DEVELOPMENT OF CLINICAL EDUCATION STUDY PROGRAM, UNIVERSITY OF DIPONEGORO
The UNDIP’s Faculty of Medicine educational institution, in 1968, created an institutional structure of “Educational Substance” in sections with various educational activities, research and community service. In the course of education, the Nutrition Department has joined the dr. Kariadi. The journey of the UNDIP’s Faculty of Medicine Nutrition Department from year to year has added teaching staff, facilities, infrastructure to carry out the mandate of education, research and service. Around the 1980s, the UNDIP’s Faculty of Medicine Nutrition Department was in accordance with the development of science and medical technology, in line with the demands of medical services, in line with the demands of medical services initiated by the Indonesian Doctors Association (IDI) so that accreditation was carried out for teaching staff of the UNDIP’s Faculty of Medicine Nutrition section. Those who have completed postgraduate education and have provided nutrition services in hospitals for at least 5-6 years are accredited to get the title of Nutritionist Doctor. The UNDIP’s Faculty of Medicine awarded the title Doctor of Nutritionist to 6 people in 1983 Referring to the Diponegoro University Development and Rehabilitation Plan, which was supported by the Asian Development Bank (ADB) in 1993 to improve the quality of education, there are 6 development target faculties: Animal Science, Economics, Engineering, Mathematics and Natural Sciences, Medicine and Public Health and rectorate functional units such as libraries, language laboratories and other central facilities. In the medical field, there are development targets in the field of Human Resources (in the form of Fellowship), Academic (in the form of developing new study programs) and the provision of infrastructure such as: building buildings to find campus locations, building laboratory building infrastructure and other infrastructure. Due to the 1998 monetary crisis, its program was hampered due to chaotic financial arrangements. Planning in 1989, which finished its program in 1998, then rearranged a new proposal for the sustainable development of UNDIP from the Japan International consortium. One of its implementations was the Proposal for the Establishment of Medical Nutrition Specialist Doctor Education, Faculty of Medicine, Diponegoro University
The Indonesian people through the X decision of the People’s Consultative Assembly (MPR) in 1999 agreed to implement “Recovery and Rebuilding Human Resources (HR) as the main priority of National Development”. Of the various determinants of morbidity and mortality, nutritional factors are the main determinant, because of the importance of nutrition for national development. In the field of nutrition itself, Indonesia still faces nutritional problems such as Vitamin A deficiency (KVA), nutritional anemia, disorders due to lack of Iodine (GAKI) and lack of protein energy (KEP).
Nutritional problems, apart from infectious diseases, are a direct cause of illness and death both in the community and in the hospital (RS). Nutritional problems in hospitals that are manifested by a lack of protein energy (KEP) are a health service problem in both developed and developing countries. KEP at the Universitas Teaching Hospital Faculty of Medicine reaches 50% – 70%, this is a predictor for the length of stay and the high number of readmissions to the hospital and ultimately increases Morbidity and Mortality. In 2003, a Medical Nutrition Specialist Doctor Education Proposal was prepared at the Faculty of Medicine, Diponegoro University.
The purpose of education for a medical specialist in Medical Nutrition, Faculty of Medicine, Diponegoro University is to provide knowledge, attitudes and skills for medical nutrition for doctors as experts for patient care both in hospitals and in the community. Medical Nutrition Specialist Doctor Education is education with the scope of applied science to solve nutritional problems that intersect with diagnosis, treatment, patient care and rehabilitation. The development of medical nutrition doctor education is also expected to position the provision of rational nutritional therapy.
At the beginning of the Proposal preparation was coordinated by DR. dr. Darmono SS, MPH. SPGM, who at that time served as the Head of the Nutrition Installation at Dr Kariadi Hospital. Some of the names and positions of functionaries of the Medical Nutrition Specialist Doctor Education Program which are listed in the proposal include: Prof. DR. dr. Djoko Moeljanto, SpPD KEMD, Prof. DR. dr. Ign Riwanto Sp B Digestive, Prof. DR. dr. Satoto, Prof. dr. Siti Fatima Moeis, M.Sc, Sp GM, Dr M. Sulchan M.Sc Sp GM, DR. dr. Endang Purwaningsih MPH, DR. dr. Hertanto WS, MS as well as several professors and head lecturers from other fields.
Medical Nutrition Specialist Doctor Education Faculty of Medicine UNDIP / Dr. Kariadi Hospital Semarang was held under the coordination of the Specialist Medical Education Team, Faculty of Medicine UNDIP and the Nutrition Section of the Faculty of Medicine UNDIP.
The consortium in 2006, changed the term medical nutrition to clinical nutrition, from human nutrition to hospital-based nutrition. There is a change in nomenclature, from medical to clinic, because nutrition is still integrated with public health. Chairman of the College of Clinical Nutrition (KIGK) at that time Prof. Dr. Soemilah Sastroamidjojo, SpGK reaffirmed the discussion with Dr. Darmono during the approval of the IDI Congress in Jakarta to process the opening of PPDS-1 Clinical Nutrition in accordance with the Decree of the Indonesian Medical College Council (MKKI) No. 190 / SK / MKKI / IX / 2003 concerning the Ratification of the Clinical Nutrition Medicine Specialist Study Program as the Specialist I Education Study Program (PPDS I) on September 16, 2003.
The board of the College of Clinical Nutrition in the period 2004-2007 in September 2006 delivered the National Curriculum and Catalog along with the Decision of the KIGK National Meeting on October 2, 2005. The 3rd National KIGK Meeting on 23-25 March 2007 discussed Dr. SpGK, criteria for consultant whitening, Dr. SpGK’s education standard, Guidelines for Continuing Medical Professional Education and training (PPPKB). SpGK and publication of verification criteria and verification materials to assess the feasibility of implementing PPDS-1 Clinical Nutrition.
The first academic year 2007/2008, is ready to open Regular and non-regular programs (special pathways) with an academic load of 111 credits, which can be completed for 6-7 semesters through a structured, guided and scheduled education program in accordance with national and international curriculum studies.
On 12-13 December 2009 PDGKI, which was then called PDGMI, held a Seminar and Pre-Congress with the theme “Innovative Intervention to Improve Nutrition in Indonesia”. The event invited Clinical Nutrition Specialists from all over Indonesia and Specialists from other fields such as Internal Medicine and Pediatrics to discuss nutrition issues mainly related to metabolism.
UNDIP GK Study Program always tries to develop good relationships with other study programs in the faculties and hospitals. Interaction with other departments, such as with the Internal Medicine Study Program, a figure from Prof. DR. dr. Djokomoeljanto Sp.PD. KEMD in collaboration with DR. dr. Darmono SS, MPH. SpGK (K) from 1983 became a GAKI committee under the Directorate of Nutrition – the Ministry of Health of the Republic of Indonesia. Publish the Indonesian Journal of GAKI which has a mission to disseminate and discuss various scientific writings on the results of research on IDD biomedicine, community IDD, clinical IDD, policies in the scope of GAKI Science and Technology and IDD management programs.