1) Clinical skill test

○ Test subjects

History taking, physical examination, physician and patient interaction, attitudes towards medical examinations, and basic technical skill.

○ Test procedure

The clinical skill test consists of patient encounter and procedure skills items. The patient encounter test serves to assess the overall clinical competence of candidates, such as history taking, physical examination, patient education, and Physician and Patient Interaction (PPI) with standardized patients. The procedure skills component serves to assess the basic technical skill required in the clinical setting.

There are 12 test rooms (stations) in the test location. The rooms used for patient encounter will be rooms numbered 1, 3, 5, 7, 9 and 11, which are odd numbers. The even numbers - numbers 2, 4, 6, 8, 10 and 12 - will be reserved for the procedure skills component.

The examinee will rotate between the 12 rooms in a clockwise manner. For example, an examinee starting at room 5 will move from 5 to 6 and 7. After passing through rooms 8, 9, 10, 11, 12, 1, 2 and 3, the examinee will complete the test at room 4.

Example. Number 5 examinee.

No. 5 room (starting point) → room 6 → room 7 → room 8 → ……→ room 4 (finishing point)

○ Number of test items, score allocation, and test time

The clinical skill test items consist of a total of 12 items for each examinee, which include 6 items for patient encounters and 6 items for procedure skills. For each patient encounter item, 100 score will be allocated, and for each procedure skills item, 50 score will be allocated, yielding a total of 900 score for the 12 items. The duration of the item will be 10 minutes for each patient encounter item and 5 minutes for each procedure skills item.

Item type No. of items Score allocation Total score Time (min)
Patient encounter 6 100 per item 600 10
Inter-station test¹ : extra 5minutes per item
Procedure skills 6 50 per item 300 5
Total 900 157

¹ Test to record the diagnostic and therapeutic plan after examining a standardized patient during the inter-station interval.