일개 의과대학 장기추적통합임상실습 시범과정 운영경험과 고찰
Pilot Study Results of a Longitudinal Integrated Clerkship in a Single Institution
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The longitudinal integrated clerkship is an innovative approach in medical education that emphasizes continuity as a key principle to provide student-centered experiences and learning. Seoul National University College of Medicine decided to adapt longitudinal integrated clerkships to the new curriculum beginning in 2018, and therefore conducted pilot studies in 2016 and 2017. This study aimed to analyze the program evaluation results of the two pilot programs and discuss issues related to the successful implementation of longitudinal integrated clerkships in Korea. We conducted a focus group interview with nine students who participated in the 2016 pilot program and 13 students who participated in the 2017 pilot program. We also conducted a focus group interview with 11 faculty members who either participated in the pilot program or will participate in the main program. From the 2016 experience, we found that it is not appropriate to assign each patient to a single student and let the students contact their patients personally for feasibility and safety reasons. In the 2017 pilot program, we assigned each patient to a group of students, which made it more feasible for the students to follow-up with their patients. The students were satisfied with their new experience of longitudinal patient follow-up and regular meetings in the pilot program. Faculty emphasized the importance of establishing the course objectives and holding an orientation for the students and the faculty. Further study is planned to evaluate the early outcomes of the main longitudinalintegrated clerkship.
Abstract
The longitudinal integrated clerkship is an innovative approach in medical education that emphasizes continuity as a key principle to provide student-centered experiences and learning. Seoul National University College of Medicine decided to adapt longitudinal integrated clerkships to the new curriculum beginning in 2018, and therefore conducted pilot studies in 2016 and 2017. This study aimed to analyze the program evaluation results of the two pilot programs and discuss issues related to the successful implementation of longitudinal integrated clerkships in Korea. We conducted a focus group interview with nine students who participated in the 2016 pilot program and 13 students who participated in the 2017 pilot program. We also conducted a focus group interview with 11 faculty members who either participated in the pilot program or will participate in the main program. From the 2016 experience, we found that it is not appropriate to assign each patient to a single student and let the students contact their patients personally for feasibility and safety reasons. In the 2017 pilot program, we assigned each patient to a group of students, which made it more feasible for the students to follow-up with their patients. The students were satisfied with their new experience of longitudinal patient follow-up and regular meetings in the pilot program. Faculty emphasized the importance of establishing the course objectives and holding an orientation for the students and the faculty. Further study is planned to evaluate the early outcomes of the main longitudinalintegrated clerkship.
참고문헌 (18)
- Lee YM, "Evaluating clinical teaching in medicine", Korean J Med Educ, 14(2), pp.293~300 (2002)
- Yong Il Kim, "Development of an Evaluation Baseline Module for Clinical Clerkship: Gachon Medical School Experience", Korean Journal of Medical Education, 15(2), pp.131~139 (2003), Korean Society of Medical Education[DOI]
- 박주현, "일개 의과대학 임상실습 교육과정 평가", Korean Journal of Medical Education, 16(2), pp.157~168 (2004), 한국의학교육학회
- 양은배, "의과대학 임상실습 교육 및 평가 현황 분석", Korean Journal of Medical Education, 19(2), pp.111~121 (2007), 한국의학교육학회
- Im SJ, "Strategies for effective teaching in clinical clerkship", Hanyang Med Rev, 32(1), pp.51~58 (2012)[DOI]
- Cooke M, "American medical education 100 years after the Flexner report", N Engl J Med, 355(13), pp.1339~1344 (2006)[DOI]
- Hirsh DA, "Continuity as an organizing principle for clinical education reform", N Engl J Med, 356(8), pp.858~866 (2007)[DOI]
- Ogur B, "The Harvard Medical School- Cambridge integrated clerkship: an innovative model of clinical education", Acad Med, 82(4), pp.397~404 (2007)[DOI]
- Norris TE, "Longitudinal integrated clerkships for medical students: an innovation adopted by medical schools in Australia, Canada, South Africa, and the United States", Acad Med, 84(7), pp.902~907 (2009)[DOI]
- Hirsh D, "Educational outcomes of the Harvard Medical School-Cambridge integrated clerkship: a way forward for medical education", Acad Med, 87(5), pp.643~650 (2012)[DOI]
- McLaughlin K, "A comparison of performance evaluations of students on longitudinal integrated clerkships and rotation-based clerkships", Acad Med, 86(10 Suppl), pp.S25~S29 (2011)[DOI]
- Myhre DL, "Academic performance of longitudinal integrated clerkship versus rotation-based clerkship students: a matched-cohort study", Acad Med, 89(2), pp.292~295 (2014)[DOI]
- Walters L, "Outcomes of longitudinal integrated clinical placements for students, clinicians and society", Med Educ, 46(11), pp.1028~1041 (2012)[DOI]
- 김영창, "의과대학 학생 임상실습을 위한 교육병원의 역할 제고 방안", 의학교육논단, 17(1), pp.10~14 (2015), 연세대학교 의과대학[DOI]
- Gaufberg E, "Alarm and altruism: professional boundaries and the medical student", Clin Teach, 3(4), pp.206~209 (2006)[DOI]
- Gaufberg E, "The Harvard Medical School Cambridge integrated clerkship: challenges of longitudinal integrated training", Clin Teach, 5(2), pp.78~82 (2008)[DOI]
- Parmelee D, "Team-based learning: a practical guide: AMEE guide no. 65", Med Teach, 34(5), pp.e275~e287 (2012)[DOI]
- Howe A, "Patient-centred medicine through student-centred teaching: a student perspective on the key impacts of community- based learning in undergraduate medical education", Med Educ, 35(7), pp.666~672 (2001)[DOI]