Moral Dilemma Discussion: A Model Study for Medical Student [Raboan Discussion Forum]

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Center for Bioethics and Medical Humanities just held the Raboan Discussion Forum on (27/07).The title of this discussion is Ethics learning system model in medical doctors student. The material was presented by the speaker: Dr. B. Triagung Ruddy Prabantoro, dr.,SpOG(K) the moderator is dr. Nur Azid Mahardinata.

Doctors are a precious profession because they accompany humans from birth to death. Bioethics and humanities are very important in supporting medical education. Ethics is very imporatant because it can made trust between medical doctor and patients. If there is no trust between medical doctor and patients, it can makes the effectiveness of healthcare low. Medical doctors must have ability to change behavior of patient better than before, because bad behavior of patients make the disesase worst.

Moral dilemma discussion goals is students have  higher moral reasoning. The discussion  between students and lecture as facilitator. Facilitators must give students opportunity to grow and awereness to help students study. Every student has unique method to learn something, therefore student base learning is important. The facilitators make sure that students understand about the discussion.

The main goals of ethics model learning is create medical doctors that understand about human values and environment values. Because health care not only about human but also about environments that support it.

Human Rights Perspective on Abortion for Rape Victim [Raboan Discussion Forum]

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Center for Bioethics and Medical Humanities just held the Raboan Discussion Forum on Wdnesday (20/06). On that occasion, the title raised was Human Rights Perspective on Abortion for Rape Victims. The material was presented by the speaker: dr. Wika Hartanti MIH. Meanwhile, the moderator is dr. Tiea Khatija.

Framing the problem: rape victim were criminalized for conducting an unsafe abortion, and rape victim was denied access to legal abortion. Expert group meeting report 2020, stated that rape is a systematic violation of human rights which is very sad and very serious, because often many cases are not processed and not resolved, and victims do not get their rights as victims. So it is hoped that there will be a better system of regulation in the handling of rape victims and that the victims get their rights.

There are cases of minors who are victims of rape. In these 2 cases, one of the victims (15 years old) had an abortion with her mother when she was 6 months pregnant, while the second victim (12 years old) applied for an abortion, but was rejected by the police and the court because she was already 2 months pregnant. The obstacle that is always faced by victims is proof that they are victims.

HR recommendation on abortion in Indonesia from SR on Health (UN GA 2018):
• Respect, protect and fulfill the right to health of women and girls by removing barriers to their sexual and reproductive rights
• Ending the criminalization of abortion and ensuring access to abortion services
• Providing sexual and reproductive health information, service, and goods, particularly comprehensive age-sensitive and inclusive sexual education in secondary schools.

The state’s obligation to provide access to safe abortion must consider the complex nature of rape cases, and regulation must be oriented towards facilitating, and not hindering, the safety and well-being of rape victims. Further studies and discussions/dialogues are critical to foster a better understanding of our society’s context, perspective, and needs, which can inform the policy and regulation of reproductive health services in Indonesia.

Learning Professionalism Through Role Modelling [Raboan Discussion Forum]

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Center for Bioethics and Medical Humanities just held the Raboan Discussion Forum on (13/07). On that occasion, the title raised was Learning Professionalism Through Role Modeling. The material was presented by the speaker: Prof. dr. Gandes Retno Rahayu, M.Med.Ed., Ph.D. Meanwhile, the moderator is dr. Wika Hartanti MIH.

In the rapid development of medical science, there are still many teachers who do not have the sensitivity to be professional. This is the impact of the old view which assumes that professionalism is obtained during the learning process. Prof Gandes explained that nowadays professional attitude of a doctor is an aspect that needs to be taught and taught as a specific topic and taught explicitly.

To teach professionalism Prof. Gandes the importance of understanding the right learning method for medical students. One of the effective methods to develop professionalism is role modeling. Prof. Gandes revealed the four processes that occur in the role modeling method. The first is to inspire, then to learn, to follow professionally, and the last is to portray oneself.

Prof. Gandes explained that there are three characteristics of a role model. The first is to have superior competence. Both have humanistic personalities such as interpersonal skills, positive outlook, commitment to growth, and leadership. The third is effective teaching skills.

At the end of his presentation, Prof Gandes revealed that role modeling is one of the important teaching tools to teach professionalism in the field of medicine and health professional education.

“Teachers must be aware of being role models and the impact of what they emulate” Said Prof. Gandes.

 

Watch full video here

Human Rights Perspective on Abortion for Rape Victim [Raboan Discussion Forum]

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Center for Bioethics and Medical Humanities just held the Raboan Discussion Forum on Wdnesday (20/06). On that occasion, the title raised was Human Rights Perspective on Abortion for Rape Victims. The material was presented by the speaker: dr. Wika Hartanti MIH. Meanwhile, the moderator is dr. Tia Khatija.

Framing the problem: rape victim were criminalized for conducting an unsafe abortion, and rape victim was denied access to legal abortion. Expert group meeting report 2020, stated that rape is a systematic violation of human rights which is very sad and very serious, because often many cases are not processed and not resolved, and victims do not get their rights as victims. So it is hoped that there will be a better system of regulation in the handling of rape victims and that the victims get their rights.

There are cases of minors who are victims of rape. In these 2 cases, one of the victims (15 years old) had an abortion with her mother when she was 6 months pregnant, while the second victim (12 years old) applied for an abortion, but was rejected by the police and the court because she was already 2 months pregnant. The obstacle that is always faced by victims is proof that they are victims.

HR recommendation on abortion in Indonesia from SR on Health (UN GA 2018):
• Respect, protect and fulfill the right to health of women and girls by removing barriers to their sexual and reproductive rights
• Ending the criminalization of abortion and ensuring access to abortion services
• Providing sexual and reproductive health information, service, and goods, particularly comprehensive age-sensitive and inclusive sexual education in secondary schools.

The state’s obligation to provide access to safe abortion must consider the complex nature of rape cases, and regulation must be oriented towards facilitating, and not hindering, the safety and well-being of rape victims. Further studies and discussions/dialogues are critical to foster a better understanding of our society’s context, perspective, and needs, which can inform the policy and regulation of reproductive health services in Indonesia.

 

Assisting Terminally ill Patients with Pastoral Care (Raboan Discussion Forum)

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Yogyakarta – Wednesday (10/11) Center for Bioethics and Medical Humanities Universitas Gadjah Mada (CBMH UGM) held a Raboan discussion forum. CBMH UGM presented topic Pastoral Care for Terminal Disease Patients. This topic is carried by Imanuel Eko Anggun S., M.Sc who is an alumni of UGM Bioethics Masters Program. Meanwhile, the discussion forum was led by Puri Swastika GKD, SE, M.Sc as moderator.

Pastoral Care is a form of patient assistance that has long been applied in the health sector. However, in Indonesia, the service from the hospital is still not widely known by the patient and the patient’s family. According to Anggun’s research, there are still many patients who do not know or even hesitate to ask for spiritual assistance. As a result, this service does not run optimally in hospitals. Although spiritual assistance is needed especially for patients with severe disease or terminal illness.

 

According to Anggun’s research Pastoral Care has benefited terminally ill patients. They receive encouragement, support, blessings, and the last energy of patients to undergo their healing period. Patients can also feel light, happy, calm, and excited. In addition, pastoral care was also responded positively by the patient’s family. The family felt grateful, happy, no longer discouraged, felt strengthened, and helped a lot.

Another problem with spiritual service is that many still think that Pastoral Care is a form of spiritual service carried out by religious leaders. Anggun mentioned that Pastoral Care also can be done in the form of assistance by doctors and nurses. So that the sensitivity of doctors and nurses is also very needed to help treat patients.

Watch the full video here