• Korean Medical Education Review
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• v.20 no.3
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• pp.128-134
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• 2018

Medical education, competency, and outcome-based medical education started as part of the basic medical education curriculum in advanced countries 20 years ago, and such an approach was adopted in residency training. General competency training is at the core of residency training in advanced countries, and it goes beyond competency and outcome-based training to the extent that in a milestone training system, competency development is expected and measured with set competency achievements at each level. Recently, for the purpose of ensuring that doctors uphold patient safety and fulfill their obligations, entrustable professional activities (EPA) were applied at the beginning of residency when doctors move away from clinical trials and start actual care. The adoption of EPA in all residency training curriculum has spread very rapidly in the United States, United Kingdom, and Canada. Presently, Korea lags behind other countries significantly as the adoption of competency and outcome-based medical education in residency training has just begun. It is time to identify the current state of the Korean residency training system, and then design and practice a well-established system with a long-term view based on cooperation across the whole medical industry.

• Korean Medical Education Review
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• v.20 no.3
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• pp.135-140
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• 2018

In clinical clerkships, residents function as trainees, workers, and teachers for other medical students. Although residents care for patients in harsh environments and encounter precarious patient-safety situations, they are working towards becoming competent specialists. Residency education programs are very important in cultivating specialists able to adapt to the rapidly-changing medical environment, and are also necessary to improve the quality of specialist training. Competent specialists not only need clinical competency, but also a wide range of abilities including professionalism, leadership, effective communication, cooperation, and attention to continuous professional development/continuing medical education activities. Each Korean association of specialties has its own educational goals and standardized education programs to help residents learn specific techniques and competencies related to medical care for patients, though the training environment of each residency is different within each trainee hospital. Although it is also important to evaluate residency education programs, currently there is only an examination of knowledge and assessment of skills based on mini-clinical evaluation exercises or direct observation of procedural skills. In order to develop an objective and estimable evaluation tool that can assess the overall achievement level within each training course, it is necessary to evaluate the knowledge, skills, and attitudes of residents. Residency education programs need further attention and reform.

• Archives of Plastic Surgery
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• v.42 no.2
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• pp.159-163
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• 2015

Background Interest in global health and international mission trips among medical student and resident trainees is growing rapidly. How these electives and international mission experiences affect future practice is still being elucidated. No study has identified if participation in international surgical missions during residency is a predictor of participation in international surgical missions in practice after training completion. Methods All trainees of our plastic surgery residency program from 1990 to 2011, during the implementation of optional annual international surgical missions, were surveyed to determine if the graduate had gone on a mission as a resident and as a plastic surgeon. Data were compared between graduates who participated in missions as residents and graduates who did not, from 1990 to 2011 and 1990 to 2007. Results Of Plastic Surgery graduates from 1990 to 2011 who participated in international missions as residents, 60% participated in missions when in practice, versus 5.9% of graduates participating in missions in practice but not residency (P<0.0001). When excluding last 5 years, graduates participating in international missions in practice after doing so as residents increases to 85.7%, versus 7.41% who participate in practice but not residency P<0.002. Conclusions Results reveal plastic surgeons who participate in international surgical missions as residents participate in international surgical missions in practice at higher rates than graduates who did not participate in missions during residency. International missions have significant intrinsic value both to trainee and international communities served, and this opportunity should be readily and easily accessible to all plastic surgery residents nationwide.

• Journal of Agricultural Extension & Community Development
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• v.25 no.3
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• pp.135-148
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• 2018

Sense of community and length of residence are important variables influencing community participation. The study aims to identify the factors influencing community participation on sense of community. Particularly, the study examine the moderating effects on the length of residency between sense of community and community participation. Data were collected from 130 usable questionnaires among residents of rural villages. Results of a factor analysis yielded three dimensions of sense of community which are solidarity, belonging, and emotional intimacy. Results show that all of factors among three dimensions of sense of community have significance for community participation. And length of residency has a positive effects as a moderator between community capacity and community satisfaction. Results also indicated that length of residence has an negative interactional effects with moderator. It means that even though higher belonging, less community participation if people live in longer their community. It was suggested that sense of community and length of residency should be considered in rural community development policy.

• Journal of Preventive Medicine and Public Health
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• v.39 no.2
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• pp.110-114
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• 2006

From the start of the residency trainingship in 1963, the residency training programs have been contributed much on the establishment and development of preventive medicine in Korea. But these programs are now have several problems to update the changes in health service needs of the population that were caused by a rapid epidemiologic transition from the acute infectious diseases to chronic diseases in last a few decades. Strengthening in medical practice, not just in knowledge is urgently required. Must have more concentrate on preventive service for the individual, as in clinical preventive medicine. Training residents by the systematic and well scheduled programs, not just 'teacher' assistant' in the academic facilities. Trying the change in the system of Specilty of Preventive Medicine to the well established several subspecialty, so more specific competency can be gained through the training. These approach and reformation may not only contribute for the better future of the preventive medicine, but also improve in disease prevention and health promotion, which required by the society in Korea.

• Korean Journal of Radiology
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• v.24 no.3
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• pp.177-179
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• 2023

• Journal of Families and Better Life
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• v.35 no.1
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• pp.139-158
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• 2017

Following the global trend of the delayed transition to adulthood, the number of unmarried middle aged adult children living with, or economically dependent on their parents has increased in Korea. Middle aged adult children in Korea are traditionally expected to satisfy their duty to support their elderly parents both in economic and emotional needs. This study aims to explore group differences in unmarried adult children in their mid 30s or older and in parents having unmarried middle aged child(ren) depending on co-residency and the children's eonomic dependency in Korea. Using quota sampling in terms of living arrangements (living together vs. living apart), 500 unmarried adult children 35 years of age or older and 500 elderly parents, having at least one unmarried child in the mid of 30s or over, were selected in Seoul, Korea in June 2016. First, the findings show that unmarried adult children living together with their parents and depending on their parents economically were in the lowest level of educational achievement and the lowest level of monthly average income among the respondents. Second, both unmarried adult children and parents from the group of co-residency and economically dependent showed the lowest level of psychological well-being. Third, parents from the group of co-residency and economically independent had mostly positive relationships with children, whereas, parents from the group of living apart and economically dependent reported the most negative relationships. Finally, respondents included in the group of co-residency had positive attitudes toward marriage and the support for their elderly parents regardless of the child's economic dependency. This study has implications for the increasing number of unmarried middle aged adult children and their elderly parents.

• Korean Medical Education Review
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• v.20 no.1
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• pp.51-59
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• 2018

Psychiatry residency training in South Korea currently has many limits in developing proper competencies of residents. To address this problem, the Korean Neuropsychiatric Association has been developing a new competency-based training program since 2015, using the educational systems of advanced countries such as Canada, the United Kingdom, the United States, and Australia as references. It was found that within the referenced countries' residency training systems, objectives based on competencies are stated in detail by psychiatric topics as well as various assessment methods and feedback about the resident's competency level. In addition, we surveyed psychiatric resident training hospitals, and found that more than 80% of the respondents answered positively in reference to the new training program. This paper briefly reviews competency-based residency training systems of advanced countries and compares them to the current training program in South Korea. Many resources are needed to run a new competency-based training program, and governmental supports are essential to improve the quality of the residency training system.

• The Korean Journal of Archival Studies
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• no.41
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• pp.213-260
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• 2014

This paper illustrates the process of Japanese invasion of Joseon. In the December of 1905, specifically, Japan established the Residency-General in order to reform systems of government and to control records. Japan founded the Residency-General to reinforce the internal affairs of Joseon. Then, they reorganized systems of government using Joseon's bureaucracy system. The reorganization facilitated control of current and non-current records. After all, this helped Japan to know the actual circumstances of Joseon and the invasion of Joseon. To be specific, Japan organized the records at the Kyujanggak, an imperial library of the Joseon Dynasty, for understanding historical records and dominated Joseon government's current records for comprehending vulnerability of Joseon. On the other hand, Japan invaded Joseon by justifying their actions as 'administration improvement' and 'reformation'. Here are the actual examples. First, the Residency-General dominated the Kyujanggak and reorganized historical records which were stored there. It lasted for two years and let Japan comprehend the course of Joseon history. Second, the Residency-General collected and arranged current records of Joseon. It was buckled down in the August of 1910, when the Great Han Empire collapsed. After the fall of the Great Han Empire, the Residency-General transferred government records from the Japanese Government-General of Korea in order to understand the state of Joseon. Last, the Residency-General arranged records on both governmental and the Imperial property, then most of them reverted to national property.

• Korean Medical Education Review
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• v.19 no.2
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• pp.70-75
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• 2017

In order to adapt to the rapidly changing medical environment, it is important to advance not only the basic medical education in medical schools but also that of residents. The quality of the training environment and educational goals for residency must also be improved for specialists. Although each institute including internal medicine, general surgery, family medicine, etc., strives to standardize, sets educational goals, and develops content to train capable specialists, the education programs focus on special techniques and competency of medical care for patients. The training environment of each residency program is different in each trainee hospital, and hospitals are making an effort to set education goals for the residents and improve their education programs. In Korea, there is no common core education program for residents, while in the United States, the Accreditation Council for Graduate Medical Education is responsible for the development and evaluation of a standardized curriculum for residents, and in Canada, CanMEDs presents a basic curriculum to help residents develop competency. Fully capable specialists have more than just clinical competency; they also need a wide range of abilities including professionalism, leadership, communication, cooperation, in addition to taking part in continuous professional development/continuing medical education activities. We need to provide a core curriculum for residency to demonstrate attention to and knowledge about health problems of the community.