임상술기 수행능력에 대한 의과대학생들의 자가평가와 객관구조화진료시험 (OSCE) 결과의 비교
Comparison of Self-assessment and Objective Structured Clinical Examination (OSCE)of Medical Students' Clinical Performance
2
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to assess the clinical experiences (in internal medicine) of medical students, and compare the self-assessment of their competency in clinical skills with the assessment of instructors through the OSCE. Methods: The frequency of clinical experiences had by medical students and the selfassessments of their confidence in clinical skills were assessed by questionnaires administered before the OSCE. 52 medical students participated in the OSCE. After completing the OSCE, they re-evaluated their own performance of 9 clinical skills examined in the OSCE by self-assessment questionnaires. The scores of these self-assessments were compared with the scores given by the instructors. Results: For 19 of 28 clinical skills items listed in the questionnaires, self-assessment of competence by medical students correlated with the frequency of performance (p<0.05). For 9 clinical skills in the OSCE, the self-assessment scores did not correlate significantly with the instructors' assessment scores (p>0.05). However, these 9 clinical skills scores from the instructors correlated significantly with the clerkship evaluation scores and the final semester grade point averages (p<0.05). Conclusion: There was a significant association between frequency of performance and selfassessed competency, which did not correlate significantly with the instructors' evaluation through the OSCE.
Abstract
Purpose: The purpose of this study was to assess the clinical experiences (in internal medicine) of medical students, and compare the self-assessment of their competency in clinical skills with the assessment of instructors through the OSCE. Methods: The frequency of clinical experiences had by medical students and the selfassessments of their confidence in clinical skills were assessed by questionnaires administered before the OSCE. 52 medical students participated in the OSCE. After completing the OSCE, they re-evaluated their own performance of 9 clinical skills examined in the OSCE by self-assessment questionnaires. The scores of these self-assessments were compared with the scores given by the instructors. Results: For 19 of 28 clinical skills items listed in the questionnaires, self-assessment of competence by medical students correlated with the frequency of performance (p<0.05). For 9 clinical skills in the OSCE, the self-assessment scores did not correlate significantly with the instructors' assessment scores (p>0.05). However, these 9 clinical skills scores from the instructors correlated significantly with the clerkship evaluation scores and the final semester grade point averages (p<0.05). Conclusion: There was a significant association between frequency of performance and selfassessed competency, which did not correlate significantly with the instructors' evaluation through the OSCE.
참고문헌 (15)
- Arnold, L., "). Self-evaluation in undergraduate medical education: a longitudinal perspective", J Med Educ, 60(1), pp.21~28 (1985)
- Barnsley, L., "Clinical skills in junior medical officers: a comparison of self-reported confidence and observed competence", Med Educ, 38(4), pp.358~367 (2004)
- Fincher, R.M., "Learning, experience, and self-assessment of competence of third-year medical students in performing bedside procedures", Acad Med, 69(4), pp.291~295 (1994)
- Gordon, M.J., "A review of the validity and accuracy of self-assessments in health professions training", Acad Med, 66(12), pp.762~769 (1991)
- Gruppen, L.D., "Dicken, L., Sisson, J.C., & Zweifler, A.(1997). Medical students' self-assessment accuracy in communication skills", Acad Med, 72(10), pp.S57~S59 (1997)
- Kim, S.H., "Assessing the clinical competence of family medicine clerkship students using the OSCE", Journal of Korean Academy of Family Medicine, 23(5), pp.583~592 (2002)
- Mavis, B., "Self-efficacy and OSCE performance among second year medical students", Adv Health Sci Educ Theory Pract, 6(2), pp.93~102 (2001)
- Morton, J.B., "Correlations between staff, peer, and self assessments of fourth-year students in surgery", Med Educ, 11, pp.167~170 (1997)
- Park, H.K., "An OSCE assessment of fourth-year medical students as a comprehensive evaluation of medical skills before graduation", Korean Journal of Medical Education, 10(1), pp.43~56 (1998)
- Regehr, G., "Measuring self-assessment skills: an innovative relative ranking model", Acad Med, 71(10S), pp.S52~S54 (1996)
- Sclabassi, S.E., "Development of self-assessment skills in medical students", Med Educ, 18(4), pp.226~231 (1984)
- Sullivan, M.E., "Peer and self assessment during problem-based tutorials", Am J Surg, 177(3), pp.266~269 (1999)
- Vivenkananda-Schmidt, P., "Validation of MSAT: an instrument to measure medical students' self-assessed confidence in musculoskeletal examination skills", Med Edu, 41(4), pp.402~410 (2007)
- Weiss, P.M., "How do medical student self-assess ments compare with their final clerkship grades?", Med Teach, 27(5), pp.445~449 (2005)
- Woolliscroft, J.O., "Medical students' clinical self-assessments: comparisons with external measures of performance and the students' self-assessments of overall performance and effort", Acad Med, 68(4), pp.285~294 (1993)