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Competency doctor
Lecture : Erwin Santosa
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Definition
Kompetensi adalah seperangkat tindakancerdas, penuh tanggung jawab yangdimiliki seseorang sebagai syarat untuk
dianggap mampu oleh masyarakat dalammelaksanakan tugas-tugas di bidang
pekerjaan tertentu ( Ministerial Decree No.
045/U/2002 )
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Competence includes a broad range ofknowledege, attitudes, and observable patternsof behaviours which together account for theability to deliver a specified professional service
Profesional competence is the habitual andjudicious use of communication, knowledge,technical skills, clinical reasoning, emotions,values and reflection in daily practice to improveyhe health of the individual patient andcommunity
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Competency is a complex set of
behaviours bulit on the components ofknowledge, skill , atitude and competenceas personal ability
Competency are simple behavioursrequired to complete a single task, in wichcase, the task in effect become competen
Competence include specific tasks and
more general attributes of effective roleperfoemance within the practice context
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The various definition of competency shows thata competency is a blend of knowledge, skills and
attitude needed to perform effectively as amedical doctor Competency statement also implies that this
performance is carried out under a practicecontext or in another word contextualised.
Competency emphasiezes on what will beachived at the end of medical educationprogram, and not just about the acquisition ofknowledge or cogntive domain .
Competency statement requires an explicit levelof of achievment
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Steges of Competency
development
Novice Learning rules
Advanced Beginer Applying rule to a given
situationCompetent Practioner Using judgement
Proficient Practioner Using pattern recog
nition and reasoningExpert Using practical wisdom
Master Creating personal style
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Area of competencies
To be able to perform as a medical doctoreffectively, one should master somecompetencies which can be divided into
areas competencies.
Area of competencies can be elaboratedinto competency component . Each
competency component compries ofknowledge, skills and atitudes .
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Out comes : Area of competence
Role and functions of health professionals
Competency Components
Required for performance of roles and functions
Knowledge, skills and Attitude
For acquisition of competencies
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Area of Competence of medical
doctor in Indonesia
1. Management of health problems
2. Ethics, Profesionalism and Medico- legal
3. Effective communications4. Management of Primary Health Care and
Family Medicine Practice
5. Personal development and life longlearning
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Management of health problem
Ability to manage health problem in theindividual, family and community byworking collaboratively, comprehensively,and holistically
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1. Application of concept and princip from thebiomedical, clinical, behavioral sciences
2. Diagnosing patient diseases, illnesses andproblem
3. Managing patient disease ilness and problemsas an individual, member of family, and
community4. Preventing diseases and illnesses5. Conducting halth education for health
promotion and disease prevention
6. Mobilishing community and empoweringcommunity to improve inadequate healthconditions
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Ethics, Professionalism and Medico
Legal
Behave in a professional, moral, andethical way, and recognize the ethicalissue as well as medico-legal aspects ofmedical practice
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1. General professional attitudes
2. Professional collaborative behaviour
3. As a professional member of the healthcare team
4. Practicing in a diverse multiculturalsociety of Indonesia
5. In managing patient- related information
6. In the medico-legal aspect of practice
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Effective communication
The ability to elicit and exchangeinformation ( verbal and non-verbalcommunication ) with patients/clients of allages, family members, community,colleagues, and other profession
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1. In communicaticating with patient/ clientsand family
2. In communicating with colleagues
3. In communicating with the community
4. In communicating with other sectors
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Managing Primary health Care and
Family Medicine Practice
Ability to manage effectively and efficientlypeople and resources in a family medicinepractice to provide quality health services
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1. Act a manager
2. Managing people
3. Managing facilities and utilities
4. Managing information
5. Managing finance and managed caresyatem
6. Managing quality
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Personal development
Ability to plan, implement, and monitorhis/her continuing personal development
Ability to actively search profesionalliteratures, criticaly appraise them, andmake decision for daily medical practices
Ability to recognize his/her strength andlimitation
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1. Practicing life long learning
2. Seeking and aplying kowledge to healthproblems
3. Developing new knowledge
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Home work
If students find information from news paper,magazine, television , people , or selfexperience about case lack of one competencydoctor , please sent and discussion by email to :
erwin_santosa@ hotmail.com Example ( lack competency ) Area 1 : diagnostic , therapy for patien Area 2 : ethic
Area 3 : communication Area 4 : cost Area 5 : learning
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