History
History of CFHC-IPE
The Faculty of Medicine, Gadjah Mada University, which changed its name to the Faculty of Medicine, Public Health and Nursing (FK-KMK) based on the decision of the Board of Trustees (MWA) in October 2017, is the oldest faculty at UGM. UGM’s FK-KMK is certainly inseparable from the popular and community principles that strengthen UGM as a university of struggle. FK-KMK is consistent with the university’s values, namely coming from the people and for the people, with the realization of community-based learning, namely the Comprehensive Community Health Care-Education Program (CCHC-EP) around 1990. Besides that, the community-based learning experience at FK-KMK also reflected in Real Work Lectures (KKN) and Community Health Work Lectures (K3M).
In its implementation, KKN, which is a mandatory program from universities, is often difficult to integrate with the COASS clerkship schedule in the Medical Education study program, therefore the Faculty of Medicine has developed the Public Health Work Lecture (K3M) program. The K3M program took place from 2003 to 2013 as integrated learning and activities between students from the Medical Education, Nursing and Health Nutrition programs. This activity is the basis for interprofessional collaboration between health workers and is recognized by the Gadjah Mada University Research and Community Service Institute as a Real-Independent Work Lecture for the Faculty of Medicine. In this activity, the Faculty of Medicine also collaborates with the Yogyakarta and Central Java Regional Governments as well as Corporate Social Response (CSR) from the Total Indonesia Company for the East Kalimantan region. After five years of running, the K3M program was jointly evaluated by the LPPM and the Medical Faculty and it was then decided that the Real Work Lectures for Medical Faculty students would rejoin other faculties under the coordination of the LPPM. This decision was taken with the hope that Thematic KKN can be more comprehensive by involving student components from other faculties and community empowerment in the health sector can be fulfilled.
By merging the K3M program into the KKN program, the competency of prospective health workers in reaching the community becomes difficult to evaluate. This situation has also become more complex since the implementation of the Competency Based Curriculum (KBK) in 2007, where the UGM Faculty of Medicine no longer carries out CCHC courses in Undergraduate Medical Education. All CCHC lectures are considered to be integrated with block system activities. However, based on the evaluation results, the FK UGM KBK system is considered very necessary to implement a longitudinal learning approach in various aspects including cognitive, skills, ethics and professional behavior, community, medicolegal and research aspects which have not been reflected in the available block system. In addition, an evaluation in 2012 from the DIY, City and District Health Services indicated that Medical Faculty students must be reintroduced to CCHC materials so that they are competent in recognizing and implementing comprehensive health efforts for individuals, families and communities and their institutions.
Armed with the CBC guidebook and family medicine approach, the idea was developed to reintroduce CCHC with modifications to become CFHC or Community and Family Health Care. In this way, students can understand cases holistically and carry out comprehensive health efforts for individuals, families and communities. At that time, the need for interprofessional education for health workers also emerged, so the deputy dean I at that time was Prof. Dr. Ova Emilia, M.Med.Ed., Sp.OG(K)., PhD hopes that CFHC can become interprofessional education for the Faculty of Medicine. The curriculum design was then prepared with a policy that longitudinal learning was given seven credits starting from semester one to semester seven. Cognitive, skills, ethical and professional behavior, community, medicolegal, research and interprofessional education (IPE) aspects are expected to be accommodated through the CFHC program. In the end, the program adopted the name Community and Family Health Care with Interprofessional Education (CFHC-IPE).
The CFHC-IPE program was initiated in 2013 involving medical, nursing and health nutrition education programs. Different from CCHC which has learning partners, namely community health organizing institutions such as posyandu and community health centers, CFHC-IPE has partner families whose health is provided together with the community health center, RT, RW and hamlet teams. In this program, there are also Field Supervisor Lecturers (DPL) who come from representatives of community health centers and Faculty Supervisor Lecturers (DPF) who come from lecturers from three related educational programs.
The biggest challenge at the beginning of the CFHC-IPE program was synergizing the curriculum of the three study programs within the Faculty of Medicine UGM. This is because each study program has its own curriculum and competency standards for graduates, for example the Medical Education and Nursing study programs have implemented a block system but the Health Nutrition education program still uses the credit system. However, through evaluation and improvement from both management and academic perspectives, the CFHC-IPE program can be implemented as it is today and continue to strive for improvement and innovation every year.