curriculum document - spesialis1.ika.fk.unair.ac.id

1

CURRICULUM DOCUMENT

FOR PROFESSIONAL STAGES OF PEDIATRIC

MEDICAL SPECIALIST PROGRAMME

FAKULTAS KEDOKTERAN UNIVERSITAS AIRLANGGA

SURABAYA

2018

2

Table of Contents

Page

Table of Contents 2

Programme Specification 3

Chapter 1 Background 4

Chapter 2 Vision 5

Chapter 3 Missions 6

Chapter 4 Graduate's Profile 7

Chapter 5 Learning Outcomes 8

Chapter 6 Analysis of Competencies 9

Chapter 7 Level of Degree Programme in Indonesian Qualification Framework (IQF) 10

Chapter 8 Credit Equivalence 11

Chapter 9 Course Description 18

Chapter 10 Interrelation Between Course and LO 19

Chapter 11 Learning Strategies and Resources 22

Chapter 12 Assessment of Student Learning Outcomes 24

3

Programme Specification

1 Awarding body/ institution Universitas Airlangga

2 Name of the programme Master of Clinical Medicine and Pediatric Medical Specialist Study Programme

Integrated Combined Degree

3 Details of the accreditation by a

professional or statutory body Number 0695/LAM-PTKes/Akr/Spe/XI/2017 valid until 24 November 2022

4

Type (e.g. full/ part- time,

residential/ distance learning, dual,

intensive programme)

Full-time

5 Final degree (title) Pediatrician and clinical medical master

6 Expected Learning Outcomes

Specialist Competencies

1. Capable of applying communication and information abaut pediatric

disease and health information in all pediatric field (Information

Manager)

2. Capable of solving pediatric health problems based on the latest

scientific basis of medicine and health sciences to achieve optimal results

(Scientific- Based Practitioner)

3. Capable of performing clinical procedure related to pediatric health

problem by implementing the principal of patient, health care provider

and others safety (Skilled Practitioner)

4. Capable of managing individual, family, and community problems that

effect in the child health problem comprehensively, holistically,

integrative and continuously. (Health Problem Manager)

Social Competencies

5. Capable of behaving in honest and ethical manner, adheres to ethical

principal in applying medical practice in Child Health (Ethical

Responsibility to Self and Others)

6. Capable of fulfilling obligation in timely and satisfactory manner

(Reliability and Dependability)

7. Capable of working collaboratively with others to achieved shared goals

in managing patients (Teamwork)

7 Standard period of study and credit

points gained (according to ECTS)

Academic stage: 126 credits = 207.24 ECTS in 7 semesters

8 Expected admission for the

programme

Selection process for new students through:

- 100% by Independent selection from Universitas Airlangga

9

Programme starting date within the

academic year and first time the

programme has been/will be offered

In January and August (twice a year)

10

Programme structure including

courses, credits, learning strategy,

etc. (curriculum map)

Programme consist professional stage in every semester. Professional stage

consists of 5 academic package and 6 professional package with 126 credits

within 7 semesters. Learning process using clinical exposure, and systematic

(SPICES) strategy.

11 Amount and type of fees/charges Single tuition fee : IDR 10.000.000

12 Date on which the programme

specification was written or revised

Date of Approval: December 23rd 2016

Date of Revision :

4

Chapter 1

Background

Globalization era in medical system, includes the education of pediatricians and refers

to the regulations of the Indonesian Pediatric Society Children's Health Sciences College which

regulates the implementation of pediatrician education in Indonesia in an effort to improve the

quality of graduates of pediatricians from various Pediatric Medical Specialist Education

Institution/Institusi Pendidikan Dokter Spesialis Anak (IPDSA) in Indonesia demands periodic

adjustments to all elements in it, including the demand for transparent and accountable

curriculum and educational guidelines in each IPDSA. To fulfill the above objectives, a

curriculum for the education of pediatricians in Fakultas Kedokteran Universitas Airlangga /

Dr. Soetomo General Hospital Surabaya.

Improvement of the implementation of education in the IPDSA which covers

curriculum, scientific, organizational, community service, professionalism competencies, and

evaluation systems, in the Pediatric Department / SMF Fakultas Kedokteran Universitas

Airlangga / Dr. Soetomo General Hospital Surabaya as the "World Class Pediatric Training

Institute" is intended to produce pediatricians who are independent, personable, and have a

global outlook.

Building suggestions and inputs will always be accepted in the context of improving

and improving the implementation of the education of pediatricians in IPDSA.

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Chapter 2

Vision

Vision of Pediatric Medical Specialist Programme Fakultas Kedokteran Universitas Airlangga

is:

Becoming one of reliable IPDSA in graduating pediatricians who are virtuous and excellent in

education, research and community services in ASEAN region on 2020.

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Chapter 3

Missions

Missions of Pediatric Medical Specialist Programme Fakultas Kedokteran Universitas

Airlangga are:

1. Organizing academic and professional education in the field of Child Health based on

modern learning technology.

2. Carrying out basic, applied and innovative research in the field of Child Health to

support the development of education and services.

3. Promote the expertise gained in the field of science and technology to the public.

4. Strive to develop modern management institutions that are oriented to quality and ability

to compete internationally.

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Chapter 4

Graduate's Profile

The expected graduate profile from Pediatric Medical Specialist Programme Fakultas

Kedokteran Universitas Airlangga are:

1. Professional Care provider

Pediatricians who are able to provide complete specialist health services (promotive,

preventive, curative, rehabilitative)

2. Educational leader

Can practice medicine especially in the field of child health science to the community

optimally

3. Researcher dan innovator

To be able to act as a researcher and always strive to improve the ability of his

professional duties independently

4. Manager

Can act as a planner, organizer, coordinator, and conduct evaluations to achieve the

goal of improving Indonesian children's health and welfare.

5. Care Provider

To be able to provide comprehensive (either physically, psychologically, socially,

culturally, and spiritually) and safe

6. Decision Maker

Should be able to be the best decision maker for patients safety and security, while still

considering the social, spiritual and cultural aspect when face with difficult alternatives

and fascilities and infrastructures.

7. Community Leader

Should have leadership skill to lead pediatric’s care well, especially in prevention,

therapy, rehabilitation and functional reversion of a whole individual, so the graduates

will be able to push a better health care system.

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Chapter 5

Learning Outcomes

In order to produce graduates with expected profiles, the learning outcomes are developed

specialist and social competencies. The details are as follows:

Specialist Competencies

1. Capable of applying communication and information abaut pediatric disease and health

information in all pediatric field (Information Manager)

2. Capable of solving pediatric health problems based on the latest scientific basis of

medicine and health sciences to achieve optimal results (Scientific- Based Practitioner)

3. Capable of performing clinical procedure related to pediatric health problem by

implementing the principal of patient, health care provider and others safety (Skilled

Practitioner)

4. Capable of managing individual, family, and community problems that effect in the

child health problem comprehensively, holistically, integrative and continuously.

(Health Problem Manager)

Social Competencies

5. Capable of behaving in honest and ethical manner, adheres to ethical principal in

applying medical practice in Child Health (Ethical Responsibility to Self and Others)

6. Capable of fulfilling obligation in timely and satisfactory manner (Reliability and

Dependability)

7. Capable of working collaboratively with others to achieved shared goals in managing

patients (Teamwork)

9

Chapter 6

Analysis of Competencies

Image 6.1. Competencies Analysis for Pediatric Resident

Senior Level Evaluation: PASS

General basic subject (MKDU) Level

Evaluation: PASS

Mid Level Evaluation: PASS

Junior Level Evaluation: PASS

(Yudisiium)

Pediatrician and Clinical Medical Master

Senior Level, Open semester consisted of the last half of sixth plus seventh semester (48,14 ects)

After finishing the rotation on senior level, the resident will be able to:

1. Manage complex and advanced child health problem of all division, according to Senior Resident or

equivalent to General Pediatrician competencies level.

2. Manage cases/ problem in child outpatient clinic, answering interdepartmental consultation, managing

case of higher emergency and difficulties in NICU, ER, PICU, Intensive Observation Ward, as well as

independently work at satellite hospital/partner hospital/Primary Health Center.

3. Finish academic thesis and 1 long case report.

Mid Level, Open semester consisted of the last half of third semester, fourth and fifth semester and

the first half of sixth semester (68,38 ects)

After finishing the rotation on Mid level, the resident will be able to:

1. Manage child health problem of each division and become the division extension to manage the patient

internally.

2. Finish the scientific assignment that is scheduled to be done in Mid level (3 journal presentation, 1

case report, 1 problem case report, 1 death case report, 1 review, 1 thesis proposal and 1 profession

research presentation)

Junior Level, Open semester consisted of the last half of first semester, second semester and the first

half of third semester (66,91 ects)

After finishing the rotation on Junior Level, the resident will able to:

1. Determine and eliminate differential diagnosis to establish the diagnosis of primary level child health

problem (accompanied by Mid Level resident) in all division.

2. Finish all scientific assignments that is scheduled to be done in Junior level (1 journal presentation and

1 review)

General Basic Subject, consisted of the first half of first semester (23.76 ects)

After finishing the General Basic Subject, the resident will be able to apply the basic science to the clinical

setting.

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Chapter 7

Level of Degree Programme in

The Indonesian Qualification Framework (IQF)

Every higher education institution in Indonesia has to adjust their graduates learning outcomes

with IQF formulation. According to Pedoman Dikti 2011, IPDSA is level 8. The

following are the description of the level 8 of IQF (Presidential Regulation number 8 of

2012).

• Capable of developing knowledge, technology, and or art in the subject’s field of expertise,

or it’s professional practices through research until it results in a tested & innovative piece

of work.

• Capable of solving scientific, technological and or artistic problems in subject’s field of

expertise through interdisciplinary or multidisciplinary approach.

• Capable to manage research and development that is beneficial to society and science,

and able to get national and international recognition.

Table 3. Learning outcomes conformity with Level 8 of IQF

Level 8 IQF qualifications

Learning Outcomes*

Specialist competencies Social competencies

LO1 LO2 LO3 LO4 LO5 LO6 LO7

Capable of developing knowledge,

technology, and or art in the subject’s field of

expertise, or it’s professional practices through

research until it results in a tested &

innovative piece of work.

Capable of solving scientific, technological

and or artistic problems in subject’s field of

expertise through interdisciplinary or

multidisciplinary approach.

Capable to manage research and development

that is beneficial to society and science, and

able to get national and international

recognition.

The order of learning outcomes as written in chapter 5

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Chapter 8

Credit Equivalence

Curriculum of Clinical Medical Master Programme Integrated Combined Degree

with Pediatric Medical Specialist Programme Fakultas Kedokteran Universitas

Airlangga consists of professional stage with 126 credits respectively. During

professional stage, clinical rotation is conducted and followed by clinical compulsory

courses. Students has to finish entire required credit semester, therefore there is no

gap within the number of credit semester that has to be taken by the student to

obtain pediatrician and clinical medical master degree. Students have to finish 126

credit semesters in minimum 7 semesters. Conversion of credit semester to ECTS is

being conducted to simplify comparison between Indonesian education programme and

European education programme for the purpose of educational exchange programme.

Conversion of credit semester to ECTS is conducted by comparing hour loads from

education programme with standard hour load from one single ECTS credit. One ECTS

credits equals to 30 hours of study load. Details of study load for each subject of medical

curriculum is detailed at table 5.

Table 4. Study load of Clinical Medical Master Programme Integrated Combined Degree

with Pediatric Residency programme FMUA based on General studies

Courses cr Cr (%) ECTS

A General Specific Skill 18 14.28% 23.8

B Specific Scientific Skill 108 85.72% 183.44

Total 126 100% 207.24

Table 5. Study load of Clinical Medical Master Programme Integrated Combined Degree

with Pediatric Residency programme FMUA based on competencies

Courses cr Cr (%) ECTS

A Specialist competencies 96 76.2% 158.72

B Social competencies 30 23.8% 48.52

Total 126 100% 207.24

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Table 6. Study load for each subject of Pediatric Medical Specialist Programme Fakultas

Kedokteran Universitas Airlangga based on General studies

Study Load

General Specific Skills Year Semester Credit ECTS

No Code Subject

1 PHK601 Philosophy of Science 1 1 2

2.64

2 PNK695

Research and Statistics

Methodology 1 1 2

2.64

3 BIS604 Molecular Biology 1 1 2

2.64

4 BII604 Clinical Immunology 1 1 2

2.64

5 FAT615 Clinical Pharmacology 1 1 2

2.64

6 KME633 Clinical Epidemiology 1 1 2

2.64

7 ETK601 Medical Law Ethics 1 1 2

2.64

8 KDG601

Basic Emergency Life

Saving 1 1 2

2.64

9 EDK601 Teaching Method 1 1 2

2.64

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Study Load

Spesific Scientific Skills Year Semester Credit ECTS

No Code Subject

10 KDP610 Basic Growth and

Development 1 1 2

2.64

11 BIK617 Electrolytes, water and

acid-base balance for

pediatric

1 1 2

2.64

12 KME634 Child health epidemiology 1 1 2 2.64

13 FAT616 Antimicrobial in pediatric 1 1 2 2.64

14 NUP601 Clinical nutrition in

pediatric 1 1 2

2.64

15 BIG612 Clinical genetics 1 1 2 2.64

16 KDP719 Integrated pediatric (shift)

1 1 – 2 1 – 3 2

2.78

17 BII703 Immunologic allergy 1 1 – 2 1 – 3 2 3.58

18 KDD711 Gastro-Hepatology 1 1 – 2 1 – 3 2 3.58

19 BIE701 Endocrinology 1 1 – 2 1 – 3 2 3.58

20 NUD702 Nutrition & Metabolic

Disease 1 1 – 2 1 – 3 2

3.58

21 KDC718 Hemato-Oncology 1 1 – 2 1 – 3 2 3.58

22 KDH733 Child Cardiology 1 1 – 2 1 – 3 2 3.58

23 KDU709 Nephrology 1 1 – 2 1 – 3 2 3.58

24 KDN703 Neurology 1 1 – 2 1 – 3 2 3.58

25 KDL711 Respirology 1 1 – 2 1 – 3 2 3.58

26 KDM703 Infection-tropical disease 1 1 – 2 1 – 3 2 3.58

27 KDP706 Neonatology 1 1 – 2 1 – 3 2 3.58

28 KDP727 Growth and development 1 1 – 2 1 – 3 2 3.58

29 KDP613 Journal appraisal 1 1 2 1 0.53

30 KDP623 Literature review 1 1 2 2 4.80

31 BII704 Immunology allergy 2 2 – 3 3 – 6 2 3.58



34 NUD703 Nutrition and metabolic

disease 2 2 – 3 3 – 6 2

3.73


36 KDH734 Child cardiology 2 2 – 3 3 – 6 2 3.73

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Study Load

Spesific Scientific Skills Year Semester Credit ECTS

No Code Subject

37 KDU710 Nephrology 2 2 – 3 3 – 6 2

3.73

38 KDN705 Neurology 2 2 – 3 3 – 6 2

3.73

39 KDL712 Respirology 2 2 – 3 3 – 6 2

3.73

40 KDM706 Infection-tropical disease

2 2 – 3 3 – 6 2

3.73

41 KDP707 Neonatology 2 2 – 3 3 – 6 2

3.58

42 KDP728 Growth and development

2 2 – 3 3 – 6 2

3.73

43 KDP704 Pediatric emergency 1 2 – 3 3 – 6 2

3.58

44 KDR751 Child imaging 2 – 3 3 – 6 2

3.58


2 2 – 3 3 – 6 2

2.78

46 KDP614 Journal appraisal 2 2 3 1

0.53

47 PNK698 Proposal Thesis 2 3 2

3.33

48 KDP735 Problem Case 2 4 1

1.07

49 KDP735 Death Case 2 4 1

1.07


0.53

51 KDP624 Literature Review 2 2 4 2

4.80


0.53

53 KDP729 Case Report 3 5 1

1.07

54 KDP708 Neonatology 3 3 – 4 6 – 7 4

7.47


11.20

56 KKK701 Independent practice in

out patient clinic 3 – 4 6 – 7 1

2.67

57 KKK702 Rotation in networking

hospital 3 – 4 6 – 7 1

2.67


3 3 – 4 6 – 7 2

3.33

59 PNK799 Professional research 3 6 4

6.40

60 PNK698 Thesis 4 7 6

9.60

61 KDP736 Longitudinal Case Report 4 7 2

4.80

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Table 7. Study load for each subject of Medical Programme FMUA based on Competencies

Study Load

Social Competencies Year Semester Credit ECTS

No Code Subject

1 PHK601 Science Philosophy 1 1 2

2.64

2 PNK695

Research and Statistics

Methodology 1 1 2

2.64

3 BIS604 Molecular Biology 1 1 2

2.64

4 BII604 Clinical Immunology 1 1 2

2.64

5 FAT615 Clinical Pharmacology 1 1 2

2.64

6 KME633 Clinical Epidemiology 1 1 2

2.64

7 ETK601 Medical Law Ethics 1 1 2

2.64

8 KDG601

Basic Emergency Life

Saving 1 1 2

2.64

9 EDK601 Teaching Method 1 1 2

2.64


1 1 – 2 1 – 3 2

3.58


1 1 – 2 1 – 3 2

3.58


2 2 – 3 3 – 6 2

3.73


2 2 – 3 3 – 6 2

3.73

14 KKK701 Independent practice in

polyclinic 3 – 4 6 – 7 1

2.67

15 KKK702 Rotation in networking

hospital 3 – 4 6 – 7 1

2.67

16 KDP736 Longitudinal Case Report 4 7 2

4.80

16

Study Load

Specialist Competencies Year Semester Credit ECTS

No Code Subject


Development 1 1 2

2.64

18 BIK617 Electrolytes, water and

acid-base balance for

pediatric

1 1 2

2.64

19 KME634 Child health epidemiology 1 1 2 2.64

20 FAT616 Antimicrobial in pediatric 1 1 2 2.64

21 NUP601 Clinical nutrition in

pediatric 1 1 2

2.64

22 BIG612 Clinical genetics 1 1 2 2.64


1 1 – 2 1 – 3 2

2.78

24 BII703 Immunologic allergy 1 1 – 2 1 – 3 2 3.58



27 NUD702 Nutrition & Metabolic

Disease 1 1 – 2 1 – 3 2

3.58


29 KDH733 Child Cardiology 1 1 – 2 1 – 3 2 3.58

30 KDU709 Nephrology 1 1 – 2 1 – 3 2 3.58

31 KDN703 Neurology 1 1 – 2 1 – 3 2 3.58

32 KDL711 Respirology 1 1 – 2 1 – 3 2 3.58

33 KDP706 Neonatology 1 1 – 2 1 – 3 2 3.58

34 KDP613 Journal appraisal 1 1 2 1 0.53

35 KDP623 Literature review 1 1 2 2 4.80

36 BII704 Immunology allergy 2 2 – 3 3 – 6 2 3.58



39 NUD703 Nutrition and metabolic

disease 2 2 – 3 3 – 6 2

3.73


41 KDH734 Child cardiology 2 2 – 3 3 – 6 2 3.73

42 KDU710 Nephrology 2 2 – 3 3 – 6 2 3.73

43 KDN705 Neurology 2 2 – 3 3 – 6 2 3.73

44 KDL712 Respirology 2 2 – 3 3 – 6 2 3.73

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Study Load

Specialist Competencies Year Semester Credit ECTS

No Code Subject

45 KDP707 Neonatology 2 2 – 3 3 – 6 2

3.58


3.58

47 KDR751 Child imaging 2 – 3 3 – 6 2

3.58


2 2 – 3 3 – 6 2

2.78


0.53

50 PNK698 Proposal Thesis 2 3 2

3.33

51 KDP735 Problem Case 2 4 1

1.07

52 KDP735 Death Case 2 4 1

1.07


0.53

54 KDP624 Literature Review 2 2 4 2

4.80


0.53

56 KDP729 Case Report 3 5 1

1.07

57 KDP708 Neonatology 3 3 – 4 6 – 7 4

7.47


11.20


3 3 – 4 6 – 7 2

3.33

60 PNK799 Professional research 3 6 4

6.40

61 PNK698 Thesis 4 7 6

9.60

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Chapter 9

Course Description

Course Name Pediatric Emergency and Critical Care 1

Couse Level Pediatric Resident

Abbreviation, if applicable KDP704

Sub heading, if applicable -

Semester 5 – 8

Course Coordinator Dr. Ira Dharmawati SpA (K)

Lecturer dr. Neurinda Permata Kusumastuti, SpA (K)

dr. Arina Setyaningtyas, M.Kes, SpA (K)

dr. Dwi Putri SpA

Language Indonesia

Classification within the

curriculum

Compulsory

Teaching format/class hours

per week during Block

20 hours a week

Workload per Block 12 hours of tutorial + 100 hours practice + 2 hour of exam

Credit point 2

Requirements Graduated from MKDU and Junior

Competencies • Able to establish the diagnosis of shock, anaphylactic

• Able to comprehend the pathogenesis of shock

• Accurately observe hemodynamic

• Able to manage shock/anaphylactic and basic and advanced life

support

Content This subject will focused on shock and life support

Soft skill Attribute Analysis, communication, teamwork, creative and innovative

Study/exam achievements 90% from DOPS, MiniCex, MiniPAT, OSCE and CBD, and the

rest 10% from soft skills.

The lowest margin is 70

Form of media LCD/video, computer, skill lab, manequin, medical record, imaging

Learning method Lecture, case discussion, bedside teaching, practical

Literature - Roogers Text book of Pediatric Intensive Care 5th ed 2015

- Fuhrman and Zimmerman. Pediatric Critical Care 5th ed. 2016

Note -

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Chapter 10

Interrelation between Course and LO

Course

Learning Outcome

Specialist Competencies Social Competencies


General Scientific Skills

1 PHK601

Science

Philosophy

L L L

2

PNK695

Research and

Statistics

Methodology

H M

3 BIS604

Molecular

Biology

M M M

4 BII604

Clinical

Immunology

H

5 FAT615

Clinical

Pharmacology

H H L

6 KME633

Clinical

Epidemiology

H M H M

7 ETK601

Medical Law

Ethics

M

8 KDG601

Basic Emergency

Life Saving

H H M M

9 EDK601 Teaching Method M M M M

20

Course Learning Outcome



Specific Scientific Skills


Development

H H L M

11 BIK617 Electrolytes,

water and acid-

base balance for

pediatric

H H L M

12 KME634 Child health

epidemiology

H H L M

13 FAT616 Antimicrobial in

pediatric

H H L M

14 NUP601 Clinical nutrition

in pediatric

H H L M

15 BIG612 Clinical genetics H H L M

16 KDP719 Integrated

pediatric (shift) 1

M H H H H H

17 BII703 Immunologic

allergy 1

M M H H M M

18 KDD711 Gastro-

Hepatology 1

M M H H M M

19 BIE701 Endocrinology 1 M M H H M M

20 NUD702 Nutrition &

Metabolic

Disease 1

M M H H M M

21 KDC718 Hemato-

Oncology 1

M M H H M M

22 KDH733 Child Cardiology

1

M M H H M M

23 KDU709 Nephrology 1 M M H H M M

24 KDN703 Neurology 1 M M H H M M

25 KDL711 Respirology 1 M M H H M M

26 KDM703 Infection-tropical

disease 1

M M H H M M

27 KDP706 Neonatology 1 M M H H M M

28 KDP727 Growth and

development 1

M M H H M M

29 KDP613 Journal appraisal

1

H L M L

30 KDP623 Literature review

1

H L M L

31 BII704 Immunology

allergy 2

M M H H M M

32 KDD719 Gastro-

Hepatology 2

M M H H M M

33 BIE702 Endocrinology 2 M M H H M M

34

NUD703 Nutrition and

metabolic disease

2

M M H H M M

21

Course

Learning Outcome




35 KDC719 Hemato-

Oncology 2

M M H H M M

36 KDH734 Child cardiology

2

M M H H M M

37 KDU710 Nephrology 2 M M H H M M

38 KDN705 Neurology 2 M M H H M M

39 KDL712 Respirology 2 M M H H M M


disease 2

M M H H M M



development 2

M M H H M M

43 KDP704 Pediatric

emergency 1

M M H H M M

44 KDR751 Child imaging H H H H L M


pediatric (shift) 2

M H H H H H M


2

H L M L

47 PNK698 Proposal Thesis H L M L

48 KDP735 Problem Case H L M L

49 KDP735 Death Case H L M L


3

H L M L

51 KDP624 Literature Review

2

H L M L


4

H L M L

53 KDP729 Case Report H L M L


55 KDP705 Pediatric

emergency 2

M M H H M M

56 KKK701 Independent

practice in

polyclinic

H H M M M


disease 2

M M H H M M



development 2

M M H H M M

43 KDP704 Pediatric

emergency 1

M M H H M M

22

Course

Learning Outcome




44 KDR751 Child imaging H H H H L M


pediatric (shift) 2

M H H H H H M


2

H L M L

47 PNK698 Proposal Thesis H L M L

48 KDP735 Problem Case H L M L

49 KDP735 Death Case H L M L


3

H L M L

51 KDP624 Literature Review

2

H L M L


4

H L M L

53 KDP729 Case Report H L M L


55 KDP705 Pediatric

emergency 2

M M H H M M

56 KKK701 Independent

practice in

polyclinic

H H M M M

57 KKK702 Rotation in

networking

hospital

H M H M M M


pediatric (shift) 3

M H H H H H M

59 PNK799 Professional

research

H L M L

60 PNK698 Thesis H L M L

61 KDP736 Longitudinal

Case Report

H L M L

Note: the relation of particular course to learning outcomes

H: high; M: medium; L: low

23

Chapter 11

Learning Strategies and Resources

In order to accomplish target and final result of learning process in Pediatric Study

Programme Medical Faculty Of Airlangga University, it is needed a learning strategy

composement through learning methods selection and learning media for students.

1. Learning strategies

a. Lectures

Explain lecture material orally in a group of students in a class to accomplish a certain

learning outcome in a quiet large amount. This method commonly used in general

basic subject (MKDU) level.

b. Discussion

This learning method involves 2 (two) participants or more to interact and exchange

ideas in order to solve a problem / case in pediatric field. This method is used almost

in every course.

c. Demonstration

This is a method which a lecturer or senior shows the students a particular process/

procedure that is related to the delivered course. For example, a demonstration of

bone marrow aspiration.

d. Guided procedure

A method which the students conduct a procedure in pediatric field with

guidance/companion by a lecturer /senior student from specialist 1 programme. The

whole procedure must be based on the valid operational standard in Pediatric

Department and always implement the rules of patient and medical human resources

safety.

e. Bedside teaching

It is a method to the students that is conducted beside patient’s bed, consists of the

activities to examine patient’s condition, interview/anamnesis to the patient/family,

physical examination, and discussion about the collected data from the patient. This

method expect the students to apply their cognitive, psychomotor, and affective

skill in an integrated manner.

24

f. Tutorial

Is a guided learning method for the students by a lecturer that is already appointed

by the principle of students’ independence. The activities include case discussion,

round -sitting, mini review, etc.

g. Night shift, morning report, and afternoon report

Is a scheduled reporting activity from patient service that is done by the students,

led by lecturer as a shift supervisor in outpatient, inpatient, and emergency unit.

This learning method can be used as a monitoring tool and lecturer evaluation on

patient care service quality in Pediatric Department. In this method, discussion of

special cases takes place.

2. Learning resources

Learning media that is used in Pediatric Study Programme are listed below:

- LCD, whiteboard, video, and multimedia

They are used in lectures, discussion, tutorial, and shift activity report.

- Mannequin and 3D multimedia

They are used in demonstration and guided procedure

- Patients

Patients that are involved in learning method are those who are receiving treatment

care in child polyclinic or ward with the method of bedside teaching, guided

procedure, and demonstration.

25

Chapter 12

Assessments of Student's Learning Outcomes

The medical specialist education characters are academical and professional, so that the

evaluated skills from the students are professional performance that consists of academic

competence and profession competence.

Evaluations during education duration is conducted in a sequential way, periodically,

and sustainably. Learning evaluation is summative in order to define a decision, besides it is

also formative in order to give feedbacks to the students and the lecturers. After the students

pass all of the periodic evaluations, the students are obligated to enroll in National Board

Examination.

1. Evaluation level

a. Master level

- 1st semester (MKDU) : MKK and MPK written test

- 2nd – 3rd semester : MKB1-2 written test

- 3rd – 6th semester : Research proposal test (MKB3)

- 6th – 7th semester : Thesis (MKB3)

b. Junior level

- Presentation of journal appraisal for at least 1 (one) time

- Presentation of literature review 1 (one) time

- Presentation of morning report as Medical Specialist Programme (PPDS) 1

participant – junior level shift

- Written (formative) and oral test conducted in each rotation end

- Comprehensive test (OSCE method) conducted in the last junior level

simultaneously in a day

Sustainable evaluation is conducted during the students work in a certain division

which includes cognitive, psychomotor, and affective aspects that is recorded in

division scoring form (portfolio).

c. Mid level

- Presentation of journal appraisal for at least 3 (three) times;

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- Presentation of case report 1 (one) time;

- Presentation of literature review 1 (one) time;

- Presentation of difficult case 1 (one) time;

- Presentation of death case 1 (one) time;

- Scientific presentation outside the institution (regional/national/international);

- Profession research proposal exam;


participant – mid level shift

- Completing professional training in Radiology and Psychiatry Department;

- Written (formative) and oral test conducted in each rotation end

- Comprehensive test (OSCE method) conducted in the last mid level simultaneously

in a day




d. Senior level

- Presentation of longitudinal case 1 (one) time;


participant – senior level shift;

- Written (formative) and oral test conducted in each rotation end;

- Supervisor evaluation in Inpatient Unit;

- Supervisor evaluation in networking hospital.




e. Local Examination, National Board Examination

- Local Examination is held as the final evaluation for senior level students who have

completed all of the learning activities before National Board Examination as a

requirement to enroll National Board Examination.

- National Board Examination is done after completing and passing all of the academic

tasks and professional training and also have passed the Local Examination.

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- More detailed implementation of academical evaluation is according to which level

the students are in, explained in Education Guideline Book for Pediatric Medical

Specialist Programme (PPDS) 1 Participant and Book of Rules for Pediatric Medical

Specialist Programme (PPDS) 1 Participant. Further detail about National Board

Examination is explained in National Board Examination Manual.

1. Evaluation methods

a. Written Examination

Written examination is conducted at every activity in a certain division to evaluate

cognitive accomplishment

b. Oral Examination (MiniCeX, CBd)

Oral examination is held together with practice examination during

rotation/programme in the form of case or patient presentation using a specific

scoring form.

c. Daily Observation

Daily observation is done when the students work at the department ward ,

polyclinic, networking hospital, and rotation in other department which includes

cognitive, psychomotor, and affective aspects and is recorded in the division

scoring form which then will be input into the portfolio of Pediatric Medical

Specialist Programme (PPDS) 1 participant.

d. Log book

Log book is a book used by the students to take notes of every activity done during

the educational programme

2. Evaluation Instruments

a. National MCQ

Is a form of evaluation method for the students in a written test with multiple choice

questions in English which is held nationally simultaneous in all of Pediatric

Medical Specialist Education Institution in Indonesia.

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b. Objective Structured Clinical Examination

Is an evaluation method to assess clinical skill work and competence of the students,

includes communication, clinical examination techniques, medical procedure, and

comprehensive management.

c. Journal Presentation

Journal is an article that is published in a magazine/journal/international scientific

bulletin. Review article, editorial, fixed procedure, case report, and some other non-

research writing that is not included in journal description can also be presented.

d. Case Presentation

Is a presentation of a case as a whole, starting from when the patient is admitted to

the hospital until the patient leave the hospital, or the patient still stay at the hospital

but the important aspect explained is still possible to be well understood.

e. Longitudinal Case Presentation

Is a presentation of a case as a whole starting from when the patient is admitted to

the hospital up to he/she leaves or have not leave the hospital which followed in a

long period for 18 months including the important aspects that still needs to be

discussed and also added with emphasis on growth and development aspect, relating

to “asah-asih-asuh” to be analyzed well both from the holistic view and also

comprehensive in managing a child and his/her ecosystem. This presentation is

performed by doing an observation in a certain period of time by also giving needed

interventions to help the child strive his/her growth and development, in a

comprehensive way to a child/infant who has ever been treated

(inpatient/outpatient) because of a particular disease/abnormality which potentially

disturb his/her growth and development process.

f. Review

Literature review is a set of opinions and research from numerous authors about

various important problems (which have been published), in a form of critical

evaluation of some references which sometimes featured by particular answers to

an existing problems, it could be an important conclusion as a new information

based on the critical review mentioned above.

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g. Problem Case

Difficult case presentation is a presentation of 1 (one) patient that is currently

hospitalized in Pediatric Department Medical Faculty Airlangga University/Dr.

Soetomo General Hospital who is having difficulties, complicacy, or problems of

diagnosis, therapy, or other management aspects.

h. Death case

Death case is a presentation of 1 (one) or more death cases of a patient which have

received treatment in Pediatric Department Medical Faculty Airlangga

University/Dr. Soetomo General Hospital in a full course from the first time the

patient is admitted to the hospital up until he/she die.

i. Regional/National/International Presentation

During mid and senior level of education, the students are obligated to have an

experience of participating in at least 1 (one) scientific event in national or

international scale. This event will help to enrich scientific insights and also

increase organizational experience for the related students.

j. Mini Clinical Examination (Mini Cex)

Mini CeX is a clinical skill evaluation of the students in performing a particular

clinical medic examination to a patient.

k. Direct Observation of Procedural Skills (DOPS)

DOPS is a clinical skill evaluation of the students in performing a certain procedure

to a patient.

l. Mini Peer Assessment Tool (Mini PAT)

Mini PAT is a method to evaluate the clinical accomplishment of the students.

Differs from other evaluation method, Mini PAT is objected to evaluate the students

accomplishment in managing patients based on observation to the students’ skill

routinely.

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m. Case-based Discussion (CbD)

CbD is a method to evaluate the clinical skill of the students in making a clinical

decision, and apply/implement medical knowledge in patients management.

n. Proposal

Research proposal presentation is an occasion when the students explain about 1

(one) research proposal/plan which will be the students’ thesis.

o. Thesis

Thesis presentation is an explanation of 1 (one) research result where the proposal

is already had been approved in the previous presentation.

p. Local And National Board Examination

• National Board Examination (NBE) is a final examination that has to be passed

by the students after completing their senior level and pass every professional

training and academical activities in Pediatric Department Airlangga

University/Dr. Soetomo General Hospital in order to finish pediatric

professional education.

It is titled national because in this examination, there will be examiners from

outside Medical Faculty of Airlangga University/Dr. Soetomo General

Hospital Surabaya.

• In its implementation, NBE is preceded by Local Examination (LE) which is

done with the same system and method as NBE, but it must be held minimal

in 4 (four) weeks interval before NBE is scheduled.

It is titled local because the examiners are only 3 (three) persons from Pediatric

Department Medical Faculty Airlangga University/Dr. Soetomo General

Hospital only.

3. Grading And Interpretation

a. Graduation of each level

• Have completed and passed all of the scheduled mandatory academical activity

according to the level (junior, mid, senior level), with condition that minimal

baseline academic score to pass is 700 (from the maximal score scale 1000).

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• Have completed and passed all of the scheduled mandatory professional

training according to the level (junior, mid, senior level), with the scoring

formula explained below:

o Passing grade for junior and mid level:

Final score (for each division)

= ¼ (MiniCEx+DOPS+CbD+Mini PAT) + OSCE + 2 Division Score

4

o Passing grade for senior level:

Final score (for each division)

= ¼ (MiniCEx+DOPS+CbD+Mini PAT) + 2 Division Score

3

o The passing grade for professional study is 70

b. Grading Methods

The method to give scores, GPA, marks, and its interpretation can be seen in the table below:

.

Passing grade: 70

c. Evaluation Meeting

The decision of final GPA score is approved through an evaluation meeting of

educational programme (yudisium) that is held periodically and sustainably. The

upgrading of every level (junior, mid, and senior) is approved based on the

academic and profession scores on every level that has been done by the students.

The evaluation meeting participants consists of the Head of Department, Secretary

of Department, head of Study Programme, Secretary of Study Programme, Head of

Division, and the qualified examiner staffs that has been appointed by Surat

Keputusan Ketua Departemen/SMF.

The scores from evaluation meeting is determined by transcript. NBE score is

included in transcript, but is not counted in GPA score.

Score GPA Marks

86-100 4,00 A

78 - < 84 3,50 AB

70 - < 78 3,00 B

62 - < 70 2,50 BC

54 - < 62 2,00 C

40 - < 54 1,00 D

0 <44 0,00 E

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Approved GPA of every level will be marked by the handover of Competence

Certificate for every students who has succeeded passing the level, which will be

included in academic and profession competence according to their level.

d. Performance index calculation

IPT junior = the sum of cumulative professional score

13

IPT mid = the sum of cumulative professional score

14

IPT senior = the sum of cumulative professional score

4

At the end of the educational programme, GPA score can be calculated. It is the

average of junior, mid, and senior IPT for every students.

Example:

IPT Semester Score average

IPT junior 1-3 3,0

IPT mid 4-7 3,1

IPT senior 7-8 3,2

GPA 3,1

e. Final Evaluation

Cum laude predicate at the end of the programme can be given by considering the

educational duration, maximum n+1 (n=8 semester)

Evaluation result of the programme is given by rankings, based on the table below:

GPA Predicate

3,75-4,00 Excellent (cum laude)

3,50-3,74 Good

2,75-3,49 Average

curriculum document - spesialis1.ika.fk.unair.ac.id

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