Student Satisfaction Study of Clinical Skills Training in Korean Medical Education

Sung Bo Sim; Ji Hyeon Kweon; Hyung Woo Kim; Jin Woo Hong; Sang Woo Shin; Sim, Sung Bo; Kweon, Ji Hyeon; Kim, Hyung Woo; Hong, Jin Woo; Shin, Sang Woo

doi:10.13048/jkm.13011

JKM > Volume 34(3); 2013 > Article

Sim, Kweon, Kim, Hong, and Shin: Student Satisfaction Study of Clinical Skills Training in Korean Medical Education

Original Article

Journal of Korean Medicine 2013; 34(3): 37-53.

Published online: September 30, 2013

DOI: https://doi.org/10.13048/jkm.13011

Student Satisfaction Study of Clinical Skills Training in Korean Medical Education

Sung Bo Sim¹, Ji Hyeon Kweon¹, Hyung Woo Kim²^{, 4}, Jin Woo Hong³^{, 4}, Sang Woo Shin¹^{, 4}^{, *}

¹Division of Applied Medicine, School of Korean Medicine, Pusan National University

²Division of Pharmacology, School of Korean Medicine, Pusan National University

³Department of Internal Medicine, School of Korean Medicine, Pusan National University

⁴Office of Korean Medical Education, School of Korean Medicine, Pusan National University

^*Correspondence to: 신상우, (Sang Woo Shin), 경상남도 양산시 물금읍 범어리 부산대학교 한의학전문대학원 412호, Tel: +82-51-510-8463, Fax: +82-51-510-8463, E-mail: swshin@swshin.com

Correspondence to: 홍진우, (Jin Woo Hong), 경상남도 양산시 물금읍 범어리 부산대학교 한방병원 한의약임상연구센터 423호, Tel: +82-55-360-5962, Fax: +82-55-360-5962, E-mail: jwhong@pusan.ac.kr

Received March 15, 2013 Revised May 14, 2013 Accepted May 21, 2013

Abstract

Objectives:

This study aimed to evaluate the 1st class and 2nd class’s satisfaction with clinical skills training in the Korean medical curriculum. A questionnaire was given to clinical clerkship students of Pusan National University School of Korean Medicine.

Methods:

These items covered overall satisfaction with training, learning support environment, curriculum interconnection, training and guidance, and self-assessment.

Results:

Most 1st class and 2nd class respondents were satisfied with their learning support environment. However, satisfaction with curriculum interconnection was lower.

Conclusions:

The results of this study demonstrate that students have a high level of satisfaction with clinical skills training. It might be concluded that clinical skills training has been effectively implemented into the Korean medical education.

Keywords: clinical skills training, OSCE, objective and structured clinical examination, Korean medical education

Fig. 1.

The Student’s Categorical Average Satisfaction about OSCE Training

Fig. 2.

Managerial time of OSCE training

Fig. 3.

Appropriate time limit of OSCE

Fig. 4.

Proper technical items of OSCE training

Fig. 5.

Necessity, Difficulty, Achievement in accordance with Items

Table 1.

Student’s Satisfaction about Objective Structured Clinical Examination

Item		The 1st class						The 2nd class

		M±SD	Degree					M±SD	Degree

			5	4	3	2	1		5	4	3	2	1
1	The subject and the level of technique were appropriate.	3.85 ±0.72	8 (19.5)	19 (46.3)	14 (34.1)	0 (0.0)	0 (0.0)	4.27 ±0.59	18 (34.6)	30 (57.7)	4 (7.7)	0 (0.0)	0 (0.0)

Learning Support Environment		4.06 ±0.64						4.31 ±0.67

2	‘Learning content’ of clinical technique guidelines were a well presented by technique process.	3.95 ±0.58	6 (14.6)	27 (65.9)	8 (19.5)	0 (0.0)	0 (0.0)	4.31 ±0.69	22 (42.3)	25 (48.1)	4 (7.7)	1 (1.9)	0 (0.0)
3	‘Checklist’ and ‘score card’ of clinical technique guidelines were appropriate.	3.90 ±0.62	6 (14.6)	25 (61.0)	10 (24.4)	0 (0.0)	0 (0.0)	4.21 ±0.62	17 (32.7)	29 (55.8)	6 (11.5)	0 (0.0)	0 (0.0)
4	Learning resources (clinical technique center, model) utilized for the OSCE training was appropriate.	4.32 ±0.64	17 (41.5)	20 (48.8)	4 (9.8)	0 (0.0)	0 (0.0)	4.40 ±0.63	26 (50.0)	21 (40.4)	5 (9.6)	0 (0.0)	0 (0.0)

Curriculum Interconnection		3.60 ±0.84						4.09 ±0.73

5	OSCE training is linked well with the clinical teaching.	3.71 ±0.86	7 (17.1)	19 (46.3)	11 (26.8)	4 (9.8)	0 (0.0)	4.06 ±0.66	16 (30.8)	24 (46.2)	11 (21.2)	1 (1.9)	0 (0.0)
6	OSCE training is linked well with the clinical practice.	3.66 ±0.78	5 (12.2)	20 (48.8)	13 (31.7)	3 (7.3)	0 (0.0)	4.13 ±0.77	15 (28.8)	29 (55.8)	8 (15.4)	0 (0.0)	0 (0.0)
7	OSCE training is linked well with the CPX.	3.44 ±0.86	2 (4.9)	21 (51.2)	12 (29.3)	5 (12.2)	1 (2.4)	4.08 ±0.65	15 (28.8)	28 (53.8)	7 (13.5)	2 (3.8)	0 (0.0)

Training and Guidance		3.79 ±0.85						4.26 ±0.65

8	OSCE training and guidance was appropriate by professor	3.83 ±0.79	7 (17.1)	23 (56.1)	8 (19.5)	3 (7.3)	0 (0.0)	4.29 ±0.76	20 (38.5)	27 (51.9)	5 (9.6)	0 (0.0)	0 (0.0)
9	OSCE training and guidance was satisfied by professor	3.76 ±0.90	8 (19.5)	19 (46.3)	11 (26.8)	2 (4.9)	1 (2.4)	4.23 ±0.67	19 (36.5)	26 (30.8)	7 (13.5)	0 (0.0)	0 (0.0)

Self Assessment		3.94 ±0.76						4.22 ±0.76

10	I was actively involved in OSCE training	4.10 ±0.66	11 (26.8)	23 (56.1)	7 (17.1)	0 (0.0)	0 (0.0)	4.35 ±0.58	21 (40.4)	28 (53.8)	3 (5.8)	0 (0.0)	0 (0.0)
11	OSCE training helped enhance Korean technique competence.	3.66 ±0.98	8 (19.5)	17 (41.5)	11 (26.8)	4 (9.8)	1 (2.4)	4.02 ±0.91	17 (32.7)	23 (44.2)	9 (17.3)	2 (3.8)	1 (1.9)
12	OSCE training helped enhance modern diagnostic competence.	4.05 ±0.62	9 (22.0)	25 (61.0)	7 (17.1)	0 (0.0)	0 (0.0)	4.23 ±0.75	21 (40.4)	23 (44.2)	7 (13.5)	1 (1.9)	0 (0.0)
13	OSCE training helped enhance modern clinical technique competence.	3.95 ±0.66	7 (17.1)	26 (63.4)	7 (17.1)	1 (2.4)	0 (0.0)	4.27 ±0.74	22 (42.3)	23 (44.2)	6 (11.5)	1 (1.9)	0 (0.0)
14	OSCE training was beneficial overall.	3.98 ±0.61	7 (17.5)	25 (62.5)	8 (20.0)	0 (0.0)	0 (0.0)	4.31 ±0.64	21 (40.4)	26 (50.0)	5 (9.6)	0 (0.0)	0 (0.0)

Values are presented as number(%).

OSCE: Objective Structured Clinical Examination

M: Mean

SD: Standard deviation

* One repodent of the 1st class did not answer ‘Question 14’.

Table 2.

Necessity, Difficulty, Achievement in accordance with Items

Necessity, Difficulty, Achievement in accordance with Items				Necessity		Difficulty		Achievement
Ordinal Number				1^st class	2^nd class	1^st class	2^nd class	1^st class	2^nd class
Section	Region	Num	Item	M
Physical Examination	General Physical Examination	1	Pulse Diagnosis	2.8	2.7	2.4	2.1	1.9	2.0
		2	Tongue Diagnosis	2.8	2.6	2.1	1.9	2.2	2.1
		3	Blood pressure Measurement	2.8	2.8	1.5	1.9	2.6	2.3
		4	Eye Examination and Fundus Examination	2.0	2.2	2.5	2.3	1.9	2.0
		5	Ear Examination and Otoscopy	2.7	2.5	2	2.2	2.4	2.2
		6	Nasal Examination	2.7	2.5	2.2	1.9	2.3	2.1
		7	Neck Examination	2.6	2.4	2	1.9	2.1	2.1
		8	Lung Examination	2.7	2.5	2.4	2.3	1.7	2.1
		9	Cardiac Examination	2.5	2.4	2.5	2.4	1.6	2.1
		10	Abdominal Examination (Korean Medicine)	2.9	2.8	2.4	2.1	1.9	2.3
		11	Abdominal Examination (Medicine)	2.7	2.7	2.2	2.1	1.9	2.3
		12	Anorectal Examination	2.0	1.9	2.2	2.1	1.9	2.1
	Nerve examination	13	Cranial Nerve Examination	2.8	2.5	2.5	2.5	2.2	2.0
		14	Motor Examination	2.8	2.6	2.2	2.3	2.4	2.1
		15	Sensory Examination	2.7	2.6	2	2.3	2.4	2.1
		16	Reflex Examination	2.7	2.6	2.1	2.3	2.3	2.1
		17	Cerebellar Function Test	2.8	2.6	2	2.4	2.4	2.1
	Musculoskeletal examination	18	Physical Examination of the cervical spine	2.9	2.8	2.1	2.2	2.3	2.4
		19	Physical Examination of the lumbar spine	2.9	2.8	2.1	2.2	2.4	2.5
		20	Physical examination of shoulder-joint	2.9	2.8	2.1	2.2	2.3	2.4
		21	Physical examination of knee joint	2.9	2.8	2.1	2.2	2.3	2.4
	female examination	22	Brest Examination	2.4	2.3	2.0	2.0	2.3	2.2
		23	Vaginal secretion Examination	1.8	2.0	2.2	2.2	1.9	2.1
		24	Delivery progress Examination	1.7	1.8	2.3	2.1	1.9	2.1
		25	Female genital examination	1.9	2.1	2.1	2.0	2.0	2.1
Lab Checkup	General Lab Examination	26	General chest X-ray Presentation	2.8	2.2	2.6	2.3	1.7	1.9
		27	Electro-cardiogram	2.6	2.3	2.4	2.4	1.8	2.0
		28	Pulmonary function tests	2.7	2.4	2.1	2.0	2.3	2.3
		29	Ultrasonography	2.7	2.5	2.9	2.5	1.6	2.1
		30	Yangdorak Diagnosis	2.5	2.5	1.7	1.9	2.5	2.3
		31	Suyangmyeong Meridian Function Tests	2.6	2.4	1.7	2.0	2.6	2.2
	Mental Examination	32	Mini-Metal Status Examination	2.3	2.5	1.8	1.8	2.3	2.3
	Mental Examination	33	Hwa-byung Interview Test	2.4	2.5	1.7	1.8	2.3	2.3
	Sasang examination	34	Sasang Questionnaires	2.6	2.6	1.8	1.9	2.4	2.4
		35	Facial shape Measurement	2.0	2.1	1.7	1.9	2.4	2.1
		36	Body Measurement	1.9	2.1	1.6	1.7	2.3	2.2
	Infant checkup	37	Assessing the severity of atopic dermatitis in children	2.4	2.5	2	1.9	2.2	2.3
Medical Procedure	General Medical procedure	38	Thin Acupuncture Medical Procedure	2.9	2.9	1.9	2.2	2.4	2.4
		39	Moxibustion Procedure	2.9	2.8	1.8	2.1	2.5	2.4
		40	Cupping Treatment	2.8	2.8	1.7	2.1	2.5	2.4
		41	Herbal Acupuncture Therapy	2.8	2.8	1.9	2.2	2.3	2.2
		42	Simple postero-inferiorly iliac correction	2.6	2.4	2.4	2.4	2.0	2.1
		43	ICT and Ultrasound Therapy of Acupoints	2.5	2.4	1.8	2.0	2.3	2.2
		44	Venipuncture	1.9	2.0	2.2	2.1	2.0	2.3
		45	Male Urethral Catheterization	2.0	2.1	2.6	2.4	2.0	2.3
		46	Female Urethral Catheterization	2.0	2.0	2.5	2.2	2.0	2.2
		47	Wound Dressing	2.5	2.4	2.1	2.0	2.3	2.3
		48	Burn Dressing	2.5	2.4	2.1	2.0	2.3	2.3
		49	Abscess Incision Drainage	2.5	2.3	2.1	2.1	2.3	2.3
	Emergency Procedure	50	Basic life support	2.9	2.8	2.2	2.3	2.5	2.5
		51	Foreign Airway Obstruction Emergency Procedure	2.9	2.7	2.1	2.1	2.3	2.5
		52	Febrile Seizures in Children	2.8	2.6	2.1	2.1	2.2	2.4
		53	Articular Bone Splint Immobilization	2.5	2.4	2.3	2.1	2.1	2.3
Medication	Medication	54	Cheongho Method	2.3	2.4	1.8	1.8	2.3	2.4
		55	Herbal Decoction Method	2.4	2.7	1.8	2.0	2.3	2.4
		56	Concentrate and Concentrated Powder Manufacturing	2.3	2.5	2	2.1	2.1	2.4
		57	Pharmaco-puncture Manufacturing and Management	2.4	2.2	2.2	2.1	1.8	2.0

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