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: widyandana@yahoo.com, 08122729791 Active participation 1
Problems Apa permasalahan spesifik terkait dengan latihan keterampilan komunikasi yang menggunakan pasien simulasi di institusi bapak/ibu sekalian? Mengendarai BUS? 2
Berlatih.. DOKTER - PASIEN 3
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 4
Apa komentar anda? Doctors Students Risk to harm the Patient? Patients Teacher -- Students -- SP 5
Real Patient vs Simulated Patient Availability Factors Real Patient Simulated patient Standardization Frequency Context Cost Simulation Real patients do not always available Standardization less important Occasional or intermittent clinical examination Assessment on the job, in practice Real patient inexpensive Physical signs to be assessed are not easily simulated Simulated patients readily available Standardization essential Continuous examinations Formal examination in arranged setting Simulated patient expensive Aspect of physical examination or history taking is easily simulated Peran Penting Pasien Simulasi Acting seperti pasien asli 6
Memberikan Feedback Konsisten 7
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 8
Esensi feedback.. Constructive Feedback What is already good? What should be improved? Encourage with positive things Or suggestions! Burger Theory 9
Sudut pandang.. Feedback Mahasiswa yang berperan menjadi dokter Pasien Simulasi Peer teman satu kelompok Instruktur 10
Bagaimana mahasiswa bisa mengevaluasi diri sendiri? Penggunaan Video camera 11
Konsisten? Standarisasi? (Kneebone, 2006) Lihat video 12
Sharing experiences.. Netherlands SP bank, professional Managed professional Rewarded by voucher 14 euro/ session US SP bank, recruited from media Managed professional Rewarded by Money 14 dollar/ session Malaysia 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 13
References Adamo, G. Simulated and Standardized Patients in OSCEs: Achievements and Challenges 1992-2003. medical Teacher, Vol.25, No.3, May 2003, pp.262-270. 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 14
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: widyandana@yahoo.com 15
Email: drkinik@gmail.com HP: 0816671111 16