표준화 환자를 이용한 가천의대 임상수행평가의 운영 경험 = Experience with Clinical Performance Examination using Standardized Patients at Gachon Medical School

다국어 초록 (Multilingual Abstract)

Purpose: This study aims to abstract the differences of scores between the clinical instructors and standardized patients (SPs) in a clinical performance examination (CPX) using SPs and to correlate the concordance between the evaluation scores and the school records.
Methods: The CPX was administered in 2003 to a total of thirty-six fifth year medical students at Gachon Medical School. The examination consisted of four cases, and four stations were duplicated, each requiring a total of 7.5 minutes per station. Evaluation of the student s performances was conducted by both clinical instructors and SPs using a formatted checklist. Results were analysed by t-test, agreement rates, and Pearson correlation.
Result: The mean scores given out by the clinical instructors and the SPs for the newly developed case were significantly different, while those scores for pre-existing cases were not in the old cases. The correlation coefficients between these two evaluation groups were relatively high. And agreements between the two evaluation groups were 0.37~0.72. The mean scores among clinical instructors were not significantly different, but the correlation coefficients and agreement rates were relatively high. The correlation between the evaluation scores and school records did not correlate significantly.
Conclusion: It is concluded that the CPX is a useful tool to measure the students essential competences in areas of knowledge, skills and attitude during the subinternship stage. In conducting a successful CPX, it is crucial to reconsider the recycling of cases and the selection and training of SPs aside from the development of an objective checklist.

목차 (Table of Contents)

• 서 론
• 대상 및 방법
• 결 과
• 고 찰
• 참 고 문 헌

참고문헌 (Reference)

1 "학생인턴제의 임상실습 공통평가 모듈 개발" 15 (15): 131-139, 2003

2 "표준화 환자를 이용한 임상실기능력평가 워크숍. V. 1. How are rating scales are developed? 2. Statistical scoring" 10 (10): 235-253, 1998

3 "진료참여형 임상실습 교육과정의 개발 - 학생인턴제의 실습범위와 수준을 중심으로-" 15 (15): 113-129, 2003

4 "제1차 CPX 심포지엄(유인물)." 2004

5 "임상의학입문평가를 위한 객관적 임상실기시험 경험" 13 (13): 289-298, 2001

6 "임상실습 전 학생과 임상실습 후 학생에서 시행한 객관구조화진료시험(OSCE) 평가" 16 (16): 63-71, 2004

7 "임상실습 교육을 위한 표준화 환자 프로그램의 개발 및 적용" 12 (12): 353-361, 2000

8 "임상실습 교육계획을 위한 워크숍" 가천의과대학교 교육개발연구센터 2001

9 "임상수행평가의 세계적 추세에 따른 표준화 환자 프로그램의 토착화 방안 연구" 12 (12): 377-391, 2000

10 "임상 실습 종합평가로서 시행한 객관구조화진료시험(OSCE) - 이화의대의 경험 -." 16 (16): 33-40, 2004

11 "일개 의과대학에서 실시한 표준화 환자(SP)를 이용한 임상수행평가(CPX) 결과 분석" 16 (16): 51-61, 2004

12 "의학과 4학년 종합평가로서의 객관적 구조적 임상능력평가(OSCE)의 경험" 10 (10): 43-56, 1998

13 "의사의 다단계 평가제도 연구 -도입의 타당성을 중심으로-" 한국보건의료인국가시험원 2003

14 "우리나라 표준화 환자 프로그램 활용 현황과 개선방안 - 관련 문헌 고찰 및 현장 연구를 중심으로" 13 (13): 27-39, 2001

15 "외과 객관적-구조화-임상시험에서의 표준화 환자 및 의사의 채점에 대한 비교 고찰" 9 : 61-, 1997

16 "시험장 복제(duplication)가 객관적 구조적 임상 시험(OSCE)의 신뢰도에 미치는 영향" 11 (11): 37-52, 1999

17 "수행평가(遂行評價)의 이해" 교육부 교육과정정책심의관실 1998

18 "객관적으로 구조화된 임상시험의 시행 경험" 10 (10): 363-381, 1998

19 "객관구조화진료시험(OSCE)에서 교수와 표준화 환자 사이의 점검표 채점의 일치도" 15 (15): 141-150, 2003

20 "The use of standardized patients in res-earch in general practice" 14 (14): 58-62, 1997

21 "The programmed patient" 39 : 802-805, 1964

22 "The accuracy of standardized-patient presentations" 25 (25): 100-109, 1991

23 "Standardized patients' accuracy in recording clinical performance checklist items" 99-104, 1992

24 "Standardized Patients를 이용한 임상교육" 4 (4): 12-17, 1992

25 "Set up and run an objective structured clinical examination" 310 (310): 1187-1190, 1995

26 "Set up and run an objective structured clinical examination" 310 (310): 1187-1190, 1995

27 "OSCE에서 전문 표준화 환자와 비전문 표준화 환자 간의 비교 연구" 207-208, 2003

28 "OSCE! Variations on a theme by Harden" 37 (37): 1134-1140, 2003

29 "Evaluation of physical examination skills Reliability of faculty observers and patient instructors" 3405-3408, 1987

30 "Conference summary of the AA-MC's consensus conference on the use of SPs in the teaching and evaluation of clinical skills" 68 : 471-474, 1993

31 "Clinical skills training developing objective assessment instruments" 31 (31): 359-363, 1997

32 "Clinical skills training developing objective assessment instruments" 31 (31): 359-363, 1997

33 "Assessment of clinical competence using objective structured examination" 13 (13): 41-54, 1979