Gandes Retno Rahayu
Department of Medical Education, Faculty of Medicine, Gadjah Mada University, Yogyakarta 55281

Published : 57 Documents
Articles

Persepsi Mahasiswa terhadap Kualitas Supervisi Klinik di 12 Rumah Sakit Jejaring FK Unissula Students Perceptions on the quality of clinical supervision among the 12 affiliated hospital of Medical Faculty of UNISSULA Rahmawatie, Dian Apriliana; Rahayu, Gandes Retno; Prihatiningsih, Titi Savitri
Jurnal Sains Medika Vol 3, No 2 (2011)
Publisher : Fakultas Kedokteran UNISSULA

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Abstract

Background: Clinical supervision has a vital role in the learning process of undergraduate medical educationbecause it may improve the student’s clinical performance of the students. Supervision is a complex activityand covers wide variety of applications. Medical faculty of Islamic Sultan Agung University has 15 affiliatedhospitals for its clinical education. To assure the quality of the clinical program, an evaluation on the qualityof clinical program is required. This study was conducted to assess the effectiveness of the clinical supervisionamong the 12 affiliated hospitals.Design and Methods: This study involved 181 students of clinical internship of the year 2003, 2004 and 2005of medical faculty of Islamic Sultan Agung University having the clinical rotation at the stage of surgery,obsgyn, pediatrics, internal medicine, ENT, neurology, dermatology and venerology, psychiatry, across theaffiliated hospitals. The subject were divided into groups based on the hospital they were placed. ClinicalTeaching Effectiveness Instrument (CTEI) adapted in bahasa Indonesia was used. The Descriptive and Kruskal-Wallis test were applied for the data analysis.Results: Means of the effectiveness of clinical supervision for 12 affiliated hospitals ranged from 3.25 to 4.02.Kruskal-Wallis test resulted in the value of Chi-S=13.32 and p=0.27.Conclusion: Over all the clinical supervision for the 12 affiliated hospitals is perceived good and shows nosignificant difference. However the practice of clinical supervision varies among the hospitals (Sains Medika,3(2):135-149).Key words: Clinical supervision, clinical teachingLatar belakang: Supervisi klinik merupakan salah satu faktor yang memegang peranan penting dalamproses pembelajaran di klinik karena dapat meningkatkan performance klinik mahasiswa. Kegiatansupervisi klinik sangat kompleks dan bervariasi dalam pelaksanaannya. Fakultas Kedokteran Unissulamenggunakan 15 RS Jejaring sebagai wahana pendidikan klinik. Sehingga untuk menjamin mutupendidikan klinik perlu dilakukan evaluasi terhadap kualitas supervisi klinik. Penelitian ini bertujuanuntuk mengetahui kualitas supervisi klinik di 12 RS dan perbedaannya, serta aspek dari supervisi klinikyang perlu diperbaiki.Metode Penelitian: Penelitian ini menggunakan pendekatan kuantitatif. Subyek penelitian sebanyak181 mahasiswa kepaniteraan klinik angkatan 2003, 2004 dan 2005 FK UNISSULA yang menjalani rotasiklinik di bagian Bedah, Anak, Kebidanan dan Kandungan, Penyakit Dalam, Saraf, Kulit dan Kelamin, THTserta Jiwa dan tersebar di 12 RS. Subyek penelitian dikelompokkan berdasarkan RS tempat menjalanirotasi. Skala yang digunakan adalah Clinical Teaching Effectiveness Intrument/CTEI (Copeland & Hewson,2000) yang telah diadaptasi ke dalam bahasa Indonesia. Hasil pencapaian kompetensi klinikmenggunakan data sekunder yaitu nilai akhir bagian. Penelitian dilakukan dengan metode kuantitatifdan dianalisa menggunakan analisa deskriptif dan Kruskal Wallis.Hasil: Nilai rata-rata keefektifan supervisi klinik di 12 RS secara keseluruhan dengan rentang skor 3,25sampai 4,02. Hasil uji beda keefektifan supervisi klinik di 12 RS diperoleh nilai Chi-S=13,32 dan p=0,27.Kesimpulan: Keefektifan supervisi klinik secara keseluruhan di 12 RS dinilai baik oleh mahasiswa dantidak berbeda bermakna. Namun demikian, pelaksanaan supervisi klinik di tiap-tiap RS bervariasi (SainsMedika, 3(2):135-149).Kata kunci: supervisi klinik, pendidikan klinik
Students Perceptions on the quality of clinical supervision among the 12 affiliated hospital of Medical Faculty of UNISSULA Rahmawatie, Dian Apriliana; Rahayu, Gandes Retno; Prihatiningsih, Titi Savitri
Sains Medika Vol 3, No 2 (2011): Juli-Desember 2011
Publisher : Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26532/sainsmed.v3i2.396

Abstract

Background: Clinical supervision has a vital role in the learning process of undergraduate medical education because it may improve the student’s clinical performance of the students. Supervision is a complex activity and covers wide variety of applications. Medical faculty of Islamic Sultan Agung University has 15 affiliated hospitals for its clinical education. To assure the quality of the clinical program, an evaluation on the quality of clinical program is required. This study was conducted to assess the effectiveness of the clinical supervision among the 12 affiliated hospitals.Design and Methods: This study involved 181 students of clinical internship of the year 2003, 2004 and 2005 of medical faculty of Islamic Sultan Agung University having the clinical rotation at the stage of surgery, obsgyn, pediatrics, internal medicine, ENT, neurology, dermatology and venerology, psychiatry, across the affiliated hospitals. The subject were divided into groups based on the hospital they were placed. Clinical Teaching Effectiveness Instrument (CTEI) adapted in bahasa Indonesia was used. The Descriptive and Kruskal-Wallis test were applied for the data analysis.Results: Means of the effectiveness of clinical supervision for 12 affiliated hospitals ranged from 3.25 to 4.02. Kruskal-Wallis test resulted in the value of Chi-S=13.32 and p=0.27.Conclusion: Over all the clinical supervision for the 12 affiliated hospitals is perceived good and shows no significant difference. However the practice of clinical supervision varies among the hospitals (Sains Medika, 3(2):135-149).
Identification of Anatomy Contents for Medical Students Using DELPHI Technique Munawaroh, Siti; Rahayu, Gandes Retno; Suryadi, Efrayim
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 6, No 2 (2017): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.32254

Abstract

Background: Anatomy is one of basic science in medicine. As doctors are obligated to assure their service is safe and efficient, they need to master anatomy science to support their work on comprehend the patient condition. In another condition, there is a shifting on medical curricula that impacted on decrease of anatomy instructional hours. This condition result in lower of anatomy academic achievement among medical students. The third of ten question Harden in curriculum development, that is what content should be included? need to be resolved so that the limited time available can be utilized as well as possible. This study aims to achieve national scope consensus among anatomical expert about anatomical material course that must be delivered to medical students.Method: This study was design in qualitative approach with specified method of two round Delphi Technique. Using purposive sampling method, the subject of study involved was 20 experts of anatomical science in Indonesia. The questionnaire as instrument in this study arranged based on anatomy text book. The first Delphi purpose to select the anatomical course material and additional course material. The second Delphi round intent to provide level range from 1-4. The consensus level established by the researcher at 80% point.Results: The first Delphi round result in 760 anatomy topics consist of 636 original material arranged by researcher and 124 additional material added by the Delphi panel. Additional materials are osteomyology and sesnsory system. The second Delphi round agree 64% material of first Delphi round (489).Conclusion: Indonesian anatomical experts agree in which not all of anatomy material need to be learned by medical student. Their consensus is about 64% of all the material that must be learned.
Dampak Pembelajaran dan Efek Katalitik OSCE pada Mahasiswa Tahun I,II, dan III Fakultas Kedokteran UGM Triyani, Triyani; Rahayu, Gandes Retno; Suryadi, Efrayim
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 3, No 1 (2014): Maret
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.25197

Abstract

Background: OSCE is one of the assessments used in the Faculty of Medicine of Universitas Gadjah Mada, Yogyakarta since 1993. The uses of the OSCE as assessment tool have been widely proven. However, it also had limitations such as the presence of anxiety of the students and the high complexity of resources. This study aimed at finding out the impact of the OSCE on learning and its catalytic effects on the first, second and third year students of the Faculty of Medicine of Universitas Gadjah Mada.Method: In a qualitative method, data was collected using focus group discussion. There were 25 participants assigned to 3 groups, which were the group of the first year students, that of the second year students and that of the third year students. Samples were drawn using purposive sampling technique. The data was collected once the students have followed the OSCE. Analysis was made using Atlasti verion 6 and intercoding was conducted along with medical and health education experts.Results: The impacts of the OSCE were the learning strategy of the students more focused on clinical skills and their learning motivation increase. The OSCE caused anxiety of the students and they needed constructive feedback. The catalytic effects of the OSCE in the study were: It made the students more aware of the necessity to more diligently learn, to actively look for learning sources, to more creatively learn, to learn in a more integrated and comprehensive manner.Conclusion: The impact of the OSCE on learning was influenced by its organization and students’ characteristics. The positive catalytic effect of the OSCE on the students was that they needed standard OSCE. The study must be continued using other methods for example survey, cross-sectional or mixed methods.
LEARNING PROFESSIONALISM: MEDICAL STUDENTS’ PERSPECTIVE ON IDENTIFYING CLINICAL STAFFS’ BEHAVIOUR Ummah, Fithriyah C.; Rahayu, Gandes Retno; Prabandari, Yayi Suryo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 2 (2018): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.39105

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Background: Role modeling is known as one of the most effective methods in learning professionalism, especially in the workplace. Each role model shows a different substantial values of professionalism, therefore the 'positive' or 'negative' role model criterion are difficult to set. This study aims to understand how students identify 'professional behavior’ (positive role model) and ‘unprofessional behavior’ (negative role model).Method: The design was a qualitative with case study approach. The sample was 20 students of undergraduate medical school at one university in Indonesia, selected by purposive sampling using maximum variation strategy. Gender, GPA, origin, and clinical rotation are used as key dimensions. Data collection used two methods, written narrative and focus group discussion. While the steps of qualitative analysis refers to Miles and Huberman.Results: This study found four themes as ‘behavioral identification’, namely: 'self-principle', 'self-standard of professionalism', 'normative standard of professionalism' and 'subjectivity'.Conclusion: Differences in identification are a reflection of students’ cognitive maturity. The outcome of learning professionalism can be improved from ‘valuing’ to ‘organizing’ and ‘internalizing’ through role model exposure and facilitation that provides the opportunity to explore and to reflect on professional values, before the student chooses them independently. This is part of the development of internal belief systems that are closely related on how students build their professional identity.
Intergrating Problem-Based Learning and Team-Based Learning (PITBL) in Nursing Students: A Pilot study Kusuma, Yossi Indra; Rahayu, Gandes Retno; Shitarukmi, Savitri
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 6, No 3 (2017): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.32222

Abstract

Background: Change seems to be a constant in education. The shifting paradigm from teacher-centered to student-centered impact on demands of medical and health professions education institution to undertake curricullum reform. The development of PBL requires the provision of resources needed for its implementation. The emergence of newly developed method, TBL, garnered interest because of its potential to promote active learning without requiring large numbers of resources. The integration of these two methods can complement each deficiencies with their advantages, so it can optimize student learning. This study is aimed to determine the impact of the integration of PBL and TBL (PiTBL) on student engagement and to evaluate the perceptions of students in terms of accountability, preferences and their satisfaction with this method.Method: This study was a pre-experimental with one group pre and post test design. Subjects consisted of 103 nursing students who enrolled Fluid, Electrolyte an Elimination course. The collection of data before and after the intervention were held to determine the difference in student engagement, using “Classroom Engagement Survey” instrument from Baylor University. Students perceptions in terms of accountability, preference and satisfaction were measured with PiTBL-Student Assessment Instrument (PiTBL-SAI).Results: PiTBL had a positive impact on student engagement, but its results were lower then PBL. The difference was not significant for participation sub-scale, and significant in several weeks of course for enjoyment sub-scale and total value of student engagement. Students perceptions in terms of accountability, preference and their satisfaction with PiTBL all showed positive results.Conclusions: PiTBL had a positive impact on student engagement, although lower than PBL. Students perceptions in terms of their accountability, preference and satisfatction with this method is also positive. We concluded that this method can be used as an alternative in implementing an effective and eficient active learning method.
Efektivitas peer education terhadap perilaku menjaga kebersihan pribadi pada santri di pondok pesantren Rokhmawati, Laily; Rahayu, Gandes Retno
Berita Kedokteran Masyarakat (BKM) Vol 33, No 11 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.25115

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Tujuan: Mengetahui efektivitas peer education terhadap perilaku menjaga kebersihan pribadi pada santri di Pondok Pesantren Al-Iman Putri Babadan Kabupaten Ponorogo.Metode: Pretest dan posttest pada 84 santri Madrasah Tsanawiyah kelas I Al-Iman. Data dianalisis dengan menggunakan paired t-test.Hasil: Ada perbedaan tingkat pengetahuan, sikap dan tindakan dengan intervensi berupa peer education tentang menjaga kebersihan pribadi antara kelompok intervensi dan kontrol. Kelompok intervensi yang diberikan peer education mengalami peningkatan lebih tinggi daripada kelompok kontrol yang tidak diberikan peer education.Implikasi Praktis: Manajemen pondok pesantren dapat menggunakan metode peer education sebagai upaya preventif untuk mempromosikan perilaku hidup bersih dan sehatKeaslian: Studi ini menyatakan bahwa peer education efektif untuk mempromosikan perilaku hidup bersih dan sehat kepada santri di pesantren.
Rancangan Perbaikan Penilaian Tutorial Berdasarkan Sudut Pandang Tutor dan Mahasiswa serta Literatur Khadafianto, Fuad; Rahayu, Gandes Retno; Suryadi, Efrayim
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 5, No 2 (2016): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.25321

Abstract

Background: Problem Based Learning (PBL), a form of active learning model that is constructive, independent, collaborative and contextual, implemented in the learning process in the form of tutorial discussions. The quality of tutorial discussion need to be improved. One way to improve the quality of the tutorial is to revise or to select the appropriate assessment methods of tutorial discussion. Aside from tutor perception as a user, student perception about the benefits of the assessment process in PBL as subjects assessed need to be considered as a consideration in determining the appropriate model of assessment. One of tutorial discussion PBL method is using a seven jumps. This tutorial process is assessed and the result becomes a component of summative assessment. Therefore, the quality of these assessments must be guaranteed in terms of validity, reliability, impact of learning and in terms of ease of implementation.Method: This study used a qualitative method through a case study approach that use focus group discussions and in-depth interviews. This research carried out in the faculty of medicine of Islamic University of Indonesia. The study population was representative students of the years 2011-2014, the representative of tutors, and the leadership of the study program and faculty. Results: there were eight categories of perception in the tutorial discussion assessment. The perceptions included the perception of tutor and student knowledge about the assessment tutorials, the conformity tutorial discussion assessment with the concept of PBL, the technical assessment, the deviation judgment, the assessment objectivity, the assessment impact of the tutorial process, the learning/educational impact of tutorials assessment, and the recommendation of tutorial assessmentConclusion: Based on eight categories of perception in the tutorial discussion assessment, this study recommended three things, recommendation to keep doing the assessment of tutorial, to improve the objectivity of ratings tutorial by improving various components related to the assessment of tutorials, and to prevent the occurrence of irregularities in tutorial assessment.
Persepsi Dampak Ujian dengan MCQ terhadap Proses Belajar Mahasiswa Fakultas Kedokteran Aras, Irwin; Rahayu, Gandes Retno; Prabandari, Yayi Suryo
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 3, No 3 (2014): NOVEMBER
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.25240

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Background: Multiple choice question (MCQ) has been used widely as a method to assess the achievement of learning outcomes. MCQ as an assessment instrument may give both expected and unexpected impact. The research’s objective is to identify the impacts of MCQs in term of the structure, content, information and regulation on the learning process of student at Medical Faculty Hasanuddin University Method: The study was a descriptive survey involving 505 medical students from Hasanuddin University who were still in the academic phase, class of 2010, 2011 and 2012. Preliminary study was carried out to explore learning impacts caused by MCQs. Based on the result of preliminary study a questionnaire using rating scale was developed, consisting 92 items of possible learning impacts. Open ended questions were added to get free response from the students. The answers were classified into expected and unexpected learning impacts.Results: The structure, content, information and regulation of the MCQ method gave expected impacts such as learning from many sources (74.4%), group studying (96.2%), mind mapping (37.9%) and re-discussing the exam materials (96.2%). It also gave unexpected impacts such as guessing the answer (44.8%), only studying previous exams (93.5%), cheating (33.7%) and taking pictures of the exam papers (38.2%). Conclusion: Unexpected impacts may occur from the MCQ method, which structurally consists of item flaws, such as only assessing memorizing skills rather than the application of knowledge and incomplete information in the stem. The regulation, in the form of summative exam, will encourage students to prepare themselves more seriously if compared to the formative exam.
Pengaruh Pelatihan Caring terhadap Perilaku Memberikan Asuhan Keperawatan pada Mahasiswa Saat Rotasi Klinik di Politeknik Depkes Palangka Raya Purba, Maria Magdalena; Emilia, Ova; Rahayu, Gandes Retno
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 2 (2013): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.25171

Abstract

Background: Caring in nursing is a very basic component, as the heart of profession, Which means that caring is a fundamental component, and central and unique focus of nursing. Caring, which is a core of nursing practice, must grow from self and deepest heart to help other people since being a nursing student so that caring in nursing education, must be placed as main competency in nursing education. The aim of this research to evaluation the efficacy of caring training in improving understand cognitive, affective and psychomotor competencies of caring, among students during clinical periodMethod: This research used quasi experiment non-randomized control group pretest-posttest design. Respondents of research were nursing students of Poltekes Palangka Raya, Semester V, regular class, X-A period, with total of 37 respondents as intervention group and regular class of X-B period with total of 35 respondents as control group.Results: Data were analyzed using descriptive and inferential statistical analyses. Results of research indicated that cognitive, affective and psychomotor competencies of caring in nursing students with caring training did not show significant effect (cognitive: p-value = 0,21, affective: p-value = 0.58, psychomotor: p-value = 0.07); however, the average scores were higher among student received caring training The caring behavior showed no difference between male and female students.Conclusion: There is insignificant difference between students with caring training and students without caring training. The training should be modified as suggested in the paper.