의과대학생에서 임상 수기 수행능력에 대한 자가평가 결과와 임상수행능력 평가시험(CPX) 결과의 비교 = The Comparison of Self-assessment on Clinical Performance ability and Clinical Performance Examination (CPX) in Medical Students

국문 초록 (Abstract)

본 연구는 의과대학생들이 한 학기 동안 임상실습을 마치고 난 후, 실습지침서에서 요구하고 있는 흔한 임상 증상을 얼마자 자주 경험하였는가를 조사해 보고, 흔한 임상 증상에 대한 학생들의 경험 빈도와 자가 평가한 염상수행능력과의 상관성을 조사해보는 것이었다. 둘째로, 시험문항으로 제시된 임상수기에 대한 의과대학생들의 주관적 자가평가 결과와 객관적 CPX 결과를 비교하여 주관적 평가 결과와 객관적 평가 결과의 상관성을 조사해 보는 것이었다.
그 결과는 다음과 같다.
1. 임상 증상에 대한 학생들의 경험 빈도와 자가평가한 임상수행능력과의 상관성은 경험 빈도가 많을수록 자가평가 점수도 높게 나오는 결과를 보였다.
2. 객관적 CPX 결과와 주관적 자가평가 결과는 상관성이 없는 것으로 나타났다.

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to assess the clinical experience state of medical students 3-grade, and compare the self-assessment about their competency on clinical skills and the assessment of instructors through the Clinical Performance Examination(CPX).
Methods: Fifty-two medical students who are in 3-grade were included. Their clinical experiences state and the self-assessment of their condidence on clinical skills were evaluated by questionnaires givend before the CPX. After completing the CPX, they evaluated their own performance state to 9 whole clinical skills of the CPX by self-assessment questionnaires, again. The correlation and comparison between self assessments' socre and instructor's score were analyzed.
Results: For 19 of 28 clinical skills items listed in the questionnaires, self-assessment of competence by medical students correlated with the frequency of performance(p＜0.05). For 9 clinical skills in the CPX, the self-assessment scores did not correlate significantly with the instructors' assessment scores(p＞0.05). However, these 9 clinical skills scores from the instructors correlated significantly with the scores of clinical experienceand the final semester grade point averages(p＜0.05).
Conclusion: There was a significant association between frequency of performance and self-assessed competency. And there was no significant correlation between self-assessed score on competency with instructor's score in the CPX.