Pelayanan Kesehatan Tingkat Primer
Transcript of Pelayanan Kesehatan Tingkat Primer
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Pendidikan Kedokteran untukPelayanan Kesehatan
Tingkat Primer: Lessons Learnt dari Pengalaman
Internasional
Titi Savitri Prihatiningsih
Departemen Pendidikan Kedokteran dan Bioetika FKKMK UGM
President SEARAME
Executive Council of
World Federation for Medical Education
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Pengalaman Internasional
Lessons Learnt
Bagaimana di Indonesia ke depan?
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Pengalaman Internasional
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AMEE = Association for Medical Education in Europe
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Arguments against two-cycle of medical education program
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3 years – Bachelor in Medicine3 years – Masters in Medicine
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Examples of Implementation
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ASEAN
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World Federation for Medical Education
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Lessons Learnt
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Undergraduate Medical Education (UME) adalah pendidikan berbasisuniversitas dengan gelar akademik bachelor, magister ataupun Doktor
Sesudah lulus UME, mengikuti ujian lisensi (Medical Licensing Examination)
Setelah lulus ujian lisensi langsung mengikuti PPDS (di negara maju) termasuk GP=Family Doctor=Primary Care Physician
Setelah lulus ujian lisensi dapat berpraktik mandiri sebagai GP di negara berkembang
Di beberapa negara: memberikan fleksibilitas
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Bagaimana di Indonesia ke depan?
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The Missing Puzzle in Indonesian
Primary Care Doctors
SKed.
3,5 – 4
tahun
Profesi
Dokter
1,5 – 2
tahun
Internship
1 tahun
Spesialisasi
Sp-1
3 – 5 tahun
Spesi
alis
asi
Sp-2
PELAYANAN
RUJUKAN
PELAYANAN
PRIMER
SKed.
3,5 – 4
tahun
Profesi
Dokter
1,5 – 2
tahun
Internship
1 tahun
SPESIALIS KEDOKTERAN KELUARGA LAYANAN PRIMER - Filling the Gap in Primary Care Education
MENGISI KESENJANGAN KESEMPATAN PENDIDIKAN & BERKARIR DI PELAYANAN PRIMER
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Pasien
Anamnesis
Penatalaksanaan
Diagnosis
Pemeriksaan
Penunjang
Pemeriksaan
Fisik
Diagnosis Psikososial
Intervensi
Medis
Berbasis EBM
Level Pencegahan
Pekerjaan
Rumah, sosial
LingkunganFisik
DinamikaKeluarga
HOLISTIK
HOLISTIK
KOMPREHENSIF
Diagnosis
Medis
Aspek Personal:
alasan kedatangan,
harapan, kekhawatiran
dan persepsi pasien
Aspek Klinis
Aspek Risiko Internal
Aspek Risiko Eksternal
Derajat Fungsional
Level Keterlibatan DK
Intervensi Psikososial:
Edukasi pasien/ Konseling
Keterlibatan keluarga
Rehabilitasi
Family
assessment
toolsFamily
SCREEM
Family
APGAR
Family
Life Line
Family
Life Cycle
Family Map
Genogram
Property of PDKI
PelayananKesehatanBerbasisKedokteranKeluarga
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Posisi ‘UME’ adalah kuat
Kelulusan UME adalah
kewenanganinstitusi
Ujian Lisensisetelah Lulus UME
Setelah lulus ujianlisensi mengikuti
internship
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Alternatif 1:
UME + Internship + PPDS = GP/FD Spesialis
Alternatif 2:
UME + Internship → PraktikGP
Alternatif 3:
Alternatif 1+Alternatif 2 →masing2 memiliki peran dan kewenangan yang berbeda
Alternatif 4: ???
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