BAG_I

DAFTAR KOMPETENSI KLINIS

DOKTER UMUM
KOMITE MEDIS RSUP PERSAHABATAN
Nama :
Penilaian Pribadi
No.

Daftar Penyakit

Tingkat Kompetensi
Kompeten

Cardiac disorders
Angina pectoris
Unstable angina
Myocardial Infarction
Imminent Myocardial Infarction
Cardiac aneurysm
Heart failure
Cardiorespiratory arrest
Mitral stenosis
Mitral regurgitation
Aortic stenosis
Aortic regurgitation
Other valvular heart diseases
VSD
ASD
Sinus tachycardia
Supraventricular tachycardia
Atrial fibrillation
Atrial flutter
Supraventricular extrasystole
Ventricular extrasystole
BBB
Other arrhythmias
Endocarditis
Pericarditis
Myocarditis
Cardiomyopathy
Aorta-arteries disorders
Essential hypertension
Secondary hypertension
Pulmonary hypertension
Raynaud's disease
Arterial thrombosis
Coarctation of the aorta
Burger's disease
Arterial embolism
Atherosclerosis
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BAG_I

Subclavian steal syndrome

Aortic aneurysm
Dissecting aneurysm
Claudicatio
Cardiogenic shock
Septic shock
Hypovolemic shock
Veins
Varices (primary, secondary)
Obstructed venous return
Deep vein thrombosis
Thrombophlebitis
Lymph vessels
Lymphangitis
Lymphadenitis
Lymphedema, primary and secondary
Respiratory
Uncomplicated Pulmonary Tuberculosis
TBC with HIV
TBC with pneumothorax
Acute Bronchitis
Bronchiolitis
Bronchial asthma
Status asmaticus
Lung emphysema
Atelectasis
Bronchiectasis
COPD
SARS
Pneumonia
Avian influenzae
Lung abscess
Pulmonary embolism
Lung infarction
Pleurisy TBC
Pleurisy Cancer
Pleurisy Lupus
Pneumothorax
Cystic fibrosis
Aspiration pneumonia
Gastrointestinal
Mouth
Cleft lip and palate
Micrognatia and macrognatia
Leukoplakia
Candidiasis
Mouth ulcers (aphthous, herpes)
Glossitis
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BAG_I

Esophagus
Esophageal atresia
Achalasia
Corrosive lesions of esophageus
Esophageal varices
Esophageal rupture
Reflux esophaghitis
Diaphragma
Diaphramatic hernia
Hiatus hernia
Abdominal wall and herniae
Inguinal hernia, direct and indirect
Femoral hernia Bedah
Epigastric hernia
Incisional hernia
Umbilical hernia
Acute abdomen
Peritonitis
Abscess in pouch of Douglas
Ileus
Perforation
Salphingitis
Acute appendicitis
Appendicular abscess
Mesenteric lymphadenitis
Stomach and duodenum
Gastritis
Gastric/duodenal ulcer
Gastrointestinal bleeding
Zollinger-ellison syndrome
Mallory-weiss syndrome
Gastroenteritis
Liver
Fatty liver
Hepatitis A
Uncomplicated Hepatitis B
Active Hepatitis C
Cirrhosis hepatis
Amoebic liver abscess
Liver failure
Gall bladder, bile duct and pancreas
Chole(docho)lithiasis
Acute cholecystitis
Hydrops of gall bladder
Empyema of gall bladder
Pancreatitis
Jejunum, ileum
Intestinal atresia
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BAG_I

Meckel's diverticulum
Umbilical fistula, omphalocoeleMalrotation
Enteritis
Colon
Irritable bowel syndrome
Necrotizing enterocolitis
Diverticulosis/diverticulitis
Colitis
Rectal, anal prolapse
Proctitis
Hemorrhoids
(peri)anal abscess
Fistula
Anal fissure
Pedriatrics
Esophageal atresia
Intestinal atresia
Anal atresia
Diapragmatic hernia (congenital
Pyloric stenosis
Gastro-esophageal reflux
Gastro-enteritis
Gastro-enteritis dengan dehidrasi
Worms
Dehydration
Malabsorbsion
Food intolerance
Acute abdomen
Ileus
Peritonitis tuberculosis
Peritonitis pancreatitis
Intussussception
Malrotation
Umbilical hernia
Meckell's diverticulum
Crohn's disease
Ulcerative colitis
Hirschsprung's disease
Biliary atresia
Hepatitis
Reye's syndrome
Cirrhosis of the liver
Food allergy
Nefrourologi
Acute renal failure
Chronic renal failure
Nephrotic syndrome
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BAG_I

Acute glomerulonephritis
Chronic glomerulonephritis
Interstitial nephritis
Renal colic
Urinary stone diseases or urinary calculi without
colic
Polycystic kidneys symptomatic
Urinary tract infection
Acute tubular necrosis
Horse shoe kidney
Uncomplicated Pyelonephritis
Urinary incontinence
Nocturnal and diurnal enuresis
Prostatitis
Male genitalia
Hypospadia
Epispadia
Undescended testes/cryptorchidism
Retractile testes
Torsion of testis
Epididymitis
Spermatocele
Varicocele
Hydrocele
Phimosis
Paraphimosis
Ruptur uretra
Ruptur kandung kencing
Ruptur ginjal
Striktura uretra
Priapismus
Penyakit peironi
Ekstrophia vesicae
Infertility
Erection disorders
Ejaculation disorders
Vulva
Vulvitis
Dystrophy of vulva

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Cyst of bartholin, abscess of bartholin's glan

3A

3B

Abscess of hair follicle or sebaceous gland

3A

3B

Condylomata acuminata
Vagina
Congenital malformations
Vaginitis
Bacterial vaginosis

3A

3B

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BAG_I

Cyst of gartner
Cystocoele
Rectocoele
Enterocoele
Fistula (vesico-vaginal, uretero-vaginal, rectovaginal fistula
Foreign body
Cervix
Cervicitis
Polyps
Nabothian cyst
Body of the uterus
Congenital malformations
Uterine prolaps
Hematocolpos
Endometriosis
Adnexae
Salpingitis
Adhesions
Ovarian cyst
Polycystic ovarian disease
Carcinoma of ovary
Ectopic pregnancy
Torsion tumour / ovarian cyst

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Rupture of ovarian cyst / tubo - ovarian abscess

3A

3B

Uterine bleeding at ovulation

Breasts
Inflammations
Mastopathy
Hematology
Aplastic/hypoplastic anemia
Iron deficiency anemia
Macrocytic anemia
Hemolytic anemia
Hemoglobinopathy
Anemia associated with chronic diseases
Polycytemia
Thrombocytopenia
Thrombocytosis
Hemophilia
Von willebrand's disease
DIC
Agranulocytosis
Haemorheologic disorders
Antiphospholipid syndrome
Immunology

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BAG_I

Autoimmune rheumatological and autoimmune

orthopedic disorders
Uncomplicated SLE
Complicated SLE
Scleroderma
Polyarteritis nodosa
Vasculitis Lupus
Polymyalgia rheumatica
Rheumatoid arthritis
Immunological/allergic reactions
Anaphylactic reaction
Rheumatic fever
Juvenile chronic arthritis
Henoch-schoenlein purpura
Erythema multiforme
Atopy
Steven johnson's syndrome
Transplantation immunology
Immunodeficiency -HIV

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Genetics/newborn/chromossal disorder)
Genetics/congenital disorders
Down's syndrome
Turner's syndrome
Klinefelter's syndrome
Gonadal xy-dysgenesis
Testicular feminization
Fragile x syndrome
PKU (Phenyl Ketonuria)
Galactosemia
Glycogen storage disease
Other storage diseases
Spina bifida
Anencephaly
Hydrocephalus
Cleft palate and/or lip
Marfan's syndrome
Disorders of newborns
Hypothermia
Bacteraemia and septicemia
Respiratory stress syndrome
Bronchopulmonary dysplasia
Aspiration pneumonia
Pneumo thorax
Apnea attacks
Jaundice of newborn
Severe neonatal jaundice (kern icterus)
Page 7

BAG_I

Hypoglycemia
Child of diabetic mother
Neonatal convulsion
Necrotizing enterocolitis
Retinopathy of prematurity
Anemia
Rhesus incompatibility
Blood group incompatibility
Vitamine k defficiency
Cerebral hemorrhage
Conjuctivitis
Infection of umbilicus
Sudden infant death syndrome (sids)

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Endocrine, metabolic disorder and nutrition

Endocrinological disorders
IDDM
NIDDM
Complication of DM (acute and chronic)
Hypoglycemia
Diabetes incipidus
Acromegaly, gigantism
Growth hormone deficiency
Hyperparathyroidism
Hypoparathyroidism
Hyperthyroidism
Hypothyroidism
Thyroiditis
Cushing's disease
Adrenal cortex failure
Primary hyperaldosteroidism
Phaeochromocytoma
Precocious puberty
Testicular feminization syndrome
Hypogonadism
Adrenogenital syndrome
Addison's disease
Multiple endocrinological neoplasia (men
syndrome)
Tumor with ectopic production of hormone
Nutritional deficiency
Marasmus
Kwashiorkor
Vitamin deficiencies
Error of metabolism
Hyperlipoproteinemia
Porphyria
Page 8

BAG_I

Gout
Obesity
Central and peripheral neural system
Loss of consciousness
Metabolic Encephalopathy
Comatous
Brain death
Headache
Tension headache
Migraine
Cranial arteritis
Trigeminal neuralgia
Cluster headache
Cardio Vascular Diseases
TIA
Cerebral infarction
Intracerebral hematoma
Subarachnoid hemmorhage
Hypertensive encephalopathy
Cranial nerve and brain stem lesions
Bels palsy
Brain stem lesions
Disorder of vestibular system
Menier's disease
Benign paroxysmal positional vertigo
Vertigo Central
Memory deficit
Vascular dementia
Alzheimer's disease
Pick's disease
Movement Disorders
Parkinson's disease
Tremor
Secondary parkinsonism
Huntington disease
Chorea sydenham
Dystonia
Hemifacial spasm
Epilepsy and other seizures
Focal epilepsy
Generalized epilepsy
Absence seizure
Status epilepticus
Narcolepsy
Sleep apnea syndrome
Demyelination diseases
Multiple sclerosis
Optic neuromyelitis (Devic's disease)
Page 9

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BAG_I

Diseases of spine and spinal cord

Amyotrphic lateral sclerosis (ALS)
Complete spinal transection
Brown sequard syndrome
Cauda equina syndrome
Neurogenic bladder
Syringomyelia
Myelopathy
Dorsal root syndrome
Medulla compression acute
Radicular syndrome/HNP
Spondilitis TB

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Horner syndrome
Carpal tunnel syndrome
Tarsal tunnel syndrome
Neuropathy
Peroneal palsy
Guillain Barre syndrome
Myasthenia gravis
Polymyositis
Duchenne muscular dystrophy

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Neurofibromatosis (von reckling hausen disease)

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Neuromuscular diseases and neuropathy

Infectious diseases
Meningitis
Encephalitis
Malaria cerebral
Tetanus
Cerebral Toxoplasmosis
Tuberculoma
Brain abscess
HIV AIDS
Congenital disorders
Hydrocephalus
Spina bifida
Phenyl ketonuria
Pediatrics neurologic disorders
Meningitis
Encephalitis
Cerebral abscess
Epilepsi
Infantile spasms
Petit mal epilepsy
Febrile convulsion
Duchene muscular dystrophy
Poliomyelitis
Page 10

BAG_I

Cerebral palsy
Kernicterus
Mental Retardation
Autism
ADHD
Neurobehaviour Disorders
Amnesia Pasca trauma
Afasia
MCI (Mild Cognitive Impairment)
VCI (Vascular Cognitive Impairment)
Trauma CNS
Epidural hematom
Subdural hematom
SAH (Sub Arachnoid Hemorrhage)
Trauma Medula Spinalis
Tumor CNS
Tumor primer
Tumor sekunder
Pain
Nyeri Nosiseptif
Nyeri neuropatik
Gangguan visual
Buta mendadak
Diplopia
Visual field disorders
Ear, nose and throat
Ears, hearing and equilibrium
Inflammation of auricle
Herpes zoster oticus
Pre-auricular fistula
Foreign body in ear
Wax (serumen)
Otitis externa
Acute otitis media
Otitis media serous (glue ear)
Chronic otitis media
Perforated tympanic membrane
Bullous myringitis
Otosclerosis
Tymphanosclerosis
Cholesteatoma
Presbyacusis
Mastoiditis
Labyrinthitis
Benign postural vertigo
Motion sickness
Meniere's diseases
Vestibular neuritis
Page 11

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BAG_I

Acoustic neuroma
Acute acoustic trauma
Ear, other trauma
Perceptive hearing loss
Conductive hearing loss
Congenital deafness
Facial palsy or paralysis
Noses and sinuses
Epistaxis
Furuncle of nose
Acute rhinitis (common cold)
Vasomotor rhinitis
Allergic rhinitis
Chronic rhinitis
Rhinitis medicamentosa
Acute frontal sinusitis
Acute maxillary sinusitis
Acute ethmoiditis
Chronic sinusitis
Deviation of nasal septum
Choanal atresia
Foreign body in nose
Larynx and pharynx
Pharyangitis
Tonsilitis
Hypertrophy of adenoids
Pseudo-croop acute epiglotitis
Neck
Medial and lateral branchial cyst and fis
Cystic hygroma
Torticollis
Thyroid gland and parathyroid glands
Cyst
Goitre
Hyperthyroidism
Hyperparathyroidism
Hypoparathyroidism
Trachea
Aspiration
Foreign bodies
Tracheitis
Eye
Conjunctiva
Conjunctiva, foreign body
Conjunctivitis, allergy
Conjunctivitis, viral
Conjunctivitis, bacterial
Pterygium
Page 12

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BAG_I

Subconjunctival haemorrhage
Eyelids
Blepharitis
Hordeolum
Chalazion
Eyelid laceration
Entropion
Trichiasis
Lagophtalmos
Epicanthus
Ptosis
Eyelid retraction
Xanthelasma
Lacrimal apparatus
Dacryoadenitis
Dacryocystitis
Dacryostenosis
Lacrimal duct, laceration
Sclera
Scleritis/episcleritis
Cornea
Erosion
Cornea, foreign body
Burn
Keratitis
Kerato-conjunctivitis sicca
Corneal oedema
Corneal dystrophy
Keratoconus
Eyeball
Endophtalmitis
Microphtalmos
Buphtalmos
Anterior chamber
Hyphaema
Hypopyon
Iris and ciliary body
Iridocyclitis, iritis
Tumour of iris
Glaucoma
Glaucoma, congenital
Simple glaucoma
Acute glaucoma
Secondary glaucoma
Lens
Cataract
Aphakia
Psudoaphakia (artificial lens)
Page 13

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BAG_I

Lens dislocation
Refraction and accommodation
Hypermetropia
Myopia
Astigmatism
Presbyopia
Anisometropia
Vision and visual fields
Amblyopia
Diplopia
Suppresion
Night-blindness
Scotoma
Hemianopia, bitemporal and homonymous
Loss of vision and blindness
Retina
Retinal detachment
Retina, vessel occlusion or bleeding
Degeneration of macula, age dependent
Retinopathy of prematurity (rop)
Diabetic retinopathy
Hypertensive retinopathy
Choroid
Chorioretinitis
Vitreous fluid
Vitreous haemmorrhage
Optic disc and optic nerve
Optic disc cupping
Papilloedema
Optic atrophy
Optic neuropathy
Optic neuritis
Skin
Eczematous dermatitis
Contact dermatitis irritant
Contact dermatitis allergica
Atopic dermatitis (kecuali recalcitrant)
Nummular dermatitis
Lichen simplex chronicus
Napkin eczema
Erythro-squamous lesions
Psoriasis vulgaris
Plamoplantar pustulosis
Seborrheic dermatitis
Pityriasis rosea

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Disorders of skin eccrine and sebaceous glands

Acne vulgaris
Page 14

BAG_I

Rosacea
Hidradenitis suppurativa
Perioral dermatitis
Miliaria
Viral skin infections
Verruca vulgaris
Condyloma accuminata
Molluscum contagiosum
Herpes zoster
Bacterial infections
Impetigo
Ulcerative impetigo (ecthyma)
Superficial folliculitis
Furuncle, carbuncle
Erythrasma
Erysipelas
Superficial fungal infections
Tinea capitis
Tinea barbae
Tinea faciale
Tinea corporis
Tinea manus
Tinea unguinum
Tinea cruris
Tinea pedis
Tinea versicolor
Mucocutaneous candidiasis
Insect bites and infestations
Pediculosis capitis
Pediculosis pubis
Scabies
Insect bites reactions
Vesicobullous diseases
Pemphigus vulgaris
Pemphigoid
Dermatitis herpetiformis
Toxic epidermal necrolysis
Stevens-johnson's disease
Allergic skin diseases
Urticaria
Angioedema
Allergic vasculitis
Autoimmune diseases
Dermatomyositis
Systemic sclerosis
Scleroderma/morphea
Lupus erythematosus
Disorders of hairs
Page 15

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4

BAG_I

Alopecia areata
Androgenic alopecia
Trichotillomania
Telogen eflluvium
Disorders of keratinizations
Ichthyosis vulgaris

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Other nonifectious inflammatory skin disorders

Lichen planus
Granuloma annulare
Morphea
Lichen sclerosus er atrphicus
Drug reactions
Exanthematous drug eruption
Fixed drug eruption
Pigmentary disorders
Vitiligo
Melasma
Albinism
Post-inflammatory hyperpigmentation
Post-inflammatory hypopigmentation
Infectious and tropical diseases
Localized infections and abscesses
Infections of the hand
Paronychia
Suppurative tenosynovitis
Human bite
Infections of the head and neck
Suppurative parotitis
Suppurative cervical adenitis
Peritonsilar abscess
Ludwig's angina
Bezold abscess
Gram-positive cocci
Staphylococcal and streptococcal infections
Superficial infections, including folliculitis,
hidradenitis suppurativa, carbuncle.
Osteomyelitis
Staphylococcal pneumonia
Staphylococcal bacteremia
Streptococcal infection
Rheumatic fever
Sinusitis, otitis media, mastoiditis, pertonsilar
abscess - THT
Rheumatic heart disease
Page 16

BAG_I

Gram-negative cocci
Meningococcal infection (neuro)
Meningitis (neuro)
Nasopharyngitis
Gonococcal infections
Gonorrhea
Gram-negative bacilli
Urinary tract infection (UTI)
Typhoid fever
Dysentry bacilli
Cholera
Pertussis
Plague (Pes)
Chancroid
Toxin producing bacteria
Diphteria (THT)
Tetanus (pediatri)
Mycobacterial diseases
Tuberculosis kutis
Leprosy
Lepra reaction
Spirochetal diseases
Syphilis
Yaws
Leptospirosis
Deep fungal infections
Actinomycosis
Chromoblastomycosis
Maduromycosis
Viral infections
Influenza
avian influenza (THT)
Viral gastroenteritis
Poliomyelitis
Rabies
Morbilli
Varicella
Herpes zoster
Herpes simplex
Mumps
CMV infections
Dengue hemorrhagic fever (DHF)
HIV-AIDS
Protozoal infections
Amebiasis
Malaria
Leishmaniasis dan tripanosomiasis
Toxoplasmosis
Page 17

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3B
3B
3B

4
4
4
4
4
4
4

1
1

2
2

3A
3A

3B
3B

4
4

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

1
1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4
4
4
4

1
1
1
1

2
2
2
2

3A
3A
3A
3A

3B
3B
3B
3B

4
4
4
4

BAG_I

Giardiasis
Trichomoniasis
Worms infestations
Hookworm diseases
Strongyloidiasis
Ascariasis
Filariasis
Schistosomiasis
Cutaneus larva migran
Taeniasis
Neoplasma
Blood and lymph nodes
Non-hodgkin's lymphoma
Hodgkin's lymphoma
Acute leukemia
Chronic leukemia
Myelodysplastic syndromes
Multiple myeloma
Langerhans' cell histiocytosis
Lung
Bronchogenic carcinoma
Bronchoalveolar carcinoma
Neuroendocrine tumor (carcinoid tumor)
Mesothelioma
Head and neck
Leukoplakia
Polyps
Nasopharynx carcinoma
Pleomophic adenoma
Warthins tumor
Gatrointestinal
Benign polyps
Squamous cell carcinoma
Adenocarcinoma
Carcinoid tumor
Lymphoma
Liver - Hepatoma
Liver cell adenoma
Hepatocellular carcinoma
Cholangiocarcinoma
Pancreas
Carcinoma of the pancreas
Kidney
Cortical adenoma
Renal cell carcinoma
Wilm's tumor
Male genitals
Squamous cell carcinoma
Page 18

1
1

2
2

3A
3A

3B
3B

4
4

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4

1
1
1
1

2
2
2
2

3A
3A
3A
3A

3B
3B
3B
3B

4
4
4
4

1
1
1
1
1

2
2
2
2
2

3A
3A
3A
3A
3A

3B
3B
3B
3B
3B

4
4
4
4
4

1
1
1
1
1

2
2
2
2
2

3A
3A
3A
3A
3A

3B
3B
3B
3B
3B

4
4
4
4
4

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

3A

3B

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

3A

3B

BAG_I

Seminoma
Teratoma testis
Benign prostatic hyperplasia
Carcinoma of the prostate
Female genitals
Condyloma accuminata
Cervical carcinoma
Extramammary Paget's disease
Endometrial hyperplasia
Endometrial carcinoma
Ovarial teratoma (dermoid cyst)
Ovarian carcinoma
Hydatidiform mole
Choriocarcinoma
Breast
Fibrocystic change
Fibroadenoma mammae
Phyllodes tumor
Breast carcinoma
Paget's disease of the breast
Gynecomastia
Endocrine glands
Somatotropic adenoma
Prolactinoma
Thyroid adenoma
Thyroid carcinoma
Thymus
Thymoma
Skin
Benign epithelial tumors
Seborrheic keratosis
Epithelial cyst

1
1
1
1

2
2
2
2

3A
3A
3A
3A

3B
3B
3B
3B

4
4
4
4

1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4

1
1
1
1
1
1

2
2
2
2
2
2

3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B

4
4
4
4
4
4

1
1
1
1

2
2
2
2

3A
3A
3A
3A

3B
3B
3B
3B

4
4
4
4

3A

3B

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

1
1
1
1

2
2
2
2

3A
3A
3A
3A

3B
3B
3B
3B

4
4
4
4

1
1
1
1

2
2
2
2

3A
3A
3A
3A

3B
3B
3B
3B

4
4
4
4

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

Premalignant and malignant epithelial tumors

Actinic keratosis
Bowen's disease
Squamous cell carcinoma
Basal cell carcinoma
Tumors of the dermis
Xanthoma
Hemangioma
Lymphangioma
Angiosarcoma
Tumors of immigrant cells to the skin
Mycosis fungoides
Mastocytosis
Langerhans' cell histiocytosis
Tumors of melanocytic cells
Page 19

BAG_I

Lentigo
Nevus pigmentosus
Malignant melanoma
Bone and soft tissue
Osteoma
Osteoid osteoma
Osteoblastoma
Osteosarcoma
Osteochondroma
Chondroblastoma
Chondrosarcoma
Fibrous dysplasia
Fibrosarcoma and mfh
Ewing sarcoma
Giant cell tumor
Ganglion cyst
Lipoma
Liposarcoma
Fibromatosis
Desmoid tumor
Fibroma
Fribrosarcoma
Benign fibrous histiocytoma
Malignant fibrous histiocytoma (mfh)
Rhabdomyosarcoma
Leiomyoma
Leiomyosarcoma
Synovial sarcoma
Central and peripheral nervous system
Astrocytoma
Oligodendroglioma
Ependymoma
Medulloblastoma
Retinoblastoma
Meningioma
Neurofibroma
Schwannoma
Psychiatry and mental health

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4

1
1
1
1
1
1

2
2
2
2
2
2

3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B

4
4
4
4
4
4

3A

3B

Developmental and behavioral disorders

Mental deficiency
Autistic disorder
Disorder of intellectual skills
Disorder of motor development
Disorder of coodination
Behavior and attention disorders
Eating disorders
Anorexia nervosa
Page 20

BAG_I

Bulimia
Pica
Rumination in infancy
Gender identity disorder
Tics
Gilles de la tourette syndrome
Chronic motor of vocal tic disorders
Transient tic disorders
Disorders of excression
Functional encoperasis
Functional enuresis
Speech disorders
Uncoordinated speech
Stammer
Psych-organic syndromes and disorders due to
drugs
Intoxication
Withdrawal syndrome
Delirium
Dementia
Amnesic syndrome
Other organic disorders
Misuse of psychoactive drugs
Psychosis
Schizophrenia
Other psychoses including reactive psychosis a
puerperal psychosis
Affective disorders
Bipolar disorders
Bipolar disorder, manic episode
Bipolar disorder, depressive episode
Cyclothymic disorder
Unipolar disorders
Endogenous depression, single episode and
recurrent

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

1
1

2
2

3A
3A

3B
3B

4
4

1
1

2
2

3A
3A

3B
3B

4
4

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4

3A

3B

3A

3B

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

3A

3B

Dysthymic disorder (or neurotic depression)

3A

3B

Depressive disorder not otherwise classified

3A

3B

Anxiety disorders
Panic disorder with agoraphobia
Panic disorder without agoraphobia

1
1

2
2

3A
3A

3B
3B

4
4

Agoraphobia without history of panic disorder

3A

3B

Social phobia
Simple phobia

1
1

2
2

3A
3A

3B
3B

4
4

Obsessive compulsive disorder (neurosis)

3A

3B

Page 21

BAG_I

Post traumatic stress disorder

Diffuse anxiety disorder
Anxiety disorder not otherwise classified
Somatic disorder
Disorder of body sensation

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

3A

3B

Conversion disorder (hysterical neurosis)

3A

3B

Hypochondriasis (hypochondriacal neurosis)

3A

3B

Somatisation disorder
Somatoform pain disorder
Undifferentiated somatoform disorder

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

Somatoform disorder not otherwise classified

3A

3B

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

3A

3B

3A

3B

3A

3B

1
1
1
1
1

2
2
2
2
2

3A
3A
3A
3A
3A

3B
3B
3B
3B
3B

4
4
4
4
4

3A

3B

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

1
1
1
1
1

2
2
2
2
2

3A
3A
3A
3A
3A

3B
3B
3B
3B
3B

4
4
4
4
4

Psychological factors affecting physical condition

3A

3B

Personality disorders
Paranoid personality
Schizoid personalinty

1
1

2
2

3A
3A

3B
3B

4
4

Dissociative disorders (or hysterical neurosis

dissociative form)
Multiple personality
Fugu states
Psychogenic amnesia
Depersonalisation disorder or depersonalisation
neurosis
Dissociative disorder, noc
Sexual disorders
Paraphilia
Sexual dysfunctions
Disorder of sexual desire
Disorder of sexual exitement
Disorder of orgasm
Sexual pain disorders
Sexual dysfuctions, noc
Other sexual disorders
Sexual disorders, noc
Sleeping disorders
Dyssomnia
Insomnia
Hypersomnia
Sleep-wake cycle disturbances
Parasomnia
Nightmares
Night terrors
Sleep walking
Disorder of impulse control
Adjustment disorder

Page 22

BAG_I

Schizotypal personality
Antisocial personality
Borderline personality
Histerionic personality
Narcisistic personality
Avoidance personality
Dependent personality
Obsessive-compulsive personality
Passive-aggressive personality
Personality disorders, noc

1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4

3A

3B

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

3A

3B

3A

3B

3A

3B

1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4
4

1
1
1
1
1

2
2
2
2
2

3A
3A
3A
3A
3A

3B
3B
3B
3B
3B

4
4
4
4
4

Side effects of psychoactive drug therapy

Extrapyramidal side effects (eg. Acute dystonia,
tradive dyskinesia, parkinsonism
Anticholinergic side effects
Sedative side effects
Malignant neuroleptic syndrome
Other items of knowledge
Knowledge of forensic psychiatry
Knowledge of indication for involuntary admission
to hospital
Knowledge of basic principles of methods used by
different psychotherapeutic schools (eg.
Rogerrian,psychoanalytic, etc)
Neuropsychiatric and psychosomatic disorders
(pediatrics)
Pseudoconstipation
Encopresis
Anorexia nervosa
Bulemia
Tics, neuropathic behavior
Hyperkinetic syndrome
Primary infantile autism
Disorders of mother-child relationship
Disorders due to social deprivation
Neurotic disorder of chilhood
Breath holding due to exitement
Musculoskeletal system
Bone and joints (pediatrics)
Congenital dislocation of the hips
Arthritis
Genu varum (bow legs)
Genu valgum (knock knee)
Pes planus
Page 23

BAG_I

Scoliosis
Kyphosis
Lordosis
Terthes disease
Slipped epiphysis
Osgood-schlatter diseasev
Chondromalacia patellae
Club foot
Marfan's disease
Osteogenesis imperfecta
Bone cyst
Achondroplasia
Generalized disorders of the musculoskeletal
system
Rickets, osteomalacia
Osteoporosis
Fibrous dysplasia
Paget's disease
Localized disorders of the musculoskeletal
system
Physical overload
Aseptic necrosis of bone
Osteomyelitis, acute
Arthritis
Trauma of joint cartilage
Trauma of joint capsule
Ganglion
Primary bone tumors
Bone metastasis
Pathological fracture
Degenerative disorders of joints
Arthrosis deformans
Crystal arthropathy
Rheumatoid arthritis
Bechterew disease
Spine
Spina bifida
Sacrococcygeal teratoma
Scoliosis
Kyphosis
Lordosis
Spondylarthrosis, spondylosis
Spondylitis, spondylodiscitis
Hernia of nucleus pulposus
Spondylolisthesis
Spondylolysis
Metastases from elsewhere
Page 24

1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4
4
4

1
1
1
1

2
2
2
2

3A
3A
3A
3A

3B
3B
3B
3B

4
4
4
4

1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4

1
1
1
1

2
2
2
2

3A
3A
3A
3A

3B
3B
3B
3B

4
4
4
4

1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4
4

BAG_I

Pathological fractures
Fractures and dislocations of spine
Spinal transaction
Pelvic and lower extremities
Congenital hip dislocation
Hip dysplasia
Femoral head necrosis
Intermittent arthritis of the hip
Fractures of pelvis
Fractures of hip
Dislocation of hip
Ligamentous lesions of hip
Arthritis of hip
Fractures of femur
Fractures, capsule, tendon and ligament lesions of
knee
Lesion of meniscus, medial and lateral
Abnormal patellear cartilage
Genu varum, genu valgum
Osteochondritis dissecans
Arthritis of the knee
Achilles tendonitis
Rupture of achilles tendon
Tarsal tunnel syndrome
Instability of ankle
In growing toe nail
Pes planus
Club foot
Claw foot
Hallux valgus
Hammer toe
Metatarsalgia
Onychogryposis
Anisomelia
Traumatology
Birth trauma
Caput succedaneum
Brachial plexus injury
Fracture (clavicle, humerus, rib)

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4

3A

3B

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4

Trauma (Tergantung ringan sampai berat)

Drowning
Head injury
Burning
Poisoning
Suffocation
Bleeding
Hypovolemic shock
Page 25

BAG_I

Dislocation of jaw
Fracture of jaw
Dislocation of knee
Dislocation of patella
Prepatellar bursitis
Fractures of tibia
Rib fractures/contusion
Injury caused by rib fractures
Sternal fractures
Fractures of toes
Crush injury to the heel (in children)
Fractures of fibula
Whiplash
Fractures, capsule, tendon and ligament lesions of
ankle
Pneumothorax
Hemothorax
Injury to specific internal organs, such as
liver,kidney, lung, etc
Peripheral nerves
Injury of peripheral nerves

1
1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4
4
4
4

3A

3B

1
1

2
2

3A
3A

3B
3B

4
4

3A

3B

3A

3B

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4

Fractures, capsule, tendon, ligament lesions of elbow 1

3A

3B

Fractures, capsule, tendon, ligament lesions of wrist

3A

3B

3A

3B

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

Progressive inflammation of finger following injury

3A

3B

Olecranon bursitis
Carpal tunnel syndrome

1
1

2
2

3A
3A

3B
3B

4
4

Injury to finger tendon, e.g. Boutonniere-deformity

3A

3B

Mallet finger
Dupuytren's contracture

1
1

2
2

3A
3A

3B
3B

4
4

Neck, shoulder girdle and upper extremities

Fractures of shoulder
Dislocation of shoulder
Ligamentous lesions of shoulder
Instability of shoulder
Frozen shoulder
Fracture of clavicle
Fracture of humerus
Fracture of radius/ulna

Fractures, capsule, tendon, ligament lesions of

fingers and thumb
Lateral epicondylitis (tennis elbow)
Dislocation of distal radius
Dislocation of wrist

Page 26

BAG_I

Nail loss
Subungual hematome
Traumatic vessel injury
Accidents and emergency neurology
Head injuries
Diffuse brain damage
Cerebral concussion and contusion
Brain death
Extradural hemorrhage
Subdural hemorrhage
Basilar fracture scalp
Acute traumatic spinal transaction
Injury of plexus and peripheral nerves
Reproduction system
Infection during pregnancy/delivery
Syphillis
Rubella
CMV infection
Toxoplasmosis
AIDS
Gonorrhoea
Herpes virus infection type 2
Hepatitis B

1
1
1

2
2
2

3A
3A
3A

3B
3B
3B

4
4
4

1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4

1
1

2
2

3A
3A

3B
3B

4
4

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4

Drugs and harmful substance during pregnancy

Mother taking tobacco
Mother taking drugs of addiction
Pregnancy disorders
Threatened abortion
Incompleted spontaneous abortion
Completed spontaneous abortion
Hyperemesis gravidarum
Blood group incompatibility
Hydatidiform mole
Intra-uterine infection
Pregnancy induced hypertension
Pregnancy induced diabetes mellitus
Dysmaturity
Placental insufficiency
Placenta previa
Vasa previa
Abruptio placenta - SOL
Cervical incompetence
Polyhydramnion
Jaundice late in pregnancy
Urinary tract infection
Pyelitis in pregnancy
Iron dificiency anaemia
Page 27

BAG_I

Megaloblastic anaemia
Dead fetus
Delivery
Premature contractions
Premature delivery
Rupture of uterus
Postmature infant
Premature rupture of membranes
Unstable lie / malposition after 36 week
Dystocia, fetal and passage
Malpresentation of fetus
Prolonged delivery
Primary mild contractions IMININ
Secondary mild contractions
Cord presentation / cord prolapse
Hypoxia of fetus
Failure to rotate / incorrect rotation
Rupture of cervix
Rupture of perineum
Shoulder distortion, infant
Retained placenta
Postpartum
Retained placental tissue
Uterine inversion
Postpartum haemorrhage
Thrombo embolism
Blood group incompatibility
Puerperium
Mastitis
Cracked nipple
Inverted nipple
Endometritis
Inflammation of pelvis (salpingitis, pelviperitonitis,
perimetritis etc)
Incontinence of urine
Incontinence of faeces
Deep venous thrombosis
Thrombophlebitis
Embolism
Post-natal psychoses
Post-natal depression
Subinvolution of uterus

Page 28

1
1

2
2

3A
3A

3B
3B

4
4

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4

1
1
1
1
1

2
2
2
2
2

3A
3A
3A
3A
3A

3B
3B
3B
3B
3B

4
4
4
4
4

1
1
1
1

2
2
2
2

3A
3A
3A
3A

3B
3B
3B
3B

4
4
4
4

3A

3B

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3A
3A
3A
3A
3A
3A
3A
3A

3B
3B
3B
3B
3B
3B
3B
3B

4
4
4
4
4
4
4
4

BAG_I

KOMPETENSI KLINIS

OKTER UMUM

DIS RSUP PERSAHABATAN

Penilaian Mitra Bestari Bersama Sub

Komite Kredensial

Penilaian Pribadi
Tidak
Kompeten

Kompeten
Tidak Ada Alat

Tidak
Diakui

Kompeten

Tidak
Kompeten

Page 29

Kompeten
Tidak Ada Alat

Tidak
Diakui

BAG_I

Page 30

BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

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BAG_I

Page 56

BAG_II

Penilaian Pribadi
No.

Keterampilan Klinis

Tingkat Kompetensi
Kompeten

Internal Medicine
Physical examination
General Survey
assessment of mental status
assessment of apparent state of health
assessment of nutritional condition
assessment of habitus and posture
assessment of respiration
palpation of pulse
measurement of blood pressure
measurement of jugular venous pressure
measurement of height and weight
inspection and palpation of skin
inspection of mucous membranes
palpation of lymph nodes
Head/neck

1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4
4
4
4

inspection of eyes, nose, mouth and throat

chvosteks sign
palpation of salivary glands
throat swab
palpation of thyroid gland
palpation of trachea
palpation of carotic arteria
The spine
inspection at rest
inspection in motion
percussion for tenderness
palpation for tenderness
palpation for pain on vertical pressure (eg pressing
down on shoulders)
assessment of lumbar flexion
Thorax
inspection at rest
inspection during respiration
palpation of respiratory expansion
palpation of tactile fremitus
palpation of apex beat

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

1
1
1
1
1

2
2
2
2
2

3
3
3
3
3

4
4
4
4
4

percussion of lungs, lung bases, cardiac size

auscultation of lungs
auscultation of heart
inspection of breasts

1
1
1

2
2
2

3
3
3

4
4
4

Page 57

BAG_II

palpation of breasts
Abdomen
Inspection
auscultation (bowel, sounds, bruits)

1
1

2
2

3
3

4
4

percussion (especially liver, Traubes area

bladder dullness)
palpation (abdominal wall, colon, liver,spleen, aorta,
rigidity)

eliciting abdominal tenderness and rebound

tenderness
eliciting shifting dullness
eliciting a fluid thrill
eliciting renal tenderness
Perineal examination
inspection of perianal area
rectal examination
palpation of prostate
palpation of pouch of Douglas
palpation of adnexae
palpation of sacrum
inspection of glove
Examination of female genitalia
inspection of vulva, perineum
vaginal examination: palpation of vagina,
uterus, adnexae
Examination of male genitalia
Inspection of penis
Inspection and palpation of scrotum
Extremities
inspection of skin, nails, muscle tone
inspection of joints
assessments of capillary pulse
assessments of capillary refill
palpation of arterial pulses
detection of bruits
palpation of skin, tendons, joints
assessments of range of motion of joints
examination of sensory system
examination of monitor system

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3
3
3
3
3
3
3

4
4
4
4
4
4
4

1
1
1

2
2
2

3
3
3

4
4
4

1
1

2
2

3
3

4
4

1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4
4

1
1
1

2
2
2

3
3
3

4
4
4

eliciting reflexes: knee reflex, ankle reflex,triceps

reflex,biceps reflex, plantar response
Diagnostic procedures
Venapuncture
arterial puncture
finger prick
Page 58

BAG_II

preparation and examination of blood film

preparation and examination of urinary sediment

preparation and examination of sputum

preparation and examination of stool
Gram stain
Ziehl Nielsen
X-ray examination: plain film
X-ray contrast examination
CT-scan
NMR/MRI
scintigraphic examination
Echography
gastric endoscopy
Proctoscopy
kidney or liver biopsy
tapping ascites
pleural tap
pathological examination of biopsy
electrocardiography
exercise ECG testing
Phonocardiolography
Doppler examination
Holter examination
cardiac catheterization
automatic blood pressure measurement
echocardiography
lung function tests/spirometry
histamine provocation test
allergy tests
hyperventilation provocation test
perfusion/ventilation scan
Bronchoscopy
joint aspiration
Therapeutic skills
to advice a patient about life-style
to prescribe a diet

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4

1
1

2
2

3
3

4
4

subcutaneous and intramuscular injection

administration of insulin
intravenous cannulation
mouth to mouth resuscitation
cardiac massage
initiate resuscitation
nasogastric tube

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

Contraventil needle (needle decompression)

WSD

Page 59

BAG_II

Endoscopy
bladder catheter
renal dialysis
sclerotherapy for varicose veins
Neurology: Skills list
Physical examination
Cranial nerve function
assessment of sense of smell
inspection of width of palpebral cleft
inspection of pupils (size and shape)
pupillary reaction to light
pupillary reaction of close objects
assessment of extra-ocular movements
assessment of diplopia
assessment of nystagmus
corneal reflex
assessment of visual fields
test visual acuity
fundoscopy assessment of pupil
assessment of facial symmetry
assessment of strength of temporal and masseter
muscles
assessment of facial sensation
assessment of facial movements
assessment of taste
assessment of hearing (lateralization, air and bone
conduction)
assessment of swallowing
inspection of palate
test gag reflex

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

1
1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4
4
4
4
4

1
1
1

2
2
2

3
3
3

4
4
4

1
1
1

2
2
2

3
3
3

4
4
4

assessment of sternomastoid and trapezius muscles

tongue, inspection at rest

tongue, inspection and assessment of motor system
(e.g. sticking out)
The motor system

inspection: posture, habitus involuntary movements

assessment of passive stretch

assessment of muscle strength

1
1

2
2

3
3

4
4

assessment of strength of individual muscles

1
1
1

2
2
2

3
3
3

4
4
4

Coordination
inspection of gait (normal, on heels, on toes,
hopping in one place, heel-to-toe)
shallow knee bend
Rombergs test
reaction to a push (balance)
Page 60

BAG_II

point-to-point testing: between index finger and

nose
point-to-point testing: heel on opposite
knee, running down to big toe
testing for dysdiadochokinesis
The sensory system
assessment of sense of pain
assessment of sense of temperature
assessment of light touch
assessment of extinction phenomenon
assessment of vibration
assessment of position sense
assessment of discriminative sensations (e.g.
stereognosis)
Radicullar sensation disorders
Lasgues sign
Higher functions
assessment of level of consciousness by means of
Glasgow coma scale
assessment of orientation
assessment of aphasia
assessment of apraxia
assessment of agnosia
assessment of new learning ability
assessment of memory
assessment of concentration
Reflexes
Physiological Reflexes
tendon reflexes (biceps, reflex, triceps reflex knee
reflex, ankle reflex)
plantar response
abdominal reflexes
cremaster reflex
anal reflex
Pathological Reflexes
Hoffmann-Trmner sign
Plantar response (Babinski Group)
Primitive Reflexes
snout reflex
rooting reflex
grasp reflex
glabela reflex
palmomental Reflex
Others
detections of neck stiffness
assessment of fontanelles
patricks and contra Patricks sign
chvosteks sign
Page 61

1
1
1

2
2
2

4
4
4

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3

3
3
3

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3
3
3
3
3
3
3

4
4
4
4
4
4
4

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

1
1
1
1
1

2
2
2
2
2

4
4
4
4
4

1
1
1
1

2
2
2
2

3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4

4
4
4
4

BAG_II

Additional diagnostic investigations

X-ray skull
X-ray spine
Seldinger angiography
Myelography
Caudography
CT-scan of cerebrum
EEG
EMG, EMNG
ENG
Brain mapping
PET, SPECT

1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4
4
4

visual evoked response examination,BAEP, SSEP

1
1
1
1
1
1

2
2
2
2
2
2

1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3

BAEP, SSEP
digital substraction angiography
duplex-scan of vessels
biopsy of muscle
lumbar puncture
lumbar puncture, Queckenstedt test
MRI, MRA
Therapeutic skills
Laminectomy
therapeutic spinal tap
opening the skull
surgery for acoustic neuroma
surgery of pituitary gland
surgery for extradural haemorrhage
surgery for subdural haemorrhage
surgery for cerebral tumour
surgery for carpal/tarsal tunnel syndrome
surgery for intra cerebral aneurysm
The spine
Inspection at rest
Inspection in motion
Percussion for tenderness
Palpation for tenderness
Palpation for pain on vertical pressure
Assessment of lumbar flections
Psychiatry: Skills list
History taking
psychiatric history taking, from the patient, general
psychiatric history taking, from the
patient,biographical details
psychiatric history taking, social history
psychiatric history taking, from a third person
Page 62

4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4

BAG_II

Psychiatric examination
assessment of consciousness
assessment of perception
assessment of orientation
assessment of intelligence
assessment of memory

1
1
1
1
1

2
2
2
2
2

3
3
3
3
3

4
4
4
4
4

assessment of thought (form and contents)

assessment of affect
assessment of mood
assessment of actions
assessment of desire

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

impression, general, systematic description

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

1
1
1

2
2
2

3
3
3

4
4
4

consulting team, participation in consultation

occupational therapy
play therapy
creative therapy
psychomotor therapy
electroconvulsion therapy (ECT)
counselling therapy
behaviour therapy
psychotherapy
hypnotherapy

1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4

being aware of personal reactions evoked by seeing

a patient
assessment of suicidal risk
Identifying problems
identifying problem with the patient alone
identifying problem with the couple (i.e. with
partners)
identifying problem with the family
identifying problem in a crisis situation
identifying problem after suicide attempt
identifying problem with a group
presenting psychiatric problem to colleagues
Additional examination
administering Mini Mental State Exam
home visit
psychological examination
recognition and interpretation of the repeating
patterns in interaction
To diagnose most likely according to DSM IIIR main
criteria
indication for psychiatric hospitalization
Therapy

Page 63

BAG_II

Paediatrics: Skills list

History taking
history taking from third party
taking a feeding history
history taking older child
talking with anxious parents/ parents with a very ill
child
Physical examination
general physical examination with special attention
to age of patient
Newborn and infant
assessment of general condition, arousal,
behaviour,crying
looking for congenital malformations
palpation of fontanelles
moro response
palmar grasp reflex
rooting reflex/suck reflex
stepping reflexes
vertical suspension positioning
asymmetric tonic neck reflex
anal reflex
examination of hips
All ages
physical and developmental assessment

1
1
1

2
2
2

3
3
3

4
4
4

3
1

1
1
1
1
1
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1

2
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3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4
4

assessment of speech and language development

weight
measurement of body length
measurement of head circumference
measurement of blood pressure
measurement of temperature
measurement of body mass index
Therapeutic skills, examinations and operation
of the child
prescription of food for infant, In term a mother can
understand
assessment of vision
ewing test
finger prick
venepuncture
insertion of cannula (peripheral vein)
insertion of cannula (central venous)
rumple Leed Test
intubation
resuscitation
oropharyngeal tube insertion
lung function test, peak flow meter

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4
4
4

Page 64

BAG_II

cranial ultrasound
EEG
lumbar puncture
echocardiography
cardiac catheterization
Surgery: Skill list
Physical examination
general physical examination
digital rectal examination
bimanual ginjal
Orthopaedic examination
assessment of muscle atrophy
determination range of motion of head
inspection shoulder / upper extremity
test function of shoulder joint
test function of muscles and elbow joint
test function of wrist joint, metacarpal and finger
joints
inspection of posture of spine/pelvis
inspection of scapula position

1
1
1
1
1

2
2
2
2
2

3
3
3
3
3

4
4
4
4
4

1
1
1

2
2
2

3
3
3

4
4
4

1
1
1
1
1

2
2
2
2
2

3
3
3
3
3

4
4
4
4
4

1
1

2
2

3
3

4
4

inspection of flexion and extension of back

assessment of lumbar flexion

palpation of spine, sacro-iliac joints, back muscles

inspection of gait

measurement of length of lower extremities

hip: assessment of flexion and extension,

adduction,abduction and rotation

1
1

2
2

3
3

4
4

1
1

2
2

3
3

4
4

posture tests of arterial insufficiency

reactive hyperaemia test of arterial insufficiency

capillary refill

knee : assessment of cruciate ligaments, collateral

ligaments
assessment of menisci
feet : inspection of posture and shape
feet : assessment of dorsal / plantar
flexion,inversion, eversion
Examination of patient with varicose veins
Trendelenburg test
Perthes test
Examination of arterial vascular disorders

Page 65

BAG_II

Examination of abdominal hernia

inspection of groin during increased abdominal
pressure
palpation of hernia
Examination of male genitalia

palpation of penis, testes, epididymis spermatic duct

transillumination of scrotum
urethral swab
Accident and emergency
first aid
assessment of consciousness by means of Glasgow
coma scale
external cardiac massage
mouth-to-mouth/ nose resuscitation
mask ventilation
Intubation
assessment and care external injuries
(wounds,bleeding, burns, distortion, dislocation,
fractures)
stop bleeding (direct pressure, pressure
point,pressure bandage)
transport of casualty
Heimlich manoeuvre
apply a bandage
fluid rescucitation
Additional examination
radiography (plane films)
Arthrography
Arteriography
Scintiscan
CT
MRI
ultrasound
Endoscopy
biopsy
Uroflowmetry
micturating cystography
urodynamic examination
Reflek bulbokavernos
Therapeutic skills

1
1

2
2

3
3

4
4

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

1
1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4
4
4
4
4

pre-operative preparation of operative field for

minor surgery, asepsis, antisepsis, local anaesthesia

preparation to watch/to assist in theatre scrubup,gown up, put on sterile gloves etc)

infiltration anaesthesia

Page 66

BAG_II

local nerve block

incision and drainage of abscess
wound cleaning

1
1
1

2
2
2

3
3
3

4
4
4

wound debridement with scalpel and scissors

wound stitching
wound, removal of sutures
wound care for burns
apply a pressure dressing
fracture repositioning, closed
fracture stabilisation (without plaster)
reduction of dislocation
apply a sling
nail bed cauterisation
nail removal
nasogastric suction
nasogastric insertion
urethral catheterization in male
urethral catheterization in female
Clean intermitten chatheterization (Neuropathic
blader)
Circumcision
dorsumcircumcision
Pungsi suprapubik
colostomy, changing the bag
enema
injection of varices with sclerosant
venous cannulation
administration of analgesics
to attend oncological patient regarding social and
psychological issues
Gynaecology/obstetrics : Skills list
Gynaecology
Physical examination

1
1
1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4
4
4
4
4
4

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4

general physical examination including breast

inspection and palpation of external genitalia

1
1

2
2

3
3

4
4

speculum examination: inspection of vagina and

cervix
bimanual examination : palpation of vagina, cervix,
uterine corpus, ovaries
rectal examination : palpation of pouch of Douglas,
uterus
combined recto-vaginal septum
Additional diagnostic examination
genital discharge : smell
genital discharge : pH
Page 67

BAG_II

genital discharge : gram stain

genital discharge : vaginal swab
genital discharge : examination with saline
genital discharge : examination with potassium
hydroxide
endocervical swab and cervical scraping
colposcopy

1
1
1

2
2
2

3
3
3

4
4
4

1
1

2
2

3
3

4
4

abdominal ultrasound examination of uterus

vaginal ultrasound examination of uterus

curettage
suction curettage
laparoscopy, diagnostic

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

physical examination of male genitalia

assessment of results of semen examination

1
1
1

2
2
2

3
3
3

4
4
4

instructions for self-examination of breasts

insertion of pessary
insertion of urinary catheter
electro-or crycoagulation cervix
laparoscopy, therapeutic
Contraception/ sterillization
advise about contraception
insertion I.U.D
laparoscopic sterilization
Obstetrics
Selection of high-risk pregnancy for
Hospitalization/clinical care
Pregnancy
attending pregnant women

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

1
1
1

2
2
2

3
3
3

4
4
4

inspection of abdomen of pregnant woman

palpation : fundal height, Leopolds manoeuvre,

external assessment of position

assessment of fetal heart rate

1
1

2
2

3
3

4
4

Additional diagnostic tests for sub fertility

basal temperature curve, instruction, assessment of

results
examination of cervical mucus, fern test
post-coital test, obtaining material, preparing and
assessing slide
hystero salpingography
insufflation of Fallopian tubes
artificial insemination
Therapy and prevention

Page 68

BAG_II

internal examination in early pregnancy

pelvic examination
pregnancy test, urine
CTG : performance and interpretation
ultrasound examination
amniocentesis
chorionic biopsy
Practical obstetrics
Normal Delivery
attending woman in labour
CTG : performance and interpretation
obstetric examination (assessment of
cervix,dilatation, membranes, presentation of
fetus,descent)
artificial rupture of membranes

1
1
1
1
1
1
1

2
2
2
2
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2
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3
3
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3
3
3
3

4
4
4
4
4
4
4

1
1

2
2

3
3

4
4

insertion of catheter for intra-uterine pressure

inspection and support of perineum

local anaesthesia of perineum
pudendal anaesthesia
epidural anaesthesia
episiotomy
receive/ hold newborn

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

aspiration of mouth/throat of newborn infant

record Apgar score

clamp cord/separation of placenta
examination umbilical cord
physical examination of newborn
postpartum : examination fundal height,
placenta:loose/ retained
delivery of placenta

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

examination of placenta and umbilical cord

measure/estimate loss of blood, after delivery

repair of episiotomy and lacerations

chemical induction of labour
support delivery in breech presentation
fetal blood sampling
assisted vaginal delivery
caesarean section
manual removal of placenta
Puerperium
assist and check mother and newborn
assessment of lochia
palpation of position of fundus
breasts : inspection, lactation

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3
3
3
3
3
3
3

4
4
4
4
4
4
4

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

Page 69

BAG_II

advice on hygiene
discussing contraception
inspection episiotomy scar
inspection caesarean section scar
Dermatology: Skills list
Physical examination
skin, inspection with magnifying glass

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

skin, inspection with UVA-light (Woods lamp)

nails, inspection
dermographism
skin palpation
Terminology of skin lesions

1
1
1

2
2
2

3
3
3

4
4
4

preparation and assessment of methylen blue slide

preparation and assessment of gram stain

urethral swab
anal swab
parasite identification
punch biopsy
patch test
prick test
colposcopy for condylomata acuminata
proctoscopy
Therapy of skin diseases
skin, incision/ drainage of abscess
skin, excision of tumour
cryotherapy on tumours
warts, cryotherapy
acne, treatment of comedones
wound care
to apply a dressing

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3
3
3
3
3
3
3

4
4
4
4
4
4
4

varicose veins, compressive sclerotherapy

1
1
1

2
2
2

3
3
3

4
4
4

skin lesions description with primary and secondary

changes, as well as size, distribution, expansion and
configuration
Additional examination of dermatological
problems
preparation and assessment of potassium hydroxide
slide

varicose veins, ambulant compressive therapy on

venous leg ulcer
haemorrhoids
masking therapy
phototherapy
Page 70

BAG_II

Prevention
contact tracing
Otorhinolaryngology (ENT): Skills list
Diagnostic skills
Ears, hearing, equilibrium

inspection of auricle, position of ear and mastoid

examination of external auditory meatus with

otoscope

examination of thympanic membrane with otoscope

use of head mirror

use of head light
hearing tests, tuning fork examination (Weber,
Rinne,Schwabach)
hearing tests, with whispering voice
tone audiometry
speech audiometry
audiological examination of children
pneumatic otoscopy (Siegle)

1
1

2
2

3
3

4
4

1
1
1
1
1

2
2
2
2
2

3
3
3
3
3

4
4
4
4
4

performance and interpretation of tympanometry

vestibular examination
ewing test
electronystagmography
Nose, sinuses
inspection of shape of nose and nostrils
assessment of nasal obstruction
testing sense of smell
anterior rhinoscopy
transillumination of frontal sinuses
nasopharyngoscopy
ultrasound of sinuses
radiology of sinuses, interpretation

1
1
1

2
2
2

3
3
3

4
4
4

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4

test taste sensation

inspection lips and oral cavity
inspection tonsils
assessment of mobility of tongue

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

assessment of mobility of hypoglossal muscles

palpation of salivary glands (submandibular,

parotid)

inspection of base of tongue (with laryngoscope)

Mouth, throat, speech, oesophagus, neck

Page 71

BAG_II

inspection of nasopharynx cavity (with

nasopharyngoscope, head mirror and laryngoscope)

1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4

1
1
1

2
2
2

3
3
3

4
4
4

cleaning external auditory meatus with swab

removal of wax with hook or curette

syringing the ear
paracentesis
ear, removal of foreign body
insertion of grommet
to adjust hearing aid
stopping a nose bleed
packing the nose
nose; removing of foreign body
sinus lavage
puncture of sinuses
antroscopy
tracheostomy
intubation
Ophthalmology : Skills list
General ophthalmologic examination
Vision
assessment of vision
assessment of vision, infant/ child
Refraction
assessment of refraction, subjective
assessment of refraction, objective (refractometry
keratometer)
Visual fields
visual fields, Donders confrontation test
visual fields, Amsler panes
External inspection
eyelids, inspection

1
1
1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4
4
4
4
4
4

1
1

2
2

3
3

4
4

1
1

2
2

3
3

4
4

inspection of hypopharynx (with

laryngoscope/hypopharyngoscope)
throat swab
laryngoscopy, indirect
laryngoscopy, direct
assessment of voice and speech
speech assessment
oesophagoscopy
inspection of neck
palpation of branchial lymph nodes
palpation of thyroid gland
Therapeutic skills
politzerization test
valsalva manoeuvre
insert cotton wool probe in ear

Page 72

BAG_II

eyelids, inspection bye eversion of upper lid

eyelash, inspection
conjunctivae, inspection, including fornix
sclerae, inspection
lacrimal apparatus, inspection
lymph nodes, pre-auricular, palpation
Position of eyes
position with corneal reflex images
position with cover test
eye movements, examination
binocular vision, assessment
Pupils
Pupils, inspection

1
1
1
1
1

2
2
2
2
2

3
3
3
3
3

4
4
4
4
4

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

Pupils, direct reaction to light and convergence

Media

media of eye, inspection by transillumination

cornea, inspection
cornea, inspection with fluorescein
cornea, determination of sensation
anterior chamber, inspection
iris, inspection
lens, inspection
slit-lamp examination
Fundi

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3
3
3
3
3
3
3

4
4
4
4
4
4
4

fundoscopy, bringing the fundus into focus

optic disc, inspection, discrimination between

normal and abnormal

retina vessels, inspection, discrimination between

normal and abnormal

intra-ocular pressure, estimation by palpation

intra-ocular pressure, measurement by indentation

tonometer (Schitz) or non-contact-tonometer
intra-ocular pressure, measurement by aplanation

tonometer
Additional general ophthalmological
examination
determination of refraction after cycloplegia
(skiascopy)

fundus contact lens examination, e.g. gonioscopy

Intra-ocular pressure

Page 73

BAG_II

measurement of lacrimal production

measurement of exophthalmos (Hertel)
lacrimal ducts, rinse through (Anel)
Special ophthalmological examination
orthoptic examination
perimetry
contact lenses (examination)
colour vision test
electroretinography
electro-oculography
eye, visual evoked potentials (VEP/VER)
eye, fluorescein angiography (FAG)
eye, echographic examination: ultrasonography
(USG)
Therapeutic skills
eye drops instillation
eye ointment application
flood ocular tissue
eye, eversion upper eyelid with swab (removal of
foreign body)
to apply eyes dressing

1
1
1

2
2
2

3
3
3

4
4
4

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4

1
1
1

2
2
2

3
3
3

4
4
4

eye, removal of contact lens or eye prosthesis

removal of eye lashes

cornea, removal of foreign body and debris

Surgical therapy
eye, laser therapy
cataract, surgery
squint, surgery
vitrectomy
glaucoma surgery, trabeculotomy
corneal transplantation

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

eye, cryocoagulation : e.g. cyclocryocoagulation

1
1

2
2

3
3

4
4

1
1

2
2

3
3

4
4

eyelid surgery (chalazion removal,

entropion,ectropion, ptosis)
detached retina, surgery
General practice : Skills list
The eye
removal of foreign body (conjunctiva)
removal of foreign body (cornea)
The ear
removal of wax syringe
removal of foreign body (by syringing ear)
External and internal genitalia
endocervical swab
Page 74

BAG_II

examination of discharge (taking swab for

culture,preparation of slide with saline and
potassium hydroxide)
The arm
drainage of bursa, ganglion

administration of drugs, intravenous

administration of drugs, intramuscular
administration of drugs, subcutaneous
administration of drugs, intracutaneous

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

application of topical anaesthetics (drops, spray)

administration of local anaesthetics

administration of nerve block
incision of abscess
excision of warts
wound care
suture a wound
treatment of burns
removal of splinter
disinfection
Laboratory investigation, blood
finger prick
determination of sedimentation rate
determination of Hb

1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4

1
1
1

2
2
2

3
3
3

4
4
4

determination of blood glucose concentration

monospot test
Laboratory investigation, urine
testing for protein
testing for glucose
testing for bile
testing for blood

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

preparation of slide and microscopy of urine

dip slide method (urine culture)

pregnancy test
testing for Sputum
laboratory investigation, faeces

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

to apply a dressing (sling, shoulder bandage, finger

bandage, hand bandage)
The leg
treatment of leg ulcers
to apply a dressing (leg bandage, foot bandage,ankle
bandage, knee bandage)
Skin, mucosa and subcutaneous tissue

Page 75

BAG_II

occult blood
protozoa
intestinal helminth
death certification

1
1
1
1

2
2
2
2

3
3
3
3

4
4
4
4

Formulating orally and in writing

Educating, advising and coaching of individuals and
groups
Making a management plan
Therapeutic consultation
Drug prescription
Oral and written communication with colleagues
and other health care professional (referral,
consultation)
Reporting and making record
Information processing and applying (especially
from scientific literature)
PUBLIC HEALTH MEDICINE (4)
Prevention (vaccination policy included)

1
1
1

2
2
2

3
3
3

4
4
4

Recognition of hazardous behaviour and life style

Performing directed medical examination

Assessment of absent due to illness
Performance of environmental research

1
1
1

2
2
2

3
3
3

4
4
4

Performance of several interventions in the domain

of primary, secondary and tertiary

prevention like vaccination, periodical medical

examination, social medical support and

management, prevention of accident and set up a

programme/ plan for individuals, their environment
or an institution.

Patient safety

COMMUNICATION AND RECORDING (4)

Mitra Bestari Ketua Sub Komite Kredensial

dr. Masdelira Siregar dr. Anita Ratnawati, Sp.KFR-K

NIP. 19710315200604200 NIP. 195602171982102001
Mengetahui
Ketua Komite Medis

Page 76

BAG_II

dr. Moch. Iqbal, Sp. OG

NIP. 195211281980111001

Page 77

BAG_II

Penilaian Mitra Bestari Bersama Sub Komite

Kredensial

Penilaian Pribadi
Tidak
Kompeten

Kompeten
Tidak Ada Alat

Tidak
Diakui

Kompeten

Tidak
Kompeten

Page 78

Kompeten
Tidak Ada Alat

Tidak
Diakui

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Mengetahui
tua Komite Medis

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Moch. Iqbal, Sp. OG

95211281980111001

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DAFTAR PENYAKIT

Tingkat Kemampuan 1

Dapat mengenali dan menempatkan gambaran-gambaran klinik sesuai p

membaca literatur. Dalam korespondensi, ia dapat mengenal gambaran k
bagaimana mendapatkan informasi lebih lanjut. Level ini mengindikasik
Bila menghadapi pasien dengan gambaran klinik ini dan menduga penya
segera merujuk.

Tingkat Kemampuan 2

Mampu membuat diagnosis klinik berdasarkan pemeriksaan fisik dan pe

pemeriksaan tambahan yang diminta oleh dokter (misalnya : pemeriksa
sederhana atau X-ray). Dokter mampu merujuk pasien secepatnya ke sp
relevan
dan mampu menindaklanjuti sesudahnya.

Tingkat Kemampuan 3

3a. Mampu membuat diagnosis klinik berdasarkan pemeriksaan fisik da

pemeriksaan tambahan yang diminta oleh dokter (misalnya : pemeriksa
sederhana atau X-ray). Dokter dapat memutuskan dan memberi terapi p
merujuk ke spesialis yang relevan (bukan kasus gawat darurat).

3b. Mampu membuat diagnosis klinik berdasarkan pemeriksaan fisik da

pemeriksaan tambahan yang diminta oleh dokter (misalnya : pemeriksa
sederhana atau X-ray). Dokter dapat memutuskan dan memberi terapi p
merujuk ke spesialis yang relevan (kasus gawat darurat).

Tingkat Kemampuan 4

Mampu membuat diagnosis klinik berdasarkan pemeriksaan fisik dan

pemeriksaanpemeriksaan tambahan yang diminta oleh dokter (misalnya
laboratorium sederhana atau X-ray). Dokter dapat memutuskan dan ma
problem itu secara mandiri hingga tuntas.
DAFTAR KETERAMPILAN KLINIS

Tingkat Kemampuan 1

Mengetahui dan Menjelaskan. Lulusan dokter memiliki pengetahuan teo

keterampilan ini, sehingga dapat
menjelaskan kepada teman sejawat, pasien maupun klien tentang konse
maupun indikasi, serta cara melakukan, komplikasi yang timbul, dan seb

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Tingkat Kemampuan 2

Pernah Melihat atau pernah didemonstrasikan. Lulusan dokter mem

pengetahuan teoritis mengenai keterampilan ini (baik konsep, teor
maupun indikasi, cara melakukan, komplikasi, dan sebagainya). Sel
pendidikan pernah melihat atau pernah didemonstrasikan keteram

Tingkat Kemampuan 3

Pernah melakukan atau pernah menerapkan di bawah supervisi. Lu

memiliki pengetahuan teoritis mengenai keterampilan ini (baik ko
prinsip maupun indikasi, cara melakukan, komplikasi, dan sebagai
pendidikan pernah melihat atau pernah didemonstrasikan keteram
pernah menerapkan keterampilan ini beberapa kali di bawah supe

Tingkat Kemampuan 4

Mampu melakukan secara mandiri. Lulusan dokter memiliki penge

mengenai keterampilan ini (baik konsep, teori, prinsip maupun ind
melakukan, komplikasi, dan sebagainya). Selama pendidikan perna
pernah didemonstrasikan ketrampilan ini, dan pernah menerapkan
ini beberapa kali di bawah supervisi serta memiliki pengalaman un
menggunakan dan menerapkan keterampilan ini dalam konteks pr
secara mandiri.

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n-gambaran klinik sesuai penyakit ini ketika

apat mengenal gambaran klinik ini, dan tahu
ut. Level ini mengindikasikan overview level.
nik ini dan menduga penyakitnya, Dokter

n pemeriksaan fisik dan pemeriksaan

kter (misalnya : pemeriksaan laboratorium
k pasien secepatnya ke spesialis yang

rkan pemeriksaan fisik dan pemeriksaan

kter (misalnya : pemeriksaan laboratorium
kan dan memberi terapi pendahuluan, serta
us gawat darurat).

rkan pemeriksaan fisik dan pemeriksaan

kter (misalnya : pemeriksaan laboratorium
kan dan memberi terapi pendahuluan, serta
at darurat).

n pemeriksaan fisik dan

minta oleh dokter (misalnya : pemeriksaan
apat memutuskan dan mampu menangani

memiliki pengetahuan teoritis mengenai

aupun klien tentang konsep, teori, prinsip

likasi yang timbul, dan sebagainya.

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kan. Lulusan dokter memiliki

an ini (baik konsep, teori, prinsip
kasi, dan sebagainya). Selain itu, selama
demonstrasikan keterampilan ini.

an di bawah supervisi. Lulusan dokter

eterampilan ini (baik konsep, teori,
komplikasi, dan sebagainya). Selama
demonstrasikan keterampilan ini, dan
rapa kali di bawah supervisi.

n dokter memiliki pengetahuan teoritis

eori, prinsip maupun indikasi, cara
elama pendidikan pernah melihat atau
dan pernah menerapkan keterampilan
memiliki pengalaman untuk
lan ini dalam konteks praktik dokter

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