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This study was conducted to analyze the strengths and weaknesses of a 3-week family medicine clerkship program based on the results of an online survey taken by the students (N=127) and a structured interview with a focus group (n=10), aimed to improve the quality of the clerkship program. The online survey contained questions pertaining to goals, schedule, contents, arrangement, atmosphere, environment, evaluation, and satisfaction regarding the clerkship. The focus group interview addressed the schedule and achievements of the program. Scores were reported on a 5-point Likert scale. Most students were highly satisfied with the overall quality of the clerkship. The structured interview results showed that 97.6% of the clerkship program was executed according to the schedule. The focus group reported a perfect score of 5 points on several measures including: accomplishment of the educational goals of the family medicine clerkship, providing many chances to obtain medical histories and perform physical examinations on real patients, experience with various symptoms and diseases, positive attitudes of faculty members when teaching, notification of the guidelines for evaluation beforehand, well-constructed and effective clerkship schedule, and reflection of student feedback. However, the focus group gave low scores on: support for health accidents of students, access to patient information, enough opportunities to practice clinical skills, appropriate rest facilities for students, and fairness of clerkship evaluation process. In conclusion, the structured evaluation performed after the 3-week clerkship program motivated students and helped them ensure an efficient clerkship. This structured evaluation also suggested basic data to make the professor who is subject of the assessment. This study shows that structured assessment is an effective method which can be used to improve the quality of clerkships.
Appointments and Schedules ; Atmosphere ; Clinical Clerkship ; Clinical Competence ; Family Practice ; Focus Groups ; Humans ; Methods ; Physical Examination ; Self-Evaluation Programs ; Surveys and Questionnaires

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Explanatory Study of Medical Students' Perception of Life Concept

Hyo Hyun YOO ; Jun Ki LEE ; Sein SHIN

Korean Medical Education Review.2017;19(1):36-46.

This study surveyed 506 medical students on their perception of life concept using an open-ended questionnaire. A constant comparative analysis of participants' written responses was conducted. The results revealed 3 main types and several sub-types of life concept. The main types included: humanities & sociology type, scientific type, and humanities · sociology & science mixed type. The humanities & sociology type had 6 sub-types: religious values, ethical values, limited time, social characteristics, consciousness · spirit · soul, and mixed type. The scientific type had 4 sub-types as follows: respiration & metabolism, genetic & reproduction, homeostasis & emergent property, and mixed type. The most prevalent type was the perception that life concept, ethical values in humanities & sociology type. The understanding of the concept of life is essential to medical students' learning and improvement of professional competence. These results may suggest a meaningful direction for medical education regarding the concept of life.
Consciousness ; Education, Medical ; Homeostasis ; Humanities ; Humans ; Learning ; Metabolism ; Professional Competence ; Reproduction ; Respiration ; Sociological Factors ; Sociology ; Students, Medical

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Exploring Alternatives in the Development of Competency-Based Dentistry Curriculum: An Ontological Approach

Sang Eun LEE

Korean Medical Education Review.2017;19(1):25-35.

Recently, there has been active reformation of higher education. This trend has resulted in competency-based education (CBE) in many universities around the world, and dentistry education is no exception. However, it is necessary to keep in mind that CBE is both attractive and has its limitations. In particular, higher education is facing the obstacle of preparing students to survive in a supercomplex world in which nothing can be taken for granted. In addition, the frame of understanding and action lacks stability. In these circumstances, competency-based dentistry curriculum (CBDC) needs to be reestablished to deal with the changes and challenges of a supercomplex world. The purpose of this study is to explore alternatives to current CBDC practices, specifically based on an ‘ontological approach.’ To achieve this purpose, the importance of the ontological approach in the development of higher education curriculum in the future was examined. Then, the actual status and characteristics of CBDC in the present situation were investigated. Lastly, the development of CBCD based on an ontological approach in dentistry education was suggested.
Competency-Based Education ; Curriculum ; Dentistry ; Education ; Financing, Organized ; Humans

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Current Status and Future Direction of Interprofessional Education in Nursing Education

Kon Hee KIM ; Eunhee HWANG ; Sujin SHIN

Korean Medical Education Review.2017;19(1):18-24.

This study examined the perception and readiness of nursing educators regarding interprofessional education (IPE), and discussed the validity and application of IPE in nursing. From December 2016 to January 2017, 239 nursing professors and nurses completed a structured questionnaire consisting of general characteristics, the Interdisciplinary Education Perception Scale, the Readiness for Interprofessional Learning Survey (RIPLS), and an IPE action plan. The collected data were analyzed by descriptive statistics and t-test using the IBM SPSS ver. 23.0 program (IBM Corp., Armonk, NY, USA). The analysis revealed that 91.6% of the participants had not experienced IPE, and only 11.7% knew about IPE. However, approximately 80.0% answered that IPE is necessary. The results of this study showed that the score of the perceived need for cooperation was higher in nurses than it was in professors, while the score on competency and autonomy was higher in professors than it was in nurses. With reference to the scores on the RIPLS, those of professors were high on the sub-scales of teamwork and collaboration, professional identity, and roles and responsibility. The results revealed that participants considered the upper-grade undergraduate years as the ideal time for imparting IPE, and it was deemed suitable to include communication, simulation, and clinical practice in IPE. Doctors, pharmacists, and physiotherapists were thought to require cooperation for IPE the most. Despite the presence of several barriers to IPE, the participants thought that IPE can achieve learning outcomes such as interprofessional communication and cooperation, conflict resolution, and teamwork. It is necessary to cooperate with professionals in the complex clinical environment as professional areas are specialized and subdivided. Therefore, it is necessary to examine the application of IPE in undergraduate education and in on-the-job training.
Cooperative Behavior ; Education ; Education, Nursing ; Humans ; Inservice Training ; Learning ; Negotiating ; Nursing ; Pharmacists ; Physical Therapists

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Perceptions and Attitudes towards Interprofessional Education in Medical Schools

Soyun KIM

Korean Medical Education Review.2017;19(1):10-17.

Since the World Health Organization identified interprofessional education (IPE) as an important component in primary health care in the 1980s, medical and health sciences educators have continued to debate factors for implementing effective IPE in the classroom. Although IPE research is widespread internationally, few studies have been done in South Korea. This study explored the current status of IPE and examined factors that influence IPE in South Korea. A total of 30 (70%) out of 41 medical education experts in medical schools participated. Forty-seven percent of the participants reported that they allocated less than 5% of their time implementing IPE in the curriculum of their schools throughout the 4 years of medical school. Although all experts (100%) agreed that IPE is essential for medical students, they expressed practical difficulties in implementing IPE in the current education system. Factors that influence IPE are scheduling and curriculum (e.g., rigid curriculum vs. providing learning environment) and attitudes (e.g., lack of reciprocal respect vs. willingness to change). In addition, participants reported that communication skills and collaborative practice employing clinical practice or role-playing would be appropriate education methods and content for IPE in the future. The findings of this study provide a foundation for the implementation of IPE in South Korea. Future research directions for IPE in medical, nursing, and pharmacy schools are discussed.
Cooperative Behavior ; Curriculum ; Education ; Education, Medical ; Humans ; Interprofessional Relations ; Korea ; Learning ; Nursing ; Primary Health Care ; Professionalism ; Schools, Medical ; Schools, Pharmacy ; Students, Medical ; World Health Organization

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Interprofessional Education in Medical Education: Can We Break the Silos?

Heeyoung HAN

Korean Medical Education Review.2017;19(1):1-9.

For the last half-century, interprofessional education (IPE) has been identified and discussed as a critical educational process to facilitate collaboration in order to improve healthcare outcomes for healthcare participants. While the concept is not new, outcome-based research has provided few valid and reliable explanations of whether and how IPE can be effective in healthcare quality improvement. This challenge stems from the struggle to understand the epistemological meaning of IPE. The purpose of this literature review paper is to provide a synthesized understanding of IPE, its meaning, and to provide practical guidance for medical educators. The paper reviewed several key aspects of IPE. Professionalility was discussed to understand the historical background of IPE, followed by an explanation of the international trend of embracing the complexity of health care practice and the need for interprofessional collaboration. Additionally, several theoretical perspectives, such as general systems theory, social identity theory, and community of practice were reviewed to pinpoint what constitutes IPE. Several existing definitions were discussed with similar concepts (i.e., disciplinary vs. professional, and multi-, inter-, vs. trans-) to clarify the nature of knowledge and collaboration in IPE. Three concepts, including practice, authenticity of context, and socialization were proposed as key constructs of IPE, followed by appropriate timing of IPE, outcome research, directions for future research, and guidance for implementation. Community-based medical education practice, professional socialization within a community, and longitudinal system-based outcome research are recommended as future directions for research and practice.
Cooperative Behavior ; Delivery of Health Care ; Education ; Education, Medical ; Education, Professional ; Interprofessional Relations ; Professional Practice ; Quality of Health Care ; Social Identification ; Socialization ; Systems Theory

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Structured Assessment to Evaluate a Family Medicine Clerkship Program

Eun Ju PARK ; Sang Yeoup LEE ; Sun Ju IM ; So Jung YUNE ; Beesung KAM ; Sun Yong BAEK ; Yun Jin KIM ; Jae Seok WOO ; Jeong Gyu LEE ; Dong Wook JEONG ; Young Hye CHO ; Yu Hyeon YI ; Young Jin TAK

Korean Medical Education Review.2017;19(2):114-114.

This correction is being published to revise the acknowledgements of the above article.

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