Interventions for improving medical students' interpersonal communication in medical consultations.
Kesehatan Ibu dan Anak (KIA) merupakan salah satu prioritas utama pembangunan kesehatan di Indonesia. Pemantauan tumbuh kembang dan pencegahan penyakit pada balita merupakan aspek penting dalam meningkatkan kesehatan balita. Pelayanan kesehatan di Indonesia saat ini masih dilakukan oleh profesi tunggal, sedangkan World Health Organization (WHO) merekomendasikan pelayanan kesehatan dengan praktik kolaborasi. Bekal tentang kolaborasi dapat diterapkan sejak tahap pendidikan melalui Interprofessional Education (IPE). IPE terjadi ketika dua atau lebihprofesi belajardengan, dari dan tentang satu sama lain untuk meningkatkan kerjasama dan hasil kesehatan. Penelitian ini bertujuan untuk mengetahui peningkatan sikap ibu tentang kesehatan balita setelah penerapan IPE pada Kelas Ibu Balita. Desain penelitian ini adalah kuantitatif dengan metode observasional menggunakan rancangan one group pre-post test design. Sampel penelitianadalah ibu rumah tangga sebanyak 120 orang yang memiliki Balita usia 24-59 bulan, dan mahasiswa dari Program Studi Kebidanan, Keperawatan, Gizi, dan Kesehatan Lingkungan yang berjumlah 48 orang. Penelitian dilaksanakan pada Desember 2016-Januari 2017 selama 7 minggu di RW 04, 11, 13 dan 15 wilayah kerja Puskesmas Leuwigajah. Analisis dalam penelitian ini menggunakan Paired t-test. Hasil penelitian menunjukkan bahwa terdapat peningkatan sikap ibu terhadap kesehatan balita sebelum dan sesudah diberikan penyuluhan, dengan nilai rata-rata pretest -0,02 menjadi 2,46 nilai rata-rata posttest. Simpulan pada penelitian ini adalah pembelajaran IPE dalam bentuk kuliah umum, diskusi, dan praktik lapangan di komunitas pada Kelas Ibu Balita oleh mahasiswa tenaga kesehatan dapat meningkatkan sikap ibu terhadap kesehatan balita.Kata Kunci: Interprofessional Education, Kesehatan Balita, Sikap Ibu Balita
With 12 stations 15 min each, the reliability coefficient across station is intermediate. Content validity is good. It is feasible and acceptable to implement large-scale multi-site OSCEs in Indonesia. Examiners and examinees perceive good educational impact on OSCE implementation.
Interprofessional Collaboration (IPC) yang buruk menjadi faktor penting dalam kesalahan medis. IPC dapat ditingkatkan sejak masa pendidikan melalui Interprofessionalism Education (IPE). Penelitian ini bertujuan untuk mengetahui persepsi mahasiswa program studi rumpun ilmu kesehatan Universitas Padjadjaran (Unpad) terhadap IPE. Metode Penelitian analitik komparatif menggunakan kuesioner Interdisciplinary Education Perception Scale (IEPS) yang diterjemahkan dan divalidasi dibagikan kepada mahasiswa Program Studi Kedokteran, Pendidikan Kedokteran Gigi, Farmasi, Keperawatan, Diploma Kebidanan, serta Profesi Dokter, Dokter Gigi, Apoteker, dan Ners Unpad sejumlah 252 mahasiswa meliputi 28 mahasiswa dari setiap program studi. Persepsi mahasiswa dikategorikan menjadi baik, cukup baik, dan kurang baik. Uji t independen dilakukan untuk membandingkan kelompok sarjana dan diploma dengan profesi, sedangkan One way Anova dan Post Hoc Tukey digunakan untuk membandingkan antar program studi pada kelompok sarjana dan diploma serta profesi. Hasil Persepsi 98% responden masuk ke dalam kategori baik. Uji Anova menunjukkan perbedaan signifikan antar program studi pada kelompok sarjana dan diploma (p = 0,004) serta pada kelompok profesi (p < 0,001). Komponen IPE “Kebutuhan yang dirasakan untuk kerjasama profesional” memiliki persepsi baik yang lebih rendah dibandingkan dengan komponen “Kompetensi dan otonomi” dan “Persepsi kerjasama aktual”. Diskusi Mahasiswa sudah memahami mengenai peran dan kompetensi masing-masing profesi. Namun, pemahaman mengenai profesi tenaga kesehatan lain dan pentingnya kerjasama antar profesi masih kurang, sehingga perlu diadakan IPE di Unpad.Kata Kunci: Interprofessional collaboration, interprofessional education, mahasiswa, persepsi
BACKGROUNDThalassemia is an autosomal recessive genetic disorder, in which the patient requires life-long blood transfusion. As Indonesia harbors 6 to 10% thalassemia carriers, thalassemia prevention measures such as early screening and education in the community are urgently needed. The aim of this study was to explore the knowledge, attitude and practice about thalassemia among young medical students.
IntroductionDespite various efforts to develop communication skills (CS) in the classroom, the transfer of these skills into clinical practice is not guaranteed. This study aimed to identify barriers and facilitators of transferring CS from the classroom to clinical environments.MethodsA qualitative study was conducted at one Australian medical school to explore the experiences and perceptions of facilitators and students in relation to teaching and learning clinical CS. Thematic analysis was used to analyze data.ResultsTwelve facilitators and sixteen medical students participated in semi-structured interviews and focus-group discussions, respectively. Primary themes included the value of teaching and learning, alignment between approaches to teaching and actual clinical practices and students’ perceptions of practice, and challenges in different learning environments.DiscussionThis study reinforces the value of teaching and learning CS by facilitators and students. Classroom learning provides students with a structure to use in communicating with real patients, which can be modified to suit various situations. Students have limited opportunities, however, to be observed and receive feedback on their real-patient encounters. Classroom session that discussed CS experiences during clinical rotation is recommended to strengthen learning both the content and process of CS as well as transitioning to the clinical environment.
skills in pneumology and to extend this approach to other modules in the medical course. Notwithstanding the limitations of our work, this initiative indicates that curriculum and teaching methods can be effectively improved by using modifications in assessment as a driving force. Optimising feedback using the mini-CEX during the final semester programmeContext and setting Our final semester programme (FSP) comprises a 6-month rotation in various hospitals throughout the province of West Java, Indonesia, and is unique to our institution. The objective of the programme is to give students opportunities to apply their knowledge and improve their confidence in patient management, as well as to introduce them to primary health care. However, the programme does not include a standardised assessment of student competence. Instead, students tend to receive non-specific feedback. Why the idea was necessary Receiving appropriate critical feedback helps students identify their strengths and weaknesses and is important for their continued learning. The mini-clinical examination (mini-CEX) is a well-known method of assessing competency during clinical education and can evaluate history taking, physical examination and communication skills, as well as clinical judgement and professionalism. By applying the mini-CEX in our setting, we expected to encourage improvement of preceptors' (teaching staff) assessment and feedback skills and, in turn, to increase students' competency and motivation to learn. Before the implementation of the mini-CEX, students were supervised by preceptors who had no specific method of providing evaluation. This meant that students received less structured and measured feedback and may have led to low student motivation to learn. What was done We initiated a pilot project to evaluate the possibility of implementing the mini-CEX in the FSP. Two hospitals were randomly selected and six preceptors with five students each (n = 30 students) participated. A mini-CEX and feedback training workshop for the preceptors was conducted. Each student was evaluated twice by his or her preceptor (n = 60 evaluations). After the evaluations had been completed, a questionnaire on the value and usefulness of the mini-CEX in the FSP was distributed to students and preceptors. (Dis)agreement with items on the questionnaire was indicated using a Likert scale of 1-5 (1 = strongly disagree, 5 = strongly agree). The results of completed questionnaires were categorised as 'disagree' (1 and 2), 'neutral' (3) and 'agree' (4 and 5). Evaluation of results and impact Both students and preceptors agreed this method gave a true reflection of student competency (77% and 60%, respectively). Students agreed that feedback provided by the preceptors using the mini-CEX was more valuable than the type of feedback they had been given previously (77%), and that the feedback was very important for their study (70%). Preceptors agreed the feedback provided with the mini-CEX was more appropriate than prior feedback (60%). Students and preceptors ...
Background Rural populations are at risk of climate-related impacts due to ecological and geographical determinants, potentially leading to greater morbidity and health utilization. They are often highly dependent on primary care services. However, no rural- or primary care specific synthesis of these issues has ever been conducted. This review aimed to identify, characterize, and summarize existing research on the effects of climate-related events on utilization and health outcomes of primary care in rural and remote areas and identify related adaptation strategies used in primary care to climate-related events. Methods A scoping review following PRISMA-ScR guidelines was conducted, examining peer-reviewed English-language articles published up to 31 October 2022. Eligible papers were empirical studies conducted in primary care settings that involved climate-related events as exposures, and health outcomes or utilization as study outcomes. Two reviewers independently screened and extracted relevant information from selected papers. Data were analysed using content analysis and presented using a narrative approach. Results We screened 693 non-duplicate papers, of those, 60 papers were analysed. Climate-related events were categorized by type, with outcomes described in terms of primary, secondary, and tertiary effects. Disruption of primary care often resulted from shortages in health resources. Primary care may be ill-prepared for climate-related events but has an important role in supporting the development of community. Conclusions Findings suggest various effects of climate-related events on primary care utilization and health outcomes in rural and remote areas. There is a need to prepare rural and remote primary care service before and after climate-related events.
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