CPD TERSTRUKTUR SEBAGAI PILIHAN PENDIDIKAN DOKTER DI TINGKAT PELAYANAN PRIMER
. Ketua Bidang Pendidikan PB IDI 2015-2018 1
PENTINGNYA CPD bagi Dokter
PERKEMBANGAN ILMU KEDOKTERAN YANG SANGAT PESAT PENDIDIKAN KEDOKTERAN DINAMIS (SKDI BERUBAH SETIAP 5 TAHUN) PENINGKATAN KEBUTUHAN MASYARAKAT AKAN PELAYANAN KESEHATAN YANG BERMUTU YANG DITOPANG OLEH KOMPETENSI
What is the half life of medical knowledge?
any new information we may gather has a half-life of 5 years. •Emanuel E. "A half-life of 5 years" Can Med Assoc J 112:572, 1975
Lifelong learning is important, but no more important than clinical judgement, common sense and a critical evaluation of new information.
•A. J. MACGREGOR. Half-life of medical knowledge. CMA JOURNAL/MAY 17, 1975/VOL. 112 1165 •/ 27
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External triggers
Curriculum change New textbooks New examination and assessment requirements Methodological change Inspection of a school/teachers
“Change is mandatory; growth is optional” (Fullan 1993)
Example of outdated knowledge
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Infectious hepatitis – now hepatitis A Serum hepatitis – now hepatitis B Non A non B hepatitis – now hepatitis C Diabetes was checked formerly by urine ketones instead of blood glucose Alcohol bad for the liver but good for the heart? •5
50 years ago radical mastectomy and radiotherapy – Now lumpectomy HRT was used to protect the heart – now considered harmful Flu vaccine under age 5 was routinely recommended in the past Chest x-ray to scean for lung cancer … •/ 27
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Definition
Continuing Professional Development (CPD) or Continuing Professional Education (CPE) is the means by which members of professional associations maintain, improve and broaden their knowledge and skills and develop the personal qualities required in their professional lives. •/ 27
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CPD for medical professionals
CPD consists of any educational activity which helps to maintain, develop or increase knowledge, problem-solving, technical skills or professional performance standards all with the goal that physicians can provide better health care. CPD includes 'formal' activities, e.g. courses, conferences and workshops, as well as selfdirected activities such as preceptorship and •/ 27 •8 directed reading.
Differences between Training and Development Training is…. budget-dependent often time-bound imposed often driven by systemic change ‘transitive’ as a notion dependent on a trainer possible only in groups based on an external agenda often problem-centred or deficit-based accountable to authorities
Development is…. continuous an internal process optional a key factor in personal change essentially ‘intransitive’ independent of a trainer essentially individual based on an internal agenda person-centred and based on a growth view accountable mainly to self
The Ingredients of CPD
knowing where you are knowing where you want to go knowing how to get there not standing still taking nothing for granted tuning in to messages thinking and rethinking remaining a learner being in control of your own CPD priorities
“How can I move forward if I don’t know which way I’m facing?” (John Lennon)
The CPD Cycle
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Sources of Professional Knowledge
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Textbooks Medical literature (journals) Short term courses Long term trainings (Masters, PhD…) Educational meetings (Conferences, panels..) Information from the media Exchange of experience with colleagues Reviving personal experience Collecting experience out of school Learning on own initiative •14
CPD Log
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Barriers towards attending educational activities
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•16 •http://www.aare.edu.au/07pap/sid07623.pdf
URGENSI CPD TERSTRUKTUR BAGI DOKTER DI LAYANAN PRIMER
Menjawab
ISSUE DLP ???
ISSUE-ISSUE DLP
DLP HADIR KARENA KOMPETENSI DOKTER (LULUSAN FK) DI LAYANAN PRIMER TIDAK CUKUP DAN MASIH KURANG KOMPETENSI KEDOKTERAN KLINIKNYA RUJUKAN TINGGI UNTUK DAPAT GELAR DLP DOKTER (UMUM) HARUS SEKOLAH LAGI 2-3 TAHUN
DLP MENURUT KESAKSIAN PRESIDEN / PEMERINTAH DAN AMAR PUTUSAN HAKIM MK
PENEGASAN PEMERINTAH BILA DLP YANG AKAN DIBUAT ADALAH PROFESI BARU seperti tertulis pada hal 143 Putusan MK.
SEBAGAI PROFESI BARU DLP HARUS BERBEDA DENGAN DOKTER KELUARGA DAN DOKTER UMUM YANG TELAH LAMA EKSIS DI IDI. MELANGGAR AMANAT PUTUSAN MK KALAU DLP MNGAMBIL 80% KOMPETENSI DOKTER KELUARGA
Keterangan Presiden/ Pemerintah tentang Wujud KURIKULUM DLP yang termuat di Hal 144 poin D diputusan MK yang dikutip oleh hakim MK pada hal 194.
AMAR PUTUSAN Hakim MAHKAMAH KONSTITUSI terkait WUJUD KURIKULUM PENDIDIKAN DLP seperti tertulis pada hal 194.
Pasal 17 Ayat 1 UU DIKDOK
Kelompok keilmuan Dosen pada Fakultas Kedokteran
Pasal 20 ayat 3 UU DIKDOK
Kelompok keilmuan yang diampu Dosen Fak. Kedokteran
Pandangan Hakim MK terkait keberadaan Dokter Umum dan peluang pilihan Kariernya seperti tertulis pada hal 195.
KESIMPULAN
TERJADI GAP ANTARA KEBUTUHAN KEMENKES AKAN DOKTER YANG UPDATE KOMPETENSI KEDOKTERAN KLINISNYA DENGAN AMANAH WUJUD DLP PADA AMAR PUTUSAN MK PDUI SEGERA JAWAB DAN MENGISI KEKOSONGAN INI DENGAN PENDIDIKAN CPD TERSTRUKTUR (MODUL-MODUL) PERLU KERJA SAMA PDUI – KEMENKES - AIPKI
...... and a final thought:
CPD is about making the best of it at all levels. But it all starts with you! Look after yourselves!
PARADIGMA PELAYANAN KESEHATAN
SEHAT (UKM )
SAKIT(UKP)
LAYAN AN PRIMER KURIKULUM PENDIDIKAN SASARAN PELAYANAN TUJUAN PELAYANAN JENIS PELAYANAN SUM BER PEM BIAYAAN
KEDOKTERAN KELUARGA, KEDOKTERAN KOMUN ITAS DAN KESEHATAN MASYARAKAT KELUARGA-KOMUN ITASMASYARAKAT
BIOMEDIS, KEDOKTERAN KLIN IS, BIOETIKA / HUMAN IORA KESEHATAN IN DIVIDU IN DIVIDU SAKIT (PASIEN ) DIOBATI SEHAT KURATIF - REHABILITATIF
KOMUN ITAS SEHAT DICEGAH SAKIT PREVEN TIF - PROMOTIF
PENDAPATAN SETARA SPESIALIS DARI PEM ERINTAH (k apitasi)
JASA M EDIS --> PASIEN/ BPJS
DLP
DOKTER (UMUM)
PEM BERI LAYANAN
TIDAK PERLU
STR - SIP (KOMUNITAS
HARUS (3 TEMPAT PRAKTEK)
> 3 TEMPAT LAYAN AN )
LAYAN AN SEKUN DER PEM BERI LAYANAN
???
SPESIALIS - SPESIALIS KEDOKTERAN KLIN IS
LAYAN AN TERTIER PEM BERI LAYANAN
???
SUPER SPESIALIS/ KON SULTAN KEDOKTERAN KLIN IS
Catatan : DLP adalah Profesi Baru (Keterangan Pemerintah dihadapan Hakim MK sep tertulis pada putusan MK hal 143. Dokter keluarga dan Dokter Umum adalah Profesi lama yang sudah diterima di Muktamar IDI. Punya Perhimpunan (PDKI dan PDUI) serta mempunyai Kolegium yang disebut KDI
Sebagai Profesi Baru, Kompetensi DLP TIDAK BOLEH tumpang tindih dan mengambil sampai 80% kompetensi Dokter keluarga
