DOI QR코드

DOI QR Code

Current Issues and Future Considerations in Undergraduate Medical Education from the Perspective of the Korean Medical Doctor Development System

우리나라 의사양성체제의 관점에서 본 의과대학 교육의 문제점과 개선방향

  • Han, Jae Jin (Department of Medical Education, Ewha Womans University School of Medicine)
  • 한재진 (이화여자대학교 의과대학 의학교육학교실)
  • Received : 2018.05.15
  • Accepted : 2018.06.14
  • Published : 2018.06.30

Abstract

Observation of the current Korean medical education and training system shows that certain negative traits of unchangeable solidification engraft themselves so deeply into the overarching system that they are now hampering the state of the national health welfare. Focusing only on undergraduate medical education, we can point out some glaring side-effects that should be of concern to any stakeholder. For instance, a graduate can legally begin his career as an independent practitioner immediately after passing the licensing exam and return to the old stuck school-year system of 2-year-premedical and 4-year-medical programs where outcome-based and integrated curricula are incomplete and unsatisfactory. In terms of learning opportunities, the balance between patient care and public health, as well as that between in-hospital highly specialized practice and community-based general practice, has worsened. Every stakeholder should be aware of these considerations in order to obtain the insight to forge a new direction. Moreover, our medical schools must prepare our students to take on the global roles of patient care within the Fourth Industrial Revolution, health advocacy for the imminent super-aged society, and education and research in the bio-health industry, by building and applying the concept of academic medicine. We will need to invest more resources, including educational specialists, into the current undergraduate medical education system in order to produce proper outcomes, smart curriculum, innovative methods of teaching and learning, and valid and reliable monitoring and evaluation. The improved quality of undergraduate medical education is the starting point for the success of the national system for public health and medical care as a whole, and therefore its urgency and significance should be emphasized to the public. The medical society should go beyond fixing what is broken and usher in a new era of cooperation and collaboration that invites other health professionals, governmental partners, law-makers, opinion leaders, and the general public in its steps toward the future.

Keywords

References

  1. Korean Society for Medical Education. The White Paper of Korean medical education. 3rd ed. Seoul: Korean Society for Medical Education; 2014.
  2. Ahn D. Medical education for the Sustainable Development Goals. J Korean Med Assoc. 2017;60(8):654-61. https://doi.org/10.5124/jkma.2017.60.8.654
  3. Park KH, Park JH, Kim S, Rhee JA, Kim JH, Ahn YJ, et al. Students' perception of the educational environment of medical schools in Korea: findings from a nationwide survey. Korean J Med Educ. 2015;27(2):117-30. https://doi.org/10.3946/kjme.2015.27.2.117
  4. Prescott JE. Supporting the academic misssion in medicine: prospectives from United States. Proceedings of the Korea Association of Medical Colleges Annual Conference; 2017 Nov 10; Seoul, Korea. Seoul: Korea Association of Medical Colleges; 2017.
  5. Gruppen LD, ten Cate O, Lingard LA, Teunissen PW, Kogan JR. Enhanced requirements for assessment in a competency-based, time-variable medical education system. Acad Med. 2018;93(3S):S17-S21. https://doi.org/10.1097/ACM.0000000000002066
  6. Griffin B. Selecting medical students: considering qualities other than academic ability. Med Educ. 2018;52(1):9-11. https://doi.org/10.1111/medu.13450
  7. Ryue SH, Lee HB. Korean medical students' cognitive, emotional, and social characteristics. Korean J Med Educ. 2012;24(2):103-15. https://doi.org/10.3946/kjme.2012.24.2.103
  8. Schroer WJ. Generations X, Y, Z and the others [Internet]. Battle Creek (MI): WJ Schroer Company [cited 2018 May 11]. Available from: http://socialmarketing.org/archives/generations-xy-z-and-the-others.
  9. Ten Cate O. Entrustability of professional activities and competency-based training. Med Educ. 2005;39(12):1176-7. https://doi.org/10.1111/j.1365-2929.2005.02341.x
  10. Han JJ. Challenges and progress of clinical education in Korea. J Korean Med Assoc. 2012;55(10):926-8. https://doi.org/10.5124/jkma.2012.55.10.926
  11. McManus B, Omer S. A tiered approach in mandatory assessment training. Med Educ. 2017;51(5):548.
  12. Verghese A, Charlton B, Kassirer JP, Ramsey M, Ioannidis JP. Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. Am J Med. 2015;128(12):1322-4. https://doi.org/10.1016/j.amjmed.2015.06.004
  13. Kim HK. Improving strategy of physician's competency for public-health and -care system in Korea. Res Inst Healthc Policy Korean Med Assoc. 2016;14(1):47-52.
  14. Association of American Medical Colleges. Public health pathways: public health training opportunities across the education continuum [Internet]. Washington (DC): Association of American Medical Colleges [cited 2018 May 11]. Available from: https://students-residents.aamc.org/advisors/article/public-health-pathways-5.
  15. Wartman SA, Combs CD. Medical education must move from the information age to the age of artificial intelligence. Acad Med. 2017 Nov 1 [Epub]. https://doi.org/10.1097/ACM.0000000000002044.
  16. Royal College of Physicians and Surgeons of Canada. CanMEDS 2015 physician competency framework [Internet]. Ottawa (ON): Royal College of Physicians and Surgeons of Canada; 2015 [cited 2018 May 11]. Available from: http://canmeds.royalcollege.ca/uploads/en/framework/CanMEDS% 202015%20Framework_EN_Reduced.pdf.
  17. Korean Institute of Medical Education and Evaluation. Korean doctor's role, 2014 [Internet]. Seoul: Korean Institute of Medical Education and Evaluation; 2014 [cited 2018 May 11]. Available from: http://www.kimee.or.kr/news-and-events/notice/?mod=document&uid=117.