CPX 도입에 따른 의과대학생들의 환자중심적 태도 변화
Changes in medical students' patient-centeredness attitudes by implementation of clinical performance examination
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Purpose: From 2009, the Korean Medical Licensure Exam implemented a clinical performance examination (CPX) that highlightedthe importance of good patient-physician relationships in medical education. This study aimed to examine changes in medicalstudents’ attitudes before and after implementation of the CPX in their medical education curriculum. Methods: In 2006 and 2009, 236 fourth-year medial students of C College of Medicine took the Patient Practitioner OrientationScale (PPOS) by Krupet et al. (2000), which measures patient-centered attitudes in patient-physician relationships. The data wereanalyzed by independent t-test and two-way analysis of variance using SPSS 21.0. Results: The PPOS scores of year 2006 students were 3.88±0.25 for males and 3.98±0.38 for females. For year 2009 students,males scored 3.81±0.42 and females scored 4.01±0.48. All students had higher Care scores than Share scores (2006: Share, 3.67±0.47vs. Care, 4.19±0.51; 2009: Share, 3.56±0.34 vs. Care, 4.18±0.53). There were significant differences in PPOS and Share scoresby gender before and after the CPX. With regard to Care scores, female students' scores tended to rise and males' scores declinedover time. Conclusion: An educational program is needed for students to foster patient-centered attitudes, but gender differences shouldbe taken into account.
Abstract
Purpose: From 2009, the Korean Medical Licensure Exam implemented a clinical performance examination (CPX) that highlightedthe importance of good patient-physician relationships in medical education. This study aimed to examine changes in medicalstudents’ attitudes before and after implementation of the CPX in their medical education curriculum. Methods: In 2006 and 2009, 236 fourth-year medial students of C College of Medicine took the Patient Practitioner OrientationScale (PPOS) by Krupet et al. (2000), which measures patient-centered attitudes in patient-physician relationships. The data wereanalyzed by independent t-test and two-way analysis of variance using SPSS 21.0. Results: The PPOS scores of year 2006 students were 3.88±0.25 for males and 3.98±0.38 for females. For year 2009 students,males scored 3.81±0.42 and females scored 4.01±0.48. All students had higher Care scores than Share scores (2006: Share, 3.67±0.47vs. Care, 4.19±0.51; 2009: Share, 3.56±0.34 vs. Care, 4.18±0.53). There were significant differences in PPOS and Share scoresby gender before and after the CPX. With regard to Care scores, female students' scores tended to rise and males' scores declinedover time. Conclusion: An educational program is needed for students to foster patient-centered attitudes, but gender differences shouldbe taken into account.
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