CURRICULUM VITAE

Nama & Gelar (lengkap) : dr. B. Kris Pranarka SpF-ML,

SpPD K-Ger, FINASIM
Tempat &Tanggal lahir : Semarang, 17 Juni 1945
Alamat : Bukit Kartika no 7, Bukit Sari,
Semarang 50261
Tilpon : 024-7473265
Hp : 0811278211
Email : pranarka.kris@gmail.com
RIWAYAT PENDIDIKAN
• Th 1972 : Lulus Dokter Umum : F.K. UNDIP
• Th. 1973 : Consortium of Medical Sciences
Bagian Forensik Medico-Legal, F.K UI
• Th. 1982 : Short Course In Geriatric Medicine.
Slotervaart Hospital, Amsterdam, The Netherland
• Th. 1983 : Spesialis Penyakit Dalam F.K. UNDIP.
• Th. 1989 : Consultan In Geriatric Medicine
Royal Adelaide Hospital, Adelaide – Australia
• Th. 1990 : Spesialis Forensik Medico-Legal, F.K. UNDIP.
• Th. 1995 : Konsultan Penyakit Usia Lanjut
Persatuan Ahli Penyakit Dalam Indonesia
• Th. 2011 : Fellow of The Indonesian Society of Internal
Medicine (FINASIM)
RIWAYAT PEKERJAAN
• 1972 – 1976 : Kepala Bagian Forensik- Medikolegal Fk. Undip
• 1980 – 2009 : Koordinator Pendidikan Bagian Penyakit Dalam S1
Fk. Undip
• 1993 – 2010 : Kepala Instalasi Geriatri RSDK
• 2005 – 2010 : Kepala Sub. Bagian Geriatri Fk. Undip
• 2011 – 2016 : Direktur Medik Rumah Sakit St Elisabeth Semarang
• 2016 – sekarang : Komite Medik RS St Elisabeth Semarang
• 2010 – sekarang : Dosen Luar Biasa Gol. IV D Bagian Ilmu
Penyakit Dalam F.K. UNDIP RSDK

RIWAYAT ORGANISASI
• Bidang Pembelaan Anggota IDI Wilayah Jawa Tengah ( 2002 -2010)
• Majelis Kehormatan Kode Etik Kedokteran IDI
Wilayah Jawa Tengah (2010 -2018)
• Bidang Pembelaan Anggota Persatuan Ahli Penyakit Dalam Indonesia – cabang Semarang (
sp. sekarang)
• Persatuan Dokter Forensik Medico-Legal Indonesia Cabang Semarang
• Perhimpunan Geriatri Medik Indonesia (PERGEMI)
• dll
PENGHARGAAN
• Satya Lancana Karya Satya
HOW TO BE A GOOD DOCTOR FOR YOUR
VULNERABLE PATIENTS

Kris Pranarka
PERHOMPEDIN- SEMARANG
28 Juli 2018
 A Good Doctor

• Many various and personal concept

• Strong medical knowledge and surgical skills are
essential
– Graduating from a good medical school
– Good reputation among colleagues
– Continuous accreditation for clinical competence
 The Vulnerable Patient

Geriatric Patients

• Various meanings , in
different domains :
– Social insecurity
– Poor health
– Psychology:
• Depression
• Anxiety
 Vulnerable Patients
• Heightened reliance on the physician’s competence,
skills, good will
• Attribute of “superhuman power”
• Entrusting health / lives
• Trust : the foundation of the doctor – patient relationship

“ No need for trust, if there is no vulnerability”

( Plomp, H.N; Ballast,N: 2010)

Truster Trustee
(Patient) (Doctor)

Trust is a fragile state not a “blind faith”

Hippocrates Of Cos
(460 -377 B.C)

• Father of Medicine
• Corpus Hippocraticum
• Ethical standard in
medical practice
• Hippocratic Oath
• Permanent influence on
the development of
Medicine
 Hippocratic Oath
The Oath
• By Apollo (the physician), by Asclepius (god of healing), by Hygeia (god of health), by Panacea (god of
remedy), and all the gods and goddesses, together as witnesses, I hereby swear that I will carry out,
inasmuch as I am able and true to my considered judgment, this oath and the ensuing duties:
1. To hold my teacher in this art on a par with my parents. To make my teacher a partner in my livelihood
To look after my teacher and financially share with her/him when s/he is in need. To consider him/her as
a brother/sister along with his/her family. To teach his/her family the art of medicine, if they want to learn
it, without tuition or any other conditions of service. To impart all the lessons necessary to practice
medicine to my own sons and daughters, the sons and daughters of my teacher and to my own
students, who have taken this oath-but to no one else.
2. I will help the sick according to my skill and judgment, but never with an intent to do harm or injury to
another.
3. I will never administer poison to anyone-even when asked to do so. Nor will I ever suggest a way that
others (even the patient) could do so. Similarly, I will never induce an abortion. Instead, I will keep holy
my life and art.
4. I will not engage in surgery--not even upon suffers from stone, but will withdraw in favor of others who
do this work.
5. Whoever I visit, rich or poor, I will concern myself with the well being of the sick. I will commit no
intentional misdeeds, nor any other harmful action such as engaging in sexual relations with my patients
(regardless of their status).
6. Whatever I hear or see in the course of my professional duties (or even outside the course of treatment)
regarding my patients is strictly confidential and I will not allow it to be spread about. But instead, will
hold these as holy secrets.
• Now if I carry out this oath and not break its injunctions, may I enjoy a good life and may my reputation
be pure and honored for all generations. But if I fail and break this oath, then may the opposite befall me
ETHICS

• What Is Ethics ?
– Statements of what is right, what is wrong
or what ought to be
– Derived from values and beliefs of society

• Innate to every Medical Staff

– One’s own unique cultural, socioeconomic and
geographical background

( Khizar, B.2009)
 Some Key Concepts of Ethics

1. Autonomy
– The right to make own decisions, about health care choices
2. Justice
– The right to be treated fairly
3. Beneficence
– Doing good for the patient
4. Non Maleficence
– Do no harm
• Good hand washing
• Knowing & following plan of care
5. Be Truthful
– Always being honest
– Not the same as always “telling the truth”
6. Respect
– Always required to show respect for the patient, family and the
environment
Being a Doctor

• A moral contract providing health care

• Doctor’s advice and skill are still held in very high regard
by the public
• Come high in the popularity stakes in almost any poll
(Andreas K.L, Dariah A.L. April 2017)
 Good Medical care

“ Trust in doctor patient

relationship is a pre-
requiste”

• A keystone of care
• Datas are gathered
• Diagnosis & plans are made
• Compliance is accomplished
• Healing is provided
 Warm Bed-Side Manner :

• Openness, honestly is critical

• Vocal tones
• Body language
• Empathy
“ You’ve had your Physical, now it’s time to give your
doctor a check up and find out if he’s really right for you”
(Zimmerman, e 2011)

• Available
• A good listener
• Open minded
• Smart
• Navigate the medical
informations
• Make things light
• Genuinely care
Personal attributes and behavior to be
a Good Doctor

(Andreas, K,L; Dariah,A.L: the Good Doctor.

More than medical knowledge & surgical skill, 2017)
1. PROFESSIONALISM:
– fundamental,
– relationship between medicine – society,
– basis of patient -physician trust,
– certain expectations
– privacy and dignity

2. OPEN – MINDEDNESS:
– Treat ; not to judge
– An active process
– Same care & attention

3. EMPATHY:
– Attemps to understand since the beginning
– Build a therapeutic relationship
4. COMPASSION
– Good doctors must have a heart as big and strong as their mind
– Being good and continue to learn about human nature

5. CALMNESS
– Practice of medicine, is not always pleasant
– Keep steady in temperaments
– Cope and deal to make correct decisions swiftly, and reassure
the patient & family

6. ATTENTIVENESS:
– Greetings by name, make eye contact
– Listen to the patient
– Identify the key issue
7. ADAPTABILITY
– Adaptable to new developments in medical field
– Provide the most effective care

8. SELF – IMPROVEMENT
– Keep uptodate,never stop learning, a life long learner
– “A doctor is a student, once he considers himself not a student
anymore, the doctor inside him dies”
9. PASSION
– Love your practice of medicine,
dedicated to improving the health & lives of others
– Don’t burn out,
good doctors are also humans, are equally as vulnerable as
their patients

10. CONFIDENCE & HUMILITY

– Prevent confidence transitioning to arrogance
– “ a healthy dose of confidence and an equally health dose of
humility”
 Health Care Providers

• Are only human

• Shortage of doctors
• Pressed for time
• Up setting statistic : On average, doctors interrupt
patients after only 18 seconds ( Glasman,CF.2017)
 Patient Opinion

Most doctors are the good doctors in the opinion of most

patients
Patient’s communication, open, two –way,
is the hallmark of a good patient – doctor relation ship.

“ you can catch more

flies with honey, than with vinegar”
“ with a good doctor, you always leave the office
feeling better”
Hospice Care

Dying with Dignity

Closing

Senior doctors,
which one is the good doctor?
Thank You