Peran Pelatihan Keterampilan Medik dan Kepaniteraan Klinik terhadap Kelulusan OSCE UKDI

https://doi.org/10.22146/jpki.25261

Cecilia Felicia Chandra(1*), Fundhy Sinar Ikrar Prihatanto(2), Nancy Margarita Rehatta(3)

(1) Mahasiswa Program Studi Pendidikan Dokter, Fakultas Kedokteran Universitas Airlangga Surabaya
(2) Medical Education Research and Staff Development Unit, Fakultas Kedokteran Universitas Airlangga Surabaya
(3) Medical Education Research and Staff Development Unit, Fakultas Kedokteran Universitas Airlangga Surabaya
(*) Corresponding Author

Abstract


Background: One of the areas of competence expected from a doctor in Indonesia is clinical skills. It will be assessed in the National Objective Structured Clinical Examination (OSCE). In the Faculty of Medicine Airlangga University, there are four clinical skill modules in second to fifth semester. Afterward, students go to clinical posting to apply their clinical skill and practice profesionalism to real patients. The objective of this study is to measure the correlation between clinical skill examination score, educational environment, and Grade Point Average (GPA) during clinical posting and National OSCE’s score.

Method: This study used cross sectional approach. Data were obtained from 143 national OSCE’s participant. Primary data obtained from clinical posting’s educational environment questionnaire. Secondary data consisted of five categorized scores from clinical skill examination during preclinic; clinical posting GPA; and National OSCE’s scores. We conducted three different analyses: Spearman correlation test to measure the correlation of clinical skills examination scores to National OSCE’s scores; Pearson correlation test to measure the correlation of clinical posting GPA to OSCE’s scores; and correlation of clinical posting’s questionnaire to OSCE’s scores.

Results: Clinical skills examination score was weakly correlated with OSCE’s score (r= 0,189, p< 0,05). Clinical posting GPA was also correlated with OSCE’s score (r= 0,417, p<0,001). But, there was no correlation of clinical posting’s educational environment with OSCE’s score (p>0,05).

Conclusions: There is a correlation between clinical skills examination scores and academic achievement during clinical posting with OSCE’s score. But, there is no correlation between clinical posting’s educational environment with OSCE’s score.  

 


Keywords


Clinical skills, academic achievement, educational environment, national OSCE

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References

  1. Konsil Kedokteran Indonesia. Standar Kompetensi Dokter. Jakarta: Konsil Kedokteran Indonesia; 2006.
  2. Carraccio C, Wolfsthal SD, Englander R, Ferentz K, Martin C. Shifting paradigms: from Flexner to competencies. Acad Med. 2002;77(5):361–7.
  3. Direktorat Jenderal Pendidikan Tinggi Kementerian Pendidikan dan Kebudayaan. Health Professional Education Quality Direktorat Jenderal Pendidikan Tinggi [Internet]. 2013 [cited 2013 Jul 3]. Available from: http://hpeq.dikti.go.id/v2/index.php?option=com_content&view=article&id=6:pengumuman-se-ukdi-sebagai-exit-exam&catid=13:whats-new&Itemid=196 Konsil Kedokteran Indonesia.
  4. Standar Kompetensi Dokter Indonesia. 2nd ed. Jakarta: Konsil Kedokteran Indonesia; 2012.
  5. Miller GE. The assessment of clinical skills/ competence/ performance. Acad Med. 1990;65(9):563–7.
  6. Tim Penyusun Pedoman Pendidikan Program Pendidikan Sarjana dan Profesi Fakultas Kedokteran Universitas Airlangga, 2011.
  7. Panduan Pendidikan Program Pendidikan Sarjana dan Profesi Fakultas Kedokteran Universitas Airlangga. Surabaya: Fakultas Kedokteran Universitas Airlangga. Weller JM, Nestel D, Marshall SD, Brooks PM, Conn JJ. Simulation in clinical teaching and learning. Med J Aust [Internet]. 2012 May 21 [cited 2014 Oct 27];196(9):1–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22621154
  8. Scalese RJ, Obeso VT, Issenberg SB. Simulation technology for skills training and competency assessment in medical education. J Gen Intern Med [Internet]. 2008 Jan [cited 2014 Jul 21];23(1):46–9. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2150630&tool=pmcentrez&rendertype=abstract
  9. Sandika E. Identifikasi kebutuhan mahasiswa kedokteran terhadap pelatihan keterampilan klinik di setiap jenjang pendidikan sarjana [dissertation]. Semarang (Indonesia): Universitas Diponegoro; 2012.
  10. Simon SR, Bui A, Day S, Berti D, Volkan K. The relationship between second-year medical students’ OSCE scores and USMLE Step 2 scores. J Eval Clin Pract. 2007;13(6):901–5.
  11. Widyandana. Integrating pre-clinical skills training in skills laboratory and primary health care centers to prepare medical students for their clerkship. Yogyakarta: Kelompok Penerbit Tiara Wacana; 2011.
  12. Wayne SJ, Fortner SA, Kitzes JA, Timm C, Kalishman S. Cause or effect? The relationship between student perception of the medical school learning environment and academic performance on USMLE Step 1. Med Teach [Internet]. 2013 May [cited 2015 Jan 11];35(5):376–80. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23444883
  13. Aspegren K, Bastholt L, Bested KM, Bonnesen T, Ejlersen E, Fog I, et al. Validation of the PHEEM instrument in a Danish hospital setting. Med Teach. 2007;29:504–6.
  14. Pramana SW. Hubungan antara Indeks Prestasi Kumulatif dengan nilai UKDI pada Program Pendidikan Dokter : Studi Kasus FK UNDIP [Internet]. Semarang; 2011 [cited 2013 Jul 10]. Available from: http://eprints.undip.ac.id/37248/1/Salvandega.pdf
  15. Fields SA, Morris C, Toffler WL, Keenan EJ. Early identification of students at risk for poor academic performance in clinical clerkships. Acad Med. 2000;75(10):78–80.
  16. Klamen DL, Borgia PT. Can students’ scores on preclerkship clinical performance examinations predict that they will fail a senior clinical performance examination? Acad Med [Internet]. 2011 Apr [cited 2015 Jan 11];86(4):516–20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21346501
  17. Mayya SS, Roff S. Students’ perceptions of educational environment: A comparison of academic achievers and under-achievers at Kasturba Medical College, India. Educ Heal [Internet]. 2004 Nov [cited 2015 Jan 11];17(3):280–91. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15848815
  18. Tokuda Y, Goto E, Otaki J, Jacobs J, Omata F, Obara H, et al. Undergraduate educational environment, perceived preparedness for postgraduate clinical training, and pass rate on the National Medical Licensure Examination in Japan. BMC Med Educ. 2010;10(35):1–9.



DOI: https://doi.org/10.22146/jpki.25261

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