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KMID : 0381519980100010043
Korean Journal of Medical Education
1998 Volume.10 No. 1 p.43 ~ p.56
An OSCE Assessment of Fourth-year Medical Students as A Comprehensive Evaluation of Medical Skills Before Graduation
Park Hoon-Ki

Kim Dong-Won
Kim Duck-An
Choi Ho-Soon
Kim Kyung-Tai
Abstract
Background: Experiences on Objective Structured Clinical Examination (OSCE) for studen assessment are limited in medical colleges in Korea. The purposes of this study were to develo an OSCE to fourth- year medical students after completion of all clerkships at Hanyang Univers Medical College.

Methods: The OSCE was a 8-station examination, with each station taking five minutes. Wconducted two parallel OSCEs simultaneously by duplication. We checked each stage of the process in the development of OSCEs with recording of diary. We analysed validity and cost of the OSCE. We got feedback from all participants by questionnaires.

Results: Of the total 102 fourth- year students, only 74 persons (72.5%) were evaluated. The ra of pass was 63.5%. Cronbach ¥á of the OSCE was 0.14. The scores were different between site according to stations, especially in items related to attitude and physical. The total OSCE sco was not significantly different either between duplication sites or among groups. OSCE scordidn¡¯t relate to those of both multiple choice tests and entrance exam for internship. Our use o
only a few SP¡¯s contributed to relatively low cost of $85 per examinee. Both students and facul were satisfied with the examination, and felt that the material tested was relevant and appropri for primary care. The OSCE process served to identify weakness in the curriculum and/ oteaching methods, and thus could serve as a mechanism to improve educational effectiveness

Conclusion: Problems of validity and reliability were detected in the developing process othe OSCE. It appeared financially feasible. Setting appropriate goal, optimum number of station training of evaluators, development of good checklist, and enthusiastic support of the school ¡¯administartion were all needed more to success of such a program.
KEYWORD
Evaluation, OSCE, Duplication, Cost
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