Optimalisasi Pencapaian Kompetensi Peresepan melalui Integrasi Gamifikasi dalam Learning Management System (LMS) dan Pemanfaatan e-Portfolio pada Tahap Pendidikan Klinis: Analisis Konseptual dan Tinjauan Naratif
DOI:
https://doi.org/10.31004/joecy.v6i1.5866Keywords:
Kompetensi Peresepan (Prescribing Competence), Gamifikasi (Gamification), e-Portfolio (Electronic Portfolio), Learning Management System (LMS), Self-Regulated Learning (SRL)Abstract
Latar Belakang: Kompetensi peresepan merupakan pilar fundamental dalam pendidikan kedokteran di Indonesia, namun insiden kesalahan peresepan yang berdampak pada kesalahan pengobatan (medication errors) masih sangat tinggi, terutama di kalangan dokter muda. Kesalahan ini sering kali dikaitkan dengan pendidikan farmakologi klinis yang tidak adekuat, beban kognitif yang tinggi, dan kurangnya kesiapan dalam lingkungan klinis nyata. Tujuan: Studi ini bertujuan untuk mengonseptualisasikan bagaimana model pembelajaran yang mengintegrasikan Pembelajaran Berbasis Kasus (Case-Based Learning/CBL) yang diperkaya gamifikasi dalam Learning Management System (LMS) dan Portofolio Elektronik (e-Portfolio) dapat mengoptimalkan pencapaian kompetensi peresepan pada tahap pendidikan klinis. Metode: Studi ini menggunakan pendekatan analisis konseptual dan tinjauan naratif. Studi ini mensintesis literatur mengenai kesalahan peresepan, mekanika gamifikasi, dan teori pembelajaran mandiri (self-regulated learning) untuk membangun kerangka pedagogis yang dapat diterapkan pada pengaturan klinis. Hasil: Analisis menunjukkan bahwa gamifikasi mengatasi hambatan motivasi dan keterlibatan dalam latihan peresepan yang repetitif melalui mekanisme seperti pemantauan kemajuan dan umpan balik real-time. Secara bersamaan, e-Portfolio memfasilitasi pembelajaran mendalam dengan mendukung Self-Regulated Learning (SRL), pemantauan kompetensi longitudinal, dan praktik reflektif. Kesimpulan: Potensi integrasi CBL dengan gamifikasi dengan e-Portfolio menciptakan ekosistem pendidikan komprehensif yang mengatasi tantangan kognitif dan struktural pendidikan peresepan, yang pada akhirnya bertujuan untuk memenuhi standar kompetensi nasional dan meningkatkan keselamatan pasien.
References
Akici A, Kalaça S, Ugurlu MU, et al. Impact of a short postgraduate course in rational pharmacotherapy for general practitioners. Br J Clin Pharmacol. 2004;57(3):310–21.
Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing Errors in Hospital Inpatients: Prospective Study in 20 UK Hospitals. Drug Saf. 2015;38(9):833–43.
Bangalan RC, Hipona JB. E-Portfolio: A potential e-learning tool to support student-centered learning, reflective learning and outcome-based assessment. Globus-An Int J Manag IT. 2020;12(1):32–7.
Barr A. Initial efforts to improve medical student information-seeking behavior with embedded library instruction. J Med Libr Assoc. 2023;111(4):823.
Brinkman DJ, Tichelaar J, Graaf S, et al. Do final-year medical students have sufficient prescribing competencies? A systematic literature review. Br J Clin Pharmacol. 2018;84(4):615–35.
Brinkman DJ, Tichelaar J, Schutte T, et al. Essential competencies in prescribing: A first european cross-sectional study among 895 final-year medical students. Clin Pharmacol Ther. 2017;101(2):281–9.
Celebi N, Weyrich P, Riessen R, et al. Problem-based training for medical students reduces common prescription errors: a randomised controlled trial. Med Educ. 2009;43(10):1010-8. (PMID: 19769651)
Chaudhuri T, Cabau B. E-portfolios in higher education: A multidisciplinary approach. Springer; 2017.
Citraningtyas G, Angkoauw L, Maalangen T. Identifikasi Medication Error di Poli Interna Rumah Sakit X di Kota Manado. Jurnal MIPA. 2020;9(1):33-37.
De Swardt M, Jenkins LS, Von Pressentin KB, Mash R. Implementing and evaluating an e-portfolio for postgraduate family medicine training in the Western Cape, South Africa. BMC Med Educ. 2019;19:1–13.
Dornan T, Ashcroft D, Heathfield H, Lewis P, Miles J, Taylor D, Tully M, Wass V. An in-depth investigation into causes of prescribing errors by foundation trainees in relation to their medical education: EQUIP study. London: General Medical Council; 2009.
Elshami WE, Abuzaid MM, Guraya SS, David LR. Acceptability and potential impacts of innovative E-Portfolios implemented in E-Learning systems for clinical training. J Taibah Univ Med Sci. 2018;13(6):521–7.
Fitri AD, Safira NNA. Hubungan Pengetahuan Dengan Keterampilan Penulisan Resep pada Mahasiswa Tahap Persiapan Profesi Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi. Jambi Medical Journal. 2021;9(3):247–53.
Harden RM, Laidlaw JM. Essential skills for a medical teacher: an introduction to teaching and learning in medicine. Elsevier Health Sciences; 2020.
Herman, M.J., Handayani, R.S. and Yuniar, Y. (2013) ‘Kejadian medication error pada fase prescribing di poliklinik pasien rawat jalan RS pemerintah di Indonesia’, Buletin Penelitian Sistem Kesehatan, 16(2), pp. 171–178.
Hsieh PH, Lee CI, Chen WF. Students’ perspectives on e-portfolio development and implementation: A case study in Taiwanese higher education. Australas J Educ Technol. 2015;31(6).
Kamarudin G, Penm J, Chaar B, Moles R. Educational interventions to improve prescribing competency: a systematic review. BMJ Open. 2013;3(8):e003291.
Lewis PJ, Ashcroft DM, Dornan T, Taylor D, Wass V, Tully MP. Exploring the causes of junior doctors’ prescribing mistakes: a qualitative study. Br J Clin Pharmacol. 2014;78(2):310–9. (PMID: 24517271)
McLellan L, Tully MP, Dornan T. How could undergraduate education prepare new graduates to be safer prescribers? Br J Clin Pharmacol. 2012;74(4):605–13. (PMID: 22420765)
Mokrzecki SM, Mallett A, Gupta TS, Perks S, Pain T. Do educational interventions improve prescribing skills of medical students compared to no additional learning? A systematic review. Med Educ Online. 2023;28(1):2259166.
Mutluer C. The Effect of Using E-Portfolios on The Self-Regulation Skills of Students: A Meta-Analysis Study. Egitim ve Psikolojide Olcme ve Degerlendirme Dergisi. 2023;14(Special Issue):287–98.
Naumann F, Yang JL, Thai T, Ford C, Polly P. Virtual patient consultations and the use of an ePortfolio assessment to support student learning of integrated professional skills. Focus Heal Prof Educ. 2016;17(3):69–81.
Oktarlina, R.Z. and Wafiyatunisa, Z. (2017) ‘Kejadian medication error pada fase prescribing di poliklinik pasien rawat jalan Rumah Sakit Daerah Mayjend HM Ryacudu Kotabumi’, Jurnal Kedokteran Universitas Lampung, 1(3), pp. 540–545.
Pratiwi, A., Khairurrijal, M.A. and Wibowo, M.I. (2021) ‘Analisis kelengkapan resep administratif dan farmasetis pada pasien rawat jalan di Rumah Sakit Akademik UGM’, Majalah Farmaseutik, 17(2), pp. 203–211.
Putri BA. Efektivitas Logbook Sebagai Media Pembelajaran Penulisan Resep Pada Blok Masalah Pada Dewasa I (3.4). Yogyakarta: Fakultas Kedokteran Universitas Islam Indonesia; 2021.
Razali NFY, Hamid J, Hashim H. E-portfolio Implementation in Malaysian School: A Need Analysis. International Journal of Academic Research in Progressive Education and Development. 2021;10(4).
Riaz MK, Riaz M, Latif A. Review - Medication errors and strategies for their prevention. Pak J Pharm Sci. 2017;30(3):921–8. (PMID: 28653940)
Rizki YR, Nugraha FF. Identifikasi Medication Error Fase Prescribing, Transcribing, Dispensing Pada Pasien Rawat Inap di Rumah Sakit Sentra Medika Cikarang. J Ilm Kesehat Inst Medika drg Suherman. 2019;1(1).
Ryan C, Ross S, Davey P, et al. Prevalence and causes of prescribing errors: the PRescribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) study. PLoS One. 2014;9(1):e79802. (PMID: 24404122)
Segaran MK, Hasim Z. Self-regulated Learning through ePortfolio: A Meta-analysis. Malaysian J Learn Instr. 2021;18(1):131–56.
Shah N, Singh T. The promising role of the logbook and portfolio in the new competency driven medical curriculum in India. South-East Asian Journal of Medical Education. 2021;15(1):18.
Shi W, Qin H, Vaughan B, Ng L. Educational Interventions for Medical Students to Improve Pharmacological Knowledge and Prescribing Skills: A Scoping Review. Perspect Med Educ. 2023;12(1):348–60.
Simatupang A. Buku Farmakoterapi Integratif: Suatu Model Pembelajaran Farmakoterapi. Jakarta: Fakultas Kedokteran Universitas Kristen Indonesia; 2018.
Suartama IK, Simamora AH, Sukmana AIWY. Pelatihan dan Pendampingan Pengembangan Course E-Learning Berbasis Gamifikasi Bagi Para Pamong dan Tutor SKB Kabupaten Buleleng-Bali. Prosiding Senadimas Undiksha. 2023;8:1198.
Tan R, Ting JJQ, Hong DZ, Lim AJS, Ong YT, Pisupati A, et al. Medical Student Portfolios: A Systematic Scoping Review. J Med Educ Curric Dev. 2022;9:238212052211072.
Tsopra R, Courtine M, Sedki K, Eap D, Cabal M, Cohen S, et al. AntibioGame®: A serious game for teaching medical students about antibiotic use. Int J Med Inform. 2020;136:104074.
Yohannis AR, Prabowo YD, Waworuntu A. Defining gamification: From lexical meaning and process viewpoint towards a gameful reality. In: 2014 International Conference on Information Technology Systems and Innovation (ICITSI). IEEE; 2014. p. 284–9.
Zafar U, Khattak M, Zafar H, Rehman H. Let's Play Games: A Comparison of Case-Based Learning Approach With Gamification Technique. Cureus. 2022;14(8):e27612.
Zarifsanaiey N, Etemadi S, Rezaee R. E-portfolio based learning: Implementation and evaluation. Journal of Advanced Pharmacy Education & Research. 2018;8(S2):1-6.
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