2012

24/10/2012

PREPARATION FOR IMPLEMENTATION OF THE NATIONAL COMPETENCY EXAMINATION WITH CBT AND OSCE

MELANIE SADONO DJAMIL Component 2 HPEQ Project

INDONESIAN COLLEGE OF DENTIST DEAN FACULTY OF DENTISTRY TRISAKTI UNIVERSITY 28 October 2011

Core Team           

Chairman : Melanie Sadono Djamil Secretary : Wiwiek Poedjiastoeti OSCE Exam Manager : Mei Syafriadi Vice Manager OSCE Exam : Haslinda Tamin Member OSCE Exam : Anna Muryani IBA Manager : Indri Kurniasih IBA Vice Manager : Utmi Arma CBT Manager : Iwan Dewanto Asset Manager : Kosterman Usri R&D Manager : Gilang Jubiliana Vice Manager : Mia Damiyanti

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Presentation Outline Background

1. Problem in health services 2. Legal aspect

Process

Output

1. Blue print development

1. Result

2. Item Development & Review 3. Implementation of NCE

2. Impact 3. Future direction

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BACKGROUND

PRACTICE OF MEDICINE LAWS

HPEQ Project

COLLEGE PUBLISH CERTIFICATE OF COMPETENCY

INDONESIAN COLLEGE OF DENTIST (ICD) RUNNING THE INDONESIAN DENTIST COMPETENCY EXAMINATION (IDCE)

Since, 3 April 2007

Implementation of NACE/ IDCE Ensure the quality of graduates ICD With CBT & OSCE

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NCE as integral part of assessment system

National Competence Examination

Benchmarking Regional Assessment System in Institution

- CBC implementation - 80% of curriculum content - CBC implementation - Academic phase (prediagnostic/treatment) - Formative - CBC implementation - 100% of curriculum - Requirement for graduation

FACULTY OF DENTISTRY IN INDONESIA

4

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HPEQ Project

Item Development

1

1

Item Development

Item Review

NACE

2

3

WORKSHOPS

5

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22 - 23 Mar

Workshop National Item Development for PBT-IDCE

11-12 May

Workshop Standard Setting for Dentistry

19-20 May

Workshop of Regional Item Development for OSCE of Dentistry in West Region

21-22 May

Workshop of Regional Item Development for OSCE of Dentistry in East Region

29-30 May

Workshop of National Item Development of OSCE in Dentistry

9-10 June

Workshop of OSCE Examiner in Dentistry of West Region

12-13 June

Workshop of OSCE Examiner in Dentistry of East Region

18-19 June

Workshop of National OSCE Examiner in Dentistry

28-29 June

Workshop of National Item Review for National Competency Examination

13-14 July

Workshop of Panel Expert part.2

16-17 July

Workshop of Regional SP trainer in East Region

16-17 July

Workshop of Regional SP trainer in West Region

26-27 July

Workshop of National SP Trainers

13-14 August

Workshop of Regional Item Dev OSCE – in West Region (part 2)

13-14 August

Workshop of Regional Item Dev OSCE – in East Region (part 2)

10 - 11 October

Workshop of Item Review part 2

2

Item Review

ITEM BANK ADMINISTRATOR

(IBA)

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Workflow of Item Bank Administration Kedokteran Gigi Institution

Item writer

Item review

National Item Bank Administrator

National Item Review

item bank 2

Panel expert

Item bank 1

National Item Bank Administrator

Item selection process

Question book (UKDGI)

Item Bank 3

Time schedule IBA Yearly

APRIL

JANUARI

apr

mei

mei

juni

Item writer inst

Item review inst

IBA inst

Item review nas

Juli

agt

agt

sep

Item writer inst

Item review inst

IBA inst

Item review nas

okt

nov

nov

des

UKDGI

mar

Item review nas

JANUARI

feb

IBA inst

UKDGI

feb

Item review inst

OKTOBER

jan

Item writer inst

UKDGI

Item review nas

JULI

IBA inst

UKDGI

Item review inst

UKDGI

Item writer inst

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Competence Base Curriculum In Dentistry

kdgi-msd

10/24/2012

Domain-1. Professionalism Main competence 1.

Ethics and jurisprudence: ethics and law

2.

Analysis of critical health information, scientifically, and effectively

3.

Communication skills

4.

Socio-cultural relations in the field oral health care

kdgi-msd

10/24/2012

8

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Domain-2 Aplication of Basic Medical and Dental Sciences Main competence 5. Basic Medical Sciences 6. Clinical Medicine 7. Dental Basic Science 8. Clinical Dentistry

kdgi-msd

10/24/2012

Domain-3 General physical examination and stomatognatic system Main competence 9. Examination of patients:   

physical, clinical, laboratory, radiological, psychological, and social; manage patient behavior, and using medical record Diagnosis Care Plan

10. Diagnosis 11. Care plan kdgi-msd

10/24/2012

9

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Domain-4 Management the function of stomatognatic system Main competence 12. Management of pain and anxiety 13. Dentistry medical action:      

conservation treatment and restoration of deciduous teeth and adult; periodontal, orthodontic children and adults; Minor surgery in soft and hard tissue, non-surgical lesions, TMJ disorders and occlusion; Prosthodontics for children, adults, and elderly; manage emergency; Team work .

kdgi-msd

10/24/2012

Domain-5 dental and oral health community Main competence 14. Doing community services in oral health: 

Diagnose problem oral health community.



Promotive and preventive dentistry



Information technologies



Working in teams.

15. Management of behaviour kdgi-msd

10/24/2012

10

24/10/2012

Domain-6 Management Practice in Dentistry Main competence 16. Management practices and work environment 

Restructure management practices and management practices the work environment in dentistry



Organizing an ergonomic environment in dentistry with regard to the principles of work safety



Applying the basic principles of practice management and its relationship with the social aspects

kdgi-msd

10/24/2012

GENERAL BLUE-PRINT for DENTISTRY MCQ (%)

OSCE (%)

Professionalism

10

10

2.

Application of basic medical and dental sciences

10

5

3.

General physical examination and stomatognatic system

25

40

4.

Management of stomatognatic functions System

25

30

5.

Oral and dental health

20

10

6.

Management of dental practices

10

5

100

100

DOMAIN

COMPETENCY

1.

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Blue print

ID

Fill in by Item Bank Administrator 1. Professionalism

Ideal Percentage

5-15

10

5-15

10

20-30

25

20-30

25

5. Oral and dental health

15-25

20

6. Management of dental practices

5-15

10

2. Application of basic medical and dental sciences

Review -1

Item Range Percentage

3. General physical examination and stomatognatic system 4. Management of stomatognatic functions System

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13

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Out Put

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Jumlah Peserta dan Kelulusan Uji Kompetensi Examination Number of Period examinee April 2007 (Uji coba) 349 July 2007 349 October 2007 451 January 2008 354 April 2008 362 July 2008 280 October 2008 373 January 2009 389 April 2009 426 July 2009 374 October 2009 493 Total

4889

Pass 349 (100,00%) 323 (92,55%) 408 (91,12%) 327 (91,12%) 324 (87,60%) 248 (88,57%) 341 (92,42%) 295 (75,80%) 386 (90,61%) 298 (79,68%) 340 (68,97%)

Mean

89,93

78,77

3990(81,61%)

Fail 0 (0%) 26 (7,45%) 43 (9,50%) 27 (8,88%) 38 (12,40%) 32 (11,43%) 32 (8,58%) 94 (24,20%) 40 (9,39%) 76 (20,32%) 153 (31,03%) 621 (18,39%)

Jumlah Peserta dan Kelulusan Uji Kompetensi Examination Period

Number of examinee

Pass

January 2010

469

409 (87,21%)

April 2010

569

291 (51,14%)

July 2010 October 2010 January 2011 April 2011 July 2011 October 2011 January 2012

451 354 362 280 373 389 343

408 (91,12%) 327 (91,12%) 324 (87,60%) 248 (88,57%) 341 (92,42%) 295 (75,80%) 262 (76,38%)

Total

7441

6195 (83,25%)

Mean

Fail 60 (12,79%)

80,15

83,98

278 (48,86%)

43 (9,50%) 27 (8,88%) 38 (12,40%) 32 (11,43%) 32 (8,58%) 94 (24,20%) 81(23,62%)

621 (13,75%)

* Uji coba tidak ikut dihitung

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Items total from all Institution in Indonesia (2010) NO

Institutions Name

I (July)

II (NOV)

1

USU

141

2

BAITURAHMAH

3

UI

4

III (DES)

Number of Item (format)

NO

INSTITUTIONS NAME

I (July)

II (NOV)

110*

141

12

UNSYIAH

93*

20*

100

24

124

13

UNAND

1

20*

1

116

16

132

14

UNSRI

100*

20

20

USAKTI

114

22

136

15

Maranatha

98

20

118

5

MOESTOPO

101

20*

121

16

UNJANI

-

-

-

6

UNPAD

97

97

17

UNSOED

-

10*

-

7

UGM

30*

63

63

18

UMY

115

20

8

UNAIR

110

23

133

19

UNISULA

100

-

9

UHT

107

23

130

20

Bhakti Wiyata

-

20

10

UNEJ

106

106

21

UB

-

21*

-

11

UNHAS

31

31

22

UNLAM

-

-

-

12

UNMAS

50

50

23

UNSRAT

98

20

118

24

UNPRIMA

100

40

140

20

TOTAL

1264

III (DES)

16

Number of item (format)

151 100

20

40

688

Total Items from each Institution (2011) N O

NAMA INSTITUSI

I JUNIJULI

NAMA INSTITUSI

I (JUNIJULI)

1

USU

21

UNSYIAH

20

2

BAITURAHMAH

20

UNAND

20

3

UI

25

UNSRI

40

4

USAKTI

24

Maranatha

20

5

MOESTOPO

20

UNJANI

20

6

UNPAD

27

UNSOED

20

7

UGM

120

UMY

35

8

UNAIR

65

UNISULA

20

9

UHT

42

Bhakti Wiyata

20

10

UNEJ

20

UB

30

11

UNHAS

15

UNLAM

20

12

UNMAS

20

UNSRAT

20

UNPRIMA

20

ITEMS IN TOTAL = 764

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Successful rate

SUCCESSFUL RATE & MEAN IN EACH EXAMINATION PLACES

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PREPARATION IN THE INSTITUTIONS •

Computer Based Test (CBT) – – –

•

Item development Item review (expertise in every subject) CBT coordinator

Trained in every institution

OSCE – – – – –

3

Item development Item review (expertise in every subject) OSCE Examiner & standard setting Standardize Patient trainers OSCE coordinator

National Competency Examination

Trained in every institution

CBT

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WS 1

CBT Software processed by KDGI

Software Try out

NACE

Items from IPDG

Koord . CBT

NCE Try Out

Item review Panel IBA expert system Item Item bankl UKDGI UKDGI

Local IT CBT CBT Software System

CBT center supervisor CBT UKDGI 2012 Standard setting Item Analisis

Software by UKDGI

OSCE

3

Penyelengaraan Uji

OSCE

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BLUE-PRINT AGREEMENT

Security of Items St. 1. 5x5 + 1x1 = 26  St. 2. 5x5 + 1x1 = 26  St. 3. 5x5 + 1x1 = 26  St. 4. 5x5 + 1x1 = 26  St. 5. 5x6 = 30  St. 6. 5x6 = 30  St. 7. 5x3 = 15  St. 8. 5x4 = 20 +  TOTAL = 199 (items collected) For security prepare 3 items in each station  597 items 

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OSCE COORDINATOR (trained for every institution) 

Responsible to:       

Preparation Coordinating the examiner, standardize patients, SP trainer, item OSCE and infrastructures Facilities including all stations Examination rules Implementation Evaluation Documentation

OSCE Workshop in Dentistry and output Date

Place

Activities

Output

19-20 Mei 2010

Palembang

WS item writer Dev OSCE West region.

Collected 9 items OSCE

21-22 Mei 2010

Yogya

WS item writer Dev OSCE East region.

Collected 12 items OSCE Review: 9

29-30 Mei 2010

Surabaya

WS National item Blue Print OSCE writer Dev OSCE KG Eligible item OSCE collected 18

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OSCE Workshop in Dentistry and output Date

Place

Activities

Output

9-10 Juni 2010

Yogya-UMY

WS Standard Setting & Examiner OSCE west region

Item OSCE still not suit to the standard e.g in the check list

12-13 Juni 2010

Bali-UNMAS

WS Standard Setting & Examiner OSCE East region

Need to completed the item OSCE

18-19 Juni 2010

Surabaya

WS National Examiner OSCE

Kesepakatan PS yang digunakan di OSCE KG

OSCE Workshop OSCE KG and output Date

Place

Activities

Output

26-27 Juli 2010

Medan-USU

WS SP trainers OSCE West region

Perlu adanya pertemuan antara pelatih SP & item Dev

Makasar-UNHAS

WS SP trainers OSCE East region

26-27 Juli 2010

Batam

WS Nasional Pelatih SP OSCE

KesepakatanKesepakatan &Koordinator Nasional Pelatih SP

13-14 Agustus

Padang

WS item writer Dev OSCE Gel. 2 Wil. Barat

Terlampir (18 soal Tereview)

WS item writer Dev OSCE Gel. 2 Wil. Timur

21 soal Tereview

Surabaya

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Place

Activities

Output

29-30 Agustus 2010

Yogya

WS Koordinator OSCE 12 FK 13 FKG

Tersusunnya konsep 1. Dokumen Pedoman Tatalaksana Penyelenggaraan OSCE Nasional 2. Dokumen Standar / Protokol kerja penyelenggaraan OSCE di tempat ujian 3. Dokumen Standar Fasilitas & SDM Untuk Penyelenggaraan OSCE Nasional


Activities

Output

25-26 September 2010 Yogyakarta

Place

WS Nasional Koordinator OSCE dan CBT

- Tersusunnya konsep konsep penyelenggaran OSCE Ked dan KG nasional

2-3 Oktober 2010

Medan

WS Nasional item Dev OSCE Gelombang 2

Jumlah soal tereview: 16 dari kumpulan soal OSCE gel. 2 wil. Barat (3 set blue print ujian osce )

17-18 Oktober 2010

Surabaya


Jumlah soal tereview: 20 dari kumpulan soal OSCE gel. 2 wil. Barat (4 set blue print ujian osce TOTAL SOAL 32)

-HPEQ Project 2010-

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Place

Activities

Output

21-22 Oktober 2010

Bandung

WS Nasional Sinkronisasi Item Dev, examiner, SP Trainer dan Koordinator OSCE

Tereview 2 paket soal osce Total paket soal osce yang tersedia 4 paket soal

11-12 November 2010

Wilayah Barat: Jakarta- Usakti Wilayah Timur: Makasar- Unhas

WS examiner ke 2 menggunakan 1 set paket soal yang telah tersedia

Masih ditemukan kekurangan dalam 1.skenario soal soal Konser dan Perio, masih perlu direview ulang 2.Waktu yang dibutuhkan kandidat di setiap stasion masih belum konsisten

Mei-Juni 2011 dan 30 Juni 2011

14 institusi KG yaitu: USU, Unbrah, UNSRI, UNPAD, UI, Moestopo, Trisakti, UMY, UGM, UHT, Unair, UNEJ, UNMAS,

Survei kesiapan IPDG sebagai penyelenggaraan OSCE dan laporan hasil survey tahap I

13 IPDG menyatakan siap menjadi pusat penyelenggara OSCE mulai tahun 2011 kecuali UNSRI menyatakan siap


Place

Activities

Output

Juli 2011

11 institusi KG yaitu: Unsyiah, Unprim, Unand, UKM, Unjani, Unsoed, Unissula, IIK Bakti Wiyata, UB, Unsrat, Unlam,

Survei kesiapan IPDG sebagai penyelenggaraan OSCE

11 institusi KG yaitu: Unsyiah, Unprim, Unand, UKM, Unjani, Unsoed, Unissula, IIK Bakti Wiyata, UB, Unsrat, Unlam, telah di survey

10-11 Juli 2011

Hotel grand Sahid, Jakarta

Item review soal CBT dan OSCE

Soal OSCE terkumpul 35 Soal tetapi belum sempat di review

8-9 Agustus 2011


Laporan hasil Survey Masih diperlukan tahap II dan Grading hasil perbaikan dan survey OSCE peningkatan sarana dan prasarana serta -HPEQ Project 2010mengadakan pelatihan Wxaminer dan SP untuk

24

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Place

Activities

Output

25-26 September 2010 Yogyakarta

WS Nasional Koordinator OSCE dan CBT

- Tersusunnya konsep konsep penyelenggaran OSCE Ked dan KG nasional

2-3 Oktober 2010

Medan


Jumlah soal tereview: 16 dari kumpulan soal OSCE gel. 2 wil. Barat (3 set blue print ujian osce )

17-18 Oktober 2010

Surabaya


Jumlah soal tereview: 20 dari kumpulan soal OSCE gel. 2 wil. Barat (4 set blue print ujian osce TOTAL SOAL 32)

-HPEQ Project 2010-


Place

Activities

21-22 Oktober 2010

Bandung

WS Nasional Sinkronisasi Tereview 2 paket soal Item Dev, examiner, SP osce Trainer dan Koordinator OSCE Total paket soal osce yang tersedia 4 paket soal

11-12 November 2010

Wilayah Barat: Jakarta- Usakti Wilayah Timur: Makasar- Unhas

WS examiner ke 2 menggunakan 1 set paket soal yang telah tersedia

Masih ditemukan kekurangan dalam 1.skenario soal soal Konser dan Perio, masih perlu direview ulang 2.Waktu yang dibutuhkan kandidat di setiap stasion masih belum konsisten

Survei kesiapan IPDG sebagai penyelenggaraan OSCE dan laporan hasil survey tahap I

13 IPDG menyatakan siap menjadi pusat penyelenggara OSCE mulai tahun 2011 kecuali

Mei-Juni 2011 dan 30 Juni 14 institusi KG yaitu: 2011 USU, Unbrah, UNSRI, UNPAD, UI, Moestopo, Trisakti, UMY, UGM,

Output

25

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Place

Activities

Output

Juli 2011

11 institusi KG yaitu: Unsyiah, Unprim, Unand, UKM, Unjani, Unsoed, Unissula, IIK Bakti Wiyata, UB, Unsrat, Unlam,

Survei kesiapan IPDG sebagai penyelenggaraan OSCE

11 institusi KG yaitu: Unsyiah, Unprim, Unand, UKM, Unjani, Unsoed, Unissula, IIK Bakti Wiyata, UB, Unsrat, Unlam, telah di survey

10-11 Juli 2011


Item review soal CBT dan OSCE

Soal OSCE terkumpul …. Soal tetapi belum sempat di review

8-9 Agustus 2011


Laporan hasil Survey tahap II dan Grading hasil survey OSCE -HPEQ Project 2010-

Masih diperlukan perbaikan dan peningkatan sarana dan prasarana serta mengadakan pelatihan

Survey for OSCE Center in Dentistry

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Evaluasi per station Station 4 • Penguji tidak mengisi Global Rating Scale dengan lengkap • Penguji tidak mengisi ceklis Station 3 • Penguji tidak mengisi Global Rating Scale dengan lengkap Station 2 • Penguji tidak mengisi Global Rating Scale dengan lengkap • Penguji tidak mengisi ceklis Station 1 • Penguji tidak mengisi ceklis

Evaluasi per station Station 8 • Penguji tidak mengisi Global Rating Scale dengan lengkap Station 7 • Penguji tidak mengisi ceklis • Penguji tidak memahami Global Rating Scale dengan baik • Tugas dan ceklis tidak sejalan (resep) Station 6 • Penguji tidak mengisi Global Rating Scale dengan lengkap • Penguji tidak mengisi ceklis dengan lengkap Station 5 • Penguji tidak memahami Global Rating Scale dengan baik

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Penguji

Tidak mengisi CEKLIST

Tidak mengisi Global Performance Scale (GPS)

Tidak memahami defenisi ‘BORDERLINE’

Mempengaruhi standard setting

Metode Standard Setting Borderline Regression Method

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Draft-Standar Setting Peny. Akibat Trauma & Kecelakaan

• Lulus Station 1 atau 2

Peny. Infeksi dan imunologi

• Lulus station 3 atau 4

Peny. Pertumbuhan & perkembangan

• Lulus Station 5 atau 6

Peny. Neoplastik & non neoplastik

• Lulus station 7

Penyakit degeneratif & compromised medis

• Lulus station 8

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Grafik Persentase Kelulusan OSCE UKDGI Periode Januari 2012

Tabel 1: Rekapitulasi Persentase Kelulusan OSCE UKDGI Periode 2012 Per Station berdasarkan Institusi

No

Institusi

Station 1

Station 2

Station 3

Station 4

Station 5

Station 6

Station 7

NBL= 22

NBL= 19

NBL= 7

NBL= 7

NBL= 6

NBL= 15

NBL= 6

Jml

L

%

Jml

L

%

Jml

L

%

Jml

L

%

Jml

L

%

Jml

L

%

Jml

L

Station 8 NBL= 10 %

Jml

L

%

1

UGM

41

38 93%

41

28 68%

41

32 78%

41

41 100%

41

41 100%

41

40 98%

41

39 95%

41

28 68%

2

UHT

17

17 100%

17

12 71%

17

16 94%

17

15 88%

17

17 100%

17

17 100%

17

15 88%

17

11 65%

UI

33

33 100%

33

29 88%

33

33 100%

33

33 100%

33

33 100%

33

33 100%

33

32 97%

33

33 100% 1 33%

3 4

UMY

3

3 100%

3

3 100%

3

0

0%

3

2 67%

3

3 100%

3

2 67%

3

2 67%

3

5

UNAIR

9

9 100%

9

5 56%

9

7 78%

9

7 78%

9

8 89%

9

9 100%

9

4 44%

9

5 56%

6

UNBRAH

27

25 93%

27

3 11%

27

3 11%

27

23 85%

27

13 48%

27

21 78%

27

25 93%

27

18 67%

UNEJ

20

20 100%

20

5 25%

20

14 70%

20

19 95%

20

20 100%

20

20 100%

20

19 95%

20

19 95%

7 8

UNHAS

80

70 88%

80

47 59%

80

56 70%

80

76 95%

80

62 78%

80

78 98%

80

76 95%

80

50 63%

9

UNMAS

46

44 96%

46

34 74%

46

40 87%

46

46 100%

46

40 87%

46

46 100%

46

36 78%

46

37 80%

10 UNPAD

43

43 100%

43

42 98%

43

35 81%

43

42 98%

43

41 95%

43

42 98%

43

42 98%

43

36 84%

11 UPDM(B) + UNSRI

46

46 100%

46

44 96%

46

27 59%

46

40 87%

46

46 100%

46

43 93%

46

44 96%

46

18 39%

12 USAKTI

58

54 93%

58

18 31%

58

44 76%

58

53 91%

58

40 69%

58

52 90%

58

53 91%

58

44 76%

13 USU

22

17 77%

22

11 50%

22

14 64%

22

21 95%

22

8 36%

22

21 95%

22

21 95%

22

17 77%

445

419 94%

445

281 63%

445

321 72%

445

418 94%

445

372 84%

445

424 95%

445

408 92%

445

317 71%

Total

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Station 1

Station 2

120%

120%

100%

100%

80%

80%

60%

60%

40%

40%

20%

20% 0%

0%

1 2 3 4 5 6 7 8 9 10111213

1 2 3 4 5 6 7 8 9 10 11 12 13

Station 3

Station 4

120%

120%

100%

100%

80%

80%

60%

60%

40%

40%

20%

20%

0%

0% 1 2 3 4 5 6 7 8 9 10111213

1 2 3 4 5 6 7 8 9 10111213

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Station 5

Station 6

120%

120%

100%

100%

80%

80%

60%

60%

40%

40%

20%

20%

0%

0% 1 2 3 4 5 6 7 8 9 10111213

1 2 3 4 5 6 7 8 9 10111213

Station 7

Station 8

120%

120%

100%

100%

80%

80%

60%

60%

40%

40%

20%

20%

0%

0% 1 2 3 4 5 6 7 8 9 10111213

1 2 3 4 5 6 7 8 9 10111213

32

24/10/2012

Rencana Tindak Lanjut



 

Workshop Item Review OSCE Institusi & Nasional Pelatihan Penguji Tingkat Nasional dan Institusi Pelatihan Standard Setting OSCE

THANK YOU

PDGI (INDONESIAN DENTAL ASSOCIATION) AFDOKGI (ASSOCIATION OF INDONESIA FACULTY OF DENTISTRY) CORE TEAM HPEQ PROJECT IN DENTISTRY

33

2012

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