한국의 환자중심 의사 역량 연구
Patient-Centered Doctor’s Competency Framework in Korea
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초록
With increasing demands for medical care by society, the medical system, and general citizens and rapid changes in doctor’s awareness, the competencies required of doctors are also changing. The goal of this study was to develop a doctor’s competency framework from the patient’s perspective, and to make it the basis for the development of milestones and entrustable professional activities for each period of medical student education and resident training. To this end, a big data analysis using topic modeling was performed on domestic and international research papers (2011–2020), domestic newspaper articles (2016–2020), and domestic social networking service data (2016–2020) related to doctor’s competencies. Delphi surveys were conducted twice with 28 medical education experts. In addition, a survey was conducted on doctor’s competencies among 1,000 citizens, 407 nurses, 237 medical students, 361 majors, and 200 specialists. Through the above process, six core competencies, 16 sub-competencies, and 47 competencies were derived as subject-oriented doctor’s competencies. The core competencies were: (1) competency related to disease and health as an expert; (2) competency related to patients as a communicator; (3) competency related to colleagues as a collaborator; (4) competency related to society as a health care leader (5) competency related to oneself as a professional, and (6) competency related to academics as a scholar who contributes to the development of medicine.
Abstract
With increasing demands for medical care by society, the medical system, and general citizens and rapid changes in doctor’s awareness, the competencies required of doctors are also changing. The goal of this study was to develop a doctor’s competency framework from the patient’s perspective, and to make it the basis for the development of milestones and entrustable professional activities for each period of medical student education and resident training. To this end, a big data analysis using topic modeling was performed on domestic and international research papers (2011–2020), domestic newspaper articles (2016–2020), and domestic social networking service data (2016–2020) related to doctor’s competencies. Delphi surveys were conducted twice with 28 medical education experts. In addition, a survey was conducted on doctor’s competencies among 1,000 citizens, 407 nurses, 237 medical students, 361 majors, and 200 specialists. Through the above process, six core competencies, 16 sub-competencies, and 47 competencies were derived as subject-oriented doctor’s competencies. The core competencies were: (1) competency related to disease and health as an expert; (2) competency related to patients as a communicator; (3) competency related to colleagues as a collaborator; (4) competency related to society as a health care leader (5) competency related to oneself as a professional, and (6) competency related to academics as a scholar who contributes to the development of medicine.
참고문헌 (37)
- "ACGME Next Accreditation System Milestones" (2015)[URL]
- Association of American Medical Colleges, "Core entrustable professional activities for entering residency: curriculum developers’ guide" (2014), Association of American Medical Colleges
- ten Cate O, "Competency-based postgraduate training : can we bridge the gap between theory and clinical practice?", Acad Med, 82(6), pp.542~547 (2007)
- Soanes C, "The Oxford Dictionary of English: competence" (2005), Oxford University Press
- "Policy, data, oversight: assessment & selection: competencies" (2019)[URL]
- Carraccio C, "Shifting paradigms : from Flexner to competencies", Acad Med, 77(5), pp.361~367 (2002)
- Whitcomb ME, "Competency-based graduate medical education? : of course! But how should competency be assessed?", Acad Med, 77(5), pp.359~360 (2002)
- Frank JR, "The CanMEDS 2005 Physician Competency Framework: better standards, better physicians, better care" (2005), Royal College of Physicians and Surgeons of Canada
- "The Council on Linkages between Academia and Public Health Practice:Core Competencies for Public Health Professionals", Public Health Foundation, ~ (2021)
- Albanese MA, "Defining characteristics of educational competencies", Med Educ, 42(3), pp.248~255 (2008)
- World Federation for Medical Education, "Role of the doctor, 2012", World Federation for Medical Education, ~ (2012)
- Frank JR, "CanMEDS 2015 Physician Competency Framework" (2015), Royal College of Physicians and Surgeons of Canada
- General Medical Council, "Good medical practice" (2020), General Medical Council
- Swing SR, "The ACGME outcome project : retrospective and prospective", Med Teach, 29(7), pp.648~654 (2007)
- Ahn DS, "Development of generic curriculum for graduate medical education" (2009), Korea Institute of Medical Education and Evaluation
- Lee MS, "Development of generic curriculum for graduate medical education" (2010), Korea Medical Association, Research Institute for Healthcare Policy
- Kim JJ, "A study on the reorganization of the training curriculum for efficient training of the residents" (2013), Ministry of Health and Welfare
- "Notice of Ministry of Health and Welfare:2019-34" (2019)[URL]
- A study on role of Korea’s doctors, "Ahn DS", Ministry of Health and Welfare, ~ (2013)
- Han JJ, "A study on Korean doctor’s role 2020", Healthc Policy Forum, 19(4), pp.53~59 (2021)
- Development of general competencies and EPA based on roles of doctors in South Korea, "Lee SW", Korea Medical Association, Research Institute for Healthcare Policy, ~ (2018)
- Development of a New Residency Training Program in Korea, "Lee SW", Korea Medical Association, Research Institute for Healthcare Policy, ~ (2022)
- Kavic MS, "Competency and the six core competencies", JSLS, 6(2), pp.95~97 (2002)
- Nasca TJ, "The next GME accreditation system: rationale and benefits", N Engl J Med, 366(11), pp.1051~1056 (2012)
- Frank JR, "The draft CanMeds 2015 : milestones guide" (2014), Royal Collee of Physicians and Surgeons of Canada
- 김영전, "텍스트네트워크 분석을 활용한 국내 의사 직무역량 연구동향 분석", 의학교육논단, 24(2), pp.93~102 (2022), 연세대학교 의과대학
- 정한나, "신문기사 키워드 분석(2016–2020년)을 통한 의사 및 의료에 대한 사회적 요구 분석", 의학교육논단, 24(2), pp.103~112 (2022), 연세대학교 의과대학
- Kim C, "Exploration of public issue in doctor’s competency through social network analysis", Proceedings of the Korea Medical Education Conference 2022 of The Korean Society of Medical Education (2022), Korean Society of Medical Education
- Im S, "A study on the patient-centered doctor’s competency in Korea: validation through Delphi survey", Proceedings of the Korea Medical Education Conference 2022 of The Korean Society of Medical Education (2022), Korean Society of Medical Education
- Yune S, "A study on the patient-centered doctor’s competency in Korea: Korean doctor’s competency as perceived by citizens and medical professionals", Proceedings of the Korea Medical Education Conference 2022 of The Korean Society of Medical Education (2022), Korean Society of Medical Education
- Ferguson WJ, "Culture, language, and the doctor-patient relationship", Fam Med, 34(5), pp.353~361 (2002)
- Kearley KE, "An exploration of the value of the personal doctor-patient relationship in general practice", Br J Gen Pract, 51(470), pp.712~718 (2001)
- Raymond C Tallis, "Doctors in society: medical professionalism in a changing world", Clinical Medicine, 6(1), pp.7~12 (2006), Royal College of Physicians[DOI]
- Swick HM, "Toward a normative definition of medical professionalism", Acad Med, 75(6), pp.612~616 (2000)
- Thirumoorthy T, "Medical professionalism : why, what and who of it?", Singap Med Assoc News, 42(9), pp.22~23 (2010)
- Anandarajah G, "Scholarly development for primary care residents", Clin Teach, 13(6), pp.415~421 (2016)
- Allen LM, "Categorising the broad impacts of continuing professional development : a scoping review", Med Educ, 53(11), pp.1087~1099 (2019)