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Korean J Med Educ > Volume 19(1); 2007 > Article
Korean Journal of Medical Education 2007;19(1): 23-30. doi: https://doi.org/10.3946/kjme.2007.19.1.23
진료수행평가에서 증례 유형과 표준화 환자 성별이 학생 성적에 미치는 영향
김종훈1, 이기영2, 유동미3, 양은배3
1연세대학교 의과대학 마취통증의학교실 및 의학교육학과
2연세대학교 의과대학 마취통증의학교실
3연세대학교 의과대학 의학교육학과
Effects of Case Type and Standardized Patient Gender on Student Performance in a Clinical Performance Examination
Jonghoon Kim1, Kiyoung Lee2, Dongmi Yoo3, Eunbae Yang3
1Department of Anesthesiology and Pain Medicine and Department of Medical Education, Yonsei University College of Medicine, Seoul, Korea.
2Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
3Department of Medical Education, Yonsei University College of Medicine, Seoul, Korea.
Corresponding Author: Eunbae Yang, Tel: 02)2228-2511, Fax: 02)364-5450, Email: nara@yumc.yonsei.ac.kr
ABSTRACT
PURPOSE: The purpose of this study is to assess the effects of case type and gender of standardized patient on student performance in a clinical performance examination(CPX). METHODS: During 2005, an eight-station CPX was administered to fourth-year students from 4 medical schools. A total of 306 students, of which 206(67%) were male, participated in the exam. Station checklists, scored by the SPs, consisted of history taking(Hx), physical examination(PE), information sharing(IS), clinical courtesy(CC) and patient-physician interaction(PPI). A measurement of students' perceived difficulty was obtained through student questionnaires. The difference of CPX scores between male and female students were studied using Mann-Whitney's U. RESULTS: Across the gender-neutral cases, female students scored better in Hx in 2 cases. In PE, IS and CC, the only difference seen was with CC in 1 case(female students scored higher). In PPI, female students performed better than male students in all female SP cases and one male SP case, but, there was a significant student gender-SP gender interaction when averaging all cases. For the gender sensitive case, there was no significant difference in all checklist categories in the male case when student gender was considered. In the female case, female students performed better than male students only in PPI. Student questionnaires revealed that there was no significant difference in perceived difficulty between male and female students. RESULTS: The standardized patients' ratings in gender sensitive cases are not affected by the gender of standardized patients and students, except in PPI with a female case where female students performed better than male students.
Keywords: Standardized patient;Gender;Clinical performance
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