일개 의과대학에서 임상실습 핵심-제한선택제도 도입의 방법론 탐색

• 영문명: A Methodological Research for the Introduction of Core-Selective Clinical Clerkship System in a Medical School
• 발행기관: 한국의학교육학회
• 저자명: 신좌섭(Jwa-Seop Shin) 이윤성(Yoon-Seong Lee)
• 간행물 정보: 『Korean Journal of Medical Education』제16권 제3호, 247~257쪽, 전체 11쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2004.12.31

영문 초록

Purpose: The purpose of this study is to find a strategy for reintroducing the core-selective clinical clerkship system to the Seoul National University College of Medicine s clerkship curriculum, which has an unsuccessful history with this system ( 86- 90). Methods: Authors conducted a literature review to identify problems recognized from the past experience and a focus group interview with related personnel to prioritize the problems. From 5 domains of problems identified, interviewees focused on 2 problems- problems in the definition of ‘what are the core (compulsory) and the selective (optional) rotations and the tendency of students to crowd in popular subjects. Therefore, to redetermine what is core clerkship subjects and to predict the selection tendency of students, we conducted questionnaire surveys from students (N=171), residents (N=84), and practitioners (N=78). As for should-be core clerkship rotations, students and residents included radiology and neurology and practitioners included emergency medicine, radiology and orthopedics. We concluded that these 4 rotations should be added to the predetermined 5 core rotations (internal medicine, general surgery, pediatrics, obstetrics & gynecology, and psychiatrics). Students selection ratio varied from very high (69%) to very low (32%), and selected rotations by individual students showed statistically significant correlations. The students were classified, according to rotation selection tendency, into 4 clusters. Results: As for should-be core clerkship rotations, students and residents included radiology and neurology and practitioners included emergency medicine, radiology and orthopedics. We concluded that these 4 rotations should be added to the predetermined 5 core rotations (internal medicine, general surgery, pediatrics, obstetrics & gynecology, and psychiatrics). Students selection ratio varied from very high (69%) to very low (32%), and selected rotations by individual students showed statistically significant correlations. The students were classified, according to rotation selection tendency, into 4 clusters. Conclusion: Integrating the analysis of the selection ratio and that of selection tendency of individual students, we built a scenario that could prevent the crowding of students in popular specialty clerkships, and at the same time, could avoid neglecting students right to select rotations that interest them.

목차

서 론

대상 및 방법

결 과

고 찰

참 고 문 헌

키워드

Core-Selective System Selective Clinical Clerkship Clerkship Curriculum