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Title: Do Medical Students Have Sufficient Opportunity to Implement Their Clinical Skills in Primary Care Settings?
Authors: Marita Fadhilah
Fika Ekayanti
Keywords: clinical skills;primary health care;Indonesian Medical Doctor competency
Issue Date: Dec-2017
Publisher: Atlantis Press
Abstract: Universal health coverage requires tiered referral system that makes majority basic health service is conducted in primary care setting. To support it, on 2012 Indonesia Medical Council has assigned Indonesia medical doctor standard competency (SKDI). Medical faculty should teach medical students with those entire competencies that must be mastered by medical doctor. We have not found national data about the evaluation of conformity of clinical skill teaching and community needs in primary care setting. Therefore we need to explore whether medical students could implement their clinical skill in primary care setting, and factors affecting its implementation. This study was a descriptive study with cross sectional approach. Data collected from October to November 2014. A set of questionnaire was given to students' group, inquired list of clinical skills those have learned during academic and clinical phase, also clinical skills that they implemented in primary health care (PHC). A total of 10 groups (contained five medical students each group) in 10 PHC Tangerang District during community medicine rotation were involved in this study. In total 178 competencies were collected from 10 student groups. Students revealed that 77.53% clinical skill had been taught during academic and clinical phase, whilst they just implemented 19.66% clinical skills in PHC during community medicine rotation. Clinical skills that students had less opportunity to implement were diagnosis and proposing additional examination. The major factors that affecting implementation clinical skill in PHC were limited drugs and tools also infrastructures (21 and 17 of total 95 cases). This study provided good feedback to medical institution and government. For medical institution it is recommended to cover some clinical skills that students have not been taught. For government should improve availability of drugs, tools and infrastructures in PHC. Despite students revealed that most of clinical skill had been taught during academic and clinical phase, they were lack of diagnosis and proposing additional examination implementation in PHC during community medicine rotation. The most factors affected were limited drugs and tools/equipment.
ISBN: 978-94-6252-422-4
ISSN: 2468-5739
Appears in Collections:Prosiding Workshop/Lokakarya/Seminar

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