, kembali dilakukan wawancara dan focused group discussion terhadap staf pengajar dan peserta PPDS PA FKUI.

 

Hasil: Staf Pengajar dan peserta PPDS PA FKUI menunjukkan respons positif terhadap pelaksanaan ujian formatif DbK. Ujian formatif DbK dianggap memungkinkan proses diskusi mendalam antara staf pengajar dan peserta PPDS PA terkait proses penegakkan diagnosis dari suatu kasus. Staf pengajar dapat memantau kemajuan proses pembelajaran serta memberikan umpan balik yang spesifik terhadap peserta PPDS. Peserta PPDS dapat mempelajari suatu kasus dengan lebih komprehensif, memperoleh umpan balik yang spefisik, serta mendapatkan simulasi ujian sumatif.

Kesimpulan: Ujian DbK bermanfaat dalam proses pencapaian kompetensi dalam pendidikan yang menggunakan pendekatan competency- atau outcome-based curricula.
Postgraduate program for Anatomical Pathology Specialist in Faculty of Medicine Universitas Indonesia use competence-/outcome-based curriculum approach. However, until now, the program has not yet adopted formative workplace-based assessment, for example, case-based discussion.
This was a qualitative research to explore the use of formative assessment case-based discussion during educational process in postgraduate program for anatomical pathology specialist in FMUI. Interview and focused group discussion to the program manager, teaching staff and the residents were performed. Teaching staff was asked to perform three times case-based discussion (CbD) formative assessment toward the resident. Postintervention, interview and focused group discussion to the staf and resident were conducted.
The staffs and residents of Anatomical Pathology Specialist Program of FMUI showed positive response toward CbD formative assessment. CbD formative assessment enabled deeper discussion between the staffs and residents regarding establishing diagnosis. The staffs were able to monitor the residents learning process and giving specific feedback toward the residents. The residents were able to learn about a case in a more comprehensive way, acquiring specific feedback and summative assessment simulation.
Conclusion: CbD formative assessment is useful in the process of acquiring competence in diagnosis in a postgraduate education that uses competence- or outcome-based curricula."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2017
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UI - Tesis Membership  Universitas Indonesia Library
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Uyun Mufaza
Hubungan burnout score dengan performa klinis pada peserta program Pendidikan Dokter Spesialis Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Indonesia = Relationship between burnout score and clinical performance on Anesthesiology and Intensive Therapy Residents in Faculty of Medicine, Universitas Indonesia
"Latar Belakang: Residen anestesiologi memiliki tangung jawab dan tekanan yang besar di tempat kerja. Berbagai faktor seperti jam kerja yang tinggi, tekanan mental, dan tekanan fisik dapat menimbulkan kelelahan yang dikenal sebagai sindrom burnout. Burnout dapat berdampak terhadap performa kerja dokter dan keselamatan pasien.
Tujuan: Tujuan dari penelitian ini adalah melihat kejadian burnout, performa klinis, dan hubungan keduanya pada residen Anestesiologi dan terapi intensif FKUI-RSCM.
Metode: Penelitian ini merupakan sebuah penelitian cross-sectional yang dilakukan pada peserta Program Pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif di FKUI-RSCM selama bulan Februari 2019. Peserta program yang sedang dalam masa cuti atau setelah melakukan jaga selama 24 jam sebelumnya dieksklusi dari penelitian. Tingkat burnout diukur menggunakan Maslach Burnout Inventory (MBI-HSS) versi Bahasa Indonesia, sedangkan performa klinis diukur menggunakan form Best Practice Anesthesiologist Questionaire untuk performa klinis positif dan Anesthesiology Residents Self-Reported Errors and Quality of Care untuk performa klinis negatif dalm Bahasa Inggris.
Hasil: Sebanyak 55 subyek penelitian berhasil didapatkan dalam penelitian ini. 36 subyek (65,5%) mengalami burnout dengan tingkat sedang-tinggi dan 19 subyek (34,5%) mengalami burnout dengan tingkat rendah. Tidak ada hubungan antara karakteristik demografis dan tingkat burnout. Terdapat hubungan bermakna antara tingkat burnout dan performa klinis negatif pada residen Anestesi dan Terapi Intensif FKUI-RSCM (p = 0,045). Akan tetapi, tidak didapatkan hubungan bermakna antara tingkat burnout dan performa klinis positif (p = 0,321) maupun performa klinis total (p = 0,075) secara statistik.
Kesimpulan: Terdapat hubungan bermakna antara tingkat burnout dan performa klinis negatif pada residen Anestesi dan Terapi Intensif FKUI-RSCM (p = 0,045). Akan tetapi, tidak didapatkan hubungan bermakna antara tingkat burnout dan performa klinis positif (p = 0,321) maupun performa klinis total (p = 0,075) secara statistik.
Background: Anesthesiology residents have enormous responsibility and pressure on workplace. Various factors such as higher working hours, mental and physical pressure could exert fatigue known as burnout syndrome. Burnout can affect both clinical performace of doctors and patients safety.
Objective: The aim of this study is knowing burnout prevalence, clinical performance, and relationship between both variables on Anesthesiology and Intensive Therapy residents in Faculty of Medicine, Universitas Indonesia.
Method: This is a cross-sectional study done on Anesthesiology and Intensive Therapy residents at February 2019. Residents in leave period or after doing night shifts in the last 24 hours were excluded. Burnout score was determined using Maslach Burnout Inventory (MBI-HSS) Bahasa version, while clinical performance was determined using Best Practice Anesthesiologist Questionaire for positive clinical performance and Anesthesiology Residents Self-Reported Errors and Quality of Care for negative clinical performance.
Result: Fifty five subjects were included in this study. 36 (65,5%) subjects experienced moderate-high burnout syndrome and 19 (34,5%) experienced none-low burnout syndorome. There were no correlation between demographic characteristics and burnout level. There was a significant relationship between burnout score and negative clinical performance (p = 0,045). Meanwhile, there were no significant relationship between burnout score and positive clinical performance (p = 0,321) and total clinical performance (p = 0,075) statistically.
Conclusion: There was a significant relationship between burnout score and negative clinical performance (p = 0,045). Meanwhile, there were no significant relationship between burnout score and positive clinical performance (p = 0,321) and total clinical performance (p = 0,075) statistically."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2019
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UI - Tesis Membership  Universitas Indonesia Library
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Feni Fitriani Taufik
Persepsi peserta didik, staf pengajar dan pengelola program terhadap lingkungan pendidikan pada program studi pulmonologi dan ilmu kedokteran respirasi, Fakultas Kedokteran Universitas Indonesia : pendekatan mixed methods = Perception of resident, clinical teacher and study program manager to educational environment in pulmonology dan respiratory medicine residency program, Faculty of Medicine Universitas Indonesia :a mixed methods approach
"ABSTRAK Latar belakang :Pendidikan dokter spesialis merupakan pendidikan orang dewasa adult learner untuk mencapai kompetensi klinis yang diharapkan Lingkungan pendidikan merupakan salah satu aktor yang perlu dipertimbangkan dalam pengembangan kurikulum dan proses pendidikan Lingkungan pendidikan dapat diartikan sebagai segala sesuatu yang dirasakan oleh peserta didik yang dapat mempengaruhi proses pendidikan. Perlu lingkungan pendidikan yang mendukung untuk meningkatkan kualitas proses pembelajaran peserta didik. Penelitian ini bertujuan mengetahui persepsi peserta didik, pengelola program dan staf pengajar terhadap lingkungan pendidikan pada Program Pendidikan DokterSpesialis PPDS Paru, FKUI. Metode :Jenis penelitian yang digunakan adalah mixed methods dengan setting sequential explanatory design. Tahap pertama dilakukan penelitian kuantitatif dengan menggunakan kuesioner Postgraduate Hospital Educational Enviroment Measure PHEEM yang diisi oleh peserta PPDS Paru pada bulan Maret-Juni 2014.Hasil PHEEM ini dielaborasi lebih lanjut melalui penelitian kualitatif berupa Focus Group Discussion pada peserta PPDS Paru dan wawancara mendalam dengan pengelola program dan staf pengajar di Departemen Pulmonologi dan Kedokteran Respirasi, FKUI.Hasil :Sebanyak 87 89,7 peserta PPDS Paru periode Maret-Juni 2014 telah mengisi kuesioner PHEEM dan didapatkan sebanyak 74,7 peserta menilai lingkungan pendidikan lebih banyak positif dari pada negative dan memerlukan perbaikan 100,85; rentang nilai 81-120 . Peran otonomi dinilai positif oleh 79,3 peserta 36,93; rentang nilai 29-42 , pengajaran dianggap sudah bergerak kearah yang benar oleh 62,1 peserta 36,56; rentang nilai 31-45 dan 70,1 berpendapat bahwa dukungan social lebih banyak pro dari pada kontra 27,36; rentang nilai 23-33 .Pada penelitian kualitatif diperoleh hasil bahwa peran otonomi yang perlu diperbaiki adalah tersedianya panduan pengajaran dan protokol klinis yang informatif, diperlukan perbaikan system supervise dan pemberian umpan balik pada peran pengajaran, dan perbaikan budaya menyalahkan dan meningkatkan peran penasehat akademik dalam bimbingan dan konseling pada dukungan sosial. Kesimpulan :Lingkungan pendidikan pada PPDS Paru dinilai cukup baik dan kondusif. Perbaikan yang diperlukan untuk menjadikan lingkungan pendidikan lebih optimal adalah pembuatan Buku Rancangan Pengajaran yang informatif, optimalisasi logbook sebagai salah satu instrument evaluasi, peningkatan supervise oleh staf pengajar, keterampilan pemberian umpan balik dan peran pembimbing akademik dalam evaluasi peserta PPDS. Kata kunci :Lingkunganpendidikan, PHEEM, Mixed methods
ABSTRACT
Background Educational environment is one of the most important factor should be considered in curriculum development. Educational environment is the condition that may affect education process in student. Specialty in medicine is adult learning process to gain define clinical competence. Process ofeducationcan be accelerated with proper educational environment. This study aims to Perception of resident, clinical teacher and study program manager to educational environment in Pulmonology dan Respiratory Medicine Residency Program, Faculty of MedicineUniversitasIndonesia. Methods This study using mixed methods with sequential explanatory design.Preliminary of this study is a quantitative study using Postgraduate Hospital Educational Environment Measure PHEEM questionnaire to Pulmonology residentsonMarch until June 2014. The results of the questionnaire will be elaborated with qualitative study based on Focus Group Discussionamong Pulmonology residents and deep interview to the study program manager and clinical teachers at the Department of Pulmonology and Respiratory Medicine FMUI. Result Eighty seven 89,7 pulmonology residents on March until June 2014 had filled in PHEEM questionnaire resulting in mean of perception of the educational environment total PHEEM mostly 74,7 positive and need to be improved score 100,85 81 120 . Positive perception of the autonomy role is 79,3 score 36,93 29 42 , perception that the teaching role performed in the correct way62,1 score 36,56 31 45 and 70,1 of perception stated pro to social support rather than cons score 27,36 22 33 . The qualitative study resulting an autonomy role which is need to be improved availability of teaching guideline and informative clinical protocols. Based on several aspect of teaching role, we need toimproved the supervision system and feedback giving. The blamming culture, supervision and counseling are the factors that need toimproved on social supporting role. ConclusionEducational environment in Pulmonology and Respiratory Medicine Residency Program is positive and condusive. Theimprovement need of the informative ldquo BukuRancanganPengajaran rdquo and optimalizationof logbook as one of the evaluation instrument.Role of staffs in supervising resident skills, feedback and the role of the academic mentor in evaluating residents still need improvement foroptimalization educational environment that may lead to support the adult learning process in students. "
Depok: Fakultas Kedokteran Universitas Indonesia, 2018
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UI - Tesis Membership  Universitas Indonesia Library
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Gregorius Ben Prajogi
Analisis kebutuhan pentahapan kompetensi dalam pendidikan profesi dokter spesialis = Needs assessment of competency leveling in residency training / Gregorius Ben Prajogi
"Pendahuluan: Derajat supervisi yang tepat tidak hanya mendorong pencapaian kompetensi peserta didik namun juga menjamin pelayanan kesehatan yang aman dan berkualitas. Namun demikian, hingga saat ini masih ditemukan berbagai kendala dalam penerapannya. Penelitian ini bertujuan memperoleh pemahaman mendalam mengenai kebutuhan, kondisi dan tantangan yang dihadapi terkait pentahapan kompetensi dan supervisi dalam pendidikan profesi dokter spesialis, sebagai masukan dalam pengembangan kurikulum. Metode: Penelitian dijalankan menggunakan desain kualitatif dengan pendekatan fenomenologi untuk mempelajari secara mendalam pentahapan kompetensi dan kewenangan sebagai suatu fenomena berdasarkan pengalaman pihak-pihak yang terlibat secara langsung dalam pendidikan profesi dokter spesialis. Peneliti menggunakan metode pengumpulan data berupa wawancara semi-terstruktur dan focus group discussion untuk mendalami pandangan stakeholder, pengelola, pelaksana pendidikan dan peserta didik mengenai konsep kompetensi, kewenangan dan pentahapan, kebutuhan akan pentahapan kompetensi dan kewenangan, faktor-faktor yang mempengaruhi, pola implementasi, masalah dan tantangan yang dihadapi dalam implementasi, serta bentuk implementasi yang diharapkan. Hasil: Telah dilakukan wawancara dan FGD terhadap 26 narasumber, yang mewakili pihak fakultas, pengelola program studi, staf dan peserta didik dari kelompok keilmuan surgikal, medikal dan penunjang. Pandangan mengenai kompetensi erat kaitannya dengan sistem pentahapan, pemberian kewenangan dan supervisi yang dilakukan. Faktor penentu keberhasilan implementasi meliputi perumusan kompetensi dan unit kewenangan yang jelas, dukungan staf, sistem evaluasi yang valid dan terpercaya, serta sudut pandang yang integratif. Sistem asesmen konvensional masih belum memadai sebagai sumber informasi pengambilan keputusan terkait pentahapan dan supervisi. Beban kerja yang tinggi, khususnya administratif, disadari sebagai tantangan terbesar dalam penerapan supervisi yang efektif pada saat ini. Kemandirian disadari sebagai unsur penting dalam pencapaian kompetensi peserta didik, tingkat kemandirian dalam pendidikan perlu disesuaikan dengan regulasi dan sistem pelayanan kesehatan saat ini. Kesimpulan: Sistem supervisi yang lebih baik dibutuhkan untuk menyeimbangkan antara keselamatan pasien dengan kebutuhan pencapaian kompetensi selaras dengan sistem pendidikan di universitas dan regulasi rumah sakit.
Introduction: Proper supervision not only promotes the competency development of residents but also the delivery of safe medical care. However, challenges have frequently been identified in its implementation. In this study we attempted to explore the needs, patterns and challenges in the implementation of competency leveling, as inputs for future curriculum development. Methods: This is a qualitative study with phenomenological approach to explore in depth the issue of competency levels and supervision as a phenomenon from the perspectives of the parties directly involved in residency training. Through semi-structured interviews and focus group discussions, we explored the view on the concept of competencies, supervision and leveling; the expressed needs regarding supervision and leveling; factors affecting implementation patters; challenges in its implementation; and the ideal form according to the perspectives of the parties involved. Results: Through interview and FGD with 26 respondents representing the faculty, program directors, staffs and residents from surgical, medical and diagnostic disciplines, we identified that the concept of competencies were closely related to how training programs implement their system of leveling and supervision. Success factors included properly defined competencies and units of supervision, support from staff members, availability of valid and reliable system of assessment, and an integrative view of the system. Conventional assessment methods were inadequate in supporting entrustment decision making. Excessive workload, mainly administrative, were identified as the biggest challenge in implementing effective supervision. Independence was identified as an important part in the development of resident's competence, but the most appropriate system which incorporates demands from regulations and existing healthcare system still needs to be developed. Conclusion: Further curriculum development will need to find the best fit between the current university-based course organization and the unique needs of competency based postgraduate medical education with its characteristics as a workplace-based training."
Depok: Fakultas Kedokteran Universitas Indonesia, 2016
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UI - Tesis Membership  Universitas Indonesia Library
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Fakhruddin Alfan
Tingkat kelelahan pada peserta program pendidikan dokter spesialis anestesiologi dan terapi intensif FKUI pada era pandemi Covid-19: kajian terhadap tilikan diri dan faktor yang memengaruhinya = Fatigue levels of anesthesiology and intensive care resident at Medicine Faculty of Indonesia University in the COVID-19 pandemic era: a study of self-insight and the factors that influencing it
"Latar belakang. Pandemi COVID-19 telah membawa banyak tantangan baru bagi dunia kesehatan di berbagai negara di dunia, termasuk Indonesia. Tingkat kelelahan kerja yang tinggi ditemukan diantara petugas kesehatan, terutama di lingkungan unit perawatan darurat dan intensif. Penelitian ini dilakukan untuk mengetahui tingkat kelelahan dan faktor yang memengaruhi kelelahan peserta Program pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif FKUI yang bekerja di RSCM di era pandemi COVID-19. Penelitian ini merupakan penelitian kualitatif dan kuantitatif pada peserta PPDS Anestesiologi dan Terapi intensif tahap magang, mandiri, dan paripurna. Kelelahan dinilai dengan menggunakan Fatigue Severity Scale yang sudah divalidasi sebagai data kuantitatif dan 10 subjek dari responden dirandomisasi terstratifikasi untuk mengikuti Focus Group Discussion (FGD) yang isinya membahas mengenai faktor-faktor yang memengaruhi kelelahan peserta PPDS Anestesiologi dan Terapi Intensif pada masa pandemi sebagai data kualitatitf. Sebanyak 61% peserta pendidikan mengalami kelelahan dengan median dari nilai FSS pada seluruh subjek yang diteliti yaitu 43,5 dengan IQR (22). Peningkatan kelelahan ditemukan bermakna pada responden dengan lama jam kerja ≥ 60 jam perminggu dan lama jam tidur <6 jam perhari. Berdasarkan FGD faktor yang meningkatkan kelelahan yaitu perubahan metode pembelajaran menjadi dalam bentuk daring, peningkatan rasa cemas akibat kurangnya pencapaian kompetensi, penggunaan alat pelindung diri (APD) dalam jangka waktu yang lama, dan penutupan tempat hiburan terkait aturan pembatasan sosial berskala besar, sedangkan faktor yang menurunkan kelelahan yaitu perubahan jadwal jaga, jaminan ketersediaan APD, perlindungan terhadap kesehatan fisik dan mental PPDS, kompensasi pemerintah terhadap kinerja PPDS. Simpulan. Sebanyak 61% Peserta PPDS Anestesiologi dan Terapi Intensif di RSCM yang bertugas pada masa COVID-19 mengalami kelelahan, yang disebabkan oleh berbagai faktor eksternal yang terjadi selama pandemi COVID 19. 
Background. COVID-19 pandemic has brought many new challenges to the world of health in various countries around the world, including Indonesia. High level of fatigue was found among health workers. This study was conducted to determine the level of fatigue and the factors that affect fatigue of Anesthesiology and Intensive Care resident from Universitas Indonesia who worked at RSCM during the COVID-19 pandemic era. Methods. This was a cross-sectional study on 77 subjects who participated in Anesthesiology and Intensive Care resident from Universitas Indonesia in plenary, independent, and internship stages during the research period. Fatigue was assessed using the Fatigue Severity Scale (FSS) which had been validated as cuantitative data and 10 subjects from respondents were randomized to participate in a Focus Group Discussion (FGD) which discussed the factors that affect the fatigue of Anesthesiology and Intensive Care resident from Universitas Indonesia during pandemic as cualitative data. Results. 61% of residents experienced fatigue with the median FSS value was 43.5, with an IQR (27.8 - 49.8). Increased fatigue was found in respondents with long working hours ≥60 hours per week and sleeping hours <6 hours per day. Based on the FGDs, several factors that increased fatigue are changing learning methods to online form, increasing anxiety due to lack of competence achievement, using personal protective equipment for a long time, and closure of entertainment venues related to large scale social restriction policy. And several factors that decreasing of fatigue are modifying of shift scheduled, guaranteeeing the availability of personal protective equipment, protecting the physical and mental health of resident, and government compensation for resident. Conclusion. Anesthesiology and Intensive Care resident from Universitas Indonesia who were on duty during the COVID-19 pandemic experienced fatigue. Based on FGD, various factors that affect fatigue among resident were found COVID-19 pandemic, Fatigue, Residents."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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Indri Aulia
Eksplorasi Dampak Dominasi Perempuan Pada Pendidikan Dokter Spesialis Di Indonesia: Perspektif Bedah Plastik = An exploratory study on women's domination in Indonesia residency program: plastic surgery perspectives
"Latar Belakang: Pergeseran dominasi antara laki-laki dan perempuan pada dunia kedokteran terjadi dari waktu ke waktu di berbagai belahan dunia, termasuk di bidang bedah plastik di Indonesia. Profesi yang semula didominasi oleh laki-laki, saat ini didominasi perempuan. Pergeseran dominasi perempuan ini memungkinkan terjadinya masalah-masalah yang berpengaruh pada pendidikan dan pelayanan bedah plastik. Penelitian ini bertujuan untuk mengeksplorasi fenomena dominasi perempuan pada pendidikan spesialis di Indonesia. Metode: Penelitian ini bersifat kualitatif berupa studi fenomenologi. Penelitian dilakukan pada 3 program pendidikan dokter spesialis bedah plastik rekonstruksi dan estetik di Indonesia. Penelitian dimulai pada bulan Januari 2020. Populasi penelitian terdiri dari 4 kelompok, yaitu peserta didik, dosen, pengelola program studi, dan pengguna lulusan. Responden penelitian dipilih menggunakan metode maximum variation sampling. Setiap responden mendapatkan informed consent, seluruh informasi yang diberikan sifatnya rahasia dan tidak memengaruhi proses pendidikan responden. Metode pengumpulan data berupa studi dokumen, Focus Group Discussion (FGD), dan In-Depth Interview. Data penelitian yang diperoleh dari berbagai metode diatas, kemudian dianalisis dan diolah lebih dalam secara tematik. Hasil: Peneliti membagi tema berdasarkan garis waktu proses pendidikan, yaitu: prapendidikan, intra-pendidikan, dan pascapendidikan. Masing-masing proses memiliki tema yang saling memengaruhi proses pendidikan. Pada masa prapendidikan terdapat karakter personal yang dipengaruhi oleh persepsi positif maupun negatif dari masyarakat. Sedangkan iklim lingkungan kerja, dampak dominasi perempuan, dan dimensi budaya memengaruhi kelancaran intra-pendidikan. Pasca pendidikan dan memasuki dunia kerja, peserta didik menginginkan suatu kondisi lingkungan kerja yang ideal dan terdapat preferensi tempat bekerja tertentu untuk mencapai kondisi well-being. Kesimpulan: Dampak dominasi perempuan selama pendidikan hanya akan berpengaruh pada dinamika kehidupan antar peserta didik dan antara peserta didik dengan dosen sebagai mentor. Namun dominasi ini tidak akan memengaruhi kualitas pendidikan dan beban kerja yang diberikan. Pada penelitian ini juga didapatkan fenomena kesenjangan kepemimpinan tidak terjadi selama pendidikan tetapi terjadi pada pascapendidikan. Namun kesenjangan kepemimpinan bukanlah akibat tekanan dalam komunitas, melainkan kecenderungan dari pribadi perempuan pada umumnya di kelompok masyarakat feminim.
Introduction: Shifting in gender dominance between men and women in the medical field has occurred from time to time globally, including in Indonesia’s plastic surgery. The profession, which was initially dominated by men, is currently dominated by women. This shift in female dominance might allow problems that affect the education and clinical settings of plastic surgery. This study aims to explore the phenomenon of women's dominance in medical residency education in Indonesia. Method: This study is a qualitative study of phenomenology. It was conducted on 3 medical residency programs specializing in reconstructive and aesthetic plastic surgery in Indonesia. The study began in January 2020. The research population consisted of 4 groups, namely students, lecturers, study program managers, and graduate users. Research subjects were selected using the maximum variation sampling method. Each respondent was provided with informed consent, all information given was confidential and did not affect the educational process of the respondent. Data collection methods include document study, Focus Group Discussion (FGD), and In-Depth Interview. Research data obtained from various methods above was analyzed and processed thematically. Results: The themes were categorized based on the educational process timeline, namely: pre-education, intra-education, and post-education. Each timeline had several themes which mutually influenced the educational process. During pre-education there were personal characters which were affected by positive and negative perceptions from society. Whereas the work environment atmosphere, the impact of women's dominance, and the cultural dimension affected the intra-educational process. After graduating from residency program and entering the career life, students expected an ideal working environment and had certain workplace preferences to achieve their well-being. Conclusion: The impact of women's dominance during education affected the daily dynamics among students and their interaction with lecturers as mentors. However, this dominance did not affect the quality of education and workload. We also found that the phenomenon of leadership disparity did not occur during education but occurred in post-education setting. This leadership disparity was not resulted by pressure in the community, but due to the tendency of the women’s personality in general among the feminine community."
Depok: Fakultas Kedokteran Universitas Indonesia, 2020
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UI - Tesis Membership  Universitas Indonesia Library
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Buku Panduan Program Pendidikan Dokter Gigi Spesialis
Jakarta : Program Pascasarjana Universitas Indonesia, 1986
R 617.6 UNI b
Buku Referensi  Universitas Indonesia Library
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Petrin Redayani Lukman
Pengembangan dan Efektivitas Modul Pendidikan Psikoterapi Psikodinamik untuk Kasus Gangguan Kepribadian Ambang bagi Peserta Program Pendidikan Dokter Spesialis Kedokteran Jiwa di Indonesia = Development and Effectiveness of Psychodynamic Psychotherapy Module for Borderline Personality Disorder in Indonesian Psychiatric Residency Program
"Gangguan kepribadian ambang (GKA) merupakan gangguan jiwa dengan dampak psikososial yang bermakna dan umumnya lebih sulit ditata laksana dibandingkan dengan gangguan psikiatri lainnya. Sebagian besar Peserta Program Pendidikan Spesialis Kedokteran Jiwa (PPDS-KJ) menyatakan sulit melakukan psikoterapi pada pasien GKA dan belum ada metode pengajaran psikoterapi psikodinamik yang khusus dan terstruktur untuk kasus GKA. Tujuan penelitian adalah menghasilkan Modul Pendidikan Psikoterapi Psikodinamik untuk kasus GKA (PP-GKA) beserta instrumen untuk mengevaluasi hasil pembelajaran PPDS-KJ setelah mengikuti modul pada domain pembelajaran kognitif, afektif, dan psikomotor. Penelitian dilakukan pada Januari–Desember 2023 di sembilan institusi pendidikan psikiatri di Indonesia menggunakan mixed method kualitatif dan kuantitatif dengan desain exploratory sequential, terdiri dari tahap pengembangan modul, pengembangan instrumen evaluasi, dan uji efektivitas modul. Penelitian ini juga mengadaptasi Kuesioner Kirkpatrick level 1 untuk mengevaluasi reaksi peserta terhadap modul. Pengembangan modul dan instrumen dilakukan secara saksama melalui tahapan focus group discussion, survei Delphi, diskusi panel ahli, uji validasi isi modul dan instrumen, serta uji reliabilitas instrumen dengan narasumber dari kalangan PPDS-KJ, psikiater, ahli psikoterapi, dan staf pengajar psikoterapi dari institusi pendidikan psikiatri di Indonesia. Modul yang dihasilkan bersifat valid (S-CVI/Ave = 1), berbentuk pembelajaran daring dengan durasi 12 kali pertemuan. Penelitian juga menghasilkan instrumen evaluasi hasil belajar berupa 50 butir soal pilihan ganda, rubrik penilaian formulasi psikodinamik (RP-FP), dan rubrik penilaian praktik psikoterapi psikodinamik (RP-PPGKA). RP-FP dan RP-PPGKA juga valid (S-CVI/Ave RP-FP = 0,981, RP-PPGKA = 1) dan reliabel (ICC RP-FP = 0,879, RP-PPGKA = 0,727). Uji efektivitas modul dengan pre-test post-test control group design dilakukan kepada 33 orang PPDS-KJ semester 6–7 dari sembilan institusi pendidikan PPDS-KJ di Indonesia yang direkrut berdasarkan stratified random sampling. Berdasarkan hasil analisis instrumen soal pilihan ganda, RP-FP, RP-PPGKA, dan Kuesioner Kirkpatrick level 1 versi Indonesia, Modul Pendidikan PP-GKA efektif memberikan perubahan dalam aspek kognitif, afektif, dan psikomotor serta mendapatkan reaksi yang positif dari peserta. Modul Pendidikan PP-GKA dapat diimplementasikan pada pendidikan PPDS-KJ di Indonesia sebagai panduan pengajaran dan membantu meningkatkan kompetensi PPDS-KJ dalam melakukan psikoterapi psikodinamik untuk kasus GKA di Indonesia.
Borderline personality disorder (BPD) is a mental disorder with significant psychosocial impacts and is difficult to manage compared to other psychiatric disorders. The majority of psychiatry residents in Indonesia stated that it was difficult to carry out psychotherapy on BPD patients and that there was no specific and structured psychodynamic psychotherapy teaching method for BPD cases. The aim of this study is to produce a Psychodynamic Psychotherapy Module for BPD cases (PP-BPD) along with the instruments to evaluate the residents’ learning outcomes in the cognitive, affective and psychomotor learning domains after receiving the module. The research was conducted in January–December 2023 at nine psychiatric educational institutions in Indonesia using mixed qualitative and quantitative methods with a sequential exploratory design, consisting of module development stages, evaluation instruments development, and module effectiveness testing. This study also adapted the Kirkpatrick Questionnaire level 1 to evaluate participants' reactions to the module. The development of the module and instruments was carried out carefully through the stages of focus group discussions, Delphi surveys, expert panel discussions, content validation testing of the module and scales, as well as inter-rater reliability testing of the scales with psychotherapy experts and teaching staff as participants. The resulting module, in the form of online learning with a duration of 12 meetings, is valid, (S-CVI/Ave = 1). The learning outcomes evaluation instruments were 50 multiple choice questions, Psychodynamic Formulation Competency Assessment scale (PF-CAS), and a Practical Competency Assessment Scale (PC-CAS) for psychodynamic psychotherapy for BPD. PF-CAS and PC-CAS were valid (S-CVI/Ave PF-CAS = 0.981, PC-CAS = 1) and reliable (ICC PF-CAS = 0.879, PC-CAS = 0.727). The module effectiveness test with a pre-test post-test control group design was carried out on 33 PPDS-KJ students in semesters 6–7 from nine psychiatric educational institutions in Indonesia who were recruited based on stratified random sampling. Analysis of the multiple choice exam, PF-CAS, PC-CAS, and Kirkpatrick Questionnaire level 1 Indonesian Version showed that the PP-BPD Education Module was effective in inducing changes in cognitive, affective and psychomotor aspects and received positive reactions from participants. The PP-BPD Education Module can be implemented in resident education in Indonesia as a teaching guide and to help improve residents’ competency in conducting psychodynamic psychotherapy for BPD cases in Indonesia."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2024
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UI - Disertasi Membership  Universitas Indonesia Library
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