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임상 실습 유형과 평가 방식에 따른 평가의 공정성과 정확성에 대한 학생들의 인식도

Students’ perceptions of fairness and accuracy in clinical practice evaluation

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주제분류치의학

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Objectives: This study aims to investigate dental students' perceptions regarding the evaluation of clinical practice and to explore the factors influencing these perceptions. Methods: An online survey was conducted targeting third and fourth-year dental students from 11 nationwide dental schools. The survey focused on their perceptions of the accuracy and fairness of two clinical practices: 1) clinical clerkship in specialty clinics, and 2) direct patient care in pre-doctoral treatment centers. Additionally, the effects of different clerkship models (disciplinary block, longitudinal integrated), evaluation units (individual subject, integrated subject), and grading systems (grading, pass/fail) were assessed. Results: The overall perception of fairness and accuracy in clinical practice evaluation was found to be low. Students in disciplinary block clinical practice settings reported lower perceptions of evaluation accuracy and fairness compared to those in longitudinal integrated or mixed schedule types. Furthermore, the grading system influenced the perception of fairness and accuracy in the evaluation of clinical practices. Regarding direct patient care in pre-doctoral treatment centers, the evaluation units significantly impacted students' perceptions, although the grading system did not. Groups with grading systems showed lower perceptions compared to those with pass/fail or mixed evaluation systems. Conclusion: The study reveals that dental students perceive clinical practice evaluations as generally unfair and inaccu - rate, particularly within disciplinary block schedules. To improve future dental education, adopting longitudinal integrated schedules could be considered to enhance the perceived fairness and accuracy of clinical practice evaluations.

Abstract

Objectives: This study aims to investigate dental students' perceptions regarding the evaluation of clinical practice and to explore the factors influencing these perceptions. Methods: An online survey was conducted targeting third and fourth-year dental students from 11 nationwide dental schools. The survey focused on their perceptions of the accuracy and fairness of two clinical practices: 1) clinical clerkship in specialty clinics, and 2) direct patient care in pre-doctoral treatment centers. Additionally, the effects of different clerkship models (disciplinary block, longitudinal integrated), evaluation units (individual subject, integrated subject), and grading systems (grading, pass/fail) were assessed. Results: The overall perception of fairness and accuracy in clinical practice evaluation was found to be low. Students in disciplinary block clinical practice settings reported lower perceptions of evaluation accuracy and fairness compared to those in longitudinal integrated or mixed schedule types. Furthermore, the grading system influenced the perception of fairness and accuracy in the evaluation of clinical practices. Regarding direct patient care in pre-doctoral treatment centers, the evaluation units significantly impacted students' perceptions, although the grading system did not. Groups with grading systems showed lower perceptions compared to those with pass/fail or mixed evaluation systems. Conclusion: The study reveals that dental students perceive clinical practice evaluations as generally unfair and inaccu - rate, particularly within disciplinary block schedules. To improve future dental education, adopting longitudinal integrated schedules could be considered to enhance the perceived fairness and accuracy of clinical practice evaluations.

참고문헌 (28)

  1. 박주현, "일개 의과대학 임상 실습 교육과정 평가", 한국의학교육, 16(2), pp.157~167 (2004)
  2. Cooke M, "Educating physicians: a call for reform of medical school and residency" (2010), John Wiley & Sons
  3. Lucey CR, "Medical education : part of the problem and part of the solution", JAMA Internal medicine, 173(17), pp.1639~1643 (2013)
  4. Green M, "Selection criteria for residency : results of a national program directors survey", Acad Med, 84(3), pp.362~367 (2009)
  5. Watling CJ, "Assessment, feedback and the alchemy of learning", Med Educ, 53(1), pp.76~85 (2019)
  6. Hernandez CA, "Determining Grades in the Internal Medicine Clerkship : Results of a National Survey of Clerkship Directors", Acad Med, 96(2), pp.249~255 (2021)
  7. Reed DA, "Relationship of pass", fail grading and curriculum structure with well-being among preclinical medical students : a multi-institutional study, 2011, pp.86(11), 1367~1373
  8. Dyrbye L, "A narrative review on burnout experienced by medical students and residents", Med Educ, 50(1), pp.132~149 (2016)
  9. Bullock JL, "In pursuit of honors : A multi-institutional study of students’ perceptions of clerkship evaluation and grading", Academic Medicine, 94(11S), pp.S48~S56 (2019)
  10. Duffield K, "A survey of medical students’ views about the purposes and fairness of assessment", Medical education, 36(9), pp.879~886 (2002)
  11. Schopper H, "‘I wish someone watched me interview : ’medical student insight into observation and feedback as a method for teaching communication skills during the clinical years", BMC medical education, 16, pp.1~8 (2016)
  12. Howley LD, "Direct observation of students during clerkship rotations : a multiyear descriptive study", Academic Medicine, 79(3), pp.276~280 (2004)
  13. Hauer KE, "Core clerkship grading : the illusion of objectivity", Academic Medicine, 94(4), pp.469~472 (2019)
  14. Mennin SP, "Student assessment", ACADEMIC MEDICINE-PHILADELPHIA-, 73, pp.S46~S54 (1998)
  15. de Jonge LP, "Stakeholder perspectives on workplace-based performance assessment : towards a better understanding of assessor behaviour", Advances in Health Sciences Education, 22, pp.1213~1243 (2017)
  16. Gingerich A, "Seeing the ‘black box’differently : assessor cognition from three research perspectives", Medical education, 48(11), pp.1055~1068 (2014)
  17. Bullock JL, "Moving toward mastery : changes in student perceptions of clerkship assessment with pass", fail grading and enhanced feedback, 2022, pp.34(2), 198~208
  18. 임은정, "의과대학 및 의학전문대학원 임상 실습 수업평가 현황 분석", Korean Journal of Medical Education, 23(2), pp.119~ (2011)
  19. 고석봉, "일개 의과대학 학생의 필기, 임상 실습, 임상 수행능력 평가 및 졸업시험 성적 간의 상관성 분석", Korean J Med Educ, 21(4), pp.347~352 (2009)
  20. 김순구, "일개 의과대학에서의 임상 실습 교육과정 요구도 분석", 인문사회 21, 13(6), pp.63~76 (2022)
  21. Wu M-J, "Response rates of online surveys in published research : A meta-analysis", Computers in Human Behavior Reports, 7, pp.100206~ (2022)
  22. 치과의사 인력 수급의 현황과 전망, "전지은", 치과의료정책연구원, 1~11, pp.2023-09호 (2023)
  23. Teherani A, "Outcomes of different clerkship models : longitudinal integrated, hybrid, and block", Acad Med, 88(1), pp.35~43 (2013)
  24. Horst JA, "Observation, Assisting, Apprenticeship : Cycles of Visual and Kinesthetic Learning in Dental Education", Journal of Dental Education, 73(8), pp.919~933 (2009)
  25. Gordon J, "Strategic planning in medical education : enhancing the learning environment for students in clinical settings", Medical Education, 34(10), pp.841~850 (2000)
  26. Gupta S, "Insights into post-longitudinal integrated clerkship experience : medical students’ perceptions of transition and learning", Education for Primary Care, 32(4), pp.211~218 (2021)
  27. Norris TE, "Longitudinal integrated clerkships for medical students : an innovation adopted by medical schools in Australia, Canada, South Africa, and the United States", Academic Medicine, 84(7), pp.902~907 (2009)
  28. Hauer KE, "Longitudinal, integrated clerkship education : better for learners and patients", Academic Medicine, 84(7), pp.821~ (2009)

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