Browse > Article
http://dx.doi.org/10.5124/jkma.2013.56.10.891

Reforming medical education for strengthening primary care  

Kim, Kyoungwoo (Department of Family Medicine, Inje University Seoul Paik Hospital)
Lee, Seunghwa (Department of Family Medicine, Ajou University College of Medicine)
Park, Hoonki (Department of Family Medicine, Hanyang University College of Medicine)
Publication Information
Journal of the Korean Medical Association / v.56, no.10, 2013 , pp. 891-898 More about this Journal
Abstract
Primary care physicians who can deliver high quality primary care services are essential for strengthening the primary health care system. In Korea, primary care was regarded as substandard services practiced by any medical doctor without postgraduate education in primary care. The current and future health care systems are challenged by increasing complexity and co-morbidity and healthcare costs in medical care. The developed countries are preparing for the future by increasing support for basic, postgraduate, and continuing medical education in primary care. To strengthen the primary care in Korea, basic medical education programs should require experience in primary care clinics with a teaching and education function. Postgraduate primary care medical education must be enhanced to be qualified to practice in the community. The recognition of the importance of primary care and the need for changes in the current education and healthcare system among medical professionals and other stakeholders and support systems such as legislation and finance for primary care medical education.
Keywords
Primary health care; Education; Residence characteristics;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Busing N. Managing physician shortages: we are not doing enough. CMAJ 2007;176:1057, 1059.
2 McKee ND, McKague MA, Ramsden VR, Poole RE. Cultivating interest in family medicine: family medicine interest group reaches undergraduate medical students. Can Fam Physician 2007;53:661-665.
3 Ko YW. A study on the development of compulsory clinical training program for quality improvement of medical physicians. Seoul: Ministry of Health and Welfare; 2004.
4 European Academy of Teachers in General Practice/Family Medicine (EURACT). Specialist training in general practice/ family medicine: dynamic interactive database [Internet]. Leuven: EURACT [cited 2013 Jun 14]. Available from: http:// www. euract.eu/resources/specialisttraining.
5 Clay MA 2nd, Sikon AL, Lypson ML, Gomez A, Kennedy- Malone L, Bussey-Jones J, Bowen JL. Teaching while learning while practicing: reframing faculty development for the patient- centered medical home. Acad Med 2013;88:1215-1219.   DOI   ScienceOn
6 Henschen BL, Garcia P, Jacobson B, Ryan ER, Woods DM, Wayne DB, Evans DB. The patient centered medical home as curricular model: perceived impact of the "education-centered medical home". J Gen Intern Med 2013;28:1105-1109.   DOI   ScienceOn
7 Peters AS, Schnaidt KN, Zivin K, Rifas-Shiman SL, Katz HP. How important is money as a reward for teaching? Acad Med 2009;84:42-46.   DOI   ScienceOn
8 Nutting PA, Miller WL, Crabtree BF, Jaen CR, Stewart EE, Stange KC. Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home. Ann Fam Med 2009;7:254-260.   DOI   ScienceOn
9 Perez-Cuevas R, Reyes H, Guiscafre H, Juarez-Diaz N, Oviedo M, Flores S, Munoz O. The primary care clinic as a setting for continuing medical education: program description. CMAJ 2000;163:1295-1299.
10 Abramson JH, Abramson ZH. Community oriented primary care. In: Abramson JH, Abramson ZH. Research methods in community medicine: surveys, epidemiological research, programme evaluation, clinical trials. Chichester: Wiley; 2008. p. 357-372.
11 Park HK. The impact of introducing the Korean Medical Licensing Examination clinical skills assessment on medical education. J Korean Med Assoc 2012;55:116-123.   DOI   ScienceOn
12 Kim SH, Yang EB, Ahn DS, Jeon WT, Lyu CJ. The present conditions of clinical clerkship management in Korea. Korean J Med Educ 2009;21:373-383.   DOI   ScienceOn
13 Kim BS, Kim OJ, Lee YM, Ahn DS. Evaluation of the educational status of internal medicine residency program in Korea. Korean J Med Educ 2003;15:27-34.   DOI   ScienceOn
14 Wang KC. Reformation of post-graduate medical education system in Korea. J Korean Med Assoc 2011;54:352-354.   DOI   ScienceOn
15 World Health Organization. Making medical practice and education more relevant to people's needs: the contribution of the family doctor. Geneva: World Health Organization; 1994.
16 Iglehart JK. Medicare, graduate medical education, and new policy directions. N Engl J Med 2008;359:643-650.   DOI   ScienceOn
17 Wynn B, Guarino C, Morse L, Cho M. Alternative ways of financing graduate medical education. Santa Monica: RAND Health; 2006.
18 Greysen SR, Chen C, Mullan F. A history of medical student debt: observations and implications for the future of medical education. Acad Med 2011;86:840-845.   DOI   ScienceOn
19 Chen C, Chen F, Mullan F. Teaching health centers: a new paradigm in graduate medical education. Acad Med 2012;87:1752-1756.   DOI
20 Rughani A, Riley B, Rendel S. The future of GP specialty training: enhanced and extended. Br J Gen Pract 2012;62:288-289.
21 Simon C, Riley B. Enhanced GP training: goals and aspirations. InnovAiT 2013;6:13-20.   DOI
22 Nicholson PJ, Levy N. Solving the primary care crisis: a proposed strategy for physician allocation. BCMJ 2009;51:12-13.
23 Organisation for Economic Cooperation and Development. OECD reviews of health care quality: Korea 2012. Paris: OECD Publishing; 2012.
24 Han JJ. Challenges and progress of clinical education in Korea. J Korean Med Assoc 2012;55:926-928.   DOI   ScienceOn
25 Meng KH. Medical education plan for the twenty-first century in Korea: hopes and challenges. Korean J Med Educ 2004;16:1-11.   DOI   ScienceOn
26 Baik SH. The way of making a good doctor. Korean J Med Educ 2010;22:249-256.   DOI   ScienceOn
27 Cassel CK, Reuben DB. Specialization, subspecialization, and subsubspecialization in internal medicine. N Engl J Med 2011; 364:1169-1173.   DOI   ScienceOn
28 Im JG, Shin JS. Physicians for 'here and now'. J Korean Med Assoc 2012;55:110-112.   DOI   ScienceOn
29 Shin JS. Leadership challenges in the advancement of medical education. Hanyang Med Rev 2012;32:1-7.   DOI
30 Oh Y. Issues, improvements and policy directions in residency program in Korea. Korean J Obstet Gynecol 2007;50:1595-1606.
31 Goodson JD. Patient Protection and Affordable Care Act: promise and peril for primary care. Ann Intern Med 2010;152:742-744.   DOI   ScienceOn