Buku Blok Neuropsikiatri 2015 Ready

SEMESTER IV
BLOCK 7
The Nervous System and Psychiatry
BRAWIJAYA UNIVERSITY
FACULTY OF MEDICINE
MALANG
2015
CONTENT
1. Block Name
2. Period of Teaching- Learning / Study Load
3. Block Team
A. Block coordinator
B. Block secretary
C. Core contributors
D. Supporting contributors
E. Attending Departments
4. Block Introduction
A. Block overview
B. Learning outcomes
C. Learning objectives
D. Teaching learning activities
E. Block contents
F. Skill station
5. Modul
6. Relation to other Blocks
7. Block Schedule
8. Skill System Training
9. References
10. Block Assessment
A. Non modul assessment
B. Modul assessment
C. Skill assessment
D. Objctive Structured Clinical Examination (OSCE)
11. Competency Area
12. Contact person
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SEMESTER IV
1. Block Name
2. Period of Teaching- Learning / Study Load

Semester IV / Block 7 / 8 sks / 8 weeks
3. Block Team :
A. Block Coordinator
1) Dr. dr. Masruroh Rahayu, MKes
B. Block Secretary
1) dr. Machlusil Husna, SpS
C. Core Contributors
1) Masruroh Rahayu, dr, MKes. (Department of Neurology)
2) Happy I. H, dr, SpKJ. (Department of Psychiatry
3) Nurul H, dr. (Department of Anatomy)
4) Dian Hasanah, dr. (Department of Physiology)
5) Dr. Nurdiana, dr, MKes. (Department of Pharmacology)
6) Sudjari, dr. (Department of Parasitology)
7) Sarwobekti, dr. (Department of Pathology Anatomy)
8) Dr. Sri Winarsih, dra, Apt, MSI. (Department of Microbiology)
9) Harun, dr, MKes. (Department of Public Health)
10) Masdar Muid, dr, SpA. (Department of Pediatrics)
11) Ari Prasetya, dr, SpEM. (Department of Emergency Medicine)
12) Indraswati, dr, SpRad. (Department of Radiology)
13) Moch Ridwan, dr, SpRM. (Department of Medical Rehabilitation)
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14) Isngadi, dr, SpAn. (Department of Anaesthesiology)
15) Farhat Bal’afif, dr, SpBS. (Department of Neurosurgery)
D. Attending Departments
1) Neurology
2) Psychiatry
3) Anaesthesiology
4) Anatomy‐Histology
5) Emergency Medicine
6) Medical Rehabilitation
7) Microbiology
8) Neurosurgery
9) Parasitology
10) Pathology Anatpmy
11) Pediatric
12) Pharmacology
13) Physiology
14) Public health
15) Radiology
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4. Block Introduction
A. Block Overview
Nervous system will be held on fourth semester within 8 weeks, 16 Februari 2015
until 10 April 2015. This block concerns to part of human body system responsible in a
regulatory function to all organs in a human life. Basically, this function should be
accommodated by both neuron and endocrine system; however this course will only
focus on the first mentioned. This block explores clinical problems derived from nervous
system and mental disorder using SKDI (Standard Kompetensi Dokter Indoensia) list of
diseases and skill required to be a general physician. Hence, attention will be devoted to
cover pattern on clinically‐oriented thinking such as generating a tentative diagnosis with
the differential diagnosis using history taking, physical examination, supporting laboratory
test and developing a management strategy with particular attention to pharmaco‐
therapy. Oriented to a system‐based learning, those all clinical disease should be
approached also with such explanations from basic science views to build comprehensive
understanding. Thus, some related previous blocks are required to be revisited. Block
Bioscience I and II, Block Musculoskeletal etc. We also recommend students to learn
some lessons such as Communication skill etc. We believe that this block will also
contribute to future block such as cardiovascular and infection.
B. Competency
A. Areas of competency
a) Professionalism
b) Self Awareness and development
c) Effective communication
d) Information management
e) Scientific Basis for Medical Knowledge
f) Clinical Skill
g) Health Problem Management
B. Level of Competency
In referring to SKDI focusing on Nervous System, the clinical cases to be covered by
students are those having level of competency 3A, 3B and 4.
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C. Learning Outcomes (Expecting Competencies)
By completing this course unit, students will be able to
1. Havie sufficient knowledge and understanding for basic sciences building normal
structure and function of nervous system and psychiatry field of study.
2. Recognize some clinical diseases of nervous system and psychiatry based on SKDI
(Standard Kompetensi Dokter Indonesia) list and be aware for the required level of
competency for mastering them
3. Identify the clinical disease of nerve system and psychiatry in term of understanding the
clinical performance, performing the physical examination, proposing proper laboratory
finding, establishing the diagnosis and proposing the recommended therapy
4. Build strong relationship between the clinical diseases of nerve system with the basic
sciences underlying to those disease appearances
5. Have ability to demonstrate various clinical skills required to establish the normal state
or making diagnosis and formulate therapy for such problems in Nervous system and
Psychiatry.
6. Approach the clinical disease of nerve system comprehensive views by considering
biopsychosocial aspects
7. Approach and perform the learning process with such values of professionalism, self
awareness and development and effective communication to related parties
D. Learning Objectives
In term of some determined clinical cases having level of 4th competency listed in SKDI
(Standard Kompetensi Dokter Indonesia) in subject of Nervous system and psychiatry,
students in completing this course unit should be : (mengutip yang dibawah)
1. Able to present anamnesis to gather optimal and useful information
2. Able to elaborate and analyze the information from patient
3. Able to professionally facilitate patient emotional words
4. Able to professionally respond to verbal or non verbal patient’s attitude
5. Able to conduct appropriate physical examination
6. Able to establish appropriate diagnosis
7. Able to recommend other appropriate supporting examination needed to establish
diagnosis
8. Able to perform Medical Record from all patient’s medical datas and findings
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9. Able to design appropriate treatment management plan
10. Able to refer and consult the patient to the more competent doctor related to the
patient’s disease
11. Able to advice and offer the patient to promote his health in the future
E. Teaching Learning Activities

1) Non Modul Lecturing
2) Departmental Work Practice
3) Modulated Small Group Tutorials
4) Skill Training in Skill Laboratory
5) Problem based learning (case)
F. Block Contents
1) Non Modul Departmental Topics related to the Block Theme (see below)
2) Practical Departmental Works (If Any)
3) Modul (see below)
4) Skill related to the Modul / Block Theme
a) Communication and History Taking on Nervus System and Psychiatric.
b) Procedural Skills on Nervous System and Psychiatric.
c) Procedural Skills on medical rehabilitation.
d) Procedural Skills on emergency medicine.
e) Rational drug therapy of pharmacology.
G. Skill Station
1) Neurology
2) Psychiatric
3) Emergency Medicine
4) Medical Rehabilitation
5) Pharmacology
6) ENT
7) Ophthalmology
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5. MODUL
1) Modul 1 : Stroke
2) Modul 2 : Meningitis
3) Modul 3 : Schizophrenia
4) Modul 4 : Seizure
5) Modul 5 : Neuro‐Pediatric
6) Modul 6 : Neuro‐Trauma
7) Modul 7 : Somatoform
B. Topic and Topic Tree
SEIZURE SCHIZOPHRENIA STROKE MENINGITIS SOMATOFORM
Non Modul Lectures
Related Clinical Sciences needed in

Pathologic Changes of The Nervous System Diagnosing,Treating, and Rehabilitating
and Psychiatric. Diseases and Disables in Neurology and
Psychiatric.
Basic Structure and Function of

The Nervous System and
Psychiatric.
6. Relation to Other Blocks

The student shoud refer to following Blocks :
A. General Structure and Function of The nervous System and Psychiatric.
B. Principles of Molecular / Cellular Biology
C. Effective Communication Skill
D. General History Taking
E. General Survey and Vital Signs
7. Block Schedule (see attachment)
8. Skill System Training (see attachment)
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9. References
References both for modul and non modul are listed listed as below
See below and every laboratory.
10. Block Assessment

1) Topic 1 & 2
2) Midsemester Written Examination (block exam)
3) End Semester Written Examination (remedial)
4) Work Practice Examination (If Any)
5) OSCE skill at the end of semester
Final Score = (Mean topic + 2 x Midsemester + 2 x Endsemester) / 5
B. Skill Assessmen in the skill system training at skill laboratory as condition to OSCE.
(prasyarat mengikuti OSCE akhir semester)
C. Objective Structured Clinical Examination (OSCE) at the end of semester.
11. Competency Area

No Competency Area Related topic this block
1 “Komunikasi efektif” Clinical skill, history taking
2 “Keterampilan Klinis” Skill training related with topic
3 “Landasan Ilmiah Ilmu Kedokteran” Modul dan MKDI lecture
4 “Pengelolaan Masalah Kesehatan” Modul and PH lecture
5 “Pengelolaan Informasi” Task in every modul
6 “Mawas Diri dan Pengembangan Diri” Include in lecture
7 “Etika, Moral, Medikolegal dan Profesionalisme serta Include in lecture & skill
Keselamatan Pasien”
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12. Contact persons :
1. Dr. dr. Masruroh Rahayu (PJMK) 08123544900
2. dr. Machlusil Husna (Secretary) 081803243531
3. dr. Dessika Rahmawati (Neurology) 08179630200
4. dr. Frilya (Psychiatry) 081334257800
5. dr. Ratih (Physiology) 085243423526
6. dr. Nurul H (Neuroanatomy) 081233678997
7. dr Elly (Pharmacology) 081233438896
8. dr. Indrastuti (Radiology) 0811363703
9. dr. Moch Ridwan (Rehab Medic) 085233206201
10. dr. R Sarwobekti (Pathology Anatomy) 081330705541
11. dr. Harun AR (Public Health) 08123351659
12. Prof Dr dr Teguh (Parasitology) 0811364556
13. dr. Sudjari (Parasitology) 0811364227
14. dr. Aulia (Ophthalmology) 08123329379
15. dr. Achmad Dian (ENT) PJMK Eye-ENT 0817904145
16. dr. Dwi Yuni (Microbiology) 08125229169
17. dr. Fredy (Emergency Medicine) 081615705302
18. dr. Andyk (Anesthesiology) 08123252730
19. Hasan (Jurusan 6th floor) 0341-7741442
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Time Schedule The Nervous System and Psychiatry
Academic Year 2014/2015 (BLOCK 7 & 8)
Week 1 Block 7 The Nervous System and Psychiatry
TIME Monday Tuesday Wednesday Thursday Friday
16 February 2015 17 February 2015 18 February 2015 19 February 2015 20 February 2015
07.00 – 08.00 OVERVIEW Neurophysiology5
08.00 – 09.00 OVERVIEW Basic Neurology Neurophysiology1 Neurophysiology6
09.00 – 10.00 Neuroanatomy1 Topical Diagnosis Neurophysiology2 Neurophysiology7
10.00 – 11.00 Neuroanatomy2 Neurophysiology3 Neurophysiology8
11.00 – 12.00 Neuroanatomy3 Neurophysiology4
12.00 – 13.00
13.00 – 14.00 Neuroanatomy4 Neuroanatomy6 Neuro‐Parasitology1
14.00 – 15.00 Neuroanatomy5 Neuroanatomy7 Neuro‐Parasitology2 NON SYSTEM SUBJECT
15.00 – 15.30 Neuroanatomy8
23 February 2015 24 February 2015 25 February 2015 26 February 2015 27 February 2015
07.00 – 08.00 Psychiatry1 Psychiatry3
08.00 – 09.00 Psychiatry2 Psychiatry4 Neuro‐Public Health
Modul Stroke Modul Meningitis
09.00 – 10.00 Neuro‐Public Health
10.00 – 11.00 Lecture Stroke1 Lecture Meningitis1
11.00 – 12.00 Lecture Stroke2 Lecture Meningitis1
12.00 – 13.00 LUNCH BREAK
13.00 – 14.00
PRACTICE PRACTICE
14.00 – 15.00 SKILL THEORY SKILL EXAM NEUROANATOMY NEUROANATOMY
NON SYSTEM SUBJECT
15.00 – 15.30
2 March 2015 3 March 2015 4 March 2015 5 March 2015 6 March 2015
07.00 – 08.00 Psychiatry5 Lecture Schizophrenia Neuro‐Microbiology1
08.00 – 09.00 Modul Psychiatry6 Lecture Schizophrenia Neuro‐Microbiology2
09.00 – 10.00 Modul Schizophrenia
Neurotrauma TOPIK 1 EXAM
10.00 – 11.00 Movement Disorders1
11.00 – 12.00 Movement Disorders2
13.00 – 14.00
PRACTICE PRACTICE NON SYSTEM SUBJECT
15.00 – 15.30
07.00 – 08.00 Psychiatry7 Psychiatry9 NeuroRadiology
08.00 – 09.00 Modul Psychiatry8 Psychiatry10 NeuroRadiology
Modul Somatoform
09.00 – 10.00 Seizure
10.00 – 11.00 Neuro‐Emergency1
11.00 – 12.00 Neuro‐Emergency2
13.00 – 14.00
PRACTICE PRACTICE NON SYSTEM SUBJECT
15.00 – 15.30
07.00 – 08.00 Psychiatry11 Psychiatry13 Sleep Disorder1
08.00 – 09.00 Modul Psychiatry12 Psychiatry14 Sleep Disorder2
Modul Rhinitis
09.00 – 10.00 Neuro Pediatric
10.00 – 11.00
11.00 – 12.00
13.00 – 14.00 Headache1
PRACTICE
14.00 – 15.00 SKILL THEORY SKILL EXAM NEUROANATOMY
Headache2 NON SYSTEM SUBJECT
15.00 – 15.30 Vertigo
07.00 – 08.00
08.00 – 09.00 Emergency Medicine1 Psych‐Pharmacology1 Neuro‐Pharmacology1
Modul Cataract Modul Hearingloss
09.00 – 10.00 Emergency Medicine2 Psych‐Pharmacology2 Neuro‐Pharmacology2
10.00 – 11.00 Psych‐Pharmacology3 Neuro‐Pharmacology3
11.00 – 12.00
13.00 – 14.00 Neuropathy1 Coma1
14.00 – 15.00 SKILL THEORY SKILL EXAM Neuropathy2 Coma2 NON SYSTEM SUBJECT
15.00 – 15.30
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30 March 2015 31 March 2015 1 April 2015 2 April 2015 3 April 2015
07.00 – 08.00 NeuroDegenerative1
08.00 – 09.00 NeuroPathology Anatomy1 Neurosurgery1 NeuroDegenerative2
EXAM OF PRACTICE
09.00 – 10.00 NeuroPathology Anatomy2 Neurosurgery2
10.00 – 11.00 Neuro‐Anaesthest1
ANATOMY
Neurosurgery3
TOPIK 2 EXAM
11.00 – 12.00 Neuro‐Anaesthest2
13.00 – 14.00 Epilepsy1 Neurosurgery4
EXAM OF PRACTICE
14.00 – 15.00 Epilepsy2 Neurosurgery5
ANATOMY
15.00 – 15.30 Neurosurgery6
6 April 2015 7 April 2015 8 April 2015 9 April 2015 10 April 2015
07.00 – 08.00
08.00 – 09.00 Lecture Neuro‐Oncology Neuropediatric1
Modul RD Modul Mata BLOCK
09.00 – 10.00 Lecture Neurotrauma1 Neuropediatric2
10.00 – 11.00 Lecture Neurotrauma2 Neuropediatric3 EXAMINATION
11.00 – 12.00
13.00 – 14.00 Rehabilitation Medic1
14.00 – 15.00 SKILL THEORY SKILL EXAM Rehabilitation Medic2 NON SYSTEM SUBJECT
15.00 – 15.30 Rehabilitation Medic3
Week 9 Block 8 Eye and ENT
07.00 – 08.00
08.00 – 09.00
Modul THT Modul Mata
09.00 – 10.00 BLOCK EYE & ENT
10.00 – 11.00
11.00 – 12.00
13.00 – 14.00
14.00 – 15.00 SKILL THEORY SKILL EXAM BLOCK EYE & ENT
15.00 – 15.30
07.00 – 08.00
08.00 – 09.00
09.00 – 10.00
10.00 – 11.00
11.00 – 12.00
13.00 – 14.00
14.00 – 15.00 SKILL THEORY SKILL EXAM NON SYSTEM SUBJECT
15.00 – 15.30
27 April 2015 28 April 2015 29 April 2015 30 April 2015 1 May 2015
07.00 – 08.00
08.00 – 09.00
09.00 – 10.00
10.00 – 11.00
11.00 – 12.00
13.00 – 14.00
14.00 – 15.00 NON SYSTEM SUBJECT
15.00 – 15.30
4 May 2015 5 May 2015 6 May 2015 7 May 2015 8 May 2015
07.00 – 08.00
08.00 – 09.00
09.00 – 10.00
10.00 – 11.00
11.00 – 12.00
13.00 – 14.00
15.00 – 15.30
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07.00 – 08.00
08.00 – 09.00
09.00 – 10.00
10.00 – 11.00
11.00 – 12.00
13.00 – 14.00
15.00 – 15.30
07.00 – 08.00
08.00 – 09.00
09.00 – 10.00
10.00 – 11.00
11.00 – 12.00
13.00 – 14.00
15.00 – 15.30
White colour : Lecture/modul; Orange: modul; Yellow : Skill
Blue : Lunch break; Black: Holiday; Green : exam
Lecture : 3 classes (A: R.Amphy FKUB ; B: R.Biomedik lt2 karpet FKUB; English : R.4.08 GPP)
Lecture fos psychiatry and neurosurgery divided to two class (amphy and biomedic)
Modul Discussion : 20 small classes (R.3.01 ‐ R.3.10 & R skil lab1‐10) Every 08.00 – 10.00 WIB
Laboratory involved :
Neurology Anatomy Histology Parasitology Biochemic
Psychiatric Patology Anatomy Public Health Pediatric
Eye Pharmacology Microbiology Anaesthesi
ENT Neurosurgery Rehabilitation Medic
Physiology Emergency Medicine Radiology
Module discussion : Neurology 5 topic, Eye 2 topic, ENT, 2 topic, Psychiatry 2 topic
Skill system training : 14 day, small classes (R skill lab 1‐12 3rd floor) Every 12.30 – 16.00 WIB
Lab involved : Neurology, Psychiatric, Eye , ENT, Rehab Medic, EM, Pharmacology.
Time Period : 16 February – 22 May 2015

Topic 1 : 06 March 2015 (all lecture/topic 16 Feb until 05 March 2015)
Topic 2 : 02 April 2015 (all lecture/topic 06 March until 01 April 2015)
UTS (Block exam) : 10 April 2015
Skill System training : 23 Feb ‐ 21 April 2015
UAS (Final exam) : June 2015
PBL/doctoring : June 2015
OSCE skill : June 2015
Elektif : 25 May ‐ 5 June 2015
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LIST FASILITATOR MODUL NEUROPSIKIATRI-MATA-THT 2015
N MODUL HARI/TGL WAKTU 1 2 3 4 5 6 7 8 9 10 301 302 303 304 305 306 307 308 309 310
O LabskIl Labskil Labskil Labskil Labskil Labskil Labskil Labskil Labskil Labskil GPP GPP GPP GPP GPP GPP GPP GPP GPP GPP
/ TMPT
1 Senin 08.00 –
Stroke NEURO PEDTR MATA THT RADIO EM RM PA ANAT ANAT FAAL FAAL PAR PAR PH PH FARM FARM MIKRO MIKRO
23 Feb 2015 10.00
2 Selasa 08.00 – PEDTR
Meningitis NEURO MATA THT RADIO EM RM PA ANAT ANAT FAAL FAAL PAR PAR PH PH FARM FARM MIKRO MIKRO
24 Feb 2015 10.00
3 Senin 08.00 – PEDTR
Neurotrauma NEURO MATA THT RADIO EM RM PA ANAT ANAT FAAL FAAL PAR PAR PH PH FARM FARM MIKRO MIKRO
2 Maret 2015 10.00
Schizophrenia 3 Maret 2015 NEURO MATA THT RADIO EM RM PA ANAT ANAT FAAL FAAL PAR PAR PH PH FARM FARM MIKRO MIKRO
10.00
Somatoform NEURO MATA THT RADIO EM RM PA ANAT ANAT FAAL FAAL PAR PAR PH PH FARM FARM MIKRO MIKRO
9 Maret 2015 10.00
Seizure NEURO MATA THT RADIO EM RM PA ANAT ANAT FAAL FAAL PAR PAR PH PH FARM FARM MIKRO MIKRO
10Maret2015 10.00
Neuropediatri 16 Maret 2015 NEURO MATA THT RADIO EM RM PA ANAT ANAT FAAL FAAL PAR PAR PH PH FARM FARM MIKRO MIKRO
10.00
Rhinitis NEURO MATA THT RADIO EM RM PA ANAT ANAT FAAL FAAL PAR PAR PH PH FARM FARM MIKRO MIKRO
17 Maret 2015 10.00
Cataract 23 Maret 2015 NEURO MATA THT RADIO EM RM PA ANAT ANAT FAAL FAAL PAR PAR PH PH FARM FARM MIKRO MIKRO
10.00
Hearing Loss NEURO MATA THT RADIO EM RM PA ANAT ANAT FAAL FAAL PAR PAR PH PH FARM FARM MIKRO MIKRO
24 Maret 2015 10.00
RD NEURO MATA THT RADIO EM RM PA ANAT ANAT FAAL FAAL PAR PAR PH PH FARM FARM MIKRO MIKRO
30 Maret 2015 10.00
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LIST SKILL SYSTEM BLOCK NEUROSAIN 2015
(see modul skill)

NO LABORATORIUM TOPIK SKILL / Competency
1 Neurologi  Derajat kesadaran 4  Sensorik umum 4
 Tanda meningen 4  Sensoris khusus 4
 Nervus kranialis 4  Reflek fisiologis 4
 Motorik 4  Reflek patologis 4
 Fungsi luhur kortikal 4  Reflek regresi 4
2 Mata  Pemeriksaan visus naturalis  Pemeriksaan Kamera Okuli Anterior
(obyektif / subyektif) 4 (KOA) 4
 Pemeriksaan lapang pandang  Pemeriksaan lensa dgn tes bayangan
(tes konfrontasi) 3 iris (iris shadow tes) 4
 Pemeriksaan kelopak mata 4  Pemeriksaan iris 4
 Pemeriksaan konjungtiva 4  Tes Hirschberg 4
 Cara meneteskan obat tetes mata  Pemeriksaan tekanan bola mata
(anak dan dewasa) 4 (digital Schiotz) 4
 Pemeriksaan episklera dan sklera 4  Memberikan salep 4
 Memasang verband mata 4  Pemeriksaan warna Ishihara 4
 Pemeriksaan fundus okuli 3
3 THT  History taking 4  Examination of paranasal sinuses 4
 Use Van Hasselt head lamp &  Examination of larynx and
patient position 4 laryngopharinx 3
 Examination of ear 4  Examination of neck nodes 4
 Hearing assessment with turning  Examination of nose 4
fork 4
4 Psikiatri Psychiatric history taking 4
Wawancara psikiatri 4
Pemeriksaan status psikiatri 3
5 Rehab Medik Manual muscle testing (MMT) 4
Strengthening exercise 4
Range of motion exercise 4
Stretching exercise 4
6 Emergensi medik Head and spine injury 4
7 Farmakologi P treatment with 6 steps therapeutic process 4
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SCHEDULE SKILL TRAINING BLOCK NEUROSCIENCE 2015
NO HARI TANGGAL Materi KEL 1 KEL 2 KEL 3 KEL 4 KEL 5 KEL 6 KEL 7 KEL 8 KEL 9 KEL 10 KEL 11 KEL 12 KEL 13 KEL 14
1 Senin Senin Teori NEURO NEURO THT THT MATA MATA RM RM EM EM FARMA FARMA PSIKI PSIKI
23 Feb 2015
2 Selasa Selasa Ujian NEURO NEURO THT THT MATA MATA RM RM EM EM FARMA FARMA PSIKI PSIKI
24 Feb 2015
3 Senin Senin Teori PSIKI PSIKI NEURO NEURO THT THT MATA MATA RM RM EM EM FARMA FARMA
2 Maret 2015
4 Selasa Selasa Ujian PSIKI PSIKI NEURO NEURO THT THT MATA MATA RM RM EM EM FARMA FARMA
3 Maret 2015
5 Senin Senin Teori FARMA FARMA PSIKI PSIKI NEURO NEURO THT THT MATA MATA RM RM EM EM
9 Maret 2015
6 Selasa Selasa Ujian FARMA FARMA PSIKI PSIKI NEURO NEURO THT THT MATA MATA RM RM EM EM
10Maret2015
7 Senin Senin Teori EM EM FARMA FARMA PSIKI PSIKI NEURO NEURO THT THT MATA MATA RM RM
16 Maret 2015
8 Selasa Selasa Ujian EM EM FARMA FARMA PSIKI PSIKI NEURO NEURO THT THT MATA MATA RM RM
17 Maret 2015
9 Senin Senin Teori RM RM EM EM FARMA FARMA PSIKI PSIKI NEURO NEURO THT THT MATA MATA
23 Maret 2015
10 Selasa Selasa Ujian RM RM EM EM FARMA FARMA PSIKI PSIKI NEURO NEURO THT THT MATA MATA
24 Maret 2015
11 Senin Senin Teori MATA MATA RM RM EM EM FARMA FARMA PSIKI PSIKI NEURO NEURO THT THT
6 April 2015
12 Selasa Selasa Ujian MATA MATA RM RM EM EM FARMA FARMA PSIKI PSIKI NEURO NEURO THT THT
7 April 2015
13 Senin Senin Teori THT THT MATA MATA RM RM EM EM FARMA FARMA PSIKI PSIKI NEURO NEURO
13 April 2015
14 Selasa Selasa Ujian THT THT MATA MATA RM RM EM EM FARMA FARMA PSIKI PSIKI NEURO NEURO
14 April 2015
Ruangan : lantai 3 Lab skill → khusus farmakologi di ruang 4.08 GPP
Waktu : 12.30 s/d 16.00
Teori : Senin / hari pertama
Ujian : Selasa / hari kedua (setelah teori)
Cadangan : 20 – 21 April 2015
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STANDAR KOMPETENSI DOKTER INDONESIA SKDI NEURO-PSIKI-MATA-THT 2012
NEUROLOGI Duchene muscular dystrophy 1 MATA THT

Kejang demam 4A Arteritis kranial 1 Benda asing di konjungtiva 4A Otitis eksterna 4A
Tetanus 4A Gangguan pergerakan lainnya 1 Konjungtivitis 4A Otitis media akut 4A
HIV AIDS tanpa komplikasi 4A Amyotrophic lateral sclerosis (ALS) 1 Perdarahan subkonjungtiva 4A Serumen prop 4A
Tension headache 4A Polimiositis 1 Mata kering 4A Mabuk perjalanan 4A
Migren 4A PSIKIATRI Blefaritis 4A Furunkel pada hidung 4A
Bells’ palsy 4A Gangguan somatoform 4A Hordeolum 4A Rhinitis akut 4A
Vertigo BPPV 4A Insomnia 4A Trikiasis 4A Rhinitis vasomotor 4A
Meningitis 3B Intoksikasi akut zat psikoaktif 3B Episkleritis 4A Rhinitis alergika 4A
Delirium yang tidak diinduksi oleh
Ensefalitis 3B 3A Hipermetropia ringan 4A Benda asing 4A
alkohol atau zat psikoaktif lainnya
Malaria serebral 3B Adiksi/ketergantungan Narkoba 3A Miopia ringan 4A Epistaksis 4A
Delirium yang diinduksi oleh
Tetanus neonatorum 3B 3A Astigmatism ringan 4A Trauma aurikular 3B
alkohol atau zat psikoaktif lainnya
AIDS dengan komplikasi 3A Skizofrenia 3A Presbiopia 4A Inflamasi pada aurikular 3A
Poliomielitis 3B Gangguan waham 3A Buta senja 4A Herpes zoster telinga 3A
Rabies 3B Gangguan psikotik 3A Laserasi kelopak mata 3B Fistula pre-aurikular 3A
Spondilitis TB 3A Gangguan skizoafektif 3A Glaukoma akut 3B Otitis media serosa 3A
Ensefalopati 3B Gangguan bipolar, episode manik 3A Pterigium 3A Otitis media kronik 3A
Gangguan bipolar, episode
Koma 3B 3A Chalazion 3A Mastoiditis 3A
depresif
Neuralgia trigeminal 3A Baby blues (post-partum depres) 3A Dakrioadenitis 3A Miringitis bullosa 3A
Cluster headache 3A Gangguan panik 3A Dakriosistitis 3A Benda asing 3A
Perforasi membran
TIA 3B Gangguan cemas menyeluruh 3A Skleritis 3A 3A
timpani
Infark serebral 3B Gangguan cemas depresi 3A Keratitis 3A Otosklerosis 3A
Hematom intraserebral 3B Post traumatic stress disorder 3A Xerophtalmia 3A Presbiakusis 3A
Perdarahan subarakhnoid 3B Trikotilomania 3A Hifema 3A Trauma akustik akut 3A
Ensefalopati hipertensi 3B Retardasi mental 3A Hipopion 3A Rhinitis kronik 3A
Meniere's disease 3A Transient tics disorder 3A Iridosisklitis, iritis 3A Rhinitis medikamentosa 3A
Gangguan keinginan dan gairah
Demensia 3A 3A Anisometropia 3A Sinusitis 3A
seksual
Gangguan orgasmus, termasuk
Parkinson 3A 3A Glaukoma lainnya 3A Sinusitis kronik 3A
gangguan ejakulasi (ejakulasi dini)
Kejang 3B Sexual pain disorder 3A Entropion 2 Tortikolis 3A
Epilepsi 3A Hipersomnia 3A Lagoftalmus 2 Abses Bezold 3A
Tuli (kongenital, perseptif,
Status epileptikus 3B Gangguan siklotimia 2 Epikantus 2 2
konduktif)
Complete spinal transaction 3B Depresi endogen, episode tunggal 2 Ptosis 2 Labirintitis 2
Neurogenic bladder 3A Gangguan distimia 2 Retraksi kelopak mata 2 Timpanosklerosis 2
Gangguan depresif yang tidak
Acute medulla compression 3B 2 Xanthelasma 2 2
terklasifikasikan Deviasi septum hidung
Radicular syndrome 3A Agorafobia dengan/tanpa panik 2 Dakriostenosis 2 Sinusitis frontal akut 2
Hernia nucleus pulposus HNP 3A Fobia sosial 2 Laserasi duktus lakrimal 2 Sinusitis maksilaris akut 2
Reffered pain 3A Fobia spesifik 2 Erosi 2 Polip 2
Nyeri neuropatik 3A Gangguan obsesif-kompulsif 2 Benda asing di kornea 2 Fistula dan kista 2
Carpal tunnel syndrome Reaksi terhadap stres yg berat, &
3A 2 Luka bakar kornea 2 Higroma kistik 2
gangguan penyesuaian
Tarsal tunnel syndrome 3A Gangguan disosiasi (konversi) 2 Kerato-konjungtivitis sicca 2 Kolesteatoma 1
Neuropati 3A Gangguan kepribadian 2 Edema kornea 2 Etmoiditis akut 1
Peroneal palsy 3A Gangguan identitas gender 2 Keratokonus 2
Guillain Barre syndrome 3B Gangguan preferensi seksual 2 Endoftalmitis 2
Miastenia gravis 3B Gangguan perkembangan pervasif 2 Mikroftalmos 2
Gangguan pemusatan perhatian
Amnesia pascatrauma 3A 2 Tumor iris 2
dan hiperaktif (termasuk autisme)
Spina bifida 2 Gangguan tingkah laku 2 Katarak 2
Infeksi sitomegalovirus 2 Anoreksia nervosa 2 Afakia kongenital 2
Toksoplasmosis serebral 2 Bulimia 2 Dislokasi lensa 2
Abses otak 2 Pica 2 Anisometropia pada anak 2
Hidrosefalus 2 Gilles de la tourette syndrome 2 Ambliopia 2
Tumor primer 2 Chronic motor of vocal tics disorder 2 Diplopia binokuler 2
Tumor sekunder 2 Functional encoperasis 2 Skotoma 2
Hemianopia, bitemporal, and
Mati batang otak 2 Functional enuresis 2 2
homonymous
Lesi batang otak 2 Uncoordinated speech 2 Gangguan lapang pandang 2
Cerebral palsy 2 Parafilia 2 Ablasio retina 2
Penyakit Alzheimer 2 Sleep-wake cycle disturbance 2 Perdarahan oklusi retina, 2
Sindrom kauda equine 2 Nightmare 2 Degenerasi makula 2
Retinopati (diabetik, hipertensi,
Siringomielia 2 Sleep walking 2 2
prematur)
Mielopati 2 Optic disc cupping 2
Dorsal root syndrome 2 Edema papil 2
Hematom epidural 2 Atrofi optik 2
Hematom subdural 2 Neuropati optik 2
Trauma Medula Spinalis 2 Neuritis optik 2
Sindrom Horner 2 Perdarahan Vitreous 1
Neurofibromatosis (Von
2 Korioretinitis 1
Recklaing Hausen disease)
Afasia 2
Mild Cognitive Impairment 2
Fenilketonuria 1
17
DAFTAR KETERAMPILAN KLINIS
NEUROLOGI
Fungsi Saraf Kranial Tulang Belakang
Pemeriksaan indra penciuman 4A Inspeksi tulang belakang saat istirahat 4A
Inspeksi lebar celah palpebra 4A Inspeksi tulang belakang saat bergerak 4A
Inspeksi pupil (ukuran dan bentuk) 4A Perkusi tulang belakang 4A
Reaksi pupil terhadap cahaya 4A Palpasi tulang belakang 4A
Reaksi pupil terhadap obyek dekat 4A Mendeteksi nyeri diakibatkan tekanan vertikal 4A
Penilaian gerakan bola mata 4A Penilaian fleksi lumbal 4A
Penilaian diplopia 4A Pemeriksaan Fisik Lainnya
Penilaian nistagmus 4A Deteksi kaku kuduk 4A
Refleks kornea 4A Penilaian fontanel 4A
Pemeriksaan funduskopi 4A Tanda Patrick dan kontra-Patrick 4A
Penilaian kesimetrisan wajah 4A Tanda Chvostek 4A
Penilaian kekuatan otot temporal dan masseter 4A Tanda Lasegue 4A
Penilaian sensasi wajah 4A Pemeriksaan diagnostik
Penilaian pergerakan wajah 4A Interpretasi X-Ray tengkorak 4A
Penilaian indra pengecapan 4A Interpretasi X-Ray tulang belakang 4A
Penilaian indra pendengaran (lateralisasi, konduksi udara dan
4A CT-Scan otak dan interpretasi 2
tulang)
Penilaian kemampuan menelan 4A EEG dan interpretasi 2
Inspeksi palatum 4A EMG, EMNG dan interpretasi 2
Penilaian otot sternomastoid dan trapezius 4A Punksi lumbal 2
Lidah, inspeksi saat istirahat 4A Therapeutic spinal tap 2
Lidah, inspeksi dan penilaian sistem motorik (misalnya dgn
4A Electronystagmography (ENG) 1
dijulurkan keluar)
Pemeriksaan refleks Gag 3 MRI 1
Sistem Motorik PET, SPECT 1
Inspeksi: postur, habitus, gerakan involunter 4A Angiography 1
Penilaian tonus otot 4A Duplex-scan pembuluh darah 1
Penilaian kekuatan otot 4A PSIKIATRI
Koordinasi Anamnesis
Inspeksi cara berjalan (gait) 4A Autoanamnesis dengan pasien 4A
Shallow knee bend 4A Alloanamnesis dengan anggota keluarga/orang lain yang bermakna 4A
Tes Romberg 4A Memperoleh data mengenai keluhan/masalah utama 4A
Tes Romberg dipertajam 4A Menelusuri riwayat perjalanan penyakit sekarang/dahulu 4A
Memperoleh data bermakna mengenai riw perkembangan, 4A
Tes telunjuk hidung 4A
pendidikan, pekerjaan, perkawinan, kehidupan keluarga
Tes tumit lutut 4A Pemeriksaan psikiatri
Tes untuk disdiadokinesis 4A Penilaian status mental 4A
Sistem Sensorik Penilaian kesadaran 4A
Penilaian sensasi nyeri 4A Penilaian persepsi orientasi intelegensi secara klinis 4A
Penilaian sensasi suhu 4A Penilaian orientasi 4A
Penilaian sensasi raba halus 4A Penilaian intelegensi secara klinis 4A
Penilaian rasa posisi (proprioseptif) 4A Penilaian bentuk dan isi pikir 4A
Penilaian sensasi diskriminatif (misal stereognosis) 4A Penilaian mood dan afek 4A
Fungsi Luhur Penilaian motorik 4A
Penilaian tingkat kesadaran dengan skala koma Glasgow (GCS) 4A Penilaian pengendalian impuls 4A
Penilaian orientasi 4A Penilaian kemampuan menilai realitas (judgement) 4A
Penilaian kemampuan berbicara dan berbahasa, termasuk penilaian
4A Penilaian kemampuan tilikan (insight) 4A
afasia
Penilaian kemampuan fungsional (general assessment of
Penilaian apraksia 2 4A
functioning)
Penilaian agnosia 2 Tes kepribadian (proyektif, inventori, dll) 2
Penilaian kemampuan belajar baru 2 Diagnosis dan identifikasi masalah
Penilaian daya ingat/memori 4A Menegakkan dx berdasarkan diagnosis multiaksial 4A
Penilaian konsentrasi 4A Membuat diagnosis banding (ddx) 4A
Refleks Fisiologis, Patologis, dan Primitif Identifikasi kedaruratan psikiatrik 4A
Refleks tendon (bisep, trisep, pergelangan, platela, tumit) 4A Identifikasi masalah di bidang fisik, psikologis, sosial 4A
Refleks abdominal 4A Mempertimbangan prognosis 4A
Refleks kremaster 4A Menentukan indikasi rujuk 4A
Refleks anal 4A Pemeriksaan tambahan
Tanda Hoffmann-Tromner 4A Melakukan Mini Mental State Examination 4A
Respon plantar (termasuk grup Babinski) 4A Melakukan kunjungan rumah apabila diperlukan 4A
Snout reflex 4A Melakukan kerja sama konsultatif dgn sejawat 4A
Refleks menghisap/rooting reflex menggengam palmar/ grasp reflex TERAPI
4A
glabela palmomental
Memberikan terapi psikofarmaka (obat-obat antipsiko-tik, anticemas,
Refleks menggengam palmar/grasp reflex 4A 3
antidepresan, antikolinergik, sedatif)
Refleks glabela 4A Psikoterapi suportif: konselling 3
Refleks palmomental 4A Electroconvulsion therapy (ECT) 2
Psikoterapi modifikasi perilaku 2
Cognitive Behavior Therapy (CBT) 2
Hipnoterapi dan terapi relaksasi 2
Family Therapy 2
Psikoterapi psikoanalitik 1
GroupTherapy 1
18
DAFTAR KETERAMPILAN KLINIS
MATA To apply eyes dressing 4A

Penglihatan Melepaskan protesa mata 4A
Penilaian penglihatan bayi, anak, dan dewasa 4A Mencabut bulu mata 4A
Refraksi Membersihkan benda asing dan debris di konjungtiva 4A
Penilaian refraksi, subjektif 4A Flood ocular tissue 3
Eversi kelopak atas dengan kapas lidi (swab) untuk membersihkan
Penilaian refraksi, objektif (refractometry keratometer) 2 3
benda asing
Lapang Pandang Melepaskan lensa kontak dengan komplikasi 3
Lapang pandang, Donders confrontation test 4A Membersihkan benda asing dan debris di kornea tanpa komplikasi 3
Lapang pandang, Amsler panes 4A Operasi katarak 2
Penilaian Eksternal Terapi laser 1
Inspeksi kelopak mata 4A Squint, surgery 1
Inspeksi kelopak mata dengan eversi kelopak atas 4A Vitrectomi 1
Inspeksi bulu mata 4A Operasi glaukoma dengan trabekulotomi 1
Inspeksi konjungtiva, termasuk forniks 4A Transplantasi kornea 1
Inspeksi sklera 4A Cryocoagulation misalnya cyclocryocoagulation 1
Inspeksi orifisium duktus lakrimalis 4A Bedah kelopak mata (chalazion, entropion, ektropion, ptosis) 1
Palpasi limfonodus pre-aurikular 4A Operasi detached retina 1
Posisi Mata
THT
Penilaian posisi dengan corneal reflex images 4A Indra Pendengaran dan Keseimbangan
Penilaian posisi dengan cover uncover test 4A Inspeksi aurikula, posisi telinga, dan mastoid 4A
Pemeriksaan gerakan bola mata 4A Pemeriksaan meatus auditorius externus dengan otoskop 4A
Penilaian penglihatan binokular 4A Pemeriksaan membran timpani dengan otoskop 4A
Pupil Menggunakan cermin kepala 4A
Inspeksi pupil 4A Menggunakan lampu kepala 4A
Penilaian pupil dengan reaksi langsung terhadap cahaya dan Tes pendengaran, pemeriksaan garpu tala (Weber, Rinne,
4A 4A
konvergensi Schwabach)
Media Tes pendengaran, tes berbisik 4A
Inspeksi media refraksi dengan transilluminasi (pen light) 4A Pemeriksaan pendengaran pada anak-anak 4A
Inspeksi kornea 4A Intepretasi hasil Audiometri -tone & speech audiometry 3
Tes sensivitas kornea 4A Otoscopy pneumatic (Siegle) 2
Inspeksi bilik mata depan 4A Melakukan dan menginterpretasikan timpanometri 2
Inspeksi iris 4A Pemeriksaan vestibular 2
Inspeksi lensa 4A Tes Ewing 2
Inspeksi kornea dengan fluoresensi 3 Indra Penciuman
Pemeriksaan dengan slit-lamp 3 Inspeksi bentuk hidung dan lubang hidung 4A
Fundus Penilaian obstruksi hidung 4A
Fundoscopy untuk melihat fundus reflex 4A Uji penciuman 4A
Fundoscopy untuk melihat pembuluh darah, papil, makula 4A Rinoskopi anterior 4A
Tekanan Intraokular Transluminasi sinus frontalis & maksila 4A
Tekanan intraokular, estimasi dengan palpasi 4A Interpretasi radiologi sinus 3
Tekanan intraokular, pengukuran dgn indentasi tonometer (Schiötz) 4A Nasofaringoskopi 2
Tekanan intraokular, pengukuran dengan aplanasi tonometer atau
1 Radiologi sinus 2
non-contact-tonometer
Pemeriksaan Oftamologi Lainnya USG sinus 1
Tes penglihatan warna (dengan buku Ishihara 12 plate) 4A Indra Pengecap
Pemeriksaan lensa kontak dengan komplikasi 3 Penilaian pengecapan 4A
Pengukuran produksi air mata 2 KETERAMPILAN TERAPEUTIK
Pengukuran eksoftalmos (Hertel) 2 Pengambilan serumen menggunakan kait atau kuret 4A
Pembilasan melalui saluran lakrimalis (Anel) 2 Pengambilan benda asing di telinga 4A
Pemeriksaan orthoptic 2 Pengambilan benda asing dari hidung 4A
Perimetri 2 Pembersihan meatus auditorius eksternus dengan usapan 4A
Penentuan refraksi setelah sikloplegia (skiascopy) 1 Menghentikan perdarahan hidung 4A
Pemeriksaan lensa kontak fundus, misalnya gonioscopy 1 Manuver Valsalva 4A
Elektroretinografi 1 Trakeostomi 2
Electro-oculography 1 Parasentesis 2
Visual evoked potentials (VEP/VER) 1 Menyesuaikan alat bantu dengar 2
Fluorescein angiography (FAG) 1 Manuver Politzer 2
Echographic examination: ultrasonography (USG) 1 Krikotiroidektomi 2
Keterampilan terapeutik Bilas sinus/sinus lavage/pungsi sinus 2
Peresepan kacamata pada kelainan refraksi ringan 4A
Insersi grommet tube 1
(s/d 5D tanpa silindris) u’ mencapai visus 6/6
Peresepan kacamata baca pada penderita dengan visus jauh
4A Antroskopi 1
normal atau dapat dikoreksi menjadi 6/6
Pemberian obat tetes mata 4A
Aplikasi salep mata 4A
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SEMESTER IV

The Nervous System and Psychiatry

2. Period of Teaching- Learning / Study Load

E. Teaching Learning Activities

B. Topic and Topic Tree

SEIZURE SCHIZOPHRENIA STROKE MENINGITIS SOMATOFORM

Non Modul Lectures

Related Clinical Sciences needed in

Basic Structure and Function of

6. Relation to Other Blocks

10. Block Assessment

Final Score = (Mean topic + 2 x Midsemester + 2 x Endsemester) / 5

11. Competency Area

Time Period : 16 February – 22 May 2015

(see modul skill)

NEUROLOGI Duchene muscular dystrophy 1 MATA THT

MATA To apply eyes dressing 4A

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