Graduates Profile

Graduate Competency Standards – Specialist Program in Internal Medicine, Faculty of Medicine, Udayana University / Prof. Dr. I.G.N.G Ngoerah General Hospital

The Coordinator of the Internal Medicine Specialist Program at the Faculty of Medicine, Udayana University (FK UNUD) has developed the graduate competency standards for Internal Medicine. These standards serve as the minimum criteria for graduate qualifications, encompassing attitudes, knowledge, and skills, as expressed in the formulation of graduate learning outcomes and ratified by the Dean of FK UNUD.

The graduate competency standards referred to in point (1) are used as the primary reference for developing the standards of learning content, learning process, learning assessment, academic and administrative staff, learning facilities and infrastructure, learning management, and learning financing.

The formulation of graduate learning outcomes referred to in point (1) is based on the learning outcome descriptions of the Indonesian Collegium of Internal Medicine (KIPD) and the Indonesian Medical Council (KKI) and is equivalent to the qualification level of the Indonesian National Qualifications Framework (KKNI) Level 8.

The Coordinator of the Internal Medicine Specialist Program at FK UNUD ensures that the attitudes, knowledge, and skills expressed in the graduate learning outcomes formulation as referred to in point (1) comply with the Ministry of Education and Culture’s regulation on the National Standards for Higher Education and the competency standards set by the Indonesian Collegium of Internal Medicine (KIPD), which have been ratified by the Ministry of Research, Technology, and Higher Education through the Indonesian Medical Council (KKI), under the following provisions:

a. Attitudes

Attitudes refer to correct and cultured behavior as the result of the internalization and actualization of values and norms reflected in spiritual and social life through learning, student work experience, research, and/or community service related to learning. As stipulated in the Ministry of Research, Technology, and Higher Education Regulation (Permenristekdikti) No. 44 of 2015, graduates are expected to:

    1. Be devoted to God Almighty and able to demonstrate religious attitudes.
    2. Uphold human values in carrying out duties based on religion, morals, and ethics.
    3. Contribute to improving the quality of life in society, the nation, and the state, and to advancing civilization based on Pancasila.
    4. Act as citizens who are proud of and love their homeland, possess nationalism, and have a sense of responsibility to the nation and state.
    5. Respect cultural diversity, perspectives, religions, and beliefs, as well as the opinions or original findings of others.
    6. Work collaboratively and demonstrate social sensitivity and concern for the community and the environment.
    7. Comply with laws and maintain discipline in social and national life.
    8. Internalize academic values, norms, and ethics.
    9. Demonstrate responsibility for work in their field of expertise independently.
    10. Internalize the spirit of independence, perseverance, and entrepreneurship.


b. General Skills

General skills refer to the ability to perform tasks using concepts, theories, methods, materials, and/or instruments acquired through learning, student work experience, research, and/or community service related to learning. This includes:
a) General skills as work abilities required of all graduates to ensure equal competency according to the program level and type of higher education; and
b) Specific skills as work abilities required of graduates in their specific field of study.

The general skill competencies of Internal Medicine Specialist Program graduates at FK UNUD, as stipulated in Permenristekdikti No. 44 of 2015, are as follows:

Able to work in the main professional field for specific and complex types of work, possessing at least equivalent competence to national/international professional competency standards.

    1. Able to make independent decisions in carrying out professional work based on logical, critical, systematic, creative, and comprehensive thinking.
    2. Able to communicate study results, critiques, appreciations, arguments, or innovative works beneficial to the development of the profession, entrepreneurship, and human welfare, which can be scientifically and ethically accounted for, to the public through various media.
    3. Able to critically evaluate work results and decisions made in performing professional work, either by themselves, peers, or their institutional system.
    4. Able to enhance their professional expertise in a specific field through training and work experience, considering the latest developments at national, regional, and international levels.
    5. Able to improve resource quality for strategic program development in organizations.
    6. Able to lead a work team to solve problems in their professional field or in broader areas beyond their profession.
    7. Able to collaborate with professionals both within and outside their field to solve complex work-related problems.
    8. Able to develop and maintain professional and client networks.
    9. Able to take responsibility for professional work in accordance with the professional code of ethics.
    10. Able to enhance learning capacity both independently and within teams under their responsibility.
    11. Able to contribute to the evaluation or development of national policy to improve professional education quality or develop national policy in their field of expertise.
    12. Able to document, store, audit, secure, and retrieve data and information for the purpose of developing professional work results.


c. Knowledge and Specific Skills

The expected outcomes or competencies in knowledge and specific skills for residents (PPDS) of the Internal Medicine Specialist Program at FK UNUD, upon completion of the educational program, are that the Specialist in Internal Medicine (SpPD) will have the capabilities as outlined in the competency standards of the Indonesian Collegium of Internal Medicine (KIPD), ratified by the Indonesian Medical Council (KKI), as follows:

  1. Fundamentals of Internal Medicine, consisting of:

                a. General Basic Materials

  • Scientific methods (research methodology and biostatistics, clinical process, problem-based learning)
  • Communication (interpersonal, publication)
  • Professionalism and medical ethics

                b. Special Basic Materials

  • Biochemistry and molecular biology (genomics and proteomics)
  • Clinical epidemiology
  • Clinical pharmacology
  • Evidence-based medicine

            c. Integrated Knowledge and Disciplines

  1. History taking and physical examination
  2. Clinical methods
  3. Continuity of healthcare/nursing care
  4. Continuous learning
  5. Medical information technology
  6. Nutrition
  7. Preventive medicine
  8. Nursing home care
  9. Palliative care

        d. Pathogenesis and Pathophysiology of medical problems in the field of Internal Medicine, including:

  1. Fever
  2. Diarrhea and vomiting
  3. Icterus
  4. Edema and ascites
  5. Shortness of breath
  6. Impaired consciousness
  7. Anaphylaxis
  8. Anemia
  9. Weight loss
  10. Cough
  11. Abnormal heart sounds
  12. Delirium syndrome
  13. Dysuria
  14. Liver failure
  15. Uremia
  16. Hyper- and hypoglycemia symptoms
  17. Hematemesis and melena
  18. Hematochezia
  19. Hematuria
  20. Urinary incontinence
  21. Renal colic
  22. Coma
  23. Malnutrition
  24. Acute abdominal pain
  25. Chest pain
  26. Low back pain
  27. Intestinal obstruction
  28. Palpitations
  29. Skin bleeding
  30. Polyuria and polydipsia
  31. Rash
  32. Non-toxic nodular goiter
  33. Diffuse toxic goiter

    2. Medical Emergencies (in the Emergency Unit/ER and High Care Unit/HCU)

  1. Hypoglycemia
  2. Diabetic ketoacidosis
  3. Non-ketotic hyperosmolar coma
  4. Thyroid crisis
  5. Adrenal insufficiency
  6. Lactic acidosis
  7. Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
  8. Acute systemic lupus erythematosus (SLE)
  9. Acute kidney failure
  10. Acute on chronic kidney disease (CKD)
  11. Uremic encephalopathy
  12. Hypertensive emergency and urgency
  13. Massive hematuria
  14. Acute transfusion reaction
  15. Bleeding due to thrombosis disorders
  16. Transfusion complications
  17. Severe anemia with cardiovascular disorders
  18. Oncological emergencies (tumor lysis syndrome, superior vena cava syndrome, malignant pleural effusion, malignant ascites, brain metastases, bone metastases, spinal cord compression)
  19. Acute liver failure
  20. Hepatic encephalopathy
  21. Acute abdomen
  22. Massive hematemesis and melena
  23. Massive hematochezia
  24. Paralytic ileus
  25. Gallstone colic
  26. Renal and ureteric colic
  27. Ingestion of corrosive substances
  28. Cardiogenic shock
  29. Pulmonary edema
  30. Cardiac arrest
  31. Acute coronary syndrome (ACS)
  32. Pulmonary embolism
  33. Deep vein thrombosis
  34. Severe arrhythmia
  35. Cardiac tamponade
  36. Respiratory failure
  37. Acute respiratory distress syndrome (ARDS)
  38. Hemoptysis
  39. Pneumothorax
  40. Severe and malignant pleural effusion
  41. Severe pneumonia
  42. Respiratory acidosis
  43. Respiratory alkalosis
  44. Lung injury due to temperature or acute smoke inhalation
  45. Severe acute asthma
  46. Anaphylactic shock
  47. Sepsis and septic shock
  48. Intoxication or poisoning in attempted suicide
  49. Opiate intoxication/overdose
  50. Hyperventilation and panic attacks in coronary heart disease
  51. Heatstroke
  52. Snakebite and other venomous animal bites
  53. Dengue shock syndrome
  54. Cerebral malaria
  55. Toxic typhoid
  56. Dehydration
  57. Syncope
  58. Delirium
  59. Acute confusional state (ACS)
  60. Acute headache (cephalgia)

    3. General Internal Medicine covering 10 divisions:

       a. Allergy–Immunology

        b. Rheumatology

        c. Pulmonology

        d. Nephrology and Hypertension

        e. Endocrinology and Metabolism

        f. Gastroenterohepatology

        g. Tropical and Infectious Diseases

        h. Hematology–Medical Oncology

        i. Geriatrics

        j. Cardiology

    4. Supportive and Palliative Therapy in Internal Medicine Cases:

  1. Blood and blood component transfusion
  2. Medical pain management
  3. Nutritional therapy (enteral, parenteral, including total parenteral nutrition)
  4. Therapy for anorexia and cachexia
  5. Prevention and treatment of drug side effects (including anticancer drugs and others)
  6. Palliative therapy, home care, and hospice care for cancer and other diseases
  7. Bedsore (decubitus) care and oral hygiene


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