표준화 환자를 이용한 임상수행능력평가시험 (CPX)에서 교수와 표준화 환자의 평가 결과 비교

• 영문명: Comparison of the Evaluation Results of Faculty with Those of Standardized Patients in a Clinical Performance Examination Experience
• 발행기관: 한국의학교육학회
• 저자명: 권복규(Ivo Kwon) 김나진(Najin Kim) 이순남(Soon Nam Lee) 어은경(Eunkyung Eo) 박혜숙(Hyesook Park) 이동현(Dong Hyeon Lee
• 간행물 정보: 『Korean Journal of Medical Education』제17권 제2호, 173~183쪽, 전체 11쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.08.31

영문 초록

Purpose: To compare the evaluation results of faculties to those of Standardized Patients (SP) participating in a Clinical Performance Examination (CPX) administered at Ewha Womans University College of Medicine. Methods: The CPX was taken by 77 fourth year medical students. Cases and checklist were developed by the medical school consortium in capital area. Six cases were used and 24 SPs participated and evaluated the students’ performances. The whole session was recorded on videotapes so that 6 medical school faculties could analyze and evaluate the students performances as well. The results were compared and analyzed by SPSS package. Results: The agreement between the faculties and the SPs was relatively good (r=0.79), but not good enough. In every case, SPs gave higher marks than did the faculties. Clear disease entity cases like hepatitis and anemia showed better agreement than obscure clinical contexts such as bad news delivery . Better agreement was seen in the items of physical exam category (r=0.91), but the agreement was very poor in the items of doctor-patient (Dr-Pt) relationship category (r=0.54). The construction of checklist and the character of each evaluation item should influence the differences. Conclusion: More detailed guidelines and clear/specific evaluating items are necessary to improve the agreement rate. In certain categories like physical exam and brief history taking, the SP s evaluation can replace the faculties , but for complex contexts like Dr-Pt relationship.

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키워드

Evaluation Clinical performance examination Faculty Standardized patient