J Korean Acad Fam Med.
2007 May;28(5):367-374.
Curriculum and Training Difficulties of Family Medicine Residency Programs in Korea
- Affiliations
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- 1Department of Family Medicine, Hallym Sacred Heart Hospital, College of Medicine, Hallym University, Anyang, Korea. paek@hallym.ac.kr
- 2Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Korea.
- 3Department of Family Medicine, Korea University Guro Hospital, College of Medicine, Korea University, Korea.
- 4Woori Family Practice Clinic, Korea.
- 5Seoul Family Practice Clinic, Seoul, Korea.
- 6Department of Family Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
- 7Department of Family Medicine, Seoul National University Hospital, Seoul national University College of Medicine, Korea.
- 8Cancer Education Research Department, National Cancer Center, Korea.
- 9Department of Family Medicine, National Medical Center, Seoul, Korea.
Abstract
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BACKGROUND: This study was conducted to survey the current status of family medicine residency programs and to evaluate the difficulties in training of the curriculums.
METHODS
Questionnaires on residency programs were sent to all the centers of residency programs by mail in April 2006. The questionnaire included detailed characteristics of residency programs, curriculum schedule, reasons for failed specific curriculum, and review and measures by the program center and the Korean Academy of Family Medicine to resolve problematic curriculums.
RESULTS
A total of 113 residency programs responded. Among the 93 residency programs except for the 20 subsidiary hospitals, inadeguate subjects were mainly dermatology (12 programs, 12.3%), psychiatry (6 programs, 7.5%), ophthalmology (5 programs, 7.1%), and otolaryngology (5 programs, 7.1%). Training rejection rate was higher in dermatology (13 programs, 14.4%), radiology (11 programs, 13.1%), gastrofibroscopy (8 programs, 9.5%), and psychiatry (5 programs, 6.2%). Emergency me-dicine in 4 programs and general surgery in 3 programs had a longer duration of training than initially planned. Difficulties in training some subjects were due to failed establishment of specific curriculums in non-university hospital. Commonly established clinics were health promotion center, obesity clinic, smoking cessation clinic, geriatric clinic, stress clinic, and clinical nutrition clinic. Family medicine center programs included gastrofibroscopy, obesity, smoking cessation, geriatrics, hospice care, and evidence-based medicine.
CONCLUSION
There is repeated demand for taking measures to promote better curriculum in the nation-wide view of family medicine. Dermatology, radiology, psychiatry, and otolaryngology were the subjects difficult to receive training. Measures to strengthen the weak subjects are urgently needed.
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