BLOK I.

Research and Basic

Medical Practice
REGULER : 14 November 2022
INTERNASIONAL: 21 November 2022
 BLOCK TEAM RESEARCH AND BASIC
MEDICAL PRACTICE
Curricular Redesign – Block Facilitators
1. dr. Widya Wasityastuti, M.Sc., M.Med.Ed., Ph.D.

2. dr. Rachmadya Nur Hidayah, M.Sc., Ph.D.

Phase Coordinator Team

1. dr. Rachmadya Nur Hidayah, M.Sc., Ph.D.

2. dr. Indra Tri Mahayana, Ph.D., Sp.M.

3. Dr. dr. Setyo Purwono, M.Kes., Sp.PD.

Contributors
- Dr. dr. Osman Sianipar, DMM., M.Sc., Sp.PK-K. - Prof. Dr. Dra. Erna Kristin, M.Si., Apt. - dr. Jarir At Thobari, D.Pharm., Ph.D. - Prof. Tri Wibawa,
Sp.MK. - Prof. dr. Adi Utarini, M.Sc., MPH., Ph.D. - Dr. dr. Hanevi Djasri, MARS., FISQua. - dr. Fatwa Sari Tetra Dewi, MPH., Ph.D. - dr. E. Elsa
Herdiana Murhandarwati, M.Kes., Ph.D. - Luthfi Azizatunnisa', S.Ked., MPH. - dr. Amirah Ellyza Wahdi, MSPH - dr. Idha Arfianti Wira Agni, M.Sc.,
Sp.F. - Dr. dr. Eti Nurwening Sholikhah, M.Med.Ed, M.Kes. - dr. Guardian Yoki Sanjaya, MHlthInfo. - dr. Wika Hartanti, MIH.
Block Manager Team
1. dr. Gunadi, Ph.D., Sp.BA.
2. Anis Fuad, S.Ked, DEA.
3. dr. Ratih Yuniartha, Ph.D.
4. dr. Tri Ratnaningsih, M.Kes., Sp.PK(K).
Secretariat
1. dr. Danu Aditya

2. Nur Aziza Kirana Tidar, S.Gz

3. Ary Purwanti, S. Kep., Ns

 Topic Tree

Continuation topics will be delivered in Evidence-Based edicine – Critical Appraisal and Thesis (EBM-CAS) longitudinal block.
Learning Activities

• Expert Lectures
• Integrated lectures
• Panel discussion
• Small group discussion/Tutorial
• Practical Session
• Basic Clinical Competences (BCC) / Skills lab
 Blok Description

This block consists of 5 learning modules, those are:

1. Introduction of Health and Medical Science Research

2. Application of Research Method

3. Clinical Epidemiology & Evidence Based Medicine

4. Quality of Care

5. Patient Safety and Standard of Care

Block Research and Basic Medical Practice run for five weeks along with longitudinal blocks side-by-side.

Block Longitudinal

Meanwhile longitudinal blocks which run alongside this block are:

1. Basic Clinical Skills Block (6 topics)

2. Bioethics and Medicolegal Block (3 topics)
3. Evidence Basic Medicine, Critical Appraisal & Thesis Block (12 topics)
4. Health Promotion and Disease Prevention Block (2 topics)
5. Leadership Block (1 topic)
Kegiatan Pembelajaran Blok

Kuliah (Pakar) / Kuliah Tamu (Kelas Kuliah Integrasi (2-4 departeman) / Panel /
Praktikum / Keterampilan klinik / Tutorial-
Besar) Diskusi kelompok kecil
1 sesi – 50 menit 1 sesi – 100 menit
Bentuk
Pembelajaran

Penugasan / Belajar mandiri terstruktur

Kegiatan Lapangan
(CPK tersendiri*)
1 sesi – 50 menit 1 sesi – 150 menit

*Perhitungan durasi total adalah termasuk kegiatan penyerta yang bersifat asinkron melalui media-media belajar
mandiri yang telah disiapkan oleh pakar/tim pengampu kegiatan dan/atau tim manajer blok.
 Ruang Belajar

• Live-Synchronous • Virtual Synchronous • Self-directed • Collaborative

Learning (ruang belajar
antara dosen dan
mahasiswa dilakukan
dalam waktu yang
bersamaan dan ruang
yang sama)
Learning (ruang belajar asynchronous learning Asyncronous Learning
andata dosen dan (belajar secara mandiri (Belajar secara mandiri
mahasiswa dilakukan di kapan saja, dimana saja kapan saja dan dimana
waktu yang bersamaan, sesuai masing-masing saja bersama
namun dalam ruang mahasiswa) narasumber/fasilitator)
yang berbeda)

Tatap Muka Kolaboratif

Tatap Muka Mandiri
Virtual Terpadu

Kegiatan Pembelajaran Sinkron Kegiatan Pembelajaran Asinkron

*Beban terukur
What is Integrated Lecture?
Integrated lecture involves the teaching of various subjects in a
co-ordinate fashion so that the boundaries of the subjects are
abolished.

This methods helps students to put together the learned facts so

as to get the whole picture and adopt a holistic approach while
treating a patient or planning a health care strategy.
Block Total Learning Activites and Hours

Total Activities Total Allocated Time (hours)

1 2 3 4 5 1 2 3 4 5

Expert Lecture 10 8 8 3 2 10 8 8 3 2

Integrated Lecture - - - - 1 - - - - 2

Flipped Class - 1 - - 3 - 1 - - 3

Panel Discussion - - - - 1 - - - - 2

Practical Session - 1 - - - - 2 - - -

Small Group Discussion - - 1 1 1 - - 4 4 4

Field Visit - - - 1 1 - - - 3 3
- - - - - - - - - -
Independent Learning/
Self-Study

10 10 9 5 9 10 11 12 10 16
Total
43 59
 Longitudinal Block Total Learning Activities and Hours

Total Allocated Time (hours)

Total Activities
5 1
1 2 3 4 2 3 4 5

Expert Lecture 1 2 1 2
1 2
Integrated Lecture 2 4

Practical Session 1 3 3 2 2 2 6 6 4 4

BCCT/ Skills Lab 1 1 1 1 1 2 2 2 2 2

1 2
Case Study

4 4 4 6 5 7 8 8 10 10
Total
23 43
Assessment Systems

This block assessed in both formative and summative formats. Formative

assessment included quiz, assignment, and others. Summative assessment
included final block exam, objective structured clinical examination and other. Each
learning objective is contributed to assessment as the component in formative and
summative assessments.
Further explanation can be seen on assessment regulation from assessment team

Examination Percentage (%)

Cumulative 1 15.83

Cumulative 2 50.83

Semester 33.33

100
Module 1: Introduction of Health and
Medical Science Research
 Learning Objectives
By the end of this learning unit, students should be able to:
1. Understand the importance of research in health and medical science
2. Understand the step of research methodology: from research question
until data analysis
3. Practice how to design medical research
4. Explain the underlying paradigm of qualitative research design and the
use of qualitative research design
5. Describe the importance and design research in public health
 Modular Learning Objectives to Modular Topics/Activities Map

Learning Objectives
Learning Topics
1 2 3 4 5
Overview of Block Research & BMP X
General Introduction of Research Design X X X

Research Question, Conceptual Framework, and Hypothesis X X

Type and Design of Basic Medical Research X X

Research Design: Observational Studies (Descriptive and

X X
Cross-Sectional)
Research Design: Observational Studies (Case-Control and X X
Cohort)
Research Design: Experimental (RCT) X X
Research Design: Experimental (Quasi) X X
Qualitative Research Methods X
Research in Public Health X
Longitudinal

Practical Work – Research Methodology 1: Research

X X
Question, Conceptual Framework, and Hypothesis

Integrated Briefing Block I.9 (all topics)

Immunization
 Modular Blueprint
Module Learning Methods Assessments
Learning
Learning Responsible Staff(s) Duration
Objectiv Method(s) In-block Final
Activities (hours)
es
1 Overview of Team Managers Block Expert Lecture 1 - -
Block BMP &
Research
1, 2, 3 General Expert Lecture 1 Cumulative Semester
Introduction of Clinical Epidemiology Examination Examination
Research Design and Biostatistics Unit /
Dept. of Clinical
Pathology and
Laboratory Medicine

2, 3 Research Clinical Epidemiology Expert Lecture 1 Cumulative Semester

Question, and Biostatistics Unit / Examination Examination
Conceptual Dept. of
Framework and Pharmacology and
Hypothesis Therapy
2, 3 Type and Design Expert Lecture 1 Cumulative Semester
of Basic Medical Examination Examination
Research Dept. of Histology and
Biology Cell

2, 3 Research Expert Lecture 1 Cumulative Semester

Design: Clinical Epidemiology Examination Examination
Observational and Biostatistics Unit /
Studies Dept. of Clinical
(Descriptive and Pathology and
Cross Sectional) Laboratory Medicine
 Next Modular Blueprint….
Module Learning Methods Assessments
Learning Responsible
Learning Duration
Objective Staff(s) Method(s) In-block Final
Activities (hours)
s
2, 3 Research Clinical Expert 1 Cumulative Semester Examination
Design: Epidemiology and Lecture Examination
Observational Biostatistics Unit /
Studies (Case Dept. of
Control and Pharmacology and
Cohort) Therapy
2, 3 Research Clinical Expert 1 Cumulative Semester Examination
Design: Epidemiology and Lecture Examination
Experimental Biostatistics Unit /
(RCT) Dept. of
Pharmacology and
Therapy
2, 3 Research Clinical Expert 1 Cumulative Semester Examination
Design: Epidemiology and Lecture Examination
Experimental Biostatistics Unit /
(Quasi) Dept. of
Pharmacology and
Therapy
4 Qualitative Dept. of Health Expert 1 Cumulative Semester Examination
Research Policy and Lecture Examination
Methods Management
5 Research in Dept. of Expert 1 Cumulative Semester Examination
Public Health Biostatistics, Lecture Examination
Epidemiology and
Population Health
Total Allocated Time (hours) 10
Total Learning Activities 10
LECTURES MODULE 1
NO Topic Responsible Staff(s) Method(s) Lecturer Hour

1 Overview Blok I.9 Block Coordinator Lecture dr. Gunadi, PhD.,Sp.BA 1

Clinical Epidemiology and

General Introduction Biostatisctics Unit / Dept. Expert Dr. dr. Osman Sianipar, DMM.,
2 1
of Research Design of Clinical Pathology and Lecture MSc., Sp. PK(K)
Laboratory Medicine

Research Question, Clinical Epidemiology and

Conceptual Biostatistics Unit / Dept. of Expert dr. Jarir At Thobari,
3 1
Framework and Pharmacology and Lecture PhD.,D.Pharm
Hypothesis Therapy
Type and design of Reguler: Dewi Kartikawati
Dept. of Histology and Expert
4 basic medical Paramita, S.Si., M.Si., Ph.D 1
Biology Cell Lecture
research Inter: dr. Rina Susilowati, Ph.D
Research Design: Clinical Epidemiology and Expert
Dr. dr. Osman Sianipar, DMM.,
Observational Biostatistics Unit / Dept. of Lecture
5 MSc., Sp. PK(K) 1
Studies (Descriptive Clinical Pathology and
and Cross Sectional)Laboratory Medicine
Research Design: Clinical Epidemiology and Expert
Observational Biostatistics Unit / Dept. of Lecture Prof. Dr. Dra. Erna Kristin, Apt.,
6 1
Studies (Case Pharmacology and M.Si.
Control and Cohort) Therapy
Next….
NO Topic Responsible Staff(s) Method(s) Lecturer Hour
Research Design: Clinical Epidemiology and Expert
Experimental (RCT) Biostatistics Unit / Dept. of Lecture dr. Jarir At Thobari, Ph.D.,
7 1
Pharmacology and D.Pharm
Therapy
Research Design: Clinical Epidemiology and Expert
Experimental Biostatistics Unit / Dept. of Lecture dr. Jarir At Thobari, Ph.D.,
8 1
(Quasi) Pharmacology and D.Pharm
Therapy
Qualitative ResearchDept. of Health Policy and Expert
Prof. dr. Adi Utarini, MPH, MSc,
9 Methods Management Lecture 1
PhD
Research in Public Dept. of Health Policy and Expert
dr. Likke Prawidya Putri, MPH,
10 Health Management Lecture
1
PhD

Developing 1. TMB Leadership Expert

a. Dr. dr. Andreasta Meliala,
emotional intelligent 2. Dept. of Medical Lecture
DPH., M.Kes., MAS.
11 Education and Bioethics 1
b. dr Lutfan Lazuardi, M.Kes,
3. Dept. of Health Policy &
Ph.D
Management
 PRACTICAL SESSION

NO Topic Responsible Staff(S) Hour

Practical Work - Research

Methodology 1 : Research
1 TMB Longitudinal EBM-CAS 2
Question, Conceptual
Framework, and Hypothesis

BCC
NO Topic Responsible Staff(S) Hour

1 Immunization TMB Longitudinal - BCC 2

Module 2: Application
of Research Method
 Learning Objectives
By the end of this learning module, students should be able to:

1. Know how to choose and apply analysis for different types of data and hypothesis
2. Describe research on diagnosis and prognosis (including how to design, conduct data analysis
and interpret the finding)

3. Demonstrate how to develop quantitative and qualitative instruments

4. Describe various sampling strategies and data collection methods in qualitative research

5. Understand the strategies to improve the trustworthiness of qualitative data

6. Describe the analysis of qualitative data

7. Build the skill on how to conduct a hypothesis test for continuous variables and how to interpret
the result

8. Give an outline on how to calculate sample size

9. Develop skills on how to write the outline for a study proposal, started from how to formulate a
research question until planning for data analysis

10. Practice how to interpret the research finding

11. Practice how to conduct data analysis

Modular Learning Objectives to Modular
Topics/Activities Map
Learning Objectives
Learning Activities
1 2 3 4 5 6 7 8 9 10 11
Data Analysis Strategy X X X
Correlation and Regression Analysis
X X X
Research on Diagnostic Test X
Research on Prognosis X
Development of Instrument X
Qualitative Data Collection X X
Qualitative Data Analysis X X
Sample Size X
Hypothesis Test for Continuous Scale X X X
Hypothesis Test for Nominal and Ordinal
X X
Scale
Longitudinal
Practical Work – Biostatistics: Hypothetical
X X
Test for Continues Variable
Practical Work – Biostatistics: Hypothetical
Test for Categorical Variable X X

Practical Work – Research Methodology 2:

X
Research Design, Population & Sample Size
Dressing, Bandaging, and Splinting
Modular Blueprint
Module Learning Methods Assessments
Learning Learning
Responsible Staff(s) Duration
Objectives Activities Method(s) In-block Final
(hours)
1, 10, 11 Data Analysis Clinical Epidemiology Expert Lecture 1 Cumulative Semester
Strategy and Biostatistics Unit Examination Examination

1, 10, 11 Correlation and Clinical Epidemiology Expert Lecture 1 Cumulative Semester

Regression and Biostatistics Unit Examination Examination
Analysis
2 Research on Clinical Epidemiology Expert Lecture 1 Cumulative Semester
Diagnostic Test and Biostatistics Unit / Examination Examination
Dept. of Clinical
Pathology and
Laboratory Medicine
2 Research on Clinical Epidemiology Expert Lecture 1 Cumulative Semester
Prognosis and Biostatistics Unit Examination Examination

3 Development Dept. of Health Expert Lecture 1 Cumulative Semester

of Instrument Behavior, Examination Examination
Environmental and
Social Medicine
4, 5 Qualitative Dept. of Health Practical 2 Cumulative Semester
Data Collection Behavior, Session Examination Examination
Environmental and
Social Medicine
Next Modular Blueprint…
Module Learning Methods Assessments
Learning Learning
Responsible Staff(s) Duration
Objectives Activities Method(s) In-block Final
(hours)
6, 11 Qualitative Dept. of Health Policy and Flipped Class 1 Cumulative Semester
Data Analysis Management (Lecture +…) Examination Examination

8 Sample Size Clinical Epidemiology and Expert Lecture 1 Cumulative Semester

Biostatistics Unit / Dept. of Examination Examination
Pharmacology and
Therapy
7, 9, 11 Hypothesis Clinical Epidemiology and Expert Lecture 1 Cumulative Semester
Test for Biostatistics Unit Examination Examination
Continuous
Scale
9, 11 Hypothesis Clinical Epidemiology and Expert Lecture 1 Cumulative Semester
Test for Biostatistics Unit Examination Examination
Nominal and
Ordinal Scale
Total Allocated Time (hours)
11
Total Learning Activities 10
 Lectures Module 2:
NO Topic Responsible Staff(s) Method(s) Lecturer Hour
Reg :Drs. Zulaela, M.Si, Ph.D,
Data Analysis Clinical Epidemiology and Expert
1 Dipl,Med.Stat; Inter: Dr. 1
Strategy Biostatisctics Unit Lecture
Danardono,MPH

Reg :Drs. Zulaela, M.Si, Ph.D,

Correlation and Clinical Epidemiology and Expert
2 Dipl,Med.Stat; Inter: Dr. 1
regression analysis Biostatisctics Unit Lecture
Danardono,MPH

Clinical Epidemiology and

Research on Biostatisctics Unit / Dept. Expert Dr. dr. Osman Sianipar, DMM.,
3 1
Diagnostic Test of Clinical Pathology and Lecture M.Sc., Sp.PK(K).
Laboratory Medicine

Research on Clinical Epidemiology and Expert dr. Indah Kartika Murni, MKes,
4 1
Prognosis Biostatisctics Unit Lecture PhD, SpA(K)

Dept. of Health Behavior,

Development of Expert Prof. Dra. Yayi Suryo
5 Environmental and Social 1
Instrument Lecture Prabandari, MSc.,PhD
Medicine
 Next Lectures Module 2:
NO Topic Responsible Staff(s) Method(s) Lecturer Hour

Flipped
Qualitative Data Dept. of Health Policy and Prof. dr. Adi Utarini, MPH, MSc,
6 Class 1
Analysis Management PhD
(Lecture+...)

Clinical Epidemiology and

Biostatisctics Unit / Dept. Expert dr. Jarir At Thobari, D.Pharm,
7 Sample Size 1
of Pharmacology and Lecture PhD.
Therapy

Reg :Drs. Zulaela, M.Si, Ph.D,

Hypothesis test for Clinical Epidemiology and Expert
8 Dipl,Med.Stat; Inter: Dr. 1
continous scale Biostatistics Unit Lecture
Danardono,MPH
Hypothesis test for Reg :Drs. Zulaela, M.Si, Ph.D,
Clinical Epidemiology and Expert
9 nominal dan ordinal Dipl,Med.Stat; Inter: Dr. 1
Biostatistics Unit Lecture
scale Danardono,MPH
PRACTICAL SESSION
NO Topic Responsible Staff(S) Hour
Qualitative Data Collectionoo Dept. of Health Behavior,
1 Environmental and Social Medicine 2
Practical Work - Biostatistics: Hypothetical test for TMB Longitudinal EBM-CAS
2 2
continues variable)
Practical Work - Biostatistics: Hypothetical test for TMB Longitudinal EBM-CAS
3 2
categorical variable)
Practical Work - Research Methodology 2: TMB Longitudinal EBM-CAS
4 Research Design, Population & Sample Size 2

BCC
NO Topic Responsible Staff(S) Hour
Dressing (Wound Healing and Bed TMB Longitudinal BCC – Dept. of Surgery
1 Preparation) and Bandaging 2
Module 3: Clinical Epidemiology and
Evidence-Based Medicine
Learning Objectives
By the end of this learning module, students should be able to:
1. Understand the principles of epidemiology
2. Identify factors which may affect and modify clinical course and prognosis of
disease
3. Understand the concepts and theories of evidence-based medicine
4. Explain the research method used in causation
5. Understand present and strength of causal relationship
6. Explain bias and confounding in research and how to control in research
7. Explain the reliability and clinical disagreement (kappa test, reliability test)
8. Explain the difference method to research on drug efficacy and safety and
how interpretate the result
9. Develop the skill on how to conduct correlation and regression analyses and
how to interpretate the result
10. Search the article, conduct critical appraisal and answer the clinical questions

11. Practice skills on how to write the outline for study proposal, starting from how

to formulate a research question until planning for data analysis

 Modular Learning Objectives to Modular
Topics/Activities Map
Learning Objectives
Learning Activities
1 2 3 4 5 6 7 8 9 10 11
Tutorial-1 X X X X X X X X
Reliability and Clinical Disagreement X
Risk Assessment and Measurement
X X
Causation
Bias and Confounding Control X
Basic Epidemiology X
Evidence Based Medicine: Diagnosis X
Evidence Based Medicine: Therapy X
Evidence Based Medicine: Prognosis and
X
Harm
Research on Drugs Efficacy and Safety X
Longitudinal
Practical Work – Biostatistics: Correlation
X
and Regression
Practical Work – Evidence-Based Medicine:
X
Advance Searching and Critical Appraisal
Practical Work – Research Methodology 3:
Variable and Measurement X

Pap's smear and visual inspection using

acetic acid
Modular Blueprint
Assessments
Module Learning Method
Learning Responsible
Learning
Activities Staff(s) Duration
Objectives Method(s) In-block Final
(hours)
1, 2, 3, 4, 5, 6, Tutorial-1 Small Group 4
7, 10 Discussion
7 Reliability and Clinical Expert 1 Cumulative Semester
Clinical Epidemiology Lecture Examination Examination
Disagreement Biostatistics Unit /
Dept. of
Pharmacology and
Therapy
4, 5 Risk Clinical Expert 1 Cumulative Semester
Assessment Epidemiology Lecture Examination Examination
and Biostatistics Unit /
Measurement Dept. of Clinical
Causation Pathology and
Laboratory
Medicine
6 Bias and Clinical Expert 1 Cumulative Semester
Confounding Epidemiology Lecture Examination Examination
Control Biostatistics Unit /
Dept. of Obstetrics
and Gynaecology
Next Modular Blueprint…
Module Learning Method Assessments
Learning
Learning Responsible Staff(s) Duration
Activities Method(s) In-block Final
Objectives (hours)
1 Basic Dept. of Biostatistics, Expert 1 Cumulative Semester
Epidemiology Epidemiology, and Lecture Examination Examination
Population Health
3 Evidence Based Clinical Epidemiology Expert 1 Cumulative Semester
Medicine: Biostatistics Unit / Dept. of Lecture Examination Examination
Diagnosis Obstetrics and
Gynaecology
3 Evidence Based Clinical Epidemiology Expert 1 Cumulative Semester
Medicine: Biostatistics Unit / Dept. of Lecture Examination Examination
Therapy Pharmacology and
Therapy
3 Evidence Based Clinical Epidemiology Expert 1 Cumulative Semester
Medicine: Biostatistics Unit / Dept. of Lecture Examination Examination
Prognosis and Obstetrics and
Harm Gynaecology
8 Research on Clinical Epidemiology Expert 1 Cumulative Semester
Drugs Efficacy Biostatistics Unit / Dept. of Lecture Examination Examination
and Safety Pharmacology and
Therapy
12
Total Allocated Time (hours)
9
Total Learning Activities
Scenario 1

Making a correct diagnosis

Mr. Hendra, a 22-year-old male, presented to the emergency department with a

chief complaint of abdominal pain. He also suffered from anorexia, nausea, and
fever. He described the pain as sharp, constant, and aggravated by movement.
He had no bowel or urinary symptoms and no previous abdominal problems. The
pain started in the mid-abdominal region 6 hours ago and is now in the right lower
quadrant of the abdomen. The pain was steady and aggravated by coughing.
Physical examination revealed fever (38°C) and pain on palpation at the right
lower quadrant. A laboratory finding showed 15,000/microlitre with neutrophils of
85%. Were these findings sufficient to make an accurate diagnosis?
Lectures Module 3:
NO Topic Responsible Staff(s) Method(s) Lecturer Hour
Reliability and Clinical Clinical Epidemiology Expert Lecture Dr. dr. Osman Sianpiar, DMM, M.Sc.,
1 Disagreement Biostatistics Unit / Dept. of Sp.PK(K) 1
Pharmacology and Therapy
Risk Assesment and Clinical Epidemiology Expert Lecture Dr. dr. Osman Sianpiar, DMM, M.Sc.,
Measurement Causation Biostatistics Unit / Dept. of Sp.PK(K)
2 Clinical Pathology and
1
Laboratory Medicine
Bias and confounding control Clinical Epidemiology Expert Lecture Prof. dr. M. Hakimi, Sp.OG(K).
3 Biostatistics Unit / Dept. of 1
Obstetric and Gynecology
Basic epidemiology Dept. of Biostatistics, Expert Lecture Bayu Satria Wiratama, MPH, Ph.D
4 Epidemiology and 1
Population Health
Evidence Based Medicine: Clinical Epidemiology Expert Lecture Dr. dr. Osman Sianpiar, DMM, M.Sc.,
Diagnosis Biostatistics Unit / Dept. of Sp.PK(K)
5 Obstetric and Gynecology 1

Evidence Based Medicine: Clinical Epidemiology Expert Lecture dr. Jarir At Thobari, D.Pharm., Ph.D.
6 Therapy Biostatistics Unit / Dept. of 1
Pharmacology and Therapy
Evidence Based Medicine: Clinical Epidemiology Expert Lecture Prof. dr. M. Hakimi, Sp.OG(K).
Prognosis and Harm Biostatistics Unit / Dept. of
7 Obstetric and Gynecology 1

Research on Drugs Efficacy Clinical Epidemiology Expert Lecture Prof. Dr. Sri Suryawati, Apt
and Safety Biostatistics Unit / Dept. of
8 Pharmacology and Therapy 1
PRACTICAL SESSION
NO Topic Responsible Staff(S) Hour

Practical Work - Biostatistics : Correlation TMB Longitudinal EBM-CAS

1 and Regression 2

Practical Work - Evidence Based Medicine: TMB Longitudinal EBM-CAS

2 Advance Searching and Critical Appraisal 2

Practical Work - Research Methodology 3: TMB Longitudinal EBM-CAS

3 Variable and Measurement 2

BCC
NO Topic Responsible Staff(S) Hour
Pap's smear and visual inspection TMB Longitudinal BCC – Dept. of
1 using acetic acid (VIA) examination Obstetrics and Gynaecology 2
Module 4: Quality of Care
 Learning Objectives
By the end of this learning module, students should be able to:
1. Understand the concept quality of care
2. Explain the concept and implementation on continuity of care
3. Understand the concept of standard of care
4. Understand various method for improving quality of clinical care
5. Understand the health care system component, the care processes,
and the supporting system (such as medical report, information
system, medical supplies, drug and related activities)
6. Capable to conduct literature search and critical appraisal on therapy
7. Develop skill on how to write the outline for study proposal, from how
to formulate a research question until data analysis
 Modular Learning Objectives
to Modular Topics/Activities Map
Learning Objectives
Title
1 2 3 4 5 6 7

Quality of Care X X
Standard of Care X X
Improving Quality of Clinical Care X X
Tutorial-2 X X X X X X

Field Visit to Hospital X X X X

Longitudinal
Practical Work – Evidence Based Medicine: Critical
Appraisal on Therapy (Practical Session) X

Practical Work - Research Methodology 4: Data X

Management and Analysis
Ethics in emergency and disaster
Critical thinking on KODEKI and medical professionalism
practice in Indonesian context
Medical Disciplinary/Professionalism Misconduct and Its
Institutional Approach (MKDKI)
Integrated Skills Session & Patient Medical Record
 Modular Blueprint
Module Learning Method Assessments (Tentative)
Learning Learning Responsible
Objectiv Activities Staff(s) Duration
Method(s) In-block Final
(hour)
es
1, 2 Quality of Care Expert Lecture 1 Cumulative Semester
Dept. of Health
(Case Study) Examination Examination
Policy
Management
2, 3 Standard of Dept. of Health Expert Lecture 1 Cumulative Semester
Care Policy Examination Examination
Management
3, 4 Improving Dept. of Health Expert Lecture 1 Cumulative Semester
Quality of Policy (Case Study) Examination Examination
Clinical Care Management
1, 2, 3, 4, Tutorial-2 Small Group 4 - -
5,6 Discussion
1, 2,3 4 Field Visit to Dept. of Health Field Visit 3 a. Individual Semester
Hospital Policy Assignment Examination
Management b. Cumulative
Examination

Total Allocated Time (hours) 10

Total Learning Activities 5

 Scenario 2
Referring a patient to hospital

Mr. Mukidi, a 67-year-old male, a member of the national health insurance program (JKN),
has been feeling unwell for the last five days and has shortness of breath and more
wheezing. He could not walk farther than five meters from his chair to the toilet. He has a
worsening productive cough and has been producing yellow/green sputum. He called his
family doctor in the morning, told the nurse in charge of his symptoms, and scheduled an
appointment with his family doctor later that afternoon. His wife accompanied him and said
he had become breathless, even to speak or eat. The patient felt quite confused and
disorientated. During history taking, the doctor found that Mr. Mukidi has been a heavy
smoker since he was 15. After having a few physical examinations, the doctor advised Mr.
Mukidi to be referred to a hospital. While a referral letter was prepared, Mr. Mukidi asked
the doctor why he should be referred to the hospital.
 Lectures Module 4:

NO Topic Responsible Staff(s) Method(s) Lecturer Hour

Expert
Dept. of Health Policy Lecture Prof. dr. Adi Utarini, MPH, MSc,
1 Quality of care 1
and Management (Case PhD
Study)
Dept. of Health Policy Expert
2 Standard of care Dr. dr. Hanevi Djasri, MARS 1
and Management Lecture
Improving quality of Dept. of Health Policy Expert Prof. dr. Adi Utarini, MPH, MSc,
3 1
clinical care and Management Lecture PhD / Dr. dr. Hanevi Djasri, MARS
Dept. of Health Policy Dept. of Health Policy and
4 Field Visit to Hospital Field Visit 3
and Management Management
TMB Longitudinal 1. dr. Hendro Wartatmo, Sp.B-
Ethics in emergency and Expert
5 Bioethics and KBD. 1
disaster Lecture
Medicolegal 2. dr. Nur Azid Mahardinata
Critical thinking on TMB Longitudinal Case 1. dr. Wika Hartanti, MIH
KODEKI and medical Bioethics and Study 2. dr. Beta Ahlam Gizela,
6 2
professionalism practice Medicolegal Sp.FM(K)., DFM.
in Indonesian context
Medical 1. TMB Longitudinal – Expert 1. Prof. Dr. dr. Herkutanto,
Disciplinary/Professionali Bioethics and Lecture Sp.F(K)., S.H., LLM., FACLM.
7 sm Misconduct and Its Medicolegal 2. dr. Beta Ahlam Gizela, 1
Institutional Approach 2. Dept. of Forensic Sp.FM(K)., DFM.
(MKDKI) and Medicolegal
PRACTICAL SESSION
NO Topic Responsible Staff(S) Hour

Practical Work – Evidence Based Medicine: Team Longitudinal EBM-CAS

1 Critical Appraisal on Diagnosis 2

Practical Work - Research Methodology 4: TMB Longitudinal EBM-CAS

2 Data Management and Analysis 2

BCC
NO Topic Responsible Staff(S) Hour
Integrated Skills Session & Patient TMB Longitudinal BCC
1 Medical Record 6
Module 5: Patient Safety and
Standard of Care
Learning Objectives
• By the end of this learning unit, students are able to:
1. Explain the principles of patient safety
2. Explain the preparation process of clinical practice guideline (CPG) and
clinical pathway (CP)
3. Implement clinical audit
4. Describe the principles of therapy
5. Identify problems in diagnosis and therapy (diagnostic test, rational use
of drugs, surgery)
6. Develop skill on how to write the outline for study proposal, from how to
formulate a research question until data analysis
7. Identify potential quantitative and qualitative sources of data available
about drug use in community health
8. Practice the principles of evidence-based medicine
 Modular Learning Objectives to Modular Topics/Activities Map
Learning Objectives
Title
1 2 3 4 5 6 7 8
Tutorial-3 X X X X X X X
Field Visit to Community Health
X
Center (PUSKESMAS)
Principles of Patient Safety X
Rational Use of Drugs X
Diagnosis, Therapeutic, and Safety
X
Practices
Clinical Practice Guidelines (CPG),
X X
Clinical Pathway, and Clinical Audit
Briefing on Pharmacology X
Principles of Pharmacotherapy X
Wrap Up
Longitudinal
Practical Work – Evidence Based
Medicine: Critical Appraisal on X
Diagnosis
Practical Work - Research
Methodology 5: Writing and X
Presenting (Practical Session)
Developing Personal Formulary
Basic evidence and best practices to
enhance the quality of care, as well
as patient and program safety in
preventive and promotion medicine

Exposure and prevention in

healthcare setting
 Modular Blueprint
Module Learning Method Assessments
Responsible
Learning Learning Activities Duration
Staff(s) Method(s) In-block Final
Objectives (hour)
1, 2, 3, 4,5, Tutorial-3 Small Group 4 - -
7, 8 Discussion
7 Field Visit to Dept. of Field Visit 3 a. Individual Semester
Community Health Pharmacology Assignment Examination
Center and Therapy b. Cumulative
(PUSKESMAS) Examination
1 Principles of PatientDept. of Flipped Classroom 1 Cumulative Semester
Safety Pharmacology (Video+Lecture) Examination Examination
and Therapy
5 Rational Use of Drugs Dept. of Flipped Classroom 1 Cumulative Semester
Pharmacology (Video+Lecture) Examination Examination
and Therapy
1 Diagnosis, a. Dept. of Integrated Lecture 2 Cumulative Semester
Therapeutic, and Pharmacolo Examination Examination
Safety Practices gy and
Therapy
b. Dept. of
Clinical
Pathology
and
Laboratory
Medicine
c. Dept. of
Surgery
2, 3 Clinical Practice Dept. of Health Expert Lecture 1 Cumulative Semester
Guidelines (CPG), Policy (Case Study) Examination Examination
Clinical Pathway, and Management
Clinical Audit
 Next Modular Blueprint…
Module
Learning Method Assessments
Learning Learning Activities Responsible
Objectives Staff(s) Duration
Method(s) In-block Final
(hour)
4 Briefing on Dept. of Expert Lecture 1 Cumulative Semester
Pharmacology Pharmacology and Examination Examination
Therapy
4 Principles of Dept. of Flipped 1 Cumulative Semester
Pharmacotherapy Pharmacology and Classroom Examination Examination
Therapy (Video+Lecture)
- Wrap Up TMB Research & Panel Discussion 2 - -
Basic Medical
Practice
Total Allocated Time (hours) 16

Total Learning Activities 9

Skenario 3
Antibiotic prescription

Rahayu, a 5-year-old girl, was brought to a primary care doctor in the primary health center
(Puskesmas), located around 5 km from his house. Her chief complaints were fever in the last
three days, malaise, and nasal stuffiness. She also suffered from a cough and runny nose. Her
mom said that Rahayu’s older brother had experienced the same sign and symptoms a week
ago, but all symptoms had subsided. During the physical examination, the doctor found
Rahayu coughed and had a runny nose. Physical examinations showed fever (38.5 C), cervical
lymphadenopathy, and nasopharyngeal congestion. Rahayu’s mom requested the doctor to
prescribe antibiotics because the doctor also prescribed antibiotics on the last two visits.
Doctor prescribed antibiotics and cough mixture to Rahayu and several medicines in a powder
preparation. Was it appropriate to prescribe antibiotics in this case?
Lectures Module 5
NO Topic Responsible Staff(s) Method(s) Lecturer Hour
Field Visit to Community Dept. of Pharmacology and Field Visit 1. TMB Research and Basic
Health Center Therapy Medical Practice
1 (PUSKESMAS) 2. Dept. of Pharmacology and
3
Therapy
Principles of Patient Dept. of Pharmacology and Flipped dr. Jarir At Thobari, D.Pharm., Ph.D.
2 Safety Therapy Classroom 1
(Video+Lecture)
Rational Use of Drugs Dept. of Pharmacology and Flipped dr. Jarir At Thobari, D.Pharm., Ph.D.
3 Therapy Classroom 1
(Video+Lecture)
Diagnosis, Theurapetic, Dept. of Pharmacology and Integrated Prof. Dr. Dra. Erna Kristin, M.Si,Apt
and Safety Practices Therapy Dept. of Lecture Dr. dr. Andaru Dahesihdewi,
4 Clinical Pathology and MKes., SpPK(K) 2
Laboratory Medicine dr. Handoyo Pramusinto, Sp.BS (K)
Dept. of Surgery
Clinical Practice Dept. of Health Policy and Expert Lecture Dr. dr. Hanevi Djasri, MARS/ Dr. dr.
Guidelines (CPG), Management (Case Study) Pinzon, SpS
5 Clinical Pathway, and
1
Clinical Audit
Briefing Field visit to Dept. of Pharmacology and Expert Lecture dr. Lukman Ade Chandra, M.Med.,
6 Primary Health Center Therapy M. Phil 1

Principles of Dept. of Pharmacology and Flipped Prof. Dr. Dra. Erna Kristin,
7 Pharmacotherapy Therapy Classroom M.Si.,Apt. 1
(Video+Lecture)
Next Lectures Module 5
NO Topic Responsible Staff(s) Method(s) Lecturer Hour
a. TMB
b. Representative of
Panel
8 Wrap Up Contributors TMB 2
Discussion
c. Representative of
Lecturers for this block
1. TMB Longitudinal Health
Basic evidence and Promotion and Disease
1.dr. Mohammad Robikhul
best practices to Prevention
Ikhsan, M.Kes., SpPD-KEMD.,
enhance the quality of 2. Dept. of Internal Medicine
FINASIM.
care, as well as 3. Department of Integrated
9 2. dr. Fatwa Sari Tetra Dewi, 2
patient and program Biostatistics, Epidemiology, Lecture
MPH, Ph.D
safety in preventive and Population Health
3. Dr.rer.nat. dr. BJ Istiti
and promotion 4. Dept. of Health Behaviour,
Kadarina
medicine Environment and Social
Medicine
1. TMB Longitudinal Health
1.dr. Mohammad Robikhul
Promotion and Disease
Ikhsan, M.Kes., SpPD-KEMD.,
Exposure and Prevention
Integrated FINASIM.
10 prevention in 2. Dept. of Health Behavior, 2
Lecture 2. dr. Bagas Suryo Bintoro,
healthcare setting Environment and Social
PhD
Medicine
3. Dept. of Internal Medicine
PRACTICAL SESSION
NO Topic Responsible Staff(S) Hour

Practical Work – Evidence Based Medicine: TMB Longitudinal EBM-CAS

1 Critical Appraisal on Therapy (Practical 2
Session)
Practical Work - Research Methodology 5: Team Longitudinal EBM-CAS
2 Writing and Presenting (Practical Session) 2

BCC
NO Topic Responsible Staff(S) Hour
Developing Personal Formulary TMB Longitudinal BCC
1 Dept. of Pharmacology and Therapy 2