Widyandana Widyandana
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Clinical Skills Training in the Community: Lesson Learned from Diponegoro and Gadjah Mada University Kristina, Tri Nur; Widyandana, Widyandana
MEDIA MEDIKA INDONESIANA 2011:MMI Volume 45 Issue 2 Year 2011
Publisher : MEDIA MEDIKA INDONESIANA

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ABSTRACTBackground: Community-based education (CBE) clerkship in Faculty of Medicine Diponegoro University (FMDU) is implemented after finishing clinical rotation in tertiary hospital, whereas in Gadjah Mada University (FMGMU), is a part of clinical rotation. To have insight information of this difference method, the CBE clerkship in FMDU and FMGMU were compared.Methods: Close and open-ended students’ questionnaires were administered in the end of CBE clerkship.Results: Response rate to the questionnaire was 97.8% (n=286). FMDU students reported the most unprepared skills for CBE clerkship was blood smear of malaria, whereas FMGMU’s students reported management of PHC centre. Both students perceived that they are well prepared in communication skills, management of communicable diseases, and several clinical skills, and also reported that they have frequent experience in outpatient department. FMDU’ students perceived that CBE clerkship gave opportunity to work independently, and they felt more prepared to work as a doctor in the community. On the other hand, FMGMU students felt not so confident in patient management, and reported that supervisor did not give enough assistance. They suggested that CBE clerkship should be done at least after clinical rotation in two Departments, i.e.: Internal Medicine or Paediatric andSurgery or Ob-gyn.Conclusions: CBE clinical clerkship required students’ confidence and independency. Preparation should be done properly not only for the students but also supervisor in the community. Tertiary hospital, which has enough skillful supervisors, is important to train basic clinical skills to students before sending them to the community.Keywords: Clerkships, clinical skills, medical students, CBE, communityABSTRAKKepaniteraan klinik di masyarakat: pembelajaran di Universitas Diponegoro dan Gadjah MadaLatar belakang: Kepaniteraan klinik di masyarakat di Fakultas Kedokteran Universitas Diponegoro diimplementasikan setelah mahasiswa kedokteran tingkat akhir menyelesaikan rotasi klinik di rumah sakit pendidikan tersier, sedangkan di Universitas Gadjah Mada kepaniteraan klinik di masyarakat menjadi bagian dari rotasi klinik. Dalam rangka mendapatkan informasi yang mendalam mengenai perbedaan metode tersebut, kepaniteraan klinik di masyarakat pada ke-2 institusi tersebut dievaluasi dan dibandingkan.Metode: Penelitian kuesioner dengan pertanyaan tertutup dan terbuka, diberikan pada mahasiswa di akhir dari kepaniteraan klinik di masyarakat.Hasil: Kuesioner yang dikembalikan sebesar 97,8% (n=286). Mahasiswa FK Undip melaporkan bahwa yang paling kurang dipersiapkan untuk kepaniteraan kinik di masyarakat adalah keterampilan dalam melakukan pemeriksaan darah hapus malaria, sedangkan mahasiswa FK UGM melaporkan bahwa mereka kurang dipersiapkan dalam hal manajemen puskesmas. Mahasiswa dari ke-2 institusi sama-sama merasa bahwa mereka cukup dipersiapkan dalam hal keterampilan komunikasi, manajemen penyakit infeksi, dan beberapa keterampilan klinik. Mereka juga sama-sama melaporkan pengalaman yang cukup sering di poliklinik. Mahasiswa FK Undip merasa bahwa kepaniteraan klinik di masyarakat memberi kesempatan pada mereka untuk bekerja secara independen, dan merasa lebih siap untuk bekerja sebagai dokter di masyarakat. Di lain pihak, mahasiswa FK UGM merasa kurang percaya diri dalam mengelola pasien dan melaporkan bahwa supervisor di puskesmas kurang memberikan supervisi. Mereka menyarankan agar kepaniteraan klinik di masyarakat dilakukan setelah minimal menjalani rotasi klinik di 2 departemen, misalnya:interna/pediatrik dan bedah/kebidanan.
HUBUNGAN ANTARA SIKAP DAN PERILAKU KOLABORASI DAN PRAKTIK KOLABORASI INTERPROFESIONAL DI RUANG RAWAT INAP RUMAH SAKIT PANTI RAPIH Utami, Lucia; Hapsari, Sunartini; Widyandana, Widyandana
Jurnal Keperawatan Muhammadiyah Vol 1, No 2 (2016): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Objective: examines the relationship between physicians–nurses collaboration attitude and behavior and interprofessional collaboration practice in inpatient ward Panti Rapih Hospital, Yogyakarta. Methods: The descriptive study was conducted using a two group design.  The estimated available physicians (n=92) and nurses (n=145) were physically in the hospital at the time data collection. Observations carried out on 10 physicians and 10 nurses in inpatient. The instrument used was the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration and The Stickler Collaborative Behavior Scale.  Mann Whitney test was used for statistical analysis.   Results: The mean score of  physician collaborative attitude was 48,24 (SD = 4,671) and nurses was 48,36 (SD = 2,325), p=0,752, there was no statistically significant differences found.  While, there were statistical significance differences found between physicians and nurses collaborative behavior (physicians mean score 69,8, SD = 7,88 , nurses 60,31, SD = 9,5, p =0,001). And the correlation between physicians–nurse attitude and behavior toward interprofessional collaboration was significant (p=0,001). Conclusion: both physicians and nurses expressed positive attitudes toward collaboration. Physicians and nurse showed a high level of interacting and interpersonal valuing in a collaborative relationship. There was relationship between physician–nurse collaboration attitude and behavior and interprofessional collaboration practice.
Edukasi kesehatan Gggi dan mulut dengan metode game pada guru TK Fatimah, Siti; Widyandana, Widyandana
Berita Kedokteran Masyarakat (BKM) Vol 33, No 9 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.596 KB) | DOI: 10.22146/bkm.26270

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Latar Belakang: Untuk melakukan promosi kesehatan gigi dan mulut dibutuhkan metode yang interaktif agar pesan dapat tersampaikan dengan baik. Guru TK dapat menjadi salah satu agen dalam promosi kesehatan gigi dan mulut pada anak. Penelitian ini menggunakan game Rangking 1 untuk meningkatkan pengetahuan kesehatan gigi dan mulut anak pada guru TK. Penelitian bertujuan mengetahui perbedaaan pengetahuan sebelum dan setelah dilakukan edukasi kesehatan gigi dan mulut anak dengan metode game Rangking I pada guru TK.Metode: Metode penelitian yang dilakukan yaitu quasi experimental dengan rancangan penelitian kuantitatif one group experimental design. Sebanyak 29 guru TK diedukasi dengan metode game Rangking 1. Perubahan pengetahuan sebelum dan setelah edukasi diukur dengan menggunakan pre-test dan post-test.Hasil: Uji Wilcoxson menunjukkan edukasi dengan metode game Rangking 1 dan ceramah dapat efektif dalam meningkatkan pengetahuan guru TK terkait kesehatan gigi dan mulut.Kesimpulan: Metode game Rangking 1 dapat meningkatkan pengetahuan kesehatan gigi dan mulut pada guru TK secara signifikan.
Comparison of Learning Environment in 3 Different Settings to Support Clinical Skills Acquisition in Undergraduate Medical Students Mohan, Kirubashni; Emilia, Ova; Widyandana, Widyandana
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 1, No 2 (2012): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.859 KB) | DOI: 10.22146/jpki.25093

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Background: Integration between preclinical basic science education, skills training program in the laboratory setting and real clinical setting is recommended. This study explores clinical setting which suitable for undergraduate skills training program. The purpose of this study is to compare 3 different clinical settings (Sardjito Hospital, Klaten Hospital, and Puskesmas), which is appropriate for undergraduate clinical skills training.Method: This was a descriptive quantitative study, using cross sectional method. Data collection used self administrated questionnaire comprised of clerkship students who pooled of Sardjito Hospital, Klaten Hospital and Puskesmas (Primary Health Centre). Data analysis was done using ANNOVA test.Results: The Puskesmas scored the highest mean compared to Sardjito Hospital and Klaten Hospital for an overall learning environment and also in the scales for autonomy, social support, and role clarity. Sardjito Hospital scored the highest mean for the scales of supervision, workload, emphasis on teaching and learning and variety. There is a positive correlation between the learning environment and skills practice opportunity.Conclusion: Puskesmas as primary health centers is a better overall clinical learning environment compared to Sardjito Hospital and Klaten Hospital, but scored low means in domains such as emphasis on teaching and learning and variety. There is a positive correlation between the learning environments and skills practice opportunity with different features for each setting. There is no correlation between skills practice opportunity and gender or marital status.
Fleksibilitas Belajar Mengajar Melalui Metode Blended Learning Fandianta, Fandianta; Sanjaya, Guardian Yoki; Widyandana, Widyandana
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 | Full PDF (678.536 KB) | DOI: 10.22146/jpki.25178

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Background: E-learning as a new paradigm in modern education, is an alternative learning model than just face to- face. As simply, e-learning is defined as learning to use the electronic media, which aims to increase knowledge and performance. Studying by using e-learning is important to build the education sector in Indonesia, particularly as an effort to improve equity and access in education, particularly in health domain. Implementing of e-learning in health education are very relevant to the concept of continuing medical /health education that leads to continuous professional education. However, the higher education in Indonesia is still slightly to implement learning-based electronic systems. Several studies have shown the enthusiasm of higher education in using e-learning. The benefits and differences of using e-learning need to be carefully evaluated, especially for health education. This study analyzed the use of e-learning for teaching and learning in health education. In addition, identifying the barriers of e-learning for students.Method: The study was conducted in Poltekkes Kemenkes Palembang involving second-year Nursing students. A quasi-experimental approach was used for two groups of students, 1) e-learning users (treatment) and 2) non e- learning users (control), who were taking the Health Promotion subject. The data were collected using a pre-post tests and questionnaires. Data was analysed quantitatively and qualitatively.Results: Pre-post test results showed a significant difference to the increasing of students’s knowledge who is participating in e-learning compared with conventional learning (p <0,05). There is a positive perception of the discussion, assignments, quizzes / exams, and the availability of teaching materials amongst the students who are participating in e-learning.Conclusion: Blended learning method provide a positive impact on teaching and learning in nursing students. This method should be considered as a complement to conventional learning.
Efektifitas Berbagai Metode Pembelajaran untuk Partisipasi Aktif Mahasiswa dan Stimulasi Proses Clinical Reasoning Widyandana, Widyandana
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 2, No 3 (2013): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.87 KB) | DOI: 10.22146/jpki.25180

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Background: Skills lab program can be conducted by several methods, such as training by mannequin, role play with peers, simulated patients, and training in community. Medical students are expected to play an active role in training and always practice their clinical reasoning skills. However, there are still many students not ready for implementing some medical procedure in their clerkship. Therefore, this study aimed to compare the level of active participation and the clinical reasoning process of students obtained in four learning methods in skills lab.Method: This study used a cross-sectional design with random survey questioner to 150 medical students in Medical Faculty of GMU (n=150). This survey were expected to explore the impression of students to each learning method, particularly in the active participation in practice and the clinical reasoning process. The results were analyzed using descriptive quantitative method by comparing total score of each learning method.Results: The results showed that the learning method of medical skills in community is superior to 3 other methods, namely practice with mannequins, role play with peers, as well as simulated patients, both in promoting the active participation of students and stimulating the clinical reasoning skills (p<0.05).Conclusion: Medical skills training in community is more effective in promoting the active participation of students in practice and stimulating the clinical reasoning skills. However, it should considerate with compatibility of topic, students’ readiness, and combined methods if needed.
Evaluasi Penugasan Clinical Reasoning dan Refleksi Mahasiswa di SKills Lab FK UGM Widyandana, Widyandana
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 | Full PDF (249.345 KB) | DOI: 10.22146/jpki.25190

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Background: Teaching clinical reasoning and reflection skills in skills laboratory are usually neglected, therefore Skills Lab of FM UGM initiate to teach those skills for undergraduate students. This study aimed to evaluate student’s assignment of clinical reasoning and reflection skills and explore how to improve it.Method: An experimental study by giving student assignments to make an essay about particular disease based on SKDI level 4 that written on a medical record and reflection form format. All 4th-year medical students of FM GMU (n=186) and skills lab instructors (n=5) were involved. Assignments were assessed (by the instructors) using instrument by Driessen (2008), and analyzed by correlating those scores with students’ OSCE score and GPA using Pearson Correlation test. Qualitative data collected by deep interview with assessors and analyzed using Inductive Content Analysis by 2 coders.Results: There were no significant correlation between assignment score with OSCE score and GPA. However, there were significant correlations (p<0.05) between score of clinical reasoning with reflection skills, and OSCE score with GPA. Assessors conclude that assignment has been good enough to stimulate clinical reasoning and reflection skills, but still had weaknesses e.g. incompatibility of assignment’s format to assessment’s checklist, unclear instructions, and no assignment’s sample that made students submitted in various format.Conclusion: The assignment has been successfully conducted in Skills Lab FM UGM, however it needs some improvement, such as giving detail instructions, examples, and matching it with assessment instrument.
Perbandingan Tingkat Motivasi Mahasiswa yang Menempuh Kuliah Konvensional dengan Collaborative Learning Herman, Herman; P, Titi Savitri; Widyandana, Widyandana
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 3, No 2 (2014): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.551 KB) | DOI: 10.22146/jpki.25228

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Background: Collaborative learning is a learning method which centered on students’ learning process. Although many theories and research results showed that  interactive lecture is better than conventional lecture, but in fact, only few lecturers use the interactive method in teaching and learning process. Literature stated that using conventional method in teaching and learning process does not motivate students to learn more while using the other one (interactive lecture) will enhance students’ motivation. Collaborative learning is one of interactive lecture method. Based on the facts mentioned above, the researcher wants to compare students’ motivation who participate in conventional method and those who participate in collaborative learning method.Method: This was a quantitative research with experimental approach, used posttest only with control group design. This research measured students’ learning motivation by using Motivated Strategies for Learning Questionnaire (MSLQ). Subjects for the research were the second semester students of  Public Health Scince of Tadulako University which divided into two groups randomly. Data were analyzed by Mann-Whitney test method.Results: There were a distinct disparity in students’ learning motivation after following learning process with conventional and collaborative learning method. Students who followed collaborative learning had higher motivation than students who followed conventional lecture.Conclusion: Collaborative learning improves students’ learning motivation toward the nutrient topic on Public Health Sciences. 
Persepsi terhadap Training From Senior Student dalam Penugasan Keterampilan Klinik Saputra, Oktadoni; Widyandana, Widyandana; Hadianto, Tridjoko
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 3, No 2 (2014): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.464 KB) | DOI: 10.22146/jpki.25231

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Background: Peer-Assisted Learning (PAL) has been widely used in medical education. Training From Senior Student (TFSS) is a PAL-scheme program in Skills-Lab FM GMU which one of its aim is to facilitate students to master their cinical skills. However, failure rate in OSCE is still high. This research conducted to explore students’, assistants’ and faculty’s perceptions on the benefits of TFSS in students’ clinical skills acquisition.Method: This study used exploratory focus group discussion (FGD) and in-depth interview with respondents, which were chosen purposively. The data were then transcribed and analysed for themes using deductive content analysis.Results: Thirty-six respondents joined the study (13 medical students; 17 assitants; 6 faculty staffs). The respondents’ perceptions were categorized in 3 aspects: cognitive aspects, social aspects, and organizational aspects of clinical skills learning. As a whole, the view of each respondent was not much differents. TFSS enhanced cognitive and social aspects of both students’ and assistants’ learning, but it didn’t provide the optimal opportunity to practice their skills. Various related problems in organizing were also found.Conclusion: TFSS provided positive benefits on both cognitive and social aspects of clinical skills learning, but not for the opportunity to practice the skills. Improvements need to be done to enhance the quality and quantity of skills training.
Pengaruh Pelatihan Caring terhadap Perilaku Memberikan Asuhan Keperawatan pada Mahasiswa Saat Rotasi Klinik di Politeknik Depkes Palangka Raya Bakar, Abu; Widyandana, Widyandana; Sanusi, Rossi
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 | Full PDF (352.755 KB) | DOI: 10.22146/jpki.25252

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Background: Evaluation and faculty development program for dental faculty at Muhammadiyah University of Yogyakarta are necessary to improve clinical teacher abilities in skills laboratory. The objective of this study is to conduct pilot study of training program on clinical skills laboratory instructors’ teaching abilities; to measure instructors’ teaching ability before and after the training; and to understand instructors’ perception on the given training.Method: This study was a pretest-posttest single group design accompanied with qualitative method. The subjects are 12 clinical teachers and 91 students of Dental School, Muhammadiyah University of Yogyakarta. Quantitative data analysis by measuring effect size. Focus group discussion conducted after quantitative data were collectedResult: (1) There were moderate effect of clinical skills laboratory teacher’s training program to communication and clinical teaching abilities (d> 0,50). (2) The qualitative analysis showed the good perception of participants and feasibility of teacher training program, the lack of teacher of teacher training program, and the advice to improve the quality of teacher training program. Conclusion: Training of skills-lab instructors was needed to improve communication and teaching ability among skills-lab instructors.