의학전문대학원생의 임상추론 능력 파악을 위한 수정간이구조화관찰법의 효과

Abstract

Purpose: The brief-structured observation (BSO) is the teaching method during clerkship. To assess the usefulness of BSO in clerkship, the survey of faculties for reflecting medical students’ reasoning process was assessed. Methods: The modified BSO was introduced to clinical curriculum at Department of Pediatrics, Gyeongsang National University Medical School since 2011. A total of 71 third-year students were divided into 8 groups and conducted for 5 weeks each for a total of 40 weeks (64 BSOs in a year). The questionnaire was admitted to all faculties to assess their view on, satisfaction, and self-conception comparing with other educational methods. And the correlation of scores of BSO, bedside oral test, clinical performance examination and final exams were analyzed. Results: In all, 4 faculties agreed that the modified BSO is more helpful to assess the students’ clinical reasoning compared to other bed-side teaching, 5 faculties agreed that it is useful to evaluate the communication skills, and 6 faculties agreed that it is useful tool for feedback to peers. The question about comparing with the real patient, 5 faculties agreed that it was not bad using student as a standardized patient. There were present mild to moderate correlation between BSO score and Bed side oral test (R=0.268, P=0.02), BSO and clinical performance examination (R=0.525, P<0.001). All faculties thought that BSO is feedback method despite it has several disadvantages. Conclusion: The modified BSO might be a useful tool to assess the students’ clinical communication skills and clinical reasoning and helpful feedback tool for peers.