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GUIDE BOOK

SURGICAL MODULE

Copyright 2011 by Faculty of Medicine, University of Indonesia


All rights reserved. This book or any parts thereof,
may not be used or reproduced in any manner
without written permission from the writer/publishers.

ISBN:

MEDICAL EDUCATION UNIT


FAKULTAS KEDOKTERAN UNIVERSITAS INDONESIA

Guide Book, Surgical Module, FMUI 1


TABLE
2010-2011
OF CONTENTS

TABLE OF CONTENTS PAGE

CHAPTER I : Introduction 3

Student characteristics 5

CHAPTER II : Learning Objectives 6

Scope 8

References 13

Teaching Methods 17

CHAPTER III : Resources 20

1. Matrix of Activities 20
2. Human Resources
3. Facilities 25

Evaluation 30

31

Appendix 1 : Triggers 32

Appendix 2 : Problem Based Learning 34

Appendix 3 : Student Assessments in curriculum 2005 36

Appendix 4 : Evaluations Sheets 38

Guide Book, Surgical Module, FMUI 2


INTRODUCTION

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.

Jakarta, August 2011

Compiler of the Surgery Module

Guide Book, Surgical Module, FMUI 3


INTRODUCTION

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.

Guide Book, Surgical Module, FMUI 4


STUDENT CHARACTERISTICS

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

Guide Book, Surgical Module, FMUI 5


LEARNING OBJECTIVES

Terminal Learning Objective

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).

Supporting Learning Objectives

After completion of this module :


1. Effective communication:
a. Students are able to communicate effectively through formal writing for groups and
communities. Demonstrate communication skills in large groups and professional
presentations
b. Students are able to communicate with patients in a state of nervous anxiety,
unconsciousness or with speech disorders, and with difficult issues such as diagnosis of
severe illness, amputation or death problems.
c. Students are able to carry out counseling which is seen from the ability to provide
support, empathy and wise suggestions.

2. Basic Clinic Skills:


a. Obtain a complete and accurate medical history through anamnesis, carry out a lege
artist's physical examination (including conducting directional cases of emergency
examinations: decreased consciousness, respiratory distress, cardiac distress, acute
abdomen, and multiple fractures) and design the necessary investigations
b. Make a good medical record
c. Analyzing data obtained from history taking, physical examination and investigation to
establish a diagnosis of surgical cases.
– Differentiating acute or elective minor surgical cases
– Differentiating acute or elective major surgical cases
– Differentiating medical emergencies from surgical emergencies
d. Plan and carry out management in accordance with the diagnosis, including medical,
simple, preventive and rehabilitative surgical procedures.
e. Properly referral of surgical cases, both emergency and elective
f. Perform pre-surgery preparation and post-surgical monitoring in surgical patients
undergoing surgery with general anesthesia.
g. Routine clinical measures and knowing indications, complications and limitations
– Universal precautions and handling of contaminated / infected material
– Carry out a procedure of action and antisepsis
– Caring for clean, polluted, polluted and dirty wounds
– out local anesthetic techniques with local anesthetics in simple surgical cases as
indicated
– Venous puncture
– Installing peripheral IVFD
– Injections: intradermal, subcutaneous, IM, IV
– Arterial puncture for examination of blood gas analysis

Guide Book, Surgical Module, FMUI 6


– Installation of a naso gastric tube
– Installation of foley catheters in women and men
– Circumcision
– Extraction of cysts
– Nail extraction / rozerplasty
– Incision and abscess drainage
– Installation of temporary / emergency stents
– Temporary emergency immobilization for fracture or dislocation of cervical vertebrae
– Overcoming massive external bleeding and the principle of compressive dressing
– Basic surgical skills for general practitioners
– Knowing the basic principles of Advanced Trauma Life Support (ATLS)

3. Students are able to know:


a. Indications, complications and limitations of the Water Sealed Drainage (WSD) procedure
and have attended training with cadaver, model, or patient.
b. Use and critically assess information technology validity
c. Self-awareness and self-development with lifelong learning
d. Ethics, morals and professionalism in practice

Guide Book, Surgical Module, FMUI 7


SCOPE

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

Guide Book, Surgical Module, FMUI 8


TOPICS SUBTOPICS
5. Male Genitalia 5.1. Hypospadias
5.2. Epispadia
5.3. Testicular undescension
5.4. Retractile testicles
5.5. Testicular torsion
5.6. Epididimistic
5.7. Spermatocele
5.8. Varicocele
5.9. Hydrocele
5.10. Phimosis
5.11. Paraphimosis
5.12. Urethral rupture
5.13. Bladder rupture
5.14. Kidney rupture
5.15. Urethral stricture
5.16. Priapismus
5.17. Infertility
5.18. Ejaculation disorders
5.19. Erectile disorders
6.1. Local Infection & Abcess 6.1. Paronychia
6.2. Suppurative Tenosynovitis
6.3. Human bite
7. Neoplasm 7.1. Lung Carcinoma
7.2. Head and Neck Carcinoma
7.3. Gastrointestinal
7.4. Hepatic-Hepatoma
7.5. Pancreatic
7.6. Kidney
7.7. Male Genital
7.8. Breast
7.9. Endocrine
7.10. Thymus
7.11. Skin
7.12. Premalignant and malignant epithelial tumors
7.13. Tumor of Melanocystic cells
7.14. Bone and Soft Tissue
7.15. Spine
8. Musculoskeletal 8.1. Bone and joint abnormalities
8.2. General Musculokeletal disorders
8.3. MS Local Disorders
8.4. Degenerative joint disorders
8.5. Pelvis and lower extremities
9. Spine 9.1. Spinal Cord injury
9.2. Spine Deformity: Kyphosis, Scoliosis
9.3. Nucleus Pulposus Hernias
9.4. Tuberculosis spondylitis
10. Traumatology 10.1. Fracture
10.2. Dislocation
10.3. Spinal trauma
10.4. Injury to soft tissue / sports injuries
10.5. Facial Trauma
11. Miscellaneous 11.1. Carpal Tunnel Syndome
11.2. Trigger Finger / thumb
11.3. Stenosing Tenovaginitis (De Quervain’s disease)
11.4. Tennis ’elbow / Golfer’s Elbow
11.5. Burns
11.6. Graft & Flap

Guide Book, Surgical Module, FMUI 9


List of Clinical Skills
In each clinical skill the level of ability used to use the pyramid Miller (knows, knows how, show, does) is
expected to be achieved by students at the end of education.

Guide Book, Surgical Module, FMUI 10


TEACHING METHODS

In applying the competency-based curriculum, the student learning process can be divided into several
stages

The methods include:


1. Orientation
The learning process stage to get the knowledge-orientation that is the basis of each
competency. FKUI places students as subjects and is expected to be active learning, to ensure the
ability of lifelong learning in the future, then at this stage there should be as many methods as
possible that activate students. This is done by the following methods:

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

Guide Book, Surgical Module, FMUI 11


In this field work, students are exposed to emergency cases. Students are expected to be able to
carry out ABCD actions for life saving, able to make diagnosis and preparatory preparations for
emergency cases. Students are also allowed and expected to see or follow (as an assistant
operator) in emergency surgery to enrich their skills and knowledge.
f. Also taking care of elective surgical patients
Students are trained to care for pre and post surgical elective patients, under the supervision of
the relevant division counselors.
g. Operational assistance (emergency and elective cases)
Through this activity, students are expected to be able to train themselves to work on antisepsis,
have good sterile atitude and work together in a good surgical team, under the supervision of the
operator.
h. Activities at Tangerang General Hospital
Under the guidance of a team of educators at the Tangerang General Hospital, students are
expected to be exposed to more and varied emergency and elective surgical cases so as to
increase knowledge and skills, while the Activity Matrix in the RSUT consists of Outpatient Poly
Activities, Practice and guard duty in the emergency unit , Case Discussion with the teaching
team at the Tangerang General Hospital, as well as the Operational Assistance activities.

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

Guide Book, Surgical Module, FMUI 12


RESOURCES
1. MATRIX OF ACTIVITIES

Cardiovascular General Surgery


Week Digestive Orthopaedcs Urology Plastics Surgery Pediatrics Oncology Ortopaedicscs
Thorax RSUT

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

Guide Book, Surgical Module, FMUI 13


WEEK
DAY VII
Information I II III IV V VI VII
I
IX
Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side
7.00-9.00 Introduction Teaching Teaching Teaching Teaching Teaching Teaching Teaching Teaching
Division Division Division Division Division Division Division Division
Mon 9.00-12.00
Video & Basic Activity Activity Activity Activity Activity Activity Activity Activity
13.00-15.00 Skill Surgery Lecture Lecture Lecture Lecture Lecture Lecture Lecture
Case
presentation
Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side
7.00-9.00 Teaching Teaching Teaching Teaching Teaching Teaching Teaching Teaching Teaching
Division Division Division Division Division Division Division Division
Tue 9.00-12.00 Division Activity
Activity Activity Activity Activity Activity Activity Activity Activity
13.00-15.00 Case Case Case Case Case Case Case Case Case
Presentation Presentation Presentation Presentation Presentation Presentation Presentation Presentation Presentation
Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side
7.00-9.00 Teaching Teaching Teaching Teaching Teaching Teaching Teaching Teaching
Division Division Division Division Division Division Division
9.00-12.00 Division Activity Ujian OSCE
Activity Activity Activity Activity Activity Activity Activity
Wed
13.00-15.00 Case
Lecture Lecture Lecture Lecture Lecture Lecture Lecture Lecture
Presentation
Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side Bed Side
7.00-9.00 Review
Teaching Teaching Teaching Teaching Teaching Teaching Teaching
Division Division Division Division Division Division
9.00-12.00 Division Activity Review PBL
Activity Activity Activity Activity Activity Activity
Thurs
13.00-15.00 Case Case Case Case Case Case Case Case Case
Presentation Presentation Presentation Presentation Presentation Presentation Presentation Presentation Presentation
bedside bedside bedside bedside bedside bedside bedside Bed Side
7.00-9.00 MCQ Exam
teaching teaching teaching teaching teaching teaching teaching Teaching
Division Division Division Division Division Division Division Division
9.00-12.00 Division Activity
Activity Activity Activity Activity Activity Activity Activity Activity
Fri
13.00-15.00 Case
Lecture Lecture Lecture Lecture Lecture Lecture Lecture Lecture
Presentation

 Bed Side Activities; (made a schedule per Division)


– Ward shift per division
– Led by the Consulent who was determined by the Division
 Division Activities; 09.00 WIB:
– Discuss Case Division Topics
Guide Book, Surgical Module, FMUI 14
– After discussion, students divided by 2 per Division consist of;
 Activities in Operation Room
 Polyclinic, under the Supervision of the outpatient Consulent
 Emergency room activities; starting at 16.00 - 06.00
Shift divided according to the number of students, if numb.of students>60, then divided into 2 shifts
 OSCE Exam
If you do not take the OSCE Exam, you must take the next OSCE group / semester Exams
 Cex Mini Exams, starting from week V
Done in Division activities (09.00 - 12.00)
 Case presentation, every Tuesday and Thursday (I Sunday to VII), except weeks VIII & IX
 Lectures, according to number of Division Topics (including Slab practicum, Splinting)
 Review;
– Plenary Activities; attended by Education commander, Chairperson of Modules & members
 PS, Urology & Orthopedic Topics
 MCQ exam, week IX

Bedside Activity Schedule Surgery Division 07.00 – 09.00

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

Tuesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Wednesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Guide Book, Surgical Module, FMUI 15


Thursday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Friday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

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

Tuesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Wednesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Thursday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Friday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Guide Book, Surgical Module, FMUI 16


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 3

Tuesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Wednesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Thursday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Friday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

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

Tuesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Wednesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Thursday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Friday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Guide Book, Surgical Module, FMUI 17


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 5

Tuesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Wednesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Thursday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Friday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

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

Tuesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Wednesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Thursday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Friday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Guide Book, Surgical Module, FMUI 18


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 7

Tuesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Wednesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Thursday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Friday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

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

Tuesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Wednesday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Thursday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Friday Stafff D Stafff O Stafff U Stafff A Stafff On Stafff P Stafff V Stafff KS

Guide Book, Surgical Module, FMUI 19


Students Case Presentation Schedule; 2 gropus 13.00 – 15.00

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

Hari / Tanggal Week V I I I Week I X Information

Monday Lecture Urology KTS :3x


Digestive PLS :5x
Tuesday Urology Vascular HNB :6x
Digestive Plastics Surgery ORT :6x
Wednesday Lecture Vascular BA :5x
Urology DST :8x
Thursday Digestive Urology VSK :4x
Pediatrics Surgery Digestive URO :6x
Friday HNB Pediatrics Surgery
Digestive Urology

Guide Book, Surgical Module, FMUI 20


Jadwal Ujian Mini Cex per Divisi , dilaksPediatricsan pk. 09.00 -12.00
Students Number DIGESTIVE ORTOPAEDICS UROLOGY PLASTICS PEDIATRI ONKOLOGI K’ TORASIK VASCULAR Information &
SURGERY CS Examiner Stafff
1 11 21 31 1 2 3 4 5 6 7 8 Monday / Week V
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
2 12 22 32 9 10 11 12 13 14 15 16 Tuesday / Week V
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
3 13 23 33 17 18 19 20 21 22 23 24 Wednesday/ Week V
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
4 14 24 34 25 26 27 28 29 30 31 32 Thursday/ Week V
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
5 15 25 35 33 34 35 36 37 38 39 40 Friday/ Week V
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
6 16 26 36 40 39 38 37 36 35 34 33 Monday / Week VI
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
7 17 27 37 32 31 30 29 28 27 26 25 Tuesday / Week VI
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
8 18 28 38 24 23 22 21 20 19 18 17 Wednesday/ Week VI
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
9 19 29 39 16 15 14 13 12 11 10 9 Thursday/ Week VI
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
10 20 30 40 8 7 6 5 4 3 2 1 Friday/ Week VI
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
1 2 3 4 5 6 7 8 Monday / Week VII
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
9 10 11 12 13 14 15 16 Tuesday / Week VII
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
17 18 19 20 21 22 23 24 Wednesday/ Week VII
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?

Guide Book, Surgical Module, FMUI 21


25 26 27 28 29 30 31 32 Thursday/ Week VII
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?
33 34 35 36 37 38 39 40 Friday/ Week VII
Stafff Stafff Stafff Stafff Stafff Stafff Stafff Stafff
? ? ? ? ? ? ? ?

Guide Book, Surgical Module, FMUI 22


Lecture Schedule, dilaksPediatricsan 13.00 – 15.00 (50 Topics ; Based on meeting results Bachelor Education
commander dengan Division commander)

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.

Guide Book, Surgical Module, FMUI 23


2. Human Resources
a) Academic Stafffs of Suregery Department FMUI-Cipto Mangunkusumo Hospital
Professors:
 Prof. dr. Djoko Rahardjo, SpU
 Prof. Dr. dr. Aryono D. PuspanegoroSpB(K)BD
 Prof. dr. Errol U Hutagalung, SpB, SpOT
 Prof. dr. Subroto Sapardan, SpB, SpOT
 Prof. dr. Djoko Simbardjo Iskandar, SpB, SpOT
 Prof. Dr.dr. Darmawan Kartono, SpB, SpBA
 Prof. dr. Muchlis Ramli, SpB(K)Onk
 Prof. Dr. dr. Akmal Taher, SpU
 Prof. dr. Chaula L. Sukasah, SpB, SpBP
 Prof. Dr. Rainy Umbas ,SpU, PhD

1) Digestive Surgery Division:


 Dr. Arnold B. H. Simandjutak, SpB(K)BD Dr. Benny Philippi, SpB(K)BD
 Dr. Memet R. Nataprawira, SpB (K)BD
 DR. Dr. Toar J. M. Lalisang, SpB(K)BD
 Dr. Ibrahim Basir , SpB(K)BD
 Dr. Agi Satria , SpB(K)BD
 Dr. Yarman Mazni , SpB(K)BD
 Dr. Maria Mayasari, SpB(K)BD
 Dr. Wifanto S. Jeo, SpB(K)BD

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

3) Oncology Surgery Division:


 Dr. Zafiral Azdi Albar, SpB(K)Onk
 Dr. Sonar Soni Panigoro, SpB(K)Onk, M.Epid
 Dr. Achmad Kurnia, SpB(K)Onk
 Dr. Erwin Danil Yulian, SpB(K)Onk
 Dr. Diani Kartini, SpB(K)Onk
 Dr. Farida Briani, SpB(K)Onk

4) Plastics Surgery Division:


 Dr. Gentur Sudjatmiko, SpB, SpBP
 Dr. Imam Susanto, SpB, SpBP
 Dr. Theddeus O.H. Prasetyono, SpBP
 Dr. Aditya Wardana, SpBP
 Dr. Kristanita Bangun, SpBP

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 24


 Dr. Ni Made Swantari, SpBP
 Dr. Parintosa Atmodiwirjo, SpBP
 Dr. Siti Handayani, SpBP

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

7) Orthopaedics and Traumatology Division:


 Dr. Paruhum Ulitua Siregar, SpB, SpOT
 Dr. Emir Soendoro, SpOT
 Dr. Ifran Saleh, SpOT
 Dr. Singkat Dohar A L. Tobing, SpOT
 Dr. Syaiful Anwar Hadi, SpOT
 Dr. S. Bambang Gunawan, SpOT
 DR.dr. Ismail, SpOT
 DR.dr. Andri Maruli Tua Lubis, SpOT
 Dr Aryadi Kurniawan, SpOT
 Dr.Achmad Fauzi Kamal, SpOT
 Dr. Rahyussalim, SpOT
 Dr. Wahyu Wibowo, SpOT
 Dr. Yogi Prabowo, SpOT
 Dr. Ihsan Oesman, SpOT

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

b) Stafffs of Surgery Department FMUI-Tangerang General Hospital


 dr. Nasrul Liza, SpB. KBD
 dr. Pramuji A, SpB. K.Onk
 dr. BRM Sarsono, SpB, SpBA
 dr. Rizal Pohan, SpOT

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 25


 dr. Darmadi, SpOT

3. Implementing organizational structure

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:

 Schwart’s, Principles of Surgery, 8th Edition, 2005


 Salter’s,Textbook of Disorders and Injuries of Musculoskeletal System, 3rd Ed, 1999
 Apley’s, System of Orthopaedics & Fractures, 8th Ed, 2001
 Smith’s, General Urology, 14th Ed, 2004

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 26


 De Vita, Cancer: Principles & Practice of Oncology, 8th Ed, 2005
 Grosfeld, Pediatric Surgery, 6th Ed, 2006
 Grabb & Smith’s, Plastic Surgery, 6th Ed, 2007

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 27


4. Budget Surgery Module KBK 2005
No Description unit Price Rotation I Rotation 2 Rotation 3 Rotation 4

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 )

Keterangan * komponen biaya yg dibebankan pada awal kepaniteraan


Pajak PPH ps 21 diatur oleh Bagian Keuangan FKUI

EVALUATION

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 28


A. Individual Process Objectives
Specifically, a student is prohibited from attending / continuing an education program if:
 Absent for more than 2 days of registrar without valid reasons
Note: those that are considered valid reasons are;
o Sick by showing a letter of permission from the treating doctor
o Currently taking the Cex Mini Exam
 Absent more than 2 times activities (Division Rounds, Division activities, lectures / case
presentations) without valid reasons

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.

2. OSCE exam for simple surgical skills


It is an objective summative evaluation to test skills in carrying out simple surgical procedures
using simulation models and patients

3. MCQ Exam

4. CEX Mini Exam


It is a brief and objective examination of a patient's case, which can be done in a variety of
examination settings. The student's ability is assessed from the ability to collect data (history
taking, physical examination), establish a diagnosis and establish an examination and treatment
plan. The CEX mini exam is done 3 times (with different testers) during the stase in the Dept.
Surgery. 2 times between orthopedics, urologists, digestives or oncologists. CEX mini timetables
and testers are determined by the department at the beginning of the module.

Final Assessment
MCQ Exam 30%

OSCE 20%

Mini-CEX 30%

Case Presentation 10%

Log book & 10%


Stage RSUT
for assessment (letter value) refers to the 2009/2010 Academic Year Study Program Preparation
Guide for Evaluating KURFAK 2005 Learning Outcomes.
Where is NBL Surgery; C + / 60

B. Objectives Program
After the Surgery Module is complete, 80% of students must be able to carry out the main
competencies and expected competencies.

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 29


C. Process Objectives Program
 80% of students take the Surgery Program to completion.
 All activities take place according to time and plan
 Changes to the schedule, time and activities no more than 10%, for pending lectures allocated
time after pk. 3:00 p.m.

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 30


APPENDIX 1
COMPETENCE

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

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 31


APPENDIX 2

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

Respiratory and circulatory system


9. Coughing (dry, phlegm, bleeding)
10. Shortness of breath
11. Chest pain
12. Fainting

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

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 32


10. The prepuce time to urinate enlarges (ballooning)
11. Nocturia
12. Urgency
13. Stranguria
14. Hematuria
15. Pnematuria
16. Faecaluria
17. Blood at the mouth of the urethra
18. Hemospermia
19. Anuria
20. Polyuria
21. Oligouria
22. Change in urine color

Male genitalia
23. Testicular pain
24. Remove the palms not palpable
25. Erectile dysfunction

Skin & Musculoskeletal


26. Joint pain
27. Back pain
28. Broken bones
29. Joints (stiff, swollen, deformed)
30. Low back pain
31. Muscle pain
32. Limited movement
33. Paralyzed Breasts
34. Breast lumps
35. Nipple wounds
36. Breasts tighten
37. Other skin and nipple retractions
38. Neck lumps
39. Clefts

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 33


APPENDIX 3
List of diseases
Disease Management Ability

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

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 34


1

13. Diaphragma Diaphragmatic hernia 2


Ingunalis hernia (direct and indirect) 2
Femoral hernia 2
14. Abdomen Wall and hernia Epigastric hernia 2
Incisional hernia 2
Umbilical Hernia 2
Peritonitis 2
Ileus 3B
Perforation 2
15. Acute Abdomen
Actue Appendicitis 3A
Appendicular Abcess 3B
Mesenteric Lymphadenitis 1
Ulcus Pepticum 3B
16. Stomach and Duodenum
Gastrointestinal bleeding 3B
Fatty Liver 4
17. Liver
Liver Failure 2
Chole (docho) lithiasis 2
18. Bile, Pancreas Gallbladder empyema 2
Pancreatitis 2
Intestinal atresia 2
19. Jejunum, Ileum Umbilical fistula, omphalococele-gastroschisis 2
Malrotation 2
NEC (Necrotizing Enterocolitis) 3A
Rectal, anal prolapsed 3a
Hemoroids 3a
20. Colon
Perianal abscess 2
Fistula 2
Anal fissure 2
High Obstruction 3B
21. Gastrointestinal Obstruction
Low Obstruction 3B
Esophageal Atresia 2
Intestinal atresia 2
Atresia ani 2
Congenital diaphragmatic hernia 2
22. Pediatrics Invagination 2
Malrotation 2
Umbilicalis Hernia 1
Hirschsprung 3A
Biliary atresia 2
Nephrology
23. Urinary tract infection 4
24. Kidney colic 3a
25. Urinary tract stones without colic 3A
26. Retention of urine 3A
27. Hematuria 3A
Male Genitalia
28. Hypospadias 3A
29. Epispadia 3A
30. Testicular undescension 3A
31. Retractile testicles 3A
32. Testicular torsion 3A
33. Epididimistic 2

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 35


34. Spermatocele 2
35. Varicocele 2
36. Hydrocele 2
37. Phimosis 2
38. Paraphimosis 3A
39. Urethral rupture 3A
40. Bladder rupture 3A
41. Kidney rupture 3A
42. Urethral stricture 3A
43. Priapismus 3A
44. Infertility 3A
45. Ejaculation disorders 1
46. Erectile disorders 1
47. Male Sterilization 1
Central Nervous System & Perifer (Ortho)
Myotrophic Lateral sclerosis (ALS) 2
Complete spinal Transection 3B
Neurogenic Bladder 3B
48. Spine and Medulla spinalis
Medulla compression acute 3B
HNP/ radicular syndrome 3A
Spondilitis Tuberculosis 3B
Carpal tunnel 3A
Neuromuscular disease and
49. Syndrome Neuropathy 4
Neuropathy
Neurofibromatosis 2
Infection and Tropic Disease (Plastics surgery)
Paronychia 4
50. Local Infection and abcess Suppurative Tenosynovitis 4
Human bite 4
Neoplasma
Bronkogenic carcinoma 1
Bronchoalveolar carcinoma 1
51. Lung Carcinoma
Mesthelioma 1
Neuroendokrin tumors 1
Malignant tumors of the oral cavity 2
Nasopharyngeal carcinoma 2
52. Head and Neck Parotid gland tumor 2
Neck and head carcinoma 2
Enlargement of the thyroid gland 3
Benign polyps 3A
Squamous cell carcinoma 2
53. Gastrointestinal Adenocarcinoma 2
Carcinoid tumor 1
Lymphoma 1
Liver cell adenoma 2
54. Hepar Hepatocellular carcinoma 2
Cholangiocarcinoma 2
55. Pancreas Pancreatic carcinoma 2
Cortical Adenoma 1
56. Kidney Renal cell carcinoma 2
Tumor wilm's 1
Squamous Cell Carcinoma 1
Seminoma 1
57. Male Genitalia Testicular Teratoma 1
Benign Prostate Hyperplasia 3A
Prostate Carcinoma 2

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 36


Fibrokistik 2
Fibroadenoma Mammae 2
Phyloides Carcinoma 1
58. Breast
Mammae Carcinoma 1
Paget's disease of the breast 1
Gynecomastia 2
Thyroid adenoma 2
59. Endocrines
Thyroid Carcinoma 2
60. Thymus Thymoma 1
Benign epithelial carcinoma 1
61. Skin seborrheic kerastosis carcinoma 2
Epithelial cyst 3A
Actinoic Kerastosis 2
Premalignant and malignant Bowen’s disease 2
62.
epithelial tumor Squamous cell Carcinoma 2
Basal cell carcinoma 2
Xanthoma 2
Hemangioma 2
63. Dermis
Lymphangioma 1
Angiosarcoma 1
Lentigo 2
64. Melanocystic cells Nevus pigmentosus 2
Maligna Melanoma 1
Osteoma 1
Osteoid osteoma 1
Osteoblastoma 1
Osteosarkoma
1
Osteokondroma
Condroblastoma 1
Condrosarkoma 1
Fibous dysplasia 1
Fibrosarkoma 1
Ewing Sarcoma 1
Giant Cell Tumor 4
Ganglion Cyst
65. Soft Tissue 2
Lipoma
Lposarcoma 3A
Fibromastosis 2
Tumor Desmoid 1
Fibroma 2
Fibrosarkoma 1
Benign fibrous histiocytoma
1
Malignant fibrous histiocytoma
Rhabdomyosarcoma 1
Leiomyoma 1
Leiomyosarcoma 1
Synovial Sarcoma 1
Primer Carcinoma 1
66. Spine
Metastasis 1
Musculoskeletal
67. Bone and joint abnormalities Dislokasi Panggul Kongenital 1
Arthritis 4
Genu varum 2
Genu Valgum 2
Pes Planus 2
Scoliosis
2

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 37


Kyphosis 2
Lordosis 2
Perthes disease 1
Slipped epiphyses
1
Osgood-schlatter disease
1
Chondromalasia patellae
1
Club Foot
Marfan’s disease 1
Ostoegenesis imperfecta 1
Bone cyst 1
Anchondroplasia 2
Osteomalacia 1
Osteoporosis 3A
68. Generalized Musculokeletal disorders
Fibrous dysplasia 2
Paget’s disease 2
Physical overload 3A
Aseptic necrosis of bone 1
Acute osteomyelitis 3A
Arthritis 3B
Trauma of joint cartilage 4
69. Localized Musculoskeletal Disorders
Trauma of Joint Capsule 2
Ganglion 2
Primary Bone tumors 2
Bone mestastasis 2
Pathological fracture 2
Deformation Arthrosis 2
Crystal Arthropathy 1
70. Degenerative joint disorders
Rheumatoid arthritis 2
Bechtrew disease 1
Spina Bifida 2
Sacrococcygeal teratoma 1
Scoliosis 2
Kyphosis 2
Lordosis 2
Spondylarthrosis, spondylosis 2
71. Spine Spondylitis, spondylodicitis 2
Nucleus Pulposus Hernia 2
Spondylolisthesis 2
Spondylolysis 2
Pathological fracture 2
Fracture and spinal dislocation 2
Spinal traction 2
72. Pelvis and lower extremities Congenital pelvic location 1
Pelvic dysplasia 1
Femoral head necrosis 1
Intermittent arthritis of the hip 1
Pelvic fracture 2
Pelvic fracture 2
Pelvic dislocation 2
Ligamentous lesions of hip 2
Femur fracture 2
Fractures, capsule lesions, tendons and knee 3A, 3B
ligaments 2
Meniscus, medial and lateral lesions 2
Abnormalities of patella cartilage 2
Osteochondritis dissecans 2
Knee arthritis 3A
Achilles tendonitis 3B
Rupture of the Achilles tendon 3A

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 38


Ankle instability 2
Ingrown toenails 2
Hallux valgus 2
Toe hammer 2
Metatarsalgia 2
Onychoryposis 2
Anisomelia 2
Traumatology
Burns 3B
Bleeding 3B
Jaw dislocation 3B
Jaw fracture 3B
Knee dislocation 3B
Patellar dislocation 3B
Prepatellar bursitis 3B
Tibial fracture 3B
Rib / contusio fracture 3B
Injury due to rib fracture 3B
73. Trauma Stern fracture 3B
Fracture of the toe 3B
Crush injury to the heel (children) 3B
Fibular fracture 3B
Whiplash 3B
Fraction, capsule lesions, tendons and ankle 3B
ligaments
Hemothorax 3B
Pneumothorax 3B
Injury to internal organs such as the liver, kidneys, 3B
lungs
Shoulder fracture 3B
Shoulder dislocation 3B
Ligament lesions in the shoulder area 3B
Shoulder instability 3B
Frozen shoulder 3A
Clavicle fracture 3A
Humeral fracture 3B
Radius / ulna fracture 3B
Fractures, capsule lesions, elbow tendons and
ligaments 3B
Fractures, capsule lesions, tendons and wrist
ligaments 3B
74. Neck, Shoulder, Upper Extremities Fractures, capsule lesions, tendons and ligaments of
the fingers 3A
Lateral epicondylitis (tennis elbow) 3B
Distal radius dislocation 3B
Wrist dislocation 3A
Progressive inflammation of the fingers after injury 3A
Olecranon bursitis 3A
Carpal tunnel syndrome 3A
Finger ligament injury (boutonniere-deformity) 2
Mallet finger 2
Dupuytren's contracture 4
Nail loss 4
Subungual hematoma Vascular injury 3B

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Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 40
APPENDIX 4
Capability Levels based on Clinical Capabilities

Level of ability 1: Knowing and Explaining


Having theoretical skills regarding these skills, so they can explain to colleagues, patients and clients
about concepts, theories, principles and indications and how to do, complications that arise and so on

Capability Level 2: Never seen or ever demonstrated


Having theoretical skills regarding these skills (both concepts, theories, principles, as well as indications,
how to make complications and so on) besides this education has seen or has been demonstrated this
skill.

Ability Level 3: Have done or have ever applied under supervision


Have theoretical skills regarding these skills (both concepts, theories, principles, as well as indications,
how to do complications and so on). During education, this skill had been seen or had been
demonstrated and had applied this skill several times under supervision.

Ability Level 4: Able to perform independently


Having theoretical skills regarding these skills (both concepts, theories, principles, maupim indications,
how to do complications and so on). During education this skill has been seen or has been demonstrated
and had applied this skill several times under supervision and had the experience to use and apply these
skills in the context of doctors' practice independently.

List of Clinical Skills


In each clinical skill, the ability to use the pyramid Miller (knows, knows how, show, does) is expected to
be achieved by students at the end of education:

Skill Lists Expected


Level
Physical Examination
General physical examination 4
Digital rectal examination 4
Bimanual kidney 4
Orthopaedics Examination
Assessment of muscle atrophy 3
Determination range of motion of head 3
Shoulder and upper extremity examination 3
Examination of shoulder joint function 3
Examination of muscle and elbow function 3
Examination of wrist, metacarpal, and finger joint functions 3
Spinal / pelvic posture inspection 3
Flexion and back extension inspection 3
Assessment of lumbar flexion 3
Palpation of artisan back, sacroiliac joints & back muscles 3
Step check (gait) 3
Measurement of length of lower extremity 3
Pelvis: assessment of flexion & extension, adduction, abduction and rotation 3
Knee: assessment of cruciate ligaments and collaterals 3
Feet: shape & posture inspection, dorso / plantar flexion assessment, inversion, eversion 3
Varicose vein examination

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Trendelenburg test 3
Perthes test 3
Artery Disease Examination
Reactive hyperemia test of arterial insufficiency 3
Capillary refill 3
Abdomen Hernia Examination
Inspection of inguinal (high pressured abdomen) 3
Palpation hernia 3
Male Genitalia
Palpation penis, testis, ductus spermaticus epididimis 3
Transilumination scrotum 3
Swab urethra 3
Emergency Cases
First aid 4
Awareness assessment with Glassgow Coma Scale 4
External heart compression 4
Mouth / nose mouth resuscitation 4
Mask ventilation 3
Intubation 3
Examination and treatment of external injuries (wounds, bleeding, burns, distortion, 4
dislocation, fracture)
Stop bleeding (direct pressure, pressure point, bandage press) 4
Transport of casualty 4
Heimlich maneuver 4
Bandage 4
Fluid resuscitation 4
Additional Examination
X-Ray 2
Arthrography 1
Arteriography 1
Scintiscan 1
CT 2
MRI 2
Ultrasound 2
Uroflowmetry 2
Micturating cystography 2
Urodynamic examination 2
Bulbocavernosus Reflex 2
Therapy
Operation field preparation for minor surgery: asepsis, antisepsis, local anesthesia 4
Operating assistance preparation: scrub-up, gown up, use sterile gloves 3
Infiltration anesthesia 3
Local nerve block 2
Incision and abscess drainage 3
Clean the wound 3
Debridement of wounds with a knife and scissors 3
Suturing 3
Lifting wound stitches 3
Treatment of burns 2
Press Balut 3
Reposition of closed fracture 2
Stabilization of fractures (without casts) 2

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Dislocation reduction 2
Installing slings 3
Cauterize nail bed 2
Nail removal (nail extraction) 2
Rozer plasty 4
Nasogastric suction 2
Installation of a nasogastric tube 2
Installation of urethral tube in men and women 3
Clean intermittent Chateterization (Neuropathic blader) 3
Circumcision 3
Dorsum circumcision 3
Supra pubic puncture 3
Colostomy, replacing a colostomy bag 2
Enema 3
Injection varicose veins with sclerosants 2
Venous cannulation 3
Giving analgesics 3
Management of malignant patients according to social issues and psychological 3

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.

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APPENDIX 5
MCEX Assessment Form

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Tangerang Hospital Assessment Form

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Problem Based Learning Discussion of Surgery Department

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Logbook Surgery Module

CASE PRESENTATION

Competence

Signs
No Case Diagnosis
(Full Name)
1 2 3 4 5 6 7

Total

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INPATIENT TREATMENT

Sign
Kompetensi
No Diagnosis (Full Name)
(Name/Age/Room)
1 2 3 4 5 6 7

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APPENDIX 4
Capability Levels based on Clinical Capabilities

Level of ability 1: Knowing and Explaining


Having theoretical skills regarding these skills, so they can explain to colleagues, patients and clients
about concepts, theories, principles and indications and how to do, complications that arise and so on

Buku Rancangan Pengajaran (BRP), Modul Ilmu Bedah FKUI 2011-2012 49


GASTROINTESTINAL MODULE
TEAM
2010 - 2011

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

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