의사소통 평가도구로서 임상진료시험(CPX)의 유용성

Abstract

Purpose: The communication skills of doctors become important as recent changes in health care environment. The clinical practice examination (CPX) has been introduced in many countries as a way to assess communication skill. The purpose of this paper was to determine whether CPX is useful to assess communication skills through an evaluation the correlation between the CPX score and the written multiple-choice question (MCQ) examination on the In-training examination for family medicine. Methods: The subjects of this study were 31 residents in Seoul and Gyunggi-do. CPX consists of 5 station (low back pain, rectal bleeding, blood tinged sputum, bad news delivery, alcoholic) using standardized patient (SP) was performed on April, 2007. We determined the correlation between the total scores and 4 domain scores (history taking, physical examination, patient education, and patient-physician interaction) on the CPX with the MCQ score of the In-training examination for family medicine 2007. Results: The total score of CPX and the CPX scores on history taking, patient education and patient-physician interaction did not correlate with MCQ score of In-training examination for family medicine, The CPX score on physical examination correlated slightly with MCQ score. Conclusion: The lower correlation with other existing examination tool is, the higher the value independently. Our experiences suggest that CPX has specific evaluation region and is useful to assess the communication skills of family physician.