Overview 3.5 2015

OVERVIEW

TEAM of BLOCK 3.5Year 2 Coordinatordr. R. Detty Siti Nurdiati, MPH, Ph.D, Sp.OG(K)

Tim Coordinator Blockdr. Setyo Purwono, Sp.PD, M.KesProf. Dr. dr. Nyoman Kertia, Sp.PD-KRdr. E. Henny Herningtyas, M.Si, Ph.Ddr. Elsa Herdiana, M.Kes, Ph.Ddr. Yana Supriatna,Sp.Rad,Ph.Ddr. Indra Sari Kusuma H, Ph.D

LEARNING OBJECTIVESGeneral Objectives:Upon completion of Block 3.5, students should be able to: apply the principles of biomedical, clinical , behavioral and public health science related to neurogenic complaintsacquire and record the information needed to manage neurosensory problemsperform clinical procedure (simulation) related to problems, needs and authoritymanage individual health problems (comprehensive, holistic, continous, coordinative and colaborative)apply prevention effort in primary, secondary and tertiary levels related to illness and diseaseunderstand basic medical science and technology development using relevant scientific methods

Next...Learning ObjectiveSpesific Objectives:Upon completion of Block 3.5, students should be able to:explain basic medical scinece, pathogenesis, pathophysiology, and many factors (molecular untill clinical) of neurosensory complaints (area 3)use clinical reasoning when exploring history of the patient, past medical history, family history, social or other relevant history coherently and efficientlyperform right physical examination in appropriate with patients conditions (area 2)minimize uncomfort physical examination to the patient (area 2)interpret and formulate clinical data become diagnosis, differential diagnosis and prognosis (area 4)

Next...Learning ObjectiveSpesific Objectives:identify, select and determine appropriate laboratory examination to supporting the diagnosis (area 2)determine supporting examination related to neurosensory complaints (area 2)explain the reason of diagnosis with reference to evidence based medicine (area 3)identify and explain various intervention for neurosensory problems (surgery, pharmachology, dietary, sports, behavioral changes related with priciples of quality control, cost control, benefits and patients conditions in appropriate with patients choice (area 1, 3 dan 4)develop strategies to stop the source of the disease, pathogenesis, pathophysiologies, impact and efective risk (area 3)choose and do therapeutic skills and prevention (area 3)

Next...Learning ObjectiveSpesific Objectives:explain indication of giving drugs, how the drugs works, drugs doses, drugs interaction, side effects, and the application for clincial condiiton (area 2)writing a prescription with accuracy indication, drugs, doses, frequency, route of administration, and patient conditions (complete, clear and legible) (area 2)explain pathopysiological changes after treatment (area 3)identifying various indicators the success of treatment to monitor the development of therapy, to improve and changes therapy (area 3 & 4)explain the benefit of dietary therapy for certain case (area 3)explain the importances of further evaluation in management of neurosensory problems (area 3)

Next...Learning ObjectiveSpesific Objectives:identifying, give a reason, implement and monitor strategies of primary prevention, secondary and tertiary appropriate, with regard to patients, family members and community (area 4)identify the role of the patients family, work and social environment as a risk factor for disease, as factors that may affect the therapeutic considerations, and as a factor that may affect the prevention of disease (area 4)follow the progress of the new science (area 6)

BLUE PRINT of ASSESSMENT

ActivitiesProportion of Block Examination Item QuestionsPercentagePractical Session ExaminationAnatomy & embryology (2 topics)5 %17.5 % Pharmacology & Therapy (3 topics) 7.5 %Clinical Pathology (1 topic)2.5 %Parasitology (1 topic) 2.5 %Block Examination1 session consist of 100 items. Represent each Learning Objective. 82.5 %82.5 %TOTAL100%

Activities in Block 3.5

TIME TABLE

WEEK MODULIMPLEMENTATION DATE REGULERINTERNASIONAL1Movement disorders and Pain 16 - 20 Mar23 - 27 Mar2Equilibrium and Hearing complaints 23 - 27 Mar30 Mar 3 Apr3Headache and Stroke 30 Mar 3 Apr6 - 10 Apr4Infection in the Peripheral and Central nervous System 6 - 10 Apr13 - 17 Apr5Seizures and Unconsciousness Disturbance 13 - 17 Apr20 - 24 Apr6Examination 20 - 24 Apr27 Apr- 2 Mei

MOVEMENT DISORDERS AND PAINMODULE-WEEK 1

Lectures of Week 1

No.TitleCONTENTDepartmentLECTURER1Introduction of Block 3.5Introduction of Block 3.5Block Coordinator Teamdr. Setyo Purwono, Sp.PD-M.Kes2Anatomy of CNS: Pyramidal, Extrapyramidal System and Blood Supply of the BrainPyramidal and extra pyramidal system, vascularization of CNSAnatomy, Embriology and Anthropologydr. Nur Arfian. PhD3Parkinsons Disease and ParkinsonismEpidemiology, etiology, risk factor, pathophysiology, clinical manifestation, diagnostic, management, prognosis of parkinsonism and parkinsons diseaseNeurologydr.Subagya, Sp.S 4Management of Ataxia, Chorea, Dystonia, MyoclonusPharmacologic and non pharmacologic management of Ataxia,chorea, dystonia, myoclonusNeurologydr.Subagya, Sp.S 5Neuro ImagingIndication for imaging procedures of head, brain, and spinal cord in related to neurologic disorders including simple expertise.Radiologydr. Henry Kusumo Husodoputro, Sp.Rad(K)

Lectures of Week 1

No.TitleCONTENTDepartmentLECTURER6Pharmacotherapy of Parkinsons Disease and ParkinsonismPharmacodynamic & pharmacokinetic drug on parkinsonism and parkinsons diseasePharmacology and Therapydr. Setyo Purwono, M.Kes, Sp.PD7Neuropathic & Nociceptic PainNeuropathic & nociceptic painNeurologydr. Yudiyanta, Sp.S8Analgesics and Muscle Relaxant DrugsChoosing the rational analgesic drugs & muscle relaxant drugsPharmacology and Therapydr. Jarir At-Thobari, Ph.D

Tutorial (4 hours)Practical session (4 hours)

Basic clinical competences training (2 hours)

Title:Neurology Exam 3 (case oriented)Duration:2 hours

1Title:Clinical Oriented Anatomy of Brain and Sense OrgansDepartment:Anatomy, Embriology and AnthropologyDuration:2 hours2Title:Autonomic Nervous System DrugsDepartment:Pharmacology and therapyDuration:2 hours

Total Time AllocationWeek 1

Tutorial:4hoursLecture:8hoursPractical session:4hoursBCCT:2hoursTotal hoursSelf study::1830 -42HoursHours

ReferencesEssential neurology: Ian Wilkinson, Graham Lennox.4th ed, 2005.Adams and Victors. Principles of Neurology. Eighth Edition, 2010.Goodman & Gilmans The Pharmacological Basis of Therapeutics 12th ed., Hardman J.G., Limbird L.E., Gilman A.G, 2011.

MODULE-WEEK 2EQUILIBRIUM & HEARING COMPLAINTS

Lectures of Week 2

No.TitleCONTENTDepartmentLecturer1Central Vertigo (included Introduction of Vertigo)Introduction of vertigo, diagnosis and management of vertigo centralNeurologydr. Cempaka Thursina, Sp.S(K)2Peripheral Vertigo: Anatomy, Physiology and Diagnosis of Equilibrium ApparatusAnatomy, physiology & diagnosis of equilibrium apparatusEar, Nose and ThroatDr. dr. Bambang Udji Djoko R, Sp.THT-KL (K) M.Kes3Peripheral Vertigo: Management and Prognosis of Equilibrium DisordersManagement and prognosis of equilibrium disorder (vertigo perifer)Ear, Nose and Throat Dr. dr. Bambang Udji Djoko R, Sp.THT-KL (K) M.Kes4DeafnessPathophysiology, risk factor, examination, management, and prognosis of deafness. Ear, Nose and Throat Dr. dr. Bambang Udji Djoko R, Sp.THT-KL (K) M.Kes5Rehabilitation of patient with vertigo and other post neurogenic disorders Modality and Technical Rehabilitation of patient with post neurogenic disorderMedical Rehabilitationdr Ahmad Fuath, Sp.KFR6Pharmacotherapy in VertigoDrugs for vertigoPharmacology and TherapyProf. dr. Ngatidjan, M.Sc, Sp.FK(K)7Pathology of Visual Pathwaya. General symptomatology & examination of visual pathway disorder b. Pathology of optic disk retrobulbar optic nerve, chiasma & retrochiasma Opthamologydr. Tatang Talka G, Sp.M8Pathology of Eye Movementa. Clasification of eye movement b. Sygn & symptom of intranuclear eye movement disorder c. Pareses of cranial nerve III, IV, VI & nystagmus Opthamologydr. R. Haryo Yudono, Sp.M, M.Sc

Tutorial (4 hours)Basic clinical competences training (2 hours)

Title:Neurology Exam 3 (case oriented)Department:Skills LaboratoryDuration:2 hours


Tutorial:4hoursLecture:8HoursBCCT:2hoursTotal hoursSelf study::1434 -46hourshours

HEADACHE AND STROKE

MODULE WEEK 3

Lectures of Week 3

No.TitleContentDepartmentLecturer1HeadachePathophysiology, differential diagnosis, pharmacology and non pharmacology management of headacheNeurologydr. Yudiyanta, Sp.S2Brain Condition Related to HeadacheSigns, symptoms, and management of space occupying lession (trauma & non trauma) in related with headacheNeurosurgerydr. Endro Basuki, Sp.BS3Cognitive Disorder in Brain Injury and Brain LessionSign, symptoms, diagnosis and management cognitive disorderNeurologydr. Astuti, Sp.S(K)4Spinal Cord and Peripheral Nerve Contiditon Related to Neurosensory ComplaintsSigns and symptoms of spinal cord and peripheral nerve disease (trauma & non trauma) related with neurosensory complaintsNeurosurgerydr. Wiryawan Manusubroto, Sp.B, Sp.BS(K)5Pathophysiology of Stroke Ischemic, Hemorrhagic & VertebrobasilarPathophysiology of stroke ischemic, hemorrhagic & vertebrobasilarNeurologyDr.dr. Ismail Setyo Pranoto, Sp.S(K)6Management of Stroke Ischemic, Hemorrhagic & VertebrobasilarManagement of stroke ischemic, hemorrhagic & vertebrobasilarNeurologydr. Abdul Ghofir, Sp.S(K)7Surgical Indication of StrokeSurgical indication of strokeNeurosurgerydr. Handoyo Pramusinto, Sp.B, Sp.BS(K)8Laboratory Examination for Stroke ScreeningLaboratory examination needed for in stroke casesClinical Pathologydr. Usi Sukorini, M.Kes, Sp.PK(K)9Drugs Use for Primary Therapy of Stroke and Neuroprotective DrugsPharmacokinetic and pharmacodinamic of citicholin, piracetam, ginkgo biloba, and nimodipinPharmacology and Therapydr. Woro Rukmi Pratiwi, Sp.PD, M.Kes



Title:Clinical Oriented Anatomy of Blood Vessel of The Brain, Cerebrospinal Fluid, Meninges & Sense OrganDepartment:Anatomy, Embriology and AnthropologyDuration:2 hours

Title:Eye ExaminationDepartment:Skills laboratoryDuration:2 hours


Tutorial: 4 hoursLecture: 9hoursPractical SessionBCCT:: 2 2hourshoursTotal hoursSelf study::1731-43hourshours

INFECTION IN THEPERIPHERAL AND CENTRAL NERVOUS SYSTEMMODULE -WEEK 4

Lectures of Week 4

No TitleContentDepartmentLecturer1Pathophysiology of Bells Palsy and Bacterial and Viral Infection in Nervous System (especially Meningoenchepalitis)Pathophysiology of Bells Palsy and Bacterial and Viral Infection in Nervous System (especially Meningoenchepalitis)Neurologydr. Sekar Satiti, Sp.S(K)2Intracranial Infection in Neonates and Children (especially Tetanus Neonatorum)Etiology, patophysiology, clinical manifestation, management of intracranial infection in neonates and children (especially tetanus neonatorum) PediatricsProf. dr. Sunartini, Ph.D., Sp.AK3Abses Cerebry Related to ENT InfectionAbses cerebry related with ENT infectionEar, Nose and Throat dr. Agus Surono,Ph.D Sp.THT-KL M.Sc4Laboratory Examination of Neuro InfectionLaboratory examination of neuro infectionClinical Pathologydr. Osman Sianipar, DMM, M.Sc, Sp.PK(K)5Neurosensory Disorder Due to ParasitesTrypanosomiasis, cysticercosis, hydatidosis, Toxoplasma, PAMParasitologydr.Elsa Herdiana M,M.Kes,PhD6NeuritisEpidemiology, sign symtoms, pathophisiology, risk factor, diagnosis and management of neuritisNeurologydr.Sekar Satiti, Sp.S(K)7Pharmacotherapy of Brain InfectionDrugs for brain infectionPharmacology and Therapydr. Setyo Purwono,Sp.PD,M.Kes

Lectures of Week 4

No TitleDepartmentLecturer8Panel Disscussion: Stroke, and NeuroinfectionBlock Coordinator TeamBlock Coordinator Team

Neurologydr. Abdul Ghofir, Sp.S(K)Pediatrics(in confirm)NeurosurgeryReg: dr. Wiryawan Manusubroto, Sp.B,Sp.BS (K) Inter: dr. Handoyo Pramusinto, Sp.BS (K)Clinical PathologyReg: dr. Usi Sukorini, M.Kes, Sp.PK(K)Inter: dr. Osman Sianipar, DMM, M.Sc, Sp.PK(K)Parasitologydr.Elsa Herdiana M,M.Kes,PhDPharmacology and Therapydr. Jarir At-Thobari,PhDMedical Rehabilitationdr Ahmad Fuath, SpKFRFamily Medice(in confirm)Radiologydr. Henry Kusumo Husodoputro, Sp.Rad(K)Microbiologydr. Praseno, Sp.MK(K)



1Title:Parasites Cause Neurosensory ComplaintsDepartment:ParasitologyDuration:2 hours2Title:Cerebrospinal Fluid AnalysisDepartment:Clinical PathologyDuration:2 hours

Title:Skin and Neurological Examination in LeprosyDuration:2 hours


Tutorial: 4 hoursLecture: 7 hoursPanel discussion: 2hoursPractical session: 4 hoursBCCT: 2hoursTotal hoursSelf study::1929-41hourshours

SEIZURES AND UNCONSCIOUSNESS DISTURBANCEMODULE -WEEK 5

Lectures of Week 5

NoTitleContentDepartmentLecturer1Epileptic Seizures and Non Epileptic Seizures (Included Hysteria Convulsion)Pathophysiology, clinical manifestation, and management of epileptic and non epileptic seizure.Neurologydr. Atitya Fitri Khairani, M.Sc, Sp.S2Unconsciousness DisordersDifferential diagnosis, pathophysiology and management of consciousness disorderNeurologydr. Abdul Ghofir, Sp.S(K)3Anticonvulsant DrugsPharmacodynamics & pharmacokinetic of anticonvulsant drugsPharmacology and Therapy Dr. dr. Eti Nurwening Solikhah, M.Kes4Surgical Management in Seizure and Non-Traumatic Unconsciousness DisorderSurgical management in seizure and non-traumatic unconsciousness disorderNeurosurgeryReg: dr. Rahmat Andi Hartanto, Sp.BS; Inter: dr. Wiryawan Manusubroto, Sp.B, Sp.BS(K)

Lectures of Week 5

NoTitleContentDepartmentLecturer5Administration of Parenteral Dosage Forms (Drugs for Epileptic)The kind of parenteral dosage form, factors which should be understood in writing a prescription of parenteral dosage forms a. Types of parenteral dosage forms b. Advantages and disadvantage of parental drug c. Classes of parenteral product and its container d. Parenteral drug-dosing Pharmacology and TherapyDra. Tri Murini, M.Si, Apt6Imaging of Seizure and Unconsciousness DisorderImaging of Seizures and Unconsciousness DisorderRadiologydr. Henry Kusumo Husodoputro, Sp.Rad(K)

Tutorial (4 hours)Practical Session (4 hours)

Basic clininical competences training (2 hours)

Title:Feedback for ICPDepartment:Skills laboratoryDuration:2 hour

1Title:AnticonvulsantDepartment:Pharmacology & TherapyDuration:2 hours2Title:Parenteral Dosage Form Department:Pharmacology & TherapyDuration:2 hours


Tutorial: 4 hoursLecturePract. Session:: 5 4 hourshoursBCCT: 2 hoursTotal hoursSelf study::1533-45hourshours

BLOCK EXAMINATION REQUIREMENTSTo be able to participate in the examination, students must:Attending all tutorial activities. The absence in the tutorial with 3 main reasons maximum are 25% of tutorial meeting on those block and replaced with a special assignment or counseling session. Attending all lab activities. Absence in practicum with 3 main reasons are replaced by following inhaal regulated by related section.Attending lectures at least 75%Absence may be permitted by the 3 main reasons, those are: 1. Sick, as evidenced by letter from doctor,2. Have (parent, spouse, child, or sibling) passed away,3. Get assignments from faculty as evidenced by a letter of assignment.

Ketidakhadiran maksimal 25% pertemuan tutorial pada blok tersebut digantikan dengan penugasan karena tidak dapat hadir pada tutorial sesi-1 maupun sesi-2 adalah sebagai berikut:1. Mahasiswa diberitugas oleh TKB tidak oleh tutor kelompok tersebut2. Tugas diberikan setelah mahasiswa mengurus surat administrasi di sekretariat Prodi.3.Tugas karena meninggalkan sesi-1 adalah menyalin semua hasil tutorial kelompoknya dan menambahkan baik pada daftar masalah maupun pada jawaban kelompok dengan tulisan tangan.4. Tugas meninggalkan sesi-2 adalah menyalin semua hasil tutorial kelompoknya dan membuat review semua tujuan belajar dengan mencantumkan referensinya dengan tulisan tangan.5. Tugas sesi-1 dikumpulkan sebelum sesi-2 dan tugas sesi-2 dikumpulkan sebelum sesi-1 tutorial pertemuan berikutnya.6. Mahasiswa menyerahkan tugas kepada sekretariat pelaksana prodi selanjutnya diserahkan kepada ketua TKB.7. Kriteria kelengkapan tugas dan dinyatakan lengkap oleh TKB adalah:Kelengkapan isi sesuai ketentuan nomor 3 dan 4Dikumpulkan sesuai dengan ketentuan sesuai nomor 5 dan dalam masa blok masih berlangsung.8. Apabila tidak memenuhi ketentuan tersebut diatas maka akan diberlakukan ketentuan *

KETENTUAN *Mahasiswa yang tidak hadir selain dari 3 alasan utama atau dengan alasan utama tetapi tidak dapat memenuhi penugasan sesuai ketentuan tersebut di atas maka akan diadakan tutorial khusus di akhir blok dengan ketentuan sebagai berikut:Tutorial pengganti akan dijadwalkan oleh sekretariat prodi.Kepada setiap mahasiswa menyiapkan materi dalam bentuk presentasi (PPT) yang merupakan rangkuman tutorial dari step-1 s/d step-7 sesuai dengan skenario pada minggu yang ditinggalkan.Mahasiswa yang tidak hadir pada tutorial pengganti terjadwal dapat mengganti kegiatan tersebut pada saat Blok berjalan pada semester yang akan datang.

PETUNJUK PENGGUNAAN LAYAR LED/MONITOR DALAM TUTORIAL SEVEN-JUMP

Penting dalam sebuah diskusi tutorial agar setiap anggota memfokuskan perhatian terhadap apa yang sedang didiskusikan bersama, misal: Step-keberapa dalam Seven Jump yang sedang dijalani oleh kelompok tutorial tersebut

Selama ini alat memfokuskan perhatian seluruh anggota kelompok dilakukan dengan cara salah seorang penulis menuliskan di sebuah layar White-Board. Pada saat itu, perhatian seluruh anggota kelompok ada pada yang dituliskan di dalam layar. Beberapa kelemahan dalam penggunaan layar White-Board diantaranya adalah:Seringkali seluruh anggota kelompok tutorial harus menunggu (proses diskusi sedikit mengalami jeda beberapa kali) karena menulis di White-Board memerlukan waktuPenulis di papan WhiteBoard jarang mendapat kesempatan mengungkapkan pendapatnya/ berdiskusi aktif selema proses Seven-Jump, karena ia harus menulis seluruh hasil diskusi yang adaMasih diperlukan penulis lain yang bertugas mencatat di dalam sebuah buku/ kertas, dengan maksud menyalin apa yang ditulis di papan White- Board, agar selanjutnya dapat digunakan dalam proses belajar seluruh anggota kelompok, termasuk dalam membuat laporan tutorial

Dengan adanya LED, maka diharapkan kekurangan-kekurangan yang ada dalam interaksi selama proses tutorial dapat diminimalisir.

Beberapa manfaat LED selama proses Tutorial adalah:LED adalah alat untuk memperkuat interaksi. Misalnya masalah di dalam scenario bisa disajikan dengan ilustrasi yang lebih baik di dalam layar LED.Skenario tidak harus berupa narasi, bias juga dalam bentuk gambar, video, suara, ataupun ilustrasi lainnya. Misalnya tempat hidup di bantaran sungai, seorang laki-laki dengan retraksi dinding dada, dapat dividualisasikan dengan lebih baik melalui layar monitorInteraksi selama proses tutorial berguna dalam menstimulasi pemahaman mahasiswa. Dengan adanya LED, seluruh mahasiswa dapat duduk berdampingan, sejajar, terlibat aktif dalam proses diskusi dan tidak harus menunggu seorang penulis selesai menuliskan di papan tulis. Penulis juga cukup satu.Diskusi tutorial tidak harus terhenti sejenak karena menunggu penulis selesai menuliskan hasil diskusi. Diskusi dapat berjalan dengan lebih lancar, karena seluruh mahasiswa duduk sejejar dan saling berhadap-hadapan.Alat LED BUKAN untuk presentasi dalam Step ke-7 Seven-Jump

TINDAK LANJUT setelah Step ke-7 Seven-Jump:Mahasiswa dapat menyusun rangkuman dari proses tutorial Step 1-7 yang telah dijalani, melakukan editing sedikit dari apa yang sudah ditulis selama proses tutorial, menjadi sebuah bentuk laporan yang rapi untuk masing-masing Stepnya, disertai sumber-sumber referensiLaporan tertulis ini disubmit ke Tutor dan Koordinator Blok SEBELUM tutorial berikutnya. Gunanya agar Tutor dan Koordinator Blok agar dapat melakukan evaluasi tentang Actual Learning Outcome yang dicapai mahasiswa. Misalnya: membandingkan dengan Learning Outcome Blok, apakah sudah tercapai, melakukan evaluasi terhadap skenario Blok, dan sebagainyaLaporan ini juga dapat di-share keseluruh rekan mahasiswa satu angkatan melalui GAMEL, diharapkan dengan demikian, maka seluruh mahasiswa akan menerima sebuah sumber belajar yang sangat luas, sehingga terjadi pengkayaan pengetahuan. (Misal dalam betuk: HSC-Tutorial)Proses No.iii akan sangat berguna terutama ketika FK UGM akan segera menerapkan Skenario Multilevel, semacam Modified Essay Question (MEQ) untuk mahasiswa tahun 3 dan 4, yang akan sangat bermanfaat dalam memfasilitasi mahasiswa untuk proses penalaran klinis mereka

Overview 3.5 2015

Documents

diagnosis area

patient area

prevention area

treatment area

legible area

prognosis area

medicine area

patients conditions