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안덕선 대한의사협회 2013 대한의사협회지 Vol.56 No.5
The abolishment of the internship training program in Korea has become a hot issue in Korea. The internship has traditionally been a general competency build-up process to becoming a practicing doctor. However, despite its relatively long history, there is still no oversight or guidelines for the educational program itself. It is operated individually department-by-department on a rotation basis with no central supervision or clear goals and objectives. Very often,interns are abused as sources of simple cheap labor, performing not only medical duties but also menial administrative tasks as required by each department, without proper educational activity or training. This significant lack of system and structure is a chronic grievance among those who experience it, yet perhaps due to its short duration, is something that is endured and then forgotten. Medical students, however, have largely opposed the abolition, citing the loss of the opportunity for anthropologic exploration of various clinical departments and the chance to build networks to pursue specialty training in the fields of their choice. The key issue at hand is then whether the current problematic student clerkship training can be improved enough to replace the internship program. To do so would require overcoming the fragmented nature of the clinical education culture, which is still quite clannish in nature and based on family values. Whether these cultural barriers can be broken to develop a clerkship training curriculum sufficient to achieve general competency before specialty training is the determining factor for the fate of the internship program.
The Effectiveness of an Instructor's Intervention Using Questioning Strategy in Physiology Class
안덕선,황은영,양은배 연세대학교 의과대학 2011 의학교육논단 Vol.13 No.1
This study was done to analyze students’ learning and its lasting effect by teaching strategy involving questioning. This study was performed with 68 students who were enrolled in a physiology class of the Yonsei University College of Medicine in Seoul, Korea, in 2003. The students were randomly divided into 2 groups. One group was taught in a way where students asked questions and the instructor answered the questions. For the other group of students, the instructor asked questions, and the students answered the questions. We performed a pre-test before the study begins and post-tests immediately,3 weeks, and 6 weeks after the study. The results were analyzed by using analysis of covariance and repeated measures analysis of variance. A higher learning effect was observed in a group where questions were asked by students compared with the other group. The post-test results showed no significant difference in the lasting effect of learning according to the teaching strategy. Students’ learning significantly improved when students asked questions and the instructor answered the questions compared with the strategy of the instructor asking questions and students answering to the questions.
안덕선 연세대학교 의과대학 의학교육학과 2000 의학교육논단 Vol.2 No.1
전통적인 교육과정을 가진 고려대학교 의과대학에서의 지도 교수제는 1994년 도입된 이래 3년 이상이 흘러갔다. 그러나 조사에서 나타났듯이 첫 2년간의 결과는 대단히 실망 스럽다고 이야기 할 수 있다. 그러나 아직 완전히 실패했다고 까지 결론 내리기는 힘들며 그 이유는 이제 이것이 도입된 지가 불과 3년 밖에 안되었고, 아직도 교수들을 상대로 지도교수제를 어떻게 운영할 것인가에 대한 합의도 이루어져있지 않고 또 지도 교수제에 대한 훈련도 되어있지 않은 샅애이다. 이런 것들이 정착 되면 지도 교수제는 더욱 활성화될 것이라고 믿는다. 그러나 첫 2년간의 조사에서 보았듯이 한국적인 문화배경에서 교수들이 주체가 되지 않는 한 지도 교수제는 활성화 되기 힘들며 처음에는 어려움이 있더라도 학교의 행정적인 도움을 받아 정례화 시키는 것이 바람직하다고 생각한다. 지도 교수제가 정착이 되기 위해서는 학생들에 대한 관심과 애정, 지도 교수제 대한 교수의 열정, 치밀한 사전 계획, 지도 교수제 자체에 관한 교수들의 교육 그리고 본격적으로 학교 당국의 개입이 필요하다. 막연히 지도교수제를 설정만 하고 방임 형태로 둔다면 지도 교수제는 자칫 유명무실하게 사라질 것이다.
안덕선 한국수사학회 2005 수사학 Vol.0 No.2
It is very important for every physicians to have effective communication skill competency. It is a essential competency for improving quality of caring patients. So, It has been increased communication skill educational programs in medical education all around the world. Up to now, most medical students have been taught biomedical-centered knowledge in the uniform education and have become passive learners. So, they often deal with patients as disabled machines. Eventually, That makes doctors-patients relations distorted and doctors have been criticized by their unkind and arrogant manner. On the base of the problem, I did meta analysis of literature about the necessity, areas, methods, model, and effectiveness of communication skill educational programs. I suggest the systematic communication skill educational program and new methods such as role play, participative observation, simulation, and OSCE should be developed in medical schools of Korea.