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Abstract：
This study explores the challenges encountered by developers when creating objective and structured clinical examination (OSCE) modules specifically for Korean medicine (KM). The complexity of developing pattern identification (PI) items, due to the lack of standardized materials and ambiguity in KM, was a primary focus. A mixed-method approach was utilized, including a survey, importance-performance analysis, and focus group interviews. Seven developers participated, creating a total of 21 OSCE modules. The main difficulties identified were in developing PI items, selecting appropriate cases, crafting realistic examination situations, determining scoring criteria, setting up checklists, and writing scenarios. Challenges were categorized into \"case,\" \"examination situation,\" \"postexamination notes,\" \"checklist,\" \"scenario,\" \"format,\" and \"PI.\" The importance-performance analysis revealed improvements in module development capabilities with each iteration. For the future development of efficient OSCE modules, standardization of KM diagnostic methods and PI is essential. The study highlights the need for social and academic efforts, as well as support from the KM education community and schools, to address these challenges and enhance the development process.
摘要：
本研究探讨了开发人员在创建专门针对韩国医学（KM）的客观和结构化临床检查（OSCE）模块时遇到的挑战。开发模式识别(PI)项目的复杂性，由于缺乏标准化的材料和知识管理的模糊性，是主要焦点。采用了混合方法，包括一项调查，重要性-性能分析，和焦点小组访谈。七个开发商参加了，总共创建了21个OSCE模块。确定的主要困难是开发PI项目，选择合适的案例，精心制作现实的考试情境，确定评分标准，设置清单，写场景。挑战被归类为“案例”，“\”考试情况，\"\"后验笔记，\"\"检查清单,\"\"场景,\"\"格式,\"和\"PI。“重要性-性能分析揭示了每次迭代模块开发能力的改进。为了今后开发有效的OSCE模块，KM诊断方法和PI的标准化至关重要。这项研究强调了社会和学术努力的必要性，以及KM教育界和学校的支持，以应对这些挑战并加强发展进程。
