Korean J Med Educ.
2016 Mar;28(1):29-34. 10.3946/kjme.2016.7.
The relationship between medical students' epistemological beliefs and achievement on a clinical performance examination
- Affiliations
-
- 1Department of TESOL, Gwangju University, Gwangju, Korea.
- 2Department of Medical Education, Chonnam National University Medical School, Gwangju, Korea. ekcmedu@chonnam.ac.kr
- 3Office of Education and Research, Chonnam National University Hospital, Gwangju, Korea.
- 4Department of Physical Theraphy, Gwangju Health University, Gwangju, Korea.
- KMID: 2374224
- DOI: http://doi.org/10.3946/kjme.2016.7
Abstract
- PURPOSE
This study was to explore the relationship between clinical performance examination (CPX) achievement and epistemological beliefs to investigate the potentials of epistemological beliefs in ill-structured medical problem solving tasks.
METHODS
We administered the epistemological beliefs questionnaire (EBQ) to fourth-year medical students and correlated the results with their CPX scores. The EBQ comprised 61 items reflecting five belief systems: certainty of knowledge, source of knowledge, rigidity of learning, ability to learn, and speed of knowledge acquisition. The CPX included scores for history taking, physical examination, and patient-physician interaction.
RESULTS
The higher epistemological beliefs group obtained significantly higher scores on the CPX with regard to history taking and patient-physician interaction. The epistemological beliefs scores on certainty of knowledge and source of knowledge were significantly positively correlated with patient-physician interaction. The epistemological beliefs scores for ability to learn were significantly positively correlated with those for history taking, physical examination, and patient-physician interaction.
CONCLUSION
Students with more sophisticated and advanced epistemological beliefs stances used more comprehensive and varied approaches in the patient-physician interaction. Therefore, educational efforts that encourage discussions pertaining to epistemological views should be considered to improve clinical reasoning and problem-solving competence in the clinic setting.
Keyword
MeSH Terms
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*Achievement
Adult
*Attitude
*Clinical Competence
*Culture
*Education, Medical, Undergraduate
Educational Measurement
Female
Humans
*Knowledge
Male
Medical History Taking
Physical Examination
Physician-Patient Relations
Problem-Based Learning
Republic of Korea
Schools, Medical
*Students, Medical
Surveys and Questionnaires
Thinking
Young Adult
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