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한의학교육에서 객관구조화진료시험과 진료수행평가에 대한 연구 동향과 후속 연구 및 교육에 대한 제언: 주제범위 문헌고찰

Presentation on Research Trends and Suggestion for further research and education on Objective Structured Clinical Examination and Clinical Performance Examination in Korean Medicine Education: Scoping Review

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Objectives : This study reviewed existing studies on clinical examination of Korean medicine to investigate the trends and gaps of existing research on clinical performance examination (CPX) or objective structured clinical examination (OSCE) in Korean medicine education. Methods : We conducted a scoping review according to the five steps suggested by Arksey and O’Malley. Six databases(RISS, OASIS, KMBASE, KISS, ScienceON, and DBpia) were searched and studies published from 2012 to July 15, 2022 were considered. The subjects of the study were limited to domestic studies about OSCE or CPX conducted in Korean medicine education. Results : Among the 25 selected papers, 17 studies implemented OSCE or CPX in practice. Those studies were conducted in 8 clinical departments and 9 of them used standardized patients. All 14 survey studies reported positive answers in satisfaction, efficacy, and self-assessment. OSCE, CPX scoring items were developed by modifying existing tools or developing through expert surveys or through literature review and significant cases. Conclusions : This study is expected to be used as basic data for following studies and promote clinical examination. From now on, the colleges of Korean medicine should proceed research on large-scale students about extended subjects through various research methods to obtain objective results that can be generalized and acquire validity and reliability. In order to promote such research, it is necessary to induce cooperation from institutions related to Korean Medicine and local universities to develop modules, implement, and conduct post-evaluation.

Abstract

Objectives : This study reviewed existing studies on clinical examination of Korean medicine to investigate the trends and gaps of existing research on clinical performance examination (CPX) or objective structured clinical examination (OSCE) in Korean medicine education. Methods : We conducted a scoping review according to the five steps suggested by Arksey and O’Malley. Six databases(RISS, OASIS, KMBASE, KISS, ScienceON, and DBpia) were searched and studies published from 2012 to July 15, 2022 were considered. The subjects of the study were limited to domestic studies about OSCE or CPX conducted in Korean medicine education. Results : Among the 25 selected papers, 17 studies implemented OSCE or CPX in practice. Those studies were conducted in 8 clinical departments and 9 of them used standardized patients. All 14 survey studies reported positive answers in satisfaction, efficacy, and self-assessment. OSCE, CPX scoring items were developed by modifying existing tools or developing through expert surveys or through literature review and significant cases. Conclusions : This study is expected to be used as basic data for following studies and promote clinical examination. From now on, the colleges of Korean medicine should proceed research on large-scale students about extended subjects through various research methods to obtain objective results that can be generalized and acquire validity and reliability. In order to promote such research, it is necessary to induce cooperation from institutions related to Korean Medicine and local universities to develop modules, implement, and conduct post-evaluation.

참고문헌 (58)

  1. 박완범, "일개 대학병원의 내과학생 술기실습 현황", 대한내과학회지, 76(4), pp.451~458 (2009), 대한내과학회
  2. Flexner A, "Medical education in the United States and Canada", Bull World Health Organ, 80, pp.594~602 (2002)
  3. Harden RM, "Essential Skills for a Medical Teacher: An Introduction to Teaching and Learning in Medicine" (2020), Elsevier Health Sciences
  4. Frank JR, "Competency-based medical education : theory to practice", Med Teach, 32(8), pp.638~645 (2010)[DOI]
  5. Kang YS, "A Study on Improvement Plans for Competency-based National Examinations for Korean Medicine Doctor", Korea Health Pers Licens Exam Inst, (8), pp.0~0 (2016)
  6. 임철일, "2016 한의사 역량모델 정립 및 활용 방안", 대한한의학회지, 37(1), pp.101~113 (2016), 대한한의학회
  7. Institute of Korean Medicine Education and Evaluation, "2018 College of Korean Medicine Korean Medicine Graduate School 2nd Cycle Evaluation and Certification Manual for Korean Medicine Education (for Evaluation Institutions)", 94~ (2017)
  8. 조정진, "의학교육평가로서 전문의자격시험 실기시험의 국내외 현황과 발전방안", 대한의사협회지, 57(5), pp.444~454 (2014), 대한의사협회[DOI]
  9. Daniels VJ, "Twelve tips for developing an OSCE that measures what you want", Med Teach, 40(12), pp.1208~1213 (2018)[DOI]
  10. Choi JY., "NEW PLUS CPX Patient encounter Vol.1" (2022), Korea MedicalBook Publisher
  11. 조학준, "전국 한의과대학(원)의 진료수행평가(CPX) 현황과 향후 과제", 한국의사학회지, 33(2), pp.9~21 (2020), 한국의사학회
  12. Institute of Korean Medicine Education and Evaluation, "2022 KAS2022 Korean Medicine Education Evaluation Certification Manual and Self-Report Method Briefing Sessio", 35~ (2022)
  13. Park JH, "A Study on the Activation Measures of Clinical Practice using Clinical Practice Room", J East-West Med, 44(1), pp.17~27 (2019)
  14. 이재열, "Phenylhydrazine으로 유발된 흰쥐의 용혈성 빈혈에 미치는 三七根의 효과", 대한한방내과학회지, 32(1), pp.1~9 (2011), 대한한방내과학회
  15. Hwangbo M, "A Study on the Necessity of Strengthening Clinical Practice Education", J East-West Med, 2018, pp.49~61 (2018)
  16. Arksey H, "Scoping studies : towards a methodological framework", Int J Soc Res Methodol, 8(1), pp.19~32 (2005)[DOI]
  17. Institute of Korean Medicine Education and Evaluation, "Manual for Institutions Subject to Evaluation of Evaluation and Certification of Korean Medical Education", ~ (2012)
  18. 양승정, "경혈 교육을 위한 3D 및 증강현실 기술을 활용한 한의학 통합교육 테이블 개발", Korean Journal of Acupuncture, 38(4), pp.267~274 (2021), 경락경혈학회[DOI]
  19. 여수정, "경혈 위치교육 평가지원시스템의 개발계획 수립과 제작", Korean Journal of Acupuncture, 36(1), pp.44~51 (2019), 경락경혈학회[DOI]
  20. 조현우, "임상실습교육의 만족도와 관련요인 분석 -한방재활의학을 중심으로-", 대한예방한의학회지, 16(2), pp.1~15 (2012), 대한예방한의학회
  21. 심성보, "한의학교육에서 임상술기교육의 만족도 연구", 대한한의학회지, 34(3), pp.37~53 (2013), 대한한의학회
  22. 장유진, "The Efficiency of Objective Structured Clinical Examination (OSCE) as a Method of Clinical Clerkship in the Korean Ophthalmology & Otolaryngology Department", 한방안이비인후피부과학회지, 27(4), pp.121~130 (2014), 대한한방안이비인후피부과학회
  23. 조충식, "한의학 교육에서 진료수행평가에 대한 학생 만족도 및 환자-의사관계 점수의 채점자간 비교 연구", 동의생리병리학회지, 29(2), pp.152~159 (2015), 한의병리학회[DOI]
  24. 권지현, "한의학교육에서 진료수행교육의 만족도 연구", 동의생리병리학회지, 32(1), pp.51~61 (2018), 한의병리학회[DOI]
  25. 양승정, "한방부인과학에서 임상실습교육의 만족도와 관련요인 분석", 대한한방부인과학회지, 33(1), pp.116~127 (2020), 대한한방부인과학회[DOI]
  26. 김빛나래, "한방소아과학에서 임상 실습 교육의 만족도와 유용성 조사", 대한한방소아과학회지, 34(4), pp.1~10 (2020), 대한한방소아과학회[DOI]
  27. 조학준, "학생표준화환자를 사용한 한의과대학 진료수행시험(CPX)에 대한 학생 인식 조사", 대한예방한의학회지, 24(3), pp.1~13 (2020), 대한예방한의학회[DOI]
  28. 한창이, "한의과대학 실습 만족도 조사 - 의사-환자 역할극, 모의 CPX를 중심으로 -", 한방안이비인후피부과학회지, 33(1), pp.12~24 (2020), 대한한방안이비인후피부과학회[DOI]
  29. 조은별, "Assessment of Acupuncture and Moxibustion Medicine Clinical Practice Using the Objective Structured Clinical Examination", Journal of Acupuncture Research, 38(3), pp.219~226 (2021), 대한침구의학회[DOI]
  30. 조학준, "연극인표준화환자와 학생표준화환자를 사용한 일개 한의과대학 진료수행시험(CPX)에 대한 임상실습 학생 인식 조사", 대한예방한의학회지, 25(3), pp.101~115 (2021), 대한예방한의학회[DOI]
  31. 양승정, "한방부인과 임상실습교육에서 초음파 팬텀의 활용과 효과", 대한한방부인과학회지, 35(2), pp.16~27 (2022), 대한한방부인과학회[DOI]
  32. 조은별, "객관 구조화 임상시험을 활용한 봉약침 시술 전 과정에 대한 교육효과", 대한한의학회지, 43(1), pp.6~17 (2022), 대한한의학회
  33. Cho E, "Implementation of Objective Structured Clinical Examination on Diagnostic Musculoskeletal Ultrasonography Training in Undergraduate Traditional Korean Medicine Education : An Action Research", Diagnostics, 12(7), pp.1707~ (2022)[DOI]
  34. 김경옥, "표준화 화병환자를 활용한 한의대생의 진료 및 의사소통 수준연구", 대한예방한의학회지, 17(1), pp.163~179 (2013), 대한예방한의학회
  35. 안효자, "표준화 난임환자를 활용한 한의대생의 진료 및 의사소통 수준연구", 대한예방한의학회지, 18(3), pp.1~10 (2014), 대한예방한의학회
  36. 박경미, "표준화 갱년기장애환자를 활용한 한의대생의 진료 및 의사소통 수준연구", 대한한방부인과학회지, 32(2), pp.100~118 (2019), 대한한방부인과학회[DOI]
  37. 이현우, "아토피 피부염 증례를 이용한 표준화환자 프로그램 연구", 대한한의학회지, 32(5), pp.78~89 (2011), 대한한의학회
  38. 조학준, "한의학 교육에서 內傷發熱 증례를 이용한 표준화환자 프로그램 개발 연구", 대한한의학원전학회지, 33(4), pp.33~56 (2020), 대한한의학원전학회[DOI]
  39. 조은별, "Development of an Objective Structured Clinical Examination Checklist and a Post-Education Questionnaire for Musculoskeletal Ultrasound Training Focusing on Volar Wrist and Carpal Tunnel Syndrome", Journal of Acupuncture Research, 39(2), pp.105~114 (2022), 대한침구의학회[DOI]
  40. Institute of Korean Medicine Education&Evaluation, "The Manual of 2nd Cycle Korean Medicine Education Evaluation and Certification for College of Korean Medicine and Graduate School of Korean Medicine" (2017), Karammunhwasa
  41. A Study for Improvement of the National Examination, "Kang YS", Korea Health Personnel Licensing Examination Institute, 70~ (2017)
  42. Patrício MF, "Is the OSCE a feasible tool to assess competencies in undergraduate medical education?", Med Teach, 35(6), pp.503~514 (2013)[DOI]
  43. P. Collins, "J. AMEE Medical Education Guide No. 13: real patients, simulated patients and simulators in clinical examinations", Med Teach, 20(6), pp.508~521 (1998)[DOI]
  44. 박신영, "표준화환자를 적용한 간호대학생의 정신간호학 실습교육 효과", 정신간호학회지, 21(1), pp.79~88 (2012), 한국정신간호학회[DOI]
  45. Choi YH, "The Use of Standardized Patients in Medical Education", Korean J Med Educ, 12(2), pp.353~361 (2000)[DOI]
  46. Kim JH., "A guide to standardized patient use for health personnel education", panmun education, ~ (2019)
  47. 김영희, "역할극 활용 기본간호학 실습 교육평가방법에 대한 간호학생의 학습동기, 자기주도적 학습능력 및 문제해결과정과의 관계", 한국산학기술학회논문지, 13(1), pp.147~155 (2012), 한국산학기술학회
  48. 강희영, "시뮬레이션 기반 통합간호실습 교육이 간호대학생의 임상추론역량, 학습 자기효능감, 교육만족도에 미치는 효과", 한국엔터테인먼트산업학회논문지, 16(4), pp.193~201 (2022), 한국엔터테인먼트산업학회
  49. 김미영, "간호대학생의 임상실습만족도에 영향을 미치는 요인", Journal of The Korean Data Analysis Society, 19(3), pp.1699~1710 (2017), 한국자료분석학회[DOI]
  50. Kim H, "Perception study of traditional Korean medical students on the medical education using the Dundee ready educational environment measure", Evid Based Complement Alternat Med, 2016 (2016)[DOI]
  51. Kim H, "Cross-Cultural Adaptation and Validation of the Korean Version of the Dundee Ready Education Environment Measure(DREEM)", Evid Based Complement Alternat Med, 2021, pp.1~10 (2021)[DOI]
  52. Kirkpatrick D, "Revisiting Kirkpatrick’s fourlevel model", Train Dev, 50(1), pp.54~57 (1996)
  53. Tarique U, "Ultrasound curricula in undergraduate medical education: a scoping review", J Ultrasound Med, 37(1), pp.69~82 (2018)[DOI]
  54. 하영옥, "VR(Virtual Reality)을 활용한 술기실습이 간호대학생의 간호술 수행자신감, 학습자기효능감, 수행능력, 실습만족도에 미치는 효과", 산업융합연구, 20(4), pp.47~55 (2022), 대한산업경영학회[DOI]
  55. Zeng Jinhao, "Assessment of clinical competency among TCM medical students using standardized patients of traditional Chinese medicine: A 5-year prospective randomized study", Integrative Medicine Research, 11(2), pp.1~9 (2022), 한국한의학연구원[DOI]
  56. Korean acupunture & moxibustion medicine society textbook compilation committee, "Clinical practice guideline of acupuncture medicine" (2016), HANMI Medical Publisher
  57. Kyung Hee University College of Korean Medicine’s Clinical Practice Compilation Committee, "Korean medicine clinical skills OSCE" (2019), Korea Medical Book Publisher
  58. Han SY, "Developing a best practice framework for clinical competency education in the traditional East-Asian medicine curriculum", BMC Med Educ, 22(1), pp.1~13 (2022)[DOI]

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