Failure Factors & Prediction Model of Indonesian Medical Doctor Proficiency & Competency Test (UKMPPD) within COVID-19 Pandemic
DOI:
https://doi.org/10.19166/med.v10i1.6990Keywords:
UKMPPD, Indonesia, Failure factor, COVID-19, ABO bloodAbstract
Background: Coronavirus Disease 2019 drastically modulate the healthcare world. The pandemic's immense transmission and lethality rate enforce the Indonesian Medical Doctor Proficiency & Competency Test to discard practical measures and rely only on a written exam. These with pandemic social and physical restrictions impede prospective doctors’ learning opportunities leading to easier failure. Henceforth, the present study has high urgency to identify and manage failure factors, especially in the pandemic.
Methods: The cross-sectional study examines 75 clinical medical students through purposive analysis with an online questionnaire in August 2021. Data are analyzed with Chi-Square, Mann-Whitney, and binary logistics.
Result: Respondents have an average age of 24.15 (1.322) years old, majorly female (82.7%), and pass as first takers (86.7%) with 1.27 (0.949) off-campus tutelage. The significant factors for the test failure are depression and economic status. The study developed a failure prediction model with the area under the curve 0.845, cut-off 366.5, 80.0% sensitivity, and 84.6% specificity.
Conclusion: Intrinsic, extrinsic, and academic factors have significant roles in the failure outcome. For this reason, preparation is crucial not only among individuals but also institutions. The study also provides feedback about the importance of mental health and economic status for Indonesian medical studentsReferences
1. World Health Organization. Constitution of The World Health Organization. Geneva; 2006.
2. United Nations. Universal Declaration of Human Rights. Worldwide; 1948.
3. Pemerintah Indonesia. Undang-Undang Dasar Negara Republik Indonesia. Indonesia; 1945.
4. Morishita M, Iida J, Nishigori H. Doctors' experience of becoming patients and its influence on their medical practice: A literature review. EXPLORE. 2020 May;16(3):145-51. https://doi.org/10.1016/j.explore.2019.10.007
5. Brayne AB, Brayne RP, Fowler AJ. Medical specialties and life expectancy: An analysis of doctors' obituaries 1997-2019. Lifestyle Med. 2021 Jan 8;2(1). https://doi.org/10.1002/lim2.23
6. Wang H, Abbas KM, Abbasifard M, Abbasi-Kangevari M, Abbastabar H, Abd-Allah F, et al. Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950-2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019. Lancet . 2020 Oct;396(10258):1160-203. https://doi.org/10.1016/S0140-6736(20)30977-6
7. United Nations. Indonesia | Data Overview. Indonesia; 2021.
8. Bailey E, Robinson J, McGorry P. Depression and suicide among medical practitioners in Australia. Intern Med J . 2018 Mar;48(3):254-8. https://doi.org/10.1111/imj.13717
9. Ikatan Dokter Indonesia | Indonesian Medical Association. Statistik Anggota. Ikatan Dokter Indonesia | Indonesian Medical Association. 2021.
10. The World Bank. Physicians (per 1,000 people). Worldwide
11. Kementerian Kesehatan RI. Profil Kesehatan Indonesia. Indonesia; 2019.
12. Dwiyanti C. Factors that Affect Graduation Competency Testing Program in The Medial Profession of Student Faculty Medicine University of Muhammadiyah Makassar University of Muhammadiyah; 2017.
13. Khadafianto F. Korelasi Nilai Proses Rotasi Klinik dengan Kelulusan Uji Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD). JAMBI Med J J Kedokt dan Kesehat . 2020;8(2):141-6.
14. Suswati I, Rahayu R. Validitas Prediktif Hasil Belajar Mahasiswa Kedokteran dengan Uji Kompetensi Mahasiswa Program Profesi Dokter. Saintika Med. 2019 Jun 29;15(1):1. https://doi.org/10.22219/sm.Vol15.SMUMM1.8485
15. Panitia Nasional Uji Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD). Data Statistik. Indonesia; 2021.
16. Sahara NN. Pengaruh Bimbingan Belajar Pra UKMPPD terhadap Angka Kelulusan CBT UKMPPD Mahasiswa Fakultas Kedokteran Universitas Islam Malang Periode Februari dan Mei 2019. J Bio Komplementer Med. 2019;6(3).
17. Mahat B. Blood Groups and their Association with Academic Performance among Medical Students in a Nepalese Medical College. J Inst Med Nepal (JIOM Nepal). 2019;41(3):74-7. https://doi.org/10.3126/jiom.v41i3.37370
18. Kanazawa M. Relationship between ABO Blood Type and Personality in a Large-Scale Suurvey in Japan. Int J Psychol Behav Sci. 2021;11(1):6-12.
19. Kanazawa M. ABO Blood Type and Personality Traits: Evidence from Large-scale Surveys in Japan. Adv (A SAGE Prepr Community). 202
20. Beard S, R. Langlais M. Saying "I Do" in College: Examining Marital Status and Academic Performance. Int J Psychol Stud . 2018 Oct 30;10(4):34. https://doi.org/10.5539/ijps.v10n4p34
21. Douglas D, Attewell P. The Relationship Between Work During College and Post College Earnings. Front Sociol. 2019 Dec 10;4. https://doi.org/10.3389/fsoc.2019.00078
22. Mardelina E, Muhson A. Working Student and Its Impact on Learning Activities and Academic Achievements. J Econ Rev Bus Econ Stud. 2017;13(2). https://doi.org/10.21831/economia.v13i2.13239
23. Jalali R, Khazaie H, Khaledi Paveh B, Hayrani Z, Menati L. The Effect of Sleep Quality on Students' Academic Achievement. Adv Med Educ Pract . 2020 Jul;Volume 11:497-502. https://doi.org/10.2147/AMEP.S261525
24. Mirković J, Gaskell MG. Does Sleep Improve Your Grammar? Preferential Consolidation of Arbitrary Components of New Linguistic Knowledge. Rodriguez-Fornells A, editor. PLoS One . 2016 Apr 5;11(4):e0152489. https://doi.org/10.1371/journal.pone.0152489
25. Klinzing JG, Mölle M, Weber F, Supp G, Hipp JF, Engel AK, et al. Spindle activity phase- locked to sleep slow oscillations. Neuroimage. 2016 Jul;134:607-16. https://doi.org/10.1016/j.neuroimage.2016.04.031
26. Bassed Test Fakultas Kedokteran Universitas Abulyatama Periode Mei 2017. J Dedik Pendidik. 2018;2(1)
27. Nisrina F, Anisa R, Damayanti DS. Hubungan Kecemasan dan Depresi dengan Kelulusan Computer Based Test UKMPPD Mahasiswa Fakultas Kedokteran UNISMA. J Kedokt Komunitas J Community Med . 2021;9(1).
28. Husnul Ikhsan M, Widya Murni A, Rustam ER. Hubungan Depresi, Ansietas, dan Stres dengan Kejadian Sindrom Dispepsia pada Mahasiswa Tahun Pertama di Fakultas Kedokteran Universitas Andalas Sebelum dan Sesudah Ujian Blok. J Kesehat Andalas . 2020 Jan 14;9(1S). https://doi.org/10.25077/jka.v9i1S.1158
29. Surya Dewi NMBR, Subrata IM, Kardiwinata MP, Ekawati NK. Tingkat Depresi Mahasiswa yang sedang Menyusun Skripsi di Fakultas Kedokteran Universitas Udayana Tahun 2019. Arch COMMUNITY Heal. 2019 Dec 2;6(2):1. https://doi.org/10.24843/ACH.2019.v06.i02.p01
30. Riandini S, Septa T, Larasati T. Hubungan Beban Kerja Kepaniteraan Klinik Bagian Ilmu Kesehatan Anak dengan Stres pada Mahasiswa Program Pendidikan Profesi Dokter di RSUD Abdul Moeloek Bandar Lampung. J Kesehat dan Argomedicine. 2017;4(2).
31. Ermitasari S. Perbedaan Tingkat Depresi pada Dokter Muda dibandingkan Mahasiswa Kedokteran Tahun Pertama di Fakultas Kedokteran Universitas Hang Tuah Surabaya. Hang Tuah University; 2017.
32. Pemerintah Indonesia. Peraturan Menteri Kementerian Riset, Teknologi Dan Pendidikan Tinggi Republik Indonesia No. 18 Tahun 2018. Indonesia; 2018.
33. Rektor Universitas Gadjah Mada. Keputusan Rektor Universitas Gajah Mada No. 515/UN1.P/KPT/HUKOR/2021. Yogyakarta; 2021.
34. Maziah Wan Ab Razak W, Alia Syed Baharom S, Abdullah Z, Hamdan H, Ulfa Abd Aziz N, Ismail Mohd Anuar A. Academic Performance of University Students: A Case in a Higher Learning Institution. KnE Soc Sci. 2019 Mar 31;3(13):1294. https://doi.org/10.18502/kss.v3i13.4285
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-SA 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website). The final published PDF should be used and bibliographic details that credit the publication in this journal should be included.