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要旨:本研究の目的は,OSCEや症例検討,報告書作成においてeポートフォリオを活用した学内実習が,クリニカルリーズニング(以下,CR)の自己評価に与える影響とその要因について量的・質的側面から検討することである.学生37名を対象に,SA-CROTを用いて前後比較を行い,デイリーノートを計量テキスト分析にて分析した.結果,SA-CROT総得点・全因子において,実習前に比べ実習後に有意差(p<0.001)を認め,大きな効果量(r>0.5)を示した.計量テキスト分析では実践的評価や症例の情報整理と言語化の過程の経験が描出され,eポートフォリオは省察の機会となり,学内実習はCRの学習に寄与することが示唆された.
The purpose of this study was to investigate the influence of on-campus seminars using e-portfolios in OSCE, case reviews, and report writing on the self-evaluation of Clinical Reasoning (CR) and associated factors from quantitative and qualitative aspects. Pre-and post-comparisons were made using the SA-CROT for 37 students, and daily notes were analyzed by text mining. The results showed a significant difference (p<0.001) and a large effect size (r>0.5) in the SA-CROT total score and all factors after the training compared to before the training. The text mining depicted the experience of practical evaluation and the process of organizing and verbalizing case information, suggesting that the e-portfolio provides an opportunity for reflection, and the on-campus seminar contributes to the learning of CR.
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