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Data from the Ministry of Health's screening in March 2024 of 12,121 prospective specialist medical students at 28 teaching hospitals showed that 22.4 percent of students experienced symptoms of depression. As many as 3.3 percent experienced symptoms of severe depression, some even admitted that they wanted to end their lives or harm themselves (Kompas, 16/4/2024). Bullying by seniors, both verbally and physically, is said to be one of the causes of depressive symptoms (Kompas, 18/4/2024).
Bullying is a complex issue that occurs in all places, not just in medical campuses. Indeed, medical study programs have their own challenges and students are expected to be aware of this before starting their studies.
Upon first entering campus, students are immediately informed that even the slightest mistake from a doctor can have fatal consequences for the patient. Seniors or mentors who act harshly or become angry when a student makes a mistake, no matter how small, are considered normal as part of their educational process, so that future doctors can avoid malpractice.
Unfortunately, there are seniors who intentionally act tough and use their senior status or ego to act arbitrarily towards their juniors. Their reason is to educate them to have "mental strength" when facing challenges in the workplace. Whether they realize it or not, this encourages the formation of a toxic educational environment and creates stress which is sure to be repeated in the next generation.
Educating the hard way may be unavoidable for some people, but we should still be able to control our ego.
The method of educating juniors with this kind of ego occurs in various campus environments, even in schools and work environments, not just in medical faculties. Bullying that occurs usually starts with our own difficulty in controlling our ego. It is advisable that the Ministry of Health does not handle this case alone because bullying is not an exclusive case that only occurs in one place.
Trinita SB
Ngemplak, Sleman, DIY
Difference between BPJS and KIS services
In January 2024, I was hospitalized at RSU Haji Surabaya (owned by the East Java Provincial Government) with BPJS facilities and was entitled to treatment in a first class ward. At that time, with the consideration that the patient's waiter could stay overnight, I chose to be hospitalized using the main care room (VIP) and I had to pay the difference in the higher rate, that was it, no problem.
Then in April 2024, I accompanied my grandchild who was hospitalized at the same hospital, but with the facilities of the Healthy Indonesia Card (Kartu Indonesia Sehat).
Also considering that the patient's waiter could stay overnight, I chose to be hospitalized using the VIP room.
It turns out, I have to pay the full fee like a general patient, which according to my standards is quite expensive.
Since at that time my grandchild's condition was quite serious, I accepted that provision so that my grandchild could be treated immediately.
My question to Haji Surabaya Hospital or whoever is authorized to answer, is there indeed a regulation that differentiates facilities between BPJS patients and KIS patients at Haji Hospital?
As reported by several of my friends whose relatives have been treated at RS Suwandhi (owned by Surabaya City Government), there is no difference in facilities between patients with BPJS and KIS.
I also think so because both hospitals are owned by the government.
Bob Djumara
Wisma Permai, Mulyorejo, Surabaya
