title: Large-scale multi-site OSCEs for national competency examination of medical doctors in Indonesia.
abstract: BACKGROUND
  Implementing large-scale multi-site objective structured clinical examination (OSCEs) for national competency examination in a low resource country is challenging.
  
  
  OBJECTIVE
  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.
  
  
  CONCLUSIONS
  With 12 stations 15 min 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.
authors.affiliation: a Universitas Gadjah Mada , Indonesia .|b National Committee for Indonesian Medical Doctor Competency Examination , 2007-2013 , Indonesia.
authors.forename: Gandes Retno
authors.initials: GR
authors.lastname: Rahayu
authors.affiliation: a Universitas Gadjah Mada , Indonesia .
authors.forename: Yoyo
authors.initials: Y
authors.lastname: Suhoyo
authors.affiliation: a Universitas Gadjah Mada , Indonesia .
authors.forename: Rachmadya
authors.initials: R
authors.lastname: Nurhidayah
authors.affiliation: a Universitas Gadjah Mada , Indonesia .
authors.forename: Mohammad Adrian
authors.initials: MA
authors.lastname: Hasdianda
authors.affiliation: b National Committee for Indonesian Medical Doctor Competency Examination , 2007-2013 , Indonesia.
authors.forename: Sari Puspa
authors.initials: SP
authors.lastname: Dewi
authors.affiliation: b National Committee for Indonesian Medical Doctor Competency Examination , 2007-2013 , Indonesia.
authors.forename: Yulherina
authors.initials: Y
authors.lastname: Chaniago
authors.affiliation: b National Committee for Indonesian Medical Doctor Competency Examination , 2007-2013 , Indonesia.
authors.forename: Riyani
authors.initials: R
authors.lastname: Wikaningrum
authors.affiliation: b National Committee for Indonesian Medical Doctor Competency Examination , 2007-2013 , Indonesia.
authors.forename: Tatong
authors.initials: T
authors.lastname: Hariyanto
authors.affiliation: b National Committee for Indonesian Medical Doctor Competency Examination , 2007-2013 , Indonesia.
authors.forename: Sugito
authors.initials: S
authors.lastname: Wonodirekso
authors.affiliation: b National Committee for Indonesian Medical Doctor Competency Examination , 2007-2013 , Indonesia.
authors.forename: Trihanggono
authors.initials: T
authors.lastname: Achmad
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D004521:Educational Measurement / Q000379:methods*; D005240:Feasibility Studies; D007214:Indonesia; D010820:Physicians; D015203:Reproducibility of Results