Kim Kyong-Jee
Department of Medical Education, Dongguk University School of Medicine, Goyang, Korea.
Korean J Med Educ. 2025 Mar;37(1):77-83. doi: 10.3946/kjme.2025.326. Epub 2025 Feb 26.
This study investigated the association between intern doctors' performance as assessed by their peers and their academic performance in medical school.
A retrospective cohort analysis was conducted with 21 graduates from a South Korean medical school who interned at an affiliated center. Participants underwent bi-annual peer evaluation for intern performance evaluations using a 5-point Likert scale on professionalism, clinical competencies, and interpersonal skills. Associations between peer ratings and grade point average (GPA), exit assessment scores, and Korean Medical Licensing Examination (KMLE) scores were analyzed.
Peer ratings showed moderate to strong positive associations with exit assessments and KMLE scores, but no relationship with cumulative GPAs. Peer ratings correlated more strongly with objective structured clinical examinations than written tests.
Medical students' outcomes in exit assessments and KMLEs, especially clinical performance tests, are strong predictors of their performance as intern doctors. These findings highlight the value of clinical performance assessments for predicting intern doctors' performance and suggest the need for more comprehensive and authentic assessment methods to enhance their predictive validity.
本研究调查了实习医生的同伴评估表现与其医学院校学业成绩之间的关联。
对21名韩国医学院校毕业生进行了回顾性队列分析，这些毕业生在附属中心实习。参与者每半年接受一次同伴评估，使用5点李克特量表对其在专业素养、临床能力和人际技能方面的实习表现进行评估。分析了同伴评分与平均绩点（GPA）、结业评估分数和韩国医师执照考试（KMLE）分数之间的关联。
同伴评分与结业评估和KMLE分数呈中度至强正相关，但与累积GPA无关。同伴评分与客观结构化临床考试的相关性比书面考试更强。
医学生在结业评估和KMLE中的表现，尤其是临床实践考试成绩，是其作为实习医生表现的有力预测指标。这些发现凸显了临床实践评估对于预测实习医生表现的价值，并表明需要更全面、更真实的评估方法来提高其预测效度。
