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JKM > Volume 34(3); 2013 > Article
Sim, Kweon, Kim, Hong, and Shin: Student Satisfaction Study of Clinical Skills Training in Korean Medical Education

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.

Fig. 1.
The Student’s Categorical Average Satisfaction about OSCE Training
jkm-34-3-37-4f1.tif
Fig. 2.
Managerial time of OSCE training
jkm-34-3-37-4f2.tif
Fig. 3.
Appropriate time limit of OSCE
jkm-34-3-37-4f3.tif
Fig. 4.
Proper technical items of OSCE training
jkm-34-3-37-4f4.tif
Fig. 5.
Necessity, Difficulty, Achievement in accordance with Items
jkm-34-3-37-4f5.tif
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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