일개 의과대학생들의 임상수행평가(Clinical Performance Examination)에 영향을 미치는 변인들 간의 관계
Relationship between the Clinical Performance Examination and Associated Variables
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Purpose: The purpose of this study was to identify the causal relationship between the following variables: basic science score, written examination score (Internal medicine and Pediatrics), clinical clerkship score (Internal medicine and Pediatrics), and affective factors (self-efficacy, anxiety, and perception of preparedness). Methods: Forty-two medical students took the clinical performance examination (CPX) at the end of the first semester. One day before the CPX, the students completed a brief survey, which included 11 items that sampled their self-efficacy, preparedness and anxiety with regard to the CPX. The responses from the 38 identifiable surveys (90%), out of 42, were analyzed for this study. Structural equation modeling techniques were used to test the relationships between the variables. The students' basic science scores, clinical clerkship scores, and written examination scores were considered for this study. Results: We found that self-efficacy influenced students' CPX scores indirectly through their preparedness and anxiety. Preparedness influenced students' CPX scores indirectly through their anxiety. Anxiety was predicated on self-efficacy directly or indirectly and it predicted CPX scores. The clinical clerkship scores affected the students' CPX scores indirectly. The written examination scores and basic science scores, however, did not impact the students' CPX scores directly or indirectly. The basic science scores, clinical clerkship scores, and written examination scores were not associated with self-efficacy. Conclusion: Our findings highlight the importance of clinical clerkship education and reasonable medical teaching methods in improving the student self-efficacy for the CPX.
Abstract
Purpose: The purpose of this study was to identify the causal relationship between the following variables: basic science score, written examination score (Internal medicine and Pediatrics), clinical clerkship score (Internal medicine and Pediatrics), and affective factors (self-efficacy, anxiety, and perception of preparedness). Methods: Forty-two medical students took the clinical performance examination (CPX) at the end of the first semester. One day before the CPX, the students completed a brief survey, which included 11 items that sampled their self-efficacy, preparedness and anxiety with regard to the CPX. The responses from the 38 identifiable surveys (90%), out of 42, were analyzed for this study. Structural equation modeling techniques were used to test the relationships between the variables. The students' basic science scores, clinical clerkship scores, and written examination scores were considered for this study. Results: We found that self-efficacy influenced students' CPX scores indirectly through their preparedness and anxiety. Preparedness influenced students' CPX scores indirectly through their anxiety. Anxiety was predicated on self-efficacy directly or indirectly and it predicted CPX scores. The clinical clerkship scores affected the students' CPX scores indirectly. The written examination scores and basic science scores, however, did not impact the students' CPX scores directly or indirectly. The basic science scores, clinical clerkship scores, and written examination scores were not associated with self-efficacy. Conclusion: Our findings highlight the importance of clinical clerkship education and reasonable medical teaching methods in improving the student self-efficacy for the CPX.
참고문헌 (25)
- 박훈기, "의사국가고시에서 실기시험", 한국의학교육, 20(4), pp.309~312 (2008), 한국의학교육학회
- 최은정, "여러 가지 임상평가방법과 성적과의 상관관계", 한국의학교육, 21(1), pp.43~52 (2009), 한국의학교육학회
- 박완범, "CPX 성적과 기존의 실습성적 및 필기시험 성적과의 상관관계", 한국의학교육, 17(3), pp.297~304 (2005), 한국의학교육학회
- Kramer AW, "Predictive validity of a written knowledge test of skills for an OSCE in postgraduate training for general practice", Med Educ, 36, pp.812~819 (2002)
- 박귀화, "표준화 환자를 이용한 가천의대 임상수행평가의 운영 경험", 한국의학교육, 17(2), pp.151~162 (2005), 한국의학교육학회
- 허예라, "의과대학생의 임상수행능력과 필기시험 성적과의 상관 연구", 한국의학교육, 19(4), pp.335~341 (2007), 한국의학교육학회
- Busato VV, "Intellectual ability, learning style, personality, achievement motivation and academic success of psychology students in higher education", Pers Individ Dif, 29, pp.1057~1068 (2000)
- Hojat M, "Students' psychosocial characteristics as predictors of academic performance in medical school", Acad Med, 68, pp.635~637 (1993)
- Seoul National University Education Research Institute, "Terminology in education" (1994), Hou
- Bandura A, "Self-efficacy: the exercise of control" (1997), W.H. Freeman
- Lee SM, "The effect of reward structure on self-efficacy and academic achievement in self-directed learning", 석사, pp.2002
- Mavis B, "Self-efficacy and OSCE performance among second year medical students", Adv Health Sci Educ Theory Pract, 6, pp.93~102 (2001)
- Opacic DA, "The relationship between self-efficacy and student physician assistant clinical performance", J Allied Health, 32, pp.158~166 (2003)
- Jeon HS, "A study on relation among the social support of high school girls, self-efficacy and the exam anxiety", 석사, pp.2007
- Cho YM, "An effect of teenagers' perfectionistic tendency and self-efficacy on the test anxiety", 석사, pp.2003
- Pintrich PR, "Motivational and selfregulated learning components of classroom academic performance", J Educ Psychol, 82, pp.33~40 (1990)
- 박훈기, "진료수행시험 (CPX: Clinical Performance Examination)에서 정보공유가 시험성적에 미치는 영향", 한국의학교육, 17(2), pp.185~196 (2005), 한국의학교육학회
- Byrne BM, "Structural equation modeling with AMOS: basic concept, applications, and programming" (2001), Lawrence Erlbaum Associates
- Chen W, "Clinical skills in final-year medical students: the relationship between self-reported confidence and direct observation by faculty or residents", Ann Acad Med Singapore, pp.3~37 (2008)
- Shirar LE, "A survey of study methods, preparation time, test-taking strategies, and perceptions of test validity on a clinical performance-based examination", Acad Med, 67, pp.S10~S12 (1992)
- Allen R, "Surveying students' attitudes during the OSCE", Adv Health Sci Educ Theory Pract, 3, pp.197~206 (1998)
- Han SH, "Relationship between clinical competency and self-efficacy and clinical competency and teacher's effectiveness on nursing students", Gyeonginnonjip, 1, pp.191~197 (2000)
- Kim AY, "Educational application of motivation theories and issues for future research: focused on self-efficacy theory", Korean J Educ Psychol, 12, pp.105~128 (1998)
- Harrell PL, "Medical students' confidence and the characteristics of their clinical experiences in a primary care clerkship", Acad Med, 68, pp.577~579 (1993)
- Dory V, "The development of self-efficacy beliefs during general practice vocational training: an exploratory study", Med Teach, 31, pp.39~44 (2009)