Since 2007, Indonesia has implemented national competency tests for graduating medical students (UKDI and UKMPPD).
Despite a passing grade of only 66, about a third of graduating medical students failed to pass the computer-based test (CBT) on their first take.
This year, 11 universities were identified as being of very poor quality, where over 50 percent of their students failed the test. Failed students were able to keep retaking the test to meet the passing grade. However, less than half would succeed on their first retake.
The low passing grade and the low quality of education would naturally result in substandard quality of primary care for the public. They may contribute to the malpractice lawsuits — where about 35 percent are primary care issues. Moreover, the cost and time lost due to retaking the exam often leads to unlicensed practices in small clinics...