의과대학 4학년 학생의 임상진료시험(Clinical Practice Examination) 진단고사 성적 예측요인 분석

• 영문명: Predictors of clinical practice examination scores of fourth year medical students after core clinical clerkships
• 발행기관: 한국의학교육학회
• 저자명: 박계영(Kye-Yeung Park) 박훈기(Hoon-Ki Park) 김종훈(Jong-Hoon Kim) 황현식(Hwan-Sik Hwang)
• 간행물 정보: 『Korean Journal of Medical Education』제27권 제4호, 275~282쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.12.31

영문 초록

Purpose: Clinical performance examination (CPX) has been used to assess clinical competence as one step of medical license examination. Initial CPX score of the fourth year medical student is important since it indicates how to prepare successfully for the final examination. This study was conducted to assess the predictors of CPX scores of the fourth year medical students who completed core clinical clerkship. Methods: One hundred eleven fourth year medical students took a formative CPX in February. The score was compared with the scores of cognitive area and those of behavioral area which students had acquired in the past. We analyzed the correlation between the scores and determined the predictors of the fourth year CPX score. Results: The fourth year CPX score showed stronger correlation with the scores of behavioral area than those of cognitive area. The significant predictors of fourth year CPX score included third year simple procedure exam score and third year clerkship CPX score. The risk factors for low fourth year CPX score included second year patient-physician interaction (PPI) score and third year CPX score after adjusted for age, sex, and school type. The risk factors of being selected as a low PPI score group of fourth year included low PPI scores of first, second, and third year exams. Conclusion: Our study highlights importance of educational balance between cognitive and behavioral areas. To improve clinical competence of final year medical students, clinical interview training using standardized patient with other modules is to be enhanced and initiated early in the medical curriculum.

키워드

Clinical clerkship Clinical competence Correlation Physician-patient relations