Review the Governance of Graduate Medical Education

대학(대학원) 졸업 후 의사 수련교육 거버넌스 고찰

  • Received : 2019.10.28
  • Accepted : 2019.12.05
  • Published : 2019.12.31


Education on the physician continues with undergraduate medical education, graduate medical education, and continuous medical education. The countries such as the United States, Japan, the United Kingdom, German, and others are required to undergo training in the clinical field for 2 years after completing the national medical examination, and to become doctors after passing the clinical practice license test. Korea can obtain a medical license and become a clinical doctor at the same time if it passes written and practical tests after completing 6 years of undergraduate medical education or 4 years of graduate school. About 90% of medical school graduates replace clinical practice with 4-5 years of training to acquire professional qualifications, but this is an option for individual doctors rather than an extension of the licensing system under law. The medical professional qualification system is implemented by the Ministry of Health and Welfare on the regulation. In fact, under the supervision of the government, the Korean Hospital Association, the Korean Medical Association, and the Korean Academy of Medical Sciences progress most procedures. After training and becoming a specialist, the only thing that is given to a specialist is the right to mark him or her as a specialist in marking a medical institution and advertising. The government's guidelines for professional training are too restrictive, such as the recruitment method of residents, annual training courses of residents, dispatch rule of the residents, and the quota of residents of training hospitals. Although professional training systems are operated in the United States, the United Kingdom, France, and Germany, most of them are organized and operated by public professional organizations and widely recognize the autonomy of academic institutions and hospitals. Korea should also introduce a compulsory education system after graduating from medical education and organize and initiate by autonomic public professional organization that meets global standards.



  1. Lee MS. Taking into account the history of Korean graduate medical education. Korean Med Educ Rev 2013;15(2):61-68. DOI:
  2. World Federation for Medical Education. Postgraduate medical education [Internet]. Copenhagen: World Federation for Medical Education; 2015 [cited 2019 Oct 10]. Available from:
  3. Lim KY. What is Graduate medical education?: the role of medical school in graduate medical education. Proceedings of the 10th Medical Education Conference; 2001 Nov 23; Daejeon, Korea. Seoul: The Korean Society of Medical Education; 2001. pp. 50-53.
  4. Lee YH, Kim BS. Applications of experiential learning theory to graduate medical education. Korean Med Educ Rev 2009;11(1):11-20. DOI:
  5. Ministry of Health and Welfare. Health care personnel. In: Ministry of Health and Welfare, editor. Health and welfare statistical year book. Sejong: Ministry of Health and Welfare; 2018. pp. 175-181.
  6. Korean Hospital Association. Korean Hospital Association 50th Anniversary. Seoul: Korean Hospital Association; 2009.
  7. Korean Hospital Association. Report of certification of training hospital and number of residents by hospital and by specialties. Seoul: Korean Hospital Association; 1972.
  8. Ko YW, Kim KM, Kim KS, Kim SD, Kim JK, Bae JY. A study on development of compulsory clinical training program for quality improvement of medical physicians. Sejong: Ministry of Health and Welfare; 2004.
  9. Korean Institute of Hospital Management. Review on the graduate medical eduction of OECD countries. Seoul: Korean Institute of Hospital Management; 2007.
  10. Kim JH. Medical professionalism-on social responsibilities viewed from historical perspective. Korean J Gastroenterol 2015; 65(3):165-172. DOI:
  11. Baek HJ. New medical professionalism. J Rheum Dis 2012;19(6):316-325. DOI:
  12. World Medical Association. WMA Declaration of Madrid on professionally-led regulation [Internet]. Ferney-Voltaire: World Medical Association; 2009 [cited 2015 Feb 20]. Available from:
  13. Yang EB. The study on the system of essential clinical training after graduating from medical education. Healthc Policy Forum 2005;3(1):70-78.