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..
- Author:
Kwan Taek NOH
1
;
Yong Il KIM
;
Man Chung HAN
;
Sang Ho BAIK
;
Kwang Woo KIM
;
Jin Yong LEE
;
Noe Kyeong KIM
Author Information
1. Committee of Education, Seoul National Univesity Hospital, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Clinical Clerkship;
Clinical Competence;
Education*;
Education, Medical, Undergraduate;
Hospitals, Teaching*;
Internship and Residency*;
Reproducibility of Results;
Seoul
- From:Korean Journal of Medical Education
1990;2(2):34-41
- CountryRepublic of Korea
- Language:Korean
-
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.
