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인턴수련제도 폐지에 따른 기본의학교육-졸업 후 의학교육의 변화

The Change of Basic and Postgraduate Medical Education after Intern Training System Dismantling

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초록

This study aimed to review the expected changes in the medical educational environment and to evaluate ap-proaches to coping with the abolition of the postgraduate intern training system. It is expected that after the in-tern training system is dismantled, postgraduate medical students will be deprived of the opportunity to prac-tice opportunity for clinical practice and to inquire into their medical specialization. Therefore, major improve-ments in the clinical education curriculum must be made so that students can do so through the clinical educa-tion program. Offering students the opportunity to perform clinical practice through the clinical education pro-gram might require a revision in the laws and regulations on clinical education as well as the standardization of the clinical education curriculum in line with international practices. Reform measures to provide students the opportunity to inquire their specializations might be the introduction of a medical curriculum containing di-verse fields and the establishment of a matching program to assign medical students to their residency pro-grams after medical school. Finally, the fact that the basic concern of postgraduate medical education is the cul-tivation of primary care physicians must not be forgotten even after the dismantling of the postgraduate intern training system.

Abstract

This study aimed to review the expected changes in the medical educational environment and to evaluate ap-proaches to coping with the abolition of the postgraduate intern training system. It is expected that after the in-tern training system is dismantled, postgraduate medical students will be deprived of the opportunity to prac-tice opportunity for clinical practice and to inquire into their medical specialization. Therefore, major improve-ments in the clinical education curriculum must be made so that students can do so through the clinical educa-tion program. Offering students the opportunity to perform clinical practice through the clinical education pro-gram might require a revision in the laws and regulations on clinical education as well as the standardization of the clinical education curriculum in line with international practices. Reform measures to provide students the opportunity to inquire their specializations might be the introduction of a medical curriculum containing di-verse fields and the establishment of a matching program to assign medical students to their residency pro-grams after medical school. Finally, the fact that the basic concern of postgraduate medical education is the cul-tivation of primary care physicians must not be forgotten even after the dismantling of the postgraduate intern training system.

참고문헌 (7)

  1. Costello, J., "The seamless transition from student to intern : from theory to practice", Intern Med J, 40(10), pp.728~731 (2010)
  2. Falcone, J. L., "Home-field advantage : the role of selection bias in the general surgery national residency matching program", J Surg Educ, 70(4), pp.461~465 (2013)
  3. Farkas, D. T., "The use of a surgery-specific written examination in the selection process of surgical residents", J Surg Educ, 69(6), pp.807~812 (2012)
  4. Kim, B. S., "Evaluation of the educational status of internal Medicine Residency Program in Korea", Korean J Med Educ, 15(1), pp.27~34 (2003)
  5. 노혜린, "인턴 업무를 수행하는 학생 인턴제의 시행 경험", Korean Journal of Medical Education, 19(1), pp.47~57 (2007), 한국의학교육학회
  6. Sato, D., "Impact of teaching intensity and academic status on medical resource utilization by teaching hospitals in Japan", Health Policy, 108(1), pp.86~92 (2012)
  7. 왕규창, "전공의 수련제도 개선", 대한의사협회지, 54(4), pp.352~354 (2011), 대한의사협회

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