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TOPIC TREE
BLOCK OF COMMUNITY MEDICINE

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COMPETENCE AREA BLOCK OF COMMUNITY MEDICINE Competence area of Competence Standard for Medical Doctor (SKD) that will be achieved on this block i.e: Area 1: Effective communication Area 3: Scientific basis of medical knowledge Area 4: Management of health problems Area 5: Management of information Area 7: Ethics, morals, medico-legal aspects and professionalism, and patient safety

TEACHING LEARNING PLAN BLOCK COMPETENCIES At the end of this block the students will be able to manage cases of healthcare system, disaster, module of health promotion, epidemiology, and environmental health, and module of non communicable disease and occupational health., i e : 1. Able to explore and exchange information verbally and non-verbally with patients of any age, family members, communities, colleagues and other professionals. 2. Will be able to collect and record accurate and important information about the patient and his/her family and also can conduct mental examination 3. Manage health problems in a person, family, or community comprehensively, holistically, sustainably, coordinatedly and collaboratively in the context of a primary health care service. 4. Use information technology and communication in making a diagnosis, giving therapy, conducting disease prevention and health promotion, and in maintaining and monitoring the patient s health status 5. Access, manage, and assess critically the validity and applicability of information in order to explain and solve problems, or to make decisions in relation to a primary health care service 6. Behave professionally in medical practice, and support health policies, demonstrate concern for moral and ethical aspects, understanding of ethical and medico-legal issues in medical practice and apply patient safety procedures. Play a role as a member of a professional health service team A. Characteristic of the students Students who enrolled Block of community medicine 4th year student at Faculty of Medicine UMY. They have learnt basic medical science and clinical medical science of at the 1st year, 2nd and 3nd. In this block, they are intended to apply their medical science to explain heathcare system, disaster, health promotion, epidemiology, environmental health, occupational health and non communicable disease. Strategy Competence Learning Outcome Lecture, Topics Area Practical, Clinical Skills, Tutorial Able to explore and Tutorial Scenario 1

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AREA 1

exchange information verbally and non-verbally with patients of any age, family members, communities, colleagues and other professionals.

Lecture

Lecture

Lecture

Clinical skills AREA 3 Scientific basis of medical knowledge Will be able to collect and record accurate and important information about the patient and his/her family and also can conduct mental examination

Methods and instructional media health promotion; Leaflet and poster Evidence based health promotion Planning,Implementation and Evaluation of Health Promotion Program; Quantitative and qualitative design Health Promotion in Hospital, in schools, in workplace and in the community Education and making of teaching media Scenario 1 Scenario 2 Principles of Epidemiology Bloem theorem and health determinant Measuring the occurrence of disease; Mobidity and Mortality Risk:Estimating the potential for prevention Epidemics and public health emergency action Classification and mitigation disaster, Hazard and principle National Health System (SKN), the standard of medical service (SPM) sub-system of health care and public health problems in Indonesia Trauma caused by disaster & treatment ;Earthquake, flood, tsunami, tornado and volcano eruption. Hospital disaster plan Enviromental health, air / water pollution and Infectious agent and Hazardous waste management Accelerated efforts to reduce maternal & child mortality: Safe motherhood, the village of standby(desa siaga), Basic & comprehensive emergency neonatal obstetrical care, (PONED/K) PHBS (healty behaviors) ; Benefits, indicators

Tutorial Lecture

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Practicum Field experiance Manage health problems in a person, family, or community comprehensively, holistically, sustainably, coordinatedly and collaboratively in the context of a primary health care service. Tutorial

homes, workplaces and community PHBS; Prevention of communicable and non communicable diseases Travel medicine and tourism Water Quality Examination Posyandu Scenario 1 Scenario 2 Scenario 3 Scenario 4 Organizations, Programs and Management Health Center (Puskesmas), Aspect Performance, and 10 major diseases in primary health care. Basic Six Health program management and maintain the quality of health program Health Financing system and Health social Insurance, study case: jamkesos, jamkesmas, jampersal Referral system of health services in Indonesia Hospital management & human resource management, hospital performance indicators Measuring the occurrence of disease; Mobidity and Mortality Risk:Estimating the potential for prevention Disaster management and Procedure post-disaster Disaster Preparedness, Logistics, and medical assistance Source of data discovery issues and establishment of priorities and evaluation of health problems Infant mortality, pediatric social and nutrition programs at primer health care and nutrition problems in Indonesia

AREA 4

Lecture

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Field experiance

AREA 5

Use information technology and communication in making a diagnosis, giving therapy, conducting disease prevention and health promotion, and in maintaining and monitoring the patient s health status Access, manage, and assess critically the validity and applicability of information in order to explain and solve problems, or to make decisions in relation to a primary health care

Tutorial

Lecture

Practicum IT statistic

Social psychiatry and mental health problems Family planning, maternal and child health; Reproductive rights and reproductive protection in primer health care and PUKESMAS: Obstetrics social Methods and intervention epidemiology for chronic disease control Study case community health problem: Tuberculosis: A Global burden, measurement, national TB control program in Indonesia and MDR-TB problem Disease vector control and fogging Environmental health, air/water pollution, infectious agent and hazardous waste management Evidence based health promotion Planning,Implementation and Evaluation of Health Promotion Program; Quantitative and qualitative design Analysis of PHC/Primer health care (PUSKESMAS)programs and problems of health problems Scenario 3 Scenario 4 Epidemic and emergency measure health of society Method and Media Promotion Health. Communicable disease epidemiology, surveilans and control Screening in primary health care Risk factor, screening and survailans chronic disease in public health Excel application for determination of maximum and minimum pattern of infectious disease events: The case of

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service

AREA 7

Behave professionally in medical practice, and support health policies, demonstrate concern for moral and ethical aspects, understanding of ethical and medico-legal issues in medical practice and apply patient safety procedures. Play a role as a member of a professional health service team

Lecture

dengue fever and the presentation of infectious disease surveillance data Early detection of outbreaks with GIS and application epiinfo Occupational safety, prevention injury and health act Ethics moslem doctor Civil moslem doctor

LIST OF COMMUNITY MEDICINE COMPETANCY BASED STANDARD COMPETENCY MEDICAL DOCTOR (SKD) AND LEVEL COMPETANCY Masalah komunitas KB (kontrasepsi dan koordinasi) KIA (AKP, AKI) Gizi (gizi buruk, sosek) Penyakit diare, inf lainnya, flu burung, HIV Aids, new emerging disease Pelayanan kesehatan Revitalisasi posyandu Polindes Revitalisasi puskesmas Pembiayaan pelayanan kesehatan seperti bantuan langsung JPKM dll Sistem koordinasi puskesmas Kesehatan lingkungan Level ND ND ND ND Masalah-masalah organisasi pelayanan kesehatan Gaji rendah Disiplin rendah Medical supplies kurang Dana terbatas Level ND ND ND ND

ND ND ND ND ND ND ND

Kualitas SDM terbatas Data terbatas (kurang lengkap) Informasi ilmiah terbatas Pengobatan tidak rasional Regulasi Pelayanan Kesehatan

ND ND ND ND ND ND ND ND 4 4 4 4 4 4 4

Tidak melaporkan penyakit KLB Tidak berizin Gaji rendah PUBLIC HEALTH

Prevention Recognition of hazardous behaviour and life style Performing directed medical examination Assessment of absent due to illness Performance of environmental research Performance of several interventions in the domain of primary, secondary and tertiary Prevention , periodical medical examination, social medical support and

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Management, prevention of accident and set up a programme/ plan for individuals, their environment or an institution. Explanation ND Skills competency level 4 : Not yet determined in SKD book : Practice experience in the clinic

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