2024 Volume 73 Issue 1 Pages 11-21
Medical record keeping is an important basic medical skill in clinical clerkship. To support and continuously evaluate this learning, we devised a peer review education program for medical records. During clinical clerkship, after the medical records written by the medical students were checked regarding each evaluation item and the outline, the students were provided guidance for improvement. The evaluations were conducted twice, and a questionnaire survey was administered to the students at the end of the clinical clerkship. The results showed an increase in scores in all evaluation items, in particular, "clinical reasoning and diagnostic process" and "plan". In the questionnaire, this peer review education was generally well received. It was suggested that current clinical practice does not provide sufficient opportunities to learn clinical inferences, assessments, and plans, but the multiple sessions of peer review education could improve these skills. Our peer review education system was useful for the practice of medical record keeping skills.
