جستجوی مقالات مرتبط با کلیدواژه « آزمون صلاحیت بالینی » در نشریات گروه « پزشکی »

 As regards the novelty of the Clinical Competency Exam (CCE) in medical curriculum in Iran, lack of study about result of CCE and necessity for study about the relationship between result of CCE and other common exams in medical curriculum, this study was conducted. This study investigated the correlation between CCE and other exams in medical curriculum.

 This correlational study evaluated the CCE, comprehensive pre-internship exam (CPIE), Basic Science Grade Point Average (BSGPA), and Clinical Grade Point Average (CGPA) scores of the final year medical students admitted to Isfahan University of Medical Sciences in the academic years 2008-2013. The data were garnered by reviewing the relevant documentation provided by the Vice-Chancellery for educational and student affairs of Isfahan medical school.

 The CPIE average score was 125±20.03 (out of 200), and the CCE average score was 16±1.38 (out of 20). The BSGPA score was 15.59±1.40 (out of 20) and the CGPA score was 16.62±0.90 (out of 20). Considering the effect of other variables, the CGPA scores were significantly correlated to the CCE average scores (p-value<0.001) with a regression coefficient of 0. 492, demonstrating that a one-point increase in the CGPA average score increases the CCE score by 0.492. Likewise, the coefficient was calculated as 0.004 for CPIE and 0.08 for CGPA (with other variables being constant).

 According to the linear regression, students' CCE scores were significantly influenced by their CGPA, CPIE, and BSGPA scores. A significantly greater effect was observed in the CGPA, indicating a connection between knowledge level and CCE results. These relationships were, however, not very strong.

Anxiety is a phenomenon that is intensified nowadays along with the high emphasis of educational systems on tests. Hence, it can disrupt the correct performance of the learner in the test position. The purpose of this study was to determine the test anxiety and its effect on the performance of students in the clinical competency test of the end of the general medical course at Tehran Islamic Azad University in the academic year 2017-2018. The research method was a descriptive-correlational design. In addition, a total of 270 graduate students were selected by available sampling method. For data collection, demographic questionnaire, test anxiety Sarason (1977) and the results of clinical competency test were used. Using the logistic regression and software 22SPSS, the status of relationships between the variables of research was examined from respondents' point of view. Accordingly, the results showed that test anxiety (mild, moderate and severe) had a significant effect on students' performance in the clinical competency test of the end of the general medical course in Tehran Islamic Azad University during the academic year 2017-2018 (p <0.05). Considering the fact that examination may cause anxiety among students, planning for effective management of test anxiety in students is necessary and should be noticed.

The impact of individuals’ cognitive and subjective abilities on learning is very important. But one of the effective factors on learning is learning styles and hereupon people's differences in this regard. Therefore, in order to examine the styles of learning of the medical students’ final year and its relationship with the scores of both basic sciences and pre-internships comprehensive exams and the results of the clinical competency test of the end of the general practitioner course in Tehran Islamic Azad University in academic year 2017-2018, a descriptive and Correlation study was carried out on 270 medical students who were selected by available method. The data collection tool was a demographic questionnaire and Kolbe's learning style questionnaire (1999). Accordingly, reliability of the questionnaire was confirmed by Cronbach's alpha; and also by SPSS22 software and using bivariate linear and logistic regression, the relationship between dimension and research variables were examined from respondents' point of view. The results showed the positive relationship between abstract conceptualization variables, reflective observation and objective experience with comprehensive exams of basic sciences and pre-internships of the general practitioner course. Finally, the abstract conceptual variable revealed the highest ability to predict students' reject / acceptance in clinical competency test (p <0.05). Ultimately, awareness of the student's learning style is useful both for the learner and for the trainer, and can lead the learner successful in this regard.

The goal of clinical education in general medicine program is to achieve the minimum skills expected of graduates. Clinical competency exam is designed as a tool for assessing these minimum learning essentials. Exploring the viewpoints of examinees could be a step towards improving the quality of this exam and resolving its problems. The purpose of this study was to examine the viewpoints of interns participating in the clinical competency exam.
This qualitative study employed conventional content analysis approach. Subjects included 17 interns participating in the clinical competency exam in 2016 in Isfahan University of Medical Sciences who were interviewed in four groups of 4-6 people. Interviews were transcribed and then analyzed in MAXQDA-10 software.
A total of 93 preliminary codes were extracted. Having the duplicates removed and similar codes integrated, 72 codes were extracted and classified into 4 main categories and 9 subcategories. The main categories were: “conditions of the exam administration, content of the exam, educational factors affecting the exam, and conditions of exam stations”.
It seems that educational factors affecting the exam are the major factors that influenced the clinical competency exam. Also, the objectives of the exam were not clear from the perspective of examinees which could affect the results. Since the clinical competency exam can be used as a tool to make students try more to acquire the necessary and expected skills, taking corrective measures and organized regular planning are essential in this area.