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All Journal Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education
Hikmawati Nurrokhmanti,
Department of Medical Education, Faculty of Medicine, Universitas Gadjah Mada
Health Professions Medicine & Pharmacology Public Health

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COMMUNICATION SKILLS: FACILITATING STUDENTS’ INVISIBLE BUT SIGNIFICANT SKILLS TO IMPROVE HEALTH OUTCOMES Hikmawati Nurrokhmanti,; Astrid Pratidina Susilo; Rosaria Indah; Mora Claramita
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 2 (2022): JUNI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.72137

Abstract

Background: Communication skills are the core skills throughout medical professional life and embedded with cultural factors. Although students have learned communication skills in the undergraduate education, adequate training during clinical rotation and continuing professional development is necessary. Facilitating the students to build partnership relationship in the communicating with patients is challenging, considering its contexts, facilities, and opportunities. The influence of student-teacher relations in this hierarchical context is also influential. Gaps: Facilitating partnership communication skill requires blending two paradigms: medical knowledge and communication. These complex skills can be optimally facilitated by using specific strategies such as role-play, simulated patient (SP), and real-case encounter. Thus, the communication skills curriculum needs a comprehensive program planning, preparation on the students’ ability to be able to receive feedback and reflect upon it, simulated patients’ contribution for students training, and teachers to provide effective feedback.Recommendation: Facilitating students' communication skills needs 'two to tango,' combining between mastery of medical knowledge and partnership communication. A better communication curriculum should consider incorporating cultural competencies and applying the principles in effective training course design such as authenticity, variability, gradually from simple to complex, integrated, and scaffolding by specific evidence. Thus, should be supported by a good faculty development program that will facilitate safe environment and constructive feedback. In addition, the need for simulated patients or even now, a virtual patient, is inevitable.
AUGMENTED REALITY OF HEART IN TEACHING GROSS ANATOMY OF THE HEART: A LESSON LEARNED Hikmawati Nurrokhmanti,; Dyah Samti Mayasari; Nisrina Nabila; Annisa Maulidina; Putrika Gharini
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 11, No 4 (2022): Desember
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.69741

Abstract

Background: Anatomy is a crucial science for medical students, the deep understanding on material would help students dealing with clinical context such give a better explanation to patients until having better performance in doing clinical procedure and dissecting ability as a surgeon. Nevertheless, having a deep understanding and memorizing anatomy would need abundant effort. Several strategies combined with fit learning media will give great advantages for the students. This study is aimed to explore innovation in teaching anatomy by using augmented reality (AR) within a case-based discussion.Methods:  A qualitative approach was used, in depth interview with teachers who facilitate the discussion and focus group discussion with the students. A thematic analysis was done in analyzing the data.Results: Overall, the teachers and student were satisfied with the innovation. Several themes were identified from students’ point of view such visualization, content, technical problem, and the need of teachers. The most important success factor of AR usage was its visualization i.e., orientation, and visual spatial ability.Conclusion: Combination case-based discussion with AR give promising strategies in understanding anatomy of heart. Using AR should consider several limitations of AR regarding to its visualization. Also considering the perceived advantages from the students, the usage of AR will be limited as supplement, a supporting media for having deep understanding on anatomy.
A NEED ASSESSMENT OF ETHICS COURSE FOR PRIMARY CARE PHYSICIAN: PHYSICIANS' PERSPECTIVE IN YOGYAKARTA PROVINCE, INDONESIA Hikmawati Nurrokhmanti,; Adi Heru; Hari Kusnanto Joseph
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 3 (2023): September
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.84991

Abstract

Background: Primary care physicians, as first-line doctors, deal with ethical cases that challenge them to make the best patient decisions. Helping primary care physicians to be more aware of ethical cases and the process of case decision-making will improve all stakeholder's needs. Physician standard opinion on the best decision for their patient will be the baseline of suited training for them.Methods: We conducted a mixed-method study to understand GP decisions regarding certain ethical cases. In the quantitative phase, we used and presented several standardized ethical cases with several "decisive" options followed by reason. For qualitative, in-depth guided interview was done with several physicians. The data was analyzed by close system coding. Results: We gained 36 responses from several physicians with 12 in-depth interviews. In the quantitative, we found that two questions related to communicating the mistake and the rural problem had the worst response, showed by highly unfavourable answers. The interview found that most physicians find it hard to decide on ethical cases, acknowledge religion as one aspect for making the decision, and expect a clear guideline that will help them make a firm decision regarding "difficult" dilemma cases. Conclusion: To avoid bad decision-making in ethical-related cases, the physician must take another training since low awareness of ethical cases will lead to unfavourable decisions regarding some dilemmas. Considering the methods and number of subjects in this research, the training should apply a specific strategy to all physicians.
Co-Authors Adi Heru Annisa Maulidina Astrid Pratidina Susilo Dyah Samti Mayasari Hari Kusnanto Joseph Mora Claramita Nisrina Nabila Putrika Gharini Rosaria Indah