의과대학 임상실습 교육 및 평가 현황 분석

Abstract

Purpose: The aim of this study is to identify the status of clerkship education and its evaluation in Korea. Methods: Questionnaires were sent to 943 personnel in 23 clinical departments of 41 medical schools nationwide from April, 1 to April 10, 2004. We analyzed the 638 questionnaires that were collected from 39 medical schools. Results: The most frequently used methodologies for clerkship education were small group lecture (17.1%), observation of ambulatory care (15.7%), seminar (12.9%), observation and support of operation (12.4%), ward rounding (12.1%). The relative proportion of educational methodologies was varied according to the type of clinical departments. Most of the clinical clerkship activity was conducted in the university hospital. Also, the clerkship activities were educated by professors (57.8%), fellows (9.1%), residents (30.6%) and others (2.5%). The evaluation methods were written exam (21.8%), attendance (17.5%), report (14.0%), and oral exam (12.0%). In terms of evaluating items, acquirement of clinical knowledge has been mainly tested. However, students` ability to communicate, build human relationship, and clinical skills has been less frequently evaluated in most of medical schools. Conclusion: It is most likely that the current status of clerkship education and its evaluation in Korea is focused on the education and assessment of clinical knowledge. To improve this, the following areas need to be enriched: interaction between faculty and students, experience-based clerkship, effective feedback, time management, objectivity of evaluation, performance evaluation.