지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 327 - 336 (10page)
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Purpose: The purpose of this study is to judge the quality of clinical skills assessment in Busan-Gyeongnam Consortium.
Methods: Fourth grade medical school students (n=350 in 2012 and n=419 in 2013) in the Busan-Gyeongnam Consortium were included in the study. The examination was consisted of 6 clinical performance examination (CPX) and 6 objective structured clinical examination (OSCE) stations. The students were divided into groups to take the exam in 4 sites during 3 days. The overall reliability was estimated by Cronbach α coefficient across the stations and the case reliability was by α across checklist items. Analysis of variance and between-group variation were used to evaluate the variation of examinee performance across different days and sites.
Results: The mean total CPX/OSCE score was 67.0 points. The overall α across-stations was 0.66 in 2012 and 0.61 in 2013. The α across-items within a station was 0.54 to 0.86 in CPX, 0.51 to 0.92 in OSCE. There was no significant increase in scores between the different days. The mean scores over sites were different in 30 out of 48 stations but between-group variances were under 30%, except 2 cases.
Conclusion: The overall reliability was below 0.70 and standardization of exam sites was unclear. To improve the quality of exam,case development, item design, training of standardized patients and assessors, and standardization of sites are necessary. Above of all, we need to develop the well-organized matrix to measure the quality of the exam.
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참고문헌 (16)
참고문헌 신청
Auewarakul C / 2005 / Item analysis to improve reliability for an internal medicine undergraduate OSCE / Adv Health Sci Educ Theory Pract 10 : 105 ~ 113
Brannick MT / 2011 / A systematic review of the reliability of objective structured clinical examination scores / Med Educ 45 : 1181 ~ 1189
Dauphinee WD / 1997 / Using the judgments of physician examiners in setting the standards for a national multi-center high stakes OSCE / Adv Health Sci Educ Theory Pract 2 :
Fuller R / 2013 / Longitudinal interrelationships of OSCE station level analyses, quality improvement and overall reliability / Med Teach 35 : 515 ~ 517
Hodges B / 1996 / Evaluating communication skills in the OSCE format: reliability and generalizability / Med Educ 30 : 38 ~ 43
Brannick MT / 2011 / A systematic review of the reliability of objective structured clinical examination scores / Med Educ 45 : 1181 ~ 1189
Dauphinee WD / 1997 / Using the judgments of physician examiners in setting the standards for a national multi-center high stakes OSCE / Adv Health Sci Educ Theory Pract 2 :
Fuller R / 2013 / Longitudinal interrelationships of OSCE station level analyses, quality improvement and overall reliability / Med Teach 35 : 515 ~ 517
Hodges B / 1996 / Evaluating communication skills in the OSCE format: reliability and generalizability / Med Educ 30 : 38 ~ 43
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