Professional Documents
Culture Documents
PROFESIONALISME DALAM
PRAKTIK KEDOKTERAN:
Kompetensi, Kewenangan dan Etika
THRASYMACHUS:
Hes the one who treats the sick.
One hundreds
years on.
...... ..........
Things has
changed
MJA 2005;183:560-561
What is a Doctor &
What does a Doctor do ?
Starr
Profession is a complex
concept, the definition of which has
been attempted for centuries. It has
been studied and defined by many
from a variety of disciplines with some
agreements, much conflict, and
some useful additions.
The practice of medicine is NOT a
Business and can never be one
Our fellow creatures cannot be dealt
with as a man deals in corn and cost,
the human heart by which we live
must control our professional relations.
SS 2011
Definition of Professionalism
Professionalism is demonstrated
through a foundation of clinical
competence, communication skills,
and ethical and legal understanding,
Upon which is built the aspiration to and
wise application of the principles of
professionalism : excellence,
humanism, accountability and
altruism
A definition of professionalism
Ethics Accountability
Collegiality Altruism
Proffessional competence
Legal and ethical conduct Proffessional competence
Adequacy of access Financial performance
All six domains
Hospitals Managed
Care Plants
STANDAR KOMPETENSI
DOKTER INDONESI
2012
SISTEMATIKA SKDI 2012
Area Kompetensi
Kompetensi INTI
Komponen Kompetensi
LAMPIRAN
Daftar Pokok Bahasan
Daftar Masalah
Daftar Penyakit
Daftar Keterampilan Klinis
Komponen Area Kompetensi
1. Profesionalitas yang luhur (berke-Tuhanan
YME, mermoral dan etika dan disiplin)
2. Mawas Diri dan Pengembangan Diri (mawas
diri, belajar sepanjang hayat, mengembangkan
pengetahuan)
3. Komunikasi Efektif (berkomunikasi dengan pasien
dan keluarga, mitra dan masyarakat)
4. Pengelolaan Informasi (mendesseminasikan
informasi secara efektif pada pasien dan tenaga
kesehatan lainnya)
5. Landasan Ilmiah Ilmu Kedokteran (menerapkan
ilmu biomedik, humaniora, kedokteran klinik dan
kes.masyarakat, dan mengelola masalah kesehatan)
6. Keterampilan Klinis ( prosedur diagnostik dan tata
laksana) Sesuai dengan LEVEL Kompetensi
Standards of care
Clinical guidelines
Practice guidelines
Protocols Must be:
Standard operating # Evidence-based
procedures # Periodically
Algorithms revised
Clinical pathways
Standing orders
In Indonesia
(NOT STANDARDIZED)
Prof Heyman,
Washington University (2008)
KOMPETENSI
Pengelolaan Indformasi
Pebgelolaan masalah
Ketrampilan Klinis
Kedokteran
Kesehatan
KOMUNIKASI EFEKTIF
MAWAS DIRI DAN PENGEMBANGAN DIRI
PROFESIONALITAS YANG LUHUR
Professionals Healthcare
Organizations
Professional
Increasing difficulties of
physician to meet their
responsibilties to patients and
society
Health System
Financing
Access
Human resources
Quality of
Health
Care
Revitalizing Professionalism
Role of associations important to:
- set and maintain standards
- to expand and disseminate
knowledge
- to inform the public
Hospital by Laws
Medical Acts
Hospital staffs
Health System
Developing countries face many
challenges to building
robust,reliable health system:
insufficient financing
lack of inter-agency
coordination,
poorly function ing information
system
health worker shortages
We seek the system that gives physicians
the autonomy and freedom
Education
Licensing
Regulation
Representation
WMA, 2005
Conclusion
Professionalism in Medicine is built under the
construction of excellence,
humanism,accountability and altruism based
on Ethical & legal standing,Communication
skills, Clinical Competence
Professionalism including professional
competence- should be introduced in early years
of medical training and throughout residency
programs
Dalam Praktik Kedokteran : Level Kompetensi
profesi kedokteran, dan kewenangan klinis
terkait erat dengan Etika Klinis dan Disiplin
Profesi Kedokteran
Take Home Massage
BE A Good Doctor : Professional and
Accountable
Patients need a
Good Doctors:
Maintain good
relationships with patients
& colleagues
Honest & trustworthy
Act with integrity