인턴 업무를 수행하는 학생 인턴제의 시행 경험 = Implementation of student internship with intern-level responsibility

다국어 초록 (Multilingual Abstract)

=Implementation of Student Internship with Intern-Level ResponsibilityHye Rin Roh, MD, Gibong Chae1, MD, Jeong Hee Yang, MD

Purpose: The aim of the study is to evaluate the possibility of giving student interns intern- level responsibilities and to discuss the various obstacles.
Methods: Modifications were made to the student internship program, including rotations through major departments, for 4th-year medical students and was conducted at the College of Medicine, Kangwon National University. We surveyed 49 students for the evaluation of the program, administered a checklist evaluation for their performance, and interviewed two focus groups of faculties and residents to find out the obstacles of the program.
Results: Most of the students answered that the program was satisfactory and necessary. Of the students, 71.4% performed as an acting intern. The mean score of the students' performance was 84.1. The students had the most difficulty with time management and making diagnostic and management decisions. Initially, at the start of the program, both students and residents were somewhat confused about the student interns' duties. They suggested that definite learning objectives, legal and institutional support to students' clinical practice, and announcements to patients and hospital staff should be put in place prior to the implementation of such a program.
Conclusion: We discovered that it was possible for student interns to perform at the level of interns. We suggest that systemic improvements continue for the establishment of such student internship program.

참고문헌 (Reference)

1 "What is subinternship?" 14 (14): 12-23, 2002

2 "Uihak Jeonmundaehakwon Sihaeng Yeongu" 2001

3 "The value of the subinternship: A survey of fourth year medical students" 9 : 7-, 2004

4 "The structure and content of the medical subinternship" A national survey 16 : 550-553, 2001

5 "The internal medicine subinternship" A curriculum needs assessment 17 : 561-564, 2002

6 "The evolving role of the acting internship in the medical school curriculum" 104 : 409-412, 1998

7 "Subinternship program of Seoul Asan Medical Center" Yeungnam University College of Medicine 89-93, 2004

8 "Subinternship in the US medical school" 14 (14): 24-25, 2002

9 "Subinternship - the experience of Seoul National University" 14 (14): 28-40, 2002b

10 "Program development of student internship(Subinternship) in Gachon Medical School" 15 (15): 113-129, 2003

11 "Medical practice by medical students Korean Journal of Medical Education" 34-38, 1992

12 "Jeongongui Suryeon Mit Geunmusiltae Josabunseok" Korean Institute of Hospital Management 2004

13 "Janggigan Sihaengdoen Jogi Imsangsilseup programui Hyogwa" The Korean Society of Medical EducationThe Korean Council of Deans of Medical CollegeKorean Academy of Medical Sciences 137-, 2006a

14 "Experience of subinternship program" Yeungnam University College of Medicine 31-62, 2004

15 "Evaluating the quality of interaction between medical students and nurses in a large teaching hospital" 6 : 23-, 2006

16 "Entitling the student doctor. Defining the student's role in patient care" 13 : 266-270, 1998

17 "Effect of practice based program for procedural skills" 18 (18): 203-216, 2006b

18 "Advances in the internal medicine subinternship" 113 : 769-773, 2002

19 "A trial of surgical clerkship for developing clinical competency" 65 (65): 343-352, 2003

20 "A study on the supply and demand planning of the medical specialists manpower and the policy development of quality improvement for postgraduate training program" Korea Health Industry Development Institute 2002a

21 "A study on development of compulsory clinical training program for quality improvement of medical physicians" Ministry of Health Welfare 2004