Kim Songrim, Cha Bongeun, Kyung Sun Young, Yune So Jung, Park Kyung Hye, Park Kwi Hwa
Office of Medical Education, Gachon University College of Medicine, Incheon, Korea.
Department of Internal Medicine, Gachon University College of Medicine, Incheon, Korea.
J Yeungnam Med Sci. 2025;42:21. doi: 10.12701/jyms.2025.42.21. Epub 2025 Jan 6.
This study analyzed the status of community-based practice in public healthcare institutions in Korean medical schools and identified related needs.
We conducted an online cross-sectional survey in which 32 of 40 medical schools (80.0%) participated between March and April 2023. We developed questionnaire items aimed at ascertaining the status and perceptions of community-based practice and analyzed the response data using frequency analysis, the Mann-Whitney U test, and content analysis with word clouds.
Of the 32 medical schools analyzed, 23 (71.9%) offered practical courses, and of those, 12 (52.2%) implemented practice lessons within courses. Among 20 schools, 18 (90.0%) required students to complete practical courses and over 50% offered these courses in the third and fourth years of the clerkship phase. Perceptions of community practice showed no significant differences based on whether courses were offered. Many schools have proposed that practice should be a continuous curricular element from the premedical to medical years. The primary challenges facing community-based practice were identified as faculty development, collaboration, and compensation of practice institutions. The following words were extracted from the respondents' comments: practice, community, institution, student, education, faculty, university, and public.
This study identified the limitations of community-based education provided by Korean medical schools and we report findings that highlight areas of improvement. Notable among these is the need to continuously incorporate community-based practice into medical education while engaging in discussions and conducting research toward developing a comprehensive and systematic curriculum.
本研究分析了韩国医学院校公共医疗机构中基于社区的实践状况，并确定了相关需求。
我们于2023年3月至4月进行了一项在线横断面调查，40所医学院校中有32所（80.0%）参与。我们设计了旨在确定基于社区的实践状况和看法的问卷项目，并使用频率分析、曼-惠特尼U检验和词云内容分析对回复数据进行了分析。
在分析的32所医学院校中，23所（71.9%）提供实践课程，其中12所（52.2%）在课程中实施实践课程。在20所学校中，18所（90.0%）要求学生完成实践课程，超过50%的学校在临床实习阶段的第三年和第四年提供这些课程。基于是否提供课程，对社区实践的看法没有显著差异。许多学校提议，实践应成为从医学预科到医学阶段的一个持续的课程要素。基于社区的实践面临的主要挑战被确定为教师发展、合作以及实践机构的补偿。从受访者的评论中提取了以下词汇：实践、社区、机构、学生、教育、教师、大学和公众。
本研究确定了韩国医学院校提供的基于社区的教育的局限性，我们报告的研究结果突出了需要改进的领域。其中值得注意的是，需要在开展讨论和进行研究以制定全面系统的课程的同时，将基于社区的实践持续纳入医学教育。
