Journal of Acupuncture Research

  • 제38권3호
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  • Pages.219-226
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  • 2021
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  • 2586-288X(pISSN)
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  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
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Assessment of Acupuncture and Moxibustion Medicine Clinical Practice Using the Objective Structured Clinical Examination

  • Cho, Eunbyul (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Wonkwang University) ;
  • Lee, Ju-Hyun (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Wonkwang University) ;
  • Kwon, O Sang (Department of Meridian and Acupoint, College of Korean Medicine, Wonkwang University) ;
  • Hong, Jiseong (Department of Medical History, College of Korean Medicine, Wonkwang University) ;
  • Cho, Nam Geun (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Wonkwang University)
  • 투고 : 2021.07.02
  • 심사 : 2021.07.28
  • 발행 : 2021.08.31
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초록

Background: The objective structured clinical examination (OSCE) is a widely used method to assess the clinical performance of students in clinical practice. Although OSCE has been used for undergraduate students of Korean medicine, this has not been widely reported. Methods: In 2020, the practical course for acupuncture and moxibustion medicine (acupuncture, electroacupuncture, pharmacopuncture, auricular acupuncture, and burning acupuncture) was taught using flipped learning, according to clinical practice guidelines, and assessed by the OSCE. The appropriateness of this model of education and its evaluation using OSCE were evaluated using a 5-point Likert scale, and the results were analyzed. Results: Of the respondents, 67% reported that the OSCE accurately reflected their competency, and 82% reported that online video lectures helped them to improve their clinical skills. The average adequacy score of the model was > 3.7/5, and the average adequacy score of the checklist used in the OSCE was > 4.1/5 for all 5 clinical application skills. The difference in the mean self-efficacy score between students who had taken the OSCE and those students who had not taken the OSCE, was highest in the burning acupuncture group (0.923). Conclusion: This study showed that students' satisfaction with the OSCE was high and flipped learning was an effective education model. In the future, models representing the human body or simulated patients should be used to evaluate students' skills and attitude.

키워드

과제정보

The authors are thankful to Jae-Hyo Kim, Hyun Il Go, and Dong-Gi Baek for their advice on the questionnaire. We would like to thank Editage (www.editage.co.kr) for English language editing. This research received no specific funding from any agency.

참고문헌

  1. Korea Ministry of Government Legislation [Internet]. Medical law. 2021 [updated 2020 Dec 29; cited 2021 Mar 29]. Available from: https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EC%9D%98%EB%A3%8C%EB%B2%95#undefined.
  2. Korea Health Personnel Licensing Examination Institute [Internet]. Announcement of the enforcement plan for the 74th National Dentist Examination in 2022. 2020 [updated 2020 Dec 17; cited 2021 Mar 4]. Available from: https://www.kuksiwon.or.kr/news/brd/m_54/view.do?seq=401&&itm_seq_1=0&&itm_seq_2=0.
  3. Kang YS, Lee EY, Kim GW, Jang BH, Jo HG, Jang US et al. Research on policy proposals for fostering and producing excellent traditional Korean medicine doctors. Seoul (Korea): Korea Health Personnel Licensing Examination Institute; 2016. p. 21,69,84.
  4. Akom news [Internet]. Preparing a 'place of communication' on current issues of Korean medicine education such as unification and reorganization of licensing examination. 2019 [updated 2019 Aug 13; cited Oct 20, 2020]. Available from: http://www.akomnews.com/bbs/board.php?bo_table=news&wr_id=36073.
  5. Park HK. The impact of introducing the Korean medical licensing examination clinical skills assessment on medical education. J Korean Med Assoc 2012;55:116-123. https://doi.org/10.5124/jkma.2012.55.2.116
  6. Harden RM, Stevenson M, Downie WW, Wilson GM. Assessment of clinical competence using objective structured examination. Br Med J 1975;1:447-451. https://doi.org/10.1136/bmj.1.5955.447
  7. Kristina SA, Wijoyo Y. Assessment of pharmacy students' clinical skills using objective structured clinical examination (OSCE): A literature review. Syst Rev Pharm 2019;10:55-60. https://doi.org/10.5530/srp.2019.1.9
  8. Harden RM, Lilley P, Patricio M. The definite guide to the OSCE: The Objective Structured Clinical Examination as a performance assessment. Edinburgh (UK): Elsevier; 2016. p. 12, 18, 24-28.
  9. Sim SB, Kweon JH, Kim HW, Hong JW, Shin SW. Student satisfaction study of clinical skills training in Korean medical education. J Korean Med 2013;34:37-53. https://doi.org/10.13048/jkm.13011
  10. Jang YJ, Hong SU. The efficiency of objective structured clinical examination (OSCE) as a method of clinical clerkship in the Korean Ophthalmology & Otolaryngology Department. J Korean Ophthalmol Otolaryngol Dermatol 2014;27:121-130. https://doi.org/10.6114/jkood.2014.27.4.121
  11. Cho CS. Student satisfaction study and interrater comparative study on patient-physician interaction score of clinical performance examination in Korean medical education. J Physio Pathol Korean Med 2015;29:152-159. https://doi.org/10.15188/kjopp.2015.04.29.2.152
  12. Kweon JH, Sim SB, Kim EJ, Hong JW, Shin SW. Evaluation of the implementation of clinical performance examination in Korean medicine education. J Physio Pathol Korean Med 2018;32:51-61. https://doi.org/10.15188/kjopp.2018.02.32.1.51
  13. Jo HJ, Roh JD, Sung HK, Park SJ. A survey on students' perception of clinical performance examination (CPX) in college of Korean medicine using student standardized patients. J Soc Prev Korean Med 2020;24:1-13.
  14. Korean Acupuncture and Moxibustion Society Textbook Compilation Committee. Clinical practice guideline of acupuncture medicine. Seoul (Korea): Hanmi Medicine Publish Company; 2016. p. 29-32, 37-38, 44-45, 48-49.
  15. Kyung Hee University College of Korean Medicine clinical skills compilation committee. Korean Medicine clinical skills OSCE. Seoul (Korea): Medical Book Publishing Company; 2019. p. 56-64, 74-77, 93-96.
  16. Korean Acupuncture and Moxibustion Society Textbook Compilation Committee. Acupuncture medicine, 4th ed. Seoul (Korea): Hanmi Medicine Publish Company; 2016. p. 52-58, 130-132, 142-150, 204-208, 231-254.
  17. Muller S, Settmacher U, Koch I, Dahmen U. A pilot survey of student perceptions on the benefit of the OSCE and MCQ modalities. GMS J Med Educ 2018;35:Doc51.
  18. Kang SY, Jeong HJ, Lee SY, Yune SJ, Im SJ, Lee SH. Students' opinions on the experience of objective structured clinical examination at Pusan National University School of Medicine. Korean J Med Educ 2007;19:343-347. https://doi.org/10.3946/kjme.2007.19.4.343
  19. Cho HW, Hwang EH, Shin BC, Sul JU, Hong JW, Shin SW et al. The analysis of satisfaction with clinical training and the related factors-Especially in Oriental Rehabilitation Medicine. Korean J Orient Prev Med Soc 2012;16:1-15.
  20. Yeo SJ, Nam DH. Development plan of a human model system for educating acupoint location and its implementation. Korean J Acupunct 2019;36:44-51. https://doi.org/10.14406/acu.2019.035
  21. Kim JH. The effects and challenges of clinical skills assessment in the Korean medical license examination. Korean Med Educ Rev 2013;15:136-143.
  22. Rhim HC, Han HY. Teaching online: Foundational concepts of online learning and practical guidelines. Korean J Med Educ 2020;32:175-183. https://doi.org/10.3946/kjme.2020.171