Alhamdulillah, akhirnya punya kesempatan untuk ngepost lagi. Beberapa waktu yang lalu, saya mejalani seleksi pertukaran pelajar ke Jepang, yakni pertukaran pelajar antara Mahasiswa Kedokteran Universitas Padjadjaran dan Mahasiswa Kedokteran Universitas Gunma, Jepang. Dan Alhamdulillah, saya keterima sebagai 1 dari 4 delegasi FK Unpad. Nah, waktu itu saya mengangkat Tema Entrepreneurship dalam Paper saya. Namun tema yang ada itu tentang Sosial, Pendidikan Karakter, Riset, dan Organisasi dikaitkan dengan Mahasiswa Kedokteran. Nah, akhirnya saya nambah-nambahin tentang pengabdian biar masuk-masuk dikit. 

Ya udah, silahkan baca aja Paper saya. Pada akhirnya, semua tema ada dalam Paper saya. haha.


*****

Community Service and Enterpreneurship as First Step for Medical Student to be a Patient-Oriented Doctor

College students, or often called “mahasiswa” in bahasa,  in Peraturan Pemerintah No. 30 tahun 1990, define by students which is registered and study at certain college.

“Mahasiswa” or college students hold important role in social responsibility. College students are part of society. They are demanded to foresee, know, realise dan feel the real condition of their society which are nowadays facing multidimensional crisis.

College students, significantly have been proved that they are playing important role in the change of the nations even the world. “Sumpah Pemuda”, Indonesian Liberty Proclamation, Students Movement in 1965, and students movement in 1998. Every students movement that was told before have one similiarity. They are based on social responsibilty.

Medical college students and also other college students, believe it or not, are financed by society.
Article 49, Bill of Medical Education 2011 about the cost, said that,
  1. The investment cost for medical school is
    responsibility of the Minister.
  2. The investment cost for the Hospital Education
    is the responsibility of the Minister in charge of and responsible for
    health.
  3. The investment cost for the hospital specified
    as a teaching hospital is the responsibility of the Minister in charge and
    responsible for the health of the hospital.
As Padjadjaran Medical Faculty students, our unit cost each semester is 30 million rupiahs, but all of regular student only required to pay 2 million rupiahs each semester. Where does another 28 million rupiahs come from ? it come from society.

Medical college students are a future doctor. Doctor is a person who is qualified to treat people who are ill. Basically, doctor are helper. Doctor from the beginning suppose to help patient by treat them. The doctor is not treat the disease. Philosophically, doctor objective is patient health, so the good doctor is the doctor that put the health of patient in the first priority, the patient-oriented doctor. (Sumpah Dokter Indonesia, verse 4)
But, nowadays, College Students are less sensitive to the society problems. Students tend to be hedonic, apathy, and face character crisis. They are prefer to like entertainment, gossip, Rock concert, and the things that weaken their character. They’re lost the function of agent of change, agent of control, and even their social responsibility.

The hedonic lifestyle is dangerous. This lifestyle thought that pleasure and enjoyment of material as life goal. To the believer of this belief, having fun, party, and enjoyment is an absolute life goal, whether its please or disturb others never matter for them.

Recognize or not, Hedonism have been infiltrated to medical faculty. Just look at parking slots in the medical faculty, there are many kind of luxurious cars. Hedonism is also dangerous for doctor, because hedonism would make a money-oriented doctor, to fulfill their needs. Not the patient oriented-doctors.

Beside that, today, faculty of Medicine in Indonesia are the most demand choice in National Entrance Exam. The participants choose to be a doctor because doctor have a good prospect in financial. There is nothing wrong with that. But the wrong paradigm is that if we want to be rich, we should be a doctor.

There are plenty of career which have better financial prospect than doctor. According to Forbes, in the top 100 richest man in the world 2012 and many years backwards, there is no single name come from Medical Doctor Profession.

What happen right now is high school students want to be a doctor because of wrong reason. Their reason is material, that make them a money-oriented doctors.

After being a medical student, they realise that to be a doctor, the struggle is long, expensive and hard. Then, after being a doctor, they realise that reality failure to reach their expectation. General Physician welfare in Indonesia is still bad. Consequently, General Physician set a high price for their service. It makes Health only can be achieve by Moderate to higher Socio-Economy class. Inevitably, Majority of General Physician Nowadays becomes money-oriented doctor.

The orientation of doctors today have been deviated by reality todays. Some because of  their own personality and lifestyle, some because of wrong paradigm and some because of life demand.

To solve this problem, to straighten the orientation of future doctors, there are several way to acomplish for medical students.

     1.    Community Service
Students, including medical students, have been told above that have social responsibility to society. First, we have to make them realise that even their medical education fee is expensive, it’s not enough. There are more portion of fee that have been paid by society. This fact often been forgotten and even not a few that have no idea about it. We have to told medical students in the first place, that they’re owe the society. And when they’re becoming a doctor, they should paid it.

Second, after realise how much in debt that medical student to society, the good student should be more sensitive to society. While other students, should be awaken their humanity by knowing the fact directly. With make them feel how the society really are. How poor their life are. Hedonic lifestyle should be stop.
In the midst of this roar hedonistic culture, it is necessary to enforce the Education of Integrity and Character Buliding. In Big Indonesian Dictionary edition 1996,'''' integrity'' means the quality, character, or circumstances indicate that full unity has the potential and ability to exude authority''.

With the Education of Integrity and Character Building , hopefully, Hedonist Stuents will realise and grateful for their life and try to struggle for society. What thing they can do to society ?

Many thing.

a.      Study hard and don’t be lazy.
Because, they have been paid their rights, so they have do their main obligation. Study and be a great doctor. Being a smart doctor is one of social responsibility. If we are not great and smart, then we won’t be competence enaough to treat patient. Even we may hurt patient.

b.      Direct community service act
With the knowledge that have been aqcuired since first year medical school, a little by little we can help society. 

     With clinical competence, we can help them by :
-          Doing a free treatment in Social act
-          Doing a health counselling to society
-          Volunteer in disaster that happend in society

With Public health competence, we can help them by :                                  
-         
      Community Development act.

Curative Medical service that we give to society may develop a dependance personality in society. Eventough, curative medical service is not the best medical service to give to society.
When we do a social act to society such us free medical treatment, when we do it again next time, the same patients may come again, again, and again with the same complaint. They’re only come to get the drugs, because the previous drug have been running out.

We have to make them realise, that health is not only get by going to doctor. There are the preventive and promotive medicine. We have to develope them to be independent in health, by live healthty life and prevent disease. Preventive and Promotive medicine such as PHBS (perilaku hidup bersih dan sehat) will have many advantage to the family, village, and country.

In household or family, the benefit of PHBS are :
*      Promoting health and make family not easy to sick
*      Children will grow health and smart
*      Productivity of family will increase, and the fee that usually have to alocated to family health now can be alocated to investment and improvement of family welfare, such as education, better nutrition and family business

In society, the benefit of PHBS are :
*      Society afford to make healty environment
*      Society afford to prevent and overcome health problems
*      Society would utilize the health service eficiently
*      Society would able to develop “Upaya Kesehatan Bersumber Masyarakat” (UKBM) such as Posyandu, Jaminan Pemeliharaan Kesehatan, Tabungan Bersalin, Arisan Jamban, Kelompok Pemakai Air, ambulance and etc.

With community development, their act would be more massive and eficient. They may mantain more people health than when they use clinical or curative medicine. Imagine, if there is one pilot village that have been independent in health, then every village in Indonesia will try to do the same. Imagine how much that will improve Indonesia society Health.

c.       With Organization
When they’re organize in an organization, their act would be more massive and global. With organization, medical students would be able to do manything together.

They can advocate vertically about society problems to stakeholders, such us Goverment and Parliament. They may become “the conscience bridge” that represent society aspiration to goverment. They may become “agent of control” which supervise goverment and parliament, and act when goverment and parliament do something that can’t be accept by their hearts.

Before that, they also can advocate horizontally to society. They may educate society about their problem and how to overcome it. They may help goverment and parliament to socialize thing that can’t be done all by goverment and parliament.

After do manything to society, the experience will carved in their heart. Make a beautiful inscription that crystallize and be the character. Character will be the base of their Idealism, and then idealism will make them a good doctor. Who oriented to the patient, not material or money.


    2.    Enterpreneurship
It can’t be denied that everyone need money. But it’s different acording to their intention. Some making money for life, while some life for making money.

Good doctor, which oriented to patient, is’nt the second. But, while dedicated their life to the patient, they have theirselve and their family that have life needs. They need money to fulfill their family needs.

But, being a doctors sometimes can’t afford to much money. While we have patient to treat and the country doesn’t give a proper welfare to doctor. To prevent doctor become money-oriented and do the Health service Comercialisation, should be build and exemplified a paradigm, a way of life where doctors can do their good and humble job to the patient and keep sustain a welfare family without being money-oriented.

The answer is Entrepreneurship. Entrepreneurship is the process of discovering new ways of combining resources. When the market value generated by this new combination of resources is greater than the market value these resources can generate elsewhere individually or in some other combination, the entrepreneur makes a profit.

Entrepreneurship would become a new way to doctor to be welfare. Robert T Kiyosaki in his book, Cashflow Quadrant, Rich Dad’s Guide to Financial Freedom said, that there is 4 quadrants in finance.

And we can earn income in all four quadrants, regardless of what are our profession.

A doctor can be employed by a hospital (E), have his own private practice (S), own a laboratory or clinic (B), and invest in stock market, bond market, real estate and etc.

And the best from those four quadrants is “the investor”.
Because, they don’t have to work because their money is working for them. This is where great wealth is made.

The ideal doctor in my mind is a doctor that have passive income. With passive income, they can focus doing their job to treat patient well and fully oriented on the patient. While their welfare is maintain, and their familiy is well. With studying entrepreneurship since medical student, it will be one of the first step to be future patient-oriented doctor. 



Refferences 

Kusumah, Indra. 2007. Risalah Pergerakan Mahasiswa. Bandung: INDYDEC
Bill of medical education 2012
Idealnya, Biaya Pendidikan Kedokteran Rp 30 Juta per Semester. [Internet]. [cited 22th July 2012]; Available from:  http://www.unpad.ac.id/archives/38764
Definition of Doctor. [Internet]. [cited 22 th july 2012]; available from : http://oxforddictionaries.com/definition/english/doctor
Mahasiswa Sumut Harus Peka Rencana Kenaikan BBM & TDL. [Internet]. [cited 22th july 2012]; Available from: http://www.harianorbit.com/mahasiswa-sumut-harus-peka-rencana-kenaikan-bbm-tdl/
Hedonisme dan Kerapuhan Karakter Mahasiswa. [Internet]. [cited 22 july 2012]; Available from:  http://www.suaramerdeka.com/v1/index.php/read/cetak/2011/12/03/168538/Hedonisme-dan-Kerapuhan-Karakter-Mahasiswa-
Fakultas Kedokteran Unsri Masih Paling Diminati. [Intenet]. [cited 22th july 2012]; Available from:   http://edukasi.kompas.com/read/2012/06/10/2352196/Fakultas.Kedokteran.Unsri.Masih.Paling.Diminati
Kedokteran dan Keguruan jadi Incaran. [Internet]. [cited 22th july 2012]; Available from: http://kampus.okezone.com/read/2011/12/19/373/544150/kedokteran-dan-keguruan-jadi-incaran
The World Billionaires. [Internet]. [cited 22 th july 2012]; Available from: http://www.forbes.com/billionaires/list/
Departemen Kesehatan RI. 2007. Buku Saku Rumah Tangga Sehat denganPHBS, Jakarta. Pusat Promosi Kesehatan.
Entrepreneurship. [Internet]. [cited 22th july 2012]; Available from: http://www.econlib.org/library/Enc/Entrepreneurship.html
Kiyosaki, Robert T et al. 2000. CASHFLOW Quadrant: Rich Dad’s Guide To Financial Freedom. Warner Business Books.