National OSCE result as parameter outcome of basic clinical skills training during preclinical phase

Abstract

Since 2005 we have been teaching basic clinical skills (BCS) such as physical examination, and other procedural skills among medical students. Objective Structured Clinical Examination (OSCE) is a tool to assess those skills. On 2013 OSCE was implemented as national examination for all of Indonesian graduated medical students. National OSCE examined eight areas of competency. This study described national OSCE results to evaluate students in each area of competency and give suggestion to curriculum team to make appropriate improvement. We compared all candidates’ average to maximum scores in each competency in each OSCE period during 2013. Result of comparison presented in percentage. Fifty three students enrolled in national OSCE 2013. Candidates’ skills to do history taking was the best in all OSCE period, followed by patient’s education and professionalism (average over 77%). While, candidates seem less competent in diagnose and giving pharmacotherapy and non-pharmacotherapy (average less than 60%). Physical examination and clinical procedures were quite good (average around 60%). During preclinical phase students repeat history taking in every block. This repetition has great effect in skills mastery. While, students need more exercise to diagnose clinical case and giving treatment. This study revealed good competency in process skills (history taking, patient education and professionalism) while content skills (diagnosis and giving treatment) still need improvement. National OSCE result gave sufficient data for some improvement in learning process during preclinical and clinical phase.