Assessment of Acupuncture and Moxibustion Medicine Clinical Practice Using the Objective Structured Clinical Examination

Abstract

Background: The objective structured clinical examination (OSCE) is a widely used method to assess the clinical performance of students in clinical practice. Although OSCE has been used for undergraduate students of Korean medicine, this has not been widely reported. Methods: In 2020, the practical course for acupuncture and moxibustion medicine (acupuncture, electroacupuncture, pharmacopuncture, auricular acupuncture, and burning acupuncture) was taught using flipped learning, according to clinical practice guidelines, and assessed by the OSCE. The appropriateness of this model of education and its evaluation using OSCE were evaluated using a 5-point Likert scale, and the results were analyzed. Results: Of the respondents, 67% reported that the OSCE accurately reflected their competency, and 82% reported that online video lectures helped them to improve their clinical skills. The average adequacy score of the model was > 3.7/5, and the average adequacy score of the checklist used in the OSCE was > 4.1/5 for all 5 clinical application skills. The difference in the mean self-efficacy score between students who had taken the OSCE and those students who had not taken the OSCE, was highest in the burning acupuncture group (0.923). Conclusion: This study showed that students’ satisfaction with the OSCE was high and flipped learning was an effective education model. In the future, models representing the human body or simulated patients should be used to evaluate students’ skills and attitude.

Implementation and evaluation of acupuncture training program using a rapid prototyping instructional systems design model: A mixed-methods study for effectiveness evaluation

“…Breaking down each part of a skill into smaller units and teaching them sequentially in structured steps [21] has been effective in teaching clinical skills in Korean medicine education [22,23]. In acupuncture training, practice with human subjects is essential because using a model is impractical [24]. Therefore, we established groups comprising students as patients and observers to ensure adherence to procedures.…”

Implementation of Objective Structured Clinical Examination on Diagnostic Musculoskeletal Ultrasonography Training in Undergraduate Traditional Korean Medicine Education: An Action Research

“…The two diagnostic criteria for carpal tunnel syndrome used in ultrasound training are as follows: (1) the cutoff value of the vertical distance between the line connecting the top of the scaphoid and the pisiform in the proximal carpal tunnel and the apex of the retinaculum is between 3 and 4 mm [22][23][24] (Figure 2); (2) the cross-sectional area of the median nerve proximal to the tunnel inlet is 10 mm 2 or more [25][26][27] (Figure 3). The preceptor in charge of this lecture has experience in two ultrasound clinical research studies [9,11] and in performing multiple OSCEs [7,8]. The lecture was designed with the advice of two traditional medicine doctors who obtained a certification (Registered in Musculoskeletal Sonography (RMSK)) hosted by the American Registry for Diagnostic Medical Sonography (ARDMS) [28].…”

“…The time to practice ultrasound in person under the supervision of the preceptor was 1 h per group of 4-5 people. The preceptor in charge of this lecture has experience in two ultrasound clinical research studies [9,11] and in performing multiple OSCEs [7,8]. The lecture was designed with the advice of two traditional medicine doctors who obtained a certification (Registered in Musculoskeletal Sonography (RMSK)) hosted by the American Registry for Diagnostic Medical Sonography (ARDMS) [28].…”

“…OSCE has also been adopted in traditional medicine. In traditional medicine, the introduction of OSCE is expected to enhance clinical competency and strengthen the authenticity of education [ 6 , 7 , 8 ]. Studies on ultrasound to scan the anatomical structure of acupoints for accurate diagnosis and safe treatment [ 9 , 10 , 11 ], cases utilizing ultrasound for diagnosis and treatment [ 12 , 13 ], and the efficacy of ultrasound-guided intervention [ 14 , 15 ] have been reported by traditional medicine physicians.…”