KMID : 0381520090210030269
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Korean Journal of Medical Education 2009 Volume.21 No. 3 p.269 ~ p.277
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Relationship between the Clinical Performance Examination and Associated Variables
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Park Kwi-Hwa
Chung Wook-Jin Hong Du-Ho Lee Woon-Gi Shin Eak-Kyun
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Abstract
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Purpose: The purpose of this study was to identify the causal relationship between the following variables: basic science score, written examination score (Internal medicine and Pediatrics), clinical clerkship score (Internal medicine and Pediatrics), and affective factors (self-efficacy, anxiety, and perception of preparedness).
Methods: Forty-two medical students took the clinical performance examination (CPX) at the end of the first semester. One day before the CPX, the students completed a brief survey, which included 11 items that sampled their self-efficacy, preparedness and anxiety with regard to the CPX. The responses from the 38 identifiable surveys (90%), out of 42, were analyzed for this study. Structural equation modeling techniques were used to test the relationships between the variables. The students¡¯ basic science scores, clinical clerkship scores, and written examination scores were considered for this study.
Results: We found that self-efficacy influenced students¡¯ CPX scores indirectly through their preparedness and anxiety. Preparedness influenced students¡¯ CPX scores indirectly through their anxiety. Anxiety was predicated on self-efficacy directly or indirectly and it predicted CPX scores. The clinical clerkship scores affected the students¡¯ CPX scores indirectly. The written examination scores and basic science scores, however, did not impact the students¡¯ CPX scores directly or indirectly. The basic science scores, clinical clerkship scores, and written examination scores were not associated with self-efficacy.
Conclusion: Our findings highlight the importance of clinical clerkship education and reasonable medical teaching methods in improving the student self-efficacy for the CPX.
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KEYWORD
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Self efficacy, Anxiety, Clinical clerkship, Clinical competence
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