의학교육논단 (Korean Medical Education Review)

  • 제19권2호
  • /
  • Pages.63-69
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  • 2017
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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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전공의 공통역량의 개념과 개발

Concept and Development of Resident Training Program for General Competencies

  • 이선우 (충남대학교병원 정신건강의학과)
  • Lee, Sun Woo (Department of Psychiatry, Chungnam National University Hospital)
  • 투고 : 2017.05.07
  • 심사 : 2017.06.27
  • 발행 : 2017.06.30
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초록

Resident training programs in South Korea lag far behind that of advanced countries. Given the problems the current system in South Korea has, it is time to consider a new resident training system, resident training for general competencies. Training for the general competencies was practiced in medical fields in advanced countries such as the USA, Canada, and the UK as early as 20 years ago. This system has rendered itself a key component of resident training. Although a few theoretical procedures on general competencies have been practiced in South Korea, the awareness of this concept is still very weak, and the application of the theory to actual training is a long way off from becoming effective. It is urgent for South Korea to adopt competency- and outcome-based training for general competencies. To this end, the knowledge of the concept of this type of training should be improved. Also, the system should be carefully designed to cover a doctor's whole career, and be applied immediately. The competency- and outcome-based training for general competencies is a system that assures high level qualifications. It reflects the needs of our society under the recognition that a professional organization should be committed and accountable in order to respond to social demands. As the benefits of the new training system reach the public and medical care consumers, training-related expenses should be borne by social costs.

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참고문헌

  1. Ahn DS. The training environment of graduate medical education: what is the problem? [Internet]. Seoul: Medical News; 2013 [cited 2017 Apr 16]. Available from: http://www.bosa.co.kr/umap/board_n_view.asp?board_pk=66018&page=10&what_board=24.
  2. Korean Association of Medical Colleges. A study of development of the medical humanities curriculum. Seoul: Korean Association of Medical Colleges; 2007.
  3. Derstine P. Improvement through the application of the competencies: turning the challenge into opportunities [Internet]. Chicago (IL): Accreditation Council for Graduate Medical Education; 2006 [cited 2017 Apr 16]. Available from: http://www.acgme.org/Portals/0/PFAssets/bulletin/bulletin04_06.pdf.
  4. Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S. General competencies and accreditation in graduate medical education. Health Aff (Millwood). 2002;21(5):103-11.
  5. Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach. 2007;29(7):648-54. https://doi.org/10.1080/01421590701392903
  6. Kavic MS. Competency and the six core competencies. JSLS. 2002;6(2): 95-7.
  7. Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system: rationale and benefits. N Engl J Med. 2012;366(11):1051-6. https://doi.org/10.1056/NEJMsr1200117
  8. Royal College of Physicians and Surgeons of Canada, Royal College of Physicians and Surgeons of Canada, CanMEDS 2000 Project. Skills for the new millennium: report of the Societal Needs Working Group: the Royal College of Physicians and Surgeons of Canada's Canadian Medical Education Directions for Specialists 2000 Project. Ottawa (ON): Royal College of Physicians and Surgeons of Canada; 1996.
  9. Frank JR, Snell L, Sherbino J. CanMEDS 2015 physician competency framework [Internet]. Ottawa (ON): Royal College of Physicians and Surgeons of Canada; 2015 [cited 2017 Apr 16]. Available from: http://www.royalcollege.ca/rcsite/documents/canmeds/canmeds-full-framework-e.pdf.
  10. Frank JR, Snell LS, Sherbino J. The draft CanMeds 2015 milestones guide. Ottwa (ON): Royal Collee of Physicians and Surgeons of Canada; 2014.
  11. General Medical Council. Tomorrow's doctors: outcomes and standards for undergraduate medical education [Internet]. London: General Medical Council; 2009 [cited 2017 Apr 16]. Available from: http://www. gmc-uk.org/Tomorrow_s_Doctors_1214.pdf_48905759.pdf.
  12. General Medical Council. Good medical practice [Internet]. London: General Medical Council; 2013 [cited 2017 Apr 16]. Available from: http://www.gmc-uk.org/guidance/index.asp.
  13. General Medical Council. GMC curriculum [Internet]. London: General Medical Council; 2009 [cited 2017 Apr 16]. Available from: http://www. gmc-uk.org/Curriculum_for_Core_Medical_Training_2009__amended_2016_.pdf_66089593.pdf.
  14. General Medical Council. Specialty specific guidance on documents to be supplied in evidence for an application for entry onto the Specialist Register with a Certificate of Eligibility for Specialist Registration (CESR): curriculum for general (internal) medicine [Internet]. London: General Medical Council; 2009 [cited 2017 Apr 16]. Available from: http://www. gmc-uk.org/SGPC___SSG___General_Internal_Medicine___DC2297.pdf_48458088.pdf.
  15. General Medical Council. Acute care common stem (ACCS) [Internet]. London: General Medical Council; 2012 [cited 2017 Apr 16]. Available from: http://www.gmc-uk.org/education/24935.asp
  16. General Medical Council. Curriculum for a broad based training Programme [Internet]. London: General Medical Council; 2012 [cited 2017 Apr 16]. Available from: http://www.gmc-uk.org/education/14310.asp.
  17. General Medical Council. Core medical training [Internet]. London: General Medical Council; 2009 [cited 2017 Apr 16]. Available from: http://www. gmc-uk.org/education/24936.asp.
  18. General Medical Council. Specialty training curriculum for acute internal medicine [Internet]. London: General Medical Council; 2009 [cited 2017 Apr 16]. Available from: http://www.gmc-uk.org/Curriculum_AIM_August_09.pdf_30752186.pdf.
  19. General Medical Council. Generic professional capabilities framework [Internet]. London: General Medical Council; 2016 [cited 2017 Apr 16]. Available from: http://www.gmc-uk.org/education/23581.asp.
  20. General Medical Council. Generic professional capabilities: outcome of public consultation [Internet]. London: General Medical Council; 2016 [cited 2017 Apr 16]. Available from: http://www.gmc-uk.org/06___Generic_professional_capabilities___published_version.pdf_64818615.pdf.
  21. Ahn DS, Kwon BK, Kwon SY, Kim BS, Lee YH, Jeon YH, et al. Development of generic curriculum for graduate medical education. Seoul: Korea Institute of Medical Education and Evaluation; 2009.
  22. Lee MS, Ahn DS, Kim MK, Kim YR, Bae JY. Development of generic curriculum for graduate medical education. Seoul: Research Institute for Healthcare Policy, Korea Medical Association; 2010.
  23. Lee SW, Park JH, Kim WS, Kim JJ, Park SB, Lee SY, et al. Residents' experiences, perceptions, and competencies of Resident-as-Learner and Teacher (RALT) in postgraduate medical education. Seoul: Korea Institute of Medical Education and Evaluation; 2014.
  24. Kim JJ, Whang KC, Kang WK, Kwon SH, Kim JT, Lee SK, et al. A study on the reorganization of the training curriculum for efficient training of the residents. Seoul: Ministry of Health and Welfare; 2013.
  25. Ahn DS, Han JJ, Lee MJ, Huh YJ, Kwon BK, Kim MK, et al. A study on role of Korea's doctors. Sejong: Ministry of Health and Welfare; 2013.
  26. Lee SK, Park JS, Park WB, Yang EB, Lee SW, Jeong HY, et al. A study on the common and specialized competencies for medical specialities in Korea. Sejong: Ministry of Health and Welfare; 2015.
  27. Lee SW, Kim WS, Kim YC, Kim JJ, Park SB, Park JH, et al. Survey on General and Speciality Competencies Education and Training in Speciality Boards. Seoul: Research Institute for Healthcare Policy, Korea Medical Association; 2015.