Korean J Med Educ. 1990; 2(2): 34-41.
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.
1Committee of Education, Seoul National Univesity Hospital, Seoul, Korea.
2Seoul National Univesity College of Medicine, Seoul, Korea.
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.
