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지속형 통합임상실습의 도입 배경과 개념

The Concept and Background for Introducing Longitudinal Integrated Clerkships

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A traditional clerkship consists of a series of short rotations in specialty disciplines and is usually based in tertiary, urban teaching hospitals. Shortened inpatient stays and the shift toward ambulatory management have had a negative impact on student learning. There have been growing concerns that the traditional specialty-based clerkship in fragmented and highly specialized clinical environments may not be the optimal choice for basic clinical education. As a result, a new model of clinical clerkship called longitudinal integrated clerkships (LICs) has emerged. There is increased interest in LICs due to the growing evidence of positive outcomes for students, patients, and supervising clinicians. Emphasizing continuity as one of the main organizing principles of an LIC, this article reviews the introduction of LICs into medical education, the key concepts and educational theories which underpin LICs, and the typology of LICs. The author also offers some personal suggestions for contemplation before clerkship programs in Korea adopt LICs.

Abstract

A traditional clerkship consists of a series of short rotations in specialty disciplines and is usually based in tertiary, urban teaching hospitals. Shortened inpatient stays and the shift toward ambulatory management have had a negative impact on student learning. There have been growing concerns that the traditional specialty-based clerkship in fragmented and highly specialized clinical environments may not be the optimal choice for basic clinical education. As a result, a new model of clinical clerkship called longitudinal integrated clerkships (LICs) has emerged. There is increased interest in LICs due to the growing evidence of positive outcomes for students, patients, and supervising clinicians. Emphasizing continuity as one of the main organizing principles of an LIC, this article reviews the introduction of LICs into medical education, the key concepts and educational theories which underpin LICs, and the typology of LICs. The author also offers some personal suggestions for contemplation before clerkship programs in Korea adopt LICs.

참고문헌 (11)

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  2. Report I: learning objectives for medical student education: guidelines for medical schools, "Association of American Medical Colleges", Association of American Medical Colleges, ~ (1998)
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  4. Batt-Rawden SA, "Teaching empathy to medical students: an updated, systematic review", Acad Med, 88(8), pp.1171~1177 (2013)[DOI]
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  6. 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]
  7. Hudson JN, "Longitudinal integrated clerkships", Med Teach, 39(1), pp.7~13 (2017)[DOI]
  8. Greenhill J, "AM last page: longitudinal integrated clerkships", Acad Med, 89(3), pp.526~ (2014)[DOI]
  9. Poncelet A, "Development of a longitudinal integrated clerkship at an academic medical center", Med Educ Online, 16 (2011)[DOI]
  10. Worley P, "A typology of longitudinal integrated clerkships", Med Educ, 50(9), pp.922~932 (2016)[DOI]
  11. Korea Association of Medical Colleges, "Present and future of academic medicine in Korea" (2017), Korea Association of Medical Colleges

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