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LAMPIRAN 1

MODULE

Course Content:
Bioethics, Medical Ethics and Medical Law
Sub-module 1 : Bio-ethics and Medical Ethics
Course Period: First half of 1st Semester

Course topics:
1. Philosophy of doctor’s profession
2. Philosophy of Bioethics and Medical Ethics
3. Medical Ethics and its challenges in clinical practice
4. Ethics in medical researches
5. Ethics in writing and publishing scientific paper

Direction:
The module-task should be writtenly done by the student individually prior before the small
group discussion. To work with the module, the student may refer to the references as
mentioned in the last part of this book.
Sub-module 1 : Bio-ethics and Medical Ethics
Course topic 1: Philosophy of doctor’s profession

1. Contributor:
Prof.dr. Djoko Wahono Soeatmadji, SpPD, KE(K)

2. Competency Area
This module is a part of the elaboration of the area competence 4 of the Indonesian
Doctor Competence by Introducing Doctor’s profession and his responsibilities

3. Goals and Competency Components


• To highlight the role of the Modern-Day Physician
• To encompass the importance of moral and attitude of the doctor, the setting in which
the illness occurs, and the families, social,
• culture backgrounds of the patients
• To provide participants with the understanding of physician as a scientist as well as
professional

4. Clinical Competency
After completing this module, the participant will be able to:
• Describe the competency of Physician of the 21st Century
• Understand the importance of Ethical Issues in Clinical Medicine and the
Fundamental of Ethical Guidelines
• Understand the importance of Economic Considerations in the Practice of
Medicine
• Understand the political, social and economical impact on
health care delivery system

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5. Lecture Description
• The competency of Physician of the 21st Century
• Ethical Issues in Clinical Medicine and the Fundamental of Ethical Guidelines
- Respecting Patient Autonomy
- Informed Consent
- Nondisclosure of information and maintaining confidentiality
- Avoiding deception
- Acting in the best interests of patients (The guideline of beneficence requires
physicians to act for the patient's benefit)
- Justice (Forbids discrimination in health care based on race, religion, or gender
and supports a moral right to health care, with access based on medical need
rather than ability to pay)
- Assessing Capacity to Make Medical Decisions for all patients, including patients
lack the capacity to make health care decisions and arrange for surrogates to
make them, without involving the courts)
- Decisions about life-Sustaining interventions and possibilities of misleading
distinctions
- Care of Dying Patients
- Financial Incentives and Gifts from Pharmaceutical Companies
- Occupational Risks
- Medical Errors
- Learning Clinical Skills Conflicts of trainees
- Impaired physicians
- Allocating Resources Justly

• The importance of Economic Considerations in the Practice of Medicine


- The enormous and continuing growth of health care spending
- The causes, consequences, and possible responses to rising expenditures on
health care
- A variety of strategies to control costs
- Understand a wide range of economic considerations in the practice of medicine

• The political, social and economical impact on health care delivery system

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6. Overview
Health is a basic human entitlement, to which all should have equal access and
equal right. The Doctor for the 21st Century should be able to promote health, prevent
and treat disease, and rehabilitate the disable in a compassionate, ethical way within
resources constrain. Medicine is practiced in a social, economic, and political context. It
takes more than excellent medical care to improve the health of the patients. Many of
the determinants of the health of individuals and populations lie outside traditional
clinical activity. Patients is no mere of collection of symptoms, signs, disordered
functions, damaged organs, and disturbed emotions. He is human, fearful, and hopeful,
seeking relief, help and reassurance. No greater opportunity, responsibility, or obligation
can fall to the lot of human being than to become a physician. In the care of the suffering
he needs technical skill, scientific knowledge, and human understanding. However,
advances in genetics biochemistry imaging technology, laboratory technology, and
therapeutic maneuvers and modalities do not make a good physician.

7. Module Task
- What is your opinion about the relationship between doctors/medical profession
organizations and the pharmaceutical companies who oftenly provide financial
support for their activities?
- A mother due to her religion/faith reasons refused immunization/vaccination to
her baby/child ? What is your opinion ? What will you do?

8. References
- World Federation for Medical Education. World Summit on Medical Education:
Recommendation, Edinburg 8 – 12 August 1993
- Goldman L and Ausiello D. Approach to Medicine , The Patient, and the Medical
Profession as Learned and Humane Profession. In:Cecil Medicine, Goldmann L,
Ausiello D et al (Eds.), Saunders, 2008, p.3.
- Emmanuel EJ. Bioethics in the Practice of medicine. Ibid p. 6
- Taylor VM. Cultural Context in Medicine. Ibid p.16
- Schroeder SA. Social Issues in Medicine. Ibid p. 20
- The Editors. The Practice of Medicine In: Harrison’s Principles of Internal Medicine.
Fauci AS, Kasper DL, Longo DL, Braunwald E et al (Editors), McGraw Hill 17 Edition,
2008, p.

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- Lo B. Ethical Issues in Clinical Medicine. ibid e. 19
- Meltzer D. Economic Considerations in the Practice of Medicine. ibid. e7.
-

9. Teaching Learning Process


Interactive workshop, including role play and problem solving through case study
Interactive session with physician, patient and health care officer

Course topic 2: Philosophy of Bioethics and Medical Ethics

1. Contributor:
dr. Ngesti Lestari, SH, SpF(K)

2. Competency Area
This module is a part of the elaboration of the area competence 3 of the Indonesian
Doctor Competence, in Bioethics and Medical Ethics

3. Competency Components
Basic understanding of Bioethics and medical ethics
- Aims of Medical Ethics education
- Principles of medical ethics
The comparison between Medical ethics and Medical law
- The value of good-bad, right-wrong in community

4. Clinical Competence
Medical students know and understand about:
- ethic and moral in as early as possible,
- social norms, ethics system, principles of ethics,
- The role of ethics in doctor’s professionalism
- ethics problem

5. Lecture Description
This module is a part of Module on Bioethics and Medical Ethics, which integratedly designed
for medical students of 1st semester through Teaching-Learning Process in the 1st Block, both

module/bioethics_PD_fkub/’10 5
in Lecture and PBL. This part of Module will facilitate the students a basic understanding of
Bioethics and Medical Ethics and understanding about Ethics problems.

6. Overview
At the end of this course, students in Faculty of Medicine Brawijaya University should
understand about medical ethics, problems which related with medical ethics and
understand about medical law, and also should understand how to difference the problems
which is related to ethics and which is related to law.
7. Module Task
Define and explains briefly the terminology of :
- Why medical ethics is important
- Why medical law is important
- How to solve the problems in ethics and medical law

8. References
- Kode Etik Kedokteran Indonesia 2001
- Kajian Bioetik 2005, FK Unair Surabaya
- Etika Kedokteran Indonesia, Samil. R.S., Yayasan Bina Pustaka Sarwono
Prawirohardjo, Jakarta 2001
- Jaringan Bioetik dan Humaniora Kesehatan Indonesia, FK Unair Surabaya 2006
- Hukum Kedokteran, Supriadi. Wila. C., CV. Mandar Maju Bandung 2001
- Bioetika dan Hukum Kedokteran, CV. Pustaka Dwipar, Jakarta 2005

9. Teaching Learning Process


This module should be used as Teaching-Learning Process Media prior to Lecture and or
Small Group Discussion.

module/bioethics_PD_fkub/’10 6
Course topic 3: Medical Ethics and its challenges in clinical practice

1. Contributor:
dr. Ngesti Lestari, SH, SpF(K), Prof dr. Djoko Wahono Soeatmadji, SpPD KE(K)

2. Competency Area
This module is a part of the elaboration of the area competence 3 (?) of the Indonesian
Doctor Competence, in ethical aspect when the doctor practice and ethical aspect in
emergency situation

3. Competency Components
• Ethical aspects in doctor’s profession in clinical practice
• Ethical aspects in emergency cases
• Cloning
• Euthanasia
• Transfussion and organ transplantation

4. Clinical Competence
knows about ethical aspects in doing medical profession relevance to the grows of medical
technology
- knows about rules of using sophisticated medical equipments, and application of modern
medical technology and result of medical research

5. Lecture Description
This module is a part of Module on Bioethics and Medical Ethics, which integratedly
designed for medical students of 1st semester through Teaching-Learning Process in the
1st Block, both in Lecture and PBL. This part of Module will facilitate the students a basic
understanding about ethical aspect in doing the doctor profession and ethical aspect in
emergency cases and also ethical aspect in progressive of medicine knowledge.

6. Overview
At the end of the medical course, students in Faculty of Medicine Brawijaya University
should know how to solve the ethical cases when doing their profession as a doctor, know

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how to solve the ethical cases in emergency case and ethical cases in progressive of
medicine knowledge and technology.

7. Module Task
Define and explains briefly the terminology of :
- What kind of ethical cases that happened when doing their profession as a doctor
- How to solve the problems by ethics if a doctor in emergency cases
- How a doctor’s attitude by ethics when find the progressive of medicine knowledge

8. References
- Kode Etik Kedokteran Indonesia 2001
- Kajian Bioetik 2005, FK Unair Surabaya
- Etika Kedokteran Indonesia, Samil. R.S., Yayasan Bina Pustaka Sarwono
Prawirohardjo, Jakarta 2001
- Jaringan Bioetik dan Humaniora Kesehatan Indonesia, FK Unair Surabaya 2001
- Hukum Kedokteran, Supriadi. Wila. C., CV. Mandar Maju Bandung 2001
- Bioetika dan Hukum Kedokteran, CV. Pustaka Dwipar, Jakarta 2005
- Fred Ameln. Drs. SH. Kapita Selekta Hukum Kedokteran.
- Pitono dkk, Etik dan Hukum di Bidang Kesehatan, Edisi Kedua, FK Unair Surabaya
2005

9. Teaching Learning Process


This module should be used as Teaching-Learning Process Media prior to Lecture and or
Small Group Discussion.

module/bioethics_PD_fkub/’10 8
Course topic 4: Ethics in medical researches

1. Contributor:
Dr.dr.Teguh Wahju Sardjono, DTM&H, MSc, SpParK

2. Competency Area
This module is a part of the elaboration of the area competence 4 of the Indonesian
Doctor Competence, especially in “Ethics in Medical Researches”

3. Competency Components
• Ethical aspects in medical research
• Right, roles, and responsibility of doctors as researchers in medical fields
• The rules in medical research
• Informed consent and ethical clearance in medical research

4. Clinical Competence
By the end of this lecture students have to know about:
• ethical aspects in medical research,
• the obligation of subjects (Three Belmont’s principles)
• right, roles, and responsibility of doctors as researchers
• the importance of ethical clearance in medical research

5. Lecture Description
This module is a part of Module on Bioethics and Medical Ethics, which integratedly
designed for medical students of 1st semester through Teaching-Learning Process in the
1st Block, both in Lecture and PBL. This part of Module will facilitate the students a basic
understanding on the Ethics in Medical Researches.

6. Overview
At the end of the medical course, students in Faculty of Medicine Brawijaya University
should do a research. Most of researches done by the medical students, either in
connection with their tasks during their study or after finishing their study, are related to

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health and human beings. It is important to inform to the students and all medical health
practitioners, including medical doctors, nurses, midwifes, psychologist, about the ethical
aspects in medical and health researches or biomedical research using human subject

7. Module Task
a. What researches are included into Biomedical research
b. Why does any biomedical research should have an ethical clearance?
c. Who has authority to give ethical clearance?
d. What factors should be considered in ethical clearance process?

8. References
a. Undang-undang Kesehatan No.23/1992
b. Peraturan Pemerintah N0 39/1995 tentang Litbangkes
c. Operational Guidelines for Ethics Committees that review
biomedical research (WHO-TRD)
d. Ethical Guidelines for Biomedical Research on Human Subject
(India)
e. Kepmenkes No. 1333/2002 tentang Persetujuan Penelitian
Kesehatan Terhadap Manusia
f. Kepmenkes No. 1334/2002 tentang Komisi Nasional Etik
Penelitian Kesehatan
g. Declaration of Helsinki (Renewed in Edinburg)

9. Teaching Learning Process


This module should be used as Teaching-Learning Process Media prior to Lecture and or
Small Group Discussion.

module/bioethics_PD_fkub/’10 10
Course topic 5: Ethics in performing in vitro and in-vivo research, using animal models,
clinical trials until writing and publishing scientific paper

1. Contributor:
Dr.dr.Teguh Wahju Sardjono, DTM&H, MSc, SpParK

2. Competency Area
This module is a part of the elaboration of the area competence 3 of the Indonesian
Doctor Competence, in performing research, both in-vitro and in-vivo, using animal models
and how to write and publish scientific paper

3. Competency Components
• in vitro and in vivo research
• using animal model in research
• Clinical trials
• Ethic in writing scientific paper

• Ethics in publishing research result


• Plagiarism

4. Clinical Competence
By the end of this lecture students have to be able to:
• explain the difference principles of in vivo and in vitro research
o understanding the rules of using animal model in research

• Understand about the integrity of researcher

• Understand the rules of writing and publishing scientific reports


• Understand what plagiarism is.

5. Lecture Description
This module is a part of Module on Bioethics and Medical Ethics, which integratedly
designed for medical students of 1st semester through Teaching-Learning Process in the

module/bioethics_PD_fkub/’10 11
1st Block, both in Lecture and PBL. This part of Module will facilitate the students a basic
understanding on the Ethics on, both of in-vitro and in-vivo Medical Researches, when and
why they do either, requisites and impacts of the research. Student should understand
about integrity of them self as researchers so that they will be able to avoid plagiarism.

6. Overview
Increasing morbidty and mortality of re-emerging and new emerging diseases need more
Medical Researches to solve the problem. Results of basic medical researches, either in-
vivo, in-vitro research, clinical trials using animal models or patients, should be broadly
disseminated by fully considering ethical aspects.

7. Module Task
8. References
1. Undang-undang Kesehatan No.23/1992
2. Peraturan Pemerintah N0 39/1995 tentang Litbangkes
3. Declaration of Helsinki (Renewed in Edinburg)
4. Agtini MD, Integritas Peneliti, Modul XII Pelatihan Etik Penelitian
Kesehatan Badan Litbangkes, Jakarta 26-29 September 2005
5. Komisi Nasional Etik Penelitian Kesehatan (KNEPK). Pedoman
Nasional Etik Penelitian Kesehatan. Tahun 2003
6. Wiradi G. Etika penulisan karya ilmiah: Beberapa prinsip dasar.
Bandung: Yayasan Akatiga; 1996.
7. Leonardo de Castro. Relationship between advisor/student.
Authorship and publications. Research integrity. Plagiarism. Presented at the
International course on research ethics, Bangkok, July 30 – August 3, 2001
8. Cyber Media. Ilmuwan Indonesia Lakukan Plagiarisme. Kompas
Rabu, 18 Desember 2002
9. Bertens K. Bioetika dan Globalisasinya Rabu, 06 April 2005

9. Teaching Learning Process


This module should be used as Teaching-Learning Process Media prior to Lecture and or
Small Group Discussion

module/bioethics_PD_fkub/’10 12
MODULE

Course Content:
Bioethics, Medical Ethics and Medical Law

Course Period: Second half of 1st Semester

Sub-module 2 : Medical Law and Medical Secrets

Course topics:
1. Health Law, Medical Law, and Rules and ethics in Medical Practice
2. Medical Secrets
3. Rights and obligation
4. Medical record & Informed consent of medical aids
5. Law responsibility and Malpractice

Direction:
The module-task should be writtenly done by the student individually prior before the small
group discussion. To work with the module, the student may refer to the references as
mentioned in the last part of this book.

module/bioethics_PD_fkub/’10 13
Course topic 1: Health Law, Medical Law, and Rules and ethics in Medical Practice

1. Contributor:
Dr. Ngesti Lestari, SH, SpF (K)
Dr. Wening Prastowo, SpF
Dr. Eriko Prawestiningtyas, SpF

2. Competency Area
This module is a part of the elaboration of the area competence 3 of the Indonesian
Doctor Competence, by introducing health law and medical law

3. Competency Components
The kinds of laws in Indonesia and in the world
- Health law and Medical law
- Rules and ethics in Medical Practice
- Registration and procedures to get formal license to do medical practice

4. Clinical Competence
• student knows the meaning of law, the kinds of law, health law and medical law
• students know the application and of medical rule and ethics in daily practice
• students know and understand the rule and procedure of registration to get formal
license doing medical practice

5. Lecture Description
This module is a part of Module on Bioethics and Medical Ethics, which integratedly
designed for medical students of 1st semester through Teaching-Learning Process in the
1st Block, both in Lecture and PBL. This part of Module will facilitate the students a basic
understanding on health law and medical law.

6. Overview
At the end of the medical course, students in Faculty of Medicine Brawijaya University
should know the difference between health law and medical law. In principal, a doctor in

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profession still related with ethics and law problems. A doctor in profession has a link with
law arrangement and knows the procedures for registration and license.
7. Module Task
Define and explain briefly the terminology of :
- Why the law is important for medical students
- What kind of requirement needed for a doctor before doing the profession
- How a fresh graduated doctor finished the administration requirement for registration
and license

8. References
- UU no. 29 tahun 2004 tentang Praktek Kedokteran
- Supriadi, Wila. C., CV Mandar Maju, Bandung 2001
- Bioetik dan Hukum Kedokteran, CV. Pustaka Dwipar, Jakarta 2005
- R. Soeroso, SH, Pengantar Ilmu Hukum

9. Teaching Learning Process


This module should be used as Teaching-Learning Process Media prior to Lecture and or
Small Group Discussion.

module/bioethics_PD_fkub/’10 15
Course topic 2: Medical Secrets

1. Contributor:
• Dr. Ngesti Lestari, SH, SpF (K)
• Dr. Wening Prastowo, SpF
• Dr. Eriko Prawestiningtyas, SpF

2. Competency Area
This module is a part of the elaboration of the area competence 3 of the Indonesian Doctor
Competence, which every medical student should know when doing their job.

3. Competency Components
- Definition and meaning of medical secrets
- obligation of keeping medical secrets
- When the medical secretes can be opened
- Sanction of opening medical secrets

4. Clinical Competence
By the end of this course, the students have to:
• Understand the meaning of medical secrets
• Understand the person who has an obligation to keep the medical secrets
• When the medical secrets can be opened
• What kind of sanction for those who open the medical secrets

5. Lecture Description
This module is a part of Module on Bioethics and Medical Ethics, which integratedly
designed for medical students of 1st semester through Teaching-Learning Process in the
1st Block, both in Lecture and PBL. This part of Module will facilitate the students a basic
understanding about the medical secrets and kinds of another secrets in medical.

6. Overview
At the end of the medical course, students in Faculty of Medicine Brawijaya University
should know about the secrets in medical, who has an obligation to keep the medical

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secrets, when the medical secrets can be opened and what kind of sanction for those who
open the medical secrets.

7. Module Task
Define and explain briefly the terminology of:
- Explain the core of medical secrets
- Who has an obligation to keep a medical secret.
- When the medical secrets can be opened
- What kind of sanction for those who open the medical secrets.

8. References
o PP no.10 tahun 1966 tentang Wajib Simpan Rahasia Kedokteran
o PP no.32 tahun 1996 tentang Tenaga Kesehatan
o UU no.29 tahun 2004 tentang Praktetk Kedokteran
o Susilo, KUHP dan penjelasannya
o Pitono dkk, Etik dan Hukum di Bidang Kesehatan, FK Unair Surabaya 2005.
o Hanatiah, J. dkk. Etika Kedokteran dan Hukum Kesehatan

9. Teaching Learning Process


This module should be used as Teaching-Learning Process Media prior to Lecture and or
Small Group Discussion.

module/bioethics_PD_fkub/’10 17
Course topic 3: Rights and obligations

1. Contributor :
• Dr Ngesti Lestari, SH, SpF(K)
• Dr Wening Prastowo, SpF
• Dr Eriko Prawestiningtyas, SpF

2. Competency Area
This module is part of the elaboration of the area competence 3 of the Indonesian Doctor
Competence, which every medical student should know when doing their job.

3. Competency Components
- the meaning of right and obligation
- right and obligation of doctor
- right and obligation of patient
- right and obligation of hospital

4. Clinical Competence:
By the end of this course, student have to:
- understand and able to describe the meaning of right and obligation in general
- understand right and obligation of doctor
- understand right and obligation of patient
- understand right and obligation of hospital

5. Lecturer Description
This module is a part of Module on Bioethics and Medical ethics, which integratedly
designed for medical students of 1st semester through Teaching Learning Process in the
1st Block, both in lecture and PBL. This part of module will facilitate the students a basic
understand about right and obligation for doctor, patient and hospital.

6. Overview
At the end of the medical course, students in Faculty of Medicine Brawijaya University
should know about the doctor right and obligation, patient right and obligation, hospital
right and obligation.

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7. Module Task
Define and explain Briefly the terminology of:
- right and obligation
- doctor right
- doctor obligation
- patient right
- patient obligation
- Hospital right
- Hospital obligation

8. References
- UU no.29 tahun 2004 tentang Praktek Kedokteran
- PP no.32 tahun 1996 tentang Tenaga Kesehatan
- Pitono dkk, Etik dan Hukum di Bidang Kesehatan, FK Unair Surabaya, 2005
- Hanafiah,J, dkk, Etika Kedokteran dan Hukum Kesehatan

9. Teaching Learning Process


This module should be used as Teaching – Learning Process Media prior to Lecture and or
Small Group Discussion.

module/bioethics_PD_fkub/’10 19
Course topic 4: Informed consent of medical aids and Medical Record

1. Contributor: Prof. Dr. dr. Moch. Istiadjid ES,SpS,SpBS. Mhum.

2. Competency Area
This module is a part of the elaboration of the area competence 1, 2 and 7 of the Indonesian
Doctor Competence, published by Indonesian Medical Council.

3. Competency Components

Definition of Informed Consent and basic reason of medical treatment

• Informed consent is a legal condition whereby a person can be said to have given consent
based upon an appreciation and understanding of the facts and implications of an action.
The individual needs to be in possession of relevant facts and also of his or her reasoning
faculties, such as not being mentally retarded or mentally ill and without an impairment of
judgment at the time of consenting. Such impairments might include illness, intoxication,
insufficient sleep, and other health problems.
• Some acts cannot legally take place because of a lack of informed consent. In cases where
an individual is considered unable to give informed consent, another person is generally
authorized to give consent on their behalf. Examples of this include the parents or legal
guardians of a child and caregivers for the mentally ill. In cases where an individual is
provided limited facts, serious ethical issues may arise.
• The doctrine of informed consent relates to professional negligence and establishes a
breach of the duty of care owed to the patient.

Definition of medical aids

Medical aids are all activities or actions of doctor and hospital in order to determine the
diagnosis of patient’s illness, along with the correlation, and then give therapy to the patients,
especially surgical treatment

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Definition of Medical Records
• A medical record, health record, or medical chart is a systematic documentation of a
patient's medical history and care. The term 'Medical record' is used both for the physical
folder for each individual patient and for the body of information which comprises the total
of each patient's health history.
• Medical records are intensely personal documents and there are many ethical and legal
issues surrounding them such as the degree of third-party access and appropriate storage
and disposal.
• Although medical records are traditionally compiled and stored by health care providers,
personal health records maintained by individual patients have become more popular in
recent years.

4. Clinical Competence
Students know the meaning of informed consent , medical record, and the importance of them
in medical aids and treatments

5. Lecture Description

This module is a part of Module on Bioethics and Medical Ethics, which integratedly designed
for medical students of 1st semester through Teaching-Learning Process in the 1st Block, both
in Lecture and PBL. This part of Module will facilitate the students a basic understanding on
the Informed Consent of medical aids and Medical Record.

6. Overview
At the end of the medical course, students in Faculty of Medicine Brawijaya University should
know the implementation of informed consent in medical aids and medical record, how to
make it in the right manner. Basicly, every medical aids and treatment, especially surgical
treatment, must be completed with patient’s consent. Furthermore, diagnostic and treatment
plannings and another findings on observation including laboratory and radiologic results
should be documented on the medical records.

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7. Task
Define and explain briefly:
• What is informed consent in the medical aids.
o Define the right procedures to take this consent from patients
o what are the aims and objectives of this procedure.

• What is the meaning of medical record?,


• when and how is this record made,
• What are the use and advantage of this procedure for the patient, doctor and hospital?

References
- Chrisdiono M. Achadiat. Dinamika Etika & Hukum Kedokteran, dalam Tantangan
Zaman. 2004. Penerbit Buku Kedokteran, Jakarta, pp. 93-100.
- Downie, RS and Macnaughton,J. Bioethics and Humanities: Attitudes and
Perceptions. 2007. Routledge, Cavendish New York, pp.7-28.
- Guwandi,J. Rahasia Medis. 2005. FKUI, Jakarta, pp. 25-63.
- Jusuf Hanafiah,M & Amri Amir. Etika Kedokteran & Hukum Kesehatan. 1999.
Penerbit Buku Kedokeran EGC, Jakarta, pp. 55-72.
- Restak,R. The Naked Brain. 2006. Three Rivers Press, New York, pp.102-109.
- Williams, J.R. WMA Medical Ethics Manual, alih bahasa Sagiran: Panduan Etika
Medis. 2006. PSKI FK UMY, Yogyakarta, pp. 35-55.
- Pitono Suparto, et al. Etik dan Hukum di Bidang Kesehatan. 2006. Airlsangga Univ.
Press, Surabaya, pp. 162-176.
- Sajid Darmadipura, M. Kajian Bioetik. 2005. FK Unair, Surabaya, pp. 94-114.
- Samsi Jacobalis. Perkembangan Ilmu Kedokteran, Etika Medis, dan Bioetika.
2005, CV Sagung Seto, Jakarta, pp. 77-85.

9. Teaching Learning Process


This module should be used as Teaching-Learning Process Media prior to Lecture and or
Small Group Discussion.
Interactive workshop, including role play and problem solving through case study
Interactive session with physician, patient and health care officer

module/bioethics_PD_fkub/’10 22
Course topic 5 : Law Responsibility and Malpractice

1. Contributor:
Dr. Ngesti Lestari, Sp.F(K), SH
Dr. Wening Prastowo, Sp.F
Dr. Eriko prawestiningtyas, Sp.F

2. Competency Area
This module is a part of the elaboration of the area competence (3?) of the Indonesian
Doctor Competence, especially in Law responsibility and how to avoid and solve the
malpractices cases.

3. Competency Components
• Law responsibilities of doctors, nurses and hospital
• The meaning of malpractice and misconduct
• How to solve malpractice cases

4. Clinical Competence
• Student knows the meaning of law responsibilities of doctors, nurses and
hospital
• Student knows the meaning of malpractice and misconduct
• Student know and understand the way to avoid and solve the malpractice
cases

5. Lecture Description
This module is a part of module on Bioethics and Medical ethics, which intregatedly
designed for medical students of 1st semester through Teaching-Learning Process in
the 1st block, both in lecture and PBL.
This part of module will facilitate the students a basic understanding especially about
Law responsibility during doctors, nurses and hospital and how to avoid and solve the
malpractices cases.

module/bioethics_PD_fkub/’10 23
6. Overview
At the end of the medical course, students in Faculty of Medicine, Brawijaya University
should know about what is the law responsibility during doctors, nurses and hospital,
the devided sanction of malpractice cases and how to avoid and solve the
malpractices cases.

7. Module Task
Define and explain briefly:
• What is law responsibility during doctors, nurses and hospital
• What kinds of malpractice and the sanctions
• How to avoid and solve the malpractices cases if that’s already happen

8. References
• Hanafiah,J,dkk. Etika Kedokteran dan Hukum Kesehatan
• Pitono, dkk, Etik dan Hukum di Bidang Kesehatan, FK Unair Surabaya, 2005
• Sofwan Dahlan, 2000, Hukum Kesehatan, Rambu-rambu Bagi Profesi Dokter,
Undip, 2000
• Anny Isfandyarie, 2005, Malpraktek dan Resiko Medik
• Anny Isfandyarie, 2006, Tanggung Jawab Hukum dan Sanksi Bagi Dokter,
buku I dan buku II
• Susilo, KUHP dan penjelasannya
• UU No.29 tahun 2004 tentang Praktek Kedokterann
• UU No. 23 tahun 1992 tentang Kesehatan

9. Teaching Learning Process


This module should be used as Teaching Learning Process Media prior to lecture and
or Small Group Discussion

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List of Lecturers and coordinator

No NAME Department JOB


1 Dr.dr.Teguh Wahju Sardjono, DTM & H, Parasitology Course Coordinator,
MSc, SpParK Lecturer
2 Dr. Ngesti Lestari, Sp.F(K), SH Forensic Coordinator MKK,
Medicine Lecturer
3 Prof.dr. Djoko Wahono Soeatmadji, SpPD, Internal Coordinator MKK,
KEMD Medicine Lecturer
4 Prof Dr dr M Istiadjid ES, SpS, SpBS Neuro- Lecturer
Surgery
5 Dr. Wening Prastowo, Sp.F Forensic Lecturer
Medicine
6 Dr. Eriko prawestiningtyas, Sp.F Forensic Lecturer
Medicine
7 Indra Dillianingsih Ethics Secretary
Committee

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