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SOESELO, DANIEL, YOLANDA, RENNIE, WINONA, PATRICIA, ASTIARANI, YUNISA, LALISANG, TOAR, WERDHANI, RETNO, PURWADIANTO, AGUS, HARAHAP, WIRSMA, PRASETYONO, THEDDEUS, SOEMANTRI, DIANTHA, FINDYARTINI, ARDI. (1405). Surgical Professionalism: Development and Educational Suitability Assessment of a Combined Situational Judgment Test and Guided Reflection among General Surgery Residents in Indonesia. سامانه مدیریت نشریات علمی, 14(3), 263-271. doi: 10.30476/jamp.2026.109158.2298
DANIEL ARDIAN SOESELO; RENNIE YOLANDA; PATRICIA WINONA; YUNISA ASTIARANI; TOAR JEAN MAURICE LALISANG; RETNO ASTI WERDHANI; AGUS PURWADIANTO; WIRSMA ARIF HARAHAP; THEDDEUS OCTAVIANUS HARI PRASETYONO; DIANTHA SOEMANTRI; ARDI FINDYARTINI. "Surgical Professionalism: Development and Educational Suitability Assessment of a Combined Situational Judgment Test and Guided Reflection among General Surgery Residents in Indonesia". سامانه مدیریت نشریات علمی, 14, 3, 1405, 263-271. doi: 10.30476/jamp.2026.109158.2298
SOESELO, DANIEL, YOLANDA, RENNIE, WINONA, PATRICIA, ASTIARANI, YUNISA, LALISANG, TOAR, WERDHANI, RETNO, PURWADIANTO, AGUS, HARAHAP, WIRSMA, PRASETYONO, THEDDEUS, SOEMANTRI, DIANTHA, FINDYARTINI, ARDI. (1405). 'Surgical Professionalism: Development and Educational Suitability Assessment of a Combined Situational Judgment Test and Guided Reflection among General Surgery Residents in Indonesia', سامانه مدیریت نشریات علمی, 14(3), pp. 263-271. doi: 10.30476/jamp.2026.109158.2298
SOESELO, DANIEL, YOLANDA, RENNIE, WINONA, PATRICIA, ASTIARANI, YUNISA, LALISANG, TOAR, WERDHANI, RETNO, PURWADIANTO, AGUS, HARAHAP, WIRSMA, PRASETYONO, THEDDEUS, SOEMANTRI, DIANTHA, FINDYARTINI, ARDI. Surgical Professionalism: Development and Educational Suitability Assessment of a Combined Situational Judgment Test and Guided Reflection among General Surgery Residents in Indonesia. سامانه مدیریت نشریات علمی, 1405; 14(3): 263-271. doi: 10.30476/jamp.2026.109158.2298

Surgical Professionalism: Development and Educational Suitability Assessment of a Combined Situational Judgment Test and Guided Reflection among General Surgery Residents in Indonesia

Journal of Advances in Medical Education & Professionalism
دوره 14، شماره 3، مهر 2026، صفحه 263-271    اصل مقاله (661.19 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.30476/jamp.2026.109158.2298
نویسندگان
DANIEL ARDIAN SOESELO* 1، 2؛ RENNIE YOLANDA3؛ PATRICIA WINONA3؛ YUNISA ASTIARANI4؛ TOAR JEAN MAURICE LALISANG5؛ RETNO ASTI WERDHANI6؛ AGUS PURWADIANTO7؛ WIRSMA ARIF HARAHAP8؛ THEDDEUS OCTAVIANUS HARI PRASETYONO9، 10؛ DIANTHA SOEMANTRI11؛ ARDI FINDYARTINI11
1Department of Surgery and Medical Education Unit, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
2Doctoral Programme in Medical Sciences, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
3Department of Surgery, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
4Department of Public Health and Nutrition, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
5Department of Surgery, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
6Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
7Department of Forensic Medicine and Medicolegal Studies, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
8Department of Surgery, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
9Division of Plastic Surgery, Department of Surgery, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
10Indonesian Clinical Training and Education Center (ICTEC), Cipto Mangunkusumo Hospital, Jakarta, Indonesia
11Department of Medical Education and Medical Education Center, Indonesian Medical Education and Research Institute (IMERI), Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
چکیده
Introduction: Assessing professionalism in a valid, objective, and costeffective manner remains a persistent challenge in clinical education. In Indonesia, this issue is particularly relevant in surgical training, where residents must integrate technical competence with professional behaviour in high-stakes, resource-limited settings. This study aimed to develop and evaluate the educational suitability of a Situational Judgement Test (SJT) combined with guided written reflection to assess
and promote professionalism among general surgery residents.
Methods: A mixed-methods sequential design was used. An SJT was developed through blueprinting, item writing, and expert validation, resulting in 26 scenarios across six professionalism domains. Residents (n=64 at baseline; n=44 completers) completed a proctored pre-test SJT, participated in an 8-week guided reflection program (four submissions), and completed an asynchronous post-test SJT. Educational suitability evidence was examined through content validity (CVI) and internal consistency (Kendall’s W). No construct or criterion validity testing was performed. Reflections were scored using Kember’s four-level reflective framework by three independent assessors with Fleiss’ Kappa for inter-rater agreement. Changes in SJT and reflection depth were analysed using paired tests and correlation analysis. Data were analysed
using SPSS version 23.
Results: The mean CVI across items was 0.97 (range 0.90–1.00). The mean SJT score increased significantly from 386.59±19.31 to 420.45±12.56 among completers, with a mean difference of 33.86±16.03 (p<0.001). Reliability improved from Kendall’s W=0.38 to 0.52. Sensitivity analysis comparing baseline pre-test scores between completers (386.6±19.3) and dropouts (391.0±15.5) showed no significant difference (Mann–Whitney U, p=0.258), indicating limited attrition bias. Reflective depth progressed from median level 1 to 4 across four submissions (median Δ=+3, p<0.001), with substantial inter-rater agreement (κ=0.68). There was no significant correlation between Δ reflection and Δ SJT (r=0.059, p=0.703).
Conclusions: Integrating SJT with guided reflection demonstrated strong content validity, internal consistency, and educational benefit, supporting its suitability for formative educational use in surgical professionalism training.

تازه های تحقیق
کلیدواژه‌ها
Professionalism؛ Reflection؛ Medical professionalism؛ Surgeon
مراجع
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