DOI QR코드

DOI QR Code

정신건강의학과의 역량 중심 전공의 수련과정 개발

Competency-Based Psychiatry Residency Training Program Development in South Korea

  • Kyeon, Yeong Gi (Department of Psychiatry, Kangwon National University Hospital) ;
  • Kim, Jong-Woo (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Shim, Se-Hoon (Department of Psychiatry, Soonchunhyang University Cheonan Hospital) ;
  • Sohn, In-Ki (Department of Psychiatry, Keyo Hospital) ;
  • Seo, Jeong-Seok (Department of Psychiatry, Konkuk University Chungju Hospital, Konkuk University School of Medicine) ;
  • Lee, Kang-Uk (Department of Psychiatry, Kangwon National University Hospital) ;
  • Korean Neuropsychiatric Association (Korean Neuropsychiatric Association)
  • 투고 : 2017.09.19
  • 심사 : 2018.02.08
  • 발행 : 2018.02.28

초록

Psychiatry residency training in South Korea currently has many limits in developing proper competencies of residents. To address this problem, the Korean Neuropsychiatric Association has been developing a new competency-based training program since 2015, using the educational systems of advanced countries such as Canada, the United Kingdom, the United States, and Australia as references. It was found that within the referenced countries' residency training systems, objectives based on competencies are stated in detail by psychiatric topics as well as various assessment methods and feedback about the resident's competency level. In addition, we surveyed psychiatric resident training hospitals, and found that more than 80% of the respondents answered positively in reference to the new training program. This paper briefly reviews competency-based residency training systems of advanced countries and compares them to the current training program in South Korea. Many resources are needed to run a new competency-based training program, and governmental supports are essential to improve the quality of the residency training system.

키워드

참고문헌

  1. Long DM. Competency-based residency training: the next advance in graduate medical education. Acad Med. 2000;75(12):1178-83. https://doi.org/10.1097/00001888-200012000-00009
  2. Frank JR, Snell LS, Cate OT, Holmboe ES, Carraccio C, Swing SR, et al. Competency-based medical education: theory to practice. Med Teach. 2010;32(8):638-45. https://doi.org/10.3109/0142159X.2010.501190
  3. Carraccio C, Wolfsthal SD, Englander R, Ferentz K, Martin C. Shifting paradigms: from Flexner to competencies. Acad Med. 2002;77(5):361-7. https://doi.org/10.1097/00001888-200205000-00003
  4. Royal College of Psychiatrists. Curricula [Internet]. London: Royal College of Psychiatrists [cited 2017 Jan 21]. Available from: http://www.rcpsych.ac.uk/traininpsychiatry/corespecialtytraining/curricula.aspx.
  5. Royal College of Psychiatrists. Examinations [Internet]. London: Royal College of Psychiatrists [cited 2017 Jan 21]. Available from: http://www.rcpsych.ac.uk/exams.aspx.
  6. Thomas CR. Educational milestone development for psychiatry. J Grad Med Educ. 2014;6(1 Suppl 1):281-3. https://doi.org/10.4300/JGME-06-01s1-12
  7. The Accreditation Council for Graduate Medical Education. The psychiatry milestone project [Internet]. Chicago (IL): The Accreditation Council for Graduate Medical Education [cited 2017 Jan 21]. Available from: http://www.acgme.org/Portals/0/PDFs/Milestones/PsychiatryMilestones.pdf?ver=2015-11-06-120520-753.
  8. An K, Lee SH, Park EJ, Sohn I, Lee JH, Lee JS, et al. Development of new residency training programs for psychiatry in Korea. J Korean Neuropsychiatr Assoc. 2013;52(4):187-96. https://doi.org/10.4306/jknpa.2013.52.4.187
  9. Ministry of Health and Welfare. Annual curriculum for residency training [Internet]. Sejong: Ministry of Health and Welfare [cited 2017 Jan 21]. Available from: http://www.mohw.go.kr/react/jb/sjb0406vw.jsp?PAR_MENU_ID=03&MENU_ID=030406&CONT_SEQ=338503&page=1.
  10. Kogan JR, Holmboe ES, Hauer KE. Tools for direct observation and assessment of clinical skills of medical trainees: a systematic review. JAMA. 2009;302(12):1316-26. https://doi.org/10.1001/jama.2009.1365
  11. Bodgener S, Tavabie A. Is there a value to case-based discussion? Educ Prim Care. 2011;22(4):223-8. https://doi.org/10.1080/14739879.2011.11494004
  12. Research Institute for Healthcare Policy. Normalization of the residency training environment, how is it realized in foreign countries? [Internet]. Seoul: Research Institute for Healthcare Policy, Korean Medical Association [cited 2017 Jan 21]. Available from: http://webzine.rihp.re.kr/webzine_201411/a_07_02.html.
  13. Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system: rationale and benefits. N Engl J Med. 2012;366(11):1051-6. https://doi.org/10.1056/NEJMsr1200117

피인용 문헌

  1. 전공의의 수련포기 의도와 영향요인 vol.19, pp.8, 2018, https://doi.org/10.14400/jdc.2021.19.8.257