title: Clinical performance examination utilizing standardized patients in board examination: based on the board examination of korean neurological association for three years.
abstract: OBJECTIVE
  Evaluation of clinical skills and attitude including development of dynamic patient-doctor relationship is important in board examination (BE). Korean Neurological Association (KNA) has introduced clinical performance examination (CPX) utilizing standardized patients (SP) to BE in 2007. In this study, the authors describe the 3-year experience of CPX in BE through 2009.
  
  
  METHODS
  To implement CPX session in BE, KNA developed CPX workshop for BE attendees and members of grading committee. CPX sessions in BE consisted of two model scenarios mimicking neurological patients in clinical practice. The total score and itemized scores of CPX sessions were compared with other areas of BE, and scores from each year were also compared.
  
  
  RESULTS
  Scores from CPX sessions were significantly correlated with BE step II. Among the itemized scores of CPX sessions, clinical items including history taking and physical examination were significantly correlated with scores from other areas of BE. However, scores from global assessment from SP were strongly associated with patient-doctor relationship, history taking, and patient education.
  
  
  CONCLUSIONS
  Our experiences suggest that CPX utilizing SP is a useful tool to assess the clinical skills in BE. In order to produce clinically well qualified neurologists, more efforts should be made to develop cases and to improve assessment tools for CPX.
authors: Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
authors: Beom Joon
authors: BJ
authors: Kim
authors: Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
authors: Jung Joon
authors: JJ
authors: Sung
authors: Department of Family Medicine, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Korea.
authors: Hoon Ki
authors: HK
authors: Park
authors: Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors: Dae Won
authors: DW
authors: Seo
authors: Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors: Chin Sang
authors: CS
authors: Chung
authors: Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
authors: Byung Woo
authors: BW
authors: Yoon
keywords: Clinical competence; Education; Educational measurement; Licensure; Patient simulation