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KMID : 0381520140260020099
Korean Journal of Medical Education
2014 Volume.26 No. 2 p.99 ~ p.106
Changes in medical students¡¯ patient-centeredness attitudes by implementation of clinical performance examination
Hur Ye-Ra

Kim Sun
Park Joo-Hyun
Cho A-Ra
Choi Chang-Jin
Abstract
Purpose: From 2009, the Korean Medical Licensure Exam implemented a clinical performance examination (CPX) that highlighted the importance of good patient-physician relationships in medical education. This study aimed to examine changes in medical students¡¯ attitudes before and after implementation of the CPX in their medical education curriculum.

Methods: In 2006 and 2009, 236 fourth-year medial students of C College of Medicine took the Patient Practitioner Orientation Scale (PPOS) by Krupet et al. (2000), which measures patient-centered attitudes in patient-physician relationships. The data were analyzed by independent t-test and two-way analysis of variance using SPSS 21.0.

Results: The PPOS scores of year 2006 students were 3.88¡¾0.25 for males and 3.98¡¾0.38 for females. For year 2009 students, males scored 3.81¡¾0.42 and females scored 4.01¡¾0.48. All students had higher Care scores than Share scores (2006: Share, 3.67¡¾0.47 vs. Care, 4.19¡¾0.51; 2009: Share, 3.56¡¾0.34 vs. Care, 4.18¡¾0.53). There were significant differences in PPOS and Share scores by gender before and after the CPX. With regard to Care scores, female students¡¯ scores tended to rise and males¡¯ scores declined over time.

Conclusion: An educational program is needed for students to foster patient-centered attitudes, but gender differences should be taken into account.
KEYWORD
Physician-patient relation, Patient Practitioner Orientation Scale, Medical education, Medical students, Clinical performance examination
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