Overview Year 2Overview Year 2Skills Training FK UGMSkills Training FK UGM

WidyandanaWidyandana

Korta Tahun 2 Skills LabKorta Tahun 2 Skills Lab

Feedback year IFeedback year I

Observer OSCE – do not allow Observer OSCE – do not allow students read the instruction in OSCEstudents read the instruction in OSCE

Observer do not pay attention in Observer do not pay attention in OSCEOSCE

Lack of supporting staff in OSCE – Lack of supporting staff in OSCE – first sessionfirst session

Students need assitant for asceptic Students need assitant for asceptic proceduresprocedures

Case from the SP different with instructionCase from the SP different with instruction Equipments scattered in the first time – Equipments scattered in the first time –

need assistantneed assistant Different between observer opinion and Different between observer opinion and

bookbook Walking time in OSCE ??? 4 minutes?Walking time in OSCE ??? 4 minutes? Late entering room, mis understandingLate entering room, mis understanding Instructor combine 2 groups for one Instructor combine 2 groups for one

session!!!session!!!

Too many waiting time in OSCE!!!Too many waiting time in OSCE!!! Many cancelled session!!! - Many cancelled session!!! - In the OSCE got angry! And In the OSCE got angry! And

disturbing studentdisturbing student Standardization between – instructor, Standardization between – instructor,

assistant!assistant!

Basic Concept Basic Concept Skills Training in CBCSkills Training in CBC

IntegratedIntegrated in the curriculum.. in the curriculum..

HorizontalHorizontal

VerticalVertical

SpiralSpiral

LongitudinalLongitudinal

Final Destination..Final Destination..

GENERAL OBJECTIVES OF SKILLSGENERAL OBJECTIVES OF SKILLSTRAINING YEAR 1TRAINING YEAR 1

The medical student should be able The medical student should be able to perform the to perform the basic clinical skillsbasic clinical skills procedure.procedure.

GENERAL OBJECTIVES OF SKILLS GENERAL OBJECTIVES OF SKILLS TRAINING YEAR 2TRAINING YEAR 2

The medical student should be able The medical student should be able to explore the datato explore the data to determine to determine the patient’s problem.the patient’s problem.

The medical student should be able The medical student should be able to perform to perform specific procedure specific procedure skillsskills based on their competence. based on their competence.

GENERAL OBJECTIVES OF SKILLS TRAINING GENERAL OBJECTIVES OF SKILLS TRAINING YEAR 3YEAR 3

The medical student should be able The medical student should be able to explore the data to to explore the data to determine determine the patient’s problemthe patient’s problem and and negotiate the planningnegotiate the planning (care plan) (care plan)

The medical student should be able The medical student should be able to perform to perform specific procedure specific procedure skillsskills based on their competence based on their competence and and negotiate the planningnegotiate the planning..

GENERAL OBJECTIVES OF SKILLS TRAINING GENERAL OBJECTIVES OF SKILLS TRAINING YEAR 4 YEAR 4 and Clinical Years and Clinical Years

The medical student should be able The medical student should be able to to manage the patientmanage the patient

The medical student should be able The medical student should be able to perform to perform specific procedure specific procedure skillsskills and and emergencyemergency, based on , based on their competence and negotiate the their competence and negotiate the planning.planning.

Our focus now.. Our focus now..

Target Year 2Target Year 2

The medical student should be able The medical student should be able to to explore the dataexplore the data to determine the to determine the patient’s problem.patient’s problem.

The medical student should be able to The medical student should be able to perform perform specific procedure skillsspecific procedure skills based based on their competence. on their competence.

See carefully…See carefully…

Appropriate manner…Appropriate manner…

PROBLEM!!!PROBLEM!!! Mahasiswa Mahasiswa tidak tidak sadarsadar pentingnya pentingnya

keterampilan medis untuk masa depannya keterampilan medis untuk masa depannya sendiri sendiri

Mahasiswa merasa bisa menjadi kompeten Mahasiswa merasa bisa menjadi kompeten dengan dengan melihatmelihat

Mahasiswa cenderung Mahasiswa cenderung malasmalas/ / tidak mau tidak mau berlatih berulang-ulangberlatih berulang-ulang

Mahasiswa lemah pada sisi Mahasiswa lemah pada sisi CRCR

PrinsipPrinsip

Belajar suatu keterampilan dengan Belajar suatu keterampilan dengan berlatih berulang-ulangberlatih berulang-ulang

Melihat saja tidak cukup, harus Melihat saja tidak cukup, harus mencoba sendirimencoba sendiri sehingga tahu sehingga tahu kesulitannyakesulitannya

SOPIR MOBIL

BAGAIMANA PENGALAMAN ANDA BELAJAR MENGENDARAI MOBIL???

Bagaimana pengalaman anda dalam Bagaimana pengalaman anda dalam belajar menjadi dokter selama ini???belajar menjadi dokter selama ini???

DOKTER

SOPIR MOBIL

DOKTER

???

Unconscious IncompetenceUnconscious Incompetence

Conscious Incompetence Conscious Incompetence

Inovasi yang Ada..Inovasi yang Ada..

Integrasi dengan Integrasi dengan CR CR ((knowledgeknowledge))

• Materi Tutorial di sambungkan dengan Materi Tutorial di sambungkan dengan Skills LabSkills Lab

• Ada Ada kasus kasus pengantar untuk pengantar untuk menghubungkan dengan menghubungkan dengan kepentingan kepentingan klinisklinis

Integrasi dengan Integrasi dengan SkillsSkills lain.. lain..

• ReviewReview dengan skills dasar sebelumnya dengan skills dasar sebelumnya

• Yakinkan diri bahwa kita HARUS Yakinkan diri bahwa kita HARUS mencoba mencoba melakukan sendirimelakukan sendiri

• Sadarkan bahwa skills ini Sadarkan bahwa skills ini tidak mudahtidak mudah dan penting untuk dikuasaidan penting untuk dikuasai

Practice by doing..Practice by doing..75%!!!75%!!!

Constructive feedbackConstructive feedback

During and after practice:During and after practice:• Assessed by peerAssessed by peer• Assessed by simulated patientAssessed by simulated patient• Assessed by assistantAssessed by assistant• Assessed by instructorAssessed by instructor

PlanningPlanning

Instruktur diharapkan dari staff – Instruktur diharapkan dari staff – sudah TOIsudah TOI

Benar-benar terstandarisasi materi Benar-benar terstandarisasi materi yang diajarkanyang diajarkan

Asisten Skills Lab fokus untuk Asisten Skills Lab fokus untuk memberikan feedback, Latihan OSCEmemberikan feedback, Latihan OSCE

Mohon masukanMohon masukan jika ada jika ada kekurangan, kelemahan, dllkekurangan, kelemahan, dll

Thank you..Thank you..

Contact Email, FB, YM: Contact Email, FB, YM: widyandana@yahoo.comwidyandana@yahoo.com