Competency doctor

Lecture : Erwin Santosa

Definition
Kompetensi adalah seperangkat tindakan cerdas, penuh tanggung jawab yang dimiliki seseorang sebagai syarat untuk dianggap mampu oleh masyarakat dalam melaksanakan tugas-tugas di bidang pekerjaan tertentu ( Ministerial Decree No. 045/U/2002 )

 Competence includes a broad range of knowledege, attitudes, and observable patterns of behaviours which together account for the ability to deliver a specified professional service Profesional competence is the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values and reflection in daily practice to improve yhe health of the individual patient and community

 Competency is a complex set of behaviours bulit on the components of knowledge, skill , atitude and competence as personal ability Competency are simple behaviours required to complete a single task, in wich case, the task in effect become competen Competence include specific tasks and more general attributes of effective role perfoemance within the practice context

 The various definition of competency shows that a competency is a blend of knowledge, skills and attitude needed to perform effectively as a medical doctor Competency statement also implies that this performance is carried out under a practice context or in another word contextualised. Competency emphasiezes on what will be achived at the end of medical education program, and not just about the acquisition of knowledge or cogntive domain . Competency statement requires an explicit level of of achievment

Steges of Competency development

Novice
Advanced Beginer Competent Practioner Proficient Practioner

Learning rules
Applying rule to a given situation Using judgement Using pattern recog nition and reasoning Using practical wisdom Creating personal style

Expert
Master

Area of competencies
To be able to perform as a medical doctor effectively, one should master some competencies which can be divided into areas competencies. Area of competencies can be elaborated into competency component . Each competency component compries of knowledge, skills and atitudes .

Out comes : Area of competence Role and functions of health professionals

Competency Components Required for performance of roles and functions

Knowledge, skills and Attitude For acquisition of competencies

Area of Competence of medical doctor in Indonesia

1. 2. 3. 4. Management of health problems Ethics, Profesionalism and Medico- legal Effective communications Management of Primary Health Care and Family Medicine Practice 5. Personal development and life long learning

Management of health problem

Ability to manage health problem in the individual, family and community by working collaboratively, comprehensively, and holistically

1. Application of concept and princip from the biomedical, clinical, behavioral sciences 2. Diagnosing patient diseases, illnesses and problem 3. Managing patient disease ilness and problems as an individual, member of family, and community 4. Preventing diseases and illnesses 5. Conducting halth education for health promotion and disease prevention 6. Mobilishing community and empowering community to improve inadequate health conditions

Ethics, Professionalism and Medico Legal

Behave in a professional, moral, and ethical way, and recognize the ethical issue as well as medico-legal aspects of medical practice

1. General professional attitudes 2. Professional collaborative behaviour 3. As a professional member of the health care team 4. Practicing in a diverse multicultural society of Indonesia 5. In managing patient- related information 6. In the medico-legal aspect of practice

Effective communication
The ability to elicit and exchange information ( verbal and non-verbal communication ) with patients/clients of all ages, family members, community, colleagues, and other profession

1. In communicaticating with patient/ clients and family 2. In communicating with colleagues 3. In communicating with the community 4. In communicating with other sectors

Managing Primary health Care and Family Medicine Practice

Ability to manage effectively and efficiently people and resources in a family medicine practice to provide quality health services

1. 2. 3. 4. 5.

Act a manager Managing people Managing facilities and utilities Managing information Managing finance and managed care syatem 6. Managing quality

Personal development
Ability to plan, implement, and monitor his/her continuing personal development Ability to actively search profesional literatures, criticaly appraise them, and make decision for daily medical practices Ability to recognize his/her strength and limitation

1. Practicing life long learning 2. Seeking and aplying kowledge to health problems 3. Developing new knowledge

Home work
If students find information from news paper, magazine, television , people , or self experience about case lack of one competency doctor , please sent and discussion by email to : erwin_santosa@ hotmail.com Example ( lack competency ) Area 1 : diagnostic , therapy for patien Area 2 : ethic Area 3 : communication Area 4 : cost Area 5 : learning