진료능력 개발에 효과적인 외과실습제도의 시도
A Trial of Surgical Clerkship for Developing Clinical Competency
함승시, 박부길, 김미남, 이상영, 이미숙,
소속 상세정보
함승시 ( )
강원대학교 의과대학 외과학교실
박부길 ( )
강원대학교 의과대학 외과학교실
김미남 ( )
강원대학교 의과대학 외과학교실
이상영 ( )
강원대학교 의과대학 외과학교실
이미숙 ( )
강원대학교 의과대학 외과학교실
KMID : 0371320030650040343
Abstract
Purpose: The surgery clerkship, focusing on the clinical competency, including critical thinking, problem solving, self-directed learning, autonomy and professionalism, were revised. The purposes of this study were to evaluate the students´ assessment of the revised surgery clerkship program in order to improve the quality of surgical education.
Methods: Clinical competency was classified into 6 dimensions: intolligence, skill, relationship, attitude, problem solving performance, and autonomy. Problem based learning (PBL), procedural skill training, surgical anatomy, case discussion, pre-diagnosis at outpatient clinics, quiz, clinical performance assessment (CPA)and modified essay question (MEQ) were performec. Forty-nine 3^(rd) year medical students participated during 2002. All students were asked to rate how far they had progressed in the 6 dimensions, in order to evaluate the course, and each program, and to suggest improvements at the end of the rotation.
Results: The students responded extremely positively and became been more motivated. They evaluated that the new clerkship had helped them increase their abilities in clinical reasoning self-directed learning, problem solving and clinical techology. and to develop professionalism and autonomy. Most of students revealed that the PBL, case discussion, pre-diagnosis at outpatient clinics, CPA and MEQ programs were very helpful. They felt that procedural skill training and surgical allatomy programs required further improvements.
Conclusion: The implementation of the new surgery clerkship was successful. The PBL, case discussion, pre-diagnosis at outpatient clinics, CPA and MEQ were valuable learning tools. More tools should be developed for procedural skill training and surgical anatomy education.
키워드
외과실습제도;문제바탕학습;진료수행사정;변형논술문제;Surgery clerkship;PBL;problem based learning;CPA;Clinical pergormance assessment;MEQ;Modified essay question
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