객관구조화진료시험(OSCE)에서 교수와 표준화환자 사이의 점검표 채점의 일치도

• 영문명: The Agreement of Checklist Recordings Between Faculties and Standardized Patients in an Objective Structured Clinical Examination (OSCE)
• 발행기관: 한국의학교육학회
• 저자명: 박훈기(Hoonki Park) 이정권(Jungkwon Lee) 황환식(Hwansik Hwang) 이재웅(Jaeung Lee) 최윤영(Yunyoung Choi) 김 혁(Hyuck K
• 간행물 정보: 『Korean Journal of Medical Education』제15권 제2호, 141~150쪽, 전체 10쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2003.08.31

영문 초록

Purpose: A high degree of agreement between standardized patients(SP) check-list recordings and those of faculty will be necessary if SPs are to eventually replace faculties in the OSCE evaluaton process. This study was conducted to know to what degree SPs checklist recordings agree with those of faculties during an OSCE. Methods: One hundred and twenty one fourth-year medical students of Hanyang University College of Medicine took an OSCE. In each of two study stations, a student saw an SP for four minutes and the SP recorded the same checklists as a faculty examiner did, for the following fifty seconds. Results: For the ‘bad news delivery station, SP evaluations were more lenient compared to those of faculties (56 vs 45, p<0.01), but in the case of ‘chest pain , there was no significant difference. Pearson correlation coefficients for the ‘bad news delivery station and for the ‘chest pain case were 0.60 and 0.65, respectively. The mean percentages of agreement for the ‘bad news delivery and the ‘chest pain checklists were 71% and 82%, respectively. The mean kappa statistics for the ‘bad news delivery and the ‘chest pain check-lists were 0.19 and 0.49, respectively. Conclusion: The ratings by SPs were found to be consistent with those of faculties only in moderate degree. The exactness of scoring criteria, and the optimal SP training are to be the premise for the replacement of faculties by SPs during OSCE checklist recordings.

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키워드

Clinical competence Observer variation Educational measurement Patient simulation