의학과 학생들에서 임상실기 점수와 관련된 의학지식 지필시험 내용
Relationship between the Content of the Medical Knowledge Written Examination and Clinical Skill Score in Medical Students
2
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
purpose: This study was planned to investigate which medical knowledge examination score—written examination on basic medicine, individual clinical medicine, and comprehensive clinical medicine—was closely related to clinical skill score in medical students. Methods: Scores on basic medicine, clinical medicine, graduation assessment, clinical performance examination (CPX), and objective structured clinical examination (OSCE) for 106 students who graduated Dongguk University Medical School from 2010 to 2011 were included, and correlations between them were analyzed using T scores. Results: All scores of basic medicine, clinical medicine, graduation assessment, CPX, and OSCE correlated significantly with each other. In connection with clinical skill, graduation assessment score showed a strong correlation (r=0.547, p<0.001) with the CPX. Regarding detailed scores on the CPX, history taking score correlated significantly with medical knowledge examination scores (r=0.435~0.406, p<0.001). By regression analysis, the score on graduation assessment was 1 point higher, and that of the CPX increased by 0.538 (p<0.001). Conclusion: Based on our study, comprehensive clinical knowledge is required for medical students to gain the appropriate clinical skills. Therefore, clinical skill practice and lectures that are based on the level of comprehensive clinical knowledge are recommended in the education of clinical skills in medical students.
Abstract
purpose: This study was planned to investigate which medical knowledge examination score—written examination on basic medicine, individual clinical medicine, and comprehensive clinical medicine—was closely related to clinical skill score in medical students. Methods: Scores on basic medicine, clinical medicine, graduation assessment, clinical performance examination (CPX), and objective structured clinical examination (OSCE) for 106 students who graduated Dongguk University Medical School from 2010 to 2011 were included, and correlations between them were analyzed using T scores. Results: All scores of basic medicine, clinical medicine, graduation assessment, CPX, and OSCE correlated significantly with each other. In connection with clinical skill, graduation assessment score showed a strong correlation (r=0.547, p<0.001) with the CPX. Regarding detailed scores on the CPX, history taking score correlated significantly with medical knowledge examination scores (r=0.435~0.406, p<0.001). By regression analysis, the score on graduation assessment was 1 point higher, and that of the CPX increased by 0.538 (p<0.001). Conclusion: Based on our study, comprehensive clinical knowledge is required for medical students to gain the appropriate clinical skills. Therefore, clinical skill practice and lectures that are based on the level of comprehensive clinical knowledge are recommended in the education of clinical skills in medical students.
참고문헌 (19)
- Wilkerson L, "Assessing physical examination skills of senior medical students: knowing how versus knowing when", Acad Med, 78(10), pp.30~32 (2003)
- 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)
- Remmen R, "Correlation of a written test of skills and a performance based test: a study in two traditional medical schools", Med Teach, 23, pp.29~32 (2001)
- 김문식, "국시원의 선택, 의사 실기시험", 한국의학교육, 21(3), pp.215~216 (2009), 한국의학교육학회
- 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
- 허예라, "의과대학생의 임상수행능력과 필기시험 성적과의 상관 연구", 한국의학교육, 19(4), pp.335~341 (2007), 한국의학교육학회
- 안성수, "한 의과대학 졸업생의 학부 성적과 의사국가고시 성적의 관련성", 한국의학교육, 16(1), pp.25~32 (2004), 한국의학교육학회
- 김명수, "학업성적, 임상종합평가시험성적 및 의사국가시험성적간의 상관관계", 한국의학교육, 17(1), pp.73~82 (2005), 한국의학교육학회
- Simon SR, "The relationship between second-year medical students' OSCE scores and USMLE Step 1 scores", Med Teach, 24, pp.535~539 (2002)
- 박귀화, "표준화 환자를 이용한 가천의대 임상수행평가의 운영 경험", 한국의학교육, 17(2), pp.151~162 (2005), 한국의학교육학회
- 박귀화, "일개 의과대학생들의 임상수행평가(Clinical Performance Examination)에 영향을 미치는 변인들 간의 관계", 한국의학교육, 21(3), pp.269~277 (2009), 한국의학교육학회
- 박혜숙, "임상실습 전 학생과 임상실습 후 학생에서 시행한 객관구조화진료시험(OSCE) 평가", 한국의학교육, 16(1), pp.63~72 (2004), 한국의학교육학회
- 한재진, "임상 실습 종합 평가로서 시행한 객관구조화진료시험 (OSCE) -이화 의대의 경험", 한국의학교육, 16(1), pp.33~40 (2004), 한국의학교육학회
- 김주자, "일개 의과대학에서 실시한 표준화환자 (SP)를 이용한 임상수행능력평가시험 (CPX) 결과 분석", 한국의학교육, 16(1), pp.51~62 (2004), 한국의학교육학회
- 이상훈, "경상의대 객관구조화시험의 시행경험", 한국의학교육, 17(3), pp.249~256 (2005), 한국의학교육학회
- 박완범, "CPX 성적과 기존의 실습성적 및 필기시험 성적과의 상관관계", 한국의학교육, 17(3), pp.297~304 (2005), 한국의학교육학회
- 정기훈, "일개 의과대학 본과 4학년 시험과 의사국가시험과의 관계", 한국의학교육, 21(1), pp.17~22 (2009), 한국의학교육학회
- 고석봉, "일개 의과대학 학생의 필기, 임상 실습, 임상 수행능력 평가 및 졸업시험 성적 간의 상관성 분석", 한국의학교육, 21(4), pp.347~352 (2009), 한국의학교육학회