Penyebab stres pada mahasiswa kedokteran terdiri kedalam enam kelompok yaitu stressor terkait akademik, stressor terkait hubungan interpersonal dan intrapersonal, stressor terkait hubungan belajar mengajar, stressor terkait hubungan sosial, stressor terkait keinginan dan pengendalian, serta stres terkait aktivitas kelompok. Tujuan penelitian ini adalah untuk mengetahui gambaran tingkat stres berdasarkan stressor pada mahasiswa profesi dokter tahun pertama Fakultas Kedokteran Universitas Andalas. Jenis penelitian ini adalah studi deskriptif dengan desain cross-sectional. Pengambilan sampel dilakukan dengan teknik simple random sampling untuk mendapatkan sampel sebanyak 188 responden. Data dikumpulkan dengan menggunakan kuesioner Medical Student Stressor Questionnaire yang telah di validasi. Hasil analisis univariat menunjukkan sebagian besar responden memiliki tingkat stres sedang (48,4%). Tingkat stres terkait akademik yang terbanyak adalah tingkat stres berat (51,6%). Tingkat stres terkait hubungan intrapersonal dan interpersonal yang terbanyak adalah tingkat stres berat (42,6%). Tingkat stres terkait hubungan belajar-mengajar yang terbanyak adalah tingkat stres sedang (42%). Tingkat stres terkait hubungan sosial yang terbanyak adalah tingkat stres sedang (53,2%). Tingkat stres terkait keinginan dan pengendalian yang terbanyak adalah tingkat stres sedang (39,9%). Tingkat stres terkait aktivitas kelompok yang terbanyak adalah tingkat stres sedang (45,2%). Stressor yang paling menyebabkan stres adalah yang terkait hubungan intrapersonal dan interpersonal.

Setiap orang memerlukan kadar tidur yang cukup agar tubuh dapat berfungsi normal. Kurangnya kebutuhan tidur akan berdampak pada menurunnya kemampuan untuk berkonsentrasi, membuat keputusan, dan berpartisipasi dalam aktivitas sehari-hari. Dewasa muda banyak yang mengalami hambatan dalam proses belajar yang disebabkan oleh rasa mengantuk dan lelah akibat kurang tidur. Mahasiswa kedokteran adalah salah satu subkelompok dari populasi yang sangat rentan terhadap kualitas tidur yang buruk. Hal ini diduga karena tuntutan akademis yang tinggi, tugas klinis, pilihan gaya hidup, sampai pekerjaan yang menantang secara emosional. Penelitian ini bertujuan untuk mengetahui hubungan kualitas tidur terhadap konsentrasi belajar mahasiswa kepaniteraan klinik FK Unand. Jenis penelitian yang digunakan adalah secara analitik dengan metode cross sectional. Teknik pengambilan sampel dilakukan secara stratified random sampling dengan total sampel didapatkan sebanyak 222 orang. Dengan menggunakan kuesioner PSQI dan kuesioner konsentrasi belajar yang kemudian hasilnya dianalisis secara univariat dan bivariat menggunakan uji Chi-Square, didapatkan sebanyak 65,32% mahasiswa mengalami gangguan tidur dan 77,48% mahasiswa memiliki tingkat konsentrasi yang tergolong kurang. Dari hasil uji Chi-Square (p=0,000) dapat disimpulkan bahwa terdapat bermakna antara kualitas tidur dengan tingkat konsentrasi belajar mahasiswa. Kata kunci:  kualitas tidur, konsentrasi belajar, mahasiswa kepaniteraan klinik, koas   Everyone needs enough sleep so the body can function normally. Lack of sleep will result in decreased ability to concentrate, make decisions, and participate in daily activities. Most of the difficulties young adults experience in their learning process are caused by drowsiness and fatigue due to lack of sleep. Medical students are a subgroup of the population who are vulnerable to poor sleep quality. This is thought to be due to high academic demands, clinical assignments, lifestyle choices, and emotionally challenging work. This study aims to determine the relationship between sleep quality and the concentration level of clinical clerkship students from Faculty of Medicine, Andalas University. This is a cross-sectional study. The sampling technique was carried out by stratified random sampling with a total sample of 222 people. By using the PSQI questionnaire and the learning concentration questionnaire which were then analyzed univariately and bivariately using the Chi-Square test, the results obtained were as many as 65.32% of students experiencing sleep disturbances and 77.48% of students had relatively poor concentration levels. From the Chi-Square test results (p=0,000) it can be concluded that there is a significant correlation between the quality of sleep and the students’ concentration level. Keyword: sleep quality, concentration level, clinical clerkship students

Backgrounds Research concerning student-centered learning (SCL) recommends a comprehensive assessment of medical students’ competencies including their personal and professional characters. Accordingly, nurturing future doctors should be in a continuous mentorship program. However, in a hierarchical culture, communication is one-way with limited feedback and reflection. We aimed to explore challenges and opportunities for SCL implementation in medical schools in this cultural setting necessary for a globally interdependent world. Methods Two cycles of participatory action research (PAR) were conducted, involving medical students and teachers in Indonesia. A national conference on SCL principles was conducted between the cycles, also the SCL modules were developed for each institution and feedback was shared. Twelve focus group discussions were conducted (before and after the module development), with 37 medical teachers and 48 medical students from 7 faculties of medicine across Indonesia at various levels accreditation. Following verbatim transcriptions, a thematic analysis was conducted. Results and Discussions In cycle 1 PAR, some challenges in implementing SCL were identified: lack of constructive feedback, overloaded content, summative-based assessment, hierarchical culture environment, and teachers’ dilemma of committed time between patient-care and education. In cycle 2, several opportunities to approach the SCL were proposed: a faculty development program on mentorship, students’ reflection guides and training, a more longitudinal assessment system, also a more supportive government policy on the human resources system. Conclusions The main challenge of fostering student-centered learning revealed in this study was a teacher-centered learning tendency in the medical curriculum. The weighting towards summative assessment and the national educational policy drive the curriculum like a ‘domino effect’, away from the expected student-centered learning principles. However, using a participative method, students and teachers could identify opportunities and articulate their educational needs, i.e., a partnership-mentorship program, as a significant step toward student-centered learning in this cultural context.

ABSTRAK Indikator Angka kontak komunikasi dan ratio peserta Program Pengelolaan Penyakit Kronis (Prolanis) yang merupakan dua dari tiga indikator KBKP (Kapitasi Berbasis Pemenuhan Komitmen Pelayanan), yaitu indikator angka kontak komunikasi 150 permil, indikator ratio rujukan non spesialistik ≤ 5 %, dan ratio peserta prolanis rutin berkunjung ≤ 50% sangat sulit sekali terpenuhi oleh Puskesmas di Kabupaten Padang Pariaman. Angka kontak komunikasi ini adalah untuk melihat aksesabilitas dan pemanfaatan pelayanan primer oleh peserta baik pelayanan di dalam gedung maupun pelayanan luar gedung. Tujuan penelitian ini adalah menganalisis faktor-faktor yang mempengaruhi pemenuhan indikator angka kontak komunikasi dan rasio peserta prolanis rutin berkunjung di Puskesmas Wilayah kerja Dinas Kesehatan Kabupaten Padang Pariaman. Penelitian ini menggunakan rancangan penelitian kualitatif jenis case study (studi kasus). Pemilihan informan dalam penelitian ini adalah secara Purposive, yang terdiri dari Kepala Dinas Kesehatan, Ketua Tim Kendali Mutu Kendali Biaya, Kepala BPJS, Kepala Puskesmas dan Penanggung jawab tekhnis pelaksanaan kapitasi Kabupaten. Hasil penelitian ini menunjukkan bahwa masih ada 3 puskesmas yang belum mampu memenuhi indikator angka kontak komunikasi ≥150 permil, yaitu Puskesmas Sicincin, Puskesmas Ulakan dan Puskesmas Limau Purut. Dari tiga puskesmas tersebuat dua diantaranya yaitu Puskesmas Limau Purut dan Puskesmas Ulakan, belum mampu memenuhi indikator ratio peserta prolanis rutin berkunjung ≥ 50%. Kata Kunci: indikator, komunikasi, ratio, prolanis, puskesmas ABSTRACT The Communication contact number indicators of prolanis participant ratios, which are two of the three KBKP indicators, are namely communication contact number indicators of 150 per mile, non-specialist referral ratio indicator is ≤ 5% and routine visiting prolanis participants ratio is ≤ 50% that is very difficult to fulfill by the medical centre in Padang Pariaman sub district. This communication contact number was to see the accessibility and utilization of primary services by participants both services inside and services outside. The objective of this study was to analyze the factors that influence the fulfillment of communication contact number indicators and the routine prolanis participants' ratio to the medical centre in the working area of the Padang Pariaman Clinic. This study used a case study. The selection of informants in this study used purposive sampling, consisting of the Head of Clinic, the Head of the Full Quality Control Team, the Head of the BPJS, the head of the medical centre and the person in charge of the technical implementation of the district capitation. The results of this study indicated that there are still three of a medical centre that had not been able to meet the communication contact number indicator ≥150 per mile, namely the Sicincin, Ulakan and Limau Purut Clinics. Two of the three clinics namely Ulakan and Limau Purut had not been able to meet the routine visiting prolanis participants' ratio ≥ 50%. The

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