"한국의 의사상, 2014"의 역량 규정에 대한 의과대학의 교육현실과 기대수준 분석

양은배,신혜경,서덕준,한재진,Yang, Eunbae B.,Shin, Hyekyung,Suh, Dukjoon,Han, Jae Jin 연세대학교 의과대학 2018 의학교육논단 Vol.20 No.3

The aim of this study is to determine whether the 65 competencies, defined in "the role of Korean doctor, 2014", are suitable for basic medical education phase in Korea. It seeks to analyze the gap among the educational reality and expectation, assessment situation of the competencies above. We also try to define issues of the development, application and assessment phases of competency-based medical education (CBME) at individual medical schools. We designed survey tools based on the Miller's assessment pyramid (knowledge, explanation, demonstration, and performance) for each of the 65 competencies. The survey distributed to 41 medical schools in April 2015 and 38 replies were received (92.7%). Competencies that matched both the educational reality and expectation were numbers 1 (patient care), 33 (social accountability), and 49 (professionalism). However, all the other competencies ranked lower in current status than that of desirable level. 54 out of 65 competencies (83.07%) remained at the knowledge and explanation level when each competence were assessed. In the development, application, and assessment phases of CBME, common issues that medical schools commonly noted were difficulty linking competencies to curriculum preparation and student assessment, the lack of faculty's understanding, difficulty to reach consensus among faculties, and absence of teaching and learning methods and assessment tools that fits CBME. For the successful settle down of CBME, there is a need for efforts to develop the model of graduate outcomes, to share information and experience, and to operate faculty development program by the medical education communities.

SCI 발표 논문 수를 통해본 의과대학 연구 생산성

양은배,Yang, Eunbae 연세대학교 의과대학 2007 의학교육논단 Vol.9 No.2

Purpose : The aim of this study is to analyse the research productivity of SCI publications at medical schools in Korea. Methods: We collected the 5,386 SCI publications from 10 medical schools that were published in 2002 and 2003. Most of the materials treated herein are derived from the database of the Institute of Scientific Information from April 13, to May 25, 2005. Values are analyzed by medical school, major and IF index and presented as frequency and percentages. Results : There were 2,350 publications in 2002 and 3,036 publications in 2003. The average publication rate per faculty was .71 in 2002 and it was increased to .90 in 2003. Of the total 5,386 manuscripts, 1.248(23.2%) papers were from work conducted at basic science department and 3,224(76.8%) were from work performed at clinical science department. The major such as pathology, microbiology, pharmacology, internal medicine, diagnostic radiology and dermatology published a lot of SCI papers. A large percentage of papers (41.74%) were in journals with reported l<=IF<3. Conclusions : There was wide variability in the research productivity among the medical schools or majors. This variability reflects the importance of the institutional characteristics of each medical school in predicting the research productivity. Some of these institutional characteristics include the size of the faculty. available research funding, research vision of medical school, visible system of measurement and any associated reward system.

의학교육의 최근 동향

양은배,Yang, Eun-Bae 연세대학교 의과대학 2005 의학교육논단 Vol.7 No.1

의학교육의 변화: 세계 의학교육이 강조하는 세 가지

양은배,Yang, Eun-Bae 연세대학교 의과대학 2006 의학교육논단 Vol.8 No.2

의학교육 수월성 제고를 위한 교육과정 재설계

양은배,Yang, Eunbae B. 연세대학교 의과대학 2014 의학교육논단 Vol.16 No.3

The purpose of this study is to analyze the medical education system of Korea and to propose a method of curriculum redesign. Although there have been many attempts by medical educators to improve the quality of medical education, the results have not been fruitful. First, there exists a limitation to the dualistic curriculum design based on Flexnerianism, and thus, this model does not provide an integrated experience to medical students. Therefore, we propose a unidimensional model for curriculum redesign. Second, it is impossible to promote excellence in medical education without solving the structural problems of teaching and learning, such as the teaching competency of the faculty, large-scale lectures, and team teaching systems. A curricular strategy that emphasizes mutual interaction and teaching accountability is necessary to promote meaningful learning. Third, the current clinical training system, the circulation model, provides incomplete training as well as a lack of sequence and articulation experiences. This system needs to be redesigned in a way that allows only those students who have mastered both the knowledge and the application of medical education to advance to the next step. Fourth, norm-referenced assessments of a medical college distort the learning process and create unconstructive system energy. A criterion-referenced assessment that values cooperation, independent study, and intrinsic motivation is more important for the reliability and validity of the assessment. Medical students should not focus on formative and informative learning. Medical colleges should investigate the multifaceted potential of the students and provide transformative learning to grow students into change agents. For this to take place, curriculum redesign-not new methods of medical education-is required.

의과대학생의 미래와 진로지도

양은배,Yang, Eun-Bae 연세대학교 의과대학 2006 의학교육논단 Vol.8 No.1

의사에게 있어 자신의 적성과 능력에 부합하는 세부 전공을 선택하는 것은 자신의 자아실현뿐만 아니라 환자들에게도 중요한 의미를 갖는다. 이것은 의과대학생들의 전공 선택을 위해 의과대학 재학 중에 이루어지는 진로개발의 중요성을 시사한다. 이 글은 의과대학생 개개인의 적성과 소질에 따른 전공 선택을 어떻게 지도할 수 있는지 단계별 진로지도 전략에 대해 고찰하였다. 전공 선택 지도의 첫 번째 단계는 자기평가이다. 자기평가는 자신의 적성과 능력에 맞는 전공을 선택하기 위해 스스로에 대한 정보를 모으고 이해하는 과정이다. 두 번째는 전공탐색 단계이다. 이 단계는 자신의 적성과 능력에 부합할 가능성이 높은 전공과목에 대한 정보를 수집하는 것이다. 세 번째는 전공 선택 단계이다. 이 과정은 학생 스스로에 대한 자기평가 결과 및 전공에 대한 탐색 결과에 기초하여 자신이 어떤 분야에 더 적합한가에 대한 의사결정을 하는 과정이다. 전공 선택을 위한 접근 방법의 마지막은 전공 영역의 수련을 위해서 자신이 결정한 전공 선택을 이행하는 단계이다. 이 단계에서는 자신이 선택한 전공영역, 그리고 전공의 수련교육과정을 제공하는 교육기관에 응시원서를 제출하고, 면접을 실시하는 과정이 포함된다. 의과대학생들이 자신의 적성과 소질에 따른 전공 선택과 의과대학생 개개인의 선택의 문제를 넘어 의료 인력의 수급, 의료서비스의 질적인 수준과 밀접하게 관련되어 있다. 그러므로 의과대학은 대학의 책무성 수행차원에서 학생들의 가치관 확립과 진로지도를 위한 체계적인 학생 진로지도 프로그램을 개발하고 학생들을 적극적으로 지원해야 한다.

인턴제도 폐지 논의 이후의 의학교육 변화

양은배,김병수,신좌섭,Yang, Eunbae B.,Kim, Byung Soo,Shin, Jwa-Seop 연세대학교 의과대학 2015 의학교육논단 Vol.17 No.1

In light of changes in today's medical environment, whether to dismantle the 50-year-old internship training system in the Republic of Korea is under debate. Although the question remains open, discussions on such issues have drawn attention to the quality of the clinical clerkship and student career advisory programs in medical colleges. The purpose of this study is to analyze the experiential clerkship and career exploration issues. Ensuring excellence of the clerkship and career advisory sessions is an essential responsibility of educational institutions regardless of whether the intern training system is dismantled. Important objectives of the experimental clerkship include reinforcing prerequisites established by law, introducing a student practice license, developing a standardized clinical assessment and student portfolio requirement, and publishing a guidebook for clinical directors. For career exploration, it is necessary to broaden participants' experiences of specialties and to manage the variety of student career guidance programs. It is imperative for the Korean Association of Medical Colleges, in collaboration with medical colleges, to play a leading role in focusing more attention and effort on such issues.

문제중심학습 워크샵에 관한 의견 조사

양은배,Yang, Eun-Bae 연세대학교 의과대학 2000 의학교육논단 Vol.2 No.1

근거중심의학 교육과정의 개발과 적용

양은배,Yang, Eun-Bae 연세대학교 의과대학 2001 의학교육논단 Vol.3 No.1

의과대학 평가인정 기준의 내용타당도 및 요인타당도 연구

양은배(Eun-Bae Yang) 한국의학교육학회 2002 Korean journal of medical education Vol.14 No.1

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.