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J Korean Soc Emerg Med > Volume 31(6); 2020 > Article
Journal of The Korean Society of Emergency Medicine 2020;31(6): 603-614.
응급의학과 전공의를 대상으로 한 직무부적합 사례를 이용한 전문직업성 교육
박경혜1,2 , 권오영3 , 강영준4 , 김찬웅5 , 노현6 , 어은경6
1연세대학교 원주의과대학 의학교육학과
2원주세브란스기독병원 응급의학과
3경희대학교 의과대학 의학교육학 및 의인문학교실
4제주대학교 의학전문대학원 의학교육학교실
5중앙대학교 의과대학 응급의학교실
6순천향대학교 부천병원 응급의학과
Teaching professionalism using the case of impairment for emergency medicine residents
Kyung Hye Park1,2 , Oh Young Kwon3 , Youngjoon Kang4 , Chanwoon Kim5 , Hyun Noh6 , Eun Kyung Eo6
1Department of Medical Education, Yonsei University Wonju College of Medicine, Wonju, Korea
2Department of Emergency Medicine, Wonju Severance Christian Hospital, Wonju, Korea
3Department of Medical Education and Medical Humanities, Kyung Hee University School of Medicine, Seoul, Korea
4Department of Medical Education, Jeju National University School of Medicine, Jeju, Korea
5Department of Emergency Medicine, Chung-Ang University College of Medicine, Seoul, Korea
6Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
Correspondence  Kyung Hye Park ,Tel: 033-741-0242, Fax: 033-742-5034, Email: erdoc74@gmail.com,
Received: March 4, 2020; Revised: April 21, 2020   Accepted: June 16, 2020.  Published online: December 30, 2020.
This study was evaluated the behavior intention of emergency medicine residents before and after education using a vignette case about professionalism, particularly in physician impairment. The residents’ reaction to this type of education was evaluated.
Thirty-four residents from five teaching hospitals participated in this education program consisting of lecture and discussion using cases. They wrote their behavioral intention and their opinions before and after education. Their satisfaction and reaction to the education experience were also collected.
The frequencies of the common reasons for the action or the basis of the judgment, concerns during decision making, and desired help were similar, but their action decisions changed into more systemic and reasonable ones after the education. They had fewer learning experiences of non-clinical skills and were satisfied with this type of professionalism education. Furthermore, they felt the importance and educational needs of professionalism beyond this topic and would cope with similar problem situations the way they learned in this education.
In the professionalism education using the case discussion of impairment and self-monitoring, little had changed in the participants’ reasons for the action, concerns when decision making, and desired help, but their behavior intentions changed as they learned. This study provided the opportunity to recognize the importance of professionalism, patient safety, and peer relationship. Small group discussions using the vignette case can be suggested to provide professionalism education for the emergency medicine residents.
Key words: Professionalism; Physician impairment; Emergency medicine; Residents; Education
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