Genetic literacy is an adequate knowledge that personally involves someone to comprehend and actively participate in genetic issues. An individual’s genetic literacy level will influence their decisiveness and attitudes towards reoccurring genetic issues, including genetic screening. This research aimed to discover the relation between genetic literacy levels and genetic screening attitudes of medical students in Indonesia. The data were collected using a cluster sampling method composing of 492 students from 41 universities in Indonesia. Subjects filled the questionnaires, which have underwent validity and reliability test using online modality under local supervisors. Genetic literacy levels were divided into two categories: adequate (>50%) and inadequate (<50%) levels, whereas the genetic screening attitude was categorized into consent and dissent. Of 492 respondents, only 121 people (24.59%) have adequate genetic literacy levels. The study also reports that 262 respondents (60.16%) agreed to the use of genetic screening. Using regression logistic, study found there was no relationship between genetic literacy and attitudes (p>0.05).  Disagreements about using genetic screening are more prevalent among female respondents rather than male respondents. The study showed no relationship between genetic literacy levels and genetic screening attitudes of medical students in Indonesia.

<p>Nigella sativa (NS) has been used for many years as an anti-bacterial herbal treatment, such as Methicillin-resistant Staphylococcus aureus, but the mechanism in bacterial elimination is still unknown. IL-1β is a proinflammatory cytokine that helps the immune system eliminate microbes when it enters the body. The purpose of this study was to prove the immunomodulatory effects of Nigella sativa extract through increased IL-1β in dealing with MRSA infections. The design of this study was post-test only control group design using 25 male Balb-c mice infected with MRSA and randomly divided into five groups. Group K was infected with MRSA without being treated. All treatment groups were given NS extracts in different doses for 7 days before being infected with MRSA. P1 was given N. sativa extract 0.05ml, P2 (was given NS extract 0.25ml, P3 was given 0.5ml NS extract, and P4 was given 0.75ml NS. On the 8th day, blood was taken from the retroorbital plexus for IL-1β level examination using ELISA. Statistical tests were done using the One Way ANOVA test. The results showed the mean of IL-1β levels in group K was 11.65ng/L, P1 was 14.07ng/L, P2 was 16.66ng/L, P3 was 18.54ng/L, and P4 was 19.49ng/L which showed an increase in IL-1β levels along with the addition of black cumin dose although there was no difference between groups (p=0.578: ANOVA test). Nigella sativa extract is not proven effective in increasing IL-1β levels of Balb-c mice infected with MRSA.</p>

Although ethics is an essential part of medical education, little attention has been paid to ethics education during the clerkship phase, where medical students observe how physicians make decisions regarding various ethical problems. Specific nuances and cultural contexts such as working in a rural setting can determine ethical issues raised. This phenomenology study aimed to explore ethical issues experienced by Indonesian students during clinical clerkship in a rural setting. In-depth interviews were used to explore students’ experiences. Participants were ten students, selected on gender and clerkship year variations. Data saturation was reached after eight interviews, followed by two additional interviews. Thematic analysis was used in this study, and trustworthiness was ensured through data and investigator triangulation, member checking, and audit trail. Three main themes found in this study were limited facilities and resources, healthcare financing and consent issues, as well as unprofessional behavior of healthcare providers. Many ethical issues related to substandard care were associated to limited resources and complexities within the healthcare system in the rural setting. Early exposure to recurrent ethical problems in healthcare can help students prepare for their future career as a physician in a rural setting.

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.

SCL (student centered learning) merupakan strategi pembelajaran yang menempatkan peserta didik sebagai subyek yang aktif, mandiri dan bertanggung jawab sepenuhnya dalam proses belajarnya. Peserta didik beserta proses belajarnya menjadi tokoh utama dalam proses pembelajaran. Semakin kompleksnya materi belajar dan tantangan kebutuhan jaman yang dinamis menuntut adanya kemampuan belajar yang mandiri. Oleh karena itu, kesiapan mahasiswa untuk belajar atas keinginan sendiri (self directed learning readiness) merupakan salah satu komponen penting dalam menentukan keberhasilan belajar. Penelitian ini bertujuan untuk mengeksplorasi karakteristik kesiapan belajar mandiri mahasiswa Kedokteran Umum. Desain penelitian ini ialah mixed methods secara analitik observasional dengan pendekatan cross sectional dan pendekatan fenomenologi untuk mendalami hasil penelitian kuantitatif. Metode pengumpulan data yang digunakan yaitu pengisian kuesioner Self Directed Learning Readiness Scale dan wawancara semi terstruktur. . Mahasiswa angkatan 2019 menunjukkan skor kesiapan belajar mandiri kategori sedang sebanyak 9.1%, tinggi 57.3%, dan sangat tinggi 33.6%. Mahasiswa angkatan 2016 menunjukkan skor kesiapan belajar mandiri kategori sedang sebanyak 17.8%, tinggi 50.5%, dan sangat tinggi 31.7%. Sedangkan mahasiswa profesi angkatan 2014 menunjukkan skor kesiapan belajar mandiri kategori rendah sebanyak 2.3%, sedang 4.5%, tinggi 56.8%, dan sangat tinggi 36.4%. Proses identifikasi kebutuhan belajar sudah baik, namun konsistensi, manajemen waktu, pengendalian diri, wawasan kinerja, dan ulasan masih perlu ditingkatkan