J Korean Med Assoc.  2012 Feb;55(2):116-123. 10.5124/jkma.2012.55.2.116.

The impact of introducing the Korean Medical Licensing Examination clinical skills assessment on medical education

Affiliations
  • 1Department of Medical Education, Hanyang University College of Medicine, Seoul, Korea. hoonkp@hanyang.ac.kr

Abstract

Evaluation systems can produce curricular change. Korean medical schools face a new responsibility to prepare students for the Korean Medical Licensing Examination (KMLE) clinical skills test (CST) that had been administered since 2009. Several innovations in medical education have resulted, including augmentation of hand-on skills training and a standardized patient program during clerkships. This review explored the results of a survey of 41 medical schools on the impact of the CST on medical education in Korea as of 2011. The majority of respondents reported having an independent skills training laboratory and conducting a clinical skills assessment during the third or fourth year of medical school. The preparatory undergraduate courses were perceived as helpful for self-confidence, communication with real patients, basic clinical skills for work, information sharing with patients, and getting the confidence of patients during internship and residency. However, an extreme policy emphasizing maintenance of a high pass rate has warped the curriculum with simple preparatory courses for the CST. The long-term educational outcomes of the CST of the KMLE must be evaluated again a few years later focused on searching for any relationship with a reduction in medical errors or increase in patient satisfaction in real practice.

Keyword

Undergraduate medical education; Objective structured clinical examination; Simulation; Standardized patients

MeSH Terms

Clinical Competence
Curriculum
Education, Medical
Education, Medical, Undergraduate
Humans
Information Dissemination
Internship and Residency
Korea
Licensure
Medical Errors
Patient Satisfaction
Schools, Medical
Surveys and Questionnaires

Figure

  • Figure 1 The establishment year of clinical skills training center at 41 medical schools.


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