Enhancing medical students’ documentation skills: the impact of an assessment and feedback program

• 발행기관: 한국의학교육학회
• 저자명: Young-A Ji Jung Je Park Ji-hyun Seo
• 간행물 정보: 『Korean Journal of Medical Education』제36권 제3호, 335~340쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2024.09.01

국문 초록

Purpose: We not only developed a clinical practice program for the assessment and feedback vis-à-vis medical students’ medical records but also evaluated the effectiveness of this program via a self-assessment of medical students’ competence in writing medical records pre- and post-program. Methods: In 2022, 74 third-year medical students were divided into four groups and participated in a 2-week program. The students’ medical records were graded on a scale ranging from 1 to 3 daily, and the mean scores for 2 weeks were compared. Pre- and post-program, the students’ self-assessment survey was conducted. Results: The mean scores increased from 1.30 in the first week to 2.14 in the second week. The mean score of self-assessment showed significant improvements, increasing from 2.43 to 4.00 for medical record, 2.64 to 4.08 for write present illness, 2.08 to 3.89 for initial orders, 2.35 to 4.34 for signature, and 2.38 to 3.97 for consent (all p<0.001). Conclusion: We found that providing students with real-time assessment and feedback on their medical records increased their skills and confidence in medical records writing.

목차

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키워드

Medical students Medical records Clinical practice