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일개 의과대학에서 임상실습 핵심-제한선택제도 도입의 방법론 탐색
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  • 일개 의과대학에서 임상실습 핵심-제한선택제도 도입의 방법론 탐색
  • A Methodological Research for the Introduction of Core-Selective Clinical Clerkship System in a Medical School
저자명
신좌섭(Jwa-Seop Shin),이윤성(Yoon-Seong Lee)
간행물명
Korean Journal of Medical EducationKCI,SCOPUS
권/호정보
2004년|16권 3호(통권33호)|pp.247-257 (11 pages)
발행정보
한국의학교육학회|한국
파일정보
정기간행물|KOR|
PDF텍스트(0.38MB)
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영문초록

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.

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