전공의 공통 교육과정에 대한 요구 분석
Needs assessment of a core curriculum for residency training
1
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Purpose: The core curriculum in graduate medical education (GME) is an educational program that covers the minimum body of knowledge and skills that is required of all residents, regardless of their specialty. This study examined the opinions of stakeholders in GME regarding the core curriculum. Methods: A questionnaire was administered at three tertiary hospitals that were affiliated with one university; 192 residents and 61 faculty members and attending physicians participated in the survey. The questionnaire comprised six items on physician competency and the needs for a core curriculum. Questions on subjects or topics and adequate training years for each topics were asked only to residents. Results: Most residents (78.6%) and faculty members (86.9%) chose “medical expertise” as the “doctor’s role in the 21st century.” In contrast, communicator, manager, and collaborator were recognized by less than 30% of all participants. Most residents (74.1%) responded that a core curriculum is “necessary but not feasible,” whereas 68.3% of faculty members answered that it is “absolutely needed.” Regarding subjects that should be included in the core curriculum, residents and faculty members had disparate preferences— residents preferred more “management of a private clinic” and “financial management,” whereas faculty members desired “medical ethics” and “communication skills.” Conclusion: Residents and faculty members agree that residents should develop a wide range of competencies in their training. However, the perception of the feasibility and opinions on the contents of the core curriculum differed between groups. Further studies with larger samples should be conducted to define the roles and professional competencies of physicians and the needs for a core curriculum in GME.
Abstract
Purpose: The core curriculum in graduate medical education (GME) is an educational program that covers the minimum body of knowledge and skills that is required of all residents, regardless of their specialty. This study examined the opinions of stakeholders in GME regarding the core curriculum. Methods: A questionnaire was administered at three tertiary hospitals that were affiliated with one university; 192 residents and 61 faculty members and attending physicians participated in the survey. The questionnaire comprised six items on physician competency and the needs for a core curriculum. Questions on subjects or topics and adequate training years for each topics were asked only to residents. Results: Most residents (78.6%) and faculty members (86.9%) chose “medical expertise” as the “doctor’s role in the 21st century.” In contrast, communicator, manager, and collaborator were recognized by less than 30% of all participants. Most residents (74.1%) responded that a core curriculum is “necessary but not feasible,” whereas 68.3% of faculty members answered that it is “absolutely needed.” Regarding subjects that should be included in the core curriculum, residents and faculty members had disparate preferences— residents preferred more “management of a private clinic” and “financial management,” whereas faculty members desired “medical ethics” and “communication skills.” Conclusion: Residents and faculty members agree that residents should develop a wide range of competencies in their training. However, the perception of the feasibility and opinions on the contents of the core curriculum differed between groups. Further studies with larger samples should be conducted to define the roles and professional competencies of physicians and the needs for a core curriculum in GME.
참고문헌 (22)
- Taylor KL, "Meeting the needs of future physicians : a core curriculum initiative for postgraduate medical education at a Canadian university", Med Educ, 35, pp.973~982 (2001)
- Batalden P, "General competencies and accreditation in graduate medical education", Health Aff (Millwood), 21, pp.103~111 (2002)
- Frey K, "The 'Collaborative Care' curriculum : an educational model addressing key ACGME core competencies in primary care residency training", Med Educ, 37, pp.786~789 (2003)
- Association of Program Directors in Internal Medicine, "Redesigning residency education in internal medicine: a position paper from the Association of Program Directors in Internal Medicine", Ann Intern Med, 144, pp.920~926 (2006)
- Green ML, "Charting the road to competence : developmental milestones for internal medicine residency training", J Grad Med Educ, 1, pp.5~20 (2009)
- Frank JR Royal College of Physicians, "The CanMEDS 2005 physician competency framework: better standards, better physicians, better care", Royal College of Physicians and Surgeons of Canada, ~ (2005)
- Frank JR, "The CanMEDS initiative : implementing an outcomes-based framework of physician competencies", Med Teach, 29, pp.642~647 (2007)
- Reichgott MJ, "Education in residency training", Einstein Q J Biol Med, 16, pp.49~51 (1999)
- Association of American Medical Colleges, "AAMC GME core curriculum project: draft for comment", Association of American Medical Colleges, ~ (1999)
- Medio FJ, "Implementation of a college-wide GME core curriculum", Acad Med, 76, pp.331~336 (2001)
- Pensa M, "Integrating improvement learning into a family medicine residency curriculum", Fam Med, 45, pp.409~416 (2013)
- Crites GE, "A preliminary report of an educational intervention in practice management", BMC Med Educ, 4, pp.15~ (2004)
- Turley CB, "Systems survivor : a program for house staff in systems-based practice", Teach Learn Med, 19, pp.128~138 (2007)
- Kim BS, "Evaluation of the educational status of internal medicine residency program in Korea", Korean J Med Educ, 15, pp.27~34 (2003)
- Cubic BA, "ACGME core competencies : helpful information for psychologists", J Clin Psychol Med Settings, 15, pp.28~39 (2008)
- Rider EA, "A practical guide to teaching and assessing the ACGME core competencies", HCPro, ~ (2007)
- Chapman DM, "Integrating the accreditationcouncil for graduate medical education core competencies into the model of the clinical practice of emergency medicine", Acad Emerg Med, 11, pp.674~685 (2004)
- Stratman EJ, "Analysis of dermatology resident self-reported successful learning styles and implications for core competency curriculum development", Med Teach, 30, pp.420~425 (2008)
- Ahn D, "Korean doctor's role", J Korean Med Assoc, 57, pp.3~7 (2014)
- Jeongongui suryeon mich geunlohwangyeongsiltaejosa, "Research Institute for Healthcare Policy", Research Institute for Healthcare Policy, ~ (2014)
- Fiebach NH, "A curriculum in health systems and public health for internal medicine residents", Am J Prev Med, 41(4 Suppl 3), pp.S264~S269 (2011)
- Tapia NM, "Identifying and eliminating deficiencies in the general surgery resident core competency curriculum", JAMA Surg, 149, pp.514~518 (2014)
