Development of objective clinical performance examination based on undergraduate curriculum and psychometric analysis.

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To develop objective structured clinical examination(OSCE) for 6th-year medical students, we developed and analyzed 21 cases of standardized patients and assessment instruments in 2009-2011. Subcategories, such as history-taking, physical examination skills, providing information, clinical reasoning, and communication-interpersonal skills, and total scores were reliably assessed. It was suggested that case specific clinical competencies were evaluated in our examination. Based on our analysis and medical school curriculum, we proposed the plan of high-stakes summative OSCE.