Area of Interest of Indonesian Researches in Medical and Health Professions Education: Future Direction

https://doi.org/10.22146/jpki.32177

Mora Claramita(1*), Gandes Retno Rahayu(2), Rahmi Surayya(3), Abu Bakar(4), Murti Mandawati(5), Michael Andreas Leman(6), Ova Emilia(7)

(1) Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta - INDONESIA
(2) Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta - INDONESIA
(3) Masters’ of Medical and Health Professions Education, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta - INDONESIA
(4) Masters’ of Medical and Health Professions Education, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta - INDONESIA
(5) Masters’ of Medical and Health Professions Education, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta - INDONESIA
(6) Masters’ of Medical and Health Professions Education, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta - INDONESIA
(7) Masters’ of Medical and Health Professions Education, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta - INDONESIA
(*) Corresponding Author

Abstract


Background: Medical education research has been flourished in the past two decades in Indonesia. It is highly important to study results of medical education researches in Indonesia to provide future direction for medical education. Six published literature in medical education from Asian context was used as the basis of this study.

Method: We used the narrative review in which quantitative data were interpreted qualitatively. All national and international publication and the unpublished research in medical education from Indonesia between 2000 - 2013 were collected with multiple methods based on 8 criteria of inclusion/ exclusion. We also grouped the articles into quantitative and qualitative groups based on each method in each study.

Results: Total articles interpreted was 151 and grouped into 17 areas of interest and level of evidences from ‘very rarely’ to ‘very frequently’ studied. Studies in the area of understanding problem–based learning (PBL) are still dominating the area of interest including the student-assessment within PBL program. Other areas are still rarely done, especially research in health professions education other than medical doctors.

Conclusion: Research in medical education in Indonesia should be more stimulated; in terms of numbers and quality, more importantly to strive for future agent of culture, socio-economic and political changes based on the actual community problems in the universal coverage era toward solid interprofessional team work to accomplish patient safety.


Keywords


Medical and health professions educational researches, narrative review, problem based learning

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References

1. Majumder AA. Issues and Priorities of Medical Resaerch in Asia. Annuals Academy of Medicine, 2004;33:256-63.

2. Norman G. Research in medical education: three decades of progress. BMJ. 2002; 324:1560-62.

3. Al Shawwa L. The establishment and roles of the medical education department in the faculty of medicine, King Abdul Aziz University, Jeddah Saudi Arabia. 2012;27(1):4-9.

4. Lam, TP, Lam YYB. Medical Education Reform: The Asian Experience. Academic Medicine, 2009; 84 : 1313 – 17.

5. Shankar, PR, Piryani RM. Medical Education and Medical Educators in South Asia- A Set of Challenges. Journal of the College of Physicians and Surgeons Pakistan, 2009;19:52-5.

6. Chen FM, Bauchner H, and Burstin H. A Call for Outcomes Research in Medical Education. Academic Medicine, 2004;79(10):955-60.

7. Wynia M. The physicians‟ obligation to participate in quality improvement activities. In: Baily MA, Lynn B, Jennings B.ed. Ethical Issues in Health Care Quality Improvement Activities. In press; 2007.

8. Sudoyo AW. Researches should be based on Community‟s Need. Kompas; 2012, 4 April. http://health.kompas.com/read/2012/04/04/03441445/Riset.Perlu.Berbasis.Kondisi.Masyarakat [Accessed 18 Agustus 2013]

9. Cesario S, Morin K, Santa-Donato A. Evaluating the level of evidence of qualitative research. JOGNN, 2002;31: 708–714. DOI: 10.1177/0884217502239216

10. Straus SE, Richardson WS, Glasziou P, Haynes RB. Evidence-based medicine: how to practice and teach EBM, 3rd ed. Philadelphia: Elsevier Churchill Livingstone; 2005.

11.Oxford Centre for Evidence-Based Medicine. Levels of evidence and grades of recommendation. Available from http://www.cebm.net/levels_of_evidence.asp

12. Sutherland S.E, Evidence-based dentistry: Part IV. Research design and levels of evidence. J Can Dent Assoc. 2001 Jul-Aug;67(7):375-8. 13. Rahayu G and Claramita M. Masters in Medical Education Faculty of Medicine University of Gadjah Mada: The Core competences. Yogyakarta: Faculty of Medicine UGM; 2013.

14. Fitri AD. Relationship between tutor style and efficacy of tutorial; students and tutors‟ perception. Unpublished master thesis in medical education. Yogyakarta: Faculty of Medicine University of Gadjah Mada; 2011.

15. Memah MF. Characteristics of Tutors and Tutors‟ Perception as Facilitator in Tutorial of a Problem Based Learning at University of Sam Ratulangi Manado. Unpublished master thesis in medical education. Jakarta: Faculty of Medicine University of Indonesia; 2011.

16. Yulistini. Tutors’ perception as facilitators during tutorial in a problem based learning approach Faculty of Medicine University of Andalas. Unpublished master thesis in medical education. Yogyakarta: Faculty of Medicine University of Gadjah Mada; 2008.

17. Nurrohmanti H. Do Students‟ Perception about Group Discussion and Learning in Problem Based Learning Differ Across Java, NonJava and International Students? Unpublished master thesis. School of Health Professional Education. Maastricht: Maastricht University The Netherlands, 2012.

18. Claramita M, Pratidina A, Kharismayekti M, Van Dalen J, Van der Vleuten C. Introducing a partnership doctor-patient communication guideline to teachers in a culturally hierarchical context of Indonesia. Accepted in Education for Health 12-4-2013

19. Geertz C. The Religion of Java. Chicago and London: The University Chicago Press; 1976.

20. Hofstede G. Culture's Consequences, Comparing Values, Behaviors, Institutions, and organizations across nations. Newbury Park-CA: Sage Publications; 2001.

21. Hidayah RM. Teaching Strategies for Integrated Communication and Physical Examination Skills. Unpublished master thesis. School of Health Professional Education. Maastricht: Maastricht University The Netherlands; 2012.

22. Hasdianda A. Evaluation of the Resuci-Gama Resucitation Manequin for Basic Life Support Skills Training Using Measurenment of Students‟ and Teachers‟ Perception. Unpublished master thesis. School of Health Professional Education. Maastricht: Maastricht University The Netherlands; 2013.

23. Setiawan IP. Instrument for Evaluating Teachers‟ Didactical Performance. Unpublished master thesis. School of Health Professional Education. Maastricht: Maastricht University The Netherlands; 2011.

24. Shitarukmi S. Students’, Tutors’ and Experts’ Perceptions towards The Quality of PBL Problems. Unpublished master thesis. School of Health Professional Education. Maastricht: Maastricht University The Netherlands; 2013.

25. Claramita M, Sutomo AD, Graber MA, Schrepbier A. Are patient-centered care values as reflected in teaching scenarios really being taught when implemented by teaching faculty? A discourse analysis on an Indonesian medical school‟s curriculum. Asia Pacific Family Medicine, 2011;10:4 doi:10.1186/1447-056X-10-4

26. Ten Cate O. Entrustability of professional activities and competency-based training. Med Educ, 2005;39(12):1176-7.

27. Rahayu GR and McAleer S. Clinical reasoning of Indonesian medical students as measured by diagnostic thinking inventory. South East Asian Journal of Medical Education, 2008;2(1):42-7.

28. Claramita M, Nugraheni MDF, Van Dalen J, Van der Vleuten C. Doctor-patient communication in Southeast Asia: A different culture? Adv Health Sci Educ, 2012;18(1):15-31.

29. Nugraheny E, Claramita M, Rahayu GR, Kumara A. Feedback in The Non-Shifting Context of The Midwifery Clinical Education in Indonesia: A Mixed Methods Study’, Iranian Journal of Nursing and Midwifery Research, IJNMR_188_15R6 Accepted to be published in October 2016.

30. Susilo AP, Eertwegh V, van Dalen J, Scherpbier A. Leary's rose to improve negotiation skills among health professionals: Experiences from a Southeast Asian culture. Education for Health Change in Learning & Practice, 2013; 26(1):54-9.

31. Susilo AP, Nurmala I, van Dalen J, Scherpbier A. Patient or physician safety? Physicians' views of informed consent and nurses' roles in an Indonesian setting. Journal of Interprofessional Care, 2012; 26(3):212-8.

32. Susilo AP, van Dalen J, Scherpbier A, Tanto S, Yuhanti P, Ekawati N. Nurses' roles in informed consent in a hierarchical and communal context. Nursing Ethics 01/2013

33. Indah R. The Design of Disaster Management Block. Unpublished master thesis. School of Health Professional Education. Maastricht: Maastricht University The Netherlands.

34. Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, Fineberg H, Garcia P, YangKe, Kelley P, Kitnasamy, Meleis A, Naylor D, Pabloz-Mendez A, Reddy S, Scrimshaw S, Sepulveda J, Serwadda D and Zurayk H. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet, 2010;376(9756):1923-58.

35. Kristina TN, Majoor GD, van der Vleuten CP. Comparison of outcomes of a community-based education programme executed with and without active community involvement. Med Educ, 2006 Aug;40(8):798-806.

36. Kristina TN, Majoor GD, van der Vleuten CP. Does CBE come close to what it should be? A case study from the developing world. Evaluating a programme in action against objectives on paper. Educ Health (Abingdon). 2005 Jul;18(2):194-208.

37. Kristina TN, Majoor GD, Van Der Vleuten CP. A survey validation of generic objectives for community-based education in undergraduate medical training. Educ Health (Abingdon), 2006 Jul;19(2):189-206

38. Widyandana D, Majoor GD, Scherpbier AJ. Comparison of three clinical environments for pre- clinical clinical skills training. Med Teach, 2011;33(11):928-32.

39. Widyandana D, Majoor GD, Scherpbier AJ. Patients' appreciation of pre-clinical student performance in primary healthcare centres in indonesia Educ Health (Abingdon), 2012 Nov;25(2):81-6.

40. Widyandana D, Majoor G, Scherpbier A. Transfer of medical students' clinical skills learned in a clinical laboratory to the care of real patients in the clinical setting: the challenges and suggestions of students in a developing country. Educ Health (Abingdon), 2010 Nov;23(3):339.

41. Community and Family Health Care Program. Yogyakarta: Fakultas Kedokteran UGM; 2016.

42. Seribu Hari Pertama Kehidupan. Makassar: Fakultas Kedokteran Universitas Hassanuddin; 2015.

43. WHO. Primary Health Care is Now More than Ever. Geneva: WHO; 2008.

44. Kemenkes RI. Laporan tahunan Kementrian Kesehatan Republik Indonesia. Jakarta; 2015.

45. Metha JM. Effectivity of “Gymsofika” model for learning clinical skills of manual placenta. Unpublished master thesis in medical education. Yogyakarta: Faculty of Medicine Gadjah Mada University; 2012.

46. Widyandana. Developing Simulated Patients towards Standardized Clinical Competence. Unpublished master thesis. School of Health Professional Education. Maastricht: Maastricht University The Netherlands; 2007.

47. Kneebone R and Nestel D. Learning clinical skills: the place for simulation and feedback. Clin Teach, 2005;2(2):86-90.

48. Kneebone R, Nestel D, Bello F and Darzi A. An Integrated Procedural Performance Instrument (IPPI) for learning and assessing procedural skills. Clin Teach, 2008;5:45-8.

49. Susani YP. Accuracy of students‟ self-assessment on clinical skills. Unpublished master thesis in medical education. Yogyakarta: Faculty of Medicine Gadjah Mada University; 2009.

50. Demak IPK. Peer assessment to increase clinical performance. Unpublished master thesis in medical education. Yogyakarta: Faculty of Medicine Gadjah Mada University; 2011.

51. Prihatanto FSI. Application of Script Concordance Test on fresh graduate doctors Faculty of Medicine University of Airlangga: validity & reliability study. Unpublished master thesis in medical education. Yogyakarta: Faculty of Medicine Gadjah Mada University; 2011.

52. Syafruddin A. Correlation between cognitive assessment during undergraduate and clinical education with national examination of medical doctors‟ competences examination at the University of Muhammadiyah Jakarta. Unpublished master thesis in medical education. Yogyakarta: Faculty of Medicine Gadjah Mada University; 2012.

53. Ramani S, Leinster S, AMEE Guide no 34: Teaching in the clinical environment. Medical Teacher, 2008:30(4):347-64.

54. Miller GE. The assessment of clinical skills/ competence/ performance. Acad Med. 1990;65:s63-7.

55. Prihatiningsih TS. Quality Assurance in Health Care and Health Education System in Indonesia. Unpublished Master Thesis. Dundee: Dundee University; 2000.

56. Prihatiningsih TS. Quality Assurance in Health Care and Health Education System in Indonesia. Unpublished Dissertation. Dundee: Dundee University; 2003.

57. Neufeld V. Leadership for change in Education of Health Professional. Maastricht: Network pub; 1995.

58. Indonesian Parliament Act 2006. Pancasila– Sila 4 Explanations Section. TAP MPR. Penjelasan Butir-Butir Pancasila Sila ke-4. Jakarta: Indonesian Board of Parliament; 2006.

59. Tauchid M, Soeratman, Sajoga, Lahade RS, Soendoro, Surjomiharjo A. Articles by Ki Hadjar Dewantara - Book 1 (1st edition). Yogyakarta, Indonesia: Taman Siswa Pub; 1962.

60. Claramita M. Introducing “Tut Wuri Handayani” - a student-centred learning approach to facilitate life-long self-directed learning - and its applications by Ki Hajar Dewantara 2012. Jurnal Pendidikan Kedokteran Indonesia, 2016(1).

61. Rahayu GR, Suhoyo Y, Nurhidayah R, Hasdianda MA, Chaniago Y, Wikaningrum R, Hariyanto T, Wonodirekso S, Achmad T. Large-scale multi-site OSCEs for national competency examination of medical doctors in Indonesia. Med Teach, 2016;38: 801-7.

62. Istiono W, Ekawati M, Gayatri A, Claramita M, Kusnanto H, Sutomo AH, Graber MA. Physician’s self-perceived abilities at primary care settings in Indonesia. Journal of Family Medicine and Primary Care, 2015; 4(4): 551-8.

63. Widyahening IS, Wangge G, Van Der Graaf Y, Van Der Heijden GJ M G. Adapting Clinical Guidelines In Low-Resources Countries: A Study On The Guideline On The Management And Prevention Of Type 2 Diabetes Mellitus In Indonesia.J Eval Clin Pract, 2016 Sep 4. Epub 2016 Dec 4.

64. Randita A.B.T, Widyandana, Claramita M. Assessing inter-professional competencies in a community-based learning for medical and midwifery students: a pilot study. Derived from the unpublished Master Thesis in Medical Education, Universitas Gadjah Mada.

65. Sedyowinarso M. Pendidikan Interprofesi untuk tenaga kesehatan. Unpublished dissertation. Program Doktor Universitas Gadjah Mada; 2014.

66. Widyahening IS, Van der Heijden GJMG, Moy FM, Van der Graaf Y, Sastroasmoro S, Bulgiba A. From west to east; experience with adapting a curriculum in evidence based medicine. Perspect Med Educ, 2012;1:249–61.



DOI: https://doi.org/10.22146/jpki.32177

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