Korean J Med Educ.  2009 Dec;21(4):373-383.

The Present Conditions of Clinical Clerkship Management in Korea

Affiliations
  • 1BK21 project for Medical Science, Yonsei University College of Medicine, Seoul, Korea.
  • 2Department of Medical Education, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Physiology, Yonsei University College of Medicine, Seoul, Korea.
  • 4Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea. cj@yuhs.ac

Abstract

PURPOSE
This study investigated the present conditions of clinical clerkship management in Korea to make recommendations for it.
METHODS
The data were collected between April 15 and May 30 in 2009 using questionnaires that were sent to the clerkship directors of 41 colleges of medicine and medical graduate schools.
RESULTS
The elective course system was established in 78% of the institutions; the 6 core specialties were found in all medical schools. The duration of clerkship was longest in internal medicine, followed by surgery, pediatrics, obstetrics and gynecology, psychiatry, and emergency medicine. There were differences between the planning and monitoring agencies. Preclinical courses existed in 92.7% of the institutions. However, much more remains to be done ie, with regard to the issues of student assessment in clinical clerkship, faculty development programs for the faculty and residents, incentive systems for educational involvement, provisions for yearly systematic clerkships, integration of basic-clinical science-medical humanities, and community-based education.
CONCLUSION
Because clinical clerkship education is very important as a core curriculum, curriculum planning and its management must be given adequate attention. The following measures are suggested: elective systems that allow students to choose by career planning; concerns over faculty development programs for residents as a teacher; consensus on the concept, objectives, duration, content, evaluation tools of pre-clinical clerkship and clinical clerkship, and student well-being; and emphasis on community-based education.

Keyword

Clinical clerkship; Medical education; Clinical competence; Community-based medicine; Curriculum; SPICES model

MeSH Terms

Clinical Clerkship
Clinical Competence
Consensus
Curriculum
Education, Medical
Emergency Medicine
Gynecology
Humanities
Humans
Internal Medicine
Korea
Motivation
Obstetrics
Pediatrics
Schools, Medical
Surveys and Questionnaires
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