Eksplorasi Persepsi Supervisor Klinik Terhadap Keterampilan Medis Mahasiswa Pendidikan Profesi FK UGM

MUHAMMAD HAEKAL, dr. Doni Widyandana, MHPE, Ph.D.

2013 | Skripsi | PENDIDIKAN DOKTER

Latar belakang: Mahasiswa fakultas kedokteran selanjutnya akan menjalani proses pendidikan profesi sehingga disebut sebagai mahasiswa pendidikan profesi. Keberadaan mahasiswa pendidikan profesi dalam pendidikannya mendapatkan pengawasan langsung dari supervisor klinis yang berada dalam setiap bidang spesialisasi. Supervisor klinis sebagai pihak yang bekerjasama dengan dokter muda akan memiliki persepsi mengenai keterampilan medis dokter muda di rumah sakit. Tujuan: Mengeksplorasi kemampuan supervisor klinik dalam membedakan mahasiswa pendidikan profesi lama dengan yang baru, mengeksplorasi persepsi supervisor klinis terhadap performa dan keterampilan medis mahasiswa pendidikan profesi, mengeksplorasi persepsi supervisor klinis tentang perubahan kurikulum dan outcome yang dihasilkan, dan saran yang diberikan oleh supervisor klinis. Metode: Empat puluh supervisor klinis diminta mengisi kuesioner yang berisi pertanyaan terbuka dan terstruktur mengenai keterampilan medis dokter muda. Hasil penelitian akan dianalisa melakukan coding 2 orang coders. Coding akan dilakukan dengan metode inductive content analysis secara manual terstruktur berdasarkan guideline dari Ello dan Kyngas (2008). Hasil: Sebanyak 100 % supervisor klinis dapat membedakan mahasiswa pendidikan profesi lama dan baru. Sebanyak 100% supervisor klinis menilai baik performa mahasiswa pendidikan profesi. Sebanyak 80% supervisor klinik menilai bahwa kemampuan komunikasi dokter muda sudah baik. Sebanyak 67,5% supervisor klinik menilai bahwa kemampuan pemeriksaan fisik sudah baik. 42.5% Supervisor klinik menilai kemampuan melakukan tindakan medis prosedural dokter muda cukup baik. 92.5% supervisor klinik menilai clinical reasoning sudah baik. 100% supervisor klinik puas terhadap perubahan kurikulum dan outcome yang ada. Pengenalan awal ke dunia klinik menjadi saran terbanyak yang diberikan supervisor klinis. Simpulan: Supervisor klinis dapat membedakan mahasiswa pendidikan profesi lama dan baru. Performa mahasiswa pendidikan profesi sudah baik dalam setting klinis. Keterampilan medis dokter muda di rumah sakit sudah memenuhi harapan supervisor klinis. Kurikulum yang ada dianggap sudah baik dan memberikan peningkatan menurut supervisor klinis. Supervisor klinik berharap dengan maksimalisasi kurikulum yang ada melalui konsep yang terstruktur dan komprehensif dengan peningkatan pendekatan setting klinis secara lebih dini akan meningkatkan mutu dokter muda.

Background : Undergraduate medical students will be enrolled in medical student clerkship program or clinical rotation. The existent of medical clerkship students get the direct supervision of a clinical supervisor in each field of specialization. Clinical Supervisor as a party which cooperated with the young doctors will have the perception of a young doctor's medical skills at the hospital. Aim : To explore the clinical supervisor's ability to distinguish the old medical clerkship students with the new one, to explore the clinical supervisor's perception of the performance and skills of medical clerkship students, to explore the clinical supervisor's perception about the change of curriculum and learning outcomes, and the advice given by the clinical supervisor. Method: Forty clinical supervisor are asked to fill out a questionnaire that contains open and structured question abotu the medical clerkship students’ clinical skills. The qualitative data was analyzed manually and coded by 2 coders using inductive content analysis method based on guideline from Ello and Kyngas (2008). Result: About 100 % clinical supervisor can distinguish the old medical clerkship students with the new one. About 100% clinical supervisor given good assesment about medical clerkship student performance. As much as 80% of clinical supervisors considered medical clerkship student communication skills are already good. As much as 67.5% clinical supervisors assessing that ability of the physical examination has been good. 26.4% of Clinical Supervisor that assesses medical procedural ability of medical clerkship student thought their skills are good enough. 92.5% of Clinical Supervisors assess clinical reasoning thought the student skill is good. 100% Clinic Supervisor believe the changes in curriculum given good outcome. The initial introduction to the clinical setting became the most advice given by Clinical Supervisor. Conclusion: Clinical Supervisor can distinguish the old medical clerkship students with the new one. The medical clerkship student performance has been good in the clinical setting. The medical skills of the young doctors in the hospital have been fulfilled clinical supervisor expectations. The new curriculum was considered to have good impact according to Clinical Supervisors. Clinical Supervisor expect with the maximization of existing curriculum through the structured and comprehensive concept will increase the quality of young doctors.

Kata Kunci : Kata Kunci: mahasiswa pendidikan profesi, supervisor klinis, keterampilan medis,performa mahasiswa, kurikulum