기초의학문항과 통합문항의 응급구조학과 학생 역량 측정 적절성에 대한 문항반응이론 기반 비교 연구
An item response theory–based comparative analysis of the appropriateness of basic medical science items and integrated items in measuring competency of paramedic students
Purpose: This study compared and analyzed integrated items (A-type) reflecting clinical scenarios with basic medical science items (B-type) within the basic medical sciences section of the national examination for paramedics by applying the 2-parameter logistic (2PL) Item Response Theory (IRT) model. Methods: Thirty pairs of items, each consisting of one A-type item and one B-type item, were developed for this study. The examination was conducted using a randomized crossover design with 147 paramedic students who had completed the national certification exam one week prior. Data analysis was performed using the R software package. Results: The results indicated that Type A items demonstrated an average discrimination power similar to or slightly higher than Type B items, while maintaining a difficult structure that showed better alignment with the distribution of student competencies. Furthermore, analyses of the Test Characteristic Curves (TCC) and Test Information Functions (TIF) revealed that the proficiency levels required to reach the same score thresholds were higher for A-type items. The focus of information provision also shifted toward competency intervals closer to the mean. Conclusion: Overall, gradually increasing the number of integrated items in the National Paramedic Exam will increase the assessment standards and practical suitability. This change must be paired with clinical linkage education and case-based learning to ensure effective integration into the curriculum.
목차
= Abstract = Ⅰ. 서론 Ⅱ. 연구방법 1. 연구설계 2. 연구대상 및 자료수집 방법 3. 시험문제 제작 4. 분석 방법 5. 설문 조사 Ⅲ. 연구결과 1. 대상자의 특성과 기초의학 교육 인식 설문 2. 문항 난이도와 변별도의 비교 3. 검사특성곡선 비교 4. 동일 역량에서의 기대점수 비교 5. 커널밀도함수와 라이트지도 Ⅳ. 고찰 Ⅴ. 결론 References
한국응급구조학회 [The Korean Society of Emergency Medical Technology]
설립연도
1997
분야
의약학>응급의학
소개
복합 구조적인 산업사회의 발전에 따라 안전사고와 응급상황에서의 구조구급요청자들이 증가하고 있으나 우리나라의 응급의료체계는 아직 그 수준을 따라가지 못하고 있는 실정이다. 이에 우리나라의 응급의료체계를 확립하고 구조구급에 관한 기초학문의 발전에 기여하고자 학회를 창립한다.
간행물
간행물명
한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]