DOI QR코드

DOI QR Code

텍스트네트워크 분석을 활용한 국내 의사 직무역량 연구동향 분석

Research Trends on Doctor's Job Competencies in Korea Using Text Network Analysis

  • 김영전 (원광대학교 의과대학 의학교육학교실) ;
  • 이제욱 (중앙대학교 스포츠융합연구소) ;
  • 윤소정 (부산대학교 의과대학 의학교육학교실)
  • Kim, Young Jon (Department of Medical Education, Wonkwang University School of Medicine) ;
  • Lee, Jea Woog (Institute of Sports Convergence, Chung-Ang University) ;
  • Yune, So Jung (Department of Medical Education, Pusan National University School of Medicine)
  • 투고 : 2022.04.14
  • 심사 : 2022.06.15
  • 발행 : 2022.06.30

초록

We use the concept of the "doctor's role" as a guideline for developing medical education programs for medical students, residents, and doctors. Therefore, we should regularly reflect on the times and social needs to develop a clear sense of that role. The objective of the present study was to understand the knowledge structure related to doctor's job competencies in Korea. We analyzed research trends related to doctor's job competencies in Korea Citation Index journals using text network analysis through an integrative approach focusing on identifying social issues. We finally selected 1,354 research papers related to doctor's job competencies from 2011 to 2020, and we analyzed 2,627 words through data pre-processing with the NetMiner ver. 4.2 program (Cyram Inc., Seongnam, Korea). We conducted keyword centrality analysis, topic modeling, frequency analysis, and linear regression analysis using NetMiner ver. 4.2 (Cyram Inc.) and IBM SPSS ver. 23.0 (IBM Corp., Armonk, NY, USA). As a result of the study, words such as "family," "revision," and "rejection" appeared frequently. In topic modeling, we extracted five potential topics: "topic 1: Life and death in medical situations," "topic 2: Medical practice under the Medical Act," "topic 3: Medical malpractice and litigation," "topic 4: Medical professionalism," and "topic 5: Competency development education for medical students." Although there were no statistically significant changes in the research trends for each topic over time, it is nonetheless known that social changes could affect the demand for doctor's job competencies.

키워드

참고문헌

  1. Lee SW, Kim WS, Park SB, Park JH, Park CS, Lee SY, et al. Development of general competencies and EPA based on roles of doctors in South Korea. Seoul: Korean Medical Association, Research Institute for Healthcare Policy; 2018.
  2. Harden RM, Crosby JR, Davis MH, Friedman M. AMEE guide no. 14: outcome-based education: part 5-from competency to meta-competency: a model for the specification of learning outcomes. Med Teach. 1999;21(6):546-52. https://doi.org/10.1080/01421599978951
  3. Carraccio C, Wolfsthal SD, Englander R, Ferentz K, Martin C. Shifting paradigms: from Flexner to competencies. Acad Med. 2002;77(5):361-7. https://doi.org/10.1097/00001888-200205000-00003
  4. Leung WC. Competency based medical training: review. BMJ. 2002;325(7366):693-6. https://doi.org/10.1136/bmj.325.7366.693
  5. Hodges BD, Lingard L. The question of competence: reconsidering medical education in the twenty-first century. Ithaca (NY): Cornell University Press; 2012.
  6. Frank JR, Danoff D. The CanMEDS initiative: implementing an outcomes-based framework of physician competencies. Med Teach. 2007;29(7):642-7. https://doi.org/10.1080/01421590701746983
  7. Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach. 2007;29(7):648-54. https://doi.org/10.1080/01421590701392903
  8. General Medical Council. Tomorrow's doctors: recommendations on undergraduate medical education. London: General Medical Council; 1993.
  9. Han JJ. Korean doctor's role. Seoul: Korean Council on Medical Education; 2022.
  10. Lee SW. A study on the development of general competencies and entrustable professional activities (EPA) based on Korean doctor's role. Healthc Policy Forum. 2018;16(4):80-5.
  11. Koh GC, Khoo HE, Wong ML, Koh D. The effects of problem-based learning during medical school on physician competency: a systematic review. CMAJ. 2008;178(1):34-41. https://doi.org/10.1503/cmaj.070565
  12. Frank JR, Mungroo R, Ahmad Y, Wang M, De Rossi S, Horsley T. Toward a definition of competency-based education in medicine: a systematic review of published definitions. Med Teach. 2010;32(8):631-7. https://doi.org/10.3109/0142159X.2010.500898
  13. Srinivasan M, Li ST, Meyers FJ, Pratt DD, Collins JB, Braddock C, et al. "Teaching as a competency": competencies for medical educators. Acad Med. 2011;86(10):1211-20. https://doi.org/10.1097/ACM.0b013e31822c5b9a
  14. McDermott O, Crellin N, Ridder HM, Orrell M. Music therapy in dementia: a narrative synthesis systematic review. Int J Geriatr Psychiatry. 2013;28(8):781-94. https://doi.org/10.1002/gps.3895
  15. Lee Y, Kang J. Related factors of turnover intention among Korean hospital nurses: a systematic review and meta-analysis. Korean J Adult Nurs. 2018;30(1):1-17. https://doi.org/10.7475/kjan.2018.30.1.1
  16. Kim YH, Kim YJ. Social network analysis. 4th ed. Seoul: Parkyoungsa; 2016.
  17. Saheb T, Saheb M. Analyzing and visualizing knowledge structures of health informatics from 1974 to 2018: a bibliometric and social network analysis. Healthc Inform Res. 2019;25(2):61-72. https://doi.org/10.4258/hir.2019.25.2.61
  18. Blei DM. Probabilistic topic models. Commun ACM. 2012;55(4):77-84. https://doi.org/10.1145/2133806.2133826
  19. Jelodar H, Wang Y, Yuan C, Feng X, Jiang X, Li Y, et al. Latent Dirichlet allocation (LDA) and topic modeling: models, applications, a survey. Multimed Tools Appl. 2019;78:15169-211. https://doi.org/10.1007/s11042-018-6894-4
  20. Ham MI, Lee JW. Research Institutes Network Analysis on the established research equipment: Ministry of Knowledge Economy R&D business project. J Korea Contents Assoc. 2013;13(3):307-17. https://doi.org/10.5392/JKCA.2013.13.03.307
  21. Son BE, Jeon DI. Research trends analysis in quality monitoring of the general education using text network analysis. Korean J Gen Educ. 2020;14(5):97-108.
  22. Rousseeuw PJ. Silhouettes: a graphical aid to the interpretation and validation of cluster analysis. J Comput Appl Math. 1987;20:53-65. https://doi.org/10.1016/0377-0427(87)90125-7
  23. Pieters J, Dolmans DH, van den Beuken-van Everdingen MH, Warmenhoven FC, Westen JH, Verstegen DM. A national, palliative care competency framework for undergraduate medical curricula. Int J Environ Res Public Health. 2020;17(7):2396. https://doi.org/10.3390/ijerph17072396
  24. Siewiera J, Trnka J, Kubler A. The issue of legal protection of the intensive care unit physician within the context of patient consent to treatment: part I: conscious patient, refusing treatment. Anaesthesiol Intensive Ther. 2014;46(1):50-4. https://doi.org/10.5603/AIT.2014.0011
  25. Gotze H, Brahler E, Gansera L, Schnabel A, Gottschalk-Fleischer A, Kohler N. Anxiety, depression and quality of life in family caregivers of palliative cancer patients during home care and after the patient's death. Eur J Cancer Care (Engl). 2018;27(2):e12606. https://doi.org/10.1111/ecc.12606
  26. Aubry R. End-of-life, euthanasia, and assisted suicide: an update on the situation in France. Rev Neurol (Paris). 2016;172(12):719-24. https://doi.org/10.1016/j.neurol.2016.09.007
  27. Treglia M, Pallocci M, Passalacqua P, Giammatteo J, De Luca L, Mauriello S, et al. Medical liability: review of a whole year of judgments of the Civil Court of Rome. Int J Environ Res Public Health. 2021;18(11):6019. https://doi.org/10.3390/ijerph18116019
  28. Gutorova N, Zhytnyi O, Kahanovska T. Medical negligence subject to criminal law. Wiad Lek. 2019;72(11 cz 1):2161-6.
  29. Tobia K, Nielsen A, Stremitzer A. When does physician use of ai increase liability? J Nucl Med. 2021;62(1):17-21. https://doi.org/10.2967/jnumed.120.256032
  30. Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl). 2017;4(3):133-9. https://doi.org/10.1515/dx-2017-0007
  31. Tumelty ME. Medical negligence litigation and apologies: an empirical examination. Eur J Health Law. 2020;27(4):386-403. https://doi.org/10.1163/15718093-BJA10021
  32. Durand MA, Moulton B, Cockle E, Mann M, Elwyn G. Can shared decision-making reduce medical malpractice litigation?: a systematic review. BMC Health Serv Res. 2015;15:167. https://doi.org/10.1186/s12913-015-0823-2
  33. Fitzgerald A. Professional identity: a concept analysis. Nurs Forum. 2020;55(3):447-72. https://doi.org/10.1111/nuf.12450
  34. Shrivastava SR, Shrivastava PS. Medical professionals: need and role of professionalism. Indian J Health Sci Biomed Res KLEU. 2020;13(2):167-8. https://doi.org/10.4103/kleuhsj.kleuhsj_283_19
  35. Westmoreland KD, Banda FM, Steenhoff AP, Lowenthal ED, Isaksson E, Fassl BA. A standardized low-cost peer role-playing training intervention improves medical student competency in communicating bad news to patients in Botswana. Palliat Support Care. 2019;17(1):60-5. https://doi.org/10.1017/S1478951518000627
  36. Wentzell DD, Chung H, Hanson C, Gooi P. Competency-based medical education in ophthalmology residency training: a review. Can J Ophthalmol. 2020;55(1):12-9. https://doi.org/10.1016/j.jcjo.2019.07.004
  37. Mainous AG 3rd, Xie Z, Yadav S, Williams M, Blue AV, Hong YR. Physician cultural competency training and impact on behavior: evidence from the 2016 National Ambulatory Medical Care Survey. Fam Med. 2020;52(8):562-9. https://doi.org/10.22454/fammed.2020.163135
  38. Chun KH. Relationship between academic burnout of medical and graduate students and related variables. Korean Med Educ Rev. 2014;16(2):77-87. https://doi.org/10.17496/KMER.2014.16.2.077
  39. Yoo HH, Park KH. Career guidance program design for the graduate medical school students. J Korea Contents Assoc. 2014;14(12):873-80. https://doi.org/10.5392/JKCA.2014.14.12.873
  40. Yune SJ, Park KH. Analysis of reflective essays on the learning community experiences of medical students. Korean Med Educ Rev. 2016;18(3):167-73 https://doi.org/10.17496/KMER.2016.18.3.167
  41. Choi JY, Jang SG, Kim CA, Lee I. Institutional ethics committees for decisions on life-sustaining treatment in Korea: their current state and experiences with their operation. Korean J Med Ethics. 2019;22(3):209-33. https://doi.org/10.35301/ksme.2019.22.3.209
  42. Choi EK, Hong J, Kim MS, Keam B, Kim M, Heo DS, et al. The decision-making process regarding life-sustaining treatment in four countries: Taiwan, Japan, the US, and the UK. Korean J Med Ethics. 2017;20(2):131-51. https://doi.org/10.35301/ksme.2017.20.2.131
  43. Hwang H, Yang SJ. A comparative study on the perceptions of elderly patients and their caregivers toward life-sustaining treatment. Korean J Med Ethics. 2016;19(4):484-503. https://doi.org/10.35301/KSME.2016.19.4.484
  44. Smith R. Medical professionalism: out with the old and in with the new. J R Soc Med. 2006;99(2):48-50. https://doi.org/10.1177/014107680609900202
  45. Han ER, Chung EK. Understanding medical professionalism. Korean Med Educ Rev. 2020;22(2):143.
  46. Ahn DS. Medical professionalism, why now? Healthc Policy Forum. 2018;16(2):5-8.
  47. Yoo HH, Kim YJ. The implementation and evaluation of learning experience-based professionalism program in medical school. J Korea Contents Assoc. 2018;18(1):164-72. https://doi.org/10.5392/JKCA.2018.18.01.164