Korean Medical Education Review (의학교육논단)

Yonsei university college of medicine (연세대학교 의과대학)
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A Delphi Study to Validate the Patient-Centered Doctor's Competency Framework in Korea

한국의 환자 중심 의사 역량 프레임 타당화를 위한 델파이 연구

  • Sunju Im (Department of Medical Education, Pusan National University School of Medicine) ;
  • Young-Jon Kim (Department of Medical Education, Wonkwang University School of Medicine) ;
  • Chanwoong Kim (Department of Emergency Medicine, Chung-Ang University College of Medicine) ;
  • Geon-Ho Lee (Department of Family Medicine, Daegu Catholic University School of Medicine) ;
  • Sun-Woo Lee (Department of Psychiatry, Chungnam National University College of Medicine) ;
  • Woo-Taek Jeon (Department of Medical Education, Yonsei University College of Medicine) ;
  • Hanna Jung (Department of Medical Education, Yonsei University College of Medicine) ;
  • Sojung Yune (Department of Medical Education, Pusan National University School of Medicine)
  • 임선주 (부산대학교 의과대학 의학교육학교실) ;
  • 김영전 (원광대학교 의과대학 의학교육학교실) ;
  • 김찬웅 (중앙대학교 의과대학 응급의학교실) ;
  • 이건호 (대구가톨릭대학교 의과대학 가정의학교실) ;
  • 이선우 (충남대학교 의과대학 정신과학교실) ;
  • 전우택 (연세대학교 의과대학 의학교육학교실) ;
  • 정한나 (연세대학교 의과대학 의학교육학교실) ;
  • 윤소정 (부산대학교 의과대학 의학교육학교실)
  • Received : 2023.01.09
  • Accepted : 2023.02.20
  • Published : 2023.06.30
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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.

Keywords

Acknowledgement

델파이 연구에 참여하셨던 전문가 패널과 '환자 중심 성과 향상을 위한 전공의 교육체계 개선방안 연구'에 참여하셨던 70여 분의 공동 연구자분들께 감사의 인사를 전한다.

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