DOCTOR AS EDUCATORS IN

the city center. It becomes an

THE MALUKU ISLANDS

influence on the lack of access

Christa Gisella Pirsouw

that can be felt by people in the

Faculty of Medicine, Pattimura

area. One of them is education

University, Ambon

access.

e-mail address:

Geographical conditions of

christagisellapirsouw@gmail.com

the area to be one factor that

gives the effect of the lack of
Background

quality education standards in the

Indonesia

is

an

Moluccas.

This

archipelagic country, or in other

problem

words

responsibility

in

Indonesian

territory

consists of thousands of islands

scattered

in

various

places.

that

becomes
not

of

only
the

a
the

central

government but all of society,

both the teachers as primary

Maluku or internationally known

educators, and families as the

as the Moluccas is one of the

primary

provinces based archipelago in

institutions, health workers and

eastern

others.

satellite

Indonesia.

Based

imagery

identification,

Maluku

on

educators,

private

LAPAN
province

consists of 1,412 islands with an

area of each island varied.

2,3

In

In
terms
health,

of
too,

the small islands there are also

the people as

areas that are remote or far from

retarded

THE GOOD TEACHER IS

A DOCTOR WHO HEALS
IGNORANCE AND AN
ARTIST WHO INSPIRES
CREATIVITY

or

limited
1

Nur. A. Dian. Pendidikan Untuk Penduduk di

Pulau Terpencil.

education as a result of the length

of the span of control that led to

2
3

Profil Kehutanan Provinsi Maluku

Lingga Gita F. Mengurangi Kemiskinan dan

Membangun Perdamaian untuk Maluku Yang
Lebih Baik.

access to health care can not be

felt by the entire community. The
role of an educator in this case
the doctor should be highlighted

Christas paper | Doctors as Educators in the Maluku Island

as a human resource that is

environment in the sense that the

expected to resolve the problem

island will soon tasked to small

of limited fulfillment of health

islands including remote areas

education.

such, has a responsibility in

addition to helping and treating

Issues

patients also become educators

Along

with

the

for children or people who are not

increasingly

familiar with education in the

development,

are

sophisticated

technology.

By

doing so, to access a case

including

education

becomes

easy. However, not everyone can

apply it. There are still many
remote areas inaccessible so that
they do not know about it. In
addition,

the

quality

is

not

adequate pendidikas namely the

lack

of

teacher

educators

assigned to the remote areas for

various reasons, school buildings,
equipment

for

teaching

and

learning.4 As health workers in

the narrow sense of a doctor who
is born of the Faculty of Medicine,
University of Pattimura Ambon,

area.
Based on the description above
and which has been described in
the background, then the problem
studied are as follows:
1. What

about

quality

standards of education in
the area Moluccas?
2. What is the role of the
doctor as an educator in the
Moluccas?
3. What

is

development

the

role

efforts

competence as a physician
educator in the Moluccas?

Maluku with its vision as a center

medical

development

education-oriented
of

the

marine

and

compliance-related

the only Faculty of Medicine in

for

of

Discussion

Labetubun Searra O. Apa Kabar Pendidikan di

Bumi Maluku? Ambon Ekspress 27 Februari 2015

Christas paper | Doctors as Educators in the Maluku Island

Education

in

the

Region

Maluku Islands

difficult to reach so as to meet the

educational

Education

these

areas is quite difficult. One of the

capital as the builder of human

provinces in Indonesia are related

qualities. Education is also a

to education issues, namely the

requirement that is equivalent to

islands

other necessities for the progress

consists of small islands which

of a nation.5 In this regard,

are difficult to reach, because

Indonesia has not fully meet the

until now it has not been evenly

quality standards of education.

education

Because there are still many

resulted in the declining quality of

remote areas in Indonesia that

education in Maluku from year to

has not been touched by the

year, ranging from primary school

needs. The state of education in

to university.4 This proves that the

Indonesia is still very sad. Various

lack of control and monitoring

problems became the basis of the

functions as well as the lack of

low

educational

Indonesia
barriers

of

in

basic

quality

is

services

education

today.
become

in

of

Maluku.

in

Maluku

Maluku.

equity

This

by

the

Geographical

Provincial Government. Thus the

one

need

of

the

for

the

efforts

of

problems in the provision of

Provincial

quality

services

overcome this. With more focus

Context

and

education

throughout

the

Indonesia.1

Related

offending

Government

the

attention

to

to

controlling

access to education in more

Indonesia which is the island

specialized

nation.

of

beyond the reach or remote

thousands of islands which are

areas. As well as equity and

expanding education for all the

Indonesia

consists

S.H. Nurdyana, Budiono, Fahmi Moh.

Education and Proverty Case Study of Maluku
Utara1 Ibid

areas

in

areas

different segments of society both

economically, gender, location of
residence, the level of intellectual
ability and physical condition.

Christas paper | Doctors as Educators in the Maluku Island

In addition, the quality of

Maluku islands. Due to lack of

teachers in Maluku also fairly

knowledge

poor.

Teacher

education. So it can be seen also

Competency Test in 2012, a

how the quality of healthcare in

score of competence of teachers

the

in Maluku finished last or the

emergence

bottom of the 33 provinces in

diseases and deaths due to a

Indonesia.

disease that is increasing.

Based

on

sounds

very

bad,

because it will have an impact on

about

Moluccas.
of

health

With

the

many

new

Similarly, public education,

learners. Therefore, it is important

lack

also to pay attention to the quality

education

of teachers as educators. Then

ketidakadanya

also

uneven

health workers, especially doctors

distribution of teachers across the

in all regions of the Moluccas,

region in Maluku. This can be

more precisely in the remote

seen in remote areas that are not

areas. In the meantime, the

teachers

provincial government is trying to

in

terms

as

of

educators.

This

problem must be resolved.

In

addition,

try
the

of knowledge

to

from

equalization

the

of

health

personnel to be assigned to
remote

education,

islands.

of

resulted

optimize

infrastructure for the needs of

absence

also

or health

areas in
As

is

the

Maluku

also

another

infrastructure or there, but not

obstacle, namely the lack of

worth it. These problems lead to

interest of health workers to serve

increasingly

of

in Maluku due to geographical

education in the Maluku islands.

conditions in the Maluku region

In fact there are still remote areas

consisting of small islands.

that

are

poor

not

quality

familiar

with

education.
Not just stop there, the

As a physician educator in
Maluku Islands Region

problem also affects the health

problems in the area of the

The term comes from the

Latin

doctor

"Docere"

Christas paper | Doctors as Educators in the Maluku Island

which
4

means

mengajar.6,7,8,9

context

education. And in this case, given

means that a doctor is also in

overall

addition

and

distinction of class society, both

responsibilities in terms of health

economically, gender, until his

care practices, it can act as a

physical condition, and without

teacher or educator. Based on

asking for any compensation. As

the results of the developed

has been clearly conveyed in

conceptual "The Bridging Project"

pronunciation

which is a combination of high

that a doctor will teach science

perguruang

in

known to the descendants of his

medical

or her teacher, her students,

organizations, that physicians as

without any cost and also the

educators is the first role that was

agreement.10

to

Australia

the

broad

duties

concept

and

to

all

people

without

Hippocratic

oath

developed and established as a

doctor's competence. Doctor as
an educator is a doctor are on
sale to the public education both
individuals,

families

communities

umum.

and
related

Education is not only general

education

but

also

health

6Krumbeck Erika. Docere Doctor as Teacher

As a physician who will be

7

Sarafino Edward P, Smith Timothy W. Health

Psychology: Biopsychosocial Interactions. 8th
edtion. USA: John Wiley & Sons Inc, 2014.

Gary Allan. The Meaning of Health: The

Experience of a Lifetime. Canada: Gary Allan
Ratson, 2003

Roycroft George. Doctors as Teachers: Board

of The Medical Education. British: BMA Marketing
& Publication, 2006

placed in charge to small islands

up in remote areas, various roles
must be done. Not only as a
servant in health practice, but
also a doctor can be an educator.
10Miler Steven H. The Hippocrates Oath and
The Ethics of Medicine. USA: Oxford University
Press, 2005.

Christas paper | Doctors as Educators in the Maluku Island

Based on medical ethics, one

programs, or it could be about a

point common obligation of a

disease. Because of these things

doctor is to consider the interests

that in the most remote areas,

of society and all aspects of

people do not know about it. So it

health care, and strive to become

can be seen high mortality rates

an educator and a servant to the

in remote areas. This is likely due

people with the best-baiknya. 11 In

to a dirty environment, children

the context of this paper, a doctor

who are not immunized, or family

educate or teach people about a

members that much because

knowledge that he knew, not only

they do not follow the family

health but also education in

planning program coupled with

general education. The first step

low economic that can occur

that can be done is to teach the

malnutrition or other disease or

little things like teaching children

until death. Those things are like

in the areas of reading, writing,

a vicious circle that will not break

science as a natural science,

if there is no response to the

social

introduction

science,

mathematics,

of

education

in

Indonesian or English. Then also

general and health education to

on

this

the community. Therefore, the

instance as proper handwashing,

role of a doctor in a remote area

brushing teeth and so forth.

is very important.

health

education

in

When all the small things that can

But besides that, it should

be applied, then the next task of

also be known that to be an

the physician is able to teach

educator in this case a doctor,

other things more complicated

many obstacles that must be

regarding public health education

faced, even more so that in

ie like environmental sanitation,

remote areas where people are

immunization

children,

not familiar with education. It is

nutritional needs, family planning

difficult for how to make them

11

of

Sudarma Momon. Sosiologi Untuk

Kesehatan. Jakarta: Salemba Medika, 2008.

interested in education and try to

apply them in their daily lives.

Christas paper | Doctors as Educators in the Maluku Island

Similarly

with

health.

education

Where

understanding
constraints

on

with a client or patient. To that

different

end, a physician shall have the

can

with

allow

respect

to

skill

that

become

in

terms

of

There was also the need

for good management approach

tradition in this case related to

from a doctor that can be done

health.

cultural

with the psychological support

background of the different local

that makes people in remote

communities. In this case, the

areas who felt supported and

communication language is one

believed in the doctor.

Or

have

ability

communicating.

various problems activities and

habits

or

also

the

of the obstacles in carrying out

As one example of the

the functions or duties as a doctor

doctor's role as an educator is a

somewhere. In general, most

physician who became a lecturer.

communities in Maluku had been

Where is the knowledge that he

using the Indonesian language

has, he teaches and educates

but not disangkalkan that there

students to also could be a

are also people who use local

professional

languages in communication. In

doctors who would also seem to

general,

be

communication

is

process of delivering thoughts or

and

educators.

competent

And

this

will

continue to recur as such.

information from one person to

another through a certain way so

Development

that

Compliance

other

people

understand

Competencies

transmitter

Educators

thoughts

or

information.12 The principle is a

very

role

in

Roles

Doctors

Regional

For

Maluku

Islands

the

As a result of conceptual

interaction between the physician

"The Bridging Project", the doctor

12

important

and

Related

exactly what is meant by a

of

efforts

Cairo University. Communication Skills: One

Chapter Communication Concept and Process

as an educator is the first role

that

was

developed

Christas paper | Doctors as Educators in the Maluku Island

and
7

established

as

doctor's

doctor in this case to obtain

competence, to the need for

registration letter physician. And

efforts to further develop this

one of the requirements to fulfill

competency. With more stressed

the terms of a certificate of

and taught since the beginning of

competence

the medical students on public

recognition of a physician's ability

health as well as train good

to carry out medical practice

communication skills. So far, in

throughout Indonesia issued by

particular the students of the

the College of Family Physicians

Faculty of Medicine, University of

and

Pattimura

(KDDKI).13

have

applied

the

is

Physician

letter

of

Indonesia

The

registration

teaching concerning public health

certificate is valid for 5 years and

education and the doctor of the

then re-registration must be done.

island in connection with the

Back again to the requirements,

condition of the area in the

the

Maluku islands. In reality there is

competency

not a result of the application of

indicating

this teaching. But still expected

maintaining their competence and

and prioritized doctors born of the

improve

Faculty of Medicine, University of

development of science in the

Pattimura

field

Ambon

can

be

physician

of

that

must

obtain

certificate

re

doctors

are

knowledge
medicine.

as
With

the
this

competent doctor, not only in the

program, it is expected Maluku

service of health practices but

Provincial Government can also

also in terms of as an educator

memperhatinya doctors in the

and so forth.

area related to the Maluku islands

Based

on

professionalism
development

of

program

the

to implement this program as a

education

development and fulfillment of

by

the

physician

competence

related

Indonesian Doctors Association

(IDI), as a doctor is required to
master the competencies like a

13

Badan P2KB Pusat IDI. Program

Pengembangan Pendidikan Keprofesian
Berkelanjutan Untuk Dokter Praktik Umum

Christas paper | Doctors as Educators in the Maluku Island

role as an educator in the Maluku

the

lack

islands.

monitoring functions as well

as

of

equity

control

and

ketidakadanya

Conclusion

educators

throughout

the

1. Education in the Moluccas as

region the Maluku islands.

a builder of quality human

2. The role of a doctor in the

capital base is still not fully

Maluku islands not only as a

meet the appropriate quality

waitress health practice, but

standards.

are

still

also as an educator. In this

are

not

case a doctor give teachings

education

or educate both individuals,

because of the geographical

families, and communities in

conditions of the region in

the

Indonesia, which consists of

knowledge that he knows,

small islands that are difficult

whether

to reach as well as the

knowledge, natural science,

distribution

is

social science, mathematics,

uneven, and the absence of

Indonesian, or English. It is

infrastructure for educational

also in accordance with the

needs. Not in spite of this, the

profession,

quality of healthcare in the

health

area of the Moluccas is also

community

fairly minimal. Originated as a

environmental

result of the lack of public

nutritional

knowledge

health

children

these

family

many

There

areas

familiar

that

with

of

teachers

about

education.

And

problems

back

all
to

region

will

it

be

is

the

general

doctors

education

teach
to

such

the
as

sanitation,
needs,

for

bring

immunization,

planning

or

the

implementing programs also

geographical conditions in the

teach a particular disease. All

region of Maluku archipelago

of this is supported by the

consisting of small islands.

skills

However, it is also proved that

communicate from a doctor

or

the

ability

Christas paper | Doctors as Educators in the Maluku Island

to

and

good

management

educators in remote areas in

individuals,

the Maluku islands. However

families and all the people in

prioritized and expected future

the remote areas.

doctors who are born of the

approach

3. Efforts

with

related

to

the

Faculty

of

Medicine,

development and fulfillment of

University of Pattimura can

the

execute

role

of

doctor's

their

role

as

an

competence as an educator in

educator. Moreover, in terms

the area of the Maluku islands

of development efforts and

so far has been fairly good.

compliance-related

Due also to have the Faculty

physician role as an educator

of Medicine in Maluku then as

has been programmed by the

an initial effort is to teach

Indonesian

students about the ability to

Association (IDI) with the aim

communicate,

to show that a doctor can

related

and

to

also

public

health

maintain

doctor

Doctors

competence

and

education and the doctor of

increase physician knowledge

the island in connection with

as

the vision of the Faculty of

medical science.

Medicine,

University

of

Pattimura

this

as

development-oriented medical

the

development

of

Suggestion
1. Need

for

policies

and

education of the island. It is

measures of the government

fairly good initial effort. The

to

reality is there are no results

education in the area of the

from these initial efforts, the

Maluku islands, with more

doctors were born of the

focus in terms of control and

Faculty

monitoring of education in

of

Medicine,

improve

the

quality of

University of Pattimura this

areas that are

other

reach, as well as doing the

than

as

waitress

health practice as well as

distribution

difficult to

educators

Christas paper | Doctors as Educators in the Maluku Island

10

are

evenly distributed throughout

maintain proper competence

the

of

area

in

the

Maluku

doctor

as

well

as

islands. Likewise, the entire

increasing knowledge as the

community contributed to the

development

goal in this case in order to

science.

of

medical

improve education in the area

of the Maluku islands can be

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13