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一项关于韩国医师执照考试临床技能测试相关课程和教育资源的全国性调查:横断面描述性研究。

A nationwide survey on the curriculum and educational resources related to the Clinical Skills Test of the Korean Medical Licensing Examination: a cross-sectional descriptive study.

作者信息

Chung Eun-Kyung, Kang Seok Hoon, Kim Do-Hoon, Kim MinJeong, Seo Ji-Hyun, Lee Keunmi, Han Eui-Ryoung

机构信息

Department of Medical Education, Chonnam National University Medical School, Gwangju, Korea.

Department of Medical Education, Kangwon National University College of Medicine, Chuncheon, Korea.

出版信息

J Educ Eval Health Prof. 2025;22:11. doi: 10.3352/jeehp.2025.22.11. Epub 2025 Mar 13.

Abstract

PURPOSE

The revised Clinical Skills Test (CST) of the Korean Medical Licensing Exam aims to provide a better assessment of physicians’ clinical competence and ability to interact with patients. This study examined the impact of the revised CST on medical education curricula and resources nationwide, while also identifying areas for improvement within the revised CST.

METHODS

This study surveyed faculty responsible for clinical clerkships at 40 medical schools throughout Korea to evaluate the status and changes in clinical skills education, assessment, and resources related to the CST. The researchers distributed the survey via email through regional consortia between December 7, 2023 and January 19, 2024.

RESULTS

Nearly all schools implemented preliminary student–patient encounters during core clinical rotations. Schools primarily conducted clinical skills assessments in the third and fourth years, with a simplified form introduced in the first and second years. Remedial education was conducted through various methods, including oneon-one feedback from faculty after the assessment. All schools established clinical skills centers and made ongoing improvements. Faculty members did not perceive the CST revisions as significantly altering clinical clerkship or skills assessments. They suggested several improvements, including assessing patient records to improve accuracy and increasing the objectivity of standardized patient assessments to ensure fairness.

CONCLUSION

During the CST, students’ involvement in patient encounters and clinical skills education increased, improving the assessment and feedback processes for clinical skills within the curriculum. To enhance students’ clinical competencies and readiness, strengthening the validity and reliability of the CST is essential.

摘要

目的

韩国医学执照考试修订后的临床技能测试(CST)旨在更好地评估医生的临床能力以及与患者互动的能力。本研究考察了修订后的CST对全国医学教育课程和资源的影响,同时也确定了修订后的CST中有待改进的方面。

方法

本研究对韩国40所医学院负责临床实习的教师进行了调查,以评估与CST相关的临床技能教育、评估和资源的现状及变化。研究人员于2023年12月7日至次年1月19日通过地区联盟以电子邮件方式分发了调查问卷。

结果

几乎所有学校在核心临床轮转期间都开展了初步的学生与患者接触活动。学校主要在三、四年级进行临床技能评估,一、二年级采用简化形式。补救教育通过多种方式进行,包括评估后教师的一对一反馈。所有学校都设立了临床技能中心并不断改进。教师们认为CST的修订并没有显著改变临床实习或技能评估。他们提出了一些改进建议,包括评估患者记录以提高准确性,提高标准化患者评估的客观性以确保公平性。

结论

在CST期间,学生参与患者接触和临床技能教育的程度有所提高,改善了课程中临床技能的评估和反馈过程。为提高学生的临床能力和准备程度,加强CST的有效性和可靠性至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb0b/12042100/77fd8020c616/jeehp-22-11f1.jpg

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