시범 적용된 응급의학 학생인턴십 프로그램에 대한 참가자들의 경험과 견해: 학생 및 교육자들을 대상으로 한 포커스그룹 연구 (Experiences and Views of a Pilot Emergency Medicine Sub-internship Program: A Focus Group Study of Learners and Teachers)

서지정보

· 발행기관 : 대한응급의학회
· 수록지 정보 : 대한응급의학회지 / 23권 / 6호 / 882 ~ 899페이지
· 저자명 : 최호성, 조선진, 김형민, 위정희, 오주석, 최승필, 김영민

초록

Purpose: The aim of this study was to explore participants’experiences and views of a pilot emergency medicine (EM)sub-internship program.
Methods: A pilot 4-week EM sub-internship program involving four academic emergency departments was developed and implemented at the beginning of fourth-year in medical school. Three focus group discussions were separately conducted with ten students, six supervising residents,or four faculty physicians upon completion of the program.
Each 60- to 90-minute discussion was recorded,transcribed, and coded by two assessors independently.
Contents were thematically analyzed and group interaction examined.
Results: The participants identified several strengths of the program, including an opportunity to treat a variety of acute diseases for the first time, an opportunity to apply a symptom-based practice, an opportunity to experience a dynamic workplace, and an opportunity to receive help with careerplanning.
Commonly identified weaknesses of the program were placed into three categories: 1) not enough bedside teaching time, 2) the workload of the educators, which impacts program efficiency, and 3) a variety of learning experience among the students. Ideas for improving the program included an announcement about the program in advance, the development of faculty skills, the development of new content, and a validation of the evaluation methods and institutional support.
Conclusion: The EM sub-internship appears to be effective in preparing fourth-year medical students for many of the challenges they will face in the future. However, continuous efforts to strengthen the program are required. These study results will help EM educators develop their own subinternship program.

영어초록

Purpose: The aim of this study was to explore participants’experiences and views of a pilot emergency medicine (EM)sub-internship program.
Methods: A pilot 4-week EM sub-internship program involving four academic emergency departments was developed and implemented at the beginning of fourth-year in medical school. Three focus group discussions were separately conducted with ten students, six supervising residents,or four faculty physicians upon completion of the program.
Each 60- to 90-minute discussion was recorded,transcribed, and coded by two assessors independently.
Contents were thematically analyzed and group interaction examined.
Results: The participants identified several strengths of the program, including an opportunity to treat a variety of acute diseases for the first time, an opportunity to apply a symptom-based practice, an opportunity to experience a dynamic workplace, and an opportunity to receive help with careerplanning.
Commonly identified weaknesses of the program were placed into three categories: 1) not enough bedside teaching time, 2) the workload of the educators, which impacts program efficiency, and 3) a variety of learning experience among the students. Ideas for improving the program included an announcement about the program in advance, the development of faculty skills, the development of new content, and a validation of the evaluation methods and institutional support.
Conclusion: The EM sub-internship appears to be effective in preparing fourth-year medical students for many of the challenges they will face in the future. However, continuous efforts to strengthen the program are required. These study results will help EM educators develop their own subinternship program.

참고자료

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