Problems in Evaluating Communication Skills with the Objective Structured Clinical Examination / 医学教育

Fifth-year medical students at the Yamaguchi University School of Medicine must pass an objective structured clinical examination (OSCE) before beginning bedside learning. Because the OSCE is performed over 3 days, examinees on later days are suspected of having an advantage over those tested on early days. In this study, mean values for each day's scores by one examiner were statistically compared in stations of the medical interview to investigate the difference in scores obtained on each of the OSCE days. In addition, for stations at which one student was evaluated by two examiners, their scores for each student were compared statistically in the same manner. We found no significant day-todaydifferences in mean values of the scores over the 3 examination days. However, significant differences were found between the two examiners' scores in 2 of 3 stations for the medical interview. Although there were no differences in scores among participants during the 3-day communication OSCE, examiner's evaluations and formats should be standardized for OSCE stations.

A Correlation between the Year Five Medical Students' Scores on Written Examinations of Clinical Sciences and the Scores on OSCE / 医学教育

Recently, as the practical training for clinical skills are extensively introduced in the curriculum of medical schools, the objective structured clinical examinations (OSCEs) is taken to assess the clinical skills of trainees. However, there have been very few papers mentioned about correlation between scores on a written examination of the clinical sciences and those on OSCE in Japan. In this study, to compare these of two kinds of examinations in year five medical students of Yamaguchi University, their scores of the stations of OSCE and those of the written examinations of clinical sciences which seemed to correlate stations of skill's examinations were studied statistically. As a result, there were no statistical significances in each scores between skill's evaluations and written tests. This results that these two examinations estimated the different abilities of students on the taxonomy of medical education. Moreover, OSCE is reconfirmed to be identical as an evaluative method of clinical skills. Now, new medical educational systems should be introducted for the training of skills and attitude for students.

A Survey of Newly Enrolled Medical Students and New Students of Other Faculties on the Sensitivity to Human Death and Dying / 医学教育

A questionnaire survey of newly enrolled medical students on the sensitivity to human death and dying was conducted at Yamaguchi University in June 1997 and June 1998. The survey was performed during lectures of an elective liberal arts course in medical ethics for first-year students. Responses were received from 415 students, including 63 medical students. Answers from new medical students were compared with those from new students of other faculties. Our results show that our medical school entrance examination does not generally select students with a high motivation for bioethics. We should consider further improvement in the curriculum of the introduction to medicine (igakugairon in Japanese).