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Korean J Med Educ > Volume 16(1); 2004 > Article
Korean Journal of Medical Education 2004;16(1): 33-40. doi: https://doi.org/10.3946/kjme.2004.16.1.33
임상 실습 종합 평가로서 시행한 객관구조화진료시험 (OSCE) - 이화 의대의 경험 -
한재진1, 박혜숙2, 어은경3, 유경하4, 이동현5, 정화순6
1이화여자대학교 의과대학 흉부외과학교실
2이화여자대학교 의과대학 예방의학교실
3이화여자대학교 의과대학 응급의학교실
4이화여자대학교 의과대학 소아과학교실
5이화여자대학교 의과대학 비뇨기과학교실
6이화여자대학교 의과대학 진단검사의학교실
An OSCE for Summative Assessment after Clinical Clerkship: Experience in Ewha Medical School
Jae Jin Han1, Hyesook Park2, Eunkyung Eo3, Kyungha Yoo4, Donghyeon Lee5, Wha Soon Jung6
1Department of Thoracic & Cardiovascular Surgery, Ewha Womans University, Medical College, Seoul, Korea.
2Department of Preventive Medicine, Ewha Womans University, Medical College, Seoul, Korea.
3Department of Emergency Medicine, Ewha Womans University, Medical College, Seoul, Korea.
4Department of Pediatrics, Ewha Womans University, Medical College, Seoul, Korea.
5Department of Urology, Ewha Womans University, Medical College, Seoul, Korea.
6Department of Laboratory Medicine, Ewha Womans University, Medical College, Seoul, Korea.
Corresponding Author: Jae Jin Han, Tel: 02)2650-5629, Fax: 02)2649-4930, Email: jjhan@ewha.ac.kr
PURPOSE: To report the experience of OSCE performed as a summative assessment of the medical students in year 4 at Ewha Womans University. METHODS: Ninety-eight students took the twenty stations including 3 pairs of linked stations. We conducted duplicated OSCEs and each station runs 4 minutes 30 seconds. We analyzed the validity of stations, the reliability of duplicated OSCEs and the difference of scores according to the OSCE tools and categories. RESULTS: Mean OSCE score was 64.45+/-5.49 and Cronbach-alpha of total stations was 0.74. The scores between duplicated examinee groups and between duplicated evaluator groups were not different: the score of preceding examinee group was 63.3 and the later 65.7 (p=0.13), and the score of the first evaluator group was 64.6 and the second was 63.6 (p=0.16). However according to the individual analysis, 9 stations showed statistically discrepancies (p< 0.05) between duplicated evaluator groups. Regarding OSCE tools and categories, physical examination and skill categories did not show statistically significant differences between duplicated evaluator groups. OSCE scores showed moderate correlation with the cummulative performance grade in general (r=0.53, p< 0.01). CONCLUSIONs: OSCE could be regarded as a reasonable evaluating tool for the summative assessment after two years of clinical clerkship of the fourth year medical students. Analysis of the OSCE stations which was done individually and according to OSCE tools/categories helps to improve the OSCE more complete and the duplicated stations more coincident.
Keywords: OSCE;Summative assessment;Clinical Clerkship
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