임상수행 능력평가의 환자의사 관계 항목에 대한 평가 분석 - 대화분석적 연구 -
Analysis of Criteria to Evaluate Patient Doctor Relationships in a Clinical Performance Examination - Linguistic Dialog Analysis Approach -
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Korean medical students should pass the Clinical Performance Examination (CPX) for national licensing from 2010. CPX is an assessment of the general clinical performance of students because real competent patient care is more important for a primary care physician than knowledge learned in a classroom. So we evaluated the current examination's method of assessing the patient-doctor relationship and compared it with a conversation analysis assessment method newly developed by the authors. We determined that the current examination's method of assessment rated by standardized patients in CPX is not discriminative and does not include objective evidence for the rating. The results mean that it is hard for a standardized patient who is supposed to be immersed in a simulated encounter to do an objective assessment based on the patient's short-term memory. So we suggested that the present evaluation method needs review and improvement. In the near future, we think that further studies about doctor-patient relationship assessment are needed and an experimental study should be conducted to find out how to apply and train standardized patients with the newly-developed assessment tools.
Abstract
Korean medical students should pass the Clinical Performance Examination (CPX) for national licensing from 2010. CPX is an assessment of the general clinical performance of students because real competent patient care is more important for a primary care physician than knowledge learned in a classroom. So we evaluated the current examination's method of assessing the patient-doctor relationship and compared it with a conversation analysis assessment method newly developed by the authors. We determined that the current examination's method of assessment rated by standardized patients in CPX is not discriminative and does not include objective evidence for the rating. The results mean that it is hard for a standardized patient who is supposed to be immersed in a simulated encounter to do an objective assessment based on the patient's short-term memory. So we suggested that the present evaluation method needs review and improvement. In the near future, we think that further studies about doctor-patient relationship assessment are needed and an experimental study should be conducted to find out how to apply and train standardized patients with the newly-developed assessment tools.
참고문헌 (9)
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