Faculty of

Medicine
Gadjah Mada
University

The Competence of
Medical Doctor
By:
Soenarto Sastrowijoto,
E. Suryadi

The Seven areas of doctor competence

national standard.

Faculty of
Medicine
Gadjah Mada
University

1. Effective communication
2. Performance of basic clinical skills
3. The basic principles of medical sciences
4. Management of health problems
5. Management of information
6. Self-awareness, self-care and personal
development
7. Professional, moral, ethical and patient safety

Faculty of
Medicine
Gadjah Mada
University

What
What is
is the
the different
different between
between
competence
competence and
and performance
performance
of
of aa Medical
Medical Doctor
Doctor (MD)?
(MD)?
Competence =
what physician is capable of
doing
Performance =
what physician actually does
in his/her day to day practice

Faculty of
Medicine
Gadjah Mada
University

Competence should be clarified in

various capability and task (Gonella
& Storey, 1981 and Neuveld, 1985)
I.

The capability of a MD in
Cognitive or knowledge
Afective or attitude
Psychomotor or skill
II. The task of a MD
History taking, Physical test
(laboratories)
Data analysis (diagnosis)
Designing a plan of management /
therapy
Following the patient (condition of
health's/ilness)
III. Other task
Self-education
Teaching to other
Managing activities

Faculty of
Medicine
Gadjah Mada
University

Annex A : attribute of the independent

practitioner (Tomorrows
Doctor, GMC
Recommendation, 1993)
Independent Practitioner,
demonstrates:
1. Ability to solve clinical and other
problems in medical practice.
2. Possession of adequate
knowledge and understanding
3. Possession of consultation skills
4. Acquisition of a high standard of
knowledge and skills
5. Ability to deal with common
medical emergencies.

Faculty of
Medicine
Gadjah Mada
University

Annex A : attribute of the independent

practitioner (Tomorrows
Doctor, GMC
Recommendation, 1993)
Cont.
6. Prevention of ilness and
promotion of health's ability
7. Ability to recognize and analyze
ethical problem
8. Maintaining professional practice
9. Team-building/work ability
10. Administration and planning
experiences
11. Advancement of medical
knowledge and skills
12. Obligation to teach others

Doctor for tomorrow

Faculty of
Medicine
Gadjah Mada
University

Applying knowledge and skills

which one at present unforeseen
Adaptation to change capability,
new ideas and development
should always in mind, With
attitude for life-long learning

Faculty of
Medicine
Gadjah Mada
University

Categorization
Categorization
of
of clinical
clinical competence
competence
1. Clinical skills
2. Knowledge and
understanding
3. Interpersonal attributes
4. Problem solving and
clinical judgment
5. Technical skills

1.
1. Clinical
Clinical skills
skills
Faculty of
Medicine
Gadjah Mada
University

Acquire clinical information's,

talking and examining patient
Interpretating significant
information obtained

Faculty of
Medicine
Gadjah Mada
University

2.
2. Knowledge
Knowledge and
and
understanding
understanding
Ability to remember relevant
knowledge (clinical condition)
Provide effective &
efficient/safe care for patients

Faculty of
Medicine
Gadjah Mada
University

3.
3. Interpersonal
Interpersonal
attributes
attributes
Expression a physician's personal
and professional character that
are observable in interactions
with patients and family

Faculty of
Medicine
Gadjah Mada
University

4.
4. Problem
Problem solving
solving
and
and clinical
clinical
judgment
judgment

Application of relevant
knowledge, clinical skills, and
interpersonal attributes, to
Diagnosis, investigation and
management of clinical
problems of a given patient

Faculty of
Medicine
Gadjah Mada
University

5.
5. Technical
Technical skills
skills
Ability to use special procedures
and techniques in investigation
and management of patients

Faculty of
Medicine
Gadjah Mada
University

A catagorization of
general physician competence
(responsibility of the physician)
(V. Neuveld, 1985)
1. To patients (clinical competence)
Those abilities required is the individual
physician-patient encounter
2. To self
Recognition of personal strengths,
weakness, emotional reaction, and
habits of effective and efficient
continuing learning

3. To immediate collegues
Faculty of
Medicine
Gadjah Mada
University

Behaviors expressed in useful

working relationship, with other
physicians, nurses, and health care
personal

4. To the profession
Participation in professional
organizations and activities

5. To the community and society

A awareness of broader issues in
health and health care, and
participation in selected
community activities to promote
health.

Dalam Praktek Tenaga Medik harus mampu :

Faculty of
Medicine
Gadjah Mada
University

1. Meningkatkan mutu pelayanan kesehatan yang

terintegrasi baik preventif, kuratif dan
rehabilitatif;
2. Menggunakan secara optimal pengetahuan
-teknologi baru dengan mempertimbangkan
kondisi sosial dan etik;
3. Mempromosikan pola hidup sehat baik individual
maupun kelompok;
4. Merancang program kesehatan yang dibutuhkan
pasien atau masyarakat;
5. Bekerjasama dalam tim dengan efisien