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,
The investment cost for medical school is
responsibility of the Minister.
The investment cost for the Hospital Education
is the responsibility of the Minister in charge of and responsible for
health.
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
Departemen
Kesehatan RI. 2007. Buku Saku Rumah
Tangga Sehat denganPHBS, Jakarta. Pusat Promosi Kesehatan.
Kiyosaki,
Robert T et al. 2000. CASHFLOW Quadrant:
Rich Dad’s Guide To Financial Freedom. Warner Business Books.
