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Large-scale multi-site OSCEs for national competency examination of medical doctors in Indonesia

机译：大型多站点OSCE用于印度尼西亚医生的国家能力检查

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Background: Implementing large-scale multi-site objective structured clinical examination (OSCEs) for national competency examination in a low resource country is challenging.Aims: To describe the first national OSCE for national competency examination of medical doctors in Indonesia and evaluate the reliability, validity, feasibility, acceptability, and educational impact.Methods: We collected electronically the OSCE scores from 49 out of 73 medical schools that participated to assess reliability and validity. We conducted electronic survey to examiners, examinees, SP trainers, and OSCE coordinators to assess feasibility, acceptability, and educational impact.Results: The Cronbach's alpha coefficient across station was 0.79. There was strong correlation between rubric and global rating scores in each station (coefficient correlation ranges from 0.705 to 0.82). The content validity ratio was 0.97. The coefficient correlation between OSCE and MCQ was 0.335 (p=0.00). All 49 medical schools were able to conduct OSCE simultaneously. Examiners, examinees, SP trainers, and OSCE coordinators had good perception regarding feasibility and acceptability of OSCE. Both examiners and examinees indicated good educational impact of OSCE application. The cutting score based on the borderline regression method was 61.96%. There were 67.39% of the examinees achieved similar or above the cutting score.Conclusion: With 12 stations 15min each, the reliability coefficient across station is intermediate. Content validity is good. It is feasible and acceptable to implement large-scale multi-site OSCEs in Indonesia. Examiners and examinees perceive good educational impact on OSCE implementation.
机译：背景：在资源匮乏的国家实施大型多站点客观结构化临床检查（OSCE）进行国家胜任力检查具有挑战性。目的：描述印度尼西亚首个国家进行医生国家胜任力检查的OSCE并评估其可靠性，方法：我们通过电子方式收集了参与评估可靠性和有效性的73所医学院校中49所的OSCE分数。我们对考官，考生，SP培训师和OSCE协调员进行了电子调查，以评估可行性，可接受性和教育影响。结果：跨站Cronbach的alpha系数为0.79。每个站点的专栏评分和总体评分之间存在很强的相关性（系数相关性介于0.705至0.82之间）。内容有效率为0.97。 OSCE与MCQ之间的系数相关性为0.335（p = 0.00）。所有49所医学院都能同时进行OSCE。考官，考生，SP培训师和OSCE协调员对OSCE的可行性和可接受性有很好的认识。考官和考生都表示对OSCE应用的良好教育影响。基于边界回归法的切割得分为61.96％。有67.39％的考生达到或超过割伤分数。结论：每12个工位15min，跨工位的可靠性系数是中等的。内容有效性好。在印度尼西亚实施大规模的多站点OSCE是可行和可接受的。考官和考生对欧安组织的实施产生了良好的教育影响。

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