DILEMA ETIK DALAN PENDIDIKAN KEDOKTERAN ANTARA PROFESIONALISME DAN TANTANGAN AKADEMIK
DOI:
https://doi.org/10.31004/joecy.v6i2.9616Keywords:
Dilema Etik, Pendidikan Kedokteran, Profesionalisme, Tekanan AkademikAbstract
Dilema etik dalam pendidikan kedokteran merupakan isu kompleks yang muncul akibat ketegangan antara idealisme profesionalisme dan realitas tekanan akademik. Mahasiswa kedokteran diharapkan mampu menjunjung tinggi nilai-nilai etika seperti integritas, tanggung jawab, dan empati, namun dalam praktiknya sering dihadapkan pada situasi dilema yang menguji prinsip-prinsip tersebut. Dilema ini dapat muncul dalam berbagai bentuk, seperti tekanan untuk menyontek, manipulasi data, hingga sikap pasif terhadap pelanggaran etik yang dilakukan oleh tenaga medis senior. Literatur review ini menggunakan metode narrative review dengan berbagai artikel jurnal yang didapatkan dari sumber data daring yaitu PubMed, Google Scholar, dan ResearchGate. Pemilihan jurnal menetapkan filter batasan tahun yaitu dari tahun 2015 sampai tahun 2025 yang berhubungan dengan tujuan. Temuan menunjukkan bahwa mahasiswa sering mengalami dilema etik dalam interaksi klinik, tekanan akademik, dan integritas moral, yang membutuhkan dukungan sistem pendidikan dan reformasi kurikulum untuk membentuk lingkungan belajar yang etis dan mendukung
References
AMA Journal of Ethics. (2017). Antecedents and consequences of medical students’ moral decision making during professionalism dilemmas. Journal of Ethics, 19(6), 568–577.
BMC Medical Ethics. (2022). Ethics education to support ethical competence learning in healthcare: An integrative systematic review. BMC Medical Ethics.
Cho, C., Ko, W. Y. K., Ngan, O. M. Y., & Wong, W. T. (2022). Exploring professionalism dilemma and moral distress through medical students’ eyes: A mixed-method study. International Journal of Environmental Research and Public Health, 19(17), 10487. https://doi.org/10.3390/ijerph191710487
Faihs, L., Neumann-Opitz, C., Kainberger, F., et al. (2024). Ethics teaching in medical school: The perception of medical students. Wiener Klinische Wochenschrift, 136, 129–136. https://doi.org/10.1007/s00508-022-02127-7
Hlaing, P. H., Hasswan, A., Salmanpour, V., et al. (2023). Health professions students’ approaches towards practice-driven ethical dilemmas: A case-based qualitative study. BMC Medical Education, 23, 307. https://doi.org/10.1186/s12909-023-04089-4
Keane, A., & Prawiroharjo, P. (2025). Dokter dalam demonstrasi: Dilema etis, batas kewajiban, dan tantangan di Indonesia. Jurnal Etika Kedokteran Indonesia, 9(3).
Konsil Kedokteran Indonesia. (2024). Standar Pendidikan Profesi Dokter Indonesia (Keputusan Konsil Kedokteran Indonesia Nomor 193/KKI/KEP/VIII/2024). Jakarta: Konsil Kedokteran Indonesia.
Kow, C. S., Teo, Y. H., Teo, Y. N., et al. (2020). A systematic scoping review of ethical issues in mentoring in medical schools. BMC Medical Education, 20, 246. https://doi.org/10.1186/s12909-020-02169-3
Kumar, V. D., & Murugan, M. (2020). Professionalism in practice: Exploring the ethical perplexity of involving students in medical education research. Journal of Advances in Medical Education & Professionalism, 8(4), 200–203. https://doi.org/10.30476/jamp.2020.74921.0
Li, M., Enkhtur, A., Cheng, F., & Yamamoto, B. A. (2023). Ethical implications of ChatGPT in higher education: A scoping review. arXiv preprint, arXiv:2311.14378.
Liegangsaputro, E. T., Darmayani, I. G. A. S., & Manuaba, I. B. A. P. (2025). Persepsi dosen terhadap pengembangan pembelajaran dilema etika untuk mahasiswa program studi sarjana kedokteran. Essential: Essence of Scientific Medical Journal, 22(2), 85–93.
Ma, Y., Song, Y., Balch, J. A., Ren, Y., Vellanki, D., Hu, Z., & Shickel, B. (2024). Promoting AI competencies for medical students: A scoping review on frameworks, programs, and tools. arXiv preprint, arXiv:2407.18939.
Martins, V., Santos, C., Ricou, M., Bataglia, P., & Duarte, I. (2021). Bioethics education on medical students: Opinions about ethical dilemmas. SAGE Open, 11(4). https://doi.org/10.1177/21582440211057118
Monrouxe, L. V., Rees, C. E., Dennis, I., & Wells, S. E. (2015). Professionalism dilemmas, moral distress and the healthcare student: Insights from two online UK-wide questionnaire studies. BMJ Open, 5(5), e007518. https://doi.org/10.1136/bmjopen-2014-007518
Naeem, N.-i-K., Naeem, Z.-e-F., & Anwer, A. (2022). Ethical and moral issues in undergraduate medical education: An exploratory study. Journal of Shalamar Medical & Dental College, 3(2), 48–56. https://doi.org/10.53685/jshmdc.v3i2.109
Okoye, O., Nwachukwu, D., & Maduka-Okafor, F. C. (2017). Must we remain blind to undergraduate medical ethics education in Africa? A cross-sectional study of Nigerian medical students. BMC Medical Ethics, 18, 73. https://doi.org/10.1186/s12910-017-0229
Pratomo, F., Rahayu, G., & Suhoyo, Y. (2023). Qualitative evaluation of moral dilemma discussion program for undergraduate medical students. Jurnal Pendidikan Kedokteran Indonesia, 12(3), 281–294. https://doi.org/10.22146/jpki.75423
Quinn, T. P., & Coghlan, S. (2021). Readying medical students for medical AI: The need to embed AI ethics education. arXiv preprint, arXiv:2109.02866.
Yadav, H., Jegasothy, R., Ramakrishnappa, S., et al. (2019). Unethical behavior and professionalism among medical students in a private medical university in Malaysia. BMC Medical Education, 19, 218. https://doi.org/10.1186/s12909-019-1662-3
Yavari, N., Asghari, F., Shahvari, Z., Nedjat, S., & Larijani, B. (2019). Obstacles of professional behavior among medical trainees: A qualitative study from Iran. Journal of Education and Health Promotion, 8, 193. https://doi.org/10.4103/jehp.jehp_272_19
Zielina, M., Škoda, J., Ivanová, K., et al. (2024). Exploring moral competence regression: A narrative approach in medical ethics education for medical students. BMC Medical Ethics, 25, 73.
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