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J Educ Eval Health Prof > Epub ahead of print
J Educ Eval Health Prof. 2020; 17: 42.
Published online December 16, 2020.
DOI: https://doi.org/10.3352/jeehp.2020.17.42
[Epub ahead of print]
Clinical performance of medical students in Korea in a whole-task emergency station in the objective structured clinical examination with a standardized patient complaining of palpitations
Song Yi Park1,2  , Hyun-Hee Kong3  , Min-Jeong Kim4  , Yoo Sang Yoon5  , Sang-Hwa Lee2  , Sunju Im6  , Ji-Hyun Seo7,8,9 
1Department of Emergency Medicine, Dong-A University College of Medicine, Busan, Korea
2Department of Medical Education, Dong-A University College of Medicine, Busan, Korea
3Department of Parasitology, Dong-A University College of Medicine, Busan, Korea
4Department of Medical Education and Neurology, Kosin University College of Medicine, Busan, Korea
5Department of Emergency Medicine, Inje University College of Medicine, Busan, Korea
6Department of Medical Education, Pusan National University School of Medicine, Busan, Korea
7Department of Pediatrics, Gyeongsang National University School of Medicine, Jinju, Korea
8Department of Medical Education, Gyeongsang National University School of Medicine, Jinju, Korea
9Gyeongsang National Institute of Health Sciences, Jinju, Korea
Correspondence  Ji-Hyun Seo ,Email: seozee@gnu.ac.kr
Editor:  Sun Huh, Hallym University, Korea
Submitted: November 17, 2020  Accepted after revision: December 16, 2020
Abstract
This study assessed the clinical performance of 150 third-year medicalstudents in Busan, Korea in a whole-task emergency objective structured clinical examination station that simulated a patient with palpitations visiting the emergency department. The examination was conducted from November 25 to 27, 2019. Clinical performance was assessed as the number and percentage of students who performed history-taking (HT), a physical examination (PE), an electrocardiography (ECG) study, patient education (Ed), and clinical reasoning (CR), which were items on the checklist. It was found that 18.0% of students checked the patient’s pulse, 51.3% completed an ECG study, and 57.9% explained the results to the patient. A sizable proportion (38.0%) of students did not even attempt an ECG study. In a whole-task emergency station, students showed good performance on HT and CR, but unsatisfactory results for PE, ECG study, and Ed. Clinical skills educational programs for subjected student should focus more on PE, timely diagnostic tests, and sufficient Ed.
Keywords: Medical student; Electrocardiography; Clinical competence; Emergency medicine; Republic of Korea
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