Korean J Med Educ.  1990 Dec;2(2):34-41.

enovation of Selection Procedure for Internship at Teaching Hospitals: Development of a model and its application with special emphasis on a appropriate measurement of clinical competency and feedback to undergraduate education.

• Noh KT
• Kim YI
• Han MC
• Baik SH
• Kim KW
• Lee JY
• Kim NK

Abstract

Lack of validity and reliability in selection procedure for internship at teaching hospitals has become a nationwide serious issue, especially regarding its influence on undergraduate medical education. This article describes a case model of selection procedure for internship at Seoul National University Hospital aiming for appropriate measurement of clinical competency as well as a meaningful feedback to the undergraduate medical education. The modification of selection was based on two parts; a problem-based written examination and a clinical skill-attitude assessment. For the former, a total of 60 test items for 34 problem cases were developed, being provided with a variety of pictorials and figures to simulate a real clinical setting. The knowledge level of all test items were either interpretation or problem-solving, and multi-answer items were randomly included to minimize a risk of high chance scoring in multiple choice items. The clinical skill was assessed with 10 important skills with predesigned check list. We conclude that problem-oriented written examination together with clinical skill assessment is a way of improving the measurement of clinical competency and strengthens clinical clerkship effectively during the undergraduate clinincal studies.

MeSH Terms

Clinical Clerkship
Clinical Competence
Education*
Education, Medical, Undergraduate
Hospitals, Teaching*
Internship and Residency*
Reproducibility of Results
Seoul