Documente Academic
Documente Profesional
Documente Cultură
ABSTRACT
Background: The competence-based curriculum that integrate different knowledge and skills to produce certain com-
petencies requires proper assessment. In clinical setting, Student Oral Case Analysis (SOCA) has been widely used to
assess student’s performance; however, the evidence in preclinical setting with more students is still limited
Method: The study is a descriptive study. Every student participating in Metabolism and Energy Block were included
in the study. SOCA was used to assess student’s performance in the following manner: 1) developing dietary plan for
normal individual, 2) developing dietary plan for patient with nutritional disorder (under-nutrition), and 3) developing di-
etary plan for patient with organ disorders (kidney, heart and liver) and metabolic disorders (diabetes and hypertension).
Each student was assessed in 20 minutes : 5 minutes for the scenario, 5 minutes for explanation with a simple flowchart,
10 minutes for answering 4-5 questions. Evaluation components was on the presentation (40%), the answers (50%) and
general performance (10%). The score was from 60 to 100 : frequent inaccuracy and guesses (60-69), occasional inac-
curacy (70-79), generally accurate, no guess (80-89), exceptionally complete (90-100). A semi-structured interview was
conducted to explore student’s perception on SOCA.
Result: Participants were 61 students. Sixty (98.36%) students passed SOCA (cut-off point: 70). Fifty two (85.24%) stu-
dents perceived that SOCA had helped them understand the topic, transforming basic medical science to clinical set-
ting. Forty nine (80.33%) students also mentioned that the motivation to study was enhanced through SOCA.
Conclusion: SOCA in FMMU helped students in topics understanding and increased study motivation.
Medical education has shifted to prob- Student Oral Case Analysis (SOCA) is characteristics may be quite powerful
lem-based learning paradigm. Lecture one of the instrument to assess stu- to promote diversity of student per-
that used to be the main learning ac- dent’s performance in clinical clerk- formance; active discussion may serve
tivities, now simply act only as instruc- ship. Oral case presentation is vital in as a powerful incentive to go beyond
tional class assignment or introduction medical career, i.e. to present a case, mere competence and to demon-
to learning objectives. Tutorial as main and to explain the disease to a patient strate flair.3
learning activity enhanced student’s or their family.1,2
ability to orally present their opinion. It is possible to increase the reliability
SOCA has low psychometric indi- using several rather than single oral
The introduction of competence- cators with low reliability and valid- examination(2).
based curriculum that integrate differ- ity. These criticisms are justified if the
ent knowledge and skills to produce objectives are to produce relatively SOCA has been widely implemented
certain competencies requires proper homogeneous products for diverse in clinical clerkship in many medical
assessment. In many medical schools, trades or professions. But these same schools in Indonesia but implementa-
SOCA was disturbing. One examiner SOCA could not be used as a single understanding of the topic, transform-
was criticized as has low objectivity. component, SOCA at FMMU was one ing basic medical science to clinical
The limitation was a low lecturer : stu- of assessment methods used in Me- setting and in enhancing study moti-
dent ratio (17 : 211). tabolism and Energy Block. Impact vation.
of SOCA partly has been explored in
DISCUSSION student’s perception regarding SOCA
Five criteria for determining the use- implementation. Prospective study REFERENCES
fulness of a particular method of as- is needed to assess future impact of 1. Jayawickramarajah PT. Oral examinations in
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accuracy and reproducibility), 2) valid- due to development of SOCA’s proto- (4): 290 – 293.
ity (whether the assessment measures col, large human resources need and 2. CPM, Donker AJM, Reliability of clinical oral
what it claims to measure), 3) impact time consuming. examinations re-examined. Medical Teacher
on future learning and practice, 4) 2001; 23( 4): 422-424
acceptability to learners and faculty, In conclusion, SOCA has been suc- 3. Rangachari PK. The targeted oral. Advances in
and 5) costs (to individual trainee, in- cessfully implemented to assess stu- Physiology Education 2004; 28: 213–214.
stitution, and society)(4). Reliability was dent’s performance in pre-clinical 4. VanDer Vleuten CPM. The assessment of
enhanced by providing assessment’s setting in Faculty of Medicine, Mat- professional competence: developments, re-
instruments. SOCA can be performed aram University, with positive impact search and practical implications. Adv Health
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April
2010
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