인턴 선발시험제도 개선에 관한 연구 = enovation of Selection Procedure for Internship at Teaching Hospitals: Development of a model and its application with special emphasis on a appropriate measurement of clinical competency and feedback to undergraduate education.

다국어 초록 (Multilingual Abstract)

Lack of validity and reliability in selection procedure for internship at teaching hospitals has become a nationwide serious issue, especially regarding its influence on undergraduate medical education. This article describes a case model of selection procedure for internship at Seoul National University Hospital aiming for appropriate measurement of clinical competency as well as a meaningful feedback to the undergraduate medical education. The modification of selection was based on two parts; a problem-based written examination and a clinical skill-attitude assessment. For the former, a total of 60 test items for 34 problem cases were developed, being provided with a variety of pictorials and figures to simulate a real clinical setting. The knowledge level of all test items were either interpretation or problem-solving, and multi-answer items were randomly included to minimize a risk of high chance scoring in multiple choice items. The clinical skill was assessed with 10 important skills with predesigned check list. We conclude that problem-oriented written examination together with clinical skill assessment is a way of improving the measurement of clinical competency and strengthens clinical clerkship effectively during the undergraduate clinincal studies.

목차 (Table of Contents)

• 머리말
• 현행 인턴 선발시험의 특징과 교육적 문제점
• 개선방안
• 시험결과의 분석
• 고찰
• 요약 및 결론
• References