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의과대학생을 위한 체제적 진로상담 모델과 전략

A Systematic Career Advising Model and Strategies for Medical Students

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초록

One of the important roles of medical schools is to support medical students in deciding upon their future career path or choosing their specialty. The purpose of this study is to suggest a career advising model and strategies for medical students through a systematic approach. This study consists of three parts. The first part introduces some main career theories: super’s career development theory, career decision-making theory, social cognitive career theory, and ecosystem theory. The second part proposes a systematic career advising model using the results acquired from previous studies and theories. This model considers a medical school as a social system that consists of two domains (internal and external). This social system is considered as a complex where various factors interact with each other: students’ individual characteristics, institutional policies and culture, curriculum and learning experience, students’ perceived specialty characteristics, and aspects of the external environment such as healthcare systems. The third part suggests some career advising strategies based on a systematic approach that medical schools can apply. These research results can be used for designing career advising courses for medical students, integrating various career advising programs and resources of medical schools, and evaluating the outcomes of career advising programs at an institutional level.

Abstract

One of the important roles of medical schools is to support medical students in deciding upon their future career path or choosing their specialty. The purpose of this study is to suggest a career advising model and strategies for medical students through a systematic approach. This study consists of three parts. The first part introduces some main career theories: super’s career development theory, career decision-making theory, social cognitive career theory, and ecosystem theory. The second part proposes a systematic career advising model using the results acquired from previous studies and theories. This model considers a medical school as a social system that consists of two domains (internal and external). This social system is considered as a complex where various factors interact with each other: students’ individual characteristics, institutional policies and culture, curriculum and learning experience, students’ perceived specialty characteristics, and aspects of the external environment such as healthcare systems. The third part suggests some career advising strategies based on a systematic approach that medical schools can apply. These research results can be used for designing career advising courses for medical students, integrating various career advising programs and resources of medical schools, and evaluating the outcomes of career advising programs at an institutional level.

참고문헌 (94)

  1. Navarro AM, "Three innovative curricula for addressing medical students’ career development", Acad Med, 86(1), pp.72~76 (2011)
  2. Sud S, "Career decision making in undergraduate medical education", Can Med Educ J, 11(3), pp.e56~66 (2020)
  3. Navarro A, "A model for implementing medical student career development courses", MedEdPORTAL, 6, pp.8197~ (2010)
  4. Pfarrwaller E, "An expanded conceptual framework of medical students’primary care career choice", Acad Med, 92(11), pp.1536~1542 (2017)
  5. S A Schroeder, "Training an appropriate mix of physicians to meet the nationʼs needs", Academic Medicine, 68(2), pp.118~22 (1993), Ovid Technologies (Wolters Kluwer Health)[DOI]
  6. Petrides KV, "Mapping medical careers : questionnaire assessment of career preferences in medical school applicants and final-year students", BMC Med Educ, 4, pp.18~ (2004)
  7. Howse K, "Canadian national guidelines and recommendations for integrating career advising into medical school curricula", Acad Med, 92(11), pp.1543~1548 (2017)
  8. Vo A, "Medical specialty preferences in early medical school training in Canada", Int J Med Educ, 8, pp.400~407 (2017)
  9. Dahlin M, "Stress and depression among medical students : a cross-sectional study", Med Educ, 39(6), pp.594~604 (2005)
  10. Sophie J. Querido, "Dynamics of career choice among students in undergraduate medical courses. A BEME systematic review: BEME Guide No. 33", Medical Teacher, 38(1), pp.18~29 (2015), Informa UK Limited[DOI]
  11. Cleland J, "Associations between medical school and career preferences in year 1 medical students in Scotland", Med Educ, 46(5), pp.473~484 (2012)
  12. Markert RJ, "Why medical students change to and from primary care as career choice", Fam Med, 23(5), pp.347~350 (1991)
  13. Underwood MJ, "Insight of first-year medical students into their future working conditions", Med Educ, 24(3), pp.210~211 (1990)
  14. Nieuwhof MG, "Students’ conceptions of the medical profession; an interview study", Med Teach, 27(8), pp.709~714 (2005)
  15. Gati I, "Should I use a computer-assisted career guidance system? : it depends on where your career decision-making difficulties lie", Br J Guid Couns, 29(3), pp.301~321 (2001)
  16. Liaison Committee on Medical Education, "Functions and structure of a medical school : Standards for Accreditation of Medical Education Programs leading to the MD degree" (2016), Liaison Committee on Medical Education
  17. "CACMS standards and elements: Standards for Accreditation of Medical Education Programs leading to the MD degree" (2016)[URL]
  18. Korean Institute of Medical Education and Evaluation, "Accreditation standards of KIMEE" (2020), Korean Institute of Medical Education and Evaluation
  19. Patel SG, "Career guidance and the Web : bridging the gap between the AAMC careers in Medicine Web site and local career guidance programs", Teach Learn Med, 20(3), pp.230~234 (2008)
  20. Zink BJ, "A comprehensive medical student career development program improves medical student satisfaction with career planning", Teach Learn Med, 19(1), pp.55~60 (2007)
  21. Lillevang G, "Career counselling and choice of speciality", Ugeskr Laeger, 170(44), pp.3547~3549 (2008)
  22. Wijnen-Meijer M, "Stages and transitions in medical education around the world : clarifying structures and terminology", Med Teach, 35(4), pp.301~307 (2013)
  23. Reed VA, "Understanding and improving medical student specialty choice : a synthesis of the literature using decision theory as a referent", Teach Learn Med, 13(2), pp.117~129 (2001)
  24. 허예라, "의과대학생의 직업흥미유형과 학생 진로지도 프로그램에서의 활용", Korean Journal of Medical Education, 24(4), pp.309~317 (2012), 한국의학교육학회[DOI]
  25. Kim H, "Factors influencing the specialty selection of medical students", Korean J Med Educ, 15(2), pp.151~161 (2003)
  26. 강예지, "Exploring the preconception of the first year of medical students on medicine before entering medical school", Korean Journal of Medical Education, 33(4), pp.369~379 (2021), 한국의학교육학회
  27. 윤소정, "의사의 타분야 진출에 대한 의과대학 학생과 교수의 인식", 교육혁신연구, 29(3), pp.241~256 (2019), 교육발전연구소[DOI]
  28. 허예라, "Development of a career coaching model for medical students", Korean Journal of Medical Education, 28(1), pp.127~136 (2016), 한국의학교육학회
  29. Von Bertalanffy L, "An outline of general system theory", Br J Philos Sci, 1, pp.134~165 (1950)
  30. Owens RG, "Organizational behavior in education: adaptive leadership and school reform" (2008), Allyn and Bacon
  31. Super DE, "Career education and the meanings of work" (1976), U.S. Department of Health, Education, and Welfare, Office of Education
  32. Chen CP, "Understanding career development : a convergence of perspectives", J Vocat Educ Train, 50(3), pp.437~461 (1998)
  33. Kim BH, "Career counseling theory" (2010), Hagjisa
  34. Fouad NA, "The construct of career maturity in the United States and Israel", J Vocat Behav, 32(1), pp.49~59 (1988)
  35. Super DE, "Career development theory", Br J Guid Couns, 1(1), pp.3~16 (1973)
  36. Ginzberg E, "Career choice and development", pp.169~191 (1984), Jossey-Bass
  37. Herr EL, "Career guidance and counseling through the life span: systematic approaches" (1992), Harper Collins
  38. Lee So-young, "Analysis on Students’ Career Preparation in One Korean Medical School: Based on the Relationship and Trend Between Career Maturity and Specialty Indecision", Journal of Korean Medical Science, 37(37), pp.1~13 (2022), 대한의학회[DOI]
  39. 유효현, "의학전문대학원생을 대상으로 한 진로설계프로그램 효과분석", 의학교육논단, 17(3), pp.131~139 (2015), 연세대학교 의과대학[DOI]
  40. Harren VA, "A model of career decision making for college students", J Vocat Behav, 14(2), pp.119~133 (1979)
  41. Dawes RM, "Rational choice in an uncertain world" (1988), Harcourt Brace Jovanovich College Publishers
  42. Bland CJ, "Determinants of primary care specialty choice : a non-statistical meta-analysis of the literature", Acad Med, 70(7), pp.620~641 (1995)
  43. Bandura A, "Social foundations of thought and action : a social cognitive theory" (1986), Prentice-Hall
  44. Hackett G, "A self-efficacy approach to the career development of women", J Vocat Behav, 18(3), pp.326~339 (1981)
  45. Mitchell AM, "Social learning and career decision making" (1979), Carroll Press
  46. Lent RW, "Toward a unifying social cognitive theory of career and academic interest, choice, and performance", J Vocat Behav, 45(1), pp.79~122 (1994)
  47. Fernandez A, "Evaluation of a medical student research and career development program to increase diversity in academic medicine", Acad Med, 94(8), pp.1220~1228 (2019)
  48. Bronfenbrenner U, "Toward an experimental ecology of human development", Am Psychol, 32(7), pp.513~531 (1977)
  49. Buddeberg-Fischer B, "The impact of gender and parenthood on physicians’careers : professional and personal situation seven years after graduation", BMC Health Serv Res, 10, pp.40~ (2010)
  50. Soethout MB, "Career preference and medical students’ biographical characteristics and academic achievement", Med Teach, 30(1), pp.e15~22 (2008)
  51. Emily M. Lambert, "The relationship between specialty choice and gender of U.S. medical students, 1990-2003", Academic Medicine, 80(9), pp.797~802 (2005), Ovid Technologies (Wolters Kluwer Health)[DOI]
  52. Guntern S, "Prestige added to Holland’s vocational interest scales for the prediction of medical students’ aspired work environments", J Career Assess, 24(2), pp.333~346 (2016)
  53. Brown AJ, "Women in academic medicine : a report of focus groups and questionnaires, with conjoint analysis", J Womens Health(Larchmt), 12(10), pp.999~1008 (2003)
  54. Fadem BH, "Predicting medical specialty choice : a model based on students’ records", J Med Educ, 59(5), pp.407~415 (1984)
  55. Jarecky RK, "Changes in the patterns of specialties selected by high and low academic performers before and after 1980", Acad Med, 68(2), pp.158~160 (1993)
  56. Enoch L, "Association of medical student burnout with residency specialty choice", Med Educ, 47(2), pp.173~181 (2013)
  57. Crimlisk HL, "The effect of personal illness experience on career preference in medical students", Med Educ, 21(6), pp.464~467 (1987)
  58. Schlesinger J, "Applying the chaos theory of careers as a framework for college career centers", J Employ Couns, 53(2), pp.86~96 (2016)
  59. Gorenflo DW, "A multivariate model for specialty preference by medical students", J Fam Pract, 39(6), pp.570~576 (1994)
  60. 윤소정, "MBTI 성격유형, 의과대학 성적과 전공의의 전공과 선택 간의 관계: 5년 추적 연구", 예술인문사회 융합 멀티미디어 논문지, 8(7), pp.391~399 (2018), 사단법인 인문사회과학기술융합학회[DOI]
  61. Wakeford R, "Fire the Medical Schools Council if you want more GPs", pp.g6245~ (2014), BMJ
  62. Kuhnigk O, "Influence of educational programs on attitudes of medical students towards psychiatry : effects of psychiatric experience, gender, and personality dimensions", Med Teach, 31(7), pp.e303~10 (2009)
  63. Svirko E, "Career choices of the United Kingdom medical graduates of 2005, 2008 and 2009 : questionnaire surveys", Med Teach, 35(5), pp.365~375 (2013)
  64. Coffeng LE, "The influence of early clinical experiences on career preference of male and female medical students", Med Teach, 31(7), pp.e323~6 (2009)
  65. Hafferty FW, "Beyond curriculum reform : confronting medicine’s hidden curriculum", Acad Med, 73(4), pp.403~407 (1998)
  66. Meurer LN, "The state of the literature on primary care specialty choice : where do we go from here?", Acad Med, 71(1), pp.68~77 (1996)
  67. Bradner M, "Career advising in family medicine : a theoretical framework for structuring the medical student", faculty advisor interview, 2013, pp.18, 21173~
  68. Phillips SP, "More than an education : the hidden curriculum, professional attitudes and career choice", Med Educ, 46(9), pp.887~893 (2012)
  69. Holmes D, ""Bashing"of medical specialties : students’ experiences and recommendations", Fam Med, 40(6), pp.400~406 (2008)
  70. O’Donoghue S, "How do longitudinal clerkships in general practice", primary care impact on student experience and career intention? : a cross-sectional study of student experience, 2015, pp.26(3), 166~175
  71. Scott I, "Why would I choose a career in family medicine? : reflections of medical students at 3 universities", Can Fam Physician, 53(11), pp.1956~1957 (2007)
  72. Mihalynuk T, "Free choice and career choice : clerkship electives in medical education", Med Educ, 40(11), pp.1065~1071 (2006)
  73. Ek EW, "Undergraduate experience of surgical teaching and its influence and its influence on career choice", ANZ J Surg, 75(8), pp.713~718 (2005)
  74. Maiorova T, "The impact of clerkships on students’ specialty preferences : what do undergraduates learn for their profession?", Med Educ, 42(6), pp.554~562 (2008)
  75. Davis BE, "Do clerkship experiences affect medical students’ attitudes toward chronically ill patients?", Acad Med, 76(8), pp.815~820 (2001)
  76. Chung C, "Impact of the primary care curriculum and its teaching formats on medical students’ perception of primary care : a cross-sectional study", BMC Fam Pract, 17(1), pp.135~ (2016)
  77. Pfarrwaller E, "Impact of interventions to increase the proportion of medical students choosing a primary care career : a systematic review", J Gen Intern Med, 30(9), pp.1349~1358 (2015)
  78. Dornan T, "Experience-based learning : a model linking the processes and outcomes of medical students’workplace learning", Med Educ, 41(1), pp.84~91 (2007)
  79. Macaulay W, "The advisory dean program : a personalized approach to academic and career advising for medical students", Acad Med, 82(7), pp.718~722 (2007)
  80. Keating EM, "How we created a peer-designed specialty-specific selective for medical student career exploration", Med Teach, 35(2), pp.91~94 (2013)
  81. Welbergen L, "Battle of the specialties : innovative career counselling for students", Med Educ, 47(5), pp.515~ (2013)
  82. Aagaard EM, "A cross-sectional descriptive study of mentoring relationships formed by medical students", J Gen Intern Med, 18(4), pp.298~302 (2003)
  83. Coates WC, "Medical school curricular reform : fourth-year colleges improve access to career mentoring and overall satisfaction", Acad Med, 83(8), pp.754~760 (2008)
  84. Murr AH, "Mentorship through advisory colleges", Acad Med, 77(11), pp.1172~1173 (2002)
  85. Leong FT, "Career specialty choice : a combined research-intervention project", J Vocat Behav, 67(1), pp.69~86 (2005)
  86. Stewart RW, "The new and improved learning community at Johns Hopkins University School of Medicine resembles that at Hogwarts School of Witchcraft and Wizardry", Med Teach, 29(4), pp.353~357 (2007)
  87. Davison I, "Evaluation of a pilot careers advice service for junior doctors", Med Teach, 28(6), pp.561~563 (2006)
  88. Clinite KL, "Lifestyle factors and primary care specialty selection : comparing 2012-2013 graduating and matriculating medical students’ thoughts on specialty lifestyle", Acad Med, 89(11), pp.1483~1489 (2014)
  89. Flum H, "Reinvigorating the study of vocational exploration : a framework for research", J Vocat Behav, 56(3), pp.380~404 (2000)
  90. Savickas ML, "Difficulties experienced by medical students in choosing a specialty", J Med Educ, 61(6), pp.467~469 (1986)
  91. Kalet A, "Mentoring for a new era", Acad Med, 77(11), pp.1171~1172 (2002)
  92. Ehrlich PF, "Deconstructing surgical education : teacher quality really matters : implications for attracting medical students to surgical careers", Am Surg, 72(5), pp.430~434 (2006)
  93. Hafferty FW, "The hidden curriculum, ethics teaching, and the structure of medical education", Acad Med, 69(11), pp.861~871 (1994)
  94. "MD program:career planning" (2022)[URL]

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