의학교육논단 (Korean Medical Education Review)

  • 제26권2호
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  • Pages.83-92
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  • 2024
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  • 2092-5603(pISSN)
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  • 2093-6370(eISSN)
연세대학교 의과대학 (Yonsei university college of medicine)
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국내 의학교육에서 전문직 간 교육의 과거, 현재와 미래

The Past, Present, and Future of Interprofessional Education in Medical Education in South Korea

  • 박연철 (연세대학교 원주의과대학 의학교육학교실) ;
  • 이상미 (연세대학교 원주의과대학 의학교육학교실) ;
  • 박경혜 (연세대학교 원주의과대학 의학교육학교실)
  • Yon Chul Park (Department of Medical Education, Yonsei University Wonju College of Medicine) ;
  • Sangmi T. Lee (Department of Medical Education, Yonsei University Wonju College of Medicine) ;
  • Kyung Hye Park (Department of Medical Education, Yonsei University Wonju College of Medicine)
  • 투고 : 2024.03.04
  • 심사 : 2024.06.14
  • 발행 : 2024.06.30
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초록

Interprofessional education (IPE) fosters knowledge, skills, and attitudes related to interprofessional collaboration (IPC) for safe, quality patient care. In recent years, the importance of IPC has extended beyond the medical field to local community settings. However, IPE has only recently been introduced and has yet to become widespread. This study reviews the origin and development of IPE in Korean medical education by comparing it with established models in other countries that provide useful insights into future directions for IPE in Korea. Dedicated institutions led the IPE effort in other countries; however, IPE initiatives in Korea were mainly driven by individual professors' and medical schools' interest and commitment, without structural support systems. An important finding of this study is that the lack of awareness and organizational support within the medical education community resulted in the absence of a mandatory curriculum for IPE, as it was omitted from the accreditation standards. For more organized adoption and implementation of IPE in Korea, this study suggests the need to widely communicate the importance of IPE to the medical community and the public. It is also imperative to establish leadership capable of guiding IPE, share materials through trusted institutions with IPE experience, and include IPE in the accreditation standards. These steps are essential for actively implementing IPE and meeting societal healthcare needs in Korea.

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참고문헌

  1. Vanclay L. Interprofessional education: what, how & when? [Internet]. Fareham: The Centre for the Advancement of Interprofessional Education; 2018 [cited 2024 Jan 25]. Available from: https://www.caipe.org/resources/publications/archived-publications/caipe-bulletin-nos-13-1997-interprofessional-education-what-how-when
  2. Barr H. Interprofessional education: today, yesterday and tomorrow [Internet]. London: Higher Education Academy, Health Sciences and Practice Network; 2002 [cited 2024 Jan 25]. Available from: https://www.caipe.org/download/caipe-2002-interprofessional-education-today-yesterday-and-tomorrow-barr-h-pdf/?tmstv=1702582943
  3. National Center for Interprofessional Practice and Education. About interprofessional practice and education [Internet]. Minneapolis (MN): National Center for Interprofessional Practice and Education; 2024 [cited 2024 Jan 25]. Available from: https://nexusipe.org/informing/about-ipe
  4. Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff (Millwood). 2008;27(3):759-69. https://doi.org/10.1377/hlthaff.27.3.759
  5. Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014;12(6):573-6. https://doi.org/10.1370/afm.1713
  6. Nundy S, Cooper LA, Mate KS. The quintuple aim for health care improvement: a new imperative to advance health equity. JAMA. 2022;327(6):521-2. https://doi.org/10.1001/jama.2021.25181
  7. Korean Convalescent Hospital Association. 2020 Convalescent Hospital White Paper. Seoul: Korean Convalescent Hospital Association; 2021.
  8. Kwon JH. 10 Years and beyond the introduction of long-term care insurance for the elderly; Implications from the birth of the law to the development of the system through major issues. Healthc Policy Forum [Internet]. 2017 [cited 2024 Jan 25];15(2): 8-14. Available from: https://www.dbpia.co.kr/journal/articleDetail?nodeId=NODE07230398
  9. Roh H. Interprofessional education and longitudinal integrated clerkship. Proceedings of the 20th Anniversary Symposium of Gachon University College of Medicine; 2018 Jun 4; Incheon, Korea: Incheon: Gachon University College of Medicine; 2018
  10. Lee YH, Ahn D, Moon J, Han K. Perception of interprofessional conflicts and interprofessional education by doctors and nurses. Korean J Med Educ. 2014;26(4):257-64. https://doi.org/10.3946/kjme.2014.26.4.257 
  11. Hwang JI, Yoon TY, Jin HJ, Park Y, Park JY, Lee BJ. Patient safety competence for final-year health professional students: Perceptions of effectiveness of an interprofessional education course. J Interprof Care. 2016;30(6):732-8. https://doi.org/10.1080/13561820.2016.1218446 
  12. Oandasan I, Reeves S. Key elements for interprofessional education. Part 1: the learner, the educator and the learning context. J Interprof Care. 2005;19 Suppl 1:21-38. https://doi.org/10.1080/13561820500083550
  13. Barr H. Interprofessional education as an emerging concept. In: Bluteau P, Jackson A, editor. Interprofessional education: making it happen. New York (NY): Palgrave Macmillan; 2009. p. 3-24.
  14. Continuing education for physicians: report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1973;534:1-32.
  15. Learning together to work together for health: report of a WHO Study Group on Multiprofessional Education of Health Personnel: the team approach. World Health Organ Tech Rep Ser. 1988;769:1-72.
  16. Blue A, Brandt BF, Schmitt MH. American Interprofessional Health Collaborative: historical roots and organizational beginnings. J Allied Health. 2010;39 Suppl 1:204-9.
  17. Laming L. The Victoria Climbie inquiry: report of an inquiry. London: The Stationery Office; 2003.
  18. Wanless D. Securing our future health: taking a long-term view. London: HM Treasury; 2002.
  19. University of Minnesota; Academic Health Center Office of Education, Blue A, Brandt BF, Schmitt MH. American Interprofessional Health Collaborative: historical roots and organizational beginnings [Internet]. Minneapolis (MN): University of Minnesota Digital Conservancy; 2010 [cited 2024 Jan 25]. Available from: https://hdl.handle.net/11299/102504
  20. Institute of Medicine (US). Educating for the health team; report of the conference on the interrelationships of educational programs for health professionals. Washington (DC): National Academy of Sciences; 1972.
  21. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington (DC): The National Academies Press; 2000.
  22. Interprofessional Education Collaborative. Interprofessional education collaborative [Internet]. Washington (DC): Interprofessional Education Collaborative; 2024 [cited 2024 Jan 25]. Available from: https://www.ipecollaborative.org/about-us
  23. Maeno T, Haruta J, Takayashiki A, Yoshimoto H, Goto R, Maeno T. Interprofessional education in medical schools in Japan. PLoS One. 2019;14(1):e0210912. https://doi.org/10.1371/journal.pone.0210912
  24. Arai H, Ouchi Y, Toba K, Endo T, Shimokado K, Tsubota K, et al. Japan as the front-runner of super-aged societies: perspectives from medicine and medical care in Japan. Geriatr Gerontol Int. 2015; 15(6):673-87. https://doi.org/10.1111/ggi.12450
  25. Jung H, Park KH, Min YH, Ji E. The effectiveness of interprofessional education programs for medical, nursing, and pharmacy students. Korean J Med Educ. 2020;32(2):131-42. https://doi.org/10.3946/kjme.2020.161
  26. Choi J. Experience of development and management of interprofessional education courses: a case study of an IPE center CHA IPE Bridge. Korean J Med Educ. 2021;33(2):107-14. https://doi.org/10.3946/kjme.2021.192
  27. Kim YJ, Kim CW. Difference of perceived readiness for interprofessional learning among medical and nursing students after simulation-based interprofessional education. Korean J Health Commun. 2021;16(2):103-9. https://doi.org/10.15715/kjhcom.2021.16.2.103
  28. Park YC, Park KH. Interprofessional education program for medical and nursing students: interprofessional versus uniprofessional. Korean J Med Educ. 2021;33(1):1-10. https://doi.org/10.3946/kjme.2021.182
  29. Yu J, Lee W, Kim M, Choi S, Lee S, Kim S, et al. Effectiveness of simulation-based interprofessional education for medical and nursing students in South Korea: a pre-post survey. BMC Med Educ. 2020;20(1):476. https://doi.org/10.1186/s12909-020-02395-9
  30. Kim HJ, Koo HY, Park YW, Lee GH, Lee EK. Effectiveness of an interprofessional ethics education for nursing and medical students in South Korea. Korean J Health Commun. 2021;16(1):67-74. https://doi.org/10.15715/kjhcom.2021.16.1.67
  31. Hur HK, Kim KK, Lim YM, Kim J, Park KH, Park YC. Patient safety interprofessional education program using medical error scenarios for undergraduate nursing and medical students in Korea. J Interprof Care. 2023;37(6):944-53. https://doi.org/10.1080/13561820.2023.2183184
  32. Kwon B, Jung S. Development of beginning IPE program for medicine and nursing students. J Healthc Simul [Internet]. 2022 [cited 2024 Jan 25];6(2):38-48. Available from: https://www.dbpia.co.kr/Journal/articleDetail?nodeId=NODE11184585
  33. Shon S. Development and evaulation of interprofessional education for pediatric nursing. J Korean Soc Simul Nurs. 2023;11(1):43-55. https://doi.org/10.17333/JKSSN.2023.11.1.43
  34. Kang YJ, Kang Y. Mixed reality-based online interprofessional education: a case study in South Korea. Korean J Med Educ. 2022;34(1):63-9. https://doi.org/10.3946/kjme.2022.220
  35. Jeon S. Development and effects of a Sim-IPE program for dementia management in community-dwelling elders using standardized patient [dissertation]. Daegu: Keimyung University; 2022.
  36. Kim SG, Son S, Jung SW, Kim JB. Interprofessional education status and needs assessments conducted at one university. Proceedings of the Korean Medical Education Conference; 2023 May 18-19; Busan, Korea: Seoul: Korean Society of Medical Education; 2023
  37. Park KH, Yu JH, Yoon BY, Lee DH, Lee SH, Choi JJ, et al. The current status and needs analysis of interprofessional education in Korean medical colleges. Korean Med Educ Rev. 2022;24(2):141-55. https://doi.org/10.17496/kmer.2022.24.2.141
  38. Choi JJ, Park KH, Lee SH, Yu JH, Park KH, Yoon BY. Development, operation and evaluation of IPE curriculum in medical colleges. Seoul: Korea Association of Medical Colleges; 2023.
  39. National Center for Interprofessional Practice and Education. About the National Center [Internet]. Minneapolis (MN): National Center for Interprofessional Practice and Education; 2024 [cited 2024 Jan 25]. Available from: https://nexusipe.org/informing/about-national-center
  40. National Center for Interprofessional Practice and Education. IPE centers, programs and initiatives [Internet]. Minneapolis (MN): National Center for Interprofessional Practice and Education; 2024 [cited 2024 Jan 25]. Available from: https://nexusipe.org/connecting/ipe-centers
  41. American Interprofessional Health Collaborative. Organizational models of interprofessional practice and education in the United States: results from national survey 2.0. Minneapolis (MN): National Center for Interprofessional Practice and Education; 2023.
  42. Takahashi HE. Establishment of the Japan Association for Interprofessional Education and perspectives. J Interprof Care. 2009;23(6):554-5. https://doi.org/10.3109/13561820903328750
  43. Japan Association for Interprofessional Education. Committee of Japan Association for Interprofessional Education [Internet]. Tokyo: Japan Association for Interprofessional Education; 2024 [cited 2024 Jan 25]. Available from: https://www.jaipe.jp/committee/
  44. Korean Institute of Medical Education and Evaluation. Accreditation standards of KIMEE 2019 [Internet]. Seoul: Korean Institute of Medical Education and Evaluation; 2024 [cited 2024 Jan 25]. Available from: https://kimee.or.kr/wp-content/uploads/2024/01/ASK2019-%EC%9D%BC%EB%B6%80%EC%88%98%EC%A0%95-20240105_2401231507.hwp
  45. Korean Association of Medical Colleges. KAMC entrustable professional activities for the transition from medical school to internship. Seoul: Korea Association of Medical Colleges; 2020.
  46. Liaison Committee on Medical Education. Functions and structure of a medical school: standards for accreditation of medical education programs leading to the MD degree [Internet]. Washington (DC): Association of American Medical Colleges and American Medical Association; 2023 [cited 2024 Jan 25]. Available from: https://lcme.org/publications/
  47. Association of American Medical Colleges. Curriculum reports, interprofessional education requirements at US medical schools [Internet]. Washington (DC): Association of American Medical Colleges; 2014 [cited 2024 Jan 25]. Available from: https://www.aamc.org/data-reports/curriculum-reports/data/interprofessional-education-requirements-us-medical-schools
  48. Association of American Medical Colleges. Interprofessional educational opportunities and medical students' understanding of the collaborative care of patients: October 2014 analysis in brief [Internet]. Washington (DC): Association of American Medical Colleges; 2014 [cited 2024 Jan 25]. Available from: https://www.aamc.org/data-reports/analysis-brief/report/interprofessional-educational-opportunities-and-medical-students-understanding-collaborative-care
  49. World Federation for Medical Education. WFME Global Standards for Quality Improvement 2015: BME (Japanese) [Internet]. Copenhagen: World Federation for Medical Education; 2023 [cited 2024 Jan 25]. Available from: https://wfme.org/download/wfme-global-standards-for-quality-improvement-2015-bme-japanese/
  50. El Nsouli D, Nelson D, Nsouli L, Curtis F, Ahmed SI, McGonagle I, et al. The application of Kirkpatrick's evaluation model in the assessment of interprofessional simulation activities involving pharmacy students: a systematic review. Am J Pharm Educ. 2023;87(8):100003. https://doi.org/10.1016/j.ajpe.2023.02.003
  51. Watanabe H, Koizumi M. Advanced initiatives in interprofessional education in Japan: Japan Interprofessional Working and Education Network. Tokyo: Springer; 2010.
  52. Mishra S. Do we need to change the medical curriculum: regarding the pain of others. Indian Heart J. 2015;67(3):187-91. https://doi.org/10.1016/j.ihj.2015.05.015
  53. Nakamura S, Ohtsuki M, Miki Y, Noda T, Suzuki S, Maeno T, et al. Effect of team-based learning in interprofessional education at a health university. Fujita Med J. 2017;3(2):33-9. https://doi.org/10.20407/fmj.3.2_33
  54. Sunguya BF, Hinthong W, Jimba M, Yasuoka J. Interprofessional education for whom?: challenges and lessons learned from its implementation in developed countries and their application to developing countries: a systematic review. PLoS One. 2014;9(5):e96724. https://doi.org/10.1371/journal.pone.0096724
  55. General Medical Council. Good medical practice: Domain 3: communication, partnership, and teamwork [Internet]. London: General Medical Council; 2019 [cited 2024 Jan 25]. Available from: https://www.gmc-uk.org/-/media/documents/good-medical-practice---english-20200128_pdf-51527435.pdf
  56. General Pharmaceutical Council. Consultation on initial education and training standards for pharmacists. London: General Pharmaceutical Council; 2019.
  57. Interprofessional Education Collaborative. IPEC core competencies for interprofessional collaborative practice: version 3. Washington (DC): Interprofessional Education Collaborative; 2023.
  58. Yang EB, Lee D, Lee JT. The concept of health systems science and educational needs in the Korean context. Korean Med Educ Rev. 2023;25(3):192-7. https://doi.org/10.17496/kmer.23.024
  59. American Medical Association. Health Systems Science [Internet]. Chicago (IL): American Medical Association; 2024 [cited 2024 May 30]. Available from: https://www.ama-assn.org/topics/health-systems-science
  60. Gwangju Health University. IPE Joint Program development report. Gwangju: Gwangju Health University; 2020.
  61. Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. A schematic representation of the professional identity formation and socialization of medical students and residents: a guide for medical educators. Acad Med. 2015;90(6):718-25. https://doi.org/10.1097/ACM.0000000000000700
  62. Reinders JJ, Lycklama A, Nijeholt M, Van Der Schans CP, Krijnen WP. The development and psychometric evaluation of an interprofessional identity measure: Extended Professional Identity Scale (EPIS). J Interprof Care. 2020 Feb 3 [Epub]. https://doi.org/10.1080/13561820.2020.1713064
  63. Haruta J, Yoshida K, Goto M, Yoshimoto H, Ichikawa S, Mori Y, et al. Development of an interprofessional competency framework for collaborative practice in Japan. J Interprof Care. 2018;32(4):436-43. https://doi.org/10.1080/13561820.2018.1426559