Astrid Pratidina Susilo(1*), Raden Besthadi Sukmono(2)

(1) Faculty of Medicine Universitas Surabaya
(2) Faculty of Medicine Universitas Indonesia
(*) Corresponding Author


Background: Heath professionals’ competence in the pain assessment and management is necessary to improve the quality of pain management. Evidence about pain learning in Indonesia is limited.

Aims: This case report aimed to describe the learning and evaluation of 5th year medical student in a faculty of medicine in Indonesia on the pain assessment and management. The pain learning was introduced in a pre-internship module using lecture, case discussion, and the learning in the clinical rotation.

Case discussion: PQRST mnemonic (Provoke and Palliate, Quality, Region and Radiation, Severity, Time) is introduced as a structure in the pain assessment. The OSCE showed that students need to improve the skills of communication and professionalism.

Conclusion: PQRST mnemonic is beneficial to structure the pain assessment, but not enough to help students perform a holistic approach to the patient.



pain learning, holistic, communication, professionalism

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1. Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. PAIN. 2020;161(9):1976–82.

2. Reid KJ, Harker J, Bala MM, Truyers C, Kellen E, Bekkering GE, et al. Epidemiology of chronic non-cancer pain in Europe: narrative review of prevalence, pain treatments and pain impact. Curr Med Res Opin. 2011; 1;27(2):449–62.

3. Goldberg DS, McGee SJ. Pain as a global public health priority. BMC Public Health. 2011 Oct 6;11:770.

4. Meissner W, Huygen F, Neugebauer EAM, Osterbrink J, Benhamou D, Betteridge N, et al. Management of acute pain in the postoperative setting: the importance of quality indicators. Current Medical Research and Opinion. 2018 Jan 2;34(1):187–96.

5. Thompson K, Johnson MI, Milligan J, Briggs M. Twenty-five years of pain education research—what have we learned? Findings from a comprehensive scoping review of research into pre-registration pain education for health professionals: PAIN. 2018 Nov;159(11):2146–58.

6. Fishman SM, Young HM, Lucas Arwood E, Chou R, Herr K, Murinson BB, et al. Core competencies for pain management: Results of an Interprofessional Consensus Summit. Pain Med. 2013 Jul;14(7):971–81.

7. Ung A, Salamonson Y, Hu W, Gallego G. Assessing knowledge, perceptions and attitudes to pain management among medical and nursing students: a review of the literature. British Journal of Pain. 2016 Feb 1;10(1):8–21.

8. Latchman J. Improving pain management at the nursing education level: Evaluating knowledge and attitudes. J Adv Pract Oncol. 2014;5(1):10–6.

9. Konsil Kedokteran Indonesia. Standar Kompetensi Dokter Indonesia. Jakarta: Konsil Kedokteran Indonesia; 2012.

10. Powell R. Pain history and pain assessment. In: Guide to pain management in low-resource setting. Seattle: International Association for the Study of Pain; 2010. p. 67–78.

11. Komite Akreditasi Rumah Sakit, Kementerian Kesehatan RI. Instrumen Survei Standar Nasional Akreditasi Rumah Sakit Edisi I. 2018.

12. Carr DB, Bradshaw YS. Time to flip the pain curriculum? Anesthesiology. 2014 Jan 1;120(1):12–4.

13. Susilo AP, van Merrienboer JJG. Rancangan instruksional untuk adaptasi pendidikan profesi kesehatan dalam Pandemi COVID-19: Pendekatan 4C/ID. In: Adaptasi Pendidikan Kedokteran dan Profesi Kesehatan di Era Pandemi COVID-19. Jakarta: Fakultas Kesehatan Masyarakat Universitas Indonesia; 2020. p. 76–99.

14. Claramita M, Sutomo AH, Graber MA, Scherpbier AJ. Are patient-centered care values as reflected in teaching scenarios really being taught when implemented by teaching faculty? A discourse analysis on an Indonesian medical school’s curriculum. Asia Pacific family medicine. 2011;10(1):4.

15. Hamdy H. AMEE Guide Supplements: Workplace-based assessment as an educational tool. Guide supplement 31.1-Viewpoint 1. Medical Teacher. 2009;31(1):59–60.

16. Werdhani RA, Sukmono RB, Dwimartutie N, Wijaya AA, Mirtha LT, Rizka A, et al. Buku Panduan Staf Pengajar Modul Pre-Internship. 2108. Jakarta: Medical Education Unit Fakultas Kedokteran Universitas Indonesia

17. Rice K, Ryu JE, Whitehead C, Katz J, Webster F. Medical trainees’ experiences of treating people with chronic pain: A lost opportunity for medical education. Acad Med. 2018;93(5):775–80.

18. Webster F, Bremner S, Oosenbrug E, Durant S, McCartney CJ, Katz J. From opiophobia to overprescribing: A critical scoping review of medical education training for chronic pain. Pain Med. 2017 Aug 1;18(8):1467–75.

19. Erickson JM, Brashers V, Owen J, Marks JR, Thomas SM. Effectiveness of an interprofessional workshop on pain management for medical and nursing students. J Interprof Care. 2016 Jul;30(4):466–74.

20. Hunter JP, Stinson J, Campbell F, Stevens B, Wagner SJ, Simmons B, et al. A novel pain interprofessional education strategy for trainees: assessing impact on interprofessional competencies and pediatric pain knowledge. Pain Res Manag. 2015 Feb;20(1):e12-20.

DOI: https://doi.org/10.22146/jpki.62757

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