의과대학생의 임상수행능력과 필기시험 성적과의 상관 연구 = The Correlation between CPX and Written Examination Scores in Medical Students

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to analyse the gap between what medical students learn in theory and their clinical performance in reality. The hypothesis is that students with high written examination scores will also perform better in the Clinical Performance Examination(CPX).
Methods: 128 Catholic University medical students in year four took the CPX on 24th, September 2005. 40 standardized patients(SPs) were involved as assessors. Each student performed five CPX cases. The students' written examination scores of year three, SPs' assessment scores were used as instruments. Students were divided into two groups(A and B) and each group consisted of 64 students. Correlation between the written examination scores and the CPX scores, CPX case scores and related written examination scores were analysed.
Results: Overall, there was no significant correlation between the CPX score and the written examination scores in total, but significant correlations were shown in family medicine CPX scores of both groups A and B(pearson=.308, p=.199; pearson=.258, p=.051). From the analysis of the CPX cases and related written examination scores, group A showed significant correlation in three out of the five cases. No significant correlation seen in group B.
Conclusion: It can be concluded that large gaps still exist between theory and practice. Some suggestions are given to minimize these gap.

참고문헌 (Reference)

1 Han J, "The comparison of clinical performance examination scores according to the different testing time" 19 (19): 31-38, 2007

2 Kim S, "The appropriateness of using standardized patients’(SPs) assessment scores in clinical performance examination(CPX)" 17 (17): 163-172, 2005

3 Park H.K, "Sharing of information among students and its effect on the scores of clinical performance examination(CPX)" 17 (17): 185-196, 2005

4 Kramer A.W, "Predictive validity of a written knowledge test of skills for an OSCE in postgraduate training for general practice" 36 (36): 812-819, 2002

5 Kim J, "Effects of case type and standardized patient gender on student performance in a clinical performance examination" 19 (19): 23-30, 2007

6 Remmen R, "Correlation of a written test skills and a performance based test: a study in two traditional medical schools" 23 (23): 29-32, 2001

7 Park W.B, "Correlation of CPX scores with the scores of the clinical clerkship assessments and written eExaminations" 17 (17): 297-303, 2005

8 Kwon I, "Comparison of the evaluation results of faculty with those of standardized patients in a clinical performance examination experience" 17 (17): 173-184, 2005

9 Kim J.J, "Analysis of the evaluation for clinical performance examination using Standardized Patients in one Medical School" 16 (16): 51-62, 2004