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Journal of the Korean Academy of Family Medicine 2004;25(12):895-900.
Published online December 10, 2004.
The Survey of Family Medicine Clinical Clerkships in Medical Schools in Korea.
Chang Jin Choi, Bom Taeck Kim, Sang Woo Oh, Chang Won Won, Sun Mi Yoo, Hoonki Park
1Department of Family Medicine, The Catholic University of Korea College of Medicine, Korea.
2Department of Family Practice and Community Health, Ajou University, Korea.
3Department of Family Medicine, Inje University Ilsan-paik Hospital, Korea.
4Department of Family Medicine, College of Medicine, Kyung-Hee University, Korea.
5Department of Family Medicine, Inje University Sanggye-paik Hospital, Korea.
6Department of Family Medicine, Hanyang University Medical School, Korea. hoonkp@hanyang.ac.kr
가정의학 학생실습 실태 조사
최창진,김범택,오상우,원장원,유선미,박훈기,대한가정의학회교육위원회
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Abstract
Background
: New educational objectives and evaluation methods in Korean medical schools have been suggested recently to cope with health care related environmental changes. Current status of family medicine clinical clerkships in Korean medical schools is to be known before establishing standards.

Methods : Educational Committee of Korean Academy of Family Medicine surveyed the family medicine clerkship in Korean medical school (about educational environment, subjects and evaluation methods) using structured questionnaires by e-mail and Fax from February through March in 2004.

Results : Family medicine clinical clerkship was run by 25 of 41 medical schools (65.9%). Educational subject areas included communication skill, observation in hospital based ambulatory office, primary care and family medicine, medical recording, diagnosis and treatment of common problems, residential out-hospital ambulatory programs, presentation of hospital based ambulatory programs, procedure skill, lifelong heath management plan, and health promotion, in descending order. Faculties of family medicine were directly in charge of educational subjects. However, educational methods were mainly composed of lectures and indirect observation. It should be noted that concrete and precise evaluation methods in the family medicine clerkship program had been lacking due to insufficient and obscure evaluation strategies.

Conclusion : Clerkship period, educational environment, and number of class were variable among medical schools in Korea. Educational format needs to be standardized in terms of common educational subjects such as communication skill education, patient education, and ambulatory care clerkship. More valid methods are to be introduced for family medicine clerkship evaluation.
Key Words: family medicine, clinical clerkship, education, evaluation
초록
연구배경 : 의료 관련 상황의 변화에 부응하는 의사를 배출하기 위한 노력으로 새로운 교육목표와 새로운 평가방법이 요구되는 시점에서 한국 의과대학의 가정의학 임상실습실태를 조사하여 실습교과과정에 대한 개선점과 합의점을 모색하고자 하였다.

방법 : 대한가정의학회 교육위원회에서는 2004년 2월부터 3월까지 국내 의과대학을 대상으로 가정의학과 학생임상실습에 대한 설문조사를 시행하였다.

결과 : 총 41개의 의과대학 중 27개의 대학에서 가정의학 실습교육이 시행되고 있었으며(65.9%) 15개 대학(36.6%)에서는 가정의학임상실습이 필수과목으로 운영되고 있었다. 실습 기간과 실습 학생수는 다양하였다. 교육 주제는 의사소통기술, 외래 참관, 일차의료와 가정의학, 의무기록 작성, 흔한 질환의 진단과 치료, 지역사회 실습, 외래 클리닉 소개, 임상수기 실습, 평생건강관리, 건강증진 빈도 순으로 나타났다. 대부분의 교육영역에서 전임교원이 교육을 직접 담당하고 있었으며 교육방식은 강의나 참관으로 진행되는 경우가 많았다. 가정의학 임상실습 평가에서 구체적인 평가기준이 제시된 경우는 적었다.

결론 : 의과대학별로 가정의학 임상실습교육 기간 및 여건이 서로 다르지만 의사소통 교육, 환자교육, 지역사회실습 등의 공통교육주제에 대한 표준화가 필요하고 평가에 있어서 구체적인 방안이 마련되어야 하겠다.
중심 단어: 가정의학, 임상 실습, 교육, 평가


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