AbstrakPenelitian ini bertujuan untuk mengeksplorasi permasalahan-permasalahan yang dapat ditemukan saat implementasi Community-based Education (CBE) di fakultas kedokteran. Pendekatan kualitatif eksplorasi dilakukan untuk mengidentifikasi permasalahan yang sering ditemui dalam implementasi program CBE. Pengumpulan data dilakukan di fakultas kedokteran negeri dan swasta dengan evaluasi dokumen, wawancara semistruktur, dan observasi. Kesimpulan dari penelitian ini adalah program CBE yang tidak menetapkan tujuan pembelajaran bersifat generik, kurang melibatkan peran aktif masyarakat dalam kegiatan pembelajaran mahasiswa, kebutuhan masyarakat yang jarang teridentifikasi, dan tidak adanya program yang berkelanjutan dapat menyebabkan kejenuhan masyarakat atau kegagalan program CBE mencapai tujuannya. Abstract There were sereval problems in the implementation of Community-based Education CBE that need to be further explored. Exploratory qualitative approach was carried out to identify problems that were often encountered. Data collection was conducted in Public Medical School and Private Medical School by using document evaluation, semi-structured interviews, and observation. The conclusion of this study is CBE program that does not set the generic learning objectives, less involvement of the community active participation, the needs of community who are rarely identified, and the absence of a sustainable program can lead to saturation of the CBE program or failure to achieve its objectives.
Introduction Indonesia is a huge country consisting of 33 provinces with different characteristics. There are 83 medical schools across Indonesia with different accreditation statuses. The Indonesia Medical Doctor National Competency Examination (IMDNCE) has been established to control the quality of medical school graduates. The implementation of IMDNCE needed to be evaluated to determine its impact. To date, there has not been any research in Indonesia that explores the stakeholders’ perceptions toward IMDNCE. This study aimed to explore how the stakeholders in Indonesia perceived the impact of IMDNCE towards performances of medical school graduates in clinical practice. Methods and Study Participants A qualitative study with phenomenological approach was conducted to investigate perceptions of stakeholders including representatives from consumer organizations, the National Health Coverage, the Ministry of Health, the Indonesian Medical Association, employers (hospital and health center directors), clinical supervisors as well as patients across Indonesia. Data were obtained through focus group discussions (FGDs) and interviews. The study used thematic analysis methods to obtain the results. Results A total of 90 study participants participated in the study including 10 representatives of consumer watchdog organizations, the National Health Coverage, the Ministry of Health, the Indonesian Medical Association, 31 employers, 32 professionals, and 17 patients. The study found three general themes which represent the perceptions of the stakeholders towards performances of medical school graduates in clinical practice: IMDNCE as an effort to standardize doctor graduates in Indonesia, the results of IMDNCE as a mean to reflect the quality of medical education in Indonesia, and IMDNCE as an effort to improve health services in Indonesia through the quality of graduates. Conclusion In general, the stakeholders perceived that the IMDNCE was able to standardize medical school graduates from various medical schools across Indonesia. However, the IMDNCE needs to be further developed to maximize its potential in improving the competences of Indonesian medical students.
Problem-Based Learning (PBL) is part of the learning process in the competency-based curriculum of Medical Education. In PBL activities, students are given a problem in the form of a scenario, then students will actively discuss to achieve the learning issue. In the discussion, students are guided by a lecturer who serves as a tutor or facilitator. Aim: To analysed the correlation between the tutor's effectiveness and the achievement of learning issue. Method: This research was conducted by an analytic observational method with a cross-sectional design. Retrieval of data by stratified random sampling. The data is then analysed with spearman test. Results: There's a significant correlation between PBL tutor's effectiveness and the achievement overall student learning issue (p=0.44). There's no significant correlation between tutor's effectiveness and the achievement of learning issue in the first and second year students (p=0.64) and (p=0.206), There's a significant correlation between tutor's effectiveness and learning issue achievement in the third year (p=0.36). Conclusion: There's a correlation between the effectiveness of PBL tutors on the achievement of learning issue, but this doesn't have a full effect because there are other factors that influence the achievement of learning issue.
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