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Korean J Med Educ > Volume 17(2); 2005 > Article
Korean Journal of Medical Education 2005;17(2): 197-203. doi: https://doi.org/10.3946/kjme.2005.17.2.197
진료수행시험에서 표준화 환자 채점의 정확도
신좌섭1, 이성아1, 박훈기2
1서울대학교 의과대학 의학교육실
2한양대학교 의과대학 의학교육학교실
Standardized Patients' Accuracy in Recording Checklist Items during Clinical Performance Examinations
Jwa-Seop Shin1, Seong-A Lee1, Hoonki Park2
1Office of Medical Education, Seoul National University College of Medicine, Seoul, Korea.
2Department of Medical Education, Hanyang University College of Medicine, Seoul, Korea.
Corresponding Author: Jwa-Seop Shin, Tel: 02)740-8175, Fax: 02)740-8072, Email: hismed1@snu.ac.kr
PURPOSE: Standardized patients participate in clinical performance examinations not only to simulate case scenarios but also to evaluate the performance of students using a checklist. The accuracy in checking off checklist items is one of the most important factors determining the reliability of this examination. The purposes of this study were to determine the SP' s overall accuracy in recording checklist items, and whether their accuracy was affected by certain characteristics of checklist items. METHODS: Three professors, who have been fully involved in scenario development and SP training, reviewed videotapes of the examination and evaluated the performance of the students using the same checklist. SP' s checklists were marked on this 'correct checklist'. The checklists and checklist guidelines of the items marked under the score of 50 out of 100 were analyzed. RESULTS: Results showed that the accuracy of the SP' s in recording checklist items was 86.9% and was affected by certain characteristics, such as complexity or ambiguity of checklists and checklist guidelines. CONCLUSION: In this study, the SP' s accuracy in recording checklist items was good to very good, and the result suggested that the accuracy could be improved by the elaboration of checklists and checklist guidelines.
Keywords: Clinical performance;Observer variation;Educational measurement
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