OVERVIEW CLINICAL SKILL TRAINING

SKILLS LAB YEAR 1

(BASIC CLINICAL COMPETENCE (BCC))

dr. Santosa Budiharjo, M.Kes, PA (K)

dr. Liza Destaria
dr. Ide Pustaka Setiawan, M.Sc
Faculty of Medicine UGM
Skills Lab

What is it?

Clinical Skills Laboratory (skills lab) is

a laboratory for CLINICAL which is needed to be a

SKILLS TRAINING COMPETENCE DOCTOR
Blood Pressure Measurement INJECTION

Baby Delivery
Where is it?

Grha Wiyata Building, 2nd and 3rd floor

End goal:
7 Indonesian doctor competencies
Reference:
HOW MANY?
 736 daftar penyakit
 144 penyakit yang harus dikuasai secara mandiri
dan tuntas.
 275 ketrampilan klinik yang juga harus dikuasai
 261 penyakit yang harus dikuasai lulusan untuk
dapat mendiagnosisnya sebelum kemudian
merujuknya, apakah merujuk dalam keadaaan
gawat darurat maupun bukan
gawat darurat.
What is competency?

Kognitif

Afektif Psikomotor
 Learning Methods

• In skills lab GUIDED • SELF STUDY

by INSTRUCTOR • Training FROM
• In the COMMUNITY SENIOR Students
(TFSS)
Obligatory Independent
Meeting Learning
 Study with whom?

You will study with:

• Instructor
• Peers
• Simulated patient
• Assistant (Senior
students)
• Manikin & medical
equipments
When will you study in skills lab?

SKILLS LAB OTHERS LAB

Session Every week Depend on the
block topic
Competence K, S, A K and or S
Coverage
4th year

3rd year

2nd year

1st Year
OBJECTIVES OF 1ST YEAR

In the end of 1st year, the medical students should be

able to perform:
1. DATA GATHERING
 basic technique of communication,
 basic physical examination,
 basic of clinical skills procedure
 laboratory examination
2. SIMPLE EDUCATION
Year I

There are 6 blocks: A1 – A6

Each block: 6 weeks

5 weeks classes 1 week block
examination
CURRICULUM
• Communication
• General Physical Examination
• Specific physical examination
• Procedural & therapy
• Integration & reasoning
• Laboratory
 • Professional awareness
Communication • Self introducing and active listening

General Physical • Basic Physical Examination

Examination
Specific physical
examination
• Basic locomotor examination
Procedural & therapy

Integration & reasoning

• Using a light microscope

Laboratory
 Communication • Interpersonal skills

General Physical • Abdominal examination

Examination • Vital sign examination

Specific physical
examination

Procedural & therapy

Integration & reasoning • Integrated skills: session – IPSG* 1&2

• Fecal Examination to Diagnose Intestinal

Laboratory Protozoa and Helminthes Infection
 Communication

General Physical • Heart Examination

Examination • Lung Examination

Specific physical
examination
• Basic Life Support
Procedural & therapy • ECG

Integration & reasoning • Assessment of Integrated skills

Laboratory
 Communication • Dealing with task & self limitation and
simple motivational education
General Physical
Examination
Specific physical
examination
• Gynecology examination
Procedural & therapy • Genitourinary examination

Integration & reasoning • Integrated skills session

Laboratory
 Communication

General Physical
Examination
Specific physical • Neuro ex., Eye examination.
examination • ENT ex, DV ex

Procedural & therapy

Integration & reasoning • Assessment of Integrated skills:

Laboratory
 Communication

General Physical • Lymphatic, gland & anemia examination

Examination
Specific physical
examination
• Aseptic procedure
Procedural & therapy

Integration & reasoning • Integrated skills session

Laboratory
Rules

YOUR NAME
Rules
LEARNING FLOWCHART

PRA SESSION POST

SESSION SESSION
 PRA SESSION tips
 Read books !
 Bates’ Guide to Physical Examination and history taking
 Swartz’s Textbook of Physical Diagnosis

 Skillslab manual

 Watch AVA (Audio Visual Aid) about the skills

 VCD/GaMeL

 Do the assignment
 Write down and bring the assignment and or work
plan every session
 PRA SESSION tips
• Work plan format:
– Learning goal
– Clinical correlation Example?
– Equipments needed See GAMEL
– Procedures
– Relevant questions
PRA SESSION tips

 Make sure, where is your class

During SESSIONS tips

 To study skills: just LOOK the skills is not enough.

You should try to exercise by yourself to know
the difficulties

 Exercises frequently
POST SESSION tips
 Practice with peers (independent learning) and
ask the feedback
 Suggested to have own medical equipments
 Stethoscope
 Pen light
 Sphygmomanometer
 Thermometer
 Percussion hammer

 Study from the feedback (self-reflection) and

improve your skills
The learning pyramids

10% of what they read

20% of what they hear
30% of what they see
50% of what they see and hear
70% of what they talk over with others
80% of what they use and do in real life
95% of what they teach someone else to do

% Average retention rate

Assessment
 Process
 Every the block .3 and .5 (A,B, C) year 1 : 25%

 Performance based assessment

 Respontie of integrated skills
 OSCE (Objective Structure Clinical Examination)
 Annually in the end of year
 year 1 : 75 %
BCC mark,

Pre-requisite of Respontie and OSCE

1. Attendance (100%)
2. Appropriate professional attitudes and
behaviour & Participation in class
3. Quizzes & Assignments
Component:
“Respontie” :A.3 and A5 & OSCE (end of year)
Grading BCC

Grade Nilai

A Jika nilai ≥ 75,00

A/B 70,00 – 74,99

B 65,00 – 69,99

B/C 60,00 – 64,99

C 55,00 – 59,99

D 45,00 – 54,99

E < 45,00
Cekidot
Good Luck

Any inquiries ......

Don’t hesitate to contact

Agung Setia Nugraha (Sekretariat Tahun I Skills Lab)

dr. Liza Destaria (Koordinator Tahun I Skills Lab)
dr. Santosa Budihardjo, M.Kes PA (K) (Koordinator
Pendidikan)
Assignment : Professional awareness

4. Download SKDI (Standar Kompetensi Dokter Indonesia)