Are patient-centered care values as reflected in teaching scenarios really being taught when implemented by teaching faculty? A discourse analysis on an Indonesian medical school's curriculum

Mora Claramita,Albert Jj Scherpbier,Adi H Sutomo,Mark A Graber

doi:10.1186/1447-056x-10-4

Mora Claramita, Albert Jj Scherpbier + Show 2 more

Open Access

https://doi.org/10.1186/1447-056x-10-4

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Abstract

BackgroundAccording to The Indonesian Medical Council, 2006, Indonesian competence-based medical curriculum should be oriented towards family medicine. We aimed to find out if the educational goal of patient-centered care within family medicine (comprehensive care and continuous care) were adequately transferred from the expected curriculum to implemented curriculum and teaching process.MethodsDiscourse analysis was done by 3 general practitioners of scenarios and learning objectives of an Indonesian undergraduate medical curriculum. The coders categorized those sentences into two groups: met or unmet the educational goal of patient-centered care.ResultsText analysis showed gaps in patient-centered care training between the scenarios and the learning objectives which were developed by both curriculum committee and the block planning groups and the way in which the material was taught. Most sentences in the scenarios were more relevant to patient-centered care while most sentences in the learning objectives were more inclined towards disease-perspectives.ConclusionsThere is currently a discrepancy between expected patient-centered care values in the scenario and instructional materials that are being used.

Highlights

According to The Indonesian Medical Council, 2006, Indonesian competence-based medical curriculum should be oriented towards family medicine
In 2006, the Indonesian Medical Council, adopted a competence-based education as the basis for undergraduate medical curriculum and clearly stated the orientation of the curriculum should be towards family medicine [8,9,10]
The development of a competence-based curriculum that oriented towards family medicine using a problem based learning approach in an Indonesian school of medicine In this study, we examined an Indonesian competencebased medical curriculum

Summary

Introduction

According to The Indonesian Medical Council, 2006, Indonesian competence-based medical curriculum should be oriented towards family medicine. It is essential that patient-centered care be recognized by health professionals who work in any domain of medicine. Patient-centered care is at the core of care provided by family practitioners [2,3,4,5,6,7]. Caring for patients, while recognizing their personal and environmental background helps to define the specialty of family. In 2006, the Indonesian Medical Council, adopted a competence-based education as the basis for undergraduate medical curriculum and clearly stated the orientation of the curriculum should be towards family medicine [8,9,10]. Looking at general scope of the 7 competences, patient-centered care values should have already been included

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