Korean Medical Education Review (의학교육논단)

Yonsei university college of medicine (연세대학교 의과대학)
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Analysis of Educational Reality and Expectations Regarding Competencies Defined in "The Role of Korean Doctor, 2014"

"한국의 의사상, 2014"의 역량 규정에 대한 의과대학의 교육현실과 기대수준 분석

  • Yang, Eunbae B. (Department of Medical Education, Yonsei University College of Medicine) ;
  • Shin, Hyekyung (Department of Medical Education, Yonsei University College of Medicine) ;
  • Suh, Dukjoon (Department of Physiology, Dong-A University School of Medicine) ;
  • Han, Jae Jin (Department of Medical Education, Ewha Womans University School of Medicine)
  • 양은배 (연세대학교 의과대학 의학교육학교실) ;
  • 신혜경 (연세대학교 의과대학 의학교육학교실) ;
  • 서덕준 (동아대학교 의과대학 생리학교실) ;
  • 한재진 (이화여자대학교 의과대학 의학교육학교실)
  • Received : 2018.09.11
  • Accepted : 2018.10.29
  • Published : 2018.10.31
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Abstract

The aim of this study is to determine whether the 65 competencies, defined in "the role of Korean doctor, 2014", are suitable for basic medical education phase in Korea. It seeks to analyze the gap among the educational reality and expectation, assessment situation of the competencies above. We also try to define issues of the development, application and assessment phases of competency-based medical education (CBME) at individual medical schools. We designed survey tools based on the Miller's assessment pyramid (knowledge, explanation, demonstration, and performance) for each of the 65 competencies. The survey distributed to 41 medical schools in April 2015 and 38 replies were received (92.7%). Competencies that matched both the educational reality and expectation were numbers 1 (patient care), 33 (social accountability), and 49 (professionalism). However, all the other competencies ranked lower in current status than that of desirable level. 54 out of 65 competencies (83.07%) remained at the knowledge and explanation level when each competence were assessed. In the development, application, and assessment phases of CBME, common issues that medical schools commonly noted were difficulty linking competencies to curriculum preparation and student assessment, the lack of faculty's understanding, difficulty to reach consensus among faculties, and absence of teaching and learning methods and assessment tools that fits CBME. For the successful settle down of CBME, there is a need for efforts to develop the model of graduate outcomes, to share information and experience, and to operate faculty development program by the medical education communities.

Keywords

References

  1. McClelland DC. Testing for competence rather than for "intelligence". Am Psychol. 1973;28(1):1-14. https://doi.org/10.1037/h0034092
  2. Ten Cate O. A primer on entrustable professional activities. Korean J Med Educ. 2018 Mar;30(1):1-10. https://doi.org/10.3946/kjme.2018.76
  3. Yang EB. Competency-based medical education and issues of medical education. Seoul: Korea Institute of Medicine; 2014.
  4. Kim DH, Kim EJ, Hwang J, Shin JS, Lee S. What is the current orientation of undergraduate medical education in Korea? Korean J Med Educ. 2015;27(2):87-98. https://doi.org/10.3946/kjme.2015.27.2.87
  5. Lee YB. The role of the concept of competence in Korean outcome-based medical education. Korean Med Educ Rev. 2013;15(3):144-50. https://doi.org/10.17496/KMER.2013.15.3.144
  6. Korean Institute of Medical Education and Evaluation. Medical education accreditation standards: post 2nd cycle. Seoul: Korean Institute of Medical Education and Evaluation; 2012.
  7. Meng KH. Medical education plan for the twenty-first century in Korea: hopes and challenges. Korean J Med Educ. 2004;16(1):1-11. https://doi.org/10.3946/kjme.2004.16.1.1
  8. Im JG, Shin JS. Physicians for 'here and now'. J Korean Med Assoc. 2012;55(2):110-2. https://doi.org/10.5124/jkma.2012.55.2.110
  9. Baik SH. The way of making a good doctor. Korean J Med Educ. 2010;22(4):249-56. https://doi.org/10.3946/kjme.2010.22.4.249
  10. Korean Council of Deans of Medical College. Medical education plan for the twenty-first century in Korea: 21st century doctor's role. Seoul: Academybook; 2000.
  11. Ahn D; Working Group for Project on the Future Global Role of The Doctor in Health Care. Korean doctor's role. J Korean Med Assoc. 2014;57(1):3-7. https://doi.org/10.5124/jkma.2014.57.1.3
  12. Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990;65(9 Suppl):S63-7. https://doi.org/10.1097/00001888-199009000-00045
  13. Harden RM, Gleeson FA. Assessment of clinical competence using an objective structured clinical examination (OSCE). Med Educ. 1979;13(1):41-54. https://doi.org/10.1111/j.1365-2923.1979.tb00918.x
  14. Harden RM. AMEE guide no. 14: outcome-based education: part 1-an introduction to outcome-based education. Med Teach. 1999;21(1):7-14. https://doi.org/10.1080/01421599979969
  15. Epstein RM. Assessment in medical education. N Engl J Med. 2007;356(4):387-96. https://doi.org/10.1056/NEJMra054784
  16. Park JH. Current and future challenges of student assessment in medical education from an outcome-based education perspective. Korean Med Educ Rev. 2013;15(3):112-9. https://doi.org/10.17496/KMER.2013.15.3.112
  17. Miller A, Archer J. Impact of workplace based assessment on doctors' education and performance: a systematic review. BMJ. 2010;341:c5064. https://doi.org/10.1136/bmj.c5064
  18. Lurie SJ, Mooney CJ. Relationship between clinical assessment and examination scores in determining clerkship grade. Med Educ. 2010;44(2):177-83. https://doi.org/10.1111/j.1365-2923.2009.03572.x
  19. Yang E, Suh DJ, Lee Y, Lee S, Kim S, Lee E, et al. Status of clerkship education and its evaluation in Korean medical schools. Korean J Med Educ. 2007;19(2):111-21. https://doi.org/10.3946/kjme.2007.19.2.111
  20. Lee SY, Im SJ, Yune SJ, Baek S, Woo JS. Assessment of medical students in clinical clerkships. Korean Med Educ Rev. 2013;15(3):120-4. https://doi.org/10.17496/KMER.2013.15.3.120
  21. Van der Vleuten CP. The assessment of professional competence: developments, research and practical implications. Adv Health Sci Educ Theory Pract. 1996;1(1):41-67. https://doi.org/10.1007/BF00596229
  22. Frank JR, Snell LS, ten Cate O, Holmboe ES, Carraccio C, Swing SR, et al. Competency-based medical education: theory to practice. Med Teach. 2010;32(8):638-45. https://doi.org/10.3109/0142159X.2010.501190
  23. Yoon BY, Choi I, Kim S, Park H, Ju H, Rhee BD, et al. Recommendations for the successful design and implementation of competency-based medical education in Korea. Korean Med Educ Rev. 2015;17(3):110-21. https://doi.org/10.17496/kmer.2015.17.3.110
  24. Albanese MA, Mejicano G, Anderson WM, Gruppen L. Building a competency-based curriculum: the agony and the ecstasy. Adv Health Sci Educ Theory Pract. 2010;15(3):439-54. https://doi.org/10.1007/s10459-008-9118-2