Purpose: Clinical performance examination (CPX) using standardized patients (SPs) is an acceptable method of testing medical professionals, but there has been some concerns about security. The objective of this work is to examine whether the day of the examination influences the scores of examinees of different medical schools at different times throughout the examination period.Methods: Six medical schools, which had participated in the Seoul-Gyeonggi CPX Consortium 2005, were enrolled. Each station, controlled by the same regulations, included 12 minutes of SP encounter and 5 minutes of writing a short essay. We compared the mean scores using ANOVA and linear trends with multiple regression analyses and SPSS version 11.0.
Results:The mean score of examinees from all 6 medical schools was 63.2±6.9. There was no difference in total mean scores among the medical schools according to the period when CPX was conducted. Classified by their examination day, there was no difference among the mean scores of the 1 st , 2 nd , and 3 rd day, but in one school where the examination was performed for 5 days, the mean scores of the 4 th day was higher than the others (p<0.05). There were trends of linear increases over the five days for the 'physical examination'question, but not for 'physician-patient interaction'and 'patient education'.
Conclusion:The changes in scores according to the examination day in this study did not show consistent results. However, the variable results seen according to school, test question, and examination day need further analysis for test security issues.
To maintain sustainability of nuclear energy as an important energy source, both safety problem and Spent Nuclear Fuels(SNFs) problem should be solved. In case of Gen-IV reactors such as fast reactor, SNFs can be used as fuels by using fast neutrons. It can be a suitable treatment method of high-level waste in near future. Liquid metals such as Sodium or Lead-Bismuth Eutectic (LBE) can be possibly used as a coolant to use fast neutrons. In this paper, it was described that natural circulation parameter studies, design analyses, material selections and a completion of facilities. To develop a natural circulation facility, thermal hydraulic analyses were performed. Installation technique of liquid metal natural circulation were secured.
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