PENGEMBANGAN DAN UJI VALIDITAS DAN RELIABILITAS INSTRUMEN PENILAIAN PROFESIONALISME PESERTA DIDIK PPDS PSIKIATRI

Budi Santosa, Dr. dr. Carla R Marchira, Sp.KJ(K).; Dr. Dra. Sumarni P, MSi.

2016 | Tesis | S2 Ilmu Kedokteran Klinik

Tujuan akhir dari pendidikan dokter spesialis adalah profesionalisme dan kompetensi. Seiring dengan kemajuan teknologi, saat ini profesi medis banyak menghadapi tantangan hukum. Salah satu cara untuk mengatasinya adalah dengan meningkatkan pendidikan profesionalisme selama residensi dan evaluasi secara rutin. Pendidikan dokter spesialis psikiatri berbeda dari spesialis lainnya karena beberapa aspek unik pada proses pendidikannya. Untuk itu perlu dikembangkan instrumen untuk penilaian profesionalisme residen psikiatri. Dalam penelitian ini dikembangkan instrumen penilaian profesionalisme residen psikiatri yang diadaptasi dari ACGME (Accreditation Council for Graduate Medical Education ). Penelitian ini adalah penelitian kuantitatif non eksperimental dengan rancangan cross-sectional yang terdiri dari 3 tahap (tahap studi literature, peer review, dan uji validitas dan reliabilitas). Subjek penelitian adalah seluruh residen psikiatri di Departemen Ilmu Kedokteran Jiwa FK UGM. Alat ukur berupa inventori penilaian profesionalisme peserta didik PPDS psikiatri. Uji validitas konstrak dilakukan dengan Confimatory Factor Analysis (CFA) dan validitas konten dengan Pearsons product moment. Uji reliabilitas dilakukan dengan analisis Cronbachs alpha. Hasil analisis statistik menunjukkan bahwa intrumen yang dikembangkan valid (Pearsons product moment r = 0.302-0.797; p = 0.001-0.052) dan reliabel (nilai Cronbachs alpha = 0.943). Hasil analisis pada subyek menunjukkan bahwa stase berhubungan dengan profesionalisme (Fishers exact test p = 0.042). Hasil uji t-test menunjukkan bahwa subyek post stase mempunyai skor lebih tinggi pada semua domain subkompetensi profesionalisme, kecuali domain 4 (tingkah laku profesional). Instrumen penilaian profesionalisme residen yang dikembangkan valid dan reliabel untuk digunakan sebagai salah satu instrumen penilaian profesionalisme residen di Departemen Ilmu Kedokteran Jiwa FK UGM.

The main objective of specialist training program is professionalism and competence. In modern era, the medical professions have to face legal issues. This problem can be overcome by improving professionalism education and routine evaluation of professionalism during specialist training. Psychiatric specialist training in particular is different from other specialist training due to several unique aspects during the course of the training. Therefore, an instrument to assess professionalism of psychiatric residents is required. The objective of this study was to develop an instrument to assess professionalism for psychiatric residents adapted from ACGME (Accreditation Council for Graduate Medical Education ). This study was a quantitative non experimental study consisted of 3 stages (literature review, peer review, and validity and reliability testing). The subjects were residents on training at the Department of Psychiatry, Medical Faculty, Gadjah Mada University. The construct validity testing was conducted with Confimatory Factor Analysis (CFA) and content validity with Pearsons product moment. Reliability testing was conducted with Cronbachs alpha. Statistical analyses results showed that instrument was valid (Pearsons product moment r = 0.302-0.797; p = 0.001- 0.052) and reliable (Cronbachs alpha = 0.943). Analyses on the subjects score revealed that professionalism was associated with the stage of training. The t-test results showed that subjects in the post-stasis stage showed higher professionalism score except for the 4 th domain (professional behavior). The instrument that developed was valid and reliable to be use as a mean to assess professionalism for resident in training at the Department of Psychiatry, Medical Faculty, Gadjah Mada University.

Kata Kunci : instrument, professionalism, resident, validity, reliability