Humanist Education [Raboan Discussion Forum]

Wednesday (23/11), the Center for Medical Bioethics and Humanities held the Raboan Discussion Forum. The topic raised was Humanist Education. The speaker for this discussion was dr. C.B. Mulyatno, Pr. and moderated by Noviyanti Fahdilla, S. Tr.Keb, MPH.

Experimental School is a school that focuses on human and experience. The core of the school built by YB Mangunwijaya is the development of the character of solidarity. The reason is because Indonesian society is plural, so it has religious riches such as respecting, celebrating, and giving meaning to life. So far, education in Indonesia has only prioritized by the value of rivalry through the ranking. That’s why, YB Mangunwijaya want to create a happy school and every student was involved in self-development.

Students were invited to make some agreement like classroom rules, so we let the children to contribute. Thus the class becomes an exploratory space. An integral aspect of the experimental school is children get the value from the activities that they do, so children can express it by understanding the meaning of sharing, empathy and friendship.

Mangunan experimental school is a school that has a basic education system by developing children’s creativity. The main goal of the experimental school is the ability to value and live life. According to YB Mangunwijaya, the meaning of school is convivium (learning community), which is a place to interact with teachers, students, parents, and the community. The experimental school didn’t use any fences because they thought that children can directly interact with the people around the school.

There are 7 basic modalities applied by experimental schools:

  1. Have good mental and spiritual character.
  2. Understanding the language so they can express themselves in a polite communication.
  3. Independent, honest, critical, and creative
  4. Able to understand and appreciate useful items in life.
  5. Like to help someone and doing good.
  6. Respect each other and work together to keep the environment in a good term.
  7. Physically and spiritually healthy

Predicting the Future of Telemedicine in Indonesia Post COVID-19 [Raboan Discussion Forum]

Wednesday (16/11) Center for Bioethics and Medical Humanities Faculty of Medicine Public Health and Nursing held a Raboan Discussion Forum. The virtual forum raised the topic Measuring the Future of Telemedicine in Indonesia Post COVID-19, presented by dr. Dony Septriana Rosady MH.Kes MBA M.AP M.Sc. Meanwhile, the moderator for the discussion was Nathan Agwin Khenda, Ftr.

Telemedicine refers to remote healthcare services provided by healthcare professionals using information and communication technology. The Ministry of Health’s regulation on Telemedicine (Permenkes 20/2019) covers teleradiology, tele-electrocardiography, tele-ultrasonography, teleclinical consultations, and other telemedicine services as per advancements in science and technology. Research development with various public-private ownership characteristics, geographic locations, and service levels is necessary to strengthen telemedicine implementation. Regulatory guidance on clinical teleconsultation, the development of online PNPK (National Standardization of Health Facility), and strengthening health information management policies, including financing and digital literacy, are also necessary. Collaboration across academic, business, community, government, and media sectors is crucial for developing clinical teleconsultation.

During the COVID-19 pandemic, clinical teleconsultation has adhered to bioethical principles and ethical guidelines set by professional organizations. Respect for patient autonomy, non-maleficence, beneficence, and justice in providing easy access to all while ensuring the provision of face-to-face services for those in need have been maintained. The practice of teleconsultation during the pandemic is in line with existing regulations and does not violate medical ethics. Post-pandemic regulation review is necessary for the sustainable implementation of clinical teleconsultation.

 

The Ethical Perspective of Medical Personnel on the Crisis of Personal Protective Equipment at the Beginning of the COVID-19 Pandemic [Raboan Discussion Forum]

Wednesday (09/11), the Center for Bioethics and Medical Humanities again held the Raboan Discussion Forum. The topic discussed at this event was the Ethical Perspective of Medical Personnel on the Crisis of Personal Protective Equipment at the Beginning of the COVID-19 Pandemic. Dr explained this topic. Paramita Sari M.Sc, Lecturer at the Faculty of Medicine, Nahdalatul Ulama University in Surabaya and also an Alumni of the UGM Bioethics Masters Study Program. Meanwhile, acting as moderator is Desy Putri Ratnasari, S.Si, M.Si.

The Covid-19 pandemic in Hubei, China, spread quickly and resulted in high morbidity and mortality rates. According to Dr. Paramita, this is a new challenge for medical personnel, especially at the forefront of health facilities. Health systems in various countries, including Indonesia, are not ready to face the Covid-19 Pandemic.

At the beginning of the spread of Covid-19, medical workers faced the problem of a shortage of logistics for personal protective equipment (PPE) even though tools such as masks, gloves, hand sanitizers, and so on are urgently needed so that health workers are not infected with Covid-19.

“Covid-19 spreads rapidly with high morbidity and mortality rates, while the readiness of personal protective equipment at the start of the pandemic was not close and is said to be in a crisis condition.” Dr. Paramita said.

Many ethical dilemmas were faced by medical personnel at that time. Medical personnel should save patients during a crisis for personal protective equipment. Limited personal protective equipment makes the risk of contracting Covid-19 even higher.

Even though the principle is that medical personnel must save themselves before helping others. Before meeting the patient, personal protective equipment is a mandatory requirement to help patients who need help and care.

 

Application of Virtue Ethics in Health Service For Persons With Disabilities of Medula Spinalis Injury [Raboan Discussion Forum]

Center for Bioethics and Medical Humanities, Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada (CBMH FK-KMK UGM) again held a Raboan Discussion Forum on Wednesday (2/11). The event which was held virtually raised the topic of Application of Virtue Ethics in Health Services for Persons with Disabilities Spinal Cord Injury, which was presented by Dr. dr. Maria Regina Rachmawati, Sp.KFR, M.Sc. Meanwhile, acting as a moderator is dr. Tiea Khatija.

At the beginning of her presentation, Dr. Maria explained that disability is a decline in the function of the human body which can be categorized into three, namely mild, moderate and severe. Spinal cord injuries are included in the category of severe disability. Patients with spinal cord injuries are unable to carry out activities of daily living. They experience loss of sensory and autonomic motor function, resulting in dependence on other people or medical devices. In her research, Dr. Maria tries to find out the application of virtue ethical principles by doctors in health services to sufferers of spinal cord injuries. dr. Maria also saw whether the doctor’s virtue character and service to Specialist Medula Injury patients followed the egalitarian concept. To find out this, Dr. Maria distributed questionnaires and interviewed doctors in the Jakarta, Bogor, Depok, Tangerang, Bekasi, and Banten areas.

The results of the study show that there are good virtue characteristics that are adhered to by doctors in serving people with spinal cord injuries, namely: love, gratitude, spiritualism, passion, justice, and kindness. However, these characters do not fulfill the egalitarian concept of justice and objectivity. Meanwhile, for patients with spinal cord injuries, three virtue characteristics are expected from doctors: prioritizing the patient’s interests over personal interests, compassion and loyalty, and being trusted. This view needs to fulfill the egalitarian concept that patients are expected to be active, logical, and wise.

Based on the results of Dr. Maria’s research, she recommended that there should be an increase in doctors’ understanding of virtue character, which supports an egalitarian concept. Not only doctors, but patients with spinal cord injuries also need to receive education to support an egalitarian concept, namely being active, logical, and wise patients in long-term health services.