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대한신경과학회 전공의의 신뢰할 만한 전문 활동 Korean Neurologist’s Entrustable Professional Activities 13 평가와 연관된 전공의 수련 역량 중심 교육의 효과

Effects of Competency-based Education on Resident Training: A Comparative Review of Korean Neurologist’s Entrustable Professional Activities 13 on Self-evaluation and Professor's Evaluation

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키워드

주제분류신경과학

초록

Since the implementation of the Resident Training Special Act in 2018, the Training Committee of the Korean Neurological Association has made significant efforts to establish a competency-based resident training program. Through various research activities, the committee has verified the effectiveness of the competency-based training program and conducted additional studies related to the evaluation of the resident training program. In this study, we aimed to analyze the evaluation process of the Korean neurologist’s entrustable professional activities (K-NEPA 13), which outlines 13 core competencies required for neurology residents, and to explore potential improvements in training guidelines and evaluation methods related to these competencies. New evaluation guidelines for the K-NEPA 13 were developed, and a study was conducted with supervising professors and residents from seven training hospitals. The residents were asked to conduct selfassessments, while the supervising professors also evaluated each resident. The evaluation results were compared by categorizing the residents into junior and senior groups to analyze the differences between the two assessments. The results of the evaluations could be classified into several distinctive groups, and each group, based on the specific content of the questions, helped identify the current status and challenges of the training program. Based on these findings, we believe that this research serves as a sufficient foundation for more in-depth investigations and studies in the future, and continuous efforts should be made to improve the competency-based resident training program.

Abstract

Since the implementation of the Resident Training Special Act in 2018, the Training Committee of the Korean Neurological Association has made significant efforts to establish a competency-based resident training program. Through various research activities, the committee has verified the effectiveness of the competency-based training program and conducted additional studies related to the evaluation of the resident training program. In this study, we aimed to analyze the evaluation process of the Korean neurologist’s entrustable professional activities (K-NEPA 13), which outlines 13 core competencies required for neurology residents, and to explore potential improvements in training guidelines and evaluation methods related to these competencies. New evaluation guidelines for the K-NEPA 13 were developed, and a study was conducted with supervising professors and residents from seven training hospitals. The residents were asked to conduct selfassessments, while the supervising professors also evaluated each resident. The evaluation results were compared by categorizing the residents into junior and senior groups to analyze the differences between the two assessments. The results of the evaluations could be classified into several distinctive groups, and each group, based on the specific content of the questions, helped identify the current status and challenges of the training program. Based on these findings, we believe that this research serves as a sufficient foundation for more in-depth investigations and studies in the future, and continuous efforts should be made to improve the competency-based resident training program.

참고문헌 (5)

  1. "Annual curriculum for residency training"[URL]
  2. Ryan MS, "Competency-based frameworks in medical school education programs: a thematic analysis of the academic medicine snapshots, 2020", Acad Med, 97(Suppl 11), pp.S63~S70 (2022)
  3. Padley J, "Transitioning from university to postgraduate medical training : a narrative review of work readiness of medical graduates", Health Sci Rep, 4, pp.e270~ (2021)
  4. Choi H, "Residents need competence not confidence : a retrospective evaluation of the new competency education program for Korean neurology residents", PLoS One, 18, pp.e0290503~ (2023)
  5. Canady BE, "Overconfidence in managing health concerns : the dunning-kruger effect and health literacy", J Clin Psychol Med Settings, 30, pp.460~468 (2023)

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