Korean J Med Educ. 2005; 17(2): 151-162.
Published online 2005 August 31.
Experience with Clinical Performance Examination using Standardized Patients at Gachon Medical School
Gwi Hwa Park1,
Jae Hwan Oh1,2,
Yeon Ho Park2,
Young Hee Lim3,
Sun Neo Lee4,
Chan Yong Park5,
Sun Suk Kim3,
Yong Su Lim6,
Young Don Lee1,2, and
Yong Il Kim1
1Center for Educational Development and Research, Gachon Medical School, Korea.
2Department of General Surgery, Gachon Medical School, Korea.
3Department of Internal Medicine, Gachon Medical School, Korea.
4Department of Family Medicine, Gachon Medical School, Korea.
5Department of Obstetrics & Gynecology, Gachon Medical School, Korea.
6Department of Emergency Medicine, Gachon Medical School, Korea.
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.
Keywords :
Subinternship;Clinical Performance Examination;Clinical Competence;Standardized Patients
