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논문

임상실습을 위한 임상표현별 직무중심 학습성과목표 개발

Development of Task-Based Learning Outcomes according to Clinical Presentations for Clinical Clerkships

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초록

Purpose: The aim of the study was to introduce our experience of establish task-based learning outcomes for core clinical clerkships. Methods: We first define our educational goal and objectives of the clinical clerkship curriculum according to knowledge, cognitive function and skill, and attitude. We selected clinical presentations and related diseases with expert panels and allocated them to core clinical departments. We classified doctor’s tasks into 6 categories: history taking, physical examination, diagnostic plan,therapeutic plan, acute and emergent management, and prevention and patient education. We described learning outcomes by task using behavioral terms. Results: We established goals and objectives for students to achieve clinical competency on a primary care level. We selected 75 clinical presentations and described 377 learning outcomes. Conclusion: Our process can benefit medical schools that offer outcome-based medical education, especially for clinical clerkships. To drive effective clerkships, a supportive system including assessment and faculty development should be implemented.

Abstract

Purpose: The aim of the study was to introduce our experience of establish task-based learning outcomes for core clinical clerkships. Methods: We first define our educational goal and objectives of the clinical clerkship curriculum according to knowledge, cognitive function and skill, and attitude. We selected clinical presentations and related diseases with expert panels and allocated them to core clinical departments. We classified doctor’s tasks into 6 categories: history taking, physical examination, diagnostic plan,therapeutic plan, acute and emergent management, and prevention and patient education. We described learning outcomes by task using behavioral terms. Results: We established goals and objectives for students to achieve clinical competency on a primary care level. We selected 75 clinical presentations and described 377 learning outcomes. Conclusion: Our process can benefit medical schools that offer outcome-based medical education, especially for clinical clerkships. To drive effective clerkships, a supportive system including assessment and faculty development should be implemented.

참고문헌 (10)

  1. Wimmers PF, "Influence of clerkship experiences on clinical competence", Med Educ, 40, pp.450~458 (2006)
  2. 노혜린, "환자 안전을 위한 진료 능력 성취도에 대한 학생 인식", Korean Journal of Medical Education, 19(3), pp.207~214 (2007), 한국의학교육학회
  3. Lee YM, "Evaluating clinical teaching in medicine", Korean J Med Educ, 14, pp.293~300 (2002)
  4. Harden R, "Task-based learning: the answer to integration and problem-based learning in the clinical years", Med Educ, 34, pp.391~397 (2000)
  5. Harden RM, "AMEE guide no. 14: outcome-based education: part 1-an introduction to outcome-based education", Med Teach, 21, pp.7~14 (1999)
  6. Newble D, "Developing an outcome-focused core curriculum", Med Educ, 39, pp.680~687 (2005)
  7. Papa FJ, "Medical curriculum reform in North America, 1765 to the present: a cognitive science perspective", Acad Med, 74, pp.154~164 (1999)
  8. Harden RM, "AMEE medical education guide no. 7.: task-based learning: an educational strategy for undergraduat postgraduate and continuing medical education, part 1", Med Teach, 18, pp.7~13 (1996)
  9. 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, pp.902~907 (2009)
  10. Dennick R, "Justifications for learning outcomes: more appropriate educational theories", Med Educ, 38, pp.1205~ (2004)

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