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응급의학교실 임상실습 기간에 학생에게 시행한 임상술기 평가의 유용성

The usefulness of the objective structured clinical examination conducted to student during clinical clerkship of emergency medicine

대한응급의학회지 2020년 31권 6호 p.615 ~ 621
최새벽, 조수형, 류소연,
소속 상세정보
최새벽 ( Choe Sae-Byeok ) - Chosun University College of Medicine Department of Emergency Medicine
조수형 ( Cho Soo-Hyung ) - Chosun University College of Medicine Department of Emergency Medicine
류소연 ( Ryu So-Yeon ) - Chosun University College of Medicine Department of Preventive Medicine

Abstract


Objective: The purpose of this study was to determine whether the simplified assessment of Objective Structured Clinical Examination (OSCE), which is conducted during the clinical clerkship of emergency medicine, is related to the graduation ranking and other grades at medical school, and also to successfully passing the Korean Medical Licensing Examination (KMLE). Through this, we wanted to find out whether it can be used as a basic resource to provide effective student management and additional learning opportunities to enable them to pass the KMLE.

Method: The study included graduates who took the KMLE for the last three years. These students were classified into three groups based on their OSCE simplified assessment score (OSCE-4). The results of each group were compared with the results of the emergency medicine grades, Clinical Performance Examination (CPX) scores, OSCE scores, written test scores, and their success in passing the KMLE using analysis of variance and the chi-square test. The relationship between OSCE-4 scores and graduation ranking and CPX, OSCE ranking was determined using Spearman’s ranking correlation analysis.

Results: Among the 358 students in the three groups, the upper group included 119 students (33.2%), the middle group had 148 (41.4%), and the lower group had 91 (25.4%). The correlation between the three groups’ CPX scores, OSCE scores, written test scores, and graduation ranking showed statistical relevance. There was no statistical relevance to their success in passing the KMLE, but there was a correlation between trends in OCSE scores and passing the clinical skills assessment of KMLE.

Conclusion: OSCE-4 showed a correlation with important scores, and it can be used as an indicator for the management of students preparing for the national examinations.

키워드

Clinical clerkship; Objective structured clinical examination; Korean Medical Licensing Examination

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