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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This boost makes it a lot easier to stay along with your training and
take your exercises to new levels. Whereas Anadrol doesn’t convert to estrogen, estrogenic side effects usually are not only possible with this steroid but
could be quite extreme. This is as a end result of of direct
stimulation of the estrogen receptors rather than aromatization. Trenbolone will depart long-lasting metabolites in your
system and probably shut you down for a lot of months.
Regular PCT might not work successfully after
this cycle, and ongoing testosterone cruising is often needed.
Deca will leave long-lasting metabolites in your system
and potentially shut you down for lots of months.
This is invaluable whereas cutting, the place you’ll wish to push your self with
cardio exercises to burn fats. Like all AAS, Anavar will positively affect your restoration, rushing up tissue healing.
With its recognized advantages on collagen synthesis (after all, Anavar was
initially developed to promote healing), it can scale back soreness and ache post-workout.
Anavar is likely considered one of the few compounds I can confidently say is suitable for novices, intermediate, and advanced users.
There are a quantity of different milder steroids more suited for
female use, such as Anavar and Winstrol. In some
cases, women have purchased what they believed was Anavar, however
a suspect lab has substituted it with the cheaper Dbol.
Even though it has a half-life of simply eight hours, Dianabol has a detection time in drug checks of as much as
6 weeks after your final dose. There are now even strategies of detecting steroid use in hair, quite than just urine, and
hair detection can substantially lengthen the detection time window12.
Somewhat than order from pharmacies overseas,
many individuals will journey to the countries the place Dbol
is bought overtly in pharmacy stores and buy and use
it there. This can go some approach to clearing up the authorized dangers in your own nation,
however it might possibly doubtlessly put you at
authorized danger in a overseas country. You rarely hear someone talking about Dianabol without discussing some unwanted
effects.
Still, it isn’t sought after by human customers, most likely as a result of the oral Dianabol
is quick-acting, simple to take, and has a core objective in a cycle due to the method it works as
an oral steroid. Most anabolic steroids are secure to use underneath medical doses, but few
are accredited for this purpose. When it comes
to utilizing Dianabol for bodybuilding functions – at doses a lot higher than would ever be
used medically – we will never name it secure. The immediate and short-term unwanted aspect effects that
Dbol causes are nearly as well-known as its advantages.
This estrogenic impact is not solely unpleasant but also can result in raised blood stress, so you’ll
want to hold it underneath control by utilizing something like Nolvadex.
Dianabol stands by itself and would be the go-to off-season fast-acting bulking steroid for many of
us.
If you’re genetically predisposed to baldness, then you are more
likely to experience this explicit aspect effect. The prime to utilize the power of Dianabol
is within the first few weeks of a mass-building cycle, the place you want speedy mass gains whereas different steroids are build up in your system.
Dianabol (Dbol) is also a powerful plateau breaker, and when used on this phase of a cycle, it’s going to allow you to push previous barriers and gradual or
halt gains so you don’t succumb to a plateau. A reduction in subcutaneous body fats is one other positive evaluation we are going to often see.
This is extra of a bonus result with Dianabol as it’s not a true fat-burning steroid.
Oral steroids have occupied an honorable role in sports activities pharmacology for a very lengthy time
since most bodybuilders and sportspeople have begun taking this
type of sports activities pharmacology. This isn’t a surprise, given the ease of use and the fact that they do not require any special intake prerequisites.
Under, we are going to quickly go over what to expect
from an oral cycle and the method to get essentially the most out of it.
Oral steroids can boost your exogenous testosterone whereas also
raising your estrogen levels. High estrogen levels
in male bodybuilders can result in feminization with the most typical unwanted facet effects being gynecomastia and water retention.
Post-cycle remedy or PCT with the usage of anti-estrogen medication like
Clomid, Nolvadex, and Proviron can help you in restoring
your endogenous hormones like testosterone whereas additionally reducing your
estrogen levels. A lot of your Anadrol features shall
be water weight, and with such fast positive aspects being
achievable with Anadrol, you’ll lose lots of the weight just as quickly after stopping this steroid.
But there is not a getting round the reality that Anavar is still a steroid.
No steroid can truly be thought of a gentle substance when used at doses for bodybuilding; it’s simply
that Anavar is taken into account “pretty mild” compared to the really heavy stuff.
Anavar has many advantages, and it’s a compound that labored nicely for me prior to now.
It could or is probably not right for you, and you’ll find out more about that in the
guide beneath. You can achieve up to 7 Ib or 3 kg if you run a 20 mg/day
standalone Anavar cycle combined with common workout and a caloric food plan. You
may even lose as a lot as four Ib or about 2 kg of body fat in the process.
Stacking Anavar with other steroid compounds like Testosterone Enanthate will provide
you with even better bulking results.
Prolonged water retention can elevate blood strain to harmful
levels, another aspect effect of which Dbol is well-known. Dianabol has a
popularity for being a steroid that causes noticeable, speedy, and sometimes extreme bloating or fluid retention, especially within the early stage of a cycle.
This leads to a telltale puffy look, including on the face,
and may indicate to different individuals pretty rapidly
that you’re utilizing steroids. With experience, you must be succesful of control the Dianabol side effects properly sufficient to keep using it.
The mixture of fats loss and lack of subcutaneous water will provide you with that lean look.
Holding on to it after the cycle presents a larger challenge than reaching your shredded physique in the course of the cycle, and that is something you should
plan for. If you needed to ask me today what one of the best
authorized alternative to taking steroids is, Anvarol
is my reply. Take it from someone who HAS USED STEROIDS before
and may compare results!! This supplement is far
easier for your pockets, physique, and recovery than most other products.
There’s rather more to know in regards to the unwanted
side effects of Anavar and all anabolic steroids, so visit my major unwanted
side effects information right here. Potential side
effects can embody deepening of the voice, body hair development,
clitoral enlargements, and menstrual irregularities.
For girls first treading into the world of AAS, Anavar is nearly always the
FIRST alternative – and infrequently the only selection for these eager to keep away from virilization. But that’s
only one aspect of the story… Efficiency doses take things to a brand new degree as a outcome
of we want to profit from Anavar’s anabolic results beyond what’s required in medical treatments.
Oxandrolone was little doubt determined to be a gentle anabolic
steroid method again then, which made it possible to be tolerated by feminine and youngster patients10.
While Anavar is toxic to the liver5, as we might anticipate with an oral steroid, its hepatotoxicity degree is
minimal in contrast with many other steroids, making this an ideal
selection for novices. Anavar is a kind of oral steroids that I knew I’d be pretty comfy taking again when I started all
this.
A commonplace PCT cycle will usually not restore testosterone levels following Trenbolone use, and longer-term TRT
can be required. I suggest testosterone cruising for 4 months following this
cycle, keeping in mind there’s no guarantee of T ranges returning completely again to regular
after using Tren. Whereas Clenbuterol suppresses
the urge for food, Anavar can enhance hunger in some customers.
Winstrol is likely to trigger virilization effects in ladies, including voice hoarseness30, acne, adjustments in menstrual durations, and progress of facial hair.
Females would want to make use of very low doses of Winstrol to avoid these effects, in the 4mg to
10mg daily range. It’s essentially the most tolerable and the least more likely to trigger virilizing signs at low to reasonable doses.
However, if you’re contemplating utilizing a drug just like the 5a-reductase
inhibitor (anti-androgen) Finasteride to deal with hair loss, it’s unlikely to be effective
in opposition to Dianabol. It’s an outstanding low season stack for gaining mass and offsetting some
of Dbol’s fluid retention. The Trenbolone side effects can be challenging to deal with, so put together to adjust your dosage if wanted.
You won’t get as much muscle definition and dryness as when utilizing Tren by itself, but the elevated measurement from Dianabol
makes up for it – positive aspects of 15 lbs and up of pure muscle are potential.
Optionally, you possibly can cease using Deca at week ten if you
want to begin PCT two weeks after the cycle ends – Deca is long-lasting.
Some users discover testosterone cruising longer term or ongoing TRT is required after using
Deca-Durabolin.
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