66 STANDARISASI PASIEN DAN RUANG SIMULASI MENINGKATKAN KEPUASAN MAHASISWA KEDOKTERAN UNIVERSITAS MATALAM DALAM PELAKSANAAN KETERAMPILAN MEDIK KARDIOVASKULER Arfi Syamsun, Maz Isa Ansyori Fakultas Kedokteran Universitas Mataram Abstract Introduction: Cardiovascular diseases have high morbidity and mortality rates. Skills in administering diagnosis and treatment of the diseases is part of general physician competencies according to the Indonesian Doctors Competency Standards. The teaching of cardiovascular lab skills at the Medical Faculty of the University of Mataram has not optimally prepared standardized simulation rooms and patients. As a result, this complicates students’ clinical understanding in handling cardiovasdcular events at the hospitals and clinics with different facilities. The effectiveness of the standardization is measured from results of skill lab exams and students’ satisfaction scores. Objectives: To identify the difference in the satisfaction and skills lab scores of cardiovascular physical exam and electrocardiography (ECG) installation among students of simulation room and patient standardization groups as compared to non-standardization groups. Method: This cross sectional study involved 20 students of 5 th semester of the Faculty of Medicine, Mataram University. Samples were taken randomly based on prior stratified lab skills scores. They comprised 2 treatment groups and 2 control groups as follows: group 1, simulation room and patient standardization for cardiovascular physical exam; group 2, simulation room and patient standardization for ECG examination; group 3, simulation room and patient non-standardization for cardiovascular physical exam; group 4, simulation room and patient non-standardization for ECG examination. The students then attended a Master Course, lab skills demonstration, and independent practices for 2 weeks. Satisfaction scores are measured by means of a questionnaire whose contents were validly tested, while lab skills exam scores are measured using a standard checklist issued by the Medical Faculty. Unpaired t-test is used to identify the differences in the students’ satisfaction scores and skill lab scores among the 2 groups. Study Findings: There are significant differences in the mean of students’ satisfaction scores in terms of simulation patients, lab skills room, and instructors for cardiovascular physical exam and ECG exam between the standardization and non-standardization groups. There was no significant difference in the mean of scores on communicative and eticomedicolegal competence, clinical skills competence and clinical reasoning competence on cardiovascular physical exam and ECG exam between standardization and non- standardization groups. Conclusion: Standardization of simulation patients and rooms for cardiovascular physical exam and ECG exam significantly increases students’ satisfaction scores but does not significantly increases students’ lab skills scores. Keywords: standardization, simulation patients, simulation room, satisfaction scores, lab skills scores. Abstrak Pendahuluan : Penyakit kardiovaskuler mempunyai angka morbiditas dan mortalitas yang tinggi. Kemampuan mendiagnosa dan mengobati penyakit tersebut merupakan kompetensi dokter umum menurut Standar Kompetensi Dokter Indonesia.Metode pembelajaran keterampilan medik (tranmed) kardiovaskuler di Fakultas Kedokteran Universitas Mataram (FK UNRAM) belum optimal menyiapkan ruang dan pasien simulasi yang terstandar, sehingga kemungkinan dapat mempersulit pemahaman klinis mahasiswa dalam menangani kasus-kasus gangguan kardiovaskuler yang berada di rumah sakit dan klinik dengan fasilitas kesehatan yang berbeda.Efektifitas penerapan standarisasi tersebut dinilai dari hasil ujian tranmed dan nilai kepuasan mahasiswa. Tujuan : Untuk mengetahui perbedaan nilai kepuasan dan nilai tranmed pemeriksaan fisik jantung dan pemasangan elektrokardiografi (EKG) mahasiswa pada kelompok standarisasi ruang dan pasien simulasi dibandingkan dengan kelompok non-standarisasi. Metode : Penelitian belah lintang ini melibatkan 20 orang mahasiswa FK UNRAM Semester 5. Pengambilan sampel dilakukan secara acak berdasarkan strata nilai tranmed sebelumnya. Terdapat 2 kelompok perlakuan dan 2 kelompok kontrol, yaitu : kelompok 1, standarisasi ruang dan pasien simulasi pemeriksaan fisik jantung, kelompok 2, standarisasi ruang dan pasien simulasi pemeriksaan EKG, kelompok 3, non- standarisasi ruang dan pasien simulasi pemeriksaan fisik jantung, kelompok 4, non-standarisasi ruang dan pasien simulasi pemeriksaan EKG. Selanjutnya mahasiswa mengikuti kuliah pakar, demonstrasi tranmed, dan latihan mandiri selama 2 minggu.Nilai kepuasan diukur menggunakan kuesioner yang telah diuji validitas isi, sedangkan nilai ujian tranmed diukur dengan ceklist standar yang dikeluarkan oleh FK UNRAM.Uji t-test tidak