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