의사면허 실기시험 제도의 성과와 과제
The Effects and Challenges of Clinical Skills Assessment in the Korean Medical License Examination
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Clinical skills assessment was recently introduced to the Korean Medical License Examination to test medical school graduates’ competencies in clinical skills. Various measures, including research and rehearsals, had been undertaken to prepare for the assessment for several years before the clinical skills assessment was first implemented. The assessment has been repeated annually for about 3,500 examinees over the course of 50 days per year for the past 4 years. The introduction of the assessment had significant effects on education in Korea’s medical schools. Many schools have established clinical skills labs and the teaching of clinical skills has also been strengthened. The residents who have taken the clinical skills exam now express more confidence in caring for patients. To improve the quality of the assessment, it should be performed on a year-round schedule and a pilot test and various forms of the items should be introduced.
Abstract
Clinical skills assessment was recently introduced to the Korean Medical License Examination to test medical school graduates’ competencies in clinical skills. Various measures, including research and rehearsals, had been undertaken to prepare for the assessment for several years before the clinical skills assessment was first implemented. The assessment has been repeated annually for about 3,500 examinees over the course of 50 days per year for the past 4 years. The introduction of the assessment had significant effects on education in Korea’s medical schools. Many schools have established clinical skills labs and the teaching of clinical skills has also been strengthened. The residents who have taken the clinical skills exam now express more confidence in caring for patients. To improve the quality of the assessment, it should be performed on a year-round schedule and a pilot test and various forms of the items should be introduced.
참고문헌 (29)
- "Yebi euisa byungdeon yangsim ‘euisa kukgasihum’ jojicjuc yuchul" (2011)[URL]
- Beckman, H. B., "The doctor-patient relationship and malpractice: lessons from plaintiff depositions", Arch Intern Med, 154(12), pp.1365~1370 (1994)
- "SimScope (the hybrid simulator)" (2012)[URL]
- Carraccio, C., "Shifting paradigms : from Flexner to competencies", Acad Med, 77(5), pp.361~367 (2002)
- Gilliland, W. R., "Changes in clinical skills education resulting from the introduction of the USMLE step 2 clinical skills(CS)examination", Med Teach, 30(3), pp.325~327 (2008)
- Euisa silkisihumeseoeui sunhengsihum (pretest) silhengbangan yeongu, "Han, J. J.", National Health Personnel Licensing Examination Board, ~ (2012)
- Euisa silki sangsisihumjedo doip tadangsung yeongu, "Han, J. J.", National Health Personnel Licensing Examination Board, ~ (2010)
- Hauer, K. E., "Impact of the United States Medical Licensing Examination Step 2 Clinical Skills exam on medical school clinical skills assessment", Acad Med, 81(10 Suppl), pp.S13~S16 (2006)
- 김종훈, "임상수행평가에 있어 채점표와 사이시험의 정보모음 점수 간의 상관관계", 의학교육논단, 12(2), pp.19~26 (2010), 연세대학교 의과대학
- Kim, J. H., "Post-encounter note is necessary to evaluate information gathering ability in clinical performance examination", Association for Medical Education in Europe Annual Conference Abstract Book, pp.336~ (2011)
- Kim, K. S., "National Health Personnel Licensing Examination Board bekseo" (2011), Hyeonmoon
- "Euiryobub" (2011)[URL]
- "Assessing Students with SPs: what’s ahead?" (2011)[URL]
- Lin, C. W., "Power of the policy : how the announcement of high-stakes clinical examination altered OSCE implementation at institutional level", BMC Med Educ, 13, pp.8~ (2013)
- "Application information" (2013)[URL]
- Miller, G. E., "The assessment of clinical skills", competence, Acad Med, pp.1990, 65(9 Suppl)[DOI]
- "Euisa kukgasihumeui silkisihum habkyeokja gyeoljungbangbub" (2009)[URL]
- Moore, P. J., "Medical malpractice: the effect of doctor-patient relations on medical patient perceptions and malpractice intentions", West J Med, 173(4), pp.244~250 (2000)
- "Sharing isn’t always caring" (2010)[URL]
- 박훈기, "의사국가시험에서 실기시험의 도입이 의학교육에 미친 영향", 대한의사협회지, 55(2), pp.116~123 (2012), 대한의사협회
- Euisa silkisihum pyeonggamokpyo gaebalyeongu, "Park, H. K.", National Health Personnel Licensing Examination Board, ~ (2012)
- Ramsey, P. G., "History-taking and preventive medicine skills among primary care physicians : an assessment using standardized patients", Am J Med, 104(2), pp.152~158 (1998)
- Smee, S. M., "Setting standards for an objective structured clinical examination : the borderline group method gains ground on Angoff", Med Educ, 35(11), pp.1009~1010 (2001)
- Stillman, P. L., "An assessment of the clinical skills of fourthyear students at four New England medical schools", Acad Med, 65(5), pp.320~326 (1990)
- Stillman, P. L., "Assessing clinical skills of residents with standardized patients", Ann Intern Med, 105(5), pp.762~771 (1986)
- Suchman, A. L., "A model of empathic communication in the medical interview", JAMA, 277(8), pp.678~682 (1997)
- "2013 Bulletin of information: eligibility" (2012)[URL]
- Verma, A., "The Ventriloscope® as an innovative tool for assessing clinical examination skills: appraisal of a novel method of simulating auscultatory findings", Med Teach, 33(7), pp.e388~e396 (2011)
- Vincent, C., "Why do people sue doctors?: a study of patients and relatives taking legal action", Lancet, 343(8913), pp.1609~1613 (1994)