SURGICAL MODULE
ISBN:
CHAPTER I : Introduction 3
Student characteristics 5
Scope 8
References 13
Teaching Methods 17
1. Matrix of Activities 20
2. Human Resources
3. Facilities 25
Evaluation 30
31
Appendix 1 : Triggers 32
Praise the presence of God Almighty, with the completion of the Learning Plan Book of Surgery Module.
This book contains material that is expected to include knowledge requested by the Indonesian Medical
Council.
However, we also include material on the knowledge and skills that students need to learn in order to
equip them to be able to anticipate future developments in the field of Surgery. We hope that all the
material in this module can become the foundation of students to learn / explore further independently.
Although we have made every effort to perfect this module, we know that there are still many
shortcomings. For this reason, we are open to suggestions or input, especially from the Department of
Surgery Staffff. Surgery alone.
Last but not least, our intention is that Bachelor education for the Surgery Module is able to improve the
quality of education in FMUI as a whole.
KURFAK 2005 is a Competency Based Curriculum (CBC) that implements integrated basic strategies and
active learning methods. (KBK) FKUI 2005 was prepared in accordance with the new paradigm of medical
education consisting of three stages, namely the general education stage, the stage of medical knowledge
and the clinical practice stage. The Surgery Module is in the clinical practice phase in the 9-10 semester
and lasts 9 (nine) weeks
This curriculum was implemented from 2005-2006 and is the basis for the preparation of the Teaching
Design Book (BRP). Special Surgery Module is held starting in the 2009/2010 school year with a load of 4
credits. The Teaching Design Book is a design of real educational activities. .
Goals:
1. Able to make a diagnosis of surgical cases based on a complete and accurate disease history, basic
examination and appropriate support.
2. Able to manage surgical cases in accordance with the competence of general practitioners,
preventive and rehabilitative counseling in accordance with medical ethics.
3. Able to make a diagnosis of emergency surgical cases and conduct pre-hospital management and be
able to refer to a surgeon.
4. Able to make a diagnosis of elective surgical cases and conduct pre-hospital management and be
able to refer to a surgeon.
5. Able to develop themselves in terms of medical science, especially surgery, by holding on to lifelong
education.
6. Keep up with the development of IPTEKDOK and motivate themselves to conduct scientific research.
Pre-requisite
Students who take part in the Practical Clinic Practice Module are students who have:
1. Pass stage I (general education) which is the Basic Enrichment Stage which consists of:
– Basic Higher Education Program (PDPT)
– Introduction to the Empathy and Bioetic Modules for Personal and Medical Professional
development in the context of the Humanities
– Emergency and Emergency
– Introduction to Research
2. Pass stage II (medical sciences), namely the Medical Knowledge Stage consists of:
– Module of Integrated Medical Sciences
– Basic Clinical Skills Module
3. Pass the Foundation of Patient Care Module
4. Say courtesy promises.
5. Pass the Clinical Practice Modules in the fourth year
When students are confronted with surgical patients, they are able to manage the patient as a whole,
starting from identifying problems, conducting clinical examinations, investigating, assigning diagnosis /
differential diagnosis, to managing patients by taking into account all aspects (ethics, social, economic,
religious and cultural). The learning objectives compiled should meet the 10 competencies (K) of the
doctor that must be mastered (see attachment 1).
Scope of discussion Surgical science modules are adjusted to the priority problems of surgical patients in
Indonesia. The discussion is prioritized for diseases that must be managed in a comprehensive
manner, namely the level of ability 4. Management also includes treatment and prevention of
diseases according to the level of disease management capabilities that are adjusted to the
National Standards of Physician Competence (see Attachment 2).
TOPICS SUBTOPICS
1. Cardiovascular 1.1. Vascular trauma
1.2. Peripheral Artery Disease (PAD) and Degenerative
1.3. Venous Disorder and Artery Venous Malformation
1.4. Lymphe Disorder
2. Respiratory 2.1. Tuberculosis with pneumothorax
2.2. Empyema
2.3. Pneumothorax
2.4. Hematothorax
3. Gastrointestinal 3.1. Cleft lip and langits
3.2. Micrognasia and macrognatia
3.3. Esophageal atresia
3.4. Achalasia
3.5. Esophageal varices
3.6. Esophageal rupture
3.7. Diaphragmatic hernia
3.8. Ingunalis hernia (direct and indirect)
3.9. Femoral hernia
3.10. Epigastric hernia
3.11. Incisional hernia
3.12. Umbilical Hernia
3.13. Acute abdomen
3.14. Gastrointestinal bleeding
3.15. Chole (docho) lithiasis
3.16. Gallbladder empyema
3.17. Pancreatitis
3.18. Intestinal atresia
3.19. Umbilical fistula, omphalococele-gastroschisis NEC (Necrotizing Enterocolitis)
3.20. Rectal, anal prolapsed
3.21. Hemoroids
3.22. Perianal abscess Fistula
3.23. Anal fissure
3.24. Gastrointestinal obstruction
3.25. Intestinal atresia
3.26. Atresia ani
3.27. Congenital diaphragmatic hernia
3.28. Invagination
3.29. Malrotation
3.30. Hirschsprung
3.31. Biliary atresia
4. Nephrology 4.1. Urinary tract infection
4.2. Kidney colic
4.3. Urinary tract stones without colic
4.4. Retention of urine
4.5. Hematuria
In applying the competency-based curriculum, the student learning process can be divided into several
stages
a. Reading Task
Students are given reading assignments in accordance with certain topics to make it easier to
work in the ward or emergency unit, in this case making a diagnosis and surgical treatment.
b. Lecture
Students are given an introductory lecture on 1 specific topic. The lectures given are more
instrumental so students can understand the basics of the topics given and can develop their
knowledge by independent learning. Lectures are in the form of actual, interesting and
interactive materials.
c. Problem Solving
d. Video Session
Video sessions are intended to master certain skill procedures such as cannula vein installation,
urethral catheter, etc.
e. Bedside Teaching
Activities can be in the form of Patient Rounds, Poly Work or operating room activities while for
the Keep Division Report Activities can be done in the discussion room
2. Exercises
a. Case Presentation
In this activity, students are trained to make case reports that can be communicated and
presented to others.
b. Round
In this round there were discussions of cases discussing patients who were also cared for by
students. The round is carried out at each division of surgical science and is led by a division
counselor who has been determined.
c. Basic surgical skills courses
The course is held on the first day of the courtship. In this course, basic surgical skills are
provided to make it easier for students to work both in the emergency department, elective
surgery, and in the ward.
d. Extensible polyclinic and poly practice
Under the supervision of the counselor or supervisor, students are expected to carry out Minor
Surgery and be trained to carry out a history and physical examination, make a diagnosis and
follow-up examination and surgical management plan, postoperative patient follow-up, and
record medical records.
e. Practice and guard duty in the emergency unit
3. Feedback
a. Review session
In this session students were given the opportunity to ask questions about the material that had
been received and the cases that had been encountered during the beginning of the Surgery
Module
b. CEX Mini Exam
c. OSCE Exam
d. MCQ Exam
I 1 2 3 4 5 6 7 8 9
II 2 3 4 5 6 7 8 9 1
III 3 4 5 6 7 8 9 1 2
IV 4 5 6 7 8 9 1 2 3
V 5 6 7 8 9 1 2 3 4
VI 6 7 8 9 1 2 3 4 5
VII 7 8 9 1 2 3 4 5 6
VIII 8 9 1 2 3 4 5 6 7
IX 9 1 2 3 4 5 6 7 8
*Students divided into 9 gropus
Day/Date Digestive Ortopaedics Urology Pediatrics Oncology Plastics Surgery Vascular Cardiothorax Information
Monday Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS Week I
Day/Date Digestive Ortopaedics Urology Pediatrics Oncology Plastics Surgery Vascular Cardiothorax Information
Monday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS Week 2
Day/Date Digestive Ortopaedics Urology Pediatrics Oncology Plastics Surgery Vascular Cardiothorax Information
Monday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS Week 4
Day/Date Digestive Ortopaedics Urology Pediatrics Oncology Plastics Surgery Vascular Cardiothorax Information
Monday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS Week 6
Day/Date Digestive Ortopaedics Urology Pediatrics Oncology Plastics Surgery Vascular Cardiothorax Information
Monday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS Week 8
Hari / Tanggal Week I Week II Week III Week IV Week V Week VI Week VII
Tuesday Cardiothorax HNB Plastics Surgery Ortopaedics Digestive Pediatrics Surgery Ortopaedics
Plastics Surgery Cardiothorax HNB HNB Ortopaedics Urology Pediatrics Surgery
Thursday HNB Plastics Surgery Ortopaedics Cardiothorax Pediatrics Surgery Vascular Digestive
Ortopaedics Ortopaedics HNB Plastics Surgery Urology Digestive Vascular
Day/Date
Time Week 1/ Topics Week 2 / Topics Week 3 / Topics Week 4 / Topics Week 5 / Topics Week 6 / Topics Week 7 / Topics Week 8/ Topics
Plastics
13.00-14.00 Digestive Ortopaedics Urology ONCOLOGY Pediatrics Surgery Vascular
Surgery Basic Surgery
Monday
Skills Plastics
14.00-15.00 Digestive Ortopaedics Urology ONCOLOGY Pediatrics Surgery Vascular
Surgery
Plastics
13.00-14.00 Cardiothorax Digestive Ortopaedics Urology ONCOLOGY Pediatrics Surgery Vascular
Surgery
Wed
Plastics
14.00-15.00 Cardiothorax Digestive Ortopaedics Urology ONCOLOGY Pediatrics Surgery Vascular
Surgery
Plastics
13.00-14.00 Cardiothorax Digestive Ortopaedics Urology ONCOLOGY Pediatrics Surgery XX
Surgery
Friday
Plastics
14.00-15.00 Cardiothorax Digestive Ortopaedics Urology ONCOLOGY Pediatrics Surgery XX
Surgery
The Activity Matrix in the RSUD is in the form of Outpatient Room Activities, Practices and Night Shift in the emergency unit, Case Discussion with the educator team at the
Tangerang General Hospital, as well as the Operational Assistance activities.
2) Urology Division:
Dr. Firdaoessaleh, SpB, Sp
Dr. Arry Rodjani , SpU
DR. dr. Chaidir Arif Mochtar, SpU
DR. Dr. Nur Rasyid , SpU
DR. Dr. Ponco Birowo, SpU, PhD
Dr. Irfan Wahyudi, SpU
DR. Dr. Harina , SpU, PhD
Dr. Agus Rizal A. Hamid, SpU
Dr. M. Fariz, SpU
5) Vascular Division:
Dr. Murnizal Dahlan, SpB(K)BV
Dr. Hilman Ibrahim, SpB(K)BV
Dr. R. Suhartono, SpB(K)BV
Dr. Dedy Pratama, SpB(K)BV
Prof. dr. R. Soeparwata, SpB(K)BV
Dr. Alexander Jayadi, SpB
Dr. Akhmadu, SpB
6) Cardiothorax Division:
Dr. Tarmizi Hakim, SpB,SpBTKV
Dr. Wuryantoro, SpB,SpBTKV
Dr. Fathema Djan , SpB,SpBTKV
Dr. Jusuf Rachmat , SpB,SpBTKV
Dr. Ismail Dilawar, SpBTKV
Dr. Suprayitno Wardoyo, SpBTKV
8) Paediatrics Surgery:
Dr. HM. Amir Thajeb, SpB, SpBA
Dr. Sastiono, SpB, SpBA
Dr. Riana Pauline Tamba, SpB, SpBA
Dr. Ahmad Yani, SpB, SpBA
Dr. Iskandar R. Budianto, SpB, SpBA
Chief. Surgery
department
Dewan Perimbangan
KODIK S1
KOADMINKEU KOPELMAS KOLIT KEPALA DIVISI
PJ KURFAK 2005
Modul Elektif
PJ SOAL Kodik S1
KURFAK
UJIAN DIVISI 2005
Infrastructures:
1 (one) large lecture room, capacity of 100 people
2 (two) small lecture rooms, each with a capacity of 40 people
1 (one) library room
Surgical Polyclinic
1 (one) poly extirpated
1 (one) set of desktop computers 1 (one) printer
1 (one) LCD projector 1 (one) video projector
Table chairs
Bachelor Administrative Stafffs: Achmad Syaiful Anwar, SE
Reference Books:
1 Honor Staff pengajar Praktikum Keterampilan Bedah Dasar @ 3 3 staffs Rp 200,000 Rp 600,000 Rp 600,000 Rp 600,000 Rp 600,000
staff
2 Honor moderator case (sejumlah mhs peserta @ 50 staff ) 45 staffs
85,000 Rp Rp 3,825,000 Rp 3,825,000 Rp 3,825,000 Rp 3,825,000
3 Honor Penguji OSCE @ 10 staff 10 staffs
200,000 Rp Rp 2,000,000 Rp 2,000,000 Rp 2,000,000 Rp 2,000,000
4 Honor pembuat soal @ 9 staff 9 staffs
100,000 Rp Rp 900,000 Rp 900,000 Rp 900,000 Rp 900,000
5 Honor Koordinator PJ soal Ujian @ 1 staff 1 staff
750,000 Rp Rp 750,000 Rp 750,000 Rp 750,000 Rp 750,000
6 Honor Pengelola Modul ( 1staff ) 1 staff
1,000,00 Rp Rp 1,000,000 Rp 1,000,000 Rp 1,000,000 Rp 1,000,000
0
7 Honor Penguji mini CEX (sejumlah mhs peserta c/o. 45 mhs) @ 45 135 staffs Rp 50,000 Rp 6,750,000 Rp 6,750,000 Rp 6,750,000 Rp 6,750,000
staff x 3 kali
8 Honor Narasumber Kuliah ( 50 Topik) 50 staffs Rp 75,000 Rp 3,750,000 Rp 3,750,000 Rp 3,750,000 Rp 3,750,000
9 Honor Narasumber PBL (15 pengajar ) 15 staffs Rp 75,000 Rp 1,125,000 Rp 1,125,000 Rp 1,125,000 Rp 1,125,000
10 Honor Pengajar Praktikum sling & slab/splinting (2 pengajar) 2 staffs Rp 100,000 Rp 200,000 Rp 200,000 Rp 200,000 Rp 200,000
11 Honor Bed Side Teaching ( 45 hari x 8 Divisi) 360 staffs Rp 35,000 Rp 12,600,000 Rp 12,600,000 Rp 12,600,000Rp 12,600,000
12 Honor Diskusi Kasus Divisi ( 45 hari x 8 Divisi ) 360 staffs Rp 35,000 Rp 12,600,000 Rp 12,600,000 Rp 12,600,000Rp 12,600,000
13 Honor Supervisor Poli / OK Bedah ( 27 hari x 8 Divisi ) 216 staffs Rp 35,000 Rp 7,560,000 Rp 7,560,000 Rp 7,560,000 Rp 7,560,000
14 Honor Staff Review/ Feedback @ 8 staff Divisi 8 staffs Rp 100,000 Rp 800,000 Rp 800,000 Rp 800,000 Rp 800,000
15 Biaya Barang Habis Pakai ( 9 minggu)
ATK, Foto copy soal dll Keg Rp Rp Rp Rp Rp
Tinta Laser Jet HP 1 unit Rp 500,000 Rp 500,000 Rp 500,000 Rp 500,000 Rp 500,000
Bahan Praktikum keterampilan Dasar Bedah 1 Keg Rp 900,000 Rp 900,000 Rp 900,000 Rp 900,000 Rp 900,000
Bahan Perlengkapan ujian OSCE 1 Keg Rp 1,500,00 Rp 1,500,000 Rp 1,500,000 Rp 1,500,000 Rp 1,500,000
Copy Log Book 60 mhs 1 unit Rp 0 Rp 1,000,000 Rp 1,000,000 Rp 1,000,000 Rp 1,000,000
Bahan Praktikum sling & slab/splinting 50 Keg Rp 1,000,00 Rp 250,000 Rp 250,000 Rp 250,000 Rp 250,000
1 0 2,000,000 2,000,000 2,000,000 2,000,000
5,000
2,000,00
0
16 Biaya Komunikasi /pulsa @ IDR150.000 (selama 9 minggu) 1 unit Rp 150,000 Rp 150,000 Rp 150,000 Rp 150,000 Rp 150,000
17 Biaya Operasional :
B. Konsumsi staff pengajar Praktikum @ 3 staff Uang Transpor Rp Rp
Pekarya Praktikum @ 2 org 3 staff Rp 20,000 Rp 60,000 Rp 60,000 Rp 60,000 Rp 60,000
Biaya Snack & Konsumsi staff penguji ujian OSCE @ 10 staff Uang 2 ps Rp 50,000 Rp 100,000 Rp 100,000 Rp 100,000 Rp 100,000
Transpor Pekarya Ujian OSCE @ 2 org 10 staff Rp 30,000 Rp 300,000 Rp 300,000 Rp 300,000 Rp 300,000
Biaya konsumsi Rapat Pendidikan Bedah 3 kali @ 10 staff Biaya 2 ps Rp 50,000 Rp 100,000 Rp 100,000 Rp 100,000 Rp 100,000
(minuman/aqua) utk 3 kali rapat 30 staff Rp 15,000 Rp 450,000 Rp 450,000 Rp 450,000 Rp 450,000
Biaya pemeliharaan/perbaikan peralatan Lap Top( Original Antivirus 3 rpt Rp 50,000 150,000 150,000 Rp 150,000 Rp 150,000
Laptop ) 1 unit Rp 400,000
Rp 400,000
18 Honor / Uang Transport Admin S1 @ 1 staff 1 ps Rp 400,000 Rp 400,000 Rp 400,000 Rp 400,000 Rp 400,000
*Cetak Buku BRP 20 unit Rp 15,000 Rp 300,000
*Cetak Buku BPSP 80 unit Rp 15,000 Rp 1,200,000
*Cetak Buku BPKM 250 unit Rp 10,000
Rp 2,500,000
Total Rp 66,320,000 Rp 62,720,000 Rp 62,320,000Rp 62,320,000
Total IDR 250.000.000 ( Rotation 1 s/d 4 )
EVALUATION
Educational outcome evaluation is determined based on the results and process of student education
with the following modalities:
1. Academic activity book (Log Book)
All student activities supervised by staff are recorded in detail in this book. Thus the process of
student education will be seen both in terms of quality and quantity.
* The logbook is missing, if it is caused by negligence that cannot be accepted, students must
pay a fine of IDR 500,000 to get a new logbook.
3. MCQ Exam
Final Assessment
MCQ Exam 30%
OSCE 20%
Mini-CEX 30%
B. Objectives Program
After the Surgery Module is complete, 80% of students must be able to carry out the main
competencies and expected competencies.
The FMUI curriculum emphasizes 7 competencies those are in accordance with the National Curriculum
plus 3 competencies which are the specificities of FMUI graduates. The competencies expected by FMUI
graduates are:
A. Main Competence
a. Effective communication
b. Basic clinical skills
c. Skills in applying the basics of biomedical sciences, clinical sciences, behavioral sciences
and epidemiology in family medicine practice
d. Management of health problems for individuals, families and communities
e. Use and assess critically the validity of information technology
f. Self-awareness and self-development with lifelong learning
g. Ethics, morals and professionalism in practice
B. Supporting Competencies
a. Research
b. Emergency Medicine and Health Management
c. Management of health services
A. List of Problems
This list contains problems, complaints or symptoms that are often found at the level of primary health
care that may be related to surgical cases. The more exposed to various types of problems, complaints or
symptoms that will be found in primary care, graduates of doctors are expected to have better problem
solving skills
This list does not indicate the order of priority for common / systemic symptoms
1. Fever
2. Seizures
3. Yellow skin
4. Spontaneous bleeding
5. trauma bleeding
6. Drastic weight loss
7. Vomiting blood
8. Burns
Digestive system
13. Pain and difficulty swallowing
14. Flatulence
15. Stomach cramps
16. Lumps of the stomach
17. Abdominal pain
18. Heartburn
19. Pain after eating
20. Pain in the anal area
21. Pain during bowel movements
22. Vomiting Difficult bowel movements (constipation)
23. Diarrhea
24. Fecal abnormalities (mucus, pus, blood)
25. Hemorrhoid
Urinary system
1. Pain when urinating (BAK) (dysuria)
2. Anyang-anyangan
3. Urine straining
4. Urination is not light
5. Urinary retention
6. Urinary incontinence
7. End of pee dripping
8. Urine emission decreases
9. Branched urine
Male genitalia
23. Testicular pain
24. Remove the palms not palpable
25. Erectile dysfunction
Level of ability: 1
Can recognize and place clinical images according to this disease when reading literature. In
correspondence, he can get to know this clinical picture and know how to get more information. This
level indicates the overview level. When dealing with patients with this clinical picture, the doctor
immediately refers
Level of ability: 2
Able to establish a clinical diagnosis based on history, physical examination and additional examinations
requested by the doctor. The doctor is then able to refer to the relevant specialist and be able to follow
up afterwards.
Level of ability : 3
3.A. Able to establish a clinical diagnosis based on physical examination and additional examinations
requested by the doctor. Doctors can decide and provide preliminary therapy and refer to relevant
specialists (not emergency cases).
3.B. Able to establish a clinical diagnosis based on physical examination and additional examinations
requested by the doctor. Doctors can decide and give preliminary therapy and refer to relevant specialists
(emergency cases).
Level of ability: 4
Able to establish a clinical diagnosis based on physical examination and additional examinations
requested by the doctor. The doctor can decide and be able to handle the problem in a complete
manner.
Ability level
No Entity clinical problem Clinical Problem
Management
Cardiovascular
1 Aorta-arteries disorder Aortic aneurism 1
Varises (primer, sekunder) 2
4. Vena Deep vein thrombosis 2
Thrombophlebitis 3A
5. Lymph vessels Lymphedema (primer, sekunder) 3A
6. Trauma vaskular 3B
Respiratory System
7. Tuberculosis with pneumothora 2
8. Emphyema 3A
9. Pneumothorax 3B
10. Hematothorax 3B
Gastrointestinal
Cleft lip and langits 2
11. Mouth
Micrognasia and macrognatia 2
12. Esophagus Esophageal atresia 2
Achalasia 2
Esophageal varices 2
Esophageal rupture
Operative surgery
All doctors should go into the operating room and follow the course of several different operations. This
experience should be able to teach the experience of working in teams, the operating burden for
patients, and the management of pre and post surgery.
CASE PRESENTATION
Competence
Signs
No Case Diagnosis
(Full Name)
1 2 3 4 5 6 7
Total
Sign
Kompetensi
No Diagnosis (Full Name)
(Name/Age/Room)
1 2 3 4 5 6 7
Nurul Akbar
Ermita Isfandiary Ibrahim Ilyas
Pramita Gayatri
Lucky Moehario
Sophie Yolanda
Arman A. Adel
Diah Rini Handjari
Ina S Timan
Lia Damayanti
Marcellus Simadibrata
Rizal S Bahar
Sasanthy Kusumaningtyas
Zunilda Djanun