의학교육논단 (Korean Medical Education Review)

  • 제25권3호
  • /
  • Pages.198-211
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  • 2023
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  • 2092-5603(pISSN)
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  • 2093-6370(eISSN)
연세대학교 의과대학 (Yonsei university college of medicine)
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한국형 의료시스템과학 교육과정 구성 전략: 국내 의료시스템과학 교육 현황과 미국 의과대학 사례분석을 중심으로

Strategies for Structuring Health Systems Science Curriculum in the Korean Medical Education: A Study Based on an Analysis of the Domestic Status of Health Systems Science Education and Case Studies of US Medical Schools

  • 채유미 (단국대학교 의과대학 의학교육학교실) ;
  • 이영미 (고려대학교 의과대학 의학교육학교실) ;
  • 심선희 (고려대학교 의과대학 의학교육학교실)
  • Yoo Mi Chae (Department of Medical Education, Dankook University College of Medicine) ;
  • Young Mee Lee (Department of Medical Education, Korea University College of Medicine) ;
  • Sun Hee Shim (Department of Medical Education, Korea University College of Medicine)
  • 투고 : 2023.08.16
  • 심사 : 2023.10.21
  • 발행 : 2023.10.31
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초록

Health systems science (HSS) is recognized as the third pillar of medical education. alongside basic and clinical sciences. Today's physicians must also be systems thinkers who are able to discern how social, economic, environmental, and technological forces influence clinical decision-making. This study aimed to propose strategies for structuring an HSS curriculum that is tailored to the Korean healthcare and medical education context. First, the authors of this study conducted a survey to identify the present curricular contents of HSS related education at Korean medical schools. Second, a needs assessment was performed to determine the necessity of HSS competencies, as well as the prerequisites for the seamless integration of HSS into the existing curriculum. Third, literature reviews on HSS education at 14 US medical schools and expert consultations was conducted. We would like to propose a set of strategic approaches, classified into two levels: comprehensive and partial restructuring of the current medical curriculum to incorporate HSS. The partial restructuring approach entails a gradual, incremental incorporation of HSS content, while maintaining the current curricular structure. In contrast, a complete overhaul of the curriculum may be ideal to build HSS as the third pillar of medical education, but its feasibility remains relatively limited. The partial reorganization approach, however, has the advantage of being highly feasible. Collaborative efforts between professors and students are imperative to collectively devise effective methods for the seamless integration of HSS into the existing curriculum.

키워드

과제정보

의료시스템과학 개념 정리, 조사지 개발 등 함께 애써 주신 연구진분들과 물심양면 연구를 지원해주신 KAMC 정책연구소 직원분들께 감사드린다.

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