| Skill training in internal medicine student clerkship at a university hospital |
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Wan Beom Park, Min Hur, R.N., Ah Reum Kim, B.A., Mi Sung Seo, B.A., Joo Sung Kim, Sung Tack won, Yoon-Seong Lee, Jwa-Seop Shin, Ed.D.Office of Medi, Departments of nter, Plastic, Reconstructive Surg, Seoul National Univ, Seoul, Korea |
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| 일개 대학병원의 내과학생 술기실습 현황 |
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박완범, 허 민, 김아름, 서미성, 김주성, 권성택, 이윤성, 신좌섭, Sung Tack won, Yoon-Seong Lee, Jwa-Seop Shin, Ed.D.Office of Medi, Departments of nter, Plastic, Reconstructive Surg, Seoul National Univ, Seoul, Korea |
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| Abstract |
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Background/Aims: This study evaluated medical students’ experience performing basic clinical skills with real patients in a tertiary
hospital and their response to clinical skill training in the Skills Center during their clerkship in internal medicine.
Methods: We surveyed 169 third-year students at the end of the internal medicine clerkship. The questionnaire included questions
on their experience sampling blood and inserting intravenous (IV) catheters with real patients, success with their first patient,
and the usefulness of the Skills Center during the clinical clerkship.
Results: Of the 169 students, 145 (86%) answered the questionnaire. Two (5%) of 39 students had not sampled blood and 22
(56%) had not inserted an IV catheter during the 8 weeks of the internal medicine clerkship. Two (6%) of 35 students had not sampled
blood and 8 (23%) had not inserted an IV catheter during 32 weeks of the 3rd-year clinical clerkships. The partial or complete
success rate for performing the skills with real patients was 93% for blood sampling and 79% for IV catheter insertion. Ninety
(62%) students stated that skill training in the Skills Center during the clinical clerkship improved their basic clinical skills and 62
(43%) agreed that it increased their confidence to perform those skills on real patients.
Conclusions: A significant number of medical students do not experience basic clinical skills with real patients during the clinical
clerkship in a university hospital, although they had relatively high success rates performing those skills. (Korean J Med 76:451-
458, 2009) |
| Key Words:
Student; Clinical skill; Clinical clerkship |
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