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Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
The Effectiveness of OSCE mentorship for Passing
on OSCE UKMPPD : an Experience from School
Of Medicine Universitas Muhammadiyah
Yogyakarta (UMY)
1
Meida NS., 1
Setyonugroho W., 1
Suryandari G.
1
Faculty of Medicine and Health Science
Universitas Muhammadiyah Yogyakarta
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Introduction
 Qualified and competent doctors in Indonesia has been produced
for at least six years. At the end of their study they must be
assessed by A High-Stakes National level examination called
UKMPPD (Uji Kompetensi Mahasiswa Program Profesi Dokter)
to assure national health quality services.
 There are two kind of asessments : cognitive will be asessed by
MCQ-CBT, meanwhile skills and attitude will be measured by
OSCE.
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
 There was many ways to enhance skills and OSCE
UKMPPD passing score. One of effort from school of
medicine UMY is using mentorship.
 This Study was conducted to analize whether OSCE
mentorship can be effective to pass on OSCE
UKMPPD.
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Medical Education In Indonesia
Year 1 Year 2
National Examination(UKMPPD)
Cognitive Skill and Attitude
MENTORSHIP
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Methods
 This study used a pre-post experimental design with 153 participants
who followed OSCE UKMPPD for period January-October 2017.
 Pre-test has been held 1 month before final exam with local
comprehensive OSCE. The mentorship conducted in 1 month with
20 times departemental expert lectures, 40 times regulated
independent learning OSCE and one time for formative simulated
OSCE with direct feedback.
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
 OSCE UKMPPD result has been
recorded as a post-test.
 Minimum requirement score for both of
these test was more than 65. The data
than analized using chi-square.
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
153 participants
(Jan – Oct 2017)
Pretest
(Local Exam)
OSCE
Compre
Experimental
(1 Month)
Post test
(National Exam)
OSCE
UKMPPD
- Expert Lecturer 20x
- Independent Learning 40x
- Simulated OSCE 1x
- Psychological Motivation 4x
Chisquare
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Picture1 . Expert Lecturer
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Picture 2. Expert Lecturer
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Picture 3. Independent Learning with Small
Group Discussion
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Picture 4. Simulated OSCE
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Results
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
 There were two high-grade students (score >78)
successfully passed this exam with lower increase
of pre and post result (0,52;0,73).
 Generally there was improvement in passing score
between local comprehensive OSCE and OSCE
UKMPPD which was 54% to 98%.
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
  OSCE 
COMPRE
(Local Exam)
OSCE UKMPPD 
(National Exam)
p
Student 
(Participant)
153
 
153
P < 0,05
Pass exam 
(Score  > 65)
54%
 
93%
Table 1. Prosentase pass exam in OSCE
Compre and OSCE UKMPPD Group
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Low Grade
student
High
Grade
student
Increasing score (Point)
(Mean ± SD = 13,29 ± 6,1) Until 29,13 0,5 – 0,7
Benefit
Table 2. Increasing score in low grade student
and high grade student
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Discussion
 General Medical Council (2015) was reviewing
about guidance for students to prepare for exams.
This should include preparation countdown with
key dates and preparation on finals.
 Therefore, School of Medicine UMY has
conducted mentorship and the result showed that
OSCE mentorship was effectively improves for
passing on OSCE UKMPPD.
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
 The qualitativaly reasonable advantages
of mentorship has been reported by Puspa
Dewi et al. (2016).
 As a small discussion group, mentorship
could bring motivational environment
with constructive feedback and closely
relationship between mentor and mentee
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Prepare the exam  Important 
(Small Group Discussion) : 
-Motivation  environment
-Constructive feedback
-Closely relationship
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Conclusions
 A qualitative study might be held
latter for identify the real reason that
may cause the significantly increase
passing score of OSCE UKMPPD on
School of Medicine UMY.
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
OSCE mentorship effective for
passing on OSCE UKMPPD in school
of Medicine Universitas
Muhammadiyah Yogyakarta,
Indonesia.
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
Refferences
1. General Medical Council. 2015. “How Are Students Assessed at
Medical Schools across the UK?” https://
www.gmc-uk.org/Assesment_audit_report_FINAL_pdf.pdf_597523
.
2. Puspa dewi, Natalia, and Elisabeth Rukmini.n.d. 2016.
“Implementasi Dan Evaluasi Modul Pembelajaran Ilmu
Pendidikan Kedokteran Untuk Mahasiswa Kedokteran Tahap
Preklinik.” Jurnal Pendidikan Kedokteran Indonesia; The
Indonesian Journal of Medical Education 5 (1):15–21.
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
3. Susan Fidment 2012. “The Objective Structured Clinical Exam
(Osce) : A Qualitative Study Exploring The Healthcare Student’s
Experience”. Student Engagement and experience Journal
Volume 1, Issue 1. ISSN (online) 2047-9476.
4. Hamed Al Sinawi, Marwan Al Sharbari, Yousif Obaid, Nonna
Viernes. 2012. “ Preparing And Conducting Objective Structured
Clinical Examination For Oman Medical Specialty Board R1-R4
Residents”. Oman Medical Journal Vol.27, No 3:246-248.
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
5. Courtney West, Terri Kurz, Sherry Smith, and Lori
Graham. 2014. “Are Study Strategies Related To Medical
Licensing Exam Performance”. Int.J Med Educ; 5: 199 –
2014. Published online 2014 Nov 2 doi:
10.5116/ijme.5439 6491.
6. Amer Al Saif and Samira Alsemany. 2013. “ The
objective structured clinical exam (OSCE): a qualitative
study exploring physical therapy student’s experience”.
Journal of American Science; 9 (6)
Fakultas kedokteran dan Ilmu Kesehatan,
Universitas Muhammadiyah Yogyakarta.
7. Rano Mal Piryani, Ravi P Shankar, et al. 2013. “
Conducting Integrated Objective Structured
Clinical Examination : Experience At Kist Medical
College, Nepal”. Medical Education Volume 1;
Issue 2; Page : 166-170

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Presentation nur shani meida amee 2018

  • 1. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. The Effectiveness of OSCE mentorship for Passing on OSCE UKMPPD : an Experience from School Of Medicine Universitas Muhammadiyah Yogyakarta (UMY) 1 Meida NS., 1 Setyonugroho W., 1 Suryandari G. 1 Faculty of Medicine and Health Science Universitas Muhammadiyah Yogyakarta
  • 2. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Introduction  Qualified and competent doctors in Indonesia has been produced for at least six years. At the end of their study they must be assessed by A High-Stakes National level examination called UKMPPD (Uji Kompetensi Mahasiswa Program Profesi Dokter) to assure national health quality services.  There are two kind of asessments : cognitive will be asessed by MCQ-CBT, meanwhile skills and attitude will be measured by OSCE.
  • 3. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta.  There was many ways to enhance skills and OSCE UKMPPD passing score. One of effort from school of medicine UMY is using mentorship.  This Study was conducted to analize whether OSCE mentorship can be effective to pass on OSCE UKMPPD.
  • 4. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Medical Education In Indonesia Year 1 Year 2 National Examination(UKMPPD) Cognitive Skill and Attitude MENTORSHIP
  • 5. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Methods  This study used a pre-post experimental design with 153 participants who followed OSCE UKMPPD for period January-October 2017.  Pre-test has been held 1 month before final exam with local comprehensive OSCE. The mentorship conducted in 1 month with 20 times departemental expert lectures, 40 times regulated independent learning OSCE and one time for formative simulated OSCE with direct feedback.
  • 6. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta.  OSCE UKMPPD result has been recorded as a post-test.  Minimum requirement score for both of these test was more than 65. The data than analized using chi-square.
  • 7. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. 153 participants (Jan – Oct 2017) Pretest (Local Exam) OSCE Compre Experimental (1 Month) Post test (National Exam) OSCE UKMPPD - Expert Lecturer 20x - Independent Learning 40x - Simulated OSCE 1x - Psychological Motivation 4x Chisquare
  • 8. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Picture1 . Expert Lecturer
  • 9. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Picture 2. Expert Lecturer
  • 10. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Picture 3. Independent Learning with Small Group Discussion
  • 11. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Picture 4. Simulated OSCE
  • 12. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Results
  • 13. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta.  There were two high-grade students (score >78) successfully passed this exam with lower increase of pre and post result (0,52;0,73).  Generally there was improvement in passing score between local comprehensive OSCE and OSCE UKMPPD which was 54% to 98%.
  • 14. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta.   OSCE  COMPRE (Local Exam) OSCE UKMPPD  (National Exam) p Student  (Participant) 153   153 P < 0,05 Pass exam  (Score  > 65) 54%   93% Table 1. Prosentase pass exam in OSCE Compre and OSCE UKMPPD Group
  • 15. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Low Grade student High Grade student Increasing score (Point) (Mean ± SD = 13,29 ± 6,1) Until 29,13 0,5 – 0,7 Benefit Table 2. Increasing score in low grade student and high grade student
  • 16. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Discussion  General Medical Council (2015) was reviewing about guidance for students to prepare for exams. This should include preparation countdown with key dates and preparation on finals.  Therefore, School of Medicine UMY has conducted mentorship and the result showed that OSCE mentorship was effectively improves for passing on OSCE UKMPPD.
  • 17. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta.  The qualitativaly reasonable advantages of mentorship has been reported by Puspa Dewi et al. (2016).  As a small discussion group, mentorship could bring motivational environment with constructive feedback and closely relationship between mentor and mentee
  • 18. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Prepare the exam  Important  (Small Group Discussion) :  -Motivation  environment -Constructive feedback -Closely relationship
  • 19. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Conclusions  A qualitative study might be held latter for identify the real reason that may cause the significantly increase passing score of OSCE UKMPPD on School of Medicine UMY.
  • 20. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. OSCE mentorship effective for passing on OSCE UKMPPD in school of Medicine Universitas Muhammadiyah Yogyakarta, Indonesia.
  • 21. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. Refferences 1. General Medical Council. 2015. “How Are Students Assessed at Medical Schools across the UK?” https:// www.gmc-uk.org/Assesment_audit_report_FINAL_pdf.pdf_597523 . 2. Puspa dewi, Natalia, and Elisabeth Rukmini.n.d. 2016. “Implementasi Dan Evaluasi Modul Pembelajaran Ilmu Pendidikan Kedokteran Untuk Mahasiswa Kedokteran Tahap Preklinik.” Jurnal Pendidikan Kedokteran Indonesia; The Indonesian Journal of Medical Education 5 (1):15–21.
  • 22. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. 3. Susan Fidment 2012. “The Objective Structured Clinical Exam (Osce) : A Qualitative Study Exploring The Healthcare Student’s Experience”. Student Engagement and experience Journal Volume 1, Issue 1. ISSN (online) 2047-9476. 4. Hamed Al Sinawi, Marwan Al Sharbari, Yousif Obaid, Nonna Viernes. 2012. “ Preparing And Conducting Objective Structured Clinical Examination For Oman Medical Specialty Board R1-R4 Residents”. Oman Medical Journal Vol.27, No 3:246-248.
  • 23. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. 5. Courtney West, Terri Kurz, Sherry Smith, and Lori Graham. 2014. “Are Study Strategies Related To Medical Licensing Exam Performance”. Int.J Med Educ; 5: 199 – 2014. Published online 2014 Nov 2 doi: 10.5116/ijme.5439 6491. 6. Amer Al Saif and Samira Alsemany. 2013. “ The objective structured clinical exam (OSCE): a qualitative study exploring physical therapy student’s experience”. Journal of American Science; 9 (6)
  • 24. Fakultas kedokteran dan Ilmu Kesehatan, Universitas Muhammadiyah Yogyakarta. 7. Rano Mal Piryani, Ravi P Shankar, et al. 2013. “ Conducting Integrated Objective Structured Clinical Examination : Experience At Kist Medical College, Nepal”. Medical Education Volume 1; Issue 2; Page : 166-170