Journal of the Korean Academy of Family Medicine 1989;10(7):1-9.
Published online July 1, 1989.

의과대학 4학년의 가정의학 임상실습에 대한 분석

조성일 김종구 최지호 김영식 허봉렬

서울대학교병원 가정의학과

Abstract

This is a fundamental study concerning the family practice clerkship of the senior medical students, which was focused on the experience in the community medical institutes. Health problems experienced in the community by 76 students who finished the 3-week course of family practice clerkship were described and a questionaire was applied to evaluate the degrees of satisfaction of the students at the end of each course. The result from the analysis of these data is as follows.
1. Seven out of 10 most common health problems in overall frequency were included within 10th order of frequency in family practice encounter, showing that most of the common problems in the community were experienced in family practice clinic.
2. The lectures for the clerkship dealt with 10 problems among the 18 most frequent problems encountered in the community.
3. Problems within 10th rank in overall frequency which were not included in the lecture topics were acute bronchitis, prenatal care, vaccination, induced abortion, and acute tonsillitis.
4. Over 75% of the students responded to be satisfied with the selection of the institutes, experience of common problems, and the education of the doctors in charge.
5. The most important factor in dissatisfaction of the students proved to be the insufficient cooperation of the doctors in charge for the education.
6. To enhance the comprehensiveness of the experience and the cooperation of the doctors in charge, it was considered as a promising innovation to increase the proportion of the family practice clinic in the selection of the institutes.
In conclusion, the family practice clerkship at present was evaluated as showing considerable appropriateness and satisfaction and several guidelines were obtained for further development of the clerkship.