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Related Experiment Video

Updated: Apr 15, 2026

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Relationship between the Clinical Performance Examination and Associated Variables.

Kwi Hwa Park1, Wook Jin Chung1, Duho Hong1

  • 1Department of Medical Education, School of Medicine, Gachon University of Medicine and Science, Incheon, Korea.

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|March 28, 2015
PubMed
Summary

Student self-efficacy, preparedness, and anxiety significantly impact clinical performance examination (CPX) scores. Clinical clerkship education is crucial for enhancing self-efficacy and improving CPX outcomes.

Keywords:
AnxietyClinical clerkshipClinical competenceSelf efficacy

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Area of Science:

  • Medical Education
  • Psychology in Medicine

Background:

  • Assessing medical student performance requires understanding factors influencing clinical skills.
  • Traditional metrics like basic science and written exams may not fully capture clinical competence.

Purpose of the Study:

  • To investigate the causal relationships between academic scores, affective factors, and clinical performance.
  • To determine how self-efficacy, anxiety, and preparedness relate to medical students' performance on the clinical performance examination (CPX).

Main Methods:

  • Structural equation modeling was used to analyze data from 38 medical students.
  • Variables included basic science scores, written exam scores, clinical clerkship scores, self-efficacy, anxiety, and preparedness.
  • A survey assessed affective factors one day prior to the CPX.

Main Results:

  • Self-efficacy indirectly influenced CPX scores via preparedness and anxiety.
  • Preparedness indirectly affected CPX scores through anxiety.
  • Anxiety, influenced by self-efficacy, directly predicted CPX scores.
  • Clinical clerkship scores indirectly impacted CPX scores.
  • Basic science and written exam scores did not directly or indirectly influence CPX scores.

Conclusions:

  • Clinical clerkship education and effective teaching methods are vital for boosting student self-efficacy.
  • Affective factors play a significant role in medical students' clinical performance, beyond traditional academic measures.