THE IMPACT OF INDONESIAN MEDICAL DOCTORS NATIONAL COMPETENCY EXAMINATION (IMDNCE) TOWARDS LEARNING AND CLINICAL PRACTICES: A QUALITATIVE STUDY ON THE INTERNSHIP DOCTORS’ PERSPECTIVES

https://doi.org/10.22146/jpki.73080

Lukas Daniel Leatemia(1), Yoga Pamungkas Susani(2*), Detty Iryani(3), Fundhy Sinar Ikrar Prihatanto(4), Hemma Yulfi(5), Rilani Riskiyana(6), Gandes Retno Rahayu(7)

(1) Faculty of Medicine, Universitas Mulawarman
(2) Faculty of Medicine, Universitas Mataram
(3) Faculty of Medicine, Universitas Andalas
(4) Faculty of Medicine, Universitas Airlangga
(5) Faculty of Medicine, Universitas Sumatera Utara
(6) Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(7) Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: The implementation of the national licensing examination for medical doctors is expected to have a broad impact on doctors and society. Indonesian Medical Doctor National Competency Examination (IMDNCE; Indonesian: Uji Kompetensi Mahasiswa Program Profesi Dokter or UKMPPD) as an ‘exit exam’ in the medical education process may significantly impact learning and clinical practices. The study’s objective was to explore the impact of IMDNCE on both the learning and clinical practices of doctors.

Methods: The study subjects were internship doctors who had passed the IMDNCE. Participants were recruited by purposive sampling based on the ownership status of the institution (state/private) and the accreditation of respective medical schools and participants’ gender. The study participants consisted of 41 internship doctors working in 6 regions from 33 different medical schools out of 75 medical faculties in Indonesia.

Results: IMDNCE has a positive influence on learning and clinical practice. The IMDNCE process emphasizes standard competencies that must be mastered and patient management process with current evidence that is not always achieved during clinical education, increasing clinical knowledge and skills, and increasing awareness of professional development. IMDNCE also has very well affected in the development of self-confidence and a sense of responsibility which are essential in clinical practice. In addition to psychological influences, IMDNCE improves competence in clinical skills and promotes good medical practice.


Keywords


IMDNCE, UKMPPD, licensing examination, learning impact, clinical practice, medical education

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References

  1. Hidayah RN. Impact of the national medical licensing examination in Indonesia: perspectives from students, teachers, and medical schools. 2018;(February):244.
  2. Hidayah RN, Fuller R, Roberts TE. Licensing examinations in southeast asia: Lesson learnt from exploring changes in education policy. Asia Pacific Sch. 2020;5(3):5–9.
  3. Archer J. A Systematic Review on the impact of licensing examinations for doctors in countries comparable to the UK Final Report. 2015;
  4. Abrahamowicz M, Hanley JA, Norcini J. Association Between Licensure Examination Scores and Practice in Primary Care. JAMA J Am Med Assoc. 2002;288(23):3019–26.
  5. Wenghofer E, Klass D, Abrahamowicz M, Dauphinee D, Jacques A, Smee S, et al. Doctor scores on national qualifying examinations predict quality of care in future practice. Med Educ. 2009;43(12):1166–73.
  6. Papadakis MA, Arnold GK, Blank LL, Holmboe ES, Lipner RS. Performance during internal medicine residency training and subsequent disciplinary action by state licensing boards. Ann Intern Med. 2008;148(11):869–76.
  7. Archer J, Lynn N, Coombes L, Roberts M, Gale T, Regan de Bere S. The medical licensing examination debate. Regul Gov. 2017;11(3):315–22.
  8. Norcini JJ, Boulet JR, Opalek A, Dauphinee WD. The relationship between licensing examination performance and the outcomes of care by international medical school graduates. Acad Med [Internet]. 2014;89(8):1157–62. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24853199
  9. Kirkpatrick DL, Kirkpatrick JD. Evaluating training programs: the four levels. 3rd ed. Evaluating training programs. Berrett-Koehler Publishers, Inc; 2006. 21 p.
  10. Fraenkel JR, Wallen NE. How to Design and Evaluate Research in Education 7th edition. New York: McGraw-Hill; 2009.
  11. Stalmeijer RE, McNaughton N, Van Mook WNKA. Using focus groups in medical education research: AMEE Guide No. 91. Med Teach. 2014;36(11):923–39.
  12. Johnson B. CL. Educational Research Quantitative, Qualitative, and Mixed Approaches. California: SAGE Publications; 2008
  13. Tavakol M, Sandars J. Quantitative and qualitative methods in medical education research: AMEE Guide No 90: Part II. Med Teach. 2014;36(10):838–48.
  14. Tamblyn R, Abrahamowicz M, Dauphinee D, Wenghofer E, Jacques A, Klass D, et al. Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. JAMA [Internet]. 2007;298(9):993–1001. Available from: http://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=17785644&retmode=ref&cmd=prlinks%5Cnpapers3://publication/doi/10.1001/jama.298.9.993
  15. Amin Z, Khoo HE. Practical Guide to Medical Student Assessment. Singapore: World Scientific Publishing Company; 2006.
  16. Shumway JM, Harden RM. AMEE Guide No. 25: The assessment of learning outcomes for the competent and reflective physician. Med Teach. 2003;25(6):569–84.
  17. Firmansyah M. Studi Kualitatif Dampak Uji Kompetensi Dokter Indonesia terhadap Pembelajaran pada Mahasiswa Kedokteran. Universitas Gadjah Mada; 2014.



DOI: https://doi.org/10.22146/jpki.73080

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