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

Asia Pacific Family Medicine

Mora Claramita⁴  Adi H Sutomo²  Mark A Graber³  Albert JJ Scherpbier¹ 

[1] Institute for Education, Faculty of Health and Life Sciences, Maastricht University, The Netherlands

[2] Faculty of Medicine, Gadjah Mada University, Jalan Farmako, Sekip Utara No 1, Radiopoetro Building 1st floor, Yogyakarta - Indonesia

[3] Department of Family and Emergency Medicine, University of Iowa, Carver College of Medicine, USA

[4] Department of Medical Education, Faculty of Medicine, Gadjah Mada University, Jalan Farmako, Sekip Utara No 1, Grha Wiyata Building 3rd floor, Yogyakarta - Indonesia

关键词: Discourse analysis;    Continuous care;    Comprehensive care;    Patient-centered care;   

Others  :  790755
DOI  :  10.1186/1447-056X-10-4

 received in 2011-01-11, accepted in 2011-04-25,  发布年份 2011

【 摘 要 】

Background

According 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.

Methods

Discourse 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.

Results

Text 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.

Conclusions

There is currently a discrepancy between expected patient-centered care values in the scenario and instructional materials that are being used.

【 授权许可】

   
2011 Claramita et al; licensee BioMed Central Ltd.

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