title: Clinical-performance remediation program for dyscompetent medical students.
abstract: OBJECTIVE
  Medical schools endeavor to ensure that students are competent with regard to clinical skills. Skills remediation is implemented in cases of poor clinical performance examination (CPX) grades, although little is known about the effectiveness of such techniques. In this study, we examined the effectiveness of a remediation program that was designed to improve the clinical performance of medical students.
  
  
  METHODS
  A 6-week remediation program, administered jointly by Seoul National University College of Medicine's Departments of Internal Medicine (IM) and Family Medicine (FM), was initiated. The program was divided into 2 parts: 3 weeks each of IM classes that were run by specialists in various fields and FM classes that were conducted by a chief resident. Twenty-three students were required to undergo remediation after posting poor scores on 2 sessions of a CPX. On completion of the remediation program, the students' clinical performance was re-evaluated, and the changes in clinical performance scores were analyzed.
  
  
  RESULTS
  After the remediation program, the students' total scores and scores on history taking, physical examination, physician's manner, and physician-patient interaction improved significantly. However, patient education did not improve. Most students found the remediation program to be instructive and helpful in preparation for the CPX. They were more satisfied with the chief resident's serial tutoring than with specialists' tutoring sessions.
  
  
  CONCLUSIONS
  The remediation program improves clinical performance. Continued development and implementation of this program will help failing students be competent physicians.
authors: Office of Medical Education, Seoul National University College of Medicine, Seoul, Korea.
authors: Sun Jung
authors: SJ
authors: Myung
authors: Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
authors: Jae-June
authors: JJ
authors: Yim
authors: Department of Family Medicine, Seoul National University College of Medicine, Seoul, Korea.
authors: Sang Min
authors: SM
authors: Park
authors: Office of Medical Education, Seoul National University College of Medicine, Seoul, Korea.
authors: Jwa Seop
authors: JS
authors: Shin
keywords: Clinical competence; Medical education; Remediation