Korean Journal of Family Medicine

"Patient Simulation"

Original Articles

Effects of Module Development and Role Play Course on Clinical Practice Examination Scores during a 4th Year Clerkship: Kyong-Min Park, Kye-Yeung Park, Nam-Eun Kim, Bong-Kyung Seo, Hoon-Ki Park, Hwan-Sik Hwang; Korean J Fam Med 2018;39(1):23-28. Published online January 23, 2018; DOI: https://doi.org/10.4082/kjfm.2018.39.1.23

Abstract
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Background

After introduction of clinical skills assessment in the Korean Medical Licensing Examination, medical schools have reinforced both experiential learning with real patients and preparatory programs. This study was conducted to investigate whether a clinical practice examination (CPX) preparation program improves students' CPX score in terms of case specificity.

Methods

One hundred and thirteen senior students in a medical school participated in this study. During the fourth-year clerkship, 28 students (24.8%) from three rotation groups took a 3-day CPX preparation course consisting of module development, role play, and comprehensive physical exam skills training. Eleven rotation groups (n=85) were compared as control. Both the intervention and control group took two comprehensive CPXs before and after the clerkship was completed.

Results

There was no significant difference in age, sex, and school type between the two groups. On pre-test CPX, there was no significant difference in total and sectional scores between the two groups. On post-test CPX, total scores of the intervention group were higher than those of the control groups (69.5±4.3 vs. 67.5±4.4, P<0.05). History taking scores were higher in intervention groups (70.0±6.0 vs. 66.0±6.6, P=0.01). The station scores of vaginal discharge with case similarity were higher in the intervention groups (73.0±6.3 vs. 68.9±9.3, P=0.03).

Conclusion

A short CPX preparation course improved history taking ability, but its effect was greater only in a specific case, similar to the pre-course case. Whether this effect was due to the test experience or true improvement in competency requires further investigation.

Citations

Citations to this article as recorded by

Role-play of real patients improves the clinical performance of medical students
Ling-Ju Huang, Hui-Chun Huang, Chiao-Lin Chuang, Shu-Luen Chang, Hung-Cheng Tsai, Dai-Yin Lu, Ying-Ying Yang, Ching-Chih Chang, Hui-Chi Hsu, Fa-Yauh Lee
Journal of the Chinese Medical Association.2021; 84(2): 183. CrossRef
Raising rare disease awareness using red flags, role play simulation and patient educators: results of a novel educational workshop on Raynaud phenomenon and systemic sclerosis
S. Sanges, M.-M. Farhat, M. Assaraf, J. Galland, E. Rivière, C. Roubille, M. Lambert, C. Yelnik, H. Maillard, V. Sobanski, G. Lefèvre, D. Launay, S. Morell-Dubois, E. Hachulla
Orphanet Journal of Rare Diseases.2020;[Epub] CrossRef

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Comparison of prescription behaviors between practicing physicians and pharmacists by simulated patients with common cold.: Hong Jun Cho, Suk Kyun Woo, Chun Taik Hong, Eung Kyung Suh; J Korean Acad Fam Med 2001;22(9):1394-1399. Published online September 1, 2001

Abstract
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Background
: Pharmacists could dispense medicines without doctors' prescription in Korea before July 2000. The aim of this study was to compare the prescription behaviors of practicing doctors and pharmacists to common cold by the simulated patients. We selected the common cold as a subject of simulation because it was the most frequent health problem to visit doctors and pharmacists and the abuse of antibiotics might be prevalent in management of it.

Methods : Seventy five private clinics and drug stores were selected in Seoul, Korea. The simulated patients were selected and trained standardized symptoms of common cold. The simulated patients recorded the prescription behaviors of doctors and pharmacists.

Results : Average number of prescribed medicines were 5.0 and 5.6 in clinic and drug store respectively. 54.7% of the clinics and 61.3% of the drug stores prescribed antibiotics respectively with no significant difference between them. The most frequently prescribed antibiotics were penicillines. About 7% of the doctors and 11% of the pharmacist prescribed glucocorticoid to simulated patients respectively. About 20% of the pharmacists performed some kinds of physical examination to the simulated patients. Both doctors and pharmacist gave little ingormation or advice on use of medicines, possible side effects and past side effects of medicines.

Conclusion : There were frequent abuse of antibiotics and occasional use of glucocorticoid in private clinics and drug stores. Both doctors and pharmacists did not give enough information on use of medicines to the simulated patients.

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Comparison of prescription behaviors between practicing physicians and pharmacists by simulated patients of arthritis.: Hong Jun Cho, Suk Kyun Woo, Chun Taik Hong, Young Kyung Suh; J Korean Acad Fam Med 2001;22(4):511-516. Published online April 1, 2001

Abstract
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Background
: Pharmacists could dispense medicines without doctors’ prescription in Korea before July 2000. The aim of this study was to compare the prescription behaviors of practicing doctors and pharmacists to arthritis by the simulated patients. We selected the arthritis as a subject of simulation because the arthritis was one of the major health problems and the abuse of corticosteroids might be prevalent in management of arthritis patients.

Methods : Seventy five private clinics and drug stores were selected in Seoul, Korea. The simulated patients were selected and trained standardized symptoms of arthritis. The simulated patients recorded the prescription behaviors of doctors and pharmacists.

Results : Mean number of prescribed medicines were 3.6 and 4.4 in clinic and drug store, respectively. 16.2% of the clinics and 25.3% of the drug stores prescribed corticosteroid respectively with no significant difference. 45.3% of the pharmacists prescribed more than two kinds of antiinflammatory or analgesics and it was significantly higher than those of doctors. 65.3% of doctors intended to prescribe parenteral injection and 40% of the pharmacists performed some kinds of physical examination to the simulated patients. Both doctors and pharmacist gave little information or advice on use of medicines, possible side effects and past side effects of medicines.

Conclusion : There were frequent abuse of corticosteroids and analgesics in private clinics and drug stores. Both doctors and pharmacists did not give enough information on use of medicines to the simulated patients.