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한국의학교육학회> Korean Journal of Medical Education> 원저 : 의과대학과 의학전문대학원 신입생의 배경 및 특성 비교 -일개대학 사례-

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원저 : 의과대학과 의학전문대학원 신입생의 배경 및 특성 비교 -일개대학 사례-

The Comparison of Backgrounds and Characteristics of Students in Medical College and Graduate Medical School: A Case Study of One Medical School

한재진 ( Jae Jin Han ) , 이순남 ( Soon Nam Lee ) , 권복규 ( Ivo Kwon ) , 박혜숙 ( Hye Sook Park ) , 임현정 ( Hyun Jung Im ) , 김태은 ( Tae Eun Kim ) , 안정희 ( Jung Hee An )
  • : 한국의학교육학회
  • : Korean Journal of Medical Education 20권1호
  • : 연속간행물
  • : 2008년 03월
  • : 11-21(11pages)

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Purpose: Information about students is important not only in developing curriculum and teaching strategies, but also in providing support to them. We surveyed students in 2004 (Medical collage) and 2007 (Graduate Medical School) to change our educational system to the GMS. By comparing the characteristics of these students, we expected the new curriculum to be more appropriate for the GMS students. Methods: Our survey tool was a modified version of the matriculating student questionnaires used by the American Association of Medical Colleges. 60 (80.2%) matriculating students in 2004 (MC), and 71 (93.4%) in 2007 (GMS) responded to the survey. A total of 101 items were asked in 5 areas- 1) Demographic Data, 2) Pre-medical school experience, 3) Medical school application, 4) Career plans and interests, and 5) Perceptions of Medicine and Medical Service. Results: Graduate Medical School matriculates have more diverse backgrounds and experiences before entrance than MC matriculates. GMS students are more sensitive to social issues and accountabilities of medicine and have a higher interest in working with other professionals. Both groups of students were similar in ranking medical professionalism higher than occupational stability or social economic compensation. Conclusion: We can use this information about students for curriculum development and, in particular, the differences seen between MC and GMS students could be helpful in improving medical education. If the survey were collected longitudinally and nation-wide, the results could be valuable for policy making not only in medical education but also in medical care and health of the nation.

ECN

ECN-0102-2014-500-001963948


UCI

I410-ECN-0102-2014-500-001963948

간행물정보

  • : 의약학분야  > 의학교육
  • : KCI 등재
  • : - / SCOPUS
  • : 계간
  • : 2005-727x
  • : 2005-7288
  • : 학술지
  • : 연속간행물
  • : 2003-2018
  • : 557


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1시론 : 자유무역협정 (Free Trade Agreement) 시대에서 의사 면허의 상호인정을 위한 의학교육 평가

저자 : 허선 ( Sun Huh )

발행기관 : 한국의학교육학회 간행물 : Korean Journal of Medical Education 20권 1호 발행 연도 : 2008 페이지 : pp. 1-2 (2 pages)

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2종설 : 한국에서의 “의학전문직업성” 교육: 과제와 전망

저자 : 맹광호 ( Kwang Ho Meng )

발행기관 : 한국의학교육학회 간행물 : Korean Journal of Medical Education 20권 1호 발행 연도 : 2008 페이지 : pp. 3-10 (8 pages)

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The Medical Student Objectives Project of the American Association of Medical Colleges states that physicians must demonstrate "a commitment to advocate at all times the interests of one`s patients over one`s own interests," as well as "an understanding of the threats to medical professionalism posed by the conflicts of interest inherent in various financial and organizational arrangements for the practice of medicine." Due to these concerns, for the last some 30 years, there have been many attempts to improve medical professionalism curriculum in medical education such as altruistic attitudes and professional behaviors that those pursuing careers in medicine should possess. However, physicians today are not infrequently confronting conflicts of interest, such as those arising between the health system that employs them and the individual patient seeking care. This paper briefly reviews current status of teaching medical professionalism in Korean medical schools, and discusses tasks to be coped with to further improve the medical professionalism curriculum in Korea including development of effective teaching and evaluation methods. This paper also emphasizes the importance of the role of the medical education systems such as National Licensing Medical Examination and the Medical School Accreditation System in improving the teaching of medical professionalism in Korean medical schools.

3원저 : 의과대학과 의학전문대학원 신입생의 배경 및 특성 비교 -일개대학 사례-

저자 : 한재진 ( Jae Jin Han ) , 이순남 ( Soon Nam Lee ) , 권복규 ( Ivo Kwon ) , 박혜숙 ( Hye Sook Park ) , 임현정 ( Hyun Jung Im ) , 김태은 ( Tae Eun Kim ) , 안정희 ( Jung Hee An )

발행기관 : 한국의학교육학회 간행물 : Korean Journal of Medical Education 20권 1호 발행 연도 : 2008 페이지 : pp. 11-21 (11 pages)

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Purpose: Information about students is important not only in developing curriculum and teaching strategies, but also in providing support to them. We surveyed students in 2004 (Medical collage) and 2007 (Graduate Medical School) to change our educational system to the GMS. By comparing the characteristics of these students, we expected the new curriculum to be more appropriate for the GMS students. Methods: Our survey tool was a modified version of the matriculating student questionnaires used by the American Association of Medical Colleges. 60 (80.2%) matriculating students in 2004 (MC), and 71 (93.4%) in 2007 (GMS) responded to the survey. A total of 101 items were asked in 5 areas- 1) Demographic Data, 2) Pre-medical school experience, 3) Medical school application, 4) Career plans and interests, and 5) Perceptions of Medicine and Medical Service. Results: Graduate Medical School matriculates have more diverse backgrounds and experiences before entrance than MC matriculates. GMS students are more sensitive to social issues and accountabilities of medicine and have a higher interest in working with other professionals. Both groups of students were similar in ranking medical professionalism higher than occupational stability or social economic compensation. Conclusion: We can use this information about students for curriculum development and, in particular, the differences seen between MC and GMS students could be helpful in improving medical education. If the survey were collected longitudinally and nation-wide, the results could be valuable for policy making not only in medical education but also in medical care and health of the nation.

4원저 : 의과대학생들의 의학 전문직업성에 대한 자기평가

저자 : 허예라 ( Ye Ra Hur ) , 이성호 ( Sungho H Lee ) , 김선 ( Sun Kim )

발행기관 : 한국의학교육학회 간행물 : Korean Journal of Medical Education 20권 1호 발행 연도 : 2008 페이지 : pp. 23-35 (13 pages)

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Purpose: Medical professionalism has become a very popular theme in medical education since 2000. Despite the high interest, not alot of variety of studies have been done. In particular, it is very difficult to find a study focusing on the professionalism level of medical students; and none exists in Korea. The purpose of this study is to examine the level of medical professionalism in medical students and the differences between the academic years. Methods: Of the 41 medical schools in Korea, eight were sampled randomly. From these, 2,590 medical students were finally chosen for the survey. Independent t-test and one-way Anova were used to analyse the differences between the academic years. Results: The level of medical professionalism (medical knowledge, skills and attitude) of premedical students and medical students all appeared to be below average or average. For premedical students, differences were seen in 'professional knowledge' but still at a below average level. By graduation, medical students showed an overall increase in all three domains of medical professionalism, especially in 'professional attitude'. Their scores, however, did not reach more than average. Conclusion: There are specific areas of weaknesses in medical professionalism in students; and as their level of professionalism was not satisfactory even by the time of graduation, medical educators need to reconsider the present medical professionalism curriculum and investigate ways to improve the level of medical professionalism in medical students.

5원저 : 의과대학생들의 성취목표성지향성과 자기효능감이 수업에 대한 흥미와 학업성취도에 미치는 영향

저자 : 소연희 ( Yeon Hee So )

발행기관 : 한국의학교육학회 간행물 : Korean Journal of Medical Education 20권 1호 발행 연도 : 2008 페이지 : pp. 37-49 (13 pages)

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Purpose: The purpose of this study is to compare the effects of achievement goal orientation and self-efficacy across grade levels; to verify correlations among achievement goal orientation, self-efficacy, course interests and academic achievement (GPA); and to examine predictions of achievement goal orientation and self-efficacy on course interests and academic achievement (GPA) across grade levels. Methods: Participants were 347 medical students with the breakdown being premedical students (n=104, 30.0%), first-year medical students (n=130, 37.5%), and third-year medical students (n=113, 32.5%). The scales of 3 achievement goal orientations (performance approach, performance avoidance, and mastery), academic self-efficacy, and course interests were used in the study. The final grade was used as the academic achievement (GPA). We conducted a one-way ANOVA, Pearson`s correlation analysis, and multiple regression analysis to resolve the research questions. Results: Premedical students revealed higher performance approach and higher self-efficacy than medical students. First-year medical students had higher mastery goal. Third-year medical students showed higher performance avoidance and lower mastery goal than the first-year medical students and premedical students. Course interests correlated positively with performance approach, mastery goal, and self-efficacy regardless of grade level. Academic achievement correlated positively with performance approach, mastery goal and self-efficacy in premedical students and performance approach and mastery goal in first-year medical students. Performance approach and self-efficacy showed positive correlations with academic achievement in third-year medical students. For course interests, mastery goal and performance approach were the best predictors; and for academic achievement, performance approach was the best predictor in all participants. Mastery goal in premedical students and selfefficacy in third-year medical students significantly predicted academic achievement. Conclusion: These findings suggest that, to enhance course interests and academic achievement, it is desirable to consider individual characteristics such as academic goal orientation and level of self-efficacy when designing the learning environment.

6원저 : 임상술기 수행능력에 대한 의과대학생들의 자가평가와 객관구조화진료시험 (OSCE) 결과의 비교

저자 : 박일환 ( Eal Whan Park )

발행기관 : 한국의학교육학회 간행물 : Korean Journal of Medical Education 20권 1호 발행 연도 : 2008 페이지 : pp. 51-60 (10 pages)

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Purpose: The purpose of this study was to assess the clinical experiences (in internal medicine) of medical students, and compare the self-assessment of their competency in clinical skills with the assessment of instructors through the OSCE. Methods: The frequency of clinical experiences had by medical students and the selfassessments of their confidence in clinical skills were assessed by questionnaires administered before the OSCE. 52 medical students participated in the OSCE. After completing the OSCE, they re-evaluated their own performance of 9 clinical skills examined in the OSCE by self-assessment questionnaires. The scores of these self-assessments were compared with the scores given by the instructors. Results: For 19 of 28 clinical skills items listed in the questionnaires, self-assessment of competence by medical students correlated with the frequency of performance (p<0.05). For 9 clinical skills in the OSCE, the self-assessment scores did not correlate significantly with the instructors` assessment scores (p>0.05). However, these 9 clinical skills scores from the instructors correlated significantly with the clerkship evaluation scores and the final semester grade point averages (p<0.05). Conclusion: There was a significant association between frequency of performance and selfassessed competency, which did not correlate significantly with the instructors` evaluation through the OSCE.

7원저 : 진료수행시험에서 동일한 사례를 연기한 다수의 표준화 환자 간 채점결과 신뢰도

저자 : 고진경 ( Jin Kyung Ko ) , 윤태영 ( Tai Young Yoon ) , 박재현 ( Jae Hyun Park )

발행기관 : 한국의학교육학회 간행물 : Korean Journal of Medical Education 20권 1호 발행 연도 : 2008 페이지 : pp. 61-72 (12 pages)

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Purpose: The "standardization" of standardized patients (SP) is one of the most crucial factors for a successful clinical performance examination (CPX). This study aimed to examine the inter-rater reliability among SPs who portrayed the same case during a CPX. Methods: The context was a CPX conducted under the supervision of CPX Seoul-Gyeonggi Consortium in K medical school in August 2007. K medical school ran 12 stations consisting of duplicated sets of 6 cases. In total, thirty SPs participated with 5 SPs acting each of the 6 cases. The SPs evaluated the student`s performances in addition to portraying the cases. ANCOVA (analysis of covariance) was used to compare scores rated by the different SPs. The dependent variables were the case scores and the 4 subcomponent (history taking, physical examination, Clinical courtesy, and Patient-physician interaction) scores for each case; the independent variable was the SPs; and the covariate was the CPX total score. Results: The Headache and Cough stations showed an acceptable level of reliability. Otherwise, Weight Loss and Facial Flushing failed to show consistent scores in all 4 subcomponents. Diarrhea and Lt. hemiparesis showed partial consistency. In terms of the subcomponents, the physical exam scores were most consistent and the patient-physician interaction scores were most inconsistent. Conclusion: This study tested the level of "standardization" of one set of CPX cases with mixed results. The authors hope that our results will contribute to quality assurance of CPX.

8원저 : 의료윤리교육의 효과 평가

저자 : 김성수 ( Sung Soo Kim ) , 박병규 ( Byung Kyu Park ) , 장철훈 ( Chulhun L Chang ) , 김해규 ( Hae Kyu Kim ) , 강신영 ( Shin Young Kang ) , 백승완 ( Seong Wan Baik )

발행기관 : 한국의학교육학회 간행물 : Korean Journal of Medical Education 20권 1호 발행 연도 : 2008 페이지 : pp. 73-83 (11 pages)

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Purpose: The purpose of this study is to evaluate the effectiveness of a medical ethics course taught in medical school by examining the students` abilities to identify medical ethics issues, the applicability of a medical ethics course, and self-efficacy. Methods: 366 subjects were recruited from three different groups (medical students, interns, and residents) who had completed a medical ethics course. Data were collected using a 20-item questionnaire. Analysis was done with a SPSS statistics program. Results: Of the three groups, the students scored the highest in identifying medical ethics issues. When asked how often they see medical ethics issues in real medical situations (students were asked how often they would expect to see these ethical issues in medical settings), the students responded with the highest number, followed by the interns. The residents responded with the lowest number. Regarding the applicability of the medical ethics course, while students believed the course was highly useful and applicable to real medical settings, interns and residents did not agree. The participants` self-efficacy and satisfaction were generally low. The majority of all three groups thought that medical ethics education should be more practical and that it should be taught during internship as well as during residency. Conclusion: Our findings suggest two important directions for medical ethics education. First, the current medical ethics curriculum should be offered during both internship and residency. Second, the content should focus more on actual clinical scenarios ('clinical ethics') than theoretical principles.

9원저 : 2007 의사국가시험과 2006 한국의과대학장협의회 의과대학 학습목표의 불일치

저자 : 박종우 ( Jong Woo Park ) , 윤기영 ( Ki Young Yoon ) , 정호중 ( Ho Joong Jeong ) , 김원규 ( Won Gyu Kim ) , 황현용 ( Hyun Yong Hwang )

발행기관 : 한국의학교육학회 간행물 : Korean Journal of Medical Education 20권 1호 발행 연도 : 2008 페이지 : pp. 85-90 (6 pages)

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Purpose: The purpose of this research was to evaluate the relationship between the 2007 Korean medical licensing examination (KMLE) and the 2006 Learning Objectives for Medical Students (LOMC) produced by the Association of Korean Medical Colleges` Council of Deans. Methods: A total of 493 questions from the 2007 KMLE and the 2006 LOMC were used. The percentage and the frequency of each LOMC used in the 2007 KMLE were analyzed. The possibility of answering questions guided by the LOMC was analyzed. When questions could not be answered using the LOMC, we further categorized these questions into areas of medicine and specific causes. Results: A total of 669 (14.03%) learning objectives were used to solve questions from the 2007 KMLE. A learning objective was used a maximum of 5 times in the 2007 KMLE, and the percentages of one time, 2 times, 3 times, 4 times, and 5 times were 84.90%, 12.11%, 2.39%, 0.45%, and 0.15%, respectively. Four hundred six of 493 questions were solvable using the learning objectives, and 87 (17.65%) were not. When several steps were needed to solve a question, 15 questions (17.24%) could not be solved due to a lack of learning objectives for some of those steps. Overall, the 87 unsolvable questions were from internal medicine (37.9%), obstetrics & gynecology (14.9%), medical law (12.6%), pediatrics (10.3%), general surgery (9.2%), psychiatry (6.9%), and preventive medicine (1.1%). Questions difficult to solve specifically due to absent learning objectives were in the areas of treatment and procedure (29.67%), test and diagnosis (13.19%), symptoms (9.89%), pathophysiology (7.69%), complications (6.59%), and disease entity (6.59%). Conclusion: Discrepancy was observed between the 2007 KMLE and the 2006 LOMC. To solve this problem, the reorganization of both the KMLE and the LOMC based on a clear consensus of a primary care physician`s role is believed to be needed.

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Korean Journal of Medical Education
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Korean Journal of Medical Education
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KCI등재 SCOUPUS

Korean Journal of Medical Education
29권 2호 ~ 29권 2호

KCI등재 SCOUPUS

Korean Journal of Medical Education
29권 1호 ~ 29권 1호

KCI등재 SCOUPUS

Korean Journal of Medical Education
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KCI등재 SCOUPUS

Korean Journal of Medical Education
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KCI등재 SCOUPUS

Korean Journal of Medical Education
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KCI등재 SCOUPUS

Korean Journal of Medical Education
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KCI등재 SCOUPUS

Korean Journal of Medical Education
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KCI등재 SCOUPUS

Korean Journal of Medical Education
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KCI등재 SCOUPUS

Korean Journal of Medical Education
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KCI등재 SCOUPUS

Korean Journal of Medical Education
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KCI등재 SCOUPUS

Korean Journal of Medical Education
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KCI등재 SCOUPUS

Korean Journal of Medical Education
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KCI등재 SCOUPUS

Korean Journal of Medical Education
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