THE USE OF SIMULATED PATIENTS AND VIDEO RECORDING AS SUPPORTING TOOLS IN COMMUNICATION SKILLS TRAINING
dr. Widyandana, MHPE, PhD Skills Lab & Department of Medical Education Gadjah Mada University Cp:
[email protected], 08122729791
Active participation…
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Problems
Apa permasalahan spesifik terkait dengan latihan keterampilan komunikasi yang menggunakan pasien simulasi di institusi bapak/ibu sekalian?
Mengendarai BUS?
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Berlatih..
DOKTER - PASIEN
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Berlatih keterampilan medis, mulai dari yang paling sederhana kemudian dilanjutkan ke yang lebih kompleks – KURIKULUM
Simulated Patient Definition; Simulated patient are members of the lay public trained to act as real patients and to produce a clinical history and physical signs in a consistent manner. Kata kunci: orang awam, dilatih, sesuai skenario, konsisten
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Apa komentar anda? Doctors
Students
Risk to harm the Patient?
Patients
Teacher -- Students -- SP
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Real Patient vs Simulated Patient Factors
Real Patient
Simulated patient
Availability
Real patients do not always available
Simulated patients readily available
Standardization
Standardization less important
Standardization essential
Frequency
Occasional or intermittent clinical examination
Continuous examinations
Context
Assessment on the job, Formal examination in in practice arranged setting
Cost
Real patient inexpensive
Simulated patient expensive
Simulation
Physical signs to be assessed are not easily simulated
Aspect of physical examination or history taking is easily simulated
Peran Penting Pasien Simulasi
Acting seperti pasien asli
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Memberikan Feedback
Konsisten
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Key: Training for SPs
SP for Communication skills training
Specific objective – empathy? Counselling? Etc Trained – detail scenario for standardization Acting – non verbal clues Instructor – trained for standardized Giving feedback Various challenges - improve motivation
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Esensi feedback..
Constructive Feedback What is already good?
What should be improved?
Encourage with positive things Or suggestions! Burger Theory
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Sudut pandang..
Feedback
Mahasiswa yang berperan menjadi dokter Pasien Simulasi Peer – teman satu kelompok Instruktur
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Bagaimana mahasiswa bisa mengevaluasi diri sendiri?
Penggunaan Video camera
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Konsisten? Standarisasi?
(Kneebone, 2006)
Lihat video…
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Sharing experiences..
Netherlands
US
SP bank, recruited from media Managed professional Rewarded by Money 14 dollar/ session
Malaysia
SP bank, professional Managed professional Rewarded by voucher 14 euro/ session
SP bank, recruited from media Managed professional Rewarded money, only as a n object
Indonesia
SP from supporting staff Managed part timer Rewarded money – variative 20 -50 rb in Yk
Kesimpulan
Pasien simulasi mempunyai peran penting dalam pendidikan dokter – communication skills Pasien simulasi dapat membantu mahasiswa mengintegrasikan ilmu-nya sebagai persiapan bertemu dengan pasien asli. Manajemen pasien simulasi perlu diperhatikan secara profesional - standarisasi
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References
Adamo, G. Simulated and Standardized Patients in OSCEs: Achievements and Challenges 1992-2003. medical Teacher, Vol.25, No.3, May 2003, pp.262270. http://www.aspeducators.org. Collins, J.P & Harden, R.M. AMEE Medical Education Guide No.13:Real Patients, Simulated Patients an Simulators in Clinical Examinations. Medical Teacher, Vol. 20, No.6. 1998. Ledingham, I.McA & Harden, R.M. 1998. Twelve Tips for Setting Up a Clinical Skills Training Facility. Carfax Publishing Ltd. Medical Teacher, Vol. 20, No. 6. Neufeld, V.R, Norman, G.R. 1991. Assessing Clinical Competence. New York: Springer Publishing Company.
ISLaND – Grand Design
OSCE UKDI – rujukan nasional Kesenjangan kualitas di FK Indonesia Standarisasi skills training nasional Workshops – standarisasi & upgrade Website – rujukan dan sarana komunikasi Status – dibawah AIPKI – nunggu SK Dimulai dengan 10 Fk dari area AIPKI Sustainability – self funding Dari kita untuk kita, bersama kita bisa
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Refleksi
Apa yang saudara dapatkan dari workshop komunikasi kali ini? Apa yang belum sesuai dengan harapan saudara? Bagaimana saran untuk workshop selanjutnya agar lebih baik? Lain2?
Terimakasih…
CP:
[email protected]
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Email:
[email protected] HP: 0816671111
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