Download - The Competence of M.D
Faculty of Medicine
Gadjah Mada University
By:Soenarto Sastrowijoto,
E. Suryadi
The Competence of Medical Doctor
Faculty of Medicine
Gadjah Mada University
The Seven areas of doctor competence national standard.
• 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
Competence = what physician is capable of
doingPerformance = what physician actually does
in his/her day to day practice
What is the different between competence and performance
of a Medical Doctor (MD)?
Faculty of Medicine
Gadjah Mada University
Competence should be clarified in various capability and task (Gonella & Storey, 1981 and Neuveld, 1985)I.I. The capability of a MD inThe capability of a MD in
Cognitive or knowledge Afective or attitude Psychomotor or skill
II. II. The task of a MDThe 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. III. Other taskOther task
Self-education Teaching to other Managing activities
Faculty of Medicine
Gadjah Mada University
Annex A : attribute of the independent practitioner (Tomorrow’s Doctor, GMC Recommendation, 1993)Independent Practitioner,
demonstrates:1. Ability to solve clinical and other
problems in medical practice.2. Possession of adequate
knowledge and understanding3. Possession of consultation skills4. Acquisition of a high standard of
knowledge and skills5. Ability to deal with common
medical emergencies.
Faculty of Medicine
Gadjah Mada University
Annex A : attribute of the independent practitioner (Tomorrow’s 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 practice9. Team-building/work ability10. Administration and planning
experiences11. Advancement of medical
knowledge and skills12. Obligation to teach others
Faculty of Medicine
Gadjah Mada University
Doctor for tomorrow
• 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
1. Clinical skills2. Knowledge and
understanding3. Interpersonal attributes4. Problem solving and
clinical judgment5. Technical skills
Categorization of clinical competence
Faculty of Medicine
Gadjah Mada University
1. Clinical skills
Acquire clinical information's, talking and examining patient
Interpretating significant information obtained
Faculty of Medicine
Gadjah Mada University
2. Knowledge and understanding
Ability to remember relevant knowledge (clinical condition)
Provide effective & efficient/safe care for patients
Faculty of Medicine
Gadjah Mada University
3. Interpersonal 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. Problem solving and clinical 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. Technical skills
Ability to use special procedures and techniques in investigation and management of patients
Faculty of Medicine
Gadjah Mada University
1.1. To patients (clinical competence)To patients (clinical competence)Those abilities required is the individual
physician-patient encounter2. To self2. To selfRecognition of personal strengths,
weakness, emotional reaction, and habits of effective and efficient continuing learning
A catagorization of general physician competence (responsibility of the physician)
(V. Neuveld, 1985)
Faculty of Medicine
Gadjah Mada University
3.3. To immediate colleguesTo immediate collegues Behaviors expressed in useful
working relationship, with other physicians, nurses, and health care personal
4.4. To the professionTo the profession Participation in professional
organizations and activities5.5. To the community and societyTo the community and society
A awareness of broader issues in health and health care, and participation in selected community activities to promote health.
Faculty of Medicine
Gadjah Mada University
Dalam Praktek Tenaga Medik harus mampu :
• 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