Implementation of full PBL in FM Unand

IMPLEMENTATION OF PBLIMPLEMENTATION OF PBLBASED ON NCBC IN BASED ON NCBC IN

FACULTY OF MEDICINE FACULTY OF MEDICINE UNIVERSITY OF ANDALAS UNIVERSITY OF ANDALAS

Medical Education Unit (MEU)Medical Education Unit (MEU)

Faculty ofFaculty of MedicineMedicine

UniversitUniversity ofy of Andal Andalaass

History of PBL in FM – Unand History of PBL in FM – Unand 1994 1994 Implementation of single module Implementation of single module

(Fever, Icterus) (Fever, Icterus) 1994 1994 Visiting USM (Vice Dean & Visiting USM (Vice Dean &

Biomedical group)Biomedical group) 1996 1996 TA Prof. A. Rahman, USM (3 months)TA Prof. A. Rahman, USM (3 months) 2000 2000 Visiting NUS & USM (Prof. F. Oenzil)Visiting NUS & USM (Prof. F. Oenzil) 2001 2001 WorkshopWorkshop 2003 2003 TA, Workshop, tutor trainingTA, Workshop, tutor training 2004 2004 Visiting UGM, Unpad, UI (MEU team)Visiting UGM, Unpad, UI (MEU team) 20042004 Prof.Mathew Gwee visited FM-Unand Prof.Mathew Gwee visited FM-Unand 2004/20052004/2005 Full PBL Implementation based onFull PBL Implementation based on

KIPDI IIKIPDI II 2005/20062005/2006 Full PBL Implementation based onFull PBL Implementation based on

KIPDI IIIKIPDI III

Full PBL in FM Full PBL in FM UnandUnand

““Senate Decision 2004:Senate Decision 2004:

Conducting Full PBL in FM-Conducting Full PBL in FM-UNANDUNAND

as learning approachas learning approach

startedstarted

First Semester of 2004-2005First Semester of 2004-2005””

Faculty CurriculumFaculty Curriculum Core curriculum Core curriculum Arranged in 21 BlocksArranged in 21 Blocks Each block contains integrated modulesEach block contains integrated modules Scenario(s) in module for triggering and Scenario(s) in module for triggering and stimulating discussionstimulating discussion Conducted in 10 semesters:Conducted in 10 semesters:

- 1- 1stst – 7 – 7thth semester semester : Basic medical : Basic medical educationeducation

- 8- 8thth – 10 – 10thth semester semester : Clinical experiences : Clinical experiences (clerkship)(clerkship)

Strategy of learning: PBLStrategy of learning: PBL Plus 2 semesters of internshipPlus 2 semesters of internship

FACULTY CURRICULUM

BLOCK BLOCK BLOCK BLOCK

MODULE MODULE MODULE

SCENARIOweekly

SCENARIOweekly

SCENARIOweekly

SCENARIOweekly

SCENARIOweekly

SCENARIOweekly

BLOCK SCHEMEI N T E R N S H I P

C L E R K S H I P

19 20 21 CLERKSHIP

13 14 15 16 17 18

7 8 9 10 11 12

1 2 3 4 5 6

6th

Yea

r5th

Y

ear

4th

Yea

r3rd

Y

ear

2nd

Yea

r1st

Y

ear

Research Seminar

BLOCKSBLOCKS Block 1Block 1 Learning process and Learning process and

CommunicationCommunication

Block 2–5 Block 2–5 Biomedical sciences and Biomedical sciences and Community healthCommunity health

Block 6–7 Block 6–7 Medical Research and Medical Research and EthicsEthics

Block 8–18 Block 8–18 Systems Systems

Block 19–20 Block 19–20 Neoplasm and Medical Neoplasm and Medical EmergencyEmergency

Block 21 Block 21 Electives Electives

TOPICS OF BLOCKSTOPICS OF BLOCKS

Year IYear I

Block 1. Learning Process and Information Block 1. Learning Process and Information

Technology & Communication Technology & Communication Block 2. Biomedics I: Basic medical Block 2. Biomedics I: Basic medical

sciencessciencesBlock 3. Biomedics II: HomeostasisBlock 3. Biomedics II: HomeostasisBlock 4. Biomedics III: MetabolismBlock 4. Biomedics III: MetabolismBlock 5. Community healthBlock 5. Community healthBlock 6. Humanities and Medical ethicsBlock 6. Humanities and Medical ethics

Year IIYear II

Block 7. Medical Research and Block 7. Medical Research and Technology Technology

Block 8. Immunology and InfectionBlock 8. Immunology and Infection

Block 9. MusculoskeletalBlock 9. Musculoskeletal

Block 10. Digestion and AbsorptionBlock 10. Digestion and Absorption

Block 11. CardiovascularBlock 11. Cardiovascular

Block 12. RespirationBlock 12. Respiration

Year IIIYear III

Block 13. Hematology Block 13. Hematology

Block 14. Urology and Body fluidBlock 14. Urology and Body fluid

Block 15. EndocrineBlock 15. Endocrine

Block 16. ReproductionBlock 16. Reproduction

Block 17. Neurology and Behavioral Block 17. Neurology and Behavioral sciencessciences

Block 18. Special SensesBlock 18. Special Senses

Year IV (1Year IV (1stst semester) semester)

Block 19. NeoplasmBlock 19. NeoplasmBlock 20. Medical Emergency and Block 20. Medical Emergency and

TraumatologyTraumatologyBlock 21. ElectivesBlock 21. Electives

Year IV (2Year IV (2ndnd semester) and Year V semester) and Year V

CLERKSHIPCLERKSHIP

Learning Strategy: PBLLearning Strategy: PBL

1. Tutorial (small group discussion1. Tutorial (small group discussion))

- - 1010-11-11 studentsstudents per gr per grooupup - stimulated by a scenario- stimulated by a scenario

- facilitated by a tutor- facilitated by a tutor- - twice a week for each scenario with twice a week for each scenario with

two two days of gathering information and days of gathering information and

private private study in betweenstudy in between- conducted through structured activity, - conducted through structured activity, seven jumpsseven jumps

Learning Strategy (cont’d)Learning Strategy (cont’d)

2. 2. Mini lectureMini lecture

3. 3. Private study (self-learning)Private study (self-learning)

4. 4. Basic medical practice Basic medical practice

5. 5. SSkills labkills lab

6. Plenary discussion6. Plenary discussion

77. Clerkship. Clerkship

EVALUATIONEVALUATIONEvaluation on studentsEvaluation on students

- tutorial: structured form- tutorial: structured form- skills lab: OSCE- skills lab: OSCE- written assessment: MCQ and MEQ- written assessment: MCQ and MEQ

Evaluation on tutorEvaluation on tutor- by student using structured form- by student using structured form

Evaluation on programEvaluation on programby: - Commission of Monitoring and by: - Commission of Monitoring and EvaluationEvaluation

- Input from Block management, - Input from Block management, scenario scenario

writer, tutor, instructor, students writer, tutor, instructor, students

IMPLEMENTATION OFIMPLEMENTATION OF

MEDICAL EDUCATIONMEDICAL EDUCATIONBased onBased on

NATIONAL COMPETENCY NATIONAL COMPETENCY BASED CURRICULUM (KIPDI BASED CURRICULUM (KIPDI

III)III)IN IN

FM-UNANDFM-UNAND

CORE CURRICULUMCORE CURRICULUM

19811981 : KIPDI I : KIPDI I

19931993 : KIPDI II : KIPDI II

20042004 : KIPDI III (NCBC) : KIPDI III (NCBC)

- 7 areas of competence - 7 areas of competence

- primary care medical - primary care medical doctor doctor

- family physician- family physician

7 Areas of Competence:7 Areas of Competence:1.1. Effective communicationEffective communication

2.2. Performance of basic clinical skillsPerformance of basic clinical skills

3.3. Application of principles from the biomedical, Application of principles from the biomedical, clinical, and behavioral sciences and epidemiology clinical, and behavioral sciences and epidemiology in the practice of family medicinein the practice of family medicine

4.4. Management of health problems in the individual Management of health problems in the individual family and community in a comprehensive, holistic, family and community in a comprehensive, holistic, continuous, coordinated, and collaborative manner continuous, coordinated, and collaborative manner within the Primary Health Care (PHC) settingwithin the Primary Health Care (PHC) setting

5.5. Accessing, critically appraising, and managing Accessing, critically appraising, and managing informationinformation

6.6. Self-awareness, self-care, and personal Self-awareness, self-care, and personal developmentdevelopment

7.7. Professional, moral and ethical contexts of practiceProfessional, moral and ethical contexts of practice

Faculty CurriculumFaculty Curriculum Core curriculum Core curriculum : 80 %: 80 % Local studiesLocal studies : 20 %: 20 % Arranged in 21 BlocksArranged in 21 Blocks Each block contains integrated modulesEach block contains integrated modules Scenario(s) in each module for triggering Scenario(s) in each module for triggering

and and stimulating discussionstimulating discussion Conducted in 10 semesters:Conducted in 10 semesters:

- 1- 1stst semester semester : General education: General education- 2- 2ndnd – 7 – 7thth semester semester : Integrated medical : Integrated medical

educationeducation- 8- 8thth – 10 – 10thth semester semester : Clinical experiences : Clinical experiences

(clerkship)(clerkship)

Strategy of learning: PBLStrategy of learning: PBL Plus 2 semesters of internshipPlus 2 semesters of internship

Local Studies: Local Studies:

Based on:Based on:

- - VisiVisionon, Misi, Misionon andand Renstra Renstra (Strategic (Strategic

planning) of planning) of UniversitUniversityy

- - Local health problems Local health problems because ofbecause of

characteristics of local environmentcharacteristics of local environment

Electives topicsElectives topics

Local StudiesLocal Studies::

1. 1. Communication according to Minangkabau Communication according to Minangkabau

cultureculture (Blo(Blocck 1. k 1. Learning process andLearning process and

communicationcommunication))

2. 2. Behavioral according to Minangkabau Behavioral according to Minangkabau culture,culture,

Adat basandi sarak, sarak basandi Adat basandi sarak, sarak basandi

Kitabullah Kitabullah (Blo(Blocck 2. Humanik 2. Humanitiesties an andd Medical Medical

EthicsEthics))

3. 3. Community health system in West SumatraCommunity health system in West Sumatra

(Blo(Blocckk 3. 3. Community HealthCommunity Health))

Local StudiesLocal Studies ( (cont’dcont’d):):

44. . Applying principles of medical research Applying principles of medical research

whichwhich related to localrelated to local health problemshealth problems

(Blo(Blocck k 77. . Medical Research and Medical Research and

TechnologyTechnology))

55. . Malnutrition inMalnutrition in WestWest Sumatra Sumatra (Blo(Blocck k 88. .

LifeLife Cycle andCycle and Gerontolog Gerontologyy))

6. 6. Coronary heart disease inCoronary heart disease in West West Sumatra Sumatra

(Blo(Blocck 12. k 12. CardiovascularCardiovascular))


7. 7. TuberculosisTuberculosis in West in West Sumatra Sumatra (Blo(Blocck 13. k 13. RespirationRespiration))

8. 8. Cerebro-vascularCerebro-vascular accident inaccident in West West Sumatra Sumatra (Blo(Blocck 17. k 17. Neurology and Special SensesNeurology and Special Senses))

9. 9. Iodine deficiencyIodine deficiency in Westin West Sumatra Sumatra (Blo(Blocck 1k 199. . Hormone andHormone and ReproductionReproduction))

10. 10. Medical rehabilitation Medical rehabilitation ((Integrated in some Integrated in some blocksblocks))

11. 11. Community Oriented Medical Education Community Oriented Medical Education ((Integrated in some blocksIntegrated in some blocks))


12. Padangitis12. Padangitis

- - PsychosomaticsPsychosomatics (Blo(Blocck 18. k 18. Mental health Mental health and and

Behavior)Behavior)

- Gastritis - Gastritis (Blo(Blocck 14. k 14. Digestion and Digestion and AbsorptionAbsorption))

Elective TopicsElective Topics (Blo (Blocck 21. k 21. ElectivesElectives):):

1. 1. Management of HealthManagement of Health

2. 2. Research MethodologyResearch Methodology

3. 3. Sport MedicineSport Medicine

4. 4. Occupational HealthOccupational Health

5. 5. Traditional MedicineTraditional Medicine

6. 6. International health system and problemsInternational health system and problems

7. Enterpreunership7. Enterpreunership

8. Management8. Management of Natural Disaster (tsunami, of Natural Disaster (tsunami, earthquake)earthquake)

FACULTY CURRICULUM

BLOCK BLOCK BLOCK BLOCK

MODULE MODULE MODULE

SCENARIOweekly

SCENARIOweekly

SCENARIOweekly

SCENARIOweekly

SCENARIOweekly

SCENARIOweekly

SCHEME OF BLOCKS

I N T E R N S H I P

C L E R K S H I P

19 20 21 CLERKSHIP

13 14 15 16 17 18

7 8 9 10 11 12

1 2 3 4 5 6

6th

Yea

r5th

Y

ear

4th

Yea

r3rd

Y

ear

2nd

Yea

r1st

Y

ear

No No BlocksBlocks CoordinatorsCoordinators11 Learning Process and Communication Learning Process and Communication Erly Erly && Y Y.. Lest Lestararii22 HumaniHumanitiesties and Medical Ethicsand Medical Ethics NN.. Asbiran Asbiran & & Najmir Najmir 33 Community Health SystemCommunity Health System DD.. Sulastri Sulastri & & FirdawatiFirdawati 44 Basic Medical SciencesBasic Medical Sciences HH.. Hasjim Hasjim & & EE.. Yerizel Yerizel55 MetabolismMetabolism YanwirastiYanwirasti & & DD.. Iryani Iryani66 HomeostasisHomeostasis SS.. Sastri Sastri & & II.. Suryadi Suryadi77 Medical Research and TechnologyMedical Research and Technology HH.. Bakhtiar Bakhtiar & & JulizarJulizar Y Y.. 88 Life Cycle andLife Cycle and Gerontolog Gerontologyy SyaSyaffrita rita & & SS.. Rusdan Rusdan99 Family HealthFamily Health Edison Edison & & RR.. Gustia Gustia1010 ImImmmunologunologyy andand Infe Infectctiionon A.A.A. A. Jamal Jamal && R R.. Yaswir Yaswir1111 Dermato-mDermato-mususcculosuloscceletaleletal M.SM.S..BB.. Zein Zein & & M M.. Manjas Manjas1212 CCardiovasardiovasccuulalarr YY. . YasrinYasrin & & B B.. Bahri Bahri1313 RespiraRespirattiionon ZZ. . Arsyad Arsyad && Afriwardi Afriwardi1414 Digestion and AbsorptionDigestion and Absorption HandayaniHandayani & & Nurhayati Nurhayati1515 HematologyHematology II.. Wahid Wahid && E E.. Nasrul Nasrul 1616 Urology and Body FluidUrology and Body Fluid SS.. Azmi Azmi && Z Z.. Edward Edward1717 Neurology and Special SensesNeurology and Special Senses SS.. Indra Indra && A A.. Rahma Rahmann1818 Mental Health and BehaviorMental Health and Behavior YY.. Yaunin Yaunin && N N..AA.. Syah Syah 1919 Hormone and ReproductionHormone and Reproduction YY.. Saruji Saruji && E.E. Decroli Decroli2020 Medical Medical EmergenEmergencycy andand Neoplasia Neoplasia WW.. Arif Arif && Syukri Syukri2121 EleElecctitivesves YY.. Katar Katar & & Zailirin Zailirin

BLOCKS AND COORDINATORS

BlockBlockss

Area of CompetencesArea of CompetencesLocal Local

StudiesStudies11 22 33 44 55 66 77

11 ++ ++ ++ ++ ++

22 ++ ++ ++ ++ ++

33 ++ ++ ++ ++ ++ ++ ++

44 ++ ++ ++ ++

55 ++ ++ ++ ++

66 ++ ++ ++ ++

77 ++ ++ ++ ++88 ++ ++ ++ ++ ++ ++ ++ ++99 ++ ++ ++ ++ ++ ++ ++ ++1010 ++ ++ ++ ++ ++ ++ ++ ++1111 ++ ++ ++ ++ ++ ++ ++ ++1212 ++ ++ ++ ++ ++ ++ ++ ++1313 ++ ++ ++ ++ ++ ++ ++ ++1414 ++ ++ ++ ++ ++ ++ ++ ++1515 ++ ++ ++ ++ ++ ++ ++ ++1616 ++ ++ ++ ++ ++ ++ ++ ++1717 ++ ++ ++ ++ ++ ++ ++ ++1818 ++ ++ ++ ++ ++ ++ ++ ++1919 ++ ++ ++ ++ ++ ++ ++ ++2020 ++ ++ ++ ++ ++ ++ ++ ++2121 ++ ++ ++ ++ ++ ++ ++ ++

MATRIX OF BLOCKS AND COMPETENCESMATRIX OF BLOCKS AND COMPETENCES

Core Core CompetencCompetenc

yy

Competency Competency ComponentsComponents

Enabling Enabling OutcomesOutcomes ContentsContents Learning Learning

ObjectivesObjectives

Specific Specific Learning Learning

ObjectivesObjectives

Learning Learning methodsmethods

ReferenceReferencess

SourceSourcess

Core Core

curriculumcurriculum

1.1 Utilize 1.1 Utilize

well well developed developed communicacommunication tion ……………………

5.1 Capable 5.1 Capable

of of

accessing, accessing,

appraising appraising validity …… validity ……

Local Local studiesstudies

Utilize well Utilize well developed developed ……..……..

1.1.1 Use 1.1.1 Use

communicatcommunication ion principles to principles to establish establish and ………..and ………..

5.1.1 5.1.1 Search, Search,

collect, collect,

organize, organize, and and

interpret interpret health health ……….……….

Use Use communicatcommunication based ion based on …on …

1.1.1.11.1.1.1

Adopt Adopt principles principles of of confidentiaconfidentially …………lly …………

5.1.1.1 Use 5.1.1.1 Use

information information

and and

communicacommunication tion ………..………..

Adopt Adopt principles principles of cultural of cultural …….…….

IX.1 IX.1

EmpathyEmpathy

IX.2 IX.2 Principles Principles of of ………..………..

VI.E.1 VI.E.1

Library Library re-re-

sources sources ……

VI.E.2 VI.E.2 Key Key ………………

Cultural Cultural values of values of West S….West S….

- Student - Student

able to able to com com municate municate emphaticaemphatically lly with………with………

- Student - Student

able to able to

search search

health health

………………

Student Student able to able to comcom

municatemunicate……

- Student - Student

able to able to speak speak IndonesiaIndonesian well n well ……..……..

-Student Student

able to able to use use

informatioinformation n

sources in sources in

librarylibrary

Student Student able to able to interact interact ….….

-Mini Mini lecturelecture-Small Small group group discussiondiscussion-Skills lab Skills lab ……..……..

-Mini Mini lecturelecture-Small Small group group discussiondiscussion-PracticalPractical-……………………....

-Mini Mini lecturelecture-Small Small group group discussiondiscussion

-Liliweri, Liliweri, KomunikaKomunikasi Inter-si Inter-pribadipribadi-………………..

- Tampu- Tampu

Bolon, Bolon,

KemampuKemampuanmembaanmembaca ca

……………………..

-BAMBAM-Adat Adat basandi basandi ….….

Design of Curriculum in BlockDesign of Curriculum in BlockBlock :1Topic of Block : Learning Process and CommunicationLearning Process and Communication Area of Competence :1. Effective Communication

5. Accessing, critically appraising, and managing information

6. Self-awareness, self-care and personal development

7. Professional, moral and ethical contexts of practice

Calculation of Credit SemesterCalculation of Credit Semester1 Block about 7 sks1 Block about 7 sks

21 Blocks about 151.2 sks21 Blocks about 151.2 sks1 Block: 6 scenarios1 Block: 6 scenarios

1 Scenario / week1 Scenario / week Mini lecture: 6 hours / week: 6/16 x 1 Mini lecture: 6 hours / week: 6/16 x 1 = 0.375 sks= 0.375 sks Tutorial l : 2 x 1/16 x 1/2 Tutorial l : 2 x 1/16 x 1/2 = 0.063 sks= 0.063 sks Tutorial II: 2 x 1/16 x 1/2 Tutorial II: 2 x 1/16 x 1/2 = 0.063 sks= 0.063 sks Self-learning: 8 hrs / week: 8/16 x 1 Self-learning: 8 hrs / week: 8/16 x 1 = 0.500 sks= 0.500 sks Skills lab: 2 hrs/week: 2/16 x 1/3 Skills lab: 2 hrs/week: 2/16 x 1/3 = 0.042 sks= 0.042 sks Basic lab: 2 hrs/week: 2/16 x 1/3 Basic lab: 2 hrs/week: 2/16 x 1/3 = 0.042 sks= 0.042 sks Plenary discussion 3 hrs/week: 3/16 x 1/1.5 = 0.125 Plenary discussion 3 hrs/week: 3/16 x 1/1.5 = 0.125

skssks

TotalTotal 1.210 sks 1.210 sks