Necessity of introducing postencounter note describing history and physical examination at clinical performance examination in Korea

Title
Necessity of introducing postencounter note describing history and physical examination at clinical performance examination in Korea
Authors
김종훈
Keywords
Patient simulation, Medical records, Clinical competence
Issue Date
2014-06
Publisher
Korean Journal of Medical Education
Series/Report no.
Korean Journal of Medical Education; 26권 2호 pp 107~115
Abstract
Purpose: Information gathering ability had been evaluated mainly via checklists in clinical performance examinations (CPX). But, it is not proved yet if students write the information correctly in postencounter note (PN), although they asked questions or performed physical examinations (PE) about the information when they interacted with standardized patients in CPX. This study addressed the necessity of introducing PN to evaluate the ability in CPX. Methods: After patient encounters, students were instructed to write the findings of history taking and physical examination that they considered as important information in approaching the patient’s problems in PN. PNs were scored using answer keys selected from checklist items, which were considered to be recorded in PN by CPX experts. Results: PNs of six CPX cases from 54 students were analyzed. Correlation coefficients between the key-checklist scores and PN scores of six cases were moderate to high (0.52 to 0.79). However, students frequently neglected some cardinal features of chief complains, pertinent findings of past/social history and PE, and pertinent negative findings of associated symptoms in PNs, which were checked as ‘done’ in the keys of checklists. Conclusion: It is necessary to introduce PN in CPX to evaluate the students’ ability of synthesis and integration of patient information.
URI
http://dspace.inha.ac.kr/handle/10505/39043
ISSN
2005-727X
Appears in Collections:
Medical School/College of Medicine (의학전문대학원/의과대학) > Medical Science (의학) > Local Access Journal Papers, Reports(의학 논문, 보고서)

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