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Rabu, 07 Maret 2012

HICSP (Health Interdisciplinary Community Service Project): Integrated Model of Interprofessional Competence Development within Student Activity


Makhyan Jibril Al Farabi*

*Faculty of Medicine, Brawijaya University

makhyan.jibril@gmail.com





Introduction

Latest report form Institute of Medicine [1] “Crossing the Quality Chasm: A New Health System for the 21st Century” concluded that a major overhaul of the health care system was required and stressed that such a redesigned system should be predicated on multidisciplinary teams that developed by interprofessional education. All multidisciplinary health care professionals should be educated to deliver patient-centered care with interaction, as the important goal are to collaborate in providing promotive, preventive, curative, rehabilitative, and other health-related services.

Nevertheless, problems arise when interprofessional education will be integrated in academic curricula. The most commonly cited barrier was the already overloaded curricula at the individual health profession schools. A number of interviewees suggested that interprofessional education programs would have to take the place of previous courses and could not simply be added on to the already overfull curricula, this probably will decrease student motivation in learning activity [2]. Also, simply putting different professional students together in the same lecture theater or having faculty from one school deliver lectures to students from other professional schools does not constitute effective interprofessional education [1,2]



HICSP Concept

As an active generation, mostly undergraduate in all over the world develop student activity to express their youth spirit and motivation. Student will develop and perform their activity compassionately even without being paid and mostly will said that student activity are more enjoyable than classroom studying[3]. Report from Fisher[4] show that there is obviously significant motivation and interest among medical students to engage in community service activity. This prove that community service project has great potential to be integrated with  interprofessional education when performed by multidisciplinary team.

Role model of HICSP application can be seen in Faculty of Medicine in Brawijaya University. Having 6 disciplinary education (Medical Doctor, Dentist, Nutritionist, Nurse, Pharmacist and Midwifery in one faculty and perfomed by 2nd semester student as the grand project of their generation, HICSP were successfully held in Petungsewu Village, Malang 8-11 Juli 2011 by 800 student. While undergraduate weren’t permitted to do clinical intervention, all students were focused in to develop health promotion and prevention for the village inhabitant.  To develop successful HICSP, student will cooperate, collaborate, communicate, and integrate care in teams to ensure the holistic health promotion performed well by their every disciplinary.



Future Plan of Action

It’s obvious that all national organization of undergraduate health profession (ISMKI, ILMIKI, PSMKGI, ILMAGI etc) in Indonesia has their own community service project. Also, most of big university in Indonesia has multidisciplinary health student, either integrated in one faculty (such as UGM, UMJ, UNSOED, UB, UNUD, UA) or not (UI, UMS etc). National organization of undergraduate student has the right to lead their local branch[5]. Thus, the best plan is enforce these organization to collaborate their community service project to develop HICSP. When this supported by educational institutions involved, student will able to develop better and enjoyable interprofessional education in their every local organization.





References
Institute of Medicine. 2001. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press.
Mary, Rafter, Igor J. Pesun, Michael Herren, Jeffrey C. Linfante, Mina Mina, Christine D, Jane P. Casada. 2006. A Preliminary Survey of Interprofessional Education. J Dent Educ.; 70(4): 417-427.
Muller, David, Yasmin Meah, Jeffrey Griffith, , Ann-Gel Palermo, Arthur Kaufman, Kirk L. Smith, and Steven Lieberman. 2010. The Role of Social and Community Service in Medical Education: The Next 100 Years. Acad Med. 85:302–309.
Fisher, Holly Michaels. 2006. Community Service as an Integral Component of Undergraduate Medical Education: Facilitating Student Involvement. http://depts.washington.edu/ccph/pdf_files/UHICommSvc.pdf. Accessed 16.00  at 15 August 2011
Mighfaza, Zainullah. 2011. Grand Design ISMKI. Purwokerto, KIK ISMKI



 
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