한국의 환자 중심 의사 역량 프레임 타당화를 위한 델파이 연구open accessA Delphi Study to Validate the Patient-Centered Doctor’s Competency Framework in Korea
- Authors
- 임선주; 김영전; 김찬웅; 이건호; 이선우; 전우택; 정한나; 윤소정
- Issue Date
- Jun-2023
- Publisher
- 연세대학교 의과대학
- Keywords
- Competency-based education; Delphi technique; Validation study
- Citation
- 의학교육논단, v.25, no.2, pp 139 - 158
- Pages
- 20
- Journal Title
- 의학교육논단
- Volume
- 25
- Number
- 2
- Start Page
- 139
- End Page
- 158
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/73440
- DOI
- 10.17496/kmer.23.001
- ISSN
- 2092-5603
2093-6370
- Abstract
- Defining a competent doctor is important for educating and training doctors. However, competency frameworks have rarely been validated during the process of their development in Korea. The purpose of this study was to validate the patient-centered doctor’s competency framework, which had been developed by our expert working group (EWG). Two rounds of Delphi questionnaire surveys were conducted among a panel of experts on medicine and medical education. The panel members were provided with six core competencies, 17 sub-competencies, and 53 enabling competencies, and were asked to rate the importance of these competencies on a 5-point Likert scale. Between April and July 2021, a total of 28 experts completed both rounds. The data of the Delphi study were analyzed for the mean, standard deviation, median, inter-rater agreement (IRA), and content validity ratio (CVR). A CVR >0.36 and IRA ≥0.75 were deemed to indicate validity and agreement. This study found that five enabling competencies were not valid, and agreement was not reached for three sub-competencies and two enabling competencies. In consideration of CVR and the individual opinions of panel members at each session, the final competencies were extracted through consensus meetings of the EWG. The competencies were modified into six core competencies, 16 sub-competencies, and 47 enabling competencies. This study is meaningful in that it proposes patient-centered doctor’s competencies enabling the development of residents’ milestone competencies, an assessment system, and educational programs.
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