PMID- 25180877
OWN - NLM
STAT- MEDLINE
DCOM- 20150526
LR  - 20140913
IS  - 1466-187X (Electronic)
IS  - 0142-159X (Linking)
VI  - 36
IP  - 10
DP  - 2014 Oct
TI  - Meeting international standards: a cultural approach in implementing the mini-CEX 
      effectively in Indonesian clerkships.
PG  - 894-902
LID - 10.3109/0142159X.2014.917160 [doi]
AB  - Abstract Background: Medical schools all over the world try to adapt their 
      programs to meet international standards. However, local culture might hamper 
      innovation attempts. AIMS: To describe challenges in implementing the mini-CEX in 
      Indonesia and investigate its effect on students' clinical competence. METHODS: 
      The study was conducted in the Internal Medicine and Neurology departments of the 
      Universitas Gadjah Mada, Indonesia. Implementing the mini-CEX into the existing 
      curriculum, while taking the Indonesian culture into account, implied a shift 
      from group to individual feedback. We compared students' final clinical 
      competence before (Internal Medicine n = 122, Neurology n = 183) and after 
      (n = 183 and 186, respectively) the implementation of the mini-CEX, using a 
      modified Objective Structured Long Examination Record (OSLER). The Mann-Whitney 
      test was used to analyze the data. RESULTS: We took power distance and 
      individualism into account to facilitate the implementation process. After 
      implementing the mini-CEX, the OSLER results were significant higher in Internal 
      Medicine (p < 0.05). However, no differences were found in Neurology. CONCLUSION: 
      By managing the innovation process carefully and taking culture and local context 
      into account, the mini-CEX can be implemented without changing the underlying 
      concept. The shift from group to individual feedback seems to have a positive 
      effect on student learning.
FAU - Suhoyo, Yoyo
AU  - Suhoyo Y
AD  - Universitas Gadjah Mada , Indonesia .
FAU - Schonrock-Adema, Johanna
AU  - Schonrock-Adema J
FAU - Rahayu, Gandes Retno
AU  - Rahayu GR
FAU - Kuks, Jan B M
AU  - Kuks JB
FAU - Cohen-Schotanus, Janke
AU  - Cohen-Schotanus J
LA  - eng
PT  - Journal Article
DEP - 20140902
PL  - England
TA  - Med Teach
JT  - Medical teacher
JID - 7909593
SB  - IM
MH  - Clinical Clerkship/*organization & administration/standards
MH  - Clinical Competence/*standards
MH  - *Culture
MH  - Curriculum
MH  - Educational Measurement/*methods
MH  - Humans
MH  - Indonesia
MH  - Internal Medicine/education/standards
MH  - *Internationality
MH  - Neurology/education/standards
EDAT- 2014/09/03 06:00
MHDA- 2015/05/27 06:00
CRDT- 2014/09/03 06:00
PHST- 2014/09/03 06:00 [entrez]
PHST- 2014/09/03 06:00 [pubmed]
PHST- 2015/05/27 06:00 [medline]
AID - 10.3109/0142159X.2014.917160 [doi]
PST - ppublish
SO  - Med Teach. 2014 Oct;36(10):894-902. doi: 10.3109/0142159X.2014.917160. Epub 2014 
      Sep 2.