Kampo diagnostic ability is specific in post‐clinical clerkship objective structured clinical examination: An observational study

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Auteurs principaux: Hiroshi Mihara, Hidetoshi Watari, Makoto Fujimoto, Mosaburo Kainuma, Akiteru Takamura
Format: Artículo Open Access
Publié: Wiley 2024
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author Hiroshi Mihara
Hidetoshi Watari
Makoto Fujimoto
Mosaburo Kainuma
Akiteru Takamura
author_facet Hiroshi Mihara
Hidetoshi Watari
Makoto Fujimoto
Mosaburo Kainuma
Akiteru Takamura
Hiroshi Mihara
Hidetoshi Watari
Makoto Fujimoto
Mosaburo Kainuma
Akiteru Takamura
collection Wiley Open Access
contents Kampo diagnostic ability is specific in post‐clinical clerkship objective structured clinical examination: An observational study Hiroshi Mihara Hidetoshi Watari Makoto Fujimoto Mosaburo Kainuma Akiteru Takamura Traditional & Kampo Medicine AbstractBackgroundThe Japanese medical educational model core curriculum requires an understanding of the characteristics of Kampo medicine. However, there are few reports on the methods of evaluating the skill levels of Kampo medicine practitioners.ObjectiveThis study investigated the utility of objective structured clinical examination (OSCE) for evaluating the skills of Kampo medicine practitioners, exploring its relationship with other medical skills.MethodsThe 2022 post‐clinical clerkship OSCE assessed the accuracy of Kampo‐related tasks, specifically abdominal examinations. In addition, correlation coefficients and factor analysis were used to analyze the relationship of Kampo tasks with other tasks (three clinical‐reasoning tasks, electrocardiogram attachment task, joint examination task).ResultsMedical students showed significant variation in their ability to accurately assess different abdominal regions. The epigastric region had the highest accuracy (92.0%), while the para‐umbilical region had the lowest (45.1%). Correlation analysis between Kampo tasks and other clinical tasks (clinical reasoning, electrocardiogram attachment, joint examination) yielded coefficients ranging from 0.10 to 0.19, suggesting a low relationship. Factor analysis confirmed the independence of Kampo skills from other assessed medical skills across four distinct factors.ConclusionsSince Kampo diagnostic skills are highly unique, it is possible that Western medicine OSCE tasks alone may not sufficiently assess competency in Kampo medicine. Therefore, it is necessary to consider incorporating Kampo tasks into the OSCE. 10.1002/tkm2.1421 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/tkm2.1421
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institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2024
publisher Wiley
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spellingShingle Kampo diagnostic ability is specific in post‐clinical clerkship objective structured clinical examination: An observational study
Hiroshi Mihara
Hidetoshi Watari
Makoto Fujimoto
Mosaburo Kainuma
Akiteru Takamura
Traditional & Kampo Medicine
Kampo diagnostic ability is specific in post‐clinical clerkship objective structured clinical examination: An observational study Hiroshi Mihara Hidetoshi Watari Makoto Fujimoto Mosaburo Kainuma Akiteru Takamura Traditional & Kampo Medicine AbstractBackgroundThe Japanese medical educational model core curriculum requires an understanding of the characteristics of Kampo medicine. However, there are few reports on the methods of evaluating the skill levels of Kampo medicine practitioners.ObjectiveThis study investigated the utility of objective structured clinical examination (OSCE) for evaluating the skills of Kampo medicine practitioners, exploring its relationship with other medical skills.MethodsThe 2022 post‐clinical clerkship OSCE assessed the accuracy of Kampo‐related tasks, specifically abdominal examinations. In addition, correlation coefficients and factor analysis were used to analyze the relationship of Kampo tasks with other tasks (three clinical‐reasoning tasks, electrocardiogram attachment task, joint examination task).ResultsMedical students showed significant variation in their ability to accurately assess different abdominal regions. The epigastric region had the highest accuracy (92.0%), while the para‐umbilical region had the lowest (45.1%). Correlation analysis between Kampo tasks and other clinical tasks (clinical reasoning, electrocardiogram attachment, joint examination) yielded coefficients ranging from 0.10 to 0.19, suggesting a low relationship. Factor analysis confirmed the independence of Kampo skills from other assessed medical skills across four distinct factors.ConclusionsSince Kampo diagnostic skills are highly unique, it is possible that Western medicine OSCE tasks alone may not sufficiently assess competency in Kampo medicine. Therefore, it is necessary to consider incorporating Kampo tasks into the OSCE. 10.1002/tkm2.1421 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Kampo diagnostic ability is specific in post‐clinical clerkship objective structured clinical examination: An observational study
topic Traditional & Kampo Medicine
url https://onlinelibrary.wiley.com/doi/10.1002/tkm2.1421