Korean Medical Education Review (의학교육논단)

Yonsei university college of medicine (연세대학교 의과대학)
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Patient-Centered Doctor's Competency Framework in Korea

한국의 환자중심 의사 역량 연구

  • Jeon, Woo-Taek (Department of Medical Education, Yonsei University College of Medicine) ;
  • Jung, Hanna (Department of Medical Education, Yonsei University College of Medicine) ;
  • Kim, Young-Jon (Department of Medical Education, Wonkwang University College of Medicine) ;
  • Kim, Chanwoong (Department of Emergency Medicine, Chung-Ang University College of Medicine) ;
  • Yune, Sojung (Department of Medical Education, Pusan National University School of Medicine) ;
  • Lee, Geon Ho (Department of Family Medicine, Daegu Catholic University School of Medicine) ;
  • Im, Sunju (Department of Medical Education, Pusan National University School of Medicine) ;
  • Lee, Sun-Woo (Department of Psychiatry, School of Medicine, Chungnam National University)
  • 전우택 (연세대학교 의과대학 의학교육학교실) ;
  • 정한나 (연세대학교 의과대학 의학교육학교실) ;
  • 김영전 (원광대학교 의과대학 의학교육학교실) ;
  • 김찬웅 (중앙대학교 의과대학 응급의학교실) ;
  • 윤소정 (부산대학교 의과대학 의학교육학교실) ;
  • 이건호 (대구가톨릭대학교 의과대학 가정의학교실) ;
  • 임선주 (부산대학교 의과대학 의학교육학교실) ;
  • 이선우 (충남대학교 의과대학 정신과학교실)
  • Received : 2022.04.21
  • Accepted : 2022.06.14
  • Published : 2022.06.30
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Abstract

With increasing demands for medical care by society, the medical system, and general citizens and rapid changes in doctor's awareness, the competencies required of doctors are also changing. The goal of this study was to develop a doctor's competency framework from the patient's perspective, and to make it the basis for the development of milestones and entrustable professional activities for each period of medical student education and resident training. To this end, a big data analysis using topic modeling was performed on domestic and international research papers (2011-2020), domestic newspaper articles (2016-2020), and domestic social networking service data (2016-2020) related to doctor's competencies. Delphi surveys were conducted twice with 28 medical education experts. In addition, a survey was conducted on doctor's competencies among 1,000 citizens, 407 nurses, 237 medical students, 361 majors, and 200 specialists. Through the above process, six core competencies, 16 sub-competencies, and 47 competencies were derived as subject-oriented doctor's competencies. The core competencies were: (1) competency related to disease and health as an expert; (2) competency related to patients as a communicator; (3) competency related to colleagues as a collaborator; (4) competency related to society as a health care leader (5) competency related to oneself as a professional, and (6) competency related to academics as a scholar who contributes to the development of medicine.

Keywords

Acknowledgement

이 연구는 한국보건의료연구원의 2020년도 환자 중심 의료기술 최적화 연구사업 중 환자 중심 성과 향상을 위한 전공의 교육체계 개선방안 연구의 연구비 지원으로 이루어졌다(과제번호: HC20C0138).

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