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J Korean Soc Emerg Med > Volume 29(4); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(4): 326-349.
응급의학과 전공의와 학생의 의학전문직업성에 관한 델파이 조사 연구
이제섭1 , 박경혜1,2 , 강영준3 , 권오영4 , 한철5
1연세대학교 원주세브란스기독병원 응급의학과
2연세대학교 원주의과대학 의학교육학과
3제주대학교 의학전문대학원 의학교육학교실
4경희대학교 의과대학 의학교육학교실
5이화여자대학교 의과대학 응급의학교실
A Delphi study on professionalism of emergency medicine for residents and medical students
Je Seop Lee1 , Kyung Hye Park1,2 , Youngjoon Kang3 , Oh Young Kwon4 , Chul Han5
1Department of Emergency Medicine, Wonju Severance Christian Hospital, Wonju, Korea
2Department of Medical Education, Yonsei University Wonju College of Medicine, Wonju, Korea
3Department of Medical Education, Jeju National University School of Medicine, Jeju, Korea
4Department of Medical Education and Medical Humanities, Kyung Hee University School of Medicine, Seoul, Korea
5Department of Emergency Medicine, Ewha Womans University School of Medicine, Seoul, Korea
Correspondence  Kyung Hye Park ,Tel: 033-741-0242, Fax: 033-742-5034, Email: erdoc74@gmail.com,
Received: April 11, 2018; Revised: July 9, 2018   Accepted: July 10, 2018.  Published online: August 31, 2018.
The aim of this study was to develop professionalism competency for residents and medical students in the field of emergency medicine.
Twenty emergency medicine specialists working at a university hospital were recruited for the modified Delphi method. Seventy-three items were generated and classified into five domains: 13 items in patient care, 19 in communication and cooperation, nine in social accountability, 24 in professionalism, and eight in education and research. Two-step surveys were conducted.
Items with a low content validity ratio (<0.42) were deleted, or combined when the meanings of the items were similar or duplicated through two-step surveys. Finally, 59 items for residents were used: 12 items in patient care, 11 in communication and cooperation, six in social accountability, 23 in professionalism, and seven in education and research. In addition, 23 items for medical students were settled: six items in patient care, five in communication and cooperation, none in social accountability, 11 in professionalism, and one in education and research.
The items related to social accountability and communication and cooperation with society were considered less important by the panels. In addition, there was a tendency to clearly distinguish between resident and student levels in professionalism competency. Based on the results of this study, it is important to form a basis for developing educational programs of professionalism of emergency medicine for senior medical students and residents.
Key words: Professionalism; Medical students; Emergency medicine; Clinical competence; Delphi technique
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