한국의 의과대학 및 의학전문대학원에서의 임상실습 교육과정 운영과 관리
The Present Conditions of Clinical Clerkship Management in Korea
1
조회
0
다운로드
16
인용
0
참고문헌
키워드
초록
Purpose: This study investigated the present conditions of clinical clerkship management in Korea to make recommendations for it. Methods: The data were collected between April 15 and May 30 in 2009 using questionnaires that were sent to the clerkship directors of 41 colleges of medicine and medical graduate schools. Results: The elective course system was established in 78% of the institutions; the 6 core specialties were found in all medical schools. The duration of clerkship was longest in internal medicine, followed by surgery, pediatrics, obstetrics and gynecology, psychiatry, and emergency medicine. There were differences between the planning and monitoring agencies. Preclinical courses existed in 92.7% of the institutions. However, much more remains to be done ie, with regard to the issues of student assessment in clinical clerkship, faculty development programs for the faculty and residents, incentive systems for educational involvement, provisions for yearly systematic clerkships, integration of basic-clinical science-medical humanities, and community-based education. Conclusion: Because clinical clerkship education is very important as a core curriculum, curriculum planning and its management must be given adequate attention. The following measures are suggested: elective systems that allow students to choose by career planning; concerns over faculty development programs for residents as a teacher; consensus on the concept, objectives, duration, content, evaluation tools of pre-clinical clerkship and clinical clerkship, and student well-being; and emphasis on community-based education.
Abstract
Purpose: This study investigated the present conditions of clinical clerkship management in Korea to make recommendations for it. Methods: The data were collected between April 15 and May 30 in 2009 using questionnaires that were sent to the clerkship directors of 41 colleges of medicine and medical graduate schools. Results: The elective course system was established in 78% of the institutions; the 6 core specialties were found in all medical schools. The duration of clerkship was longest in internal medicine, followed by surgery, pediatrics, obstetrics and gynecology, psychiatry, and emergency medicine. There were differences between the planning and monitoring agencies. Preclinical courses existed in 92.7% of the institutions. However, much more remains to be done ie, with regard to the issues of student assessment in clinical clerkship, faculty development programs for the faculty and residents, incentive systems for educational involvement, provisions for yearly systematic clerkships, integration of basic-clinical science-medical humanities, and community-based education. Conclusion: Because clinical clerkship education is very important as a core curriculum, curriculum planning and its management must be given adequate attention. The following measures are suggested: elective systems that allow students to choose by career planning; concerns over faculty development programs for residents as a teacher; consensus on the concept, objectives, duration, content, evaluation tools of pre-clinical clerkship and clinical clerkship, and student well-being; and emphasis on community-based education.
참고문헌 (28)
- Amin Z, "Basics in medical education" (2003), World Scientific
- 양은배, "의과대학 임상실습 교육 및 평가 현황 분석", 한국의학교육, 19(2), pp.111~121 (2007), 한국의학교육학회
- Lee YM, "Evaluating clinical teaching in medicine", Korean J Med Educ, 14, pp.293~300 (2002)
- Ohrr H, "A study on evaluation of clinical clerkship", Korean J Med Educ, 13, pp.69~77 (2001)
- Corbett EC Jr, "When should students learn essential physical examination skills? Views of internal medicine clerkship directors in North America", Acad Med, 83, pp.96~99 (2008)
- 박재현, "분만 시뮬레이터를 활용한 산부인과 임상실습 교육", Korean Journal of Obstetrics and Gynecology, 51(9), pp.950~956 (2008), 대한산부인과학회
- 박석건, "일개 의과대학의 내과 임상실습 중간평가 결과", 한국의학교육, 16(2), pp.147~156 (2004), 한국의학교육학회
- Custers EJ, "Medical clerks' attitudes towards the basic sciences: a longitudinal and a crosssectional comparison between students in a conventional and an innovative curriculum", Med Teach, 29, pp.772~777 (2007)
- Howe A, "New perspectives: approaches to medical education at four new UK medical schools", BMJ, 329, pp.327~331 (2004)
- 노혜린, "환자 안전을 위한 진료 능력 성취도에 대한 학생 인식", 한국의학교육, 19(3), pp.207~214 (2007), 한국의학교육학회
- Korean Institute of Medical Education and Evaluation, "Je2jugi 1chanyeondo (2007nyeon) uigwadaehak injeongpyeongga ja che pyeong ga yeon gu ji chim", Korean Institute of Medical Education and Evaluation, ~ (2007)
- Harden RM, "Educational strategies in curriculum development: the SPICES model", Med Educ, 18, pp.284~297 (1984)
- Vosti KL, "The relationship of clinical knowledge to months of clinical training among medical students", Acad Med, 72, pp.305~307 (1997)
- Lind DS, "The effect of the duration and structure of a surgery clerkship on student performance", J Surg Res, 84, pp.106~111 (1999)
- Edwards RK, "Effect of obstetricsgynecology clerkship duration on medical student examination performance", Obstet Gynecol, 95, pp.160~162 (2000)
- Kim YI, "Guideline and strategy for curricular development in medical school", Korean J Med Educ, 8, pp.71~82 (1996)
- Whipple ME, "Early introduction of clinical skills improves medical student comfort at the start of third-year clerkships", Acad Med, 81, pp.S40~S43 (2006)
- Kossoff EH, "Early clinical experience enhances third-year pediatrics clerkship performance", Acad Med, 74, pp.1238~1241 (1999)
- Hook KM, "Impact of a new curriculum on medical students' interpersonal and interviewing skills", Med Educ, 41, pp.154~159 (2007)
- Jackson MB, "Impact of a pre-clinical clinical skills curriculum on student performance in third-year clerkships", J Gen Intern Med, 24, pp.929~933 (2009)
- Kim YI, "History of medical faculty developmental program in Korea", Korean J Med Educ, 3, pp.1~4 (1991)
- Weissman MA, "Resident as teacher: educating the educators", Mt Sinai J Med, 73, pp.1165~1169 (2006)
- Bing-You RG, "Medical students' perceptions of themselves and residents as teachers", Med Teach, 14, pp.133~138 (1992)
- Peters AS, "How important is money as a reward for teaching?", Acad Med, 84, pp.42~46 (2009)
- Ogur B, "The Harvard Medical School-Cambridge integrated clerkship: an innovative model of clinical education", Acad Med, 82, pp.397~404 (2007)
- Jeon JH, "Considerations in clinical clerkship", Korean J Med Educ, 1, pp.1~3 (1989)
- Lee SH, "The present conditions of community based education", Proceedings of Korean Society for Preventive Medicine Academic Symposium, pp.1~12 (2001), Korean Society for Preventive Medicine
- Bates MD, "Utilizing the SPICES model to evaluate the continuous improvement of a clinical development programme facilitated by Clinical Squadron, 22 Field Hospital", Med Teach, 25, pp.551~ (2003)