Tesis

Perbandingan Metode Directed Learning dan Self-Deliberate Practice pada Retensi Pengetahuan dan Keterampilan Identifikasi Saraf Tepi: Studi dengan Pasien Simulasi pada Peserta Didik PPDS Anestesiologi dan Terapi Intensif FKUI = Comparison of Directed Learning and Self-Deliberate Practice Methods on Knowledge and Skill Retention in Peripheral Nerve Identification: A Simulation-Based Study in Anesthesiology and Intensive Care Residents at the Faculty of Medicine, Universitas Indonesia.

Pendahuluan : Identifikasi saraf tepi merupakan salah satu kompetensi dokter anestesi yang tercantum dalam Standar Kompetensi Dokter Spesialis Anestesiologi dan Terapi Intensif yang tertuang dalam Peraturan Konsil Kedokteran Indonesia Nomor 38 Tahun 2015. Kemampuan identifikasi saraf tepi yang baik akan membantu dokter anestesi dalam meningkatkan luaran pasien terutama terkait manajemen nyeri. Pada kurikulum Peserta Pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif di Fakultas Kedokteran Universitas Indonesia (FKUI), terdapat dua metode pembelajaran yang umum dilakukan, yaitu metode Directed Learning (DL) dan Self Deliberate Practice (SDP). Penelitian ini bertujuan untuk membandingkan metode DL dan SDP dalam mendapatkan retensi pengetahuan dan keterampilan identifikasi saraf tepi pada PPDS Anestesiologi dan Terapi Intensif FKUI. Metode : Penelitian ini merupakan studi eksperimental, acak, tersamar tunggal. Sebanyak 34 PPDS Anestesiologi dan Terapi Intensif FKUI pada periode Januari – April 2025 dimasukkan ke dalam kelompok DL dan SDP secara acak. Luaran penelitian berupa pengetahuan dan keterampilan identifikasi dinilai sebelum pelatihan, setelah pelatihan dan setelah masa retensi 3 bulan. Hasil : Sebanyak 32 subjek mengikuti penelitian hingga akhir dan dianalisis. Kelompok DL dan SDP menunjukkan peningkatan rerata nilai pengetahuan (72.19 ± 14.26 dan 73.13 ± 17.50) dan keterampilan (88.79 ± 6.31 dan 94.85 (76-99)) setelah 3 bulan masa retensi. Tidak ada perbedaan yang bermaknsa secara statistik pada peningkatan rerata nilai pengetahuan (p=0.86) dan keterampilan (p=0.07) Simpulan : Pada penelitian ini tidak ada perbedaan yang bermakna secara statistik antara kelompok DL dan SDP dalam peningkatan pengetahuan dan keterampilan. Kedua metode pembelajaran berhasil menunjukkan peningkatan nilai pegetahuan dan keterampilan, meskipun secara kuantitatif peningkatan pada kelompok SDP lebih besar dengan sumber daya yang lebih sederhana.
Kata kunci : selfdeliberate practice, directed learning, identifikasi saraf tepi


Background: Peripheral nerve identification is one of the core competencies required for anesthesiologists, as stated in the Indonesian Medical Council Regulation No. 38 of 2015 regarding the Standards of Competency for Anesthesiology and Intensive Care Specialists. Accurate peripheral nerve identification plays a crucial role in improving patient outcomes, particularly in pain management. Directed Learning (DL) and Self-Deliberate Practice (SDP) are two commonly employed learning methods in Anesthesiology and Intensive Therapy Program at the Faculty of Medicine, Universitas Indonesia (FMUI). This study aimed to compare the effectiveness of DL and SDP in retaining knowledge and skills related to peripheral nerve identification among anesthesiology residents. Methods: This was a randomized, single-blinded, experimental study. A total of 34 anesthesiology residents at FMUI between January and April 2025 were randomly assigned to either the DL or SDP group. Knowledge and skill retention in peripheral nerve identification were assessed at three time points: pre-training, post-training, and after a 3-month retention period. Results: Thirty-two participants completed the study and were included in the final analysis. Both groups showed improvements in mean knowledge scores (DL: 72.19 ± 14.26; SDP: 73.13 ± 17.50) and skill scores (DL: 88.79 ± 6.31; SDP: 94.85 [range: 76–99]) after the 3-month retention period. However, the differences between the two groups were not statistically significant for either knowledge (p = 0.86) or skill scores (p = 0.07). Conclusion: This study found no statistically significant difference between the DL and SDP groups in improving knowledge and skills in peripheral nerve identification. Both learning methods demonstrated effectiveness in enhancing performance; however, SDP group showed greater improvement with less faculty resources.
Keywords : self deliberate practice, directed learning, peripheral nerve identification