Consensus on global health competencies for Korean medical students using a modified Delphi method
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Purpose: This study aimed to reach a consensus among experts on the global health competencies for medical students in Korea.Methods: A global health competency model was developed to identify domains and competencies for medical education, and a three-round modified Delphi method was used to reach consensus among 21 experts on the essential global health competencies. The degree of convergence, degree of consensus, and content validity ratio of the model were used to reach a consensus.Results: A list of 52 competencies in 12 domains were identified according to a literature review. In the first-round Delphi survey, the global health competencies were refined to 30 competencies in eight domains. In the second round, the competencies were reduced to 24. In the final round, consensus was reached among the expert panel members, and the competencies were finalized. The global health competency domains for medical students include global burden of disease (three items), globalization of health and healthcare (five items), determinants of health (two items), healthcare in low-resource settings (two items), global health governance (three items), health as a human right (four items), cultural diversity and health (three items), and participation in global health activities (two items).Conclusion: The group of experts in global health achieved a consensus that 24 global health competencies in eight domains were essential for undergraduate medical education in Korea. The domains and competencies identified herein can be used to develop an undergraduate medical education curriculum in global health.
Abstract
Purpose: This study aimed to reach a consensus among experts on the global health competencies for medical students in Korea.Methods: A global health competency model was developed to identify domains and competencies for medical education, and a three-round modified Delphi method was used to reach consensus among 21 experts on the essential global health competencies. The degree of convergence, degree of consensus, and content validity ratio of the model were used to reach a consensus.Results: A list of 52 competencies in 12 domains were identified according to a literature review. In the first-round Delphi survey, the global health competencies were refined to 30 competencies in eight domains. In the second round, the competencies were reduced to 24. In the final round, consensus was reached among the expert panel members, and the competencies were finalized. The global health competency domains for medical students include global burden of disease (three items), globalization of health and healthcare (five items), determinants of health (two items), healthcare in low-resource settings (two items), global health governance (three items), health as a human right (four items), cultural diversity and health (three items), and participation in global health activities (two items).Conclusion: The group of experts in global health achieved a consensus that 24 global health competencies in eight domains were essential for undergraduate medical education in Korea. The domains and competencies identified herein can be used to develop an undergraduate medical education curriculum in global health.
참고문헌 (29)
- Harmer A, "Global health education in the United Kingdom : a review of university undergraduate and postgraduate programmes and courses", Public Health, 129(6), pp.797~809 (2015)
- Göpfert A, "Do medical students want to learn about global health?", Glob Health Action, 7, pp.23943~ (2014)
- Song E, "A comparative analysis on four European countries COVID-19 response : focused on the 1st wave", HIRA Res, 1(1), pp.50~63 (2021)
- Frenk J, "Health professionals for a new century : transforming education to strengthen health systems in an interdependent world", Lancet, 376(9756), pp.1923~1958 (2010)
- 안덕선, "의사의 사회적 역량이란 무엇인가?", 대한의사협회지, 57(2), pp.96~103 (2014), 대한의사협회[DOI]
- Drain PK, "Global health in medical education : a call for more training and opportunities", Acad Med, 82(3), pp.226~230 (2007)
- Blum N, "Medical students as global citizens : a qualitative study of medical students’ views on global health teaching within the undergraduate medical curriculum", BMC Med Educ, 19(1), pp.175~ (2019)
- Battat R, "Global health competencies and approaches in medical education : a literature review", BMC Med Educ, 10, pp.94~ (2010)
- Adams LV, "The future of global health education : training for equity in global health", BMC Med Educ, 16(1), pp.296~ (2016)
- "Outcomes for graduates 2018" (2018)[URL]
- Jogerst K, "Identifying interprofessional global health competencies for 21st-century health professionals", Ann Glob Health, 81(2), pp.239~247 (2015)
- "Global health education competencies tool-kit (2nd ed)" (2018)[URL]
- 이현경, "간호교육자가 인지한 국내 간호학생들을 위한 국제보건 핵심역량", 한국간호교육학회지, 21(4), pp.561~573 (2015), 한국간호교육학회[DOI]
- Korean Medical Association, "2014 Korean doctor’s role", Korean Medical Association, ~ (2014)
- Korean Institute of Medical Education and Evaluation, "Accreditation standards of KIMEE 2019", Korean Institute of Medical Education and Evaluation, ~ (2022)
- Kim BW, "Delphi method" (2015), Kimsinfo
- "Global health core competencies in undergraduate medical education: a Canadian national consensus" (2015)[URL]
- Johnson O, "Global health learning outcomes for medical students in the UK", Lancet, 379(9831), pp.2033~2035 (2012)
- Martino JP, "The lognormality of Delphi estimates", Technol Forecast, 1(4), pp.355~358 (1970)
- Lee JS, "Delphi method" (2001), Kyoyookbook
- Lawshe CH, "A quantitative approach to content validity", Pers Psychol, 28(4), pp.563~575 (1975)
- Houpt ER, "Three domains of competency in global health education : recommendations for all medical students", Acad Med, 82(3), pp.222~225 (2007)
- Closing the gap in a generation: health equity through action on the social determinants of health, "World Health Organization", World Health Organization, ~ (2008)
- "Transforming our world: the 2030 agenda for sustainable development" (2015)[URL]
- 오승민, "국제보건의료 교육과정 개발을 위한 방향성 고찰", 의학교육논단, 15(2), pp.93~99 (2013), 연세대학교 의과대학
- Huynen MM, "The health impacts of globalization : a conceptual framework", Global Health, 1, pp.14~ (2005)
- "Foreign patient numbers recovering trend in 2022, 70.1% increase from last year … visited Korea from 192countries" (2023)[URL]
- Rukadikar C, "A review on cultural competency in medical education", J Family Med Prim Care, 11(8), pp.4319~4329 (2022)
- Sawleshwarkar S, "A review of global health competencies for postgraduate public health education", Front Public Health, 5, pp.46~ (2017)