Purpose : The establishment of clinical skills centers(CSCs) to facilitate the teaching and assessment of clinical skills is one of the more recent developments occurring in medical schools worldwide. The aim of this study is to review experiences of CSCs in other medical schools and learn how to design a CSC in our school. Methods : This study was undertaken in two steps. In the first step, educational activities of CSCs in 6 medical schools were reviewed. In the second step, a search for articles of journals regarding clinical skills education in CSCs was conducted. Results : The review of CSCs programs reveals variations among centers in teaching and assessment activities. However there are increasing trends of utilizing CSCs in teaching and learning in CSCs. The delivery of clinical skills is expanded by an increasing use of simulated patients and realistic simulators. Through an audio/video technology, availability of more detailed monitoring and feedback. CSCs also provide greater opportunity for assessment of communications skills, physical examination and practical procedures. Conclusions: CSCs contribute to the effectiveness in clinical teaching and assessment. Educational benefits of a CSC can be maximized by utilizing new delivery methods, implementing educational strategies and staff development programmes.

A self directed learning(SDL) has been identified as an important ability for medical graduates. The purpose of this study was 1) to measure the SDLR of medical students, 2) to compare the relationship among the student perceptions of assessment, preference of instructional methods with SDLR. This study was conducted in 2006 at A University College of Medicine. The instrument applied to this study was SDLR. Korean version of Guglielmino's SDLR for Adults. The $SPSSwin^{(R)}$ program was used to analyze the data and statistics such as correlation. F-test, and Chi square test. Firstly. the mean scores of the SDLR of first, second. fourth year were 114.8, 107.9 and 106.2. This results showed a significant relationship among years (p<.001). Secondly the relationship between the student perceptions of assessment and SDLR was insignificant. The SDLR high scores students had a tendency to favorite "Discussion" and "Bedside teaching". This study found out the problems of medical education to enhance self directed learning ability for medical students. Further study is needed so that suitable instructional methods for medical students can be conducted in curriculum.

Purpose: The 'learning cycle' proposed by Guilbert in 1981 has been accredited as an effective and useful model for curriculum design. Three components of learning cycle, learning objective, instructional method, and assessment are connected organically and form basic structure of curriculum. In this study, we intend to analyze how the learning cycle and its three components are applied to present medical curriculum and examine the points at issue of the learning cycle in medical education. Also, we try to identify the educational significance of the leaning cycle in medical education. Results: First, concerning the learning objective, it was identified that impractical and abstract expressions are major controversial points. Also, there is a need to make learning objectives covering entire medical curriculum. Second, because of various structural problems, it is hard to practice new and various instructional methods. Third, even though there is a growing need for medical curriculum to develop and utilize more various and detailed assessment and evaluation, it was revealed that only are standardized and traditional assessments mainly used. Conclusion: Synthetically, we have some suggestions as follows. First, it is necessary to specify and actualize the learning objectives. Also, instructional methods and assessments should be diversified. And finally, there is a need to build organic and delicate medical curriculum by applying the learning cycle to medical education more actively.

Objectives: Through using of the strong research method like a Randomized Controlled Trial: RCT, we have to heighten quality of Medical Education study. I'd like to introduce "CONSORT", which stands for Consolidated Standards of Reporting Trials. Contents: Preventive Service Task Force(200l) in USA proposed Levels of evidence for enlarging evidence-based Practice: EBP. And the CONSORT was introduced, which encompasses various initiatives developed by the CONSORT Group to alleviate the problems arising from inadequate reporting of randomized controlled trials (RCTs). the CONSORT has 13 guides like these: 1. How participants were allocated to interventions 2. Scientific background and explanation of rationale 3. Eligibility criteria for participants. The settings and locations where the data were collected. 4. Precise details of the interventions intended for each group and how and when they were actually administered 5. Specific objectives and hypotheses 6. Clearly defined primary and secondary outcome measures, When applicable. any methods to enhance the quality of measurements (e.g., multiple observations, training of assessors) 7. How sample size was determined. When applicable, explanation of any interim analyses and stopping rules 8. Method used to generate the random allocation sequence, Details of any restriction [of randomization] 9. Method used to implement the random allocation sequence 10. Who generated the allocation sequence, who enrolled participants. and who assigned participants to their groups 11. Whether or not participants, those administering the interventions, and those assessing the outcomes were blinded to group assignment. If done, how the success of blinding was evaluated 12. Statistical methods used to compare groups for primary outcome(s), Methods for additional analyses, such as subgroup analyses and adjusted analyses 13. Flow of participants through each stage (a diagram is strongly recommended) Specifically, for each group report the numbers of participants randomly assigned. receiving intended treatment, completing the study protocol. and analyzed for the primary outcome. Results and Conclusion: Randomized Controlled Trial: RCT guided of CONSORT will contribute to do stronger evidence-based medical studies.

Purpose & Method : To describe medical students' need on the mentoring program and relationship with career choice, 186/251 (74.1%) of first-and second-year medical students at Yonsei University College of Medicine. Seoul. Korea were surveyed. Result : 66.1% of medical students replied that he/she would volunteer as a mentee in mentoring program. Medical students' need area in mentoring program was specialty choice (62.9%). research development(18.8%), adapting to school life (13.9%) and effective learning skill (2.7%). 47.2% of medical students replied that his/her wishful career and working place is university faculty. Medical students who replied that he/she would volunteer as a mentee showed more needs on the research mentoring program(P=0.0112) and faculty career(P=0.0185) than those who replied that he/she would not volunteer as a mentee. Conclusion For successful implementation of mentoring program. this analysis on medical students' need should be considered.