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The most requested factors in clinical skills exams for evaluating novice physicians: an internet-based survey of the general public in Japan

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Title: The most requested factors in clinical skills exams for evaluating novice physicians: an internet-based survey of the general public in Japan
Authors: Otaki, Junji Browse this author →KAKEN DB
Nagata-Kobayashi, Shizuko Browse this author
Takayashiki, Ayumi Browse this author →KAKEN DB
Ono, Maiko Browse this author
Fukushi, Motoharu Browse this author
Matsumura, Shinji Browse this author
Keywords: OSCE
Clinical skills test
National medical licensure examination
Internet-based survey
Opinion of the general public
Issue Date: 24-May-2013
Publisher: Biomed Central Ltd
Journal Title: BMC Medical Education
Volume: 13
Publisher DOI: 10.1186/1472-6920-13-74
Abstract: Background: Clinical skills tests have been added to the national medical licensure examinations in Canada, the U. S., Korea and Switzerland. Adding a clinical skills test to the Japanese national medical licensure examination should also be considered under the Medical Practitioners Act. On the other hand, such tests might be costly and represent an economic burden to the nation's citizens. Thus, it is appropriate to obtain the opinion of the general public for the introduction of such tests. Although a clinical skills test can measure various competencies, it remains uncertain as to what should be measured. In this study, we aimed to ascertain public opinion regarding the clinical skills demanded of novice physicians. Methods: We conducted an internet-based survey of the general public in Japan. We randomly selected 7,213 people aged 20 to 69 years. The main topics surveyed included: whether the Japanese government should add a skills test to the existing national medical licensure examination; what kind of skills should be included in this test; and who should pay for the examination. Results: Of 3,093 (1,531 men and 1,562 women) people who completed the questionnaire (completion rate 42.9%), 90.5% (n = 2,800) responded that a clinical skills test should be part of the national medical licensure examination. The main skills which respondents thought should be included were "explaining and discussing medical issues in an appropriate manner to patients" (n = 2,176, 70.4%), "accurately diagnosing problems by conducting a physical examination" (n = 1,984, 64.1%), and "carefully interviewing patients to make a diagnosis" (n = 1,663; 53.8%). Three-fifths of the respondents (n = 1,900; 61.4%) responded that more than half of the cost of the examination should be paid by the Japanese government. Conclusions: The majority of respondents indicated that a clinical skills test should be added to the national medical licensure examination. These respondents who represent the general public were requesting the verification of communication, diagnostic interview and diagnostic physical examination skills. Medical educators should incorporate these public requests, and teach and assess medical students accordingly.
Rights: http://creativecommons.org/licenses/by/2.0/
Type: article
URI: http://hdl.handle.net/2115/53038
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 大滝 純司

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