Clinical Performance Examination Utilizing Standardized Patients in Board Examination: Based on the Board Examination of Korean Neurological Association for Three Years

Abstract

Purpose: The evaluation of clinical skills and attitudes is an essential component of any examination assessing clinical competency. Objective structured clinical examination (OSCE) was introduced in the 1980's to medical educators for the objective evaluation of clinical competency.In this study, the authors describe and analyse their experience with developing and implementing the OSCE for the board licensure examination of plastic surgeons in Korea. Methods:We developed a 50-minute long OSCE consisting of ten 5-minute (4.5 minute for examination at each station and 0.5 minute for transfer) stations, duplicated. We divided 74 applicants into 8 groups (about 10 applicants per group). Four stations out of the ten in each station-set used a standardized patient (SP). We compared the scores of the duplicated station-sets to assess the reliability of scoring between station-sets. And we analysed the applicants' questionnaire survey feedbacks on this experience administered at the end of the examination. Results:The passing rate of the examination was 100%. The total scores were statistically different between the two station-sets. Applicants were satisfied with the examination, and felt that the problem-solving processes adopted in each station were valid and appropriate for the assessment of clinical competency for board licensure examination. Conclusion:We conclude that the OSCE can be widely applied to board licensure examinations of various specialties.

Impact of Clinical Performance Examination on Incoming Interns' Clinical Competency in Differential Diagnosis of Headache

“… 22) In board examinations of neurologists, similar findings were revealed. 23) A study using a questionnaire survey reported that levels of satisfaction regarding adopting of CPX into the KMLE were high for physician faculties, nurses, patients, and examinees. 9) …”

Predictive Value of the Korean Academy of Family Medicine In-Training Examination for Certifying Examination

“… 13) In the study of analyzing the CE score for neurology specialist, no association was observed in the patient education or physical examination to written test. 14) …”

Correlation of CPX Scores with the Scores on Written Multiple-Choice Examinations on the Certifying Examination for Family Medicine in 2009 to 2011

“…국내 전문의 자격시험에서도 2차 시험이 고유의 실기시험 기능을 하기 위해 행동영역을 평가하려는 변화가 나타나고 있다. 2006년 대한성형외과학회 전문의 자격시험에 OSCE가 도입되었으며[ 7 ], 대한신경과학회 전문의 고시에서는 2007년 신경학적 진찰을 중심 내용으로 하는 CPX 한 사례를 2차 실기시험에서 운영하고 있다[ 8 ]. 대한가정의학회에서는 2009년부터 가정의학과 전문의로서 최소한 갖춰야 할 진료능력과 태도를 보유하고 있는지 평가하기 위해 전문의 고시에 SP를 이용한 CPX를 도입하였다.…”

“…기존 연구를 살펴보면 캐나다 치과대학생을 대상으로 한 결과[ 9 ], 국내에서 의과대학생에서 필기시험과 실기시험 성적 간의 상관성 분석을 한 연구결과[ 10 , 11 ] 등이 있다. 전문의 자격시험 결과를 활용한 연구는 캐나다에서 치과의사 국가시험[ 12 ] 결과를 분석한 연구와 국내 신경과 전문의 자격시험 결과를 분석한 연구[ 8 ]로 매우 적은 편이다.…”