Medicine Program and Curriculum

PROGRAM AND CURRICULUM

Medicine Program Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada has been conduct 2 classes in parallel, that is regular and international program

Curriculum and Learning Process

Duration of Medicine program are designed in 2 stages, that is Undergraduate Stages for 3,5 year and Profession for 2 years. For 2020 curriculum it comprises in 4 phases, that is:

  • Phase 1. Foundation in Medicine and Transition to Practice (18 months)
  • Phase 2. Complaint and Diseases (18 months)
  • Phase 3. Enhancing Personal Competences (6 months)
  • Phase 4. Clinical Rotation (24 months)

70% of learning materials based on Indonesia Doctor Competence Standard (SKDI) and Indonesia National Qualification Framework (KKNI) (phase 1-2), while 30% of learning contents are develop from special characteristics of Medicine Program Faculty of Medicine, Public Health, and Nursing that is local and global which assist the improvement of individual competence (phase 3). Contents will be provided using integrated longitudinal approach in block activity or facilitated with certain schedule in blocks or the whole semester (Bioethics and Medicolegal; Learning Skills; Leadership; Basic Clinical Competences (BCC); Evidence Based Medicine (EBM), Critical Appraisal and Skripsi (CAS); Health Promotion & Disease Prevention; dan Community and Family Health Care with Interprofessional Education (CFHC-IPE)).

Learning Process Stages
Assessment and Learning Results Evaluation

For 3 semesters, students will learn about basic of Medicine, such as anatomy, physiology, histology, biochemistry, pharmacology, etc. These topics are linked with human organ system, consists of musculoskeletal system, respiration, cardiovascular, digestive, reproduction, genitourinary, nervous system and behavior, sense, endocrine, hematology and immune system. Besides, student also learn about basic of medicine research and practice.

Structure of block sequence in phase 1: Foundation in Medicine and Transition to Practice are:

  1. Block I.1 Musculoskeletal System
  2. Block I.2 Cardiorespiratory System
  3. Block I.3 Digestive System
  4. Block I.4 Genitourinary and Reproduction System
  5. Block I.5 Nervous System and Behaviour
  6. Block I.6 Sense Organ and Endocrine System
  7. Block I.7 Hematology and Immune System
  8. Block I.8 Life Cycle
  9. Block I.9 Research and Basic Medical Practice

In this phase, students will learn about diseases based on patient’s complain, such as fever, sore, diarrhea, bloated, cough, etc. that will be divided in 11 blocks. This approach will develop student clinical skills in determining diagnosis and patient management according to patient complain. Student also learn about health system and disaster management in 1 particular block.

Structure of block sequence in phase 2: Complaints and Diseases are:

  1. Block II.1 Fever
  2. Block II.2 Pain
  3. Block II.3 Seizure, Unconsciousness, and Sense Organ Problems
  4. Block II.4 Diarrhea, Vomiting, and Jaundice
  5. Block II.5 Oedema, Urinary, and Metabolic Disorders
  6. Block II.6 Dyspnea, Cough, and Cyanosis
  7. Block II.7 Tumor, Pruritus, and Discharge
  8. Block II.8 Trauma, Movement Problems, and Hemorrhage
  9. Block II.9 Reproductive Problems
  10. Block II.10 Anxiety, Depression, and Behavioral Problems
  11. Block II.11 Health System and Disaster Management

In this phase, students are expected to develop interest about certain topics in medicine according to each student choice by choosing elective blocks offered by Medicine Program. Besides, students can choose to do student exchange out of university or abroad with transfer credit system to add students’ experience and to train their skills.

Last phase, professional phase will be conducted for 24 months (4 semester) is a phase to enhance clinical knowledge and skills for conducting examination, diagnose, and patient management according to patient’s complaint. Clinical rotation will be conduct to various clinical department and several teaching hospitals to train each student skills.

To assess cognitive component (knowledge), Medicine Program conducted written exam in the end of every block. Proportion of exam contents has been customized with blueprint of block’s learning objective. Whereas questions are derived from practicum materials, skills lab materials, tutorials, and lecturer. Exam is conducted in MCQ, EMQ, or other methods listed in the blueprint assessment in the block book. Block score being announced maximum 1 month after exam.
Score of students will not being announced if students has not work on all tasks or not passing practicum. Regulation and rules regarding block exam and make-up test could be seen in “Medicine Program Assessment Guidelines Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada”.

Practicum Exam has been conducted by laboratory to assess attained competence from practicum learning in this block. If a student is declared has not passed the practicum, the student has the right to take part in the remediation organized by the relevant laboratory. If until the end of the block the student has not finished this task, then the block score does not come out (K value).

The MKWK is managed and organized by the university so that the assessment of the MKWK exam is regulated and coordinated at the university level. The score achieved at MKWK determines student graduation.

The clinical skills test is conducted by carrying out the OSCE and Mini-OSCE. OSCE is held at the end of each year (OSCE 1, 2, 3 and 4/Comprehensive). Mini-OSCE is conducted every semester. Comprehensive OSCE is conducted in the end of undergraduate program by testing 14 skills from the whole skills that has been trained. Requirements to take comprehensive OSCE is the student has been taken all scheduled clinical skills topic and passing BCCT exam in year 1, 2, and 3. Results of Comprehensive OSCE will become one of the determinants of graduating Undergraduate Medicine Program.

Credit transfer exam conducted for students who wants to do elective activities other than scheduled elective module activities in Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada. Moreover, students want to get score from this elective activity result. Requirements about process and credit transfer exam could be seen in elective block instructions.

Skripsi or undergraduate thesis is final task has to be completed by students as one of the graduation requirements of Medicine Program. Regulation of skripsi writing until exam could be seen in Skripsi Guidelines Book in appendix.

The 2020 curriculum is characterized by the presence of various integrated and structured longitudinal blocks. Assessment is carried out continuously across blocks and is not part of the final block score. The longitudinal block test method can be carried out using a mixed methods approach according to the learning objectives of each block.

Progress test is a comprehensive test conducted in every semester for all students at the same time using the same pre-test question for all cohort. Result of progress test will be given to students in form of feedback regarding their ability to understand every system in body

“Uji tahap bersama 1 and 2” is an exam that has been conducted nationally with aims to assess students’ competence in the end of year 2 and by the end of undergraduate program. Therefore, this exam being conducted after semester 4 and after semester 7. Results of this exam will become one of the determinants for graduating Undergraduate Program.

Professional behavior will be assessed from all aspect of students learning activities by all education staff of Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada. Assessment result will be taking into consideration about student ethics and behavior. Structured professional behavior assessment will become part of assessment in tutorial process. Tutor will monitor students’ behavior constantly in a block (6 weeks) using prepared instrument. Assessment will be conducted in every tutorial activity. Assessment will be conducted longitudinally.

If tutor found that students’ professional behavior is shoddy, then the students will be provided guidance from Professional Behavior Committee (KPP). If in 2 blocks perpetually conducted, different tutor gave poor score for the same student, then the student will get sanction. Requirements about assessment regarding professional behavior could be seen in Guidelines about professional behavior at Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada.

Requirements exam and assessment regarding CFHC-IPE could be seen in CFHC-IPE Book of Guidelines.

Student evaluation has a purpose to assess the attainment of learning objectives and competence in accordance with curriculum. Medicine Program Faculty of Medicine, Public Health, and Nursing has been doing evaluation for couple of times to students, these are:

  1. Evaluation in the First Year
  2. Evaluation by the end of 2nd Year
  3. Evaluation by the end of Undergraduate Program
  4. Evaluation by the end of Profession program

Complete student evaluations can be seen in the book “Medicine Program Assessment Guidelines Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada”

Learning Activity

Large group learning usually being conducted if number of students in a class or group are more than 20 persons. Challenge in large class learning is to ensure engagement from all students in a learning process.

Kinds of large class learning are:

Expert Lectures

Expert lectures has been used in medical profession education. Classical lectures form by doing speech in large class are not being an option anymore in a learning process. Lectures using student centered approach are emphasizing on interaction in order to get constructive learning. Lecturer conduct lectures through power-point to present learning materials. Lectures method are face – to face or online. Which online class will be conduct synchronous using application such as Webex, Zoom, Google Classroom or asynchronously by providing lectures records.

Integrated Lectures

Integrated lectures is a large class learning method which there are lecturer from a department to give lectures together. Integrated lectures are fitted to provide a materials or topic that could be explained from multi department view, so that integration between each department will be clearer, whereas student also get multi perspective materials. Ideally, learning materials in the form of presentation has been merge in order to help lecturer in explaining their materials alternately according to their expertise.

Panel Discussion

Panel discussion is a method for large class learning activity, which there are more than 1 panelist that will discuss about a complex concept or case. Panel discussion are suitable for complex and integrated materials from many topics.

Mini-Workshop

Mini workshop combined lectures with practice or structured work in order to get the students to practice immediately and reflect the materials learned.

Small group learning usually conduct with students less than 20 people, ideally less than 12 people. Small group learning usually called tutorial. Small group learning is not always tutorial that used seven jumps method. Small group discussion always started with trigger for discussion, that is case or scenario.

Small group learning will be conduct by face to face and online asynchronous. Small group learning method could be customized based on competence level from expected learning objectives from every module or learning materials.

Practicum is a practice learning activity in a laboratory aims to support the attainment of block learning objectives. Students are required to complete all practicum activities in the block and take part in responses or assignments or practicum exams organized by the laboratory to get practicum scores.

Field visit is an outside class activity that will be conduct to support the attainment of block learning objectives. Field visit give students opportunity to see real life implementation of learning in society, health facilities, or other organization.

Basic Clinical Competence Training (BCCT) is a learning method to acquire clinical skills with certain purposes and expected competence level. Medical skills learning incorporate communication skills, physical examination, procedural skills, clinical reasoning, writing prescription, integrated patient management, and etc. Medical skills training generally implement simulation-based learning using mannequin, standard patient, or real cases.

Students need time to do independent learning, as one of the methods to attain learning objectives. Independent learning activity can be connected to preparation or follow up from other learning activity. Independent learning help student to be able to attain learning object partially or fully without being strictly facilitated by lecturer.

Health Care with Inter-Professional Education (CFHC-IPE) which is an effort to build and develop competencies related to ethics, communication, working in teams, and responsibilities in a team. This activity provides students with experience to practice the professional skills obtained in each study program more realistically, because students directly interact with their families/ communities, and work together with different professions.

Co-curricular activities consist of student organization activities, “SUPPLEMENT” (supportive learning experiences for medical student), and activities that aim to hone the spiritual side of a doctor, namely “Religious Competence in Clinical Practice”. Students will receive a Certificate of Companion Diploma (SKPI) and determine the graduation for undergraduate level.