Tesis

Pengembangan Panduan Baku Bagi Psikiater Untuk Pemeriksaan Laik Studi Mahasiswa Kedokteran dengan Masalah Kejiwaan di Indonesia: Studi Kualitatif = Developing Psychiatrist Guideline for Fitness to Study Examination of Medical Students with Mental Health Problems in Indonesia: A Qualitative Study.

Latar Belakang: Kecenderungan peningkatan permintaan pemeriksaan laik studi untuk mahasiswa kedokteran dengan masalah kejiwaan belum disertai adanya pedoman baku mengenai pemeriksaan tersebut, sehingga dibutuhkan suatu pengembangan prosedur baku pemeriksaan yang dapat digunakan para psikiater. Tujuan: Mengetahui prosedur terstandar dalam panduan baku penulaian laik studi mahasiswa kedokteran dengan masalah kejiwaan untuk menghasilkan laporan psikiatri forensik yang objektif untuk mencegah timbulnya permasalahan hukum. Metode: Studi kualitatif menggunakan teknik Delphi, yang diawali dengan scoping review untuk mempetakan konsep pemeriksaan laik studi berdasarkan review literatur, yang diikuti dengan putaran Delphi bersama panel ahli (n=10). Hasil: Pendalaman terhadap artikel penelitian dan grey literature pada scoping review mengarah pada spesifikasi karakteristik hasil utama mengenai kebutuhan pemeriksaan laik studi yang mudah dipahami, terstruktur dan terukur sesuai konsep mental fitness sebagai bagian dari pembuktian unsur meliputi aspek kekuatan, fleksibilitas, ketahanan, profil kognisi, kecepatan kerja, reliabilitas, kesadaran, motivasim fungsi interpersonal, toleransi terhadap stress dan sikap terhadap pekerjaan. Keseluruhan pemeriksaan tetap melibatkan pihak berkepentingan, dengan tidak menutup hak pendidikan mahasiswa. Analisis tematik terhadap pendapat panel ahli merujuk pada 16 nodes yang mengarah pada kelengkapan tahapan persiapan, pemeriksaan, penulisan laporan, persiapan dan penyampaian keterangan kepada pihak institusi pendidikan. Kesimpulan: Prosedur terstandar penilaian laik studi mahasiswa kedokteran dengan masalah kejiwaan tersusun dalam 4 bagian utama dan 54 langkah operasional yang telah disepakati dan diterima konsensus panel ahli dengan penerimaan 100% ahli dan nilai median diatas 3.2. Keseluruhan tahap pemeriksaan mengupayakan pemeriksaan yang objektif didasari bukti,data, keterangan dan mempertimbangkan faktor yang memiliki relevansi sesuai kasus yang ditangani.
Kata kunci : laik studi, panduan, psikiatri forensik, mahasiswa kedokteran.


Background: The increase in fitness to study examinations in medical students with mental health problems has not been accompanied by standard guidelines regarding these examinations, so it became necessary to develop standard examination procedures that psychiatrists can use. Objective: Knowing the standard procedures for assessing fitness to study examination of medical students with mental health problems, to produce objective forensic psychiatric reports to prevent legal problems that may arise. Method: The qualitative study used the Delphi technique, which began with a scoping review to map the study’s feasibility concept based on the scoping review, followed by a Delphi round with a panel of experts (n=10). Result: The continuation of research articles and grey literature in the scoping review leads to the specification of the main characteristics of the results regarding the need a study worthiness examination that is easy to understand, structured and measurable according to the concept of mental fitness as part of the elemental proof covering ascovering aspects of strength, flexibility, endurance, cognitive profile, work speed, reliability, awareness, motivation, interpersonal function, tolerance to stress and attitude towards work. The entire examination continues to involve stakeholders, without closing the student's educational rights. Thematic analysis of the expert panel's opinion refers to 16 nodes that lead to the completeness of the preparation stages, examination, writing the report, preparation and delivery of information to the educational institution. Conclusion: The standardized procedure for assessing the fitness to study of medical students with mental health problems is structured into 4 main parts and 54 operational steps that have been agreed upon and accepted by the consensus of the expert panel, with 100% expert acceptance and a median value above 3.2. All stages of the examination strive for an objective examination based on evidence, data, information, and considering factors that have relevance according to the case being handled.
Keyword : fitness to study, guide, forensic psychiatry, medical student.