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전공의 선발고사에서 객관구조화진료시험 도입사례

Introduction of Objective Structured Clinical Examination(OSCE) to Residency Examination

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Purpose: The purpose of this study is to analyze the development and implementation of the Objective Structured Clinical Examination(OSCE) for the residency applicant examination at Daegu- Catholic Hospital. Methods: Fifty-four Daegu-Catholic residency applicants were evaluated by written examination, internship scores, and OSCE. The correlation between written examination scores, internship scores, and OSCE scores was assessed. Results: The correlation between OSCE and internship scores showed a tendency to be more significant than that between the written test and internship scores, but OSCE-internship correlation coefficients and written test and internship correlation coefficients was not statistically significant. The distribution of OSCE and internship scores on a graph corroborated this relationship between the two variables. Conclusion: The OSCE presents more objective criteria for residency application tests.

Abstract

Purpose: The purpose of this study is to analyze the development and implementation of the Objective Structured Clinical Examination(OSCE) for the residency applicant examination at Daegu- Catholic Hospital. Methods: Fifty-four Daegu-Catholic residency applicants were evaluated by written examination, internship scores, and OSCE. The correlation between written examination scores, internship scores, and OSCE scores was assessed. Results: The correlation between OSCE and internship scores showed a tendency to be more significant than that between the written test and internship scores, but OSCE-internship correlation coefficients and written test and internship correlation coefficients was not statistically significant. The distribution of OSCE and internship scores on a graph corroborated this relationship between the two variables. Conclusion: The OSCE presents more objective criteria for residency application tests.

참고문헌 (13)

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  3. Harden, R.M., "Assessment of clinical competence using objective structured examination", Br Med J, 1, pp.447~451 (1975)
  4. Harden, R.M., "What is OSCE?", Med Teach, 10, pp.19~22 (1988)
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  6. Kim, J.J., "Analysis of the evaluation for clinical performance examination using standardized patients in one medical school", Korean J Med Educ, 16, pp.51~61 (2004)
  7. "Renovation of selection procedure for internship and residentship" (2007)[URL]
  8. Kim, S.W., "Introduction of OSCE to Board Licensure Examination of plastic surgeons", Korean J Med Educ, 18, pp.153~159 (2006)
  9. Kramer, A.W., "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)
  10. Remmen, R., "Correlation of a written test skills and a performance based test: a study in two traditional medical schools", Med Teach, 23, pp.29~32 (2001)
  11. Sloan, D.A., "The objective structured clinical examination: the new gold standard for evaluating postgraduate clinical performance", Ann Surg, 222, pp.735~742 (1995)
  12. Small, P.A.Jr., "Issues in medical education: basic problems and solutions", Acad Med, 68, pp.S89~S98 (1993)
  13. The World Federation for Medical Education, "International standards in medical education: assessment and accreditation of medical schools’ educational programmes. A WFME position paper", Med Educ, 32, pp.549~558 (1998)

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