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.
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
1st class
2nd class
1st class
2nd class
1st class
2nd 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
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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