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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most well-tolerated anabolic steroids. This renders the duo a complementary stack, as
antagonistic effects could also be much less deleterious when administered in therapeutic doses.
This successfully could give them a a lot higher dose (possibly the same effects as 10mg
per day). However, this will increase the chance of virilization and liver
toxicity. Many anabolic steroids will scale back subcutaneous fat, but increase visceral fat (3).
Consequently, steroid-users can typically be seen looking bloated
or fats (despite being very lean). This is very obvious in professional bodybuilders who typically have a protruding steroid gut.
This correlates with our findings, as most customers are heavier post-Anavar cycle, despite shedding notable quantities of subcutaneous
fat. Anavar also increases the variety of red blood cells within the body, which outcomes in increased oxygenation of the
muscles. Utilizing both of those medication may cause further physique mass, leading to higher blood strain. That’s why it’s necessary
to do cardiovascular exercise, drink more water, cut back sodium
intake, and lose excess weight. For females, who are looking to build muscle or redefine
their our bodies, the outcomes of this cycle may be astonishing.
An improve in blood stress can be especially harmful for
people with excessive BP.
All of these stacks would require a post-cycle therapy protocol afterward.
A commonplace PCT is Clomid at 100mg every day, starting two weeks after
your final dose. For further strength positive aspects, combine with SARMs similar to Ostarine at 12.5mg per day for the first
five weeks, then enhance it to 25mg a day for weeks 6-8.
To forestall this, an effective SERM can be taken (Nolvadex) throughout the complete cycle.
This means customers solely must inject as quickly as every 4–5 days, but they will experience the identical features on the finish
of a cycle compared to the sooner esters. Nonetheless, it’ll create pronounced and defined musculature,
with little to no masculine unwanted effects.
As the fat shedding powers work equally as properly for women, this leaves
the female body with an impressive muscle to fats ratio, leaving
them defined and toned. Relying on results required and whether
or not you would possibly be male or female—the Anavar cycle dosage, and the other steroids it can be stacked with, varies.
Nonetheless, for guys involved about antagonistic well being effects, or those
who are more delicate to steroids, this implies it
might possibly perform as a gentle muscle builder.
33 cases of gynecomastia were reported; however, these
findings are contradictory to different analysis in adults.
Thus, the risk of gynecomastia appears to significantly increase if kids utilize
Anavar for extreme intervals during puberty.
These youngsters have been taking moderate doses of Anavar
constantly for six months to eight years. In our expertise, girls
can sometimes experience superior ends in muscle mass in comparability with men on Anavar, even with a modest dose of 5–10
mg per day. Analysis suggests that Anavar’s anabolic results outweigh
its fat-burning properties, with participants in the same research gaining 7
kilos of muscle.
Anavar is an oral steroid that was first
developed within the 1960s by Searle Laboratories.
It had initially been indicated for medical situations such as muscle wasting, weight loss due to continual ailments, and
severe burns. Its efficiency in enhancing lean muscle development without critical androgenic side effects has made it a darling for many fitness
lovers. Dbol can solely be run for brief cycles should you don’t need to stuff up your liver massively.
Anavar will nonetheless have an effect on liver enzymes,
however not to the extent that Dbol and different harsh orals do.
Anavar can be a compound that can be used by females at lower doses with a a lot lower likelihood of virilization results compared with different steroids.
Winstrol is much harsher on the liver compared to Anavar, even though they’re each oral steroids.
During exogenous administration of anabolic androgens,
endogenous testosterone release is inhibited by way
of inhibition of pituitary luteinizing hormone (LH). At giant doses, spermatogenesis may be suppressed by way of
suggestions inhibition of pituitary follicle-stimulating hormone (FSH).
In patients with breast most cancers, anabolic steroid therapy could trigger hypercalcemia by stimulating osteolysis.
Anabolic steroids may lower ranges of thyroxine-binding globulin, resulting in decreased total T4 serum levels and elevated resin uptake of T3
and T4. In addition, a lower in PBI and radioactive iodine uptake might happen. Oxandrin® (oxandrolone) oral tablets include 2.5 mg or 10 mg of the anabolic steroid oxandrolone.
Take a have a glance at the table below to make an knowledgeable decision when buying Oxandrolone.
Anavar is hepatotoxic, which means that it can damage the liver if taken for too lengthy
or at too high of a dose. For this purpose, it is essential to
monitor liver function when using Anavar and to avoid taking it for greater than 8 weeks.
Anavar has been shown to improve athletic efficiency by
increasing endurance, power, and pace. This makes it a well-liked selection amongst
feminine athletes who want to improve their performance in their respective sports activities.
Intermediate customers often take 25-50mg per day, whereas superior bodybuilders
and athletes might go for mg every day. However, it’s not beneficial to
exceed 100mg per day because of elevated danger of unwanted facet effects.
Anavar is an oral anabolic steroid derived from dihydrotestosterone (DHT).
Generally you’ll see males or ladies on stage who appear extraordinarily slender and
shredded but have lost a great amount of muscle mass within the weeks main up to an occasion.
Others, nonetheless, employ anabolic steroids for bodybuilding and
efficiency enhancement. Anavar is an efficient, multi-purpose
steroid that has been in use for a long time both in medical and fitness settings.
However, your dose could additionally be totally different relying on your particular person circumstances.
If you are understanding two times per week – we suggest beginning with
50mg of Anavar per day. For occasion, in case you are figuring out 4 times per
week – we recommend starting with 20mg of Anavar per day.
If you might be working out greater than three times per week,
we suggest beginning on the decrease end of the
dosage vary. If you are working out 3 times per week or
less, you can start at the larger end of the dosage vary.
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Anavar, in any other case generally identified as oxyandrolone, is among the most
generally used anabolic steroids inside the health
and bodybuilding world. Praised for its gentle yet efficient properties,
it has gained vital consideration from athletes, bodybuilders, and people looking for performance enhancement.
While testosterone may even promote androgenic impacts,
Anavar was designed to minimize the unwanted androgenic results and promote extra anabolic properties.
After a week, I observed that my bench press was up 10%, and my
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By the second week, I saw an actual spike in my strength ranges,
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It is essential to notice that Anvarol is probably not
suitable for some individuals, as it could possibly cause allergic
reactions. Soy protein isolate, which is
a vital ingredient of Anvarol, might cause allergic reactions in some individuals or alter
thyroid functions. Some of the attainable unwanted side effects of Anvarol include
temper swings, pimples, headaches, nausea, and vomiting.
Explore the ability of Anavar stack combos and their synergistic benefits on this insightful table.
Unleash the full potential of your health journey by strategically combining Anavar with other compounds for enhanced results.
Uncover the really helpful dosage tips and cycle length for Oxandrolone in this informative desk.
Guarantee optimum outcomes and reduce risks with applicable dosing and cycle planning.
Oxandrolone can also be used efficiently together with other androgens;
if they’re poisonous or non-toxic, it doesn’t matter
much. It can also be used by each sexes to break via a
plateau or sticking point after months of continued use of steroids.
As A Outcome Of Anavar will increase energy dramatically,
it’s suited to this role well in each men and women.
All The Time seek the advice of with a healthcare skilled earlier
than starting any PCT routine to ensure it aligns together with your well being status and targets.
A well-chosen PCT is essential for restoring your body’s natural hormonal steadiness and preserving your hard-earned features.
After concluding a cycle with Anavar by Hi-Tech Prescribed Drugs, deciding
on the right Post-Cycle Therapy (PCT) is critical to make sure hormonal steadiness,
assist restoration, and preserve muscle positive aspects.
Ostarine for eight weeks at 20mg daily, followed
by Tamoxifen for weeks 9-12 at 20mg day by day (dropped
to 10mg for the final week), makes it as simple as possible.
The PCT portion will only be needed if you have testosterone suppression symptoms; in any
other case, you can get away with no PCT on this cycle.
We’ll be using one of the potent SARMs here with YK-11, and when it’s combined with two
different wonderful compounds, you’ve a recipe for achievement in this
bulking stack. But you should consider the potential additional
positive benefits and unwanted aspect effects you’ll get (if any).
Stacking means you’re additionally introducing a model new set of unwanted effects, plus amplifying any negatives that every compound shares16.
You can anticipate an increase in urge for food; some individuals may not see this as a benefit,
but you’ll doubtless welcome this impact for bulking up.
This results in increased muscle development, improved power, and enhanced athletic performance.
Then, when the tablet is within the “safer” a part of the gut (upper intestine),
the vitamins begin to be launched into the system and continue
to be released steadily over a two to eight-hour period.
With this sort of controlled-release supply, testosterone levels could
be elevated for up to eight hours by a single dose of Anavar®.
Present tablets or capsules bioavailability of Androstenolone
and Androsterone is roughly a mere 1.5%-4%. This means that
a a hundred and fifty mg capsule of Androstenolone would only deliver 2.25-6mg
biologically energetic milligrams, which is lower than your physique naturally produces
daily.
This may cause the blood strain to rise to dangerous ranges, putting the
person in danger for a heart assault or stroke. As a end result,
these with hypertension should be very careful when contemplating utilizing Anavar.
High blood stress is considered one of the most typical
medical conditions on the earth, and it can result in various severe health problems.
When blood strain is simply too excessive, it locations further pressure on the heart and blood vessels,
which may finally lead to coronary heart assaults, strokes,
and kidney injury. One of probably the most significant cons of Anavar is its potential to trigger liver toxicity.
This is as a outcome of the drug is metabolized by the liver,
and over time, this can damage liver cells.
Anavar can increase your blood’s LDL levels of cholesterol (the “bad” cholesterol).
Furthermore, by method of benefits, Winstrol will offer some benefits compared to Anavar.
It has a larger drying effect, most likely because of the fact that winstrol lowers Progesterone which might decrease water retention. Many anabolic steroids will scale back
subcutaneous fat, however improve visceral fat (3).
Consequently, steroid-users can typically be seen trying bloated or
fats (despite being very lean). This could be very apparent in skilled bodybuilders who typically have a protruding steroid intestine.
Anavar is very effective in fats burning, significantly in cussed
areas of the physique, such as the hips, thighs,
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Regarding bulking, YK-11 can deliver a few of the greatest potential features from
any SARM. This is primarily thanks to the unique myostatin inhibition properties you don’t get with different
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resistance coaching. YK-11 decreases myostatin by way of the method of accelerating the protein follistatin. Many S23 users have noted elevated endurance, stamina,
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Stacking in this method can considerably improve a person’s outcomes, in comparability with
HGH-only cycles. One bodybuilder took HGH for 10 years constantly and reported a rise in foot hypertrophy, going from dimension 12 to fifteen (6).
Acromegaly, inflicting the enlargement of bones and tissues, is common when taking HGH
for a substantial period of time. It is a false impression that HGH
is the only real explanation for this look, because it actually reduces visceral fat by stimulating lipolysis, which
has the alternative effect. In our testing, we see HGH
stimulate collagen synthesis, notably causing vast anti-aging results.
Nonetheless, HGH won’t positively affect height through the
post-puberty years as a outcome of fusing of progress plates.
In 1987, due to recombinant DNA technology, somatropin was formulated, a drug with an identical structure to natural HGH
secreted by the pituitary gland.
MK-677 is likely considered one of the more distinctive compounds with the thrilling profit of probably having some anti-aging effects.
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If you’re going to run a Stenabolic cycle, try my full Stenabolic
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on Stenabolic’s quick and long-term well being impacts
means this compound ought to be used cautiously.
If you’re going to run a Cardarine cycle, check out my full Cardarine (GW )
cycle information.
References:
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“Program Pelatihan Clinical Teacher AHS-UI ini sangat relevan untuk meningkatkan kualitas pendidikan kedokteran. Pendekatannya yang holistik—mulai dari microskills teaching hingga workplace-based assessment—memastikan staf medis tidak hanya ahli secara klinis, tetapi juga mampu mentransfer ilmu secara efektif. Poin tentang bedside teaching dan constructive feedback khususnya menarik, karena ini adalah area kritis dalam pembentukan kompetensi mahasiswa/residen. Apakah ada rencana untuk mengintegrasikan teknologi (seperti simulasi digital) dalam pelatihan ini di masa depan?”
Alasan:
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