Family Medicine Residency Programs

A Stage I (Enrichment/Foundation), Level 1, Semester 1 course of 2 credits that lays the foundation for Sp.KKLP residents to deliver family medicine and primary health care that is comprehensive, continuous, integrated, coordinated, safe, and of high quality; person-centred, family-focused, and community-oriented; through the biopsychosocial and life-cycle approaches, integrating Patient-Centered Care (PCC), Family-Oriented Medical Care (FOMC), Community-Oriented Primary Care (COPC), and Primary Care Practice and Management (PCPM). Learning is workplace-based at RSU Royal Prima, Klinik Royal Cemara, and partner Puskesmas (community health centres), delivered in hybrid mode through SPADA UNPRI, in the following sequence: pretest; OSLER; Mini-CEX; DOPS; Exceptional Consultation (Stott-Davis Method); Counselling (CEA, Motivational Interviewing, 5A-5R, and substance-use counselling following BNN guidelines); Palliative Care; Transitional Care; Family Conference; Balint Group; Evidence Based Case Report; Project Based Assessment (Community Diagnosis and Community Empowerment Report); 360 Degree Feedback; and posttest. The course covers the seven Sp.KKLP competency areas (Patient Safety and Care, Medical Skills, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, Systems-Based Practice, and Cost Awareness in Medical Care), is assessed through Level 1 assessment formats (Case-based analysis, OSCE, 360 Degree, Portfolio, and Progress Test), supports the attainment of PLO 3, PLO 4, and PLO 5, and forms the foundation for Stage II (Supervised Experience) and Stage III (Consolidation) courses.

• CPMK1 — Able to examine and relate individual health problems within the family context through the biopsychosocial and life-cycle approaches and the principles of Patient-Centered Care (PCC) and Family-Oriented Medical Care (FOMC), formulate patient-centred consultations, family assessments, and safe basic procedural skills with real patients at the teaching sites through OSLER, Mini-CEX, DOPS, and the Exceptional Consultation (Stott-Davis Method), and habitually adopt a holistic attitude and partnership with patients and families as the foundation of family medicine care.
• CPMK2 — Able to differentiate ethical, medicolegal, and cultural dilemmas in behaviour-change counselling, palliative care, transitional care, and family conferences, overcome communication and interprofessional collaboration barriers with patients, families, and health care teams effectively and empathically, and demonstrate noble character while habitually practising professionalism, medical ethics and law, patient safety, and respect for patients' dignity and culture through Balint Group reflection.
• CPMK3 — Able to break down and examine patient and community health problems and primary health care systems using evidence-based medicine, epidemiology, and the principles of Community-Oriented Primary Care (COPC) and Primary Care Practice and Management (PCPM), formulate an Evidence Based Case Report, a community diagnosis report, and a community empowerment report (Project Based Assessment) that include population health data and cost analyses, and habitually practise leadership, quality orientation, cost awareness, and self-reflection through 360 Degree Feedback and the portfolio.

A Stage I (Enrichment/Foundation), Level 1, Semester 1 course of 1 credit that equips Sp.KKLP residents with the foundations of clinical communication, professionalism, medical ethics and law, and interprofessional collaboration to deliver family medicine and primary health care that is comprehensive, continuous, integrated, coordinated, safe, and of high quality; person-centred, family-focused, and community-oriented; through the biopsychosocial and life-cycle approaches, integrating Patient-Centered Care (PCC), Family-Oriented Medical Care (FOMC), Community-Oriented Primary Care (COPC), and Primary Care Practice and Management (PCPM). Learning is workplace-based at RSU Royal Prima, Klinik Royal Cemara, and partner Puskesmas, delivered in hybrid mode through SPADA UNPRI, in the following sequence: pretest; OSLER; Mini-CEX; DOPS; Exceptional Consultation (Stott-Davis Method); Counselling (CEA, Motivational Interviewing, 5A-5R, and substance-use counselling following BNN guidelines); Palliative Care; Transitional Care; Family Conference; Balint Group; Evidence Based Case Report; Project Based Assessment (Community Diagnosis and Community Empowerment Report); 360 Degree Feedback; and posttest. The course covers the seven Sp.KKLP competency areas (Patient Safety and Care, Medical Skills, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, Systems-Based Practice, and Cost Awareness in Medical Care), is assessed through Level 1 formats (Case-based analysis, OSCE, 360 Degree, Portfolio, and Progress Test), supports PLO 3 and PLO 5, and lays the foundation for the clinical leader and care coordinator roles in Stage II (Supervised Experience) and Stage III (Consolidation).

• CPMK1 — Able to examine and relate patient-centred and family-oriented clinical communication through the biopsychosocial and life-cycle approaches and the principles of Patient-Centered Care (PCC) and Family-Oriented Medical Care (FOMC), formulate consultations, shared decision making, and patient safety communication with real patients at the teaching sites through OSLER, Mini-CEX, DOPS, and the Exceptional Consultation (Stott-Davis Method), and habitually adopt an empathic, holistic attitude and partnership with patients and families.
• CPMK2 — Able to differentiate ethical, medicolegal, and cultural dilemmas in behaviour-change counselling, palliative care, transitional care, and family conferences, overcome communication and interprofessional collaboration barriers with patients, families, and health care teams effectively and empathically, and demonstrate noble character while habitually practising professionalism, medical ethics and law, patient safety, and respect for patients' dignity and culture through Balint Group reflection.
• CPMK3 — Able to break down and examine scientific evidence on communication, professionalism, and interprofessional collaboration and the dynamics of health teams and intersectoral work in Community-Oriented Primary Care (COPC) and Primary Care Practice and Management (PCPM), formulate an Evidence Based Case Report, a community diagnosis report, and a community empowerment report collaboratively with the interprofessional team, health cadres, and other sectors, and habitually practise professionalism, collaborative leadership, cost awareness, and self-reflection through 360 Degree Feedback and the portfolio.

A Stage I (Enrichment/Foundation), Level 1, Semester 1 course of 2 credits that lays the leadership and management foundation for Sp.KKLP residents to deliver family medicine and primary health care that is comprehensive, continuous, integrated, coordinated, safe, and of high quality; person-centred, family-focused, and community-oriented; through the biopsychosocial and life-cycle approaches, integrating Patient-Centered Care (PCC), Family-Oriented Medical Care (FOMC), Community-Oriented Primary Care (COPC), and Primary Care Practice and Management (PCPM). The course prepares residents for their foundational roles as clinical leader, care coordinator, and developer of primary care quality and systems: clinical leadership and case management, rational and cost-conscious clinical decision making within the National Health Insurance (JKN) system, chronic disease management, quality and patient safety management, continuity and coordination of care across professions and levels of health facilities, team leadership and conflict management, evidence-based management, and management functions (POAC) in community programmes. Learning is workplace-based at RSU Royal Prima, Klinik Royal Cemara, and partner Puskesmas, delivered in hybrid mode through SPADA UNPRI, in the following sequence: pretest; OSLER; Mini-CEX; DOPS; Exceptional Consultation (Stott-Davis Method); Counselling (CEA, Motivational Interviewing, 5A-5R, and substance-use counselling following BNN guidelines); Palliative Care; Transitional Care; Family Conference; Balint Group; Evidence Based Case Report; Project Based Assessment (Community Diagnosis and Community Empowerment Report); 360 Degree Feedback; and posttest. The course covers the seven Sp.KKLP competency areas (Patient Safety and Care, Medical Skills, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, Systems-Based Practice, and Cost Awareness in Medical Care), is assessed using the Level 1 assessment formats (Case-based analysis, OSCE, 360 Degree, Portfolio, and Progress Test), supports the attainment of PLO 4 and PLO 5, and forms the basis for PLO 9 (Stage II), PLO 11 (Stage III), and the Primary Care Facility Management course (KLP8229).

• CPMK1 — Able to break down and examine the role of the family physician as clinical leader and care coordinator in managing care for patients and families in primary health care facilities based on the principles of Patient-Centered Care (PCC), Family-Oriented Medical Care (FOMC), and Primary Care Practice and Management (PCPM), formulate case management plans, rational and cost-conscious clinical decisions, and high-quality and safe clinical procedures with real patients at the teaching sites through OSLER, Mini-CEX, DOPS, and the Stott-Davis Exceptional Consultation, and habitually practise clinical leadership, quality orientation, and cost awareness in family medicine care.
• CPMK2 — Able to differentiate ethical, medicolegal, and cultural dilemmas in leading and coordinating care in behaviour-change counselling, risk-factor intervention services, palliative care, transitional care, and family conferences, overcome communication, conflict, and interprofessional collaboration barriers as a team leader with patients, families, and health professionals effectively and empathically, and demonstrate noble character while habitually practising professionalism, ethical leadership, patient safety, and self-care through Balint Group reflection.
• CPMK3 — Able to break down and examine primary health care systems and community health problems using evidence-based medicine, epidemiology, and management functions (POAC) based on the principles of Community-Oriented Primary Care (COPC) and Primary Care Practice and Management (PCPM), formulate a management-oriented Evidence Based Case Report, a community diagnosis report, and a community empowerment report (Project Based Assessment) that include a Plan of Action and cost analysis, and habitually practise leadership, quality orientation, cost awareness, and self-reflection through 360 Degree Feedback and the portfolio.

A Stage I (Enrichment/Foundation), Level 1, Semester 1 course of 1 credit that equips Sp.KKLP residents with the foundations of evidence-based medicine (EBM) to deliver family medicine and primary health care that is comprehensive, continuous, integrated, coordinated, safe, and of high quality; person-centred, family-focused, and community-oriented; through the biopsychosocial and life-cycle approaches, integrating Patient-Centered Care (PCC), Family-Oriented Medical Care (FOMC), Community-Oriented Primary Care (COPC), and Primary Care Practice and Management (PCPM). Residents practise the five steps of EBM (Ask, Acquire, Appraise, Apply, Assess): formulating PICO clinical questions, searching for and critically appraising evidence on therapy, diagnosis, prognosis, and prevention, understanding clinical epidemiology and basic biostatistics measures (absolute risk, NNT, sensitivity, specificity, likelihood ratio), and integrating the best evidence with clinical expertise and the values of patients, families, and communities, with a focus on the prevention and management of degenerative diseases. Learning is workplace-based at RSU Royal Prima, Klinik Royal Cemara, and partner Puskesmas, delivered in hybrid mode through SPADA UNPRI, in the following sequence: pretest; OSLER; Mini-CEX; DOPS; Exceptional Consultation (Stott-Davis Method); Counselling (CEA, Motivational Interviewing, 5A-5R, and substance-use counselling following BNN guidelines); Palliative Care; Transitional Care; Family Conference; Balint Group; Evidence Based Case Report; Project Based Assessment (Community Diagnosis and Community Empowerment Report); 360 Degree Feedback; and posttest. The course covers the seven Sp.KKLP competency areas (Patient Safety and Care, Medical Skills, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, Systems-Based Practice, and Cost Awareness in Medical Care), is assessed through Level 1 formats (Case-based analysis, OSCE, 360 Degree, Portfolio, and Progress Test), supports PLO 2, PLO 3, and PLO 4, and lays the foundation for the educator and researcher roles in Stage II (Supervised Experience) and Stage III (Consolidation).

• CPMK1 — Able to examine the best scientific evidence for the screening, diagnosis, and management of degenerative diseases in individual patients through the five steps of evidence-based medicine (Ask, Acquire, Appraise, Apply, Assess) based on the principles of Patient-Centered Care (PCC) and Primary Care Practice and Management (PCPM), integrate evidence, clinical expertise, and patient values and preferences into interdisciplinary clinical decisions with real patients at the teaching sites through OSLER, Mini-CEX, DOPS, and the Exceptional Consultation (Stott-Davis Method), and habitually practise safe, rational, and cost-conscious evidence-based clinical care.
• CPMK2 — Able to relate scientific evidence on behaviour-change interventions, palliative care, transitional care, and family function to individual health problems within the family context through the biopsychosocial and life-cycle approaches and the principles of Patient-Centered Care (PCC) and Family-Oriented Medical Care (FOMC), formulate evidence-based counselling, care plans, and family conferences that incorporate patient and family values and preferences, and habitually adopt a holistic attitude, partnership with patients and families, and reflection on clinical uncertainty.
• CPMK3 — Able to break down and critically examine the scientific literature and population health data using clinical epidemiology, basic biostatistics, and evidence-based medicine based on the principles of Community-Oriented Primary Care (COPC) and Primary Care Practice and Management (PCPM), formulate an Evidence Based Case Report, a community diagnosis, and cost-conscious evidence-based community empowerment interventions, and habitually practise lifelong learning, scientific integrity, and evidence-based leadership through 360 Degree Feedback and the portfolio.

A Stage I (Enrichment/Foundation), Level 1, Semester 1 course of 2 credits that lays the foundation in research methodology, epidemiology, and biostatistics for Sp.KKLP residents as educators and researchers in delivering family medicine and primary health care that is comprehensive, continuous, integrated, coordinated, safe, and of high quality; person-centred, family-focused, and community-oriented; through the biopsychosocial and life-cycle approaches, integrating Patient-Centered Care (PCC), Family-Oriented Medical Care (FOMC), Community-Oriented Primary Care (COPC), and Primary Care Practice and Management (PCPM). Residents learn to formulate research problems and questions, variables, designs, sampling and sample size, instruments and measurement, data management, descriptive and inferential statistical analysis (numerical, categorical, non-parametric, and survival), qualitative research, research ethics and integrity, critical appraisal, and programme evaluation and cost analysis, with a focus on degenerative diseases. Learning is workplace-based at RSU Royal Prima, Klinik Royal Cemara, and partner Puskesmas (community health centres), delivered in hybrid mode through SPADA UNPRI, in the following sequence: pretest; OSLER; Mini-CEX; DOPS; Exceptional Consultation (Stott-Davis Method); Counselling (CEA, Motivational Interviewing, 5A-5R, and substance-use counselling following BNN guidelines); Palliative Care; Transitional Care; Family Conference; Balint Group; Evidence Based Case Report; Project Based Assessment (Community Diagnosis and Community Empowerment Report); 360 Degree Feedback; and posttest. The course covers the seven Sp.KKLP competency areas (Patient Safety and Care, Medical Skills, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, Systems-Based Practice, and Cost Awareness in Medical Care), is assessed through Level 1 assessment formats (Case-based analysis, OSCE, 360 Degree, Portfolio, and Progress Test), supports the attainment of PLO 4 and PLO 5, and forms the foundation for the Proposal Seminar, Research Publication, and Thesis in Stage II (Supervised Experience) and Stage III (Consolidation).

• CPMK1 — Able to break down and examine the health problems of patients and families into research problems and questions, variables, designs, and sampling plans based on the principles of Patient-Centered Care (PCC) and Family-Oriented Medical Care (FOMC), formulate instruments, standardised data collection procedures, and data management with real patients at the teaching sites through OSLER, Mini-CEX, DOPS, and the Stott-Davis Exceptional Consultation, and habitually adopt scientific thinking and partnership with patients and families as research participants.
• CPMK2 — Able to differentiate the appropriate statistical tests for numerical, categorical, and time-to-event data, qualitative research approaches, and ethical and medicolegal research dilemmas involving patients, families, and vulnerable groups in behaviour-change counselling, palliative care, transitional care, and family conferences, overcome communication, data confidentiality, and interprofessional collaboration barriers in data collection effectively and empathically, and demonstrate noble character while habitually practising research integrity and researcher reflexivity through the Balint Group.
• CPMK3 — Able to break down and examine scientific evidence, population health data, and primary health care programmes and systems using evidence-based medicine, epidemiology, and biostatistics based on the principles of Community-Oriented Primary Care (COPC) and Primary Care Practice and Management (PCPM), formulate an Evidence Based Case Report, a community diagnosis report, a community empowerment report including evaluation and cost analysis (Project Based Assessment), and a draft research proposal, and habitually practise leadership, quality orientation, cost awareness, and lifelong learning through 360 Degree Feedback and the portfolio.

A Stage I (Enrichment/Foundation), Level 1, Semester 1 course of 2 credits that lays the sociotechnopreneurship foundation for Sp.KKLP residents: the ability to examine the unmet needs of patients, families, and communities as opportunities for innovation, to use appropriate and digital health technologies ethically, and to formulate social entrepreneurship solutions that create social value, sustainable impact, and cost awareness. On this foundation, residents deliver family medicine and primary health care that is comprehensive, continuous, integrated, coordinated, safe, and of high quality; person-centred, family-focused, and community-oriented; through the biopsychosocial and life-cycle approaches, integrating Patient-Centered Care (PCC), Family-Oriented Medical Care (FOMC), Community-Oriented Primary Care (COPC), and Primary Care Practice and Management (PCPM), with excellence in degenerative diseases. Learning is workplace-based at RSU Royal Prima, Klinik Royal Cemara, and partner Puskesmas (community health centres), delivered in hybrid mode through SPADA UNPRI, in the following sequence: pretest; OSLER; Mini-CEX; DOPS; Exceptional Consultation (Stott-Davis Method); Counselling (CEA, Motivational Interviewing, 5A-5R, and substance-use counselling following BNN guidelines); Palliative Care; Transitional Care; Family Conference; Balint Group; Evidence Based Case Report; Project Based Assessment (Community Diagnosis and Community Empowerment Report); 360 Degree Feedback; and posttest, each framed through a social and technological innovation lens. The course covers the seven Sp.KKLP competency areas (Patient Safety and Care, Medical Skills, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, Systems-Based Practice, and Cost Awareness in Medical Care), is assessed through Level 1 assessment formats (Case-based analysis, OSCE, 360 Degree, Portfolio, and Progress Test), supports the attainment of PLO 1 (primary), PLO 5, and PLO 4, and forms the foundation for Primary Care Health Information Technology (KLP8216) and Telemedicine in Family Medicine (KLP8217) in Stage II, and Primary Care Facility Management (KLP8229), Urban Primary Care Practice (KLP8431), and Thesis (KLP8633) in Stage III.

• CPMK1 — Able to examine and relate the unmet needs of patients and families in family medicine care through the biopsychosocial and life-cycle approaches and the principles of Patient-Centered Care (PCC) and Family-Oriented Medical Care (FOMC) as sociotechnopreneurship innovation opportunities, formulate innovative solution ideas and the safe use of appropriate and digital health technologies with real patients through OSLER, Mini-CEX, DOPS, and the Exceptional Consultation (Stott-Davis Method), and habitually adopt an innovative and adaptive mindset oriented to social value for patients and families.
• CPMK2 — Able to differentiate ethical, medicolegal, personal data protection, and cultural dilemmas in the use of innovation and digital technology in behaviour-change counselling, palliative care, transitional care, and family conferences, overcome communication and interprofessional collaboration barriers with patients, families, and health care teams effectively and empathically both face-to-face and online, and demonstrate noble character while habitually practising professionalism, medical ethics and law, patient safety, and respect for patients' dignity and culture through Balint Group reflection.
• CPMK3 — Able to break down and examine patient and community health problems and primary health care systems using evidence-based medicine, epidemiology, and the principles of Community-Oriented Primary Care (COPC) and Primary Care Practice and Management (PCPM) as the basis for designing health social entrepreneurship, formulate an Evidence Based Case Report on a digital health intervention, a community diagnosis report, and a community empowerment report based on a social business model including cost and social value analysis (Social Return on Investment), and habitually practise innovative leadership, quality orientation, cost awareness, and self-reflection through 360 Degree Feedback and the portfolio.

A Stage I (Enrichment/Foundation), Level 1, Semester 1 course of 1 credit that lays the foundation in the molecular biology and genetics of degenerative diseases (DNA structure and gene expression, mutations and polymorphisms, monogenic and multifactorial inheritance, gene–environment interaction, epigenetics, oxidative stress, chronic inflammation, cellular ageing, pharmacogenomics, and public health genomics) for Sp.KKLP residents to deliver family medicine and primary health care that is comprehensive, continuous, integrated, coordinated, safe, and of high quality; person-centred, family-focused, and community-oriented; through the biopsychosocial and life-cycle approaches, integrating Patient-Centered Care (PCC), Family-Oriented Medical Care (FOMC), Community-Oriented Primary Care (COPC), and Primary Care Practice and Management (PCPM). Learning is workplace-based at RSU Royal Prima, Klinik Royal Cemara, and partner Puskesmas, delivered in hybrid mode through SPADA UNPRI, in the following sequence: pretest; OSLER; Mini-CEX; DOPS; Exceptional Consultation (Stott-Davis Method); Counselling (CEA, Motivational Interviewing, 5A-5R, and substance-use counselling following BNN guidelines); Palliative Care; Transitional Care; Family Conference; Balint Group; Evidence Based Case Report; Project Based Assessment (Community Diagnosis and Community Empowerment Report); 360 Degree Feedback; portfolio; and posttest. The course covers the seven Sp.KKLP competency areas (Patient Safety and Care, Medical Skills, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, Systems-Based Practice, and Cost Awareness in Medical Care), is assessed through Level 1 assessment formats (Case-based analysis, OSCE, 360 Degree, Portfolio, and Progress Test), supports the attainment of PLO 2, PLO 3, and PLO 5 (as well as PLO 4), and forms the foundation for degenerative disease courses in Stage II (Supervised Experience) and Stage III (Consolidation), particularly KLP8211, KLP8212, KLP8214, KLP8121, and KLP8427.

• CPMK1 — Able to examine and relate the fundamentals of the molecular biology and genetics of degenerative diseases (gene expression, mutations and polymorphisms, monogenic and multifactorial inheritance patterns, gene–environment interaction, and epigenetics) to individual health problems within the family context through the biopsychosocial and life-cycle approaches and the principles of Patient-Centered Care (PCC) and Family-Oriented Medical Care (FOMC), formulate holistic diagnoses based on family history and genetic pedigrees, patient-centred consultations, and safe molecular specimen collection procedures with real patients at the teaching sites through OSLER, Mini-CEX, DOPS, and the Stott-Davis Exceptional Consultation, and habitually adopt a holistic attitude and partnership with patients and families as the foundation of family medicine care.
• CPMK2 — Able to differentiate ethical, medicolegal, and cultural dilemmas related to genetic information and degenerative diseases (confidentiality, the right to know and the right not to know, the stigma of hereditary disease, and the duty to inform at-risk relatives) in behaviour-change counselling based on gene–environment interaction, palliative care, transitional care, and family conferences, overcome communication and interprofessional collaboration barriers with patients, families, and health care teams effectively and empathically, and demonstrate noble character while habitually practising professionalism, medical ethics and law, patient safety, and respect for patients' dignity and culture through Balint Group reflection.
• CPMK3 — Able to break down and examine scientific evidence on the molecular biology, genomics, pharmacogenomics, and public health genomics of degenerative diseases using evidence-based medicine and epidemiology based on the principles of Community-Oriented Primary Care (COPC) and Primary Care Practice and Management (PCPM), integrate this evidence into an Evidence Based Case Report, a community diagnosis report, and a community empowerment report (Project Based Assessment) that include family history screening, interdisciplinary prevention advocacy strategies, and cost analysis, and habitually practise leadership, quality orientation, cost awareness, and lifelong learning through 360 Degree Feedback and the portfolio.

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