The evaluation of objective structure clinical examination (OSCE) implementation within midwifery school


Mail Anisya Selvia(1*)
Mail Wiwik Kusumawati(2)
Mail Herlin Fitriani(3)
Mail Mufdlillah Mufdlillah(4)

(1) Universitas 'Aisyiyah Yogyakarta, Indonesia
(2) Univeristas Muhammadiyah Yogyakarta, Indonesia
(3) Universitas ‘Aisyiyah Yogyakarta, Indonesia
(4) Universitas ‘Aisyiyah Yogyakarta, Indonesia
(*) Corresponding Author
10.31101/jhtam.914| Abstract views : 1136 | PDF views : 288


Assessment during pre registration in midwifery school is one of the necessary process which need to be concerned as it would strengthen the quality of the graduation. It also could become a tool to evaluate ability and competency of the pre registration midwifery student. There is an evaluation which applied in Indonesian midwifery school as national standard i.e. OSCE in which is considered could fulfil the validity, reliability and feasibility within Indonesian context. This study aimed to evaluate the implementation of OSCE among midwifery school in Yogyakarta.
This research was a mixed methods study used sequential explanatory design method i.e. quantitative phase and qualitative phase. Analytic descriptive study was applied in quantitative phase, whilst a case study was applied in  qualitative phase. Quantitative data collection was conducted by using a checklist sheet and analyzed by using descriptive analysis, whilst qualitative data by using in-depth interviews and analyzed by using content analysis. The quantitative result show that the implementation of OSCE among midwifery schools in Yogyakarta has score 68 out of 92. The qualitative analysis showed that OSCE was challenging to be implemented due to technical problems such as broken media of assessment, different phantom model in delivery stages, assessor has been late, assessment rooms were not conducive and there were limited model who skilled as OSCE model. Conclusion: Standardized OSCE implementation has not been carried out properly in midwifery school. Therefore there is a need of national evaluation of the OSCE itself in order to understand the real condition across Indonesian midwifery school.


evaluation; OSCE; midwifery

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Al-Alwan, I., Baig, L.A., Badri, M., Magzoub, M.E., Alyousif, S., 2015. Effect of course coordinator behavior and motivation on students’ achievement: Results from five curriculum blocks of two undergraduate student cohorts at King Saud bin Abdulaziz University of Health Sciences. Pak. J. Med. Sci. 31, 457–461. https://doi.org/10.12669/pjms.312.7016

Arnold, R.C., Walmsley, A.D., 2008. The use of the OSCE in postgraduate education. Eur. J. Dent. Educ. Off. J. Assoc. Dent. Educ. Eur. 12, 126–130. https://doi.org/10.1111/j.1600-0579.2008.00469.x

Austin, Z., Gregory, P., Tabak, D., 2006. Simulated patients vs. standardized patients in objective structured clinical examinations. Am. J. Pharm. Educ. 70, 119.

Berkenstadt, H., Ziv, A., Gafni, N., Sidi, A., 2006. The validation process of incorporating simulation-based accreditation into the anesthesiology Israeli national board exams. Isr. Med. Assoc. J. IMAJ 8, 728–733.

Delavar, M.A., Salmalian, H., Faramarzi, M., Pasha, H., Bakhtiari, A., Nikpour, M., Ledari, F.M., 2013. Using the objective structured clinical examinations in undergraduate midwifery students. J. Med. Life 6, 76–79.

Dunne, K., Moffett, J., Loughran, S.T., Duggan, V., Campion, D.P., 2018. Evaluation of a coaching workshop for the management of veterinary nursing students’ OSCE-associated test anxiety. Ir. Vet. J. 71, 15. https://doi.org/10.1186/s13620-018-0127-z

Eva, K.W., Rosenfeld, J., Reiter, H.I., Norman, G.R., 2004. An admissions OSCE: the multiple mini-interview. Med. Educ. 38, 314–326.

Gauthier, N., Johnson, C., Stadnick, E., Keenan, M., Wood, T., Sostok, M., Humphrey-Murto, S., 2019. Does Cardiac Physical Exam Teaching Using a Cardiac Simulator Improve Medical Students’ Diagnostic Skills? Cureus 11, e4610. https://doi.org/10.7759/cureus.4610

Gupta, P., Dewan, P., Singh, T., 2010. Objective Structured Clinical Examination (OSCE) Revisited. Indian Pediatr. 47, 911–920.

Khan, K.Z., Gaunt, K., Ramachandran, S., Pushkar, P., 2013. The Objective Structured Clinical Examination (OSCE): AMEE Guide No. 81. Part II: organisation & administration. Med. Teach. 35, e1447-1463. https://doi.org/10.3109/0142159X.2013.818635

Lee, Y.-S., 2008. OSCE for the Medical Licensing Examination in Korea. Kaohsiung J. Med. Sci. 24, 646–650. https://doi.org/10.1016/S1607-551X(09)70030-0

Malakooti, N., Bahadoran, P., Ehsanpoor, S., 2018. Assessment of the Midwifery Students’ Clinical Competency Before Internship Program in the Field Based on the Objective Structured Clinical Examination. Iran. J. Nurs. Midwifery Res. 23, 31–35. https://doi.org/10.4103/ijnmr.IJNMR_181_16

Mitchell, M.L., Henderson, A., Jeffrey, C., Nulty, D., Groves, M., Kelly, M., Knight, S., Glover, P., 2015. Application of best practice guidelines for OSCEs-An Australian evaluation of their feasibility and value. Nurse Educ. Today 35, 700–705. https://doi.org/10.1016/j.nedt.2015.01.007

Mitchell, M.L., Jeffrey, C.A., Henderson, A., Glover, P., Nulty, D.D., Kelly, M.A., Groves, M., Knight, S., 2014. Using an Objective Structured Clinical Examination for Bachelor of Midwifery students’ preparation for practice. Women Birth J. Aust. Coll. Midwives 27, 108–113. https://doi.org/10.1016/j.wombi.2013.12.002

Mookherjee, S., Chang, A., Boscardin, C.K., Hauer, K.E., 2013. How to develop a competency-based examination blueprint for longitudinal standardized patient clinical skills assessments. Med. Teach. 35, 883–890. https://doi.org/10.3109/0142159X.2013.809408

Pugh, D., Hamstra, S.J., Wood, T.J., Humphrey-Murto, S., Touchie, C., Yudkowsky, R., Bordage, G., 2015. A procedural skills OSCE: assessing technical and non-technical skills of internal medicine residents. Adv. Health Sci. Educ. Theory Pract. 20, 85–100. https://doi.org/10.1007/s10459-014-9512-x

Rajiah, K., Veettil, S.K., Kumar, S., 2014. Standard setting in OSCEs: a borderline approach. Clin. Teach. 11, 551–556. https://doi.org/10.1111/tct.12213

Serpell, J.W., 2009. Evolution of the OSCA-OSCE-Clinical Examination of the Royal Australasian College of Surgeons. ANZ J. Surg. 79, 161–168. https://doi.org/10.1111/j.1445-2197.2008.04834.x

Sharma, M.K., Chandra, P.S., Chaturvedi, S.K., 2015. Team OSCE: A Teaching Modality for Promotion of Multidisciplinary Work in Mental Health Settings. Indian J. Psychol. Med. 37, 327–329. https://doi.org/10.4103/0253-7176.162954

Smith, V., Muldoon, K., Biesty, L., 2012. The Objective Structured Clinical Examination (OSCE) as a strategy for assessing clinical competence in midwifery education in Ireland: a critical review. Nurse Educ. Pract. 12, 242–247. https://doi.org/10.1016/j.nepr.2012.04.012

DOI: https://doi.org/10.31101/jhtam.914

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