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