고신대학교 의과대학 학술지 (Kosin Medical Journal)

  • 제33권2호
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  • Pages.181-190
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  • 2018
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  • 2005-9531(pISSN)
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  • 2586-7024(eISSN)
고신대학교 의과대학 (Kosin University College of Medicine)
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Comparative study between an intensive small group teaching and a 1-year clinical practice on OSCE

  • Kim, Sinjae (Department of Pediatrics, Institute of Health Sciences, Gyeongsang National University, School of Medicine) ;
  • Park, Minhwan (Department of Pediatrics, Institute of Health Sciences, Gyeongsang National University, School of Medicine) ;
  • Seo, Ji-Hyun (Department of Pediatrics, Institute of Health Sciences, Gyeongsang National University, School of Medicine) ;
  • Woo, Hyang-Ok (Department of Pediatrics, Institute of Health Sciences, Gyeongsang National University, School of Medicine) ;
  • Youn, Hee-Shang (Department of Pediatrics, Institute of Health Sciences, Gyeongsang National University, School of Medicine) ;
  • Park, Jung Je (Department of Otolaryngology, Institute of Health Sciences, Gyeongsang National University, School of Medicine) ;
  • Jeon, Sea-Yuoug (Department of Otolaryngology, Institute of Health Sciences, Gyeongsang National University, School of Medicine) ;
  • Hwa, Jung Seok (Department of Urology, Institute of Health Sciences, Gyeongsang National University, School of Medicine) ;
  • Mullan, Patricia (Department of Medical Education, School of Medicine, University of Michigan) ;
  • Gruppen, Larry D. (Department of Medical Education, School of Medicine, University of Michigan)
  • 투고 : 2017.03.27
  • 심사 : 2017.06.05
  • 발행 : 2018.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: Our school introduced a new curriculum based on faculty-directed, intensive, small-group teaching of clinical skills in the third-year medical students. To examine its effects, we compared the mean scores on an OSCE between the third- and fourth-year medical students. Methods: Third- and fourth-year students did rotations at the same five OSCE stations. They then completed a brief self-reporting questionnaire survey to examine the degree of satisfaction with new curriculum in the third-year students and clinical practice in the fourth-year students, as well as their perception of confidence and preparedness. We analyzed the OSCE data obtained from 158 students, 133 of whom also completed the questionnaire. Results: Mean OSCE scores on the breast examination and wet smear stations were significantly higher in the third-year group (P < 0.001). But mean OSCE scores of motor-sensory examination and lumbar puncture were significantly higher in the fourth-year group (P < 0.05). The mean OSCE scores had no significant correlation with satisfaction. In addition, the self-ratings of confidence had a high degree of correlation with satisfaction with new curriculum (r = 0.673) and clinical practice (r = 0.692). Furthermore, there was a moderate degree of correlation between satisfaction and preparedness in both groups (r = 0.403 and 0.449). Conclusions: There is no significant difference in the effect on the degree of clinical performance and confidence between an intensive-small group teaching and a 1-year clinical practice. If combined, intensive small group teaching and clinical practice would be useful to improve the degree of ability and confidence in medical students.

키워드

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