The Present Conditions of Clinical Clerkship Management in Korea / 한국의학교육

PURPOSE: This study investigated the present conditions of clinical clerkship management in Korea to make recommendations for it. METHODS: The data were collected between April 15 and May 30 in 2009 using questionnaires that were sent to the clerkship directors of 41 colleges of medicine and medical graduate schools. RESULTS: The elective course system was established in 78% of the institutions; the 6 core specialties were found in all medical schools. The duration of clerkship was longest in internal medicine, followed by surgery, pediatrics, obstetrics and gynecology, psychiatry, and emergency medicine. There were differences between the planning and monitoring agencies. Preclinical courses existed in 92.7% of the institutions. However, much more remains to be done ie, with regard to the issues of student assessment in clinical clerkship, faculty development programs for the faculty and residents, incentive systems for educational involvement, provisions for yearly systematic clerkships, integration of basic-clinical science-medical humanities, and community-based education. CONCLUSION: Because clinical clerkship education is very important as a core curriculum, curriculum planning and its management must be given adequate attention. The following measures are suggested: elective systems that allow students to choose by career planning; concerns over faculty development programs for residents as a teacher; consensus on the concept, objectives, duration, content, evaluation tools of pre-clinical clerkship and clinical clerkship, and student well-being; and emphasis on community-based education.

Medical Professionalism Development of Oliver R. Avison / 한국의학교육

PURPOSE: How does professionalism develop while becoming a great doctor? This study based on the life of Avison, a great doctor, aims to identify the developmental features of an excellence and professionally ethical doctor. METHODS: We chose Oliver R. Avison, who founded the first modern hospital and medical school in Korea, now known as Severance Hospital and Yonsei University College of Medicine. Sixteen pivotal events in Avison's life were extracted, based on 2 standards: self-memory and strong feeling. Further we analyzed Avison' life using a professional development analysis model. RESULTS: Oliver Avison's medical professionalism development was divided into 4 periods: 'Motivating in Medicine period', 'Medical Training period', 'Medical Doctor period', and 'Medical Educating period'. A hallmark of Oliver Avison's medical professionalism development was the growth of motivation and social responsibility, medical knowledge, medical creativity, intra-personal intelligence, and relationship forming abilities. CONCLUSION: To excel in medicine, a medical student should be encouraged to understand his unique intellectual potentials and interest as a medical worker, and try to understand problems in the established domain and field of medicine, to develop new medical symbol systems, and climates.

Analysis on the Performance and Tasks of Accreditation System for Medical Colleges

The present study investigates the performance and tasks of the accreditation performed by Korean Institute of Medical Education and Evaluation. The study analyzes survey data for 309 professors and 41 accreditation reports published during the first accreditation cycle (2000~2004). The finding shows that 32 medical colleges were accredited and 9 medical colleges were accredited on probation. Up to 98.5% of must standards' and 85.3% of 'should standards' were satisfied in this accreditation. The areas of accreditation standards, such as students, and facilities were satisfied relatively lower than the curriculum and administration/finances areas. However, 70.2% of the faculties replied that the accreditation achieved its purpose, and 80.7% of them pointed out the necessity of accreditation system. All these things make it clear that the accreditation system has made a significant contribution to the quality of medical education and the accountability of medical colleges. In addition, there are some issues which need more consideration, such as the government recognition of accreditation system, evaluation experts training, and practical application of accreditation results.

Exploring the Characteristics of Interpersonal Problems Based on Medical Students' Personality Types / 한국의학교육

PURPOSE: Medical students are exposed to various interpersonal relationships with patients, faculty and colleagues. Therefore, a clear understanding of their personality types and interpersonal problems is vital in creating an appropriate educational program for medical students. This study intends to explore the characteristics of interpersonal problems based on medical students' personality types. METHODS: The Myers-Briggs type inventory(MBTI) and Korean Inventory of Interpersonal Problems were used to assess the first-year medical students at Yonsei University College of Medicine, 2006. RESULTS: The personality types focusing on the interpersonal domain showed that the medical students could be categorized into four types: analytical type(47.2%), driving type(30.3%), amiable type(12.4%), and expressive type(10.1%). The characteristics of interpersonal problems data were within normal range. The relationship between the personality indicator and the characteristics of interpersonal problems is statistically significant in extraversion-introversion. CONCLUSION: Our results demonstrate that the personality factors of medical students are correlated to the interpersonal problems they face. Thus, educational programs that take into account personality types and characteristics of interpersonal problems are crucial in providing high-quality medical education.

The Exploratory Study for Medical Aptitude Constructs / 한국의학교육

PURPOSE: The aim of this study is to explore the individual traits needed for the successful performance of a doctor's duties as well as to establish primary criteria for the Medical Education Eligibility Test. METHODS: This study conducted qualitatively by interviewing 43 persons: medical school professors, residents, and medical reporters. The analysis of data were applied a content analysis. RESULTS: 1) The important intelligent abilities revealed were problem solving, verbal expression, and memory. 2) The personality traits included sincerity, sociability, respectability, gentleness, and reflective thinking. 3) The biology, chemistry, and physics were important in the natural science background knowledge, and 4) linguistics, philosophy, and social science were important in human and social science background knowledge. CONCLUSION: The medical aptitude could be constructed intelligent ability, personality trits, and background knowledges, and include specific aspects depended on Korean context.

A Study on the Classification Validity and Predictive Validity of Accreditation Standards for Medical Schools in Korea / 한국의학교육

PURPOSE: The purpose of this study was to examine the classification of validity and predictive validity of accreditation standards for medical schools. METHODS: In order to analyze the validity of the standards of accreditation, an instrument, survey on the input and the output indicators in medical education, was developed to gather information. Cluster analysis, and regression analysis were performed in analyzing the data in order to examine the classification validity, and predictive validity of the standards of medical school accreditation. RESULTS: The result of this research was as follows; First, Korean medical schools can be classified into seven types according to the amount of invested resources and the educational outcome. The result showed that the standards of medical school accreditation have validity in the schools of lead type, average type, and unconcerned type. Therefore, applying uniform standards to all different types of schools is not validity in enhancing the quality of medical education and in insuring that the medical schools to carry out their social accountability. Second, variables predicting the passing rate of the Korean medical licensing examination (KMLE) were found out to be the college's quota of student, the number of journals per student, and the Korean Scholastic Achievement Test(KSAT). Variables predicting the level of students' satisfaction were the total lecture time, the educational facility per student, and the KSAT. The standards of accreditation accounts for 54.2% in predicting the passing rate of the KMLE and 84.4% in predicting the level of students' satisfaction. CONCLUSION: Such findings lead to conclude that new standards of medical school accreditation comprehensively including more predicting variables and outcome variables needs to be developed.

The Development Tasks of Medical School Accreditation in Korea / 한국의학교육

The Accreditation Board for Medical Education in Korea, ABMEK, is nongovernmental appraisal organization that was established at July 2, 1998. The organization is contributing to the improvement of medical education by progressing the first cycle accreditation successfully. But, the organization has various problems and subjects related to the accreditation system. The authors examined the related literature focusing on the current status and problems of accreditation system. The result of this research was as follows. First, the ABMEK needs to propel legal personality of organization and should install independent executive office. Second, the ABMEK should establish the alteration procedure of accreditation standards and develop the accreditation standards of the second cycle that take into account international flowing of medical education. Third, the ABMEK must decide forms and scope to investigate medical college present situation. Finally, to propel development tasks effectively, it needs to get the recognition of Ministry of Education and Human Development.

A Study on the Content Validity and Factor Validity of Accreditation Standards for Medical Schools in Korea / 한국의학교육

The purpose of this study was to examine the content validity and factor validity of accreditation standards for medical schools. In order to analyze the validity of the standards of accreditation, a questionnaire, assessment survey on the current situation of medical education and standards of accreditation, were developed to gather information. And 1,492 students and faculty were sampled out of 41 medical schools, and the data collected from 662 students and faculty were used for the final analysis. The result of this research was as follows; First, the standard of medical school accreditation has content validity. All of the standards are significant in the range of 3.59~4.49, and the level of recognition of the importance of each standard differed depending on the position of the faculty, student, and their previous experience in the evaluation of education. Therefore, a new standards of accreditation that reflects these differences among groups should be developed. Second, the standard of medical school accreditation is composed of six hidden factors. Each factor has different level of importance and there is a correlation among each factors. Therefore, each factor's level of importance and the relationship between the factors should be considered when developing a new standards of accreditation.

A Study on the Development of Social Medicine Curriculum / 한국의학교육

The purpose of this study is to develop social medicine curriculum model and to propose its management device. The study developed the curriculum model and its management plan as follows; First, the social medicine curriculum can be implemented starting from the first semester of first year through the first semester of fourth year, and is splitted up into two semesters for each year of medical school. Second, a semester consists of sixteen weeks, giving two hours course per week. Third, the sixteen weeks curriculum should be composed of sub courses which lasts at least four weeks each. Forth, the elective course of social medicine is of four blocks in total, and runs from second semester of the second year through first semester of the fourth year. This means the elective courses in the first semester are opened to third and fourth year students. And the elective courses in the second semester are opened to second and third year medical students. Fifth, the minimum number of elective courses should be more than four courses per semester. Sixth, the credits for core and elective social medicine courses are one point each for any lectures or laboratories carried out in the following way; one hour course provided for sixteen weeks or two hours course provided for eight weeks. The social medicine education stands firm as one of the core subjects in twenty-first century medical education. Thus, the effectiveness and systematic development of the program as well as running it will be the most important criterion for determining the competency of a medical school.

A Study on the Approaches and Utilization of Self-evaluation in Medical School / 한국의학교육

The purpose of this study was to analyze important issues in the self-evaluation system and to develop approaches for dealing with them. It would be necessary, first to discuss quality of medical education on review of literatures. After this, it were examined that the problems of self-evaluaton based on data from 23 evaluators. We would, then, be dealing with the approaches and utilization of self-evaluation in medical school. The result of this study was as follows; First, self-evaluation system is important method to improve the quality of medical education. Second, although many people recognized self-evaluation important, evaluators pointed out the problems of self-evaluation as high cost, low effect, weight works and so on. And from this what we can conclude is that in order to perform self-evaluation effectively, the medical schools should recognize the neccesary of self-evaluation. Secondly, self-evaluation system should be developed to fit contexts of medical school. Finally, it is important to develop a monitoring system after self-evaluation process.

An Inquiry into the Professional Graduate Medical School / 한국의학교육

The purpose of this study was to suggest the directions of improvement in medical education through analyzing the published reports about medical education system. In order to reach the purpose of this study, we gathered research reports since the PCER(Presidential Commission on Education Reform) had suggested the establishment of professional graduate school in 1996. The result of this study was as follows; First, all of the previous reseach reports pointed to necessary that medical education should be improved undergraduate medical education into professional graduate school. Second, enterance eligibility and flexibility of educational system were investigated for a long time by highly competent researchers, but they were exceedingly difficult to find any clue to their answer. Third, all of the previous reseach reports suggested to improvement of medical education curriculum. Fourth, autonamy and funds of medical school were emphasized to improve the medical education. On the basis of the above findings, the following conclusions were drawn. First, to improve medical education, especially to launch professional graduate medical school, is important the corporation and effort among the medical school and other organizations. Second, autonomy and funds of medical school should be guaranteed by a policy. Finally, the medical shcools should be aware of accountability and prepare for environment change of medical education.

A Study to Develop a Medical Aptitude Test in Korea / 한국의학교육

Medical aptitude tests are usually for screening students in the field of medical science by testing the capability and aptitude to study medicine. There are various medical aptitude tests with powerful predicting validity such as the Medical College Admission Test(MCAT) in the U.S., the Graduate Australia Medical School Admission Test(GAMSAT) in Australia, and the Eignungsprufung fur Medizin Studium(EMS) in Switzerland. However, in Korea, there have been no medical aptitude test developed yet. This study is primarily to develop a medical aptitude test relevant to Korean circumstances, and secondly to suggest devise specific direction in applying the test at individual medical schools. We reviewed the existing medical aptitude test of other countries through literature, and examined the feasibility of those tests by consulting experts opinion. The Medical Education Eligibility Test(MEET) developed in this study consists of four areas including biological and physical science, verbal reasoning, space perception, and writing. The advisory committee will update the contents of the MEET every year. Executing the test will be administered either by a newly established Institute for Evaluating Medical Education(IEME), or by existing institutes like Korean National health personnel licensing examination board Korea or Korean Institute of Curriculum & Evaluation(KICE). A preliminary test should be necessary to examine the validity and reliability of the MEET developed from this study later on.

A Study on the Development of M.D.-Ph.D. Program / 한국의학교육

This study is to develop M.D.-Ph.D. program of medical school in Korea. The authors examined the related literature focusing on the current status and problems of training biomedical scientists. Next step was to make a collection of data related to American M.D.-Ph.D. program. The search for the materials was made through February 2000. The developed M.D.-Ph.D. program was modified and revised by the experts in the area and through public speech. The results of the study are as follows; first, the validity of M.D.-Ph.D. program was convicted by the need of interdisciplinary study, social needs, current problems of medical education and financial problems. Second, the development M.D.-Ph.D. program consists of educational period, admission procedure, entree examination, curriculum and its administration, degrees, school registration management, medical license examination, grants and problems related to military service. The expectations of the results are; first, M.D.-Ph.D. program will make Korea one of the leading countries in biomedical scientists and medical knowledge, and will activate the interdisciplinary research. Second, M.D.-Ph.D. program will facilitate to revise the educational problems of graduate school of medicine and medical schools.

The Study on the Faculty Evaluation System of Teaching Ability in Korea / 한국의학교육

The purpose of this study is to discuss the evaluation system of teaching ability of medical college faculty members. Reviewing of books and journals ha s been carried out by the authors so that the problems and methods of faculty evaluation may be discussed. The practical Korean data on the faculty evaluation system were collected by the department of faculty affairs of each college in March 1998. Faculty evaluation can be divided into two dimensions-dynamic and static dimensions. The methods vary according to evaluators, such as self evaluation, student evaluation, peer evaluation and administrator evaluation. On the bases of the object or the time of evaluation, it can be divided into formative or summative evaluation. According to the methold of data collection, it also can be divided into literature evaluation, observation evaluation and site visiting evaluation as well. The authorities of medical colleges used to give much more weight on the research activities rather than on teaching abilities. This kind of idea has been pushed faculty members to stress on research activities not on teaching abilities. Some inportant problems detected in this study are the narrow evaluation scope of aculty teaching activities, the not well established rationale of the evaluation, the underdevelopment of evaluation items, and the rigidity of the related authority. The introduction of a faculty track system is recommended as a desirable arrangement to develop the evaluation system in Korea.

The Development and the Application of Problem-Based Learning Curriculum / 한국의학교육

The study has its focus on the advanced thinking ability of the students such as thinking power, judgement and problem solving which are highly in demand today. The subject of the study were fifty-four freshmen from the department of medicine whom were in their second term. Five modules were developed and selected as the immune system according to the field of curriculum which the students were currently on. This was because the subject students were attending the study separately from the regular curriculum, imposing the least burden but showing the best efficiency of learning. The result of the study shows the students' attendance, problem understanding, preparation and learning as a group were very outstanding. In addition, the modules were a joint development by the professors in Clinical Medicine, understanding a strong liaison between Basic Science Medicine and Clinical Medicine. Based on these results, the development on the problem-based learning should continue and the switchover to a regular curriculum should also be examined in depth.

A Study on the Correlation of Student Achievement and Medical Licensure Examination at Yonsei University, College of Medicine / 한국의학교육

This study analysed the correlation between student achievement and the result of medical licensure examination. To predict the result of pass or fail in the medical licensure examination we carried out a discriminant ana lysis by using following variables: year-wise student academic record and the result of integrative test scores. The prediction ratio was 83.6% and the statistical result is significant. Based on this result the formular of the discriminant score for sucess in medical licensure examination is as following: Z= -19.6372+(0.1812)xcredit of 4th year+(0.0441)xthe result of intergrative test scores. Being considered that the curriculum for seniors was consisted of as core clinical clerkships on the basis of main subjects and the items of medical licensure examination were selected from main subjects. The result is a matter of course. Therefore, it is recommended to put emphasis on core subject-oriented teaching and to strengthen core clinical clerkship to enhence the possiblity of success of medical licensure examination. Since the afore-mentioned discriminant score may predict success of medical licensure examination the school administration can decide to offer special programs for risk group students.

Analysis of Factors Affecting Problem Based Learning / 한국의학교육

The University of Yonsei College of Medicine is implementing a new undergraduate curriculum that emphasizes active, self-directed learning. The aims of this study were to investigate the factors affecting problem-based le arning(PBL). We surveyed 169 senior students of medical college in Yonsei University. Among them, 137(82.0%) students answered. We developed a question form on seven areas, centering the factors affecting problem-based learning: small-grouping learning, teachers, teaching-learning environments, learning methods, working problem, assessment, the awareness on the problem-based learning method. Those questions were developed as five point scale and were conducted on April 26, 1997. The results of this study are like this: First, the factors affecting problem-based learning appear as working problem, teaching-learning environments, teaching-learning materials. Second, no difference based on working problem form was found. However, the group which used Harvard Working Problem proved to be think more positively than the group which used Illinois Working Problem. As the most important factors affecting problem-based learning appeared as working problem, teaching-learning environments and learning materials, so we should develop the environments and materials promoting self-regulated learning. Finally, the continuous and systematic study on problem-based learning is needed.

Analysis of the Validity and Reliability about Double Major Data for Admission / 한국의학교육

This study is related to analysis the validity and reliability of double major data for admission in college of medicine yonsei university. The 69 applicants and 37 of those who had been admitted were sampled and then the GPAs of previous major, the interview scores and the GPAs of medical college were used as sources of analysis. This study is estiamted descriptive statistics, concurrent-related evidence of validity between GPAs previous college and interview scores, predictive-related evidence of validity of GPAs of previous college and interview scores, inter-scorer reliability of interview scores. The results of this study are like this: First, all of 69 students applied and 37(53.6%) applicants were admitted. Eleven students who were admitted graduated bio-chemical department of the college of science. The percentile rank of learning achievement of successful candidates show 64.5~98.2(1995), 43.6~86.6(1996), 22.8~96.9(1997). Second, the result of the estimation of the concurrence-related evidence of validity appear 0.729(1994), 0.673(1995), 0.562(1996), 0.876(1997). Therefore the candidates who got high GPAs also took high interview scores. Third, the predictive-related evidence of validity show insignificant. Forth, generalizability of inter-scorer reliability about intervew scores appear 0.972(1994), 0.983(1995). To improve the validity and relibility double major data, interview skills and educational programs has to be reoriented.