지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 56 - 64 (9page)
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초록· 키워드
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Background: In Korea, clinical performance examination (CPX) has been included in license examination for medical doctors since 2009 in order to improve clinical performance of medical students. This study aimed to evaluate the contribution of CPX to medical education.Methods: Clinical competency in the differential diagnosis of secondary headache was compared between the incoming interns in 2009 unexposed to CPX and the incoming interns in 2010 exposed to CPX, using the data of patients who visited the emergency department due to headache (181 patients seen by 60 CPX non-exposed interns and 150 patients seen by 50 CPX-exposed interns). We obtained the data by reviewing electronic medical records and nominal lists of doctors. Clinical competency was assessed by sensitivity and specificity between the diagnostic impression by interns and the final diagnosis. The association between CPX exposure and clinical competency in secondary headache diagnosis was evaluated using multiple logistic regression analysis.Results: When we assessed clinical competency on the basis of all listed diagnostic impressions, sensitivity and specificity were 67.9% and 80.0%, respectively, for headaches seen by CPX-exposed interns, and 51.7%, and 71.7%, respectively, for headaches seen by CPX non-exposed interns. Multivariable adjusted logistic regression analysis showed exposure to CPX was not associated with increased competency for identifying secondary headache.Conclusion: Exposure to CPX as a part of the medical license examination was not effective for the improvement of clinical competency of interns in identifying secondary headache.
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참고문헌 (27)
참고문헌 신청
Clauser BE / 2008 / The generalizability of documentation scores from the USMLE Step 2 Clinical Skills examination / Acad Med 83(10):41~44
Taylor ML / 2005 / The relationship between the National Board of Medical Examiners’ prototype of the Step 2 clinical skills exam and interns’ performance / Acad Med 80:496~501
Aylward MJ / 2011 / Inaccuracy in patient handoffs: discrepancies between resident-generated reports and the medical record / Minn Med 94 : 38 ~ 41
Clinch CR / 2001 / Evaluation of acute headaches in adults / Am Fam Physician 63 : 685 ~ 692
Coit MH / 2011 / The effect of workload reduction on the quality of residents’ discharge summaries / J Gen Intern Med 26 : 28 ~ 32
Taylor ML / 2005 / The relationship between the National Board of Medical Examiners’ prototype of the Step 2 clinical skills exam and interns’ performance / Acad Med 80:496~501
Aylward MJ / 2011 / Inaccuracy in patient handoffs: discrepancies between resident-generated reports and the medical record / Minn Med 94 : 38 ~ 41
Clinch CR / 2001 / Evaluation of acute headaches in adults / Am Fam Physician 63 : 685 ~ 692
Coit MH / 2011 / The effect of workload reduction on the quality of residents’ discharge summaries / J Gen Intern Med 26 : 28 ~ 32
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