ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 227
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Changing primary care practice through family medicine
training in Indonesia: A learning needs assessment of
clinical preceptors
Dr Aghnaa Gayatri1, Dr Fitriana Murriya Ekawati1, Mora Claramita1, Dr Robin Ramsay2, David Weller2,
Liz Grant2
1
Universitas Gadjah Mada, 2University of Edinburgh
Training to become a family medicine specialist (Spesialis Kedokteran Keluarga Layanan Primer,
Sp.KKLP) was formally recognised in Indonesia in 2020. Prior to that, formal training in family medicine
has been in the form of a Masters course (Universitas Gadjah Mada/UGM), and a one-year fellowship
program (Universitas Padjajaran). Today, the Family Medicine in Primary Care Specialist program has
been established in several universities.
Clinical preceptors play a key clinical education role in the speciality program. UGM, in partnership
with the University of Edinburgh, will be delivering an online advanced course in family medicine for
clinical preceptors in the specialist program. To facilitate the development of this course, we explored
the needs of doctors with prior family medicine training, exploring strategies to improve family medicine
in Indonesia.
A qualitative approach using narrative inquiry was applied to guide the study. Two focus group
discussions (FGDs) were conducted with alumni of the UGM Masters and Universitas Padjajaran’s
fellowship program to better understand perceptions on how further training affected practice,
additional learning needs and participants’ readiness to become clinical preceptors. Themes were
identified from the transcripts using a thematic approach.
A total of 16 alumni participated. Themes emerging from analysis included: reflective practice, the
importance of person centredness, perceived skills and self-awareness of knowledge/skill gaps and
awareness of preceptorship opportunities. Both FGDs identified that reflecting on clinical practice
with supervisors was the most effective way of learning, and the most significant change in practice
post-training was implementing a person-centred approach. Both groups expressed a need for further
clinical skills development in areas such as preventive medicine and palliative care. There was a
difference in awareness of preceptorship opportunities between the two groups, with alumni from the
Masters program having a greater sense of awareness of the potential to become clinical preceptors
compared to fellowship alumni.
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