의대생의 부적절행위 유형과 평가 프로그램에 대한 고찰
A Review of the Patterns of Unprofessional Behavior and Evaluation Programs to Prevent Misconduct by Medical Students
1
조회
0
다운로드
11
인용
0
참고문헌
키워드
초록
In recent years, several high-profile cases related with misconduct by doctors and medical students have led to increased media interest and public concern regarding doctors who fail to maintain the expected professional standards. In response to these concerns and the increasing awareness of the social responsibility of medicine, the importance of professionalism in medical school is receiving renewed attention in our medical society. Many studies in other countries have stressed the early detection and intervention of unprofessional behaviors in medical students using an adequate evaluation system. The authors intended to explore strategies that reinforce professionalism education and prevent misconduct in medical students. We conducted an extensive literature review to identify patterns and categorize issues of misconduct and unprofessional behavior by medical students; existing evidence to determine why early detection and intervention of are crucial to prevent future misbehavior and disciplinary action by doctors; and education and evaluation systems to enhance professionalism for medical students.
Abstract
In recent years, several high-profile cases related with misconduct by doctors and medical students have led to increased media interest and public concern regarding doctors who fail to maintain the expected professional standards. In response to these concerns and the increasing awareness of the social responsibility of medicine, the importance of professionalism in medical school is receiving renewed attention in our medical society. Many studies in other countries have stressed the early detection and intervention of unprofessional behaviors in medical students using an adequate evaluation system. The authors intended to explore strategies that reinforce professionalism education and prevent misconduct in medical students. We conducted an extensive literature review to identify patterns and categorize issues of misconduct and unprofessional behavior by medical students; existing evidence to determine why early detection and intervention of are crucial to prevent future misbehavior and disciplinary action by doctors; and education and evaluation systems to enhance professionalism for medical students.
참고문헌 (32)
- Shin SS, "Eonnonini baraboneun uiryohyeonjangui yulli", Paper presented at: the 4th Medical Humanities Symposium: Medicine & Impaired Behavior (2011)
- Wilson RM, "An analysis of the causes of adverse events from the Quality in Australian Health Care Study", Med J Aust, 170, pp.411~415 (1999)
- Brennan TA, "Physicians' professional responsibility to improve the quality of care", Acad Med, 77, pp.973~980 (2002)
- Duggan JM, "Quality in healthcare in the United Kingdom: lessons for Australia", Med J Aust, 170, pp.121~124 (1999)
- O'Sullivan AJ, "Assessment of professionalism in undergraduate medical students", Med Teach, 30, pp.280~286 (2008)
- Papadakis MA, "Disciplinary action by medical boards and prior behavior in medical school", N Engl J Med, 353, pp.2673~2682 (2005)
- Papadakis MA, "Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board", Acad Med, 79, pp.244~249 (2004)
- Teherani A, "Domains of unprofessional behavior during medical school associated with future disciplinary action by a state medical board", Acad Med, 80(10 Suppl), pp.S17~S20 (2005)
- Murden RA, "Professionalism deficiencies in a first-quarter doctor-patient relationship course predict poor clinical performance in medical school", Acad Med, 79(10 Suppl), pp.S46~S48 (2004)
- Irvine DH, "New ideas about medical professionalism", Med J Aust, 184, pp.204~205 (2006)
- Swick HM, "Toward a normative definition of medical professionalism", Acad Med, 75, pp.612~616 (2000)
- 맹광호, "한국에서의 ‘의학전문직업성’ 교육: 과제와 전망", Korean Journal of Medical Education, 20(1), pp.3~10 (2008), 한국의학교육학회
- Miettinen OS, "Professionalism in medicine", J Eval Clin Pract, 9, pp.353~356 (2003)
- 허예라, "의과대학생들의 의학 전문직업성에 대한 자기평가", Korean Journal of Medical Education, 20(1), pp.23~35 (2008), 한국의학교육학회
- Howe A, "Putting theory into practice: a case study in one UK medical school of the nature and extent of unprofessional behaviour over a 6-year period", Med Teach, 32, pp.837~844 (2010)
- Teherani A, "Categorization of unprofessional behaviours identified during administration of and remediation after a comprehensive clinical performance examination using a validated professionalism framework", Med Teach, 31, pp.1007~1012 (2009)
- Resnick AS, "Patterns and predictions of resident misbehavior: a 10-year retrospective look", Curr Surg, 63, pp.418~425 (2006)
- Yates J, "Risk factors at medical school for subsequent professional misconduct: multicentre retrospective case-control study", BMJ, 340, pp.c2040~ (2010)
- Sierles F, "Cheating in medical school", J Med Educ, 55, pp.124~125 (1980)
- Helms LB, "Forty years of litigation involving medical students and their education: I. General educational issues", Acad Med, 66, pp.1~7 (1991)
- Rozance CP, "Cheating in medical schools: implications for students and patients", JAMA, 266, pp.2453~2456 (1991)
- Hrabak M, "Academic misconduct among medical students in a post-communist country", Med Educ, 38, pp.276~285 (2004)
- Vengoechea J, "Misconduct in medical student", Dev World Bioeth, 8, pp.219~225 (2008)
- Ginsburg S, "The anatomy of the professional lapse: bridging the gap between traditional frameworks and students' perceptions", Acad Med, 77, pp.516~522 (2002)
- Satterwhite WM 3rd, "Medical students' perceptions of unethical conduct at one medical school", Acad Med, 73, pp.529~531 (1998)
- General Medical Council, "Medical students: professional values and fitness to practise" (2009), General Medical Council
- Park SH, "Daehanminguk guigwadaehak (uihakjeonmundaehagwon) uiryoyulli gyoyukgwajeong hyeonhwang", the 3rd Korean Association of Medical Colleges (KAMC) Medical Education Policy Forum (2010)
- Annau Z, "Medical school guidelines for investigating misconduct and fraud in science", Account Res, 2, pp.179~187 (1992)
- Goldie J, "Impact of a new course on students' potential behaviour on encountering ethical dilemmas", Med Educ, 35, pp.295~302 (2001)
- DuBois JM, "Ethics education in U.S. medical schools: a study of syllabi", Acad Med, 77, pp.432~437 (2002)
- Papadakis MA, "Early detection and evaluation of professionalism deficiencies in medical students: one school's approach", Acad Med, 76, pp.1100~1106 (2001)
- (2006)[URL]