Doctor, Professionalism,

Ethics and Society I

Course Book

Faculty of Medicine
Pelita Harapan University
Karawaci Tangerang
2016/2017
 Author
Leonardi A. Goenawan dr., SpKJ

Co-authors
Dr. Allen Widysanto, dr., SpP
Professor Dr. Dr. Eka Wahjoepramono, dr., SpBS, PhD
Esther Kurniawati., MTh
Professor George Mathew MBBS., MS., MD., FCAMS
Dr. Ng Tarcisius Sintak Gunawan, dr, MA
Dr. Nicolaski Lumbuun, dr., SpFK

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 Overview

Welcome to this new and exciting block which offers a challenging ranges of
disciplines that will make up your study of medical professionalism. As we know, doctor is a
profession that place humanity as its central priority. We have to assure that this key principle
will always be our foundation of thought, emotion and action of every doctors in daily practice.
This fundamental principle is called professionalism.
Pelita Harapan University realize the significant of developing and maintaining the high
standard of behavior for every medical graduate, mostly in encountering globalization. The
relationship between doctors and society, the doctor-patient relationship, and the environments
in which doctors undertake thier training and their practice, have all changed. Therefore, Pelita
Harapan University has implemented the course, Doctor Professionalism Ethics and Society
(DPES), to ensure that our graduate not only mastered a large body of medical knowledge and
clinical skills, but also a competent professionals who have a social, cultural and ethical
awareness, who share, interpret, and transfer medical school experiences and knowledge into
effective actions to better themselves and others.
Doctor Professionalism Ethics and Society block will be started at semester 4th and
ended at semester 7th. Each semester has a specific theme of discussion. This block
comprises of lectures, group discussion, role modelling, and case based learning as well.
This should be a great block for you with full exposure to all material that will
enlightened you as a medical professional to be, so keep busy and good luck!

Coordinator of DPES
Leonardi A.G.,dr.,SpKJ

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 List of Content

I. Course info
II. Standard of Medical Competencies
III. Teaching and Learning method
IV. Departments
V. Week Objectives
VI. References
VII. Assessment
VIII. Timetable
IX. Approval

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 CHAPTER I

COURSE INFO

Course : Doctor, Professionalism, Ethics and Society

Semester :4
Credits : 2 credits
Duration : 15 Weeks
Teaching activity : 2 hours per week
Started : January 9, 2017
Ended : May 12, 2017
Coordinator : Leonardi A. Goenawan, dr., SpKJ

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 CHAPTER II

Standard of Medical Competency

1. Ethics, morals, medico-legal aspects and professionalism, and patient safety
Core competencies
a. Behave professionally in medical practice, and support health policies
b. Demonstrate concern for moral and ethical aspects, and understanding of ethical
and medico-legal issues in medical practice
c. Apply patient safety procedures

Graduate doctors are able to:

1. Have a professional attitude
Behave appropriately, based on the Indonesian Code of Medical Ethics
Maintain patient confidentiality and trust
Show trustworthiness and respect in doctor patient relationships
Show empathy through a holistic approach
Consider the financial problems and other obstacles to the provision of health
services, and their implications
Behave ethically in patient management, based on professional standards
Recognize alternative options in facing a difficult ethical problem
Analyse systematically and maintain a chosen ethical course of action in patient
management

2. Behave professionally in cooperating with others

Respect everyone regardless of his/her social status
Acknowledge that each person has a valued role and contribution regardless of
their social status
Participate in activities which require collaboration with other health professionals
Recognize and try to mediate in conflict
Respond constructively in receiving feedback from others
Consider ethical and moral aspects in relation to other health professionals, and
act professionally

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 Recognize and respond appropriately when a colleague has behaved
unprofessionally

3. Play a role as a member of a professional health service team

Participate in patient management and apply professional values
Work effectively in different health teams
Respect the participation of other health professionals
Be a good manager in private practice and in public health care services
Realize that the medical profession has a role in the community, and is able to
contribute to change
Deal appropriately with unprofessional behaviour by other health professionals

4. Conduct medical practice appropriately in the multicultural society of Indonesia

Respect patients and colleagues personal characteristics, life style, and culture
Understand the heterogeneity of perceptions due to differences in age, gender,
sexual orientation, ethnic group, disability, and socio-economic status

5. Comply with the medico-legal aspects of medical practice

Understand and accept legal responsibilities which relate to:
Human rights
Medical prescriptions
Physical and sexual abuse
The Indonesian Code of Medical Ethics
Issuing health, illness, and death certificates
Legal processes in a court
Understand Medical Practice Law No. 29, 2004
Understand the role of the Indonesian Medical Council as an institution that
regulates medical practice
Identify, state, and analyse the ethical aspects of health policies

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 6. Prioritise patient safety in medical practice
Implement a standard for patient safety:
Patients rights
Education of the patient and his/her family
Patient safety and service sustainability
Evaluate work improvement methods, and implement a patient safety
improvement program
Provide a leadership role in improving patient safety
Provide staff training in patient safety
Encourage staff communication as a key for achieving patient safety

7. Implement seven steps for patient safety:

Build an understanding of the value of patient safety
Lead and support staff
Integrate risk management activities
Develop a report system
Involve and communicate with the patient
Share and learn from experiences about patient safety
Prevent harm by implementation of a patient safety system

2. Effective Communication
Core competencies
Able to explore and exchange information verbally and non-verbally with patients of any
age, family members, communities, colleagues and other professionals.

The graduate is able to:

Communicate with the patient and members of his/her family.
1. Establish rapport with the patient and his/her family.
Greet the patient
Make the patient feel comfortable
Show empathy and trustworthiness
Listen actively (be attentive, and give enough time to the patient to express his/her
complaint and to explore his / her problem)

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 Summarize the patients problem, worries and hopes
Always establish and maintain the patients dignity, confidentiality and privacy
Treat the patient as an equal and ask for his/her agreement in deciding on therapy
and medical procedures

2. Collect information
Able to use open-ended and closed questions in acquiring information (move from
open to closed questions)
Ask for clarification from the patient about any of his/her statements which cannot
be clearly understood
Use clinical reasoning in exploring the history of the present illness, family history,
and history of past illness
Conduct data exploration logically and efficiently
Not give education and explanation prematurely while collecting information

3. Understand the patients perspective

Respect the patients belief in everything related to his/her illness
Explore the patients needs, worries, and hopes
React professionally to the patients expression of emotion (anger, fright, shame,
sadness, confusion, euphoria) and to the patient with communication problems
e.g. deaf, mute, psychological disorder
Respond professionally to the patients verbal and non-verbal language
Be sensitive to local biological, psychological, social, cultural factors and norms in
order to implement and maintain holistic therapy, and to maintain a professional
doctor-patient relationship
Use polite and understandable language (including local language) which is
appropriate to the patients age and level of education, in asking questions,
summarizing information, and explaining the diagnosis, the chosen management
and the prognosis

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 4. Give explanations and information
Anticipate and reduce the patients feeling of fright and stress before physical
examination
Warn the patient when physical examination and clinical procedures may cause
pain or discomfort
Give correct, clear, complete and honest explanations regarding the aims, goals,
benefits, and risks of diagnostic procedures and medical procedures (therapy,
surgery, prognosis, referral) before they are undertaken
Answer questions honestly, and provide consultation or referral for difficult
problems
Provide education or health promotion for the patient and his/her family
Reconfirm that the patient has understood all of the information and choices about
potential procedures
Give enough time for the patient to reconsider and consult before agreeing to a
procedure
Deliver bad news professionally in accordance with medical ethics
Confirm the availability of the health services that have been chosen and agreed

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 CHAPTER III

TEACHING AND LEARNING METHOD

Lectures : 30 hours

Total teaching activities : 30 hours

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 CHAPTER IV

DEPARTMENTS
1. Department of Pharmacology
2. Department of Psychiatry
3. Faculty of Psychology
4. Siloam Hospitals

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 CHAPTER V

OBJECTIVES

Week 1
Date : 11 January 2017
Lecture : Ideal Profile of a Doctor
Lecturer: Prof. George Mathew, MBBS., MS., MD., FCAMS.
Student will be introduced to The 5-Star Doctors concept

Student will be aware of public demand from a medical professional

Week 2
Date : 18 January 2017
Lecture : Leadership
Lecturer: Prof. George Mathew, MBBS., MS., MD., FCAMS.
Student will be introduced to the necessity to be a good leader in medical field

Student will be introduced to recognize the skills to be a collaborative leadership

Week 3
Date : 25 January 2017
Lecture : Developing Personal Learning Plan
Lecturer: Prof. George Mathew, MBBS., MS., MD., FCAMS.
Student will be introduced to the necessity to build a good learning plan

Student will be introduced to assess and evaluate their learning plan and their
implementation to their study in medical school

Week 4
Date : 01 February 2017
Lecture: Leadership Developing Leaders
Lecturer: Prof. Eka Wahjoepramono, DR. DR. dr. SpBS PhD
Learn how to apply an effective leadership in day-to-day activities and interactions
Learn how to develop the ability to think creatively and adapt evidence-based practices

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 Learn how to differentiate between solutions that require technical solutions and
negotiate entirely new solutions as needed

Week 5
Date : 08 February 2017
Lecture: Rational Prescribing
Lecturer: Nicolaski Lumbuun, Dr. dr. SpFK
Learn to prescribed based on patient oriented approach
Students should learn to be aware of patients financial situation, religious restrictiions,
and any social cultural factors

Week 6
Date : 22 February 2017
Lecture : Character Development 1 The Nature of Human Meaning and Purpose of
Life
Lecturer: Esther K., M.Th
Students will learn to be aware of and understand his existence, meaning and purpose
of his life.
Students will be equipped with an understanding of the man in the Creation - Fall -
Redemption Consummation framework, as well as the distinction between Good
Self' and Self that has been reformed by God'

Week 7
Date : 01 March 2017
Lecture : Medical Ethic 1
Lecturer: Ng Tarcisius Sintak Gunawan, Dr. dr, MA

Week 8
Date : 08 March 2017
Lecture : Medical Ethic 2
Lecturer: Ng Tarcisius Sintak Gunawan, Dr. dr, MA

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Week 9
Date : 15 March 2017
Lecture : Medical Ethic 3
Lecturer: Ng Tarcisius Sintak Gunawan, Dr. dr, MA

Week 10
Date : 22 March 2017
Lecture : Medical Ethic 4
Lecturer: Ng Tarcisius Sintak Gunawan, Dr. dr, MA

Week 11
Date : 05 April 2017
Lecture : Character Development 2 Virtues
Lecturer: Esther K., M.Th
Students will learn to recognize and understand the virtue: virtue in the attitude of
human mind; human identity; and relations with others as the foundation of character
development

Week 12
Date : 12 April 2017
Lecture : Character Development 3 Defense Mechanisms
Lecturer: Esther K., M.Th
Students will learn to understand and able to use the Defense-Mechanism theory to
recognize the obstacles in the process of self-development

Week 13
Date : 19 April 2017
Lecture : Character Development 4 Psychosocial Development
Lecturer: Esther K., M.Th
Students will learn to understand each stage of psychosocial development and their
outcome and able to use the Psycho-Social Theory to recognize the obstacles in the
process of self-development.

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Week 14
Date : 26 April 2017
Lecture : Character Development 5 Interpersonal Relationship
Lecturer: Esther K., M.Th
Students will learn to understand the dynamics of interacting with others, as part of
self-understanding

Week 15
Date : 03 May 2017
Lecture : Character Development 6 Resolution and Role of Cognition
Lecturer: Esther K., M.Th
Students will learn to create a 'Personal Strategy' to develop their personality based on
Viktor Frankls formula.
Students will also learn the role of cognition in the patterns of behavior and affection.

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 CHAPTER VI

TIMETABLE

Week Date Time Topic (Room 701 Gedung Baru) Lecturer

1 11/01 09.05-10.50 Ideal Profile of a Doctor Prof George M
2 18/01 09.05-10.50 Leadership Prof George M
3 25/01 09.05-10.50 Developing Personal Learning Plan Prof George M
4 01/02 09.05-10.50 Leadership Role Model Prof Eka W
5 08/02 09.05-10.50 Rational Prescribing Dr Nicolaski
6 22/02 09.05-10.50 Character Development 1: The Nature of Human Meaning Esther K., M.Th
& Purpose of Life
7 01/03 09.05-10.50 Medical Ethics Dr Sintak
8 08/03 09.05-10.50 Medical Ethics Dr Sintak
9 15/03 09.05-10.50 Medical Ethics Dr Sintak
10 22/03 09.05-10.50 Medical Ethics Dr Sintak
11 05/04 09.05-10.50 Character Development 2: Virtues Esther K., M.Th
12 12/04 09.05-10.50 Character Development 3: Defense Mechanisms Esther K., M.Th
13 19/04 09.05-10.50 Character Development 4: Psychosocial Development Esther K., M.Th
14 26/04 09.05-10.50 Character Development 5: Interpersonal Relationship Esther K., M.Th
15 03/05 09.05-10.50 Character Development 6: Resolution & Role of Cognition Esther K., M.Th
16 17/05 09.05-10.50 Final Exam Class

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 CHAPTER VII

ASSESSMENT
Attendance requirements and prerequisites to sit the examinations:
80 % attendance for all activities
Exemptions permitted with Doctors certificate, event of Family crisis, disaster or
extraordinary reason with prior permission from tutor. Further criteria according to UPH
criteria for exemption

Assessment of Student Performance

A. Tutorial performance
1. Formative: weekly discussions with tutor in the group
Preparation.
Participation.
Professional Behavior.

2. Formative: mid-block discussions with tutor in the group and written

assessment summary provided to the student.
Preparation.
Participation.
Professional Behavior.
During this encounter, the tutor will identify any issues of concern with the
student and assist in efforts to improve.

3. Summative: students will be assessed at the end of the block on the following
performance in tutorial sessions:
Preparation.
Participation.
Professional Behavior.

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B. Knowledge assessment
Students applied knowledge will be assessed at
The end of the course using:
Multiple Choice Questions.

Passing grade at UPH is 60.00% (C) and will be determined through recognized
Standards Setting processes. Relationship to the Grading system and GPA is as
indicated in the table.

GRADE RANGE SCALE

A 90,00 - 100 4,00

A 85,00 89,99 3,70

B+ 80,00 84,99 3,30

B 75,00 79,99 3,00

B 70,00 74,99 2,70

C+ 65,00 69,99 2,30

C 60,00 64,99 2,00 (PASS)

C 55,00 59,99 1,50

F 00,00 54,99 0,00

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 CHAPTER VIII

REFERENCES
1. Porter, Roy: The Greatest Benefit to Mandkind: A Medical History of Humanity, 1997
2. Hassan, Fuad: Kita dan Kami, Bhratara, 1975
3. Goleman Daniel: Emotional Intelligence, Bantam, 1995
4. Kaplan & Sadock's Comprehensive Textbook of Psychiatry, Lippincott Williams & Wilkins; 7 edition, January
15, 2000
5. Iltis, Ana S., et al.: Legal Perspectives in Bioethics, Routledge Annals of Bioethics, St Louis University Press,
2008.
6. Boelen C. Frontline doctors of tomorrow. World Health, 1994, 47:45.

7. Barbara A. Lewis, 2004, Character Building Untuk Remaja, Kharisma Publishing Group, Batam Center.

8. Institute In life Principles, 2001, The Power of True Success- How To Build Character in Your Life, Institute In
Life Principles Inc., Oak Brook, Illinois.

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