Stakeholders’ Views and Confidence Towards Indonesian Medical Doctor National Competency Examination: A Qualitative Study

Abstract

Gandes Retno Rahayu,1 Ardi Findyartini,2 Rilani Riskiyana,1 Maria Selvester Thadeus,3 Vivi Meidianawaty,4 Sylvia Mustika Sari,5 Natalia Puspadewi,6 Rachmad Sarwo Bekti,7 Bulan Kakanita Hermasari,8 Sulistiawati Sudarso,9 Aprilia Ekawati Utami,10 Wiwik Kusumawati11 1Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; 2Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; 3Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta, Jakarta, Indonesia; 4Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia; 5Faculty of Medicine, Universitas Jenderal Achmad Yani, Cimahi, Indonesia; 6School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia; 7Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia; 8Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia; 9Faculty of Medicine Universitas Mulawarman, Samarinda, Indonesia; 10Ministry of Research, Technology, and Higher Education, Jakarta, Indonesia; 11Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta, Yogyakarta, IndonesiaCorrespondence: Rilani RiskiyanaFaculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada, Radioputro Building 6th Floor, Jalan Farmako Sekip Utara, Yogyakarta, 55281, IndonesiaTel [phone]Fax [phone]Email [email protected]: Indonesia is a huge country consisting of 33 provinces with different characteristics. There are 83 medical schools across Indonesia with different accreditation statuses. The Indonesia Medical Doctor National Competency Examination (IMDNCE) has been established to control the quality of medical school graduates. The implementation of IMDNCE needed to be evaluated to determine its impact. To date, there has not been any research in Indonesia that explores the stakeholders’ perceptions toward IMDNCE. This study aimed to explore how the stakeholders in Indonesia perceived the impact of IMDNCE towards performances of medical school graduates in clinical practice.Methods and Study Participants: A qualitative study with phenomenological approach was conducted to investigate perceptions of stakeholders including representatives from consumer organizations, the National Health Coverage, the Ministry of Health, the Indonesian Medical Association, employers (hospital and health center directors), clinical supervisors as well as patients across Indonesia. Data were obtained through focus group discussions (FGDs) and interviews. The study used thematic analysis methods to obtain the results.Results: A total of 90 study participants participated in the study including 10 representatives of consumer watchdog organizations, the National Health Coverage, the Ministry of Health, the Indonesian Medical Association, 31 employers, 32 professionals, and 17 patients. The study found three general themes which represent the perceptions of the stakeholders towards performances of medical school graduates in clinical practice: IMDNCE as an effort to standardize doctor graduates in Indonesia, the results of IMDNCE as a mean to reflect the quality of medical education in Indonesia, and IMDNCE as an effort to improve health services in Indonesia through the quality of graduates.Conclusion: In general, the stakeholders perceived that the IMDNCE was able to standardize medical school graduates from various medical schools across Indonesia. However, the IMDNCE needs to be further developed to maximize its potential in improving the competences of Indonesian medical students.Keywords: national competency examination, medical education, medical school graduates, stakeholder view

Keywords

• national competency examination
• medical education
• medical school graduates
• stakeholder view