scholarly journals Using the Many-Facet Rasch Model to analyse and evaluate the quality of objective structured clinical examination: a non-experimental cross-sectional design

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e029208 ◽  
Author(s):  
Mohsen Tavakol ◽  
Gill Pinner

ObjectivesSources of bias, such as the examiners, domains and stations, can influence the student marks in objective structured clinical examination (OSCE). This study describes the extent to which the facets modelled in an OSCE can contribute to scoring variance and how they fit into a Many-Facet Rasch Model (MFRM) of OSCE performance. A further objective is to identify the functioning of the rating scale used.DesignA non-experimental cross-sectional design.Participants and settingsAn MFRM was used to identify sources of error (eg, examiner, domain and station), which may influence the student outcome. A 16-station OSCE was conducted for 329 final year medical students. Domain-based marking was applied, each station using a sample from eight defined domains across the whole OSCE. The domains were defined as follows: communication skills, professionalism, information gathering, information giving, clinical interpretation, procedure, diagnosis and management. The domains in each station were weighted to ensure proper attention to the construct of the individual station. Four facets were assessed: students, examiners, domains and stations.ResultsThe results suggest that the OSCE data fit the model, confirming that an MFRM approach was appropriate to use. The variable map allows a comparison with and between the facets of students, examiners, domains and stations and the 5-point score for each domain with each station as they are calibrated to the same scale. Fit statistics showed that the domains map well to the performance of the examiners. No statistically significant difference between examiner sensitivity (3.85 logits) was found. However, the results did suggest examiners were lenient and that some behaved inconsistently. The results also suggest that the functioning of response categories on the 5-point rating scale need further examination and optimisation.ConclusionsThe results of the study have important implications for examiner monitoring and training activities, to aid assessment improvement.

2018 ◽  
Vol 10 (3) ◽  
pp. 159
Author(s):  
Gilbert Limen ◽  
Joshua Runtuwene ◽  
Christillia Wagiu

Abstract: Exam is a potential stressor to cause anxiety among students. As an exit exam, the medical competency examination consists of two parts: multiple choice question computer-based test and an objective structured clinical examination (OSCE). The anxiety level during the latter part where the cognitive, psychomotor and professional behaviour aspects of examinees are tested, is considered the highest. Passing grade of the exam as one criterion used for important decisions can also be another source of anxiety. Anxiety may impact performance during exam and consequently the passing grade. This study was aimed to evaluate the correlation between the anxiety level right before medical competency examination OSCE and the August 2018 OSCE final results. This was an analytical study with a cross sectional design. Respondents were all students partaking in OSCE at Sam Ratulangi University Medical School. The Hamilton Anxiety Rating Scale was used to measure the anxiety level. The OSCE results were retrieved from the Academic Department. Data were analyzed with the Spearman correlation test that obtained a P value of 0.289. Overall, 81.20% of respondents experienced anxiety, however, the majority (43.50%) were considered as mild anxiety. Moreover, the median score of August 2018 OSCE was 80.00. Conclusion: There is no correlation between anxiety level right before OSCE and August 2018 final results.Keywords: anxiety level, medical competency examination, OSCE scoreAbstrak: Ujian dapat menjadi sebuah stresor yang menimbulkan kecemasan. Uji Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD) sebagai exit exam terdiri atas dua jenis ujian yakni pilihan ganda berbasis komputer dan Objective Structured Clinical Examination (OSCE). Tingkat kecemasan yang dihasilkan oleh OSCE paling tinggi karena OSCE menguji aspek kognitif, psikomotor dan professional behavior. Nilai batas lulus ujian UKMPPD juga dapat menjadi sumber kecemasan karena digunakan untuk menentukan keputusan yang penting. Kecemasan dalam menghadapi ujian dapat menjadi salah satu penyebab yang memengaruhi performa dan berdampak pada kelulusan. Penelitian ini bertujuan untuk mengetahui hubungan tingkat kecemasan mahasiswa dalam menghadapi UKMPPD OSCE dengan nilai UKMPPD OSCE periode Agustus 2018. Jenis penelitian ialah analitik dengan desain potong lintang. Responden ialah seluruh mahasiswa yang mengikuti UKMPPD OSCE di Fakultas Kedokteran Universitas Sam Ratulangi (Unsrat) dengan menggunakan instrumen penelitian Hamilton Anxiety Rating Scale untuk mengukur tingkat kecemasan dan nilai OSCE dari Bagian Akademik Fakultas Kedokteran Unsrat. Analisis statistik menggunakan uji kore-lasi Spearman. Hasil analisis hubungan antara kecemasan dalam menghadapi UKMPPD OSCE dengan nilai UKMPPD OSCE periode Agustus 2018 mendapatkan nilai P=0,289. Responden yang mengalami kecemasan sebanyak 81,20% dan umumnya memiliki tingkat kecemasan yang ringan (43,50%). Median nilai UKMPPD OSCE periode Agustus 2018 yang diperoleh ialah 80,00. Simpulan: Tidak terdapat hubungan antara tingkat kecemasan dalam menghadapi UKMPPD OSCE dengan nilai UKMPPD OSCE periode Agustus 2018.Kata kunci: tingkat kecemasan, UKMPPD, nilai OSCE


2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Winda Febrianti ◽  
Maya F. Memah ◽  
Firginia P. Manoppo

Abstract: The average graduation rate of Competency Test for Medical Student Profession Program (UKMPPD) of Sam Ratulangi University (Unsrat) is still below the national average passing rate in the period of May from year 2015 to 2017, as follows: 30.5%, 35.4%, and 36.3% respectively. This study was aimed to determine whether the results of computer based test (CBT), objective structured clinical examination (OSCE), and UKMPPD were correlated with undergraduate and profession grade point average (GPA), which is one of the benchmarks of students’ success in their study. This was a quantitative retrospective study with a cross sectional design. The required data were obtained from students’ data during education and results of UKMPPD FK Unsrat data (secondary data). The data were analyzed by using Spearman correlation test and Mann Whitney test. Statistical analysis showed that there was a significant correlation (P = 0.001) between undergraduate GPA with CBT (r = 0.770), OSCE (r = 0.544), and UKMPPD results. The professional GPA showed a significant correlation (P = 0.001) with the CBT (r = 0.553), OSCE (r = 0.556), and UKMPD results. Conclusion: There were significant correlations between the undergraduate and professional GPA with the value of CBT, OSCE, and UKMPPD results.Keywords: GPA, CBT, OSCE, UKMPPD Abstrak: Rerata angka kelulusan Uji Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD) Universitas Sam Ratulangi (Unsrat) masih di bawah rerata angka kelulusan nasional yaitu secara berturut-turut dari tahun 2015 sampai tahun 2017 periode Mei, 30,5%, 35,4%, dan 36,3%. Penelitian ini bertujuan untuk mengetahui apakah nilai computer based test (CBT), objective structured clinical examination (OSCE), maupun hasil UKMPPD memiliki hubungan dengan nilai indeks prestasi kumulatif (IPK) sarjana dan profesi, yang menjadi salah satu tolok ukur keberhasilan seorang mahasiswa dalam pendidikan. Jenis penelitian ialah kuantitatif retrospektif dengan desain potong lintang. Data penelitian diperoleh dari data sekunder berupa data mahasiswa selama menempuh pendidikan dan data hasil UKMPPD FK Unsrat. Data dianalisis menggunakan uji korelasi Spearman dan uji Mann Whitney. Hasil penelitian mendapatkan hubungan bermakna (P=0,001) antara IPK sarjana dengan nilai CBT (r=0,770), nilai OSCE (r=0,544), dan hasil UKMPPD; serta hubungan bermakna (P=0,001) antara IPK profesi dengan nilai CBT (r=0,553), OSCE (r=0,556), dan hasil UKMPPD. Simpulan: Terdapat hubungan bermakna dari IPK sarjana dan profesi dengan nilai CBT, OSCE, dan hasil UKMPPD.Kata kunci: IPK, CBT, OSCE, UKMPPD


2019 ◽  
Vol 12 (2) ◽  
pp. 128
Author(s):  
Zulfi Mustika Rantari ◽  
Zulharman Zulharman ◽  
Enikarmila Asni

The learning approach is the way to achieve their learning objectives. Learning approach can influence the OSCEvalue. This study aimed to analyze the relationship between learning approach and OSCE value. This study wasanalytic descriptive with cross-sectional design. The subjects were all the medical student University of Riau in thesecond year. Study Process Questionnaire (SPQ) which have been translated to Indonesia language was used in thisstudy. OSCE value before remedial data were analyzed using Kruskal-Wallis. The majority of students (93.1%) usingthe achieving approach and there were no relationship between learning approach and OSCE value. lue.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Marianne C. Jacobus ◽  
Max F.J Mantik ◽  
Adrian . Umboh

Abstract: Haemoglobin is the main component of red blood cells that serves as a transporter of oxygen and carbon dioxide in the blood. The normal range of haemoglobin values can be used to determine the degree of anemia according to age and gender. Geographical condition such as altitude influences the haemoglobin value. This study aimed to obtain the difference of haemoglobin levels between teenagers with good nutrition status who live at the highland and those at the seaside. This was an observational analytical study with a cross sectional design. Samples were students with good nutrition status of SMPN 3 Tomohon (living at the highland) and those of SMP Kristen Nazaret Tuminting (living at the seaside). There were 60 students who met the inclusion criteria as follows: adolescent, good nutrition status, healthy, aged 13-15 years, lived at the highland or at the seaside ≥ 6 month, and willing to be performed blood examinations, and had been approved by their parents. The Mann-Whitney test for the difference between haemoglobin levels of the two groups showed a p value < 0,001. Conclusion: There was a very significant difference between haemoglobin levels of good nutrition teenagers who lived at the highland and at the seaside. Keywords: haemoglobin levels, good nutrition, teenagers, highland, seaside  Abstrak: Hemoglobin merupakan komponen utama sel darah merah dan berfungsi sebagai transporter oksigen dan karbon dioksida dalam darah. Batas normal nilai hemoglobin dapat digunakan untuk menetapkan derajat anemia, dengan distribusi usia dan jenis kelamin spesifik didasarkan pada sampel referensi sehat. Kondisi geografis, seperti ketinggian tempat dari permukaan laut menjadi faktor pertimbangan dalam distribusi nilai normal hemoglobin. Penelitian ini bertujuan untuk mendapatkan perbedaan kadar hemoglobin antara remaja gizi baik yang tinggal di pegunungan dengan yang tinggal di tepi pantai. Jenis penelitian ini analitik-observasional dengan desain potong lintang. Sampel penelitian yaitu remaja gizi baik yang tinggal di pegunungan yaitu siswa SMPN 3 Tomohon dan yang di tepi pantai yaitu siswa SMP Kristen Nazaret Tuminting. Subjek penelitian berjumlah 60 remaja yang memenuhi kriteria inklusi yaitu gizi baik, sehat, berumur 13-15 tahun, berdomisili di pegunungan atau tepi pantai ≥6 bulan, bersedia dilakukan pemeriksaan darah, dan telah disetujui oleh orang tua. Data yang diperoleh dianalisis menggunakan uji Mann-Whitney dengan bantuan program SPSS. Hasil uji Mann-Whitney mengenai perbedaan kadar hemoglobin antara kedua kelompok menunjukkan nila p <0,001. Simpulan: Terdapat perbedaan yang sangat bermakna kadar hemoglobin remaja gizi baik yang tinggal di pegunungan dengan di tepi pantai.Kata kunci: kadar hemoglobin, remaja gizi baik, pegunungan, tepi pantai


2020 ◽  
Vol 1 (2) ◽  
pp. 27-31
Author(s):  
Rilla Fiftina Hadi ◽  
Titis Hadiati ◽  
Natalia Dewi Wardani

Abstract Background: According to WHO, the elderly people have physical and mental challenges, including depression. The incidence of depression lead to suicide on elderly is about 12.7%. In Grobogan Regency, Purwodadi, Central Java, there has been an increase of depression in the last 5 years. Purwodadi Subdistrict depends on the number of orders with the highest number of traffic cases and the elderly.Objective: To determine the correlation between depression level and the risk of suicide.Methods: This research is a quantitative study with cross sectional design in which all respondents were observed and variables were measured at one time. Samples were taken from elderly outpatient of primary health care and Posyandu lansia at Purwodadi, who met the inclusion and exclusion criterias. Research samples were selected based on nonprobability sampling method through purposive sampling. This research used the Indonesian version of the GDS (Geriatric Depression Scale) and CSSRS (Columbia Suicide Severity Rating Scale) questionnaire.Results: The prevalence of elderly depression is 63.3%, and a significant correlation was found between severe depression and low risk of suicide (p <0.05)Conclusion: significant correlation was found between severe depression and low risk of suicide


Author(s):  
Meily Manoppo ◽  
Hermie MM Tendean ◽  
Joice MM Sondakh

Objective: To compare the level of high sensitivity C-Reactive Protein (hs-CRP) on patients with premature rupture of membranes (PROM) at term pregnancy. Methods: The study was cross-sectional design. The data collection included age, parity, gestational age, birth weight, and APGAR score on 28 pregnant women at term pregnancy consisting of 14 subjects of Premature Rupture of Membrane (PROM) less than 12 hours and the remaining one was equal or more than 12 hours. We took blood samples from the subjects for the examination of hs-CRP level. Data were analyzed using non-parametric statistical test and processed using Statistical Package for Social Sciences (SPSS) version 20. Results: The mean hs-CRP level on PROM <12-hour and 12-hour group was 12.9 and 17.8 mg/l. There was not significant difference on hs-CRP level between both of group at term pregnancy (p=0.734). Conclusion: The level of hs-CRP does not have association with the incidence of PROM. [Indones J Obstet Gynecol 2017; 5-1: 12-15] Keywords: high sensitivity C-Reactive Protein, premature ruptures of membranes, term pregnancy


2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Festy Ladyani Mustofa ◽  
Jordy Oktobiannobel ◽  
Sulesa Sulesa

Kecemasan adalah keadaan tegang berlebihan ditandai perasaan khawatir, tidak menentu, atau takut. Kecemasan sering di alami pada mahasiswa khususnya mahasiswa kedokteran yang akan melaksanakan Ujian Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD) diantaranya ujian Objective Structured Clinical Examination (OSCE) dan Computer Based Test (CBT). OSCE merupakan instrumen penilaian keterampilan klinik pada mahasiswa kedokteran. Kecemasan apabila sudah mencapai tingkat kecemasan yang berat akan mengganggu proses jalannya ujian dan juga memungkinkan mempengaruhi hasil ujian pada mahasiswa program profesi dokter yang melaksanakannya. Jenis penelitian yang digunakan adalah deskriptif  dengan menggunakan pendekatan cross sectional. Tujuannya untuk mengetahui gambaran kecemasan dalam menghadapi OSCE UKMPPD pada mahasiswa first taker pendidikan profesi dokter di Universitas Malahayati tahun 2019. Hasil penelitian didapatkan kecemasan paling tinggi yaitu sebesar 78 (56%) pada kecemasan ringan. Distribusi usia paling banyak mengikuti ujian OSCE UKMPPD adalah  usia 24 tahun 88 peserta (63,8%). Ditribusi jenis kelamin paling banyak berjenis kelamin perempuan sebanyak 99 peserta (71,7%). Distribusi masa studi paling banyak dari peserta OSCE UKMPPD yaitu Masa studi 6 tahun yaitu sebanyak 108 peserta (78,26%). Berdasarkan distribusi data terbanyak untuk gambaran kecemasan dalam menghadapi ujian OSCE UKMPPD pada mahasiswa first taker pendidikan profesi dokter di Universitas Malahayati Bandar Lampung tahun 2019 adalah kecemasan ringan, usia 24 tahun, jenis kelamin perempuan, dan dengan masa studi 6 tahun.


2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Dr. Syeda Razia Bukhari ◽  
Syeda Ishrat Fatima ◽  
Amenah Rashid ◽  
Farhana Saba

The aim of the research is to investigate that emotional intelligence and self-esteem in male and female school students. The present research design is research cross sectional design.  Sample contained 200 students (100 =male, 100= female)   (mean age = 14.16, SD = 0.740) all belonging to the upper, middle and lower Scio economic status. Whole sample was collected from different schools of Karachi, Pakistan with the help of convenient sampling technique. First, the confidentiality about the participants demographic information was assured after that about the purpose and procedure of research explained to participants. The participants who given consent of participation in research, the demographic form, Urdu version of Rosenberg Self-Esteem Scale (Rosenberg, 1965), and Trait Emotional Intelligence Questionnaire (TEIQue) (K.V. Petrides) were administered on them. Statistical Analysis (t-Test for independent) applied to assess the difference of emotional intelligence and self esteem among male and female.The results reveals there is significant difference among emotional intelligence of male and female school students (t (198) = 6.597, P< .05) and there is also significant difference in self esteem of male and female school students (t (198) = 2.837, P< .05).


2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Welan Mauli Angguna

ABSTRACT: THE EFFECTS OF PERSONALITY TRAITS ON PHYSICAL ACTIVITY Indonesia was considered as a country who has low physical activity. Hence, it was necessary to promote physical activity in order preventing degenerative disease and death in young adults. Personality traits were good predictors of physical activity. The purpose of this study was to examine the effects of personality traits on physical activity. This is a survey analytical study cross-sectional design on 33 samples aged 18-26 years old. The study found that personalities traits influenced physical activity with contribution 32% (p≤0,05), especially of extraversion, agreeableness, and openness. There was significant difference of physical activity based on gender and exercise routine, this should be a consideration for further research.  Keywords: Personality Traits, Physical Activity, Gender.  Indonesia dianggap sebagai negara dengan aktivitas fisik yang cukup rendah, sehingga diperlukan promosi aktivitas fisik untuk pencegahan terhadap penyakit degeneratif dan kematian di usia muda. Trait kepribadian dianggap sebagai faktor psikologis kuat dalam identifikasi aktivitas fisik. Penelitian ini adalah survei analitik dengan rancangan cross-sectional pada 33 sampel usia 18-26 tahun yang rutin dan tidak rutin berolahraga. Hasil penelitian menunjukkan bahwa trait kepribadian berkontribusi sebesar 32% (p≤0,05) terhadap aktivitas fisik, khususnya trait ekstraversi, agreeableness, dan openness. Adanya perbedaan signifikan aktivitas fisik dan trait kepribadian antar gender dan rutinitas berolahraga, hal ini disarankan menjadi pertimbangan untuk penelitian lanjutan. Kata Kunci: Trait Kepribadian, Aktivitas Fisik, Gender.


e-GIGI ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Lidia A. Kewo ◽  
Damajanty H.C. Pangemanan ◽  
Aurelia Supit

Abstract: To date, there are lots of documentations about the adverse effects of smoking on the oral cavity. Albeit, smoking is still considered as a casual thing in our community. Chemicals contained in the cigarette smoke can irritate the gums and soft tissues of the mouth, thus inhibiting wound healing after tooth extraction. This study was aimed to determine the difference in post-extraction dental wound healing between smokers and non-smokers. This was a comparative analytical study with a cross sectional design. Samples were obtained by using total sampling method. Subjects consisted of 16 smokers and 16 non-smokers that fulfilled the study eligibility criteria. Their oral cavities were examined to check the signs of inflammation (calor, dolor, rubor, tumor, and functio laesa). The results showed that there was a difference in post-extraction wound healing in inflammatory phase between smokers and non-smokers. As many as 9.4% of smoker patients and 34.4% of non-smoker patients recovered at 7 days post extraction. The Mann Whitney U test showed a p-value of 0.005. In conclusion, there was a significant difference in post-extraction wound healing between smokers and non-smokers.Keywords: smokers, non-smokers tooth extraction, wound healing Abstrak: Kebiasaan merokok bukan merupakan hal asing di masyarakat walaupun banyak dokumentasi mengenai akibat buruk dari merokok terhadap rongga mulut. Bahan kimia yang terdapat dalam asap rokok dapat mengiritasi gusi dan jaringan lunak mulut sehingga menghambat penyembuhan luka pasca ekstraksi gigi. Penelitian ini bertujuan untuk mengetahui perbedaan penyembuhan luka pasca ekstraksi gigi antara pasien perokok dengan bukan perokok. Jenis penelitian ialah analitik komparatif dengan desain potong lintang. Pengambilan sampel menggunakan total sampling yang memenuhi kriteria penelitian. Terdapat sebanyak 16 orang perokok dan 16 orang bukan perokok sebagai subyek penelitian. Pemeriksaan rongga mulut dilakukan untuk melihat tanda-tanda inflamasi (kalor, dolor, rubor, tumor, dan fungsio laesa). Hasil penelitian menunjukkan terdapat perbedaan penyembuhan luka 7 hari pasca ekstraksi gigi pada fase inflamasi antara pasien perokok dengan yang bukan perokok; sebanyak 9,4% pasien perokok dan 34,4% pasien bukan perokok yang sudah sembuh. Hasil uji Mann Whitney U mendapatkan nilai p=0,005. Simpulan penelitian ini ialah terdapat perbedaan bermakna dalam penyembuhan luka pasca ekstraksi gigi antara pasien perokok dengan yang bukan perokokKata kunci: perokok, bukan perokok, ekstraksi gigi, penyembuhan luka


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