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Korean J Med Educ > Volume 19(1); 2007 > Article
Korean Journal of Medical Education 2007;19(1): 39-45. doi: https://doi.org/10.3946/kjme.2007.19.1.39
진료수행시험에서 시험 시간 경과에 따른 표준화 환자 채점의 정확도 분석
박완범1, 김아름1, 이성아1, 김은아1, 장선영2, 김연수3, 김석화4, 신좌섭1, 이윤성1
1서울대학교 의과대학 의학교육실
2서울대학교병원 교육연구부
3서울대학교 의과대학 내과학교실
4서울대학교 의과대학 성형외과학교실
The Accuracy of Standardized Patients' Rating according to the Order of Examinees in Clinical Performance Examination
Wan Beom Park1, Ah Reum Kim1, Sung A Lee1, Eun A Kim1, Sun-young Chang2, Yon Su Kim3, Suk Wha Kim4, Jwa-Seop Shin1, Yoon Sung Lee1
1Office of Medical Education, Seoul National University College of Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
2Department of Education and Research, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
3Departments of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
4Departments of Plastic Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea.
Corresponding Author: Jwa-Seop Shin, Tel: 02)740-8175, Fax: 02)740-8072, Email: hismed1@snu.ac.kr
ABSTRACT
PURPOSE: The purpose of this study is to evaluate the accuracy of standardized patients'(SP) rating according to the order of examinees in clinical performance examination. METHODS: In the clinical performance examination which was administered in 2005 at Seoul National University College of Medicine, each SP evaluated 16 students consecutively. For all 16 SPs(2 SPs per station), accuracy of rating was evaluated by comparing the individual records of each SP to the 'recording keys' made by two SPs from reviewing a video recording of performances by examinees. RESULTS: The average number of items incorrectly rated by SP was 3.8(range, 0~12), 2.8 in female SPs and 4.8 in male SPs(p<0.001). No statistical correlation was observed between the number of errors and the order of examinees(p=0.843). Even after stratification by gender or age of the SPs or domains of examination, the number of items incorrectly rated did not differ significantly according to the order of examinees. CONCLUSION: An increase in SP's rating error with time after the start of examinations was not observed within the 16 consecutive encounters in clinical performance examination. The effect of SP's fatigue on the accuracy of simulation as an examination progresses remains to be studied.
Keywords: Clinical performance examination;Standardized patient;Reliability;Fatigue
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