Pendahuluan
Pengembangan kemampuan staf medik sebagai clinical teacher merupakan salah satu area penting dalam pengembangan staf selain area pengembangan kemampuan penelitian dan evidence based practice dan pengembangan kepakaran dan keahlian sesuai bidang ilmu. Staf medik sebagai clinical teacher akan sangat berperan dalam menjadi panutan bagi para mahasiswa kedokteran dan residen selain menjadi narasumber dalam transfer pengetahuan dan keterampilan. Clinical teacher juga berperan sebagai mentor dalam memfasilitasi pengembangan kemampuan profesionalisme mahasiswa dan residen dan sebagai supervisor yang membimbing dan mengarahkan mahasiswa dan residen dalam melatihkan kompetensi dalam situasi klinik yang sebenarnya dengan tetap menjaga keselamatan pasien (Bowen, 2006).
Pentingnya pengajaran dan supervisi sistematis terhadap seluruh bentuk pendidikan yang terjadi pada rumah sakit pendidikan kian menjadi perhatian. Hal ini terungkap jelas dalam kriteria dari salah satu badan akreditasi internasional untuk rumah sakit, Joint Commission International (JCI). Dalam JCI Accreditation for Hospitals tahun 2012 tercakup standar untuk Academic Medical Center Hospitals atau Rumah Sakit Pendidikan yang dikenal dengan istilah Medical Professional Education (MPE) Standards. Standar tersebut terdiri dari 7 poin utama yang menekankan peran rumah sakit dalam penyelenggaraan pendidikan. Ketujuh standar ini mengikat berbagai pihak, termasuk di dalamnya pihak pimpinan dan manajemen RS, dosen klinik, mahasiswa dan residen (JCI Accreditation for Hospitals, 2013).
Oleh karena itu, staf medis sebagai clinical teacher perlu memiliki kemampuan khusus untuk memanfaatkan kasus klinik yang tersedia untuk pembelajaran mahasiswa atau residen seoptimal mungkin dengan tetap memerhatikan kenyamanan dan keselamatan pasien. Kemampuan khusus ini perlu ditunjang dengan pengetahuan dan keterampilan mengajar di setting klinik, mengenali karakteristik peserta didik, memberikan dukungan, menjadi panutan, memberikan umpan balik, memanfaatkan ‘teaching moments’ saat berada di berbagai setting pelayanan klinik, melakukan supervisi, observasi, asesmen terhadap pengetahuan, keterampilan dan perilaku mahasiswa dan residen di situasi praktik klinik yang sebenarnya.
Tujuan
Pada akhir pelatihan, peserta diharapkan mampu:
1. Mendeskripsikan konsep pengajaran pada tahap klinik dan penerapannya dalam program pendidikan dokter dan dokter spesialis .
2. Menjelaskan konsep clinical reasoning dan perannya dalam pembelajaran klinik.
3. Mendeskripsikan dan menerapkan teknik microskills.
4. Menerapkan cara pemberian umpan balik yang konstruktif.
5. Mendeskripsikan konsep dan tata cara pelaksanaan bedside teaching.
6. Mempraktekkan cara pengajaran keterampilan klinik atau keterampilan prosedural.
7. Menjelaskan prinsip asesmen di praktik klinik.
8. Menerapkan prinsip asesmen dalam penggunaan instrumen evaluasi workplace-based assessment (Mini-CEX, logbook, portfolio, dan 360° assessment).
9. Menjelaskan prinsip refleksi diri dan mampu menyusun refleksi diri sebagai clinical teacher.
Lingkup Bahasan
1. Deskripsi tentang pelatihan clinical teacher.
2. Prinsip pembelajaran praktik klinik (principles of clinical teaching).
3. Prinsip penalaran klinik (clinical reasoning).
4. Prinsip refleksi diri sebagai staf pengajar klinik (reflection on current teaching).
5. Microskills teaching.
6. Pemberian umpan balik yang konstruktif (giving constructive feedback).
7. Dinamika Kelompok.
8. Profesionalisme dan prinsip pemberian dukungan terhadap peserta didik bermasalah
9. Humanisme dan kompetensi budaya.
10. Pengajaran di bedside (bedside teaching).
11. Procedural skills tutorial.
12. Prinsip asesmen dan workplace-based assessment.
13. Mini-CEX & 360° assessment.
14. Logbook & Portfolio.
WAKTU DAN TEMPAT PELATIHAN
BATCH 3
Waktu: Senin – Kamis, 14-17 September 2015
Tempat: Ruang Kuliah Departemen Radiologi Fakultas Kedokteran UI Salemba.
BATCH 4
Waktu: Senin – Kamis, 28 September – 1 Oktober 2015
Tempat: Ruang Senat Akademik Fakultas (SAF) Fakultas Kedokteran UI Salemba.
Evaluasi Pelatihan
Pelatihan ini dirancang selama 40 jam. Peserta yang jumlah kehadirannya dalam pelatihan 100%, serta menyelesaikan tugas dalam bimbingan individual, berhak memperoleh sertifikat.
Pendaftaran
Bagi Staf Pengajar Fakultas Kedokteran UI yang ingin mengikuti pelatihan CLINICAL TEACHER FKUI BATCH 3 dan BATCH 4 tahun 2015, dapat melakukan pendaftaran melalui tautan PENDAFTARAN dan mengunduh SURAT PERNYATAAN KESEDIAAN MENJADI PESERTA lalu mengirimkannya melalui email ke sdmfkui@gmail.com.
Periode pendaftaran:
Batch 3 :
tanggal 18 – 31 Agustus 2015 atau setelah kuota peserta sebanyak 40 orang terpenuhi.
Batch 4:
tanggal 1 – 18 September 2015 atau setelah kuota peserta sebanyak 40 orang terpenuhi.
Informasi Pelatihan
Sdri. Dessy (Sekretariat SDM FKUI, Tlp. 08561765753, email: sdmfkui@gmail.com)
ditulis oleh:
Humas FKUI
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The key is to give consideration to progressive overload, which suggests gradually growing your rep depend or the difficulty of these workouts as you get stronger. Cable front raises are a very efficient, popular anterior deltoid exercise. Like most cable workouts, they hold the goal muscles underneath near-constant rigidity, producing a deep burn and satisfying pump.
Now that you have a greater thought of how your shoulders works, we can go over the best dumbbell workouts to train them. The shoulder joint is a shallow ball and socket joint, which is nice for mobility, but this comes with a excessive danger of damage. Keep in thoughts that this can be tough when you don’t have experience utilizing dumbbells for reps. Start low and go slow to avoid damage. Kirk shrugs obtained their name from the man who first used them, Kirk Karwoski. And Gallagher was proper, however both found it constructed an enormous yoke too. Isolating the neck will present an excellent crowning glory to a strong physique and help support good head place and higher posture.
Utilizing each arms to maneuver the same implement is extra secure and allows you to push the massive weight. Ideally, use the barbell for exercises such as the push press and overhead barbell press. Earlier Than we go any further, let’s evaluation the shoulder muscle anatomy and its capabilities. The shoulder muscles are technically known as the deltoids, and there are three deltoid heads. The deltoid heads work in unison however each additionally has its own impartial features.
There are a bunch of efficient shoulder workout routines that you can do with TRX straps. We’re going to make use of certainly one of these objects to carry out leaning lateral raises since all of these household objects tend to be cumbersome. But you’ll probably discover that your head will get in the way of reaching full vary of motion in your shoulders. Focus on flexing your shoulders nearly like you’re attempting to lift your elbows up. When most individuals think of the traps, they image only the higher part of the muscle. Genetics performs a big function in how a lot the higher traps can be developed and the form they take.
Even if you don’t have an unique shoulder day, work your shoulders first on your higher body exercise or pressing day. The shoulders are often thrown in with the arms, nearly as an afterthought. In reality, your deltoids are extremely essential for efficiency and aesthetics, which means they have to be handled as a primary muscle. The shoulder is a sophisticated muscle in that it has 3 different heads that each one have unique features (we’ll speak about this extra in the subsequent section). Therefore, you want to hit the deltoids from all instructions to optimize your coaching. So, when you have tried your share of ordinary side lateral raises and discover that you’re nonetheless fitting via most doorways far too easily, give the following exercises a try.
Shoulder presses and upright rows will hit the middle and entrance delts. Lateral raises target the center delts and entrance raises goal the front delts. The face pull is certainly one of the handiest posture workout routines you are able to do. It hits all of the muscles across the back of your shoulders, including these all-important rear deltoids.
The medial deltoids give your shoulders their width and, as such, should be a coaching precedence for most individuals. Lateral elevate variations are the only method to isolate this deltoid head. The frontal raise targets the entrance of the shoulder muscle tissue referred to as the anterior deltoids. Constructing big shoulders requires a mix of efficient workouts, proper kind, and dedication.
However it’s never too late to course right and get probably the most out of your workouts. So do yourself a favor, emulate considered one of, if not the most effective, bodybuilder ever, and start cranking these out during your exercises. Stroll you feet higher up the wall and as you do stroll you palms in towards the wall. These exercises – a few of which you may have already seen on this page – will help create wider shoulder and build that coveted V-shape that you’re after. Hold a dumbbell in each hand by your facet together with your palms facing inwards.
By flip-flopping the order of the exercises, you will be somewhat stronger in your single-joint actions however a bit weaker on your overhead presses, so modify your weights accordingly. And whereas some individuals could not consider them an higher arm muscle, they certainly maintain lots of aesthetic value in making a set of large arms. If you want that capped look with shoulder muscle tissue that stick out to make a valley together with your biceps, deltoid training is crucial. Face pulls strengthen rear delts, traps, and rotator cuffs, lowering damage danger and bettering shoulder stability.
On a private stage, I’ve been dedicating myself to the world of powerlifting for the past 15 years, having both competed and coached at the highest level. Jake Woodruff has an MS in Sports Drugs from the College of Pittsburgh. He is presently a strength and conditioning sports activities performance coach at a private Pittsburgh facility.
One of the least heard of dumbbell entice workout routines on this record, the Dumbbell Y-Raise is among the best methods to hit your decrease entice muscle tissue. This unusual exercise can be accomplished on a bench, but if the benches at your local gym are too low, you probably can perform it standing by bending over at the waist, simulating a inclined position. When you ask the average gym-goer what workout routines they do for his or her traps, they’ll most probably reply either barbell or dumbbell shrugs.
The chin up will work your arms extra, while the pull up will work your shoulders more. Verify out upright row options to see which suits your routine greatest. Nothing beats activating these two crucial arm muscle tissue, that are situated on reverse sides of the upper arm. You should give your shoulders a minimal of 24–48 hours of rest between workouts to allow for adequate restoration and stop damage. Nevertheless, working in heavy low-rep presses to increase your maximal energy might be important as you become extra superior. This is one of my favourite exercises that I do every time I work out my shoulders. Weight training with dumbbells could be helpful for attaining hypertrophy and growing impression on a selected muscle group.
Download StrengthLog and start monitoring your progress – it’s the greatest way to make sure you’re all the time on track and get optimal results out of your efforts. If you battle to do chin-ups, you’ll have the ability to assist your self by looping a resistance band over the chin-up bar and standing on the opposite finish. Or you are capable of do supinated lat pulldowns instead, although that’s not an option if you prepare at residence. The machine bicep curl is, in essence, a kind of preacher curl, nevertheless it goes one step further and removes any balance requirements. That makes it an ideal finishing train for a great pump at the end of a workout. Use a lower weight and stress good form in the spider curl to put maximum stress in your biceps.
Subsequently, lots of lifters have already got well-developed anterior deltoids. One important factor to contemplate is that although you might think of ‘the shoulders’ as a muscle group, they’re additionally a joint. And not just any joint, the primary joint via which most of your higher body movements take place. Overloading the shoulder joint with an excess of movements, especially ‘pressing’ actions, is a recipe for overuse accidents. Whether Or Not you’re seeking to build broad, highly effective shoulders or simply enhance your upper body’s mobility, discovering the most environment friendly workout routines is essential. Beneath, we break down the 13 best shoulder workouts to focus on all three deltoid heads – front, side and rear – along with key stabilizing muscular tissues. You’ll also need to make sure you are hitting all the main muscle groups of the shoulder to develop an equal prime half.
The angle of the cable overhead press can help recruit new muscle fiber that’s not engaged a lot with different forms of shoulder presses as a outcome of the drive is pulling down behind you. Even although you might not see many individuals using the cable machine for shoulder presses, mixing in your shoulder workout is a incredible exercise for further variety. We simply highlighted the most effective of the best in relation to the perfect workout routines in your dumbbell shoulder workout.
To strengthen your shoulder, you need to strive increasing the depth of your exercise. The drop-set, compelled reps, and the pause-and-go methodology are some strategies for intensifying your workouts. Repetition and Consistency Cycle through Y, T, and I without a break, then rest.
If house is a matter, then you’ll find a way to try our list of the Best Adjustable Dumbbells. One of the keys to this train is to drive together with your elbows, pondering of making an attempt to squeeze a pen between your shoulder blades. The deltoids are rounded muscles with a triangular form located on the uppermost a half of the arm and the top of the shoulder. They’re important for a spread of arm and shoulder movements, including lifting and rotating the arm. In truth, dumbbells are simply some of the greatest ways to target the shoulder muscle tissue, especially the center deltoids.
Novices can build up a really stable power foundation with dumbbells alone. However, as you become more superior, it’ll be essential to work in heavy low-rep presses with barbells to increase your maximal strength. The shoulders play a role essential in exercises similar to vertical and horizontal presses and rows and chin-ups and pull-ups. In some exercises, they are the secondary muscular tissues permitting the primary muscular tissues to do their job.
As earlier than, I’ve ordered the workout routines to go from front to back, and from body weight to resistance band workouts. Well-conditioned deltoids improve arm movement fluidity and effectivity. In explicit, you’ll wish to focus on a mixture of compound actions and isolation strikes. For example, an Overhead Shoulder Press with a Cable Entrance Raise.
‘Every rep goes to come back from this hang position,’ says Tracey. Next, muscle the bar onto your chest, earlier than pushing it above your shoulders. Decrease the bar onto the chest and then back into the original hold place.
If you want to construct a bigger and stronger rear delt, you should add bent-over lateral raises to your shoulder exercise routine. What makes the Stability Ball Cobra so efficient for the rear delts? The exercise requires you to lift your arms in opposition to gravity while sustaining steadiness on the steadiness ball. This action engages the rear deltoids intensely as they work to stabilize and lift your upper body. When you perform an Incline Dumbbell Y Increase, you’re partaking in an upward lifting motion that’s diagonally aligned, identical to the letter ‘Y’. This unique angle locations the next demand on your rear deltoids, shifting the focus from the extra commonly engaged entrance and center deltoids.
I’ve mixed my knowledge of research and expertise to bring you essentially the most practical bites to be utilized to your training. Here is a high view so as to see the activation of the deltoids from one other angle. As I go to lift these dumbbells up, the first move is NOT this. These muscle groups need so badly to kick in to help with the lift, particularly in the course of the first few levels of the movement. Before I get into the nitty gritty of this shoulder constructing method I wanted to show you ways I KNOW it works. Bend on the hips in order that your torso is forty five degrees, but hold your head, backbone, and pelvis aligned.
With the ankle strap attached to your right arm, stand in order that your left side is dealing with the load stack and the pulley is simply in front of your body. To start, bend your arm on the elbow along with your higher arm straight down at your aspect. Use your deltoid to lift your higher arm till it is simply above parallel with the ground.
That Is why I all the time include isolated rear delt work in my training applications. And one of the effective methods to hit the rear delts is one arm at a time—like with one-arm cable rear delt flyes, which I coated in the video beneath. If you’re currently neglecting your posterior deltoids (aka “rear delts”) within the gym, it’s time to take a page out of the powerlifters’ playbook. Try doing 2-3 sets in this style, adopted by 2-3 units done the standard means. Or swap this model in every so often for normal lateral raises.
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