VIDEO PENGENALAN KEGIATAN KKM KMKP PUSKESMAS IV DENPASAR SELATAN 2023

KKM KMKP Udayana
3 Mar 202409:39

Summary

TLDRThis script outlines a six-week community health and preventive medicine rotation for young doctors, focusing on primary healthcare services at a health clinic. It covers the initial orientation, including discussions on community health, statistics, and health promotion strategies. The doctors engage in various clinical activities, such as general practice, geriatrics, and maternal and child health services. They also participate in community outreach programs, health promotion, and home visits for family medicine practice. The rotation aims to equip doctors with skills in diagnosis, community health service implementation, referral management, and effective communication for comprehensive healthcare delivery.

Takeaways

  • 🏥 The script describes a 6-week medical rotation for young doctors specializing in community health and preventive medicine.
  • 📚 The rotation begins with an orientation and training at the university's department, covering topics like family medicine, occupational diseases, statistical parameters, and health surveillance.
  • 👩‍⚕️ The young doctors are assigned to a health center, specifically Health Center 4 and South Market, located at Jalan Pulau Moyo No. 63a.
  • 📍 The health center's area of operation includes 14 Banjar in the Pedungan sub-district, highlighting the community-focused nature of the rotation.
  • 👨‍⚕️ The doctors are welcomed by the health center's head and field doctors, discussing the activities they will undertake during their service.
  • 🏠 The health center provides a range of services including outpatient clinics, dental and oral health clinics, and maternity and child health services.
  • 📊 The doctors engage in various activities such as general practice, geriatric care, and specialized clinics for influenza-like illnesses.
  • 👶 They participate in maternal and child health services, including prenatal care, family planning, and infant and child health services.
  • 📈 The rotation includes health promotion activities where doctors are tasked with identifying health issues, creating proposals, and implementing educational campaigns.
  • 🌐 The doctors also participate in community outreach programs, such as health screenings, mental health assessments, and HIV testing for at-risk populations.
  • 📝 The script emphasizes the importance of learning and applying community-oriented and family medicine principles, with guidance from specialized doctors and health center staff.

Q & A

  • What is the duration of the KMKP (Community Health and Preventive Medicine) internship for young doctors?

    -The KMKP internship lasts for 6 weeks.

  • How does the KMKP internship begin for the young doctors?

    -The KMKP internship begins with an orientation and training at the KMKP department located at the university campus, which is conducted both offline and online.

  • What are the topics covered during the initial orientation and training of the KMKP internship?

    -The initial orientation and training cover family medicine, occupational diseases, statistical parameters, social determinants of health, health surveillance, explanations about UKM (Traditional Medicine) and UKP (Traditional Medical Practitioners), health promotion strategies, literature review, and effective communication.

  • Where is the Puskesmas 4 and Pasar Selatan located?

    -Puskesmas 4 and Pasar Selatan is located at Jalan Pulau Moyo No. 63a, in the Pedungan sub-district.

  • What does the catchment area of Puskesmas 4 and Pasar Selatan include?

    -The catchment area includes 14 Banjar in the Kelurahan Pedungan.

  • What are the various health services provided at Puskesmas 4 and Pasar Selatan?

    -The health services include outpatient departments, general clinics, geriatric clinics, dental and oral clinics, internal medicine clinics, pediatric clinics, adolescent rooms, lactation rooms, consultation rooms, sanitation and nutrition rooms, immunization rooms, delivery rooms, and inpatient care.

  • What kind of medical examinations and treatments can be expected at Puskesmas 4 and Pasar Selatan?

    -Puskesmas 4 and Pasar Selatan provide physical examinations, treatments, and counseling as needed, with medical staff including doctors, nurses, midwives, and other health workers.

  • What additional services does Puskesmas 4 and Pasar Selatan offer for diagnostic purposes?

    -Puskesmas 4 and Pasar Selatan is equipped with a laboratory for blood, urine tests, and other diagnostic tests to assist in early diagnosis and proper treatment.

  • What are some of the community health services that young doctors participate in during the KMKP internship?

    -Young doctors participate in various community health services including general clinic services, geriatric care, influenza-like illness clinics, maternal and child health services, immunization services, and health promotion activities.

  • What is the role of young doctors in health promotion during the KMKP internship?

    -Young doctors are required to conduct health promotion activities, which include identifying health issues, creating proposals, developing educational materials, implementing health promotion, and monitoring and evaluating the results.

  • What kind of educational activities did the young doctors perform as part of their health promotion duties?

    -The young doctors conducted educational activities on exclusive breastfeeding, proper breastfeeding techniques, and used various media such as videos, animations, and leaflets for their sessions.

  • How do the young doctors engage with the community outside the health facility during the KMKP internship?

    -Young doctors engage in community activities such as Posyandu (community health posts), mental health screenings in kindergartens, early detection of child development, distribution of deworming medication, HIV screening for at-risk groups, and home visits for family medicine cases.

  • What kind of guidance do the young doctors receive during the KMKP internship?

    -The young doctors receive guidance from Dr. 5D Muji Hariati, a specialist in family medicine, primary care, and Dr. Gigi Mad Saraswati Rahayu, the head of Puskesmas 4 and Pasar Selatan, as well as from campus mentors such as Dr. DR Ged Ngura Indraguna Pindatih, a master's degree holder in clinical nutrition.

  • What is the expected outcome of the KMKP internship for young doctors?

    -The expected outcome is that young doctors will be able to diagnose and detect medical emergencies, implement community health service programs at Puskesmas, handle referral cases, apply family medicine concepts, and effectively communicate through group approaches. They should also be able to write scientific papers based on scientific research principles in the field of medicine.

Outlines

00:00

🏥 Introduction to Community Health Service (KMKP) Internship

The script describes the Community Health Service (KMKP) internship, a six-week mandatory program for young doctors to gain professional experience. It begins with an introduction and orientation at the KMKP department, covering topics like family medicine, occupational diseases, health surveillance, and effective communication. The interns are placed in various community health centers (Puskesmas), with the script focusing on Puskesmas 4 and Pasar Selatan, located at Jalan Pulau Moyo No. 63a. The Puskesmas serves a wide area, including 14 Banjar in Kelurahan Pedungan, and offers various medical services such as general practice, elderly care, dental and oral health, and immunization. The script also discusses the daily influx of patients seeking quality medical care and the role of the medical team in providing primary health services.

05:00

📚 Comprehensive Learning Experience in Puskesmas

This paragraph delves into the various learning experiences and activities that young doctors engage in during their KMKP internship at Puskesmas. It covers the practical aspects of medical practice, including patient care in general practice, emergency care, geriatric care, and pediatrics. The doctors also participate in community health promotion, which involves identifying health issues, creating health education materials, and monitoring the effectiveness of health promotion activities. The script highlights the importance of community engagement, such as conducting health education sessions for pregnant women on exclusive breastfeeding and proper infant feeding techniques. Additionally, it mentions the doctors' involvement in outdoor activities like community health days, mental health screenings in kindergartens, and HIV screenings for at-risk populations. The paragraph concludes with the expectation that through these experiences, young doctors will be well-equipped to provide comprehensive healthcare services to the community, balancing curative, preventive, promotional, and rehabilitative aspects.

Mindmap

Keywords

💡Community Health

Community Health refers to the health of individuals within a specific community, focusing on the collective well-being and addressing health issues that are pertinent to that group. In the video, community health is a central theme as it discusses the role of Puskesmas (community health centers) in providing primary health services to the public, emphasizing the importance of preventive, curative, promotive, and rehabilitative health services.

💡Preventive Medicine

Preventive Medicine is a branch of healthcare that focuses on preventing diseases and promoting health through various measures like health education, immunization, and lifestyle changes. The video script mentions preventive medicine in the context of the services provided by Puskesmas, such as health promotion activities and immunization programs, which aim to prevent the spread of diseases and maintain community health.

💡Primary Health Care (Puskesmas)

Primary Health Care is the first level of contact between an individual and the health care system, typically provided by health workers in the community. Puskesmas, as mentioned in the script, is an Indonesian term for community health centers that serve as the frontline of health services, offering a range of medical services including diagnosis, treatment, and health education.

💡Health Promotion

Health Promotion involves activities designed to encourage healthy behaviors and lifestyles among individuals and communities. In the video, health promotion is highlighted through various initiatives such as educating the public about exclusive breastfeeding, proper nutrition, and conducting health screenings, which are all aimed at improving the overall health of the community.

💡Immunization

Immunization refers to the process of protecting individuals from infectious diseases through the administration of vaccines. The script discusses immunization as a routine service at Puskesmas, where they conduct immunization sessions to prevent the spread of diseases, emphasizing the importance of timely vaccination for community health.

💡Health Surveillance

Health Surveillance is the ongoing scrutiny of health-related issues within a community, often involving the systematic collection, analysis, and interpretation of health data. The video mentions health surveillance in the context of monitoring and evaluating health programs and services to ensure their effectiveness and to identify areas for improvement.

💡Health Determinants

Health Determinants are the social, economic, environmental, and behavioral factors that influence health outcomes. The script refers to health determinants in the context of understanding the social and environmental factors that affect the health of the community, which is crucial for designing effective health interventions.

💡Health Education

Health Education is the process of providing individuals and communities with information and skills they need to make informed decisions about their health. The video script includes examples of health education, such as teaching proper breastfeeding techniques and providing information on various health topics to community members.

💡Kesehatan Masyarakat dan Kedokteran Pencegahan (KMKP)

Kesehatan Masyarakat dan Kedokteran Pencegahan, or Community Health and Preventive Medicine, is a medical specialty focused on public health and preventive care. In the video, KMKP is mentioned as a rotation for young doctors to gain experience in community health services, emphasizing the importance of this specialty in training future healthcare professionals.

💡Health Literacy

Health Literacy is the ability to access, understand, and use health information to make informed decisions. The video script discusses the importance of health literacy in the context of educating community members about various health issues, such as exclusive breastfeeding and proper nutrition, to empower them to take better care of their health.

💡Public Health Services

Public Health Services are organized community efforts to prevent disease, promote health, and prolong life. The video script describes various public health services provided by Puskesmas, including health screenings, vaccinations, and health education, which are essential for maintaining the health of the community.

Highlights

Stase kesehatan masyarakat dan kedokteran pencegahan (KMKP) is a 6-week program for young doctors to undergo professional education.

The program begins with an orientation at the KMKP department located at the university campus.

Orientation includes offline and online sessions covering family medicine, occupational diseases, statistical parameters, and health surveillance.

Trainees are divided into groups and placed at different Puskesmas, including Puskesmas 4 and Pasar Selatan.

Puskesmas 4 and Pasar Selatan cover 14 Banjar in the Pedungan Kelurahan area.

Daily activities at the Puskesmas start with a reception by the head of the Puskesmas and field doctors.

The Puskesmas facilities include an outpatient department, various clinics, and rooms for consultation, immunization, delivery, and inpatient care.

Trainees participate in daily medical services, providing quality healthcare to hundreds of patients.

Trainees also engage in community health services, including general practice, geriatrics, and child and maternal health services.

They are involved in health promotion activities, starting from identifying issues to creating proposals and educational media.

Trainees participate in health education, such as teaching proper breastfeeding techniques to pregnant mothers.

They also conduct community outreach programs, including child growth monitoring, mental health screening, and HIV testing.

Trainees learn to apply family medicine principles, focusing on personal, comprehensive, continuous, coordinated, and collaborative care.

Under the guidance of Dr. 5D Muji Hariati and Dr. Gigi Mad Saraswati Rahayu, trainees evaluate various Puskesmas programs and services.

Trainees also receive mentorship from campus faculty, discussing program analysis, health profiles, and literature reviews.

At the end of the KMKP stage, trainees present their activities and undergo a comprehensive oral examination.

The program aims to equip young doctors with competencies in medical emergencies, community health service implementation, family medicine concepts, and effective communication.

The ultimate goal is for young doctors to provide balanced healthcare services that are curative, preventive, promotive, and rehabilitative.

Transcripts

play00:05

[Musik]

play00:08

stase kesehatan masyarakat dan

play00:10

kedokteran pencegahan atau kmkp adalah

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salah satu stase dokter muda dalam

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menjalani pendidikan profesi dokter

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dalam pelaksanaannya stase ini mengambil

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waktu selama 6 minggu stase kmkp diawali

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dengan penerimaan serta pembekalan pada

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departemen kmkp yang bertat di kampusk

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sedirman Universitas

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Uday pekalan iniilak secara offline dan

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juga online yang meliputi di antaranya

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ada kedokteran keluarga penyakit akibat

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kerja parameter statistik social

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determinant of health surveillance

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penjelasan mengenai UKM dan UKP strategi

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promosi kesehatan literatur review dan

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juga komunikasi yang efektif pemberian

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materi ini diharapkan dapat menjadi

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bekal sebelum dokar muda nantinya turun

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ke Puskesmas proses penerimaan ini juga

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disertai dengan pembagian kelompak

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Puskesmas kami mendapatkan penempatan di

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Puskesmas 4 dan pasar Selatan

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bertempat di Jalan Pulau Moyo nomor 63a

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wilayah kerja puskesmas 4 dan pasar

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Selatan meliputi 14 Banjar di Kelurahan

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Pedungan kegiatan di Puskesmas diawali

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dengan penerimaan oleh Kepala Puskesmas

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dan juga Dokter pemimin lapangan pada

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saat penerimaan kami berdiskusi mengenai

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kegiatan yang akan kami lakukan selama

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bertugas di

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Puskesmas Selain itu kegiatannya juga

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disertai dengan pengenalan lingkungan

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dan fasilitas pusesmas yang terdiri dari

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IGD polium umum poli lansia poli gigi

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dan mulut poli Ili poli Kia poli vcity

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dan inss ruangan remaja ruang laktasi

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ruang konsultasi sanitasi dan gizi medik

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ruang imunisasi ruang bersalin dan juga

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ruang rawat

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inap setiap harinya puluhan sampai

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ratusan pasien datang untuk mendapatkan

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pelayanan medis yang berkualitas

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Puskesmas adalah rumah bagi kesehatan

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sebagai layanan primer yang menjadi

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Garda terdepan kesehatan di masyarakat

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tim medis yang bertugas tipe Puskesmas

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seperti dokter perawat bidan dan petugas

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kesehatan lainnya siap memberikan

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pelayanan pemeriksaan fisik pengobatan

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dan konseling yang

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diperlukan Puskesmas 4 Danel sendiri

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juga dilengkapi dengan fasilitas

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laboratorium untuk pemeriksaan darah

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urin dan tes diagnostik lainnya hasil

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tes ini membantu dalam diagnosa Dini dan

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pengobatan yang

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[Musik]

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tepat selama pelaksanaan stase kmkp

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dokter muda juga mengikuti kegiatan

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pelayanan serta program yang

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diselenggarakan di dalam maupun di luar

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gedung kegiatan pelayanan meliputi

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pelayanan di poli umum di mana dokter

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muda diberikan kesempatan untuk

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melakukan anamnesis pemeriksaan fisik

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dan juga pemberian edukasi kepada pasien

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tentunya didampingi oleh dokter umum

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yang bertugas dokter muda dapat belajar

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mengenai permasalahan kesehatan yang

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terjadi di masyarakat serta juga

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penatalaksanaan yang dapat diberikan

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sesuai dengan kompetensi dokter umum

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dokter muda juga mengikuti pelayanan di

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egd seperti merawat

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tuka

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di polilansia dokter muda juga bisa

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belajar mengenai penyakit-penyakit

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degeneratif seperti hipertensi diabetes

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melitus osteoarritis dan

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penyakit-penyakit

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lainnya di Puskesmas 4 densel sendiri

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terdapat poliili di mana dokter muda

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dapat mengikuti pelayanan di poliili ini

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yang merupakan poliklinik yang

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dikhususkan untuk keluhan influenza like

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illness meliputi keluhan demam batuk dan

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juga

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pileng pelayanan di poiklinik kesehatan

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ibu dan anak juga tak luput kami ikut

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pada poli ini kami ikut serta dalam

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pelayanan anti natal care terpadu KB dan

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juga pelayanan ibu niifas kami juga

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turut serta mengikuti pelayanan

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imunisasi yang diadakan setiap hari

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Senin dan Rabu pada ruang imunisasi di

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Puskesmas 4 dan pasar

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Selatan kami sebagai dokter muda juga

play03:51

aktif berpartisipasi sebagai penyuluh

play03:53

untuk mengedukasi masyarakat mengenai

play03:55

berbagai masalah kesehatan salah satu

play03:57

penugasan di stas kmkp yaitu adalah

play03:59

promosi kesehatan masyarakat di mana

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dokter muda diwajibkan untuk membuat

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promosi kesehatan mulai dari

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identifikasi masalah pembuatan proposal

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dan media edukasi proses pelaksanaan

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promosi kesehatan hingga monitoring dan

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juga evaluasi hasil kami berkesempatan

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melakukan edukasi mengenai pemberian ASI

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eksklusif m demonstrasi teknik industri

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yang benar pada kelas ibu hamil di

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Puskesmas 4 dan pasar Selatan kegiatan

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diawali dengan pre test dilanjutkan

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dengan penyebaran mlat dan melakukan

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penyuluhan serta menggunakan media video

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animasi berdurasi 5 menit juga pemaparan

play04:30

isi liflet Selain itu kami juga

play04:32

melakukan demonstrasi mengenai teknik

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menyusu yang benar menggunakan manikin

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byik para ibu hamil yang menjadi peserta

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tanpak sangat antusias dan

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interaktif tak hanya kegiatan di dalam

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gedung kami juga mengikuti beberapa

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kegiatan di luar gedung seperti

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Posyandu skrining kejiwaan di TK deteksi

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dini tumbuh kembang anak pembagian obat

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cacing dan skrining HIV pada kelompak

play04:53

berisiko serta kunjungan pasien

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kedokteran keluarga dokter muda juga

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dapat mengikuti pos pelayan laan terpadu

play05:00

atau posyandu balita maupun Posyandu

play05:02

lansia nah pada kegiatan ini dilakukan

play05:04

pengukuran tinggi badan berat badan

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lingkar kepala dan lingkar lengan pada

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Posyandu balita juga dilakukan pemberian

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vitamin A dan juga obat cacing pada

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Posyandu lansia dilakukan pengukuran

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tekanan darah dan juga pemeriksaan kadar

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gula kolesterol ataupun asam urat yang

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selanjutnya akan diberikan edukasi

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maupun konseling oleh dokter muda yang

play05:23

bertugas Puskesmas juga memiliki program

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deteksi dini tumbuh kembang dan skrining

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kesehatan jiwa yang menyasar anak-anak

play05:30

yang duduk di bangku taman kanak-kanak

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di sini dokter muda dapat membantu untuk

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melakukan pengukuran tinggi badan berat

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badan Pemberian obat cacing pemeriksaan

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fisik secara general dan skreening

play05:40

kesehatan jiwa kepada siswa-siswa

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tersebut menggunakan questionesioner sdq

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untuk melakukan deteki ini masalah

play05:46

perilaku dan emosi pada anak remaja pada

play05:49

program vcity Puskesmas juga melakukan

play05:52

skrining HIV yang menyasar populasi

play05:54

berisiko yang berada di wilayah kerja

play05:56

puskesmas 4 dan pasar selatan pada

play05:58

kegiatan ini ini dokter muda melakukan

play06:00

skrining HIV melalui pengisian

play06:02

kuestionioner dan dilanjutkan dengan

play06:04

pemeriksaan sampel darah melalui rapid

play06:06

tes HIV yang dibantu oleh petugas staf

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Puskesmas lainnya selain itu edukasi dan

play06:11

penyuluhan juga diberikan kepada

play06:13

populasi berisiko mengenai HIV dan

play06:16

ajakan untuk melakukan screining secara

play06:20

rutin dokter muda juga melakukan

play06:23

kunjungan rumah pada pasien yang telah

play06:25

dipilih sebagai kasus kedokteran

play06:26

keluarga untuk menerapkan

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prinsip-prinsip kedokteran keluarga pada

play06:30

kegiatan ini dokter muda melakukan

play06:32

kunjungan beberapa kali ke rumah pasien

play06:34

untuk melakukan anamnesis pada pasien

play06:36

maupun keluarga pasien selain itu juga

play06:39

melakukan pemeriksaan fisik dan

play06:41

memberikan intervensi komprehensif

play06:43

kepada pasien dan keluarga sini dokter

play06:45

muda dapat belajar mengenai penerapan

play06:47

prinsip kedokteran keluarga yang

play06:49

dilakukan secara personal komprehensif

play06:52

berkesenambungan koordinatif dan

play06:54

kolaboratif mengutamakan pencegahan dan

play06:57

family dan community oriented

play07:00

dengan bimbingan Dr 5D Muji Hariati

play07:02

spesialis kedokteran keluarga layanan

play07:04

primer dan juga Dr gigi Mad Saraswati

play07:06

Rahayu sebagai kepala Puskesmas 4 dan

play07:08

pasar Selatan kami juga belajar dan

play07:11

melakukan evaluasi berbagai program

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Puskesmas yang meliputi upaya Kesehatan

play07:15

Masyarakat atau UKM upaya kesehatan

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pengembangan dan upaya kesehatan

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perseorangan kami juga banyak belajar

play07:23

dari para pemegang program dan staf di

play07:25

Puskesmas mengenai alur pendaftaran

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mekanisme JKN pendanaan kegiatan

play07:30

Puskesmas observasi masalah kesehatan di

play07:33

wilayah kerja puskesmas literatur review

play07:36

dan juga

play07:38

surveance Selain itu kami juga melakukan

play07:41

bimbingan dengan dosen pembimbing kampus

play07:43

yakni DR DR ged ngura indraguna pindatih

play07:47

magister sains spesialis gizi klinik

play07:49

bimbingan ini mencakup diskusi terkait

play07:51

analisis situasi dan profil Puskesmas

play07:54

evaluasi program UKM dan UKP kegiatan

play07:57

promosi kesehatan penyusunan literatur

play08:00

review dan juga diskusi praktik kegiatan

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dan manajemen program UKM dan UKP sesuai

play08:05

ceklist di logbook doktter muda

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bimbingan kami dilakukan secara online

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dan juga

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offline pada minggu akhir stase kmkp

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dokter muda juga akan mempresentasikan

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tugas-tugas selama kegiatan di Puskesmas

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bersama dosen pembimbing dan juga ujian

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lisan komprehensif pada akhir stase

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diharapkan kompetensi yang dimiliki oleh

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seorang dokter muda di Departemen

play08:28

Kesehatan Masyarakat dan kedokteran

play08:29

pencegahan antara lain mampu

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mendiagnosis dan mendeteksi kegawat

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daruratan medis mampu melaksanakan

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program pelayanan kesehatan masyarakat

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di Puskesmas mampu untuk menjawab kasus

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yang seharusnya dirujuk mampu menerapkan

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konsep-konsep kedokteran keluarga mampu

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menerapkan komunikasi efektif melalui

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pendekatan kelompok dan yang terakhir

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mampu menyusun karya ilmiah berdasarkan

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kaidah-kaidah penelitian ilmiah di

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bidang kedokteran Diharapkan dengan

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pembelajaran melalui Puskesmas sebagai

play09:00

layanan primer nantinya kami sebagai

play09:03

dokter muda dapat memberikan pelayanan

play09:05

kesehatan pada masyarakat sebagai satu

play09:08

kesatuan yang seimbang antara kuratif

play09:11

preventif promotif dan juga

play09:16

rehabilitatif bersama-sama Mari kita

play09:18

jaga kesehatan dan kebahagiaan

play09:28

masyarakat

play09:37

[Musik]

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