대한민국 정형외과 전공의 평가시험 분석: 수부 및완관절 분야 = Analysis of Korean Orthopedic In-Training Examination: The Hand and Wrist Section

다국어 초록 (Multilingual Abstract)

Purpose: To evaluate the questions of hand and wrist section of Korean orthopedic in-training examination (KOITE).
Methods: We analyzed questions of hand and wrist section of KOITE between 2010 and 2014. The weight of hand and wrist section was calculated and topics were thoroughly analyzed. The construct of questions were evaluated and taxonomic classifications were also performed. The frequency of presentations of physical examinations and radiologic evaluations in diagnosis and treatment related questions were analyzed. The coverage of available references which were recommended by Korean Orthopedic Association (KOA) were analyzed.
Results: Sixty one out of 500 questions (weight: 12.2%) were related with hand and wrist section. Disease (30/61, 48.2%) was more commonly asked than trauma, however most frequently asked topic with a broad classification was fractures and dislocations (19/61, 31.1%). The description only questions (46/61, 75.4%) were most commonly asked construct of question. According to taxonomic classification, taxonomy B (diagnosis; 27/61, 44.3%) was most frequently asked. The Campbell’s operative orthopedics (54/61, 88.5%) and textbook of KOA (53/61, 86.9%) were representative references covering questions most widely.
Conclusion: This analysis of hand and wrist section of KOITE could be used as the check-up tools for resident training programs of each training hospitals.

국문 초록 (Abstract)

목적: 본 연구에서는 정형외과 전공의 평가시험 중 수부 및 완관절 분야를 분석하여 평가시험의 출제 경향과 문제점을논의 하고자 한다.
방법: 2010년에서 2014년까지 5년간 치러진 정형외과 전공의 평가시험 문항 중 수부 및 완관절 관련 문항들을 분석하였다. 수부와 완관절 영역이 차지하는 비중과, 문제 주제, 출제 형태 및 유형에 따른 분류 등의 분석을 시행하였다. 또한정형외과 참고서적 및 문헌들의 가용 정도를 조사하였다.
결과: 수부 및 완관절 관련문항은 총 500문항 중, 61문항(12.2%)이었으며 대분류에서 질환 문제(30/61, 48.2%)가, 주제분류(광범위)로 골절 및 탈구 문항이(19/61, 31.1%) 출제 빈도가 높았다. 출제 형태는 단순 서술형 문제(46/61, 75.4%), 출제 유형에선 진단관련 문항(27/61, 44.3%)이 가장 빈번하였다. 참고서적으로 캠벨의 수술적 정형외과학(54/61, 88.5%)과 대한 정형외과학 교과서(53/61, 86.9%)가 광범위하게 이용되었다.
결론: 이번 수부 및 완관절 영역 전공의 평가시험 분석은 현재 수부 및 완관절 분야의 교육 프로그램의 적절성을 검토할만한 근거 자료가 될 수 있겠다.

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