Korean Medical Education Review (의학교육논단)

Yonsei university college of medicine (연세대학교 의과대학)
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Development and Implementation of Health Systems Science Education in the Clinical Learning Environment

의료시스템과학 교육의 임상실습 적용 사례 개발과 적용

  • Sang-Hoon Na (Department of Internal Medicine, Seoul National University College of Medicine)
  • 나상훈 (서울대학교 의과대학 내과학교실)
  • Received : 2023.09.05
  • Accepted : 2023.10.21
  • Published : 2023.10.31
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Abstract

Health systems science is a new medical educational field added to the traditional medical education curricula of basic and clinical sciences. Health systems science emphasizes a more comprehensive approach utilizing systems thinking to care for patients, including interactions between multiple healthcare systems. In this review, I explore how health systems science education can be applied when medical instructors teach students in clinical clerkships through representative case studies. This study first looks at examples of health systems science education in clinical clerkship in the United States and suggests how to develop the curriculum of health systems science for clinical learning environments in Korea by combining Kotter's 8-step change management model and Kern's 6-step curriculum development model. Finally, based on practical examples from actual clinical practice education situations, suggestions are made regarding how to develop the entire educational program of a medical school from the stage of applying health systems science at the individual level to clinical practice education.

Keywords

Acknowledgement

본 연구는 2021년 국민건강보험공단의 "의료와 사회의 통합적 이해와 실천을 위한 보건의료 시스템과학 교육체계 구축사업"의 지원으로 연구되었다(연구용역 2021-2-0016).

References

  1. Gonzalo JD, Skochelak SE, Borkan JM, Wolpaw DR. What is health systems science?: building an integrated vision. In: Skochelak SE, Hammoud MM, Lomis KD, Borkan JM, Gonzalo JD, Lawson LE, , editor. AMA education consortium: health systems science. 2nd ed. Philadelphia (PA): Elsevier; 2020. p. 1-20. 
  2. Lee JT, Yang EB, Lee YM, Chae YM, Na SH, Jang SI, et al. Construction of a health systems science education for integrating social healthcare needs into the medical practice. Wonju: National Health Insurance Service; 2021. 
  3. Lee JT, Yang EB, Kim SJ, Kim EY, Na SH, Sim SH, et al. Designing a faculty development program for the implementation and diffusion of health systems science education. Wonju: National Health Insurance Service; 2023. 
  4. Papanagnou D, Shfazand S, Volle M, Nandiwada R. Health systems science implementation in the clinical learning environment: undergraduate medical education. In: Maben-Feaster R, Hammoud MM, Borkan J, DeWaters A, Gonzalo JD, Starr SR, editor. Health systems science education: development and implementation. Philadelphia (PA): Elsevier; 2022. p. 51-64. 
  5. Faculty developer identity formation: organizational change through a community of practice (workshop session 1). Proceedings of the 6th International Conference on Faculty Development in the Health Professions; 2021 Aug 28; virtual event. Dundee: Association for Medical Education in Europe; 2021. 
  6. Gonzalo JD, Lucey C, Wolpaw T, Chang A. Value-added clinical systems learning roles for medical students that transform education and health: a guide for building partnerships between medical schools and health systems. Acad Med. 2017;92(5):602-7. https://doi.org/10.1097/ACM.0000000000001346 
  7. Singh MK, Gullett HL, Thomas PA. Using Kern's 6-step approach to integrate health systems science curricula into medical education. Acad Med. 2021;96(9):1282-90. https://doi.org/10.1097/ACM.0000000000004141 
  8. Thomas PA, Kern DE, Hughes MT, Chen BY. Curriculum development for medical education: a six-step approach. 3rd ed. Baltimore (MD): Johns Hopkins University press; 2015. 
  9. Skochelak SE, Hammoud MM, Lomis KD, Borkan JM, Gonzalo JD, Lawson LE, et al. AMA education consortium: health systems science. 2nd ed. Philadelphia (PA): Elsevier; 2020. 
  10. Higginson J, Hofler L, Hammond M. Principles of teamwork and team science. In: Skochelak SE, Hammoud MM, Lomis KD, Borkan JM, Gonzalo JD, Lawson LE, , editor. AMA education consortium: health systems science. 2nd ed. Philadelphia (PA): Elsevier; 2020. p. 127-38. 
  11. Integrated Community Health Promotion Program [Internet]. Seoul: Korea Health Promotion Institute; c2023 [cited 2023 Oct 5]. Available from: https://www.khepi.or.kr/board?menuId=MENU01689&siteId=null
  12. Indiana health information exchange [Internet]. Indianapolis (IN): Indiana Health Information Exchange; c2023 [cited 2023 Oct 5]. Available from: https://www.ihie.org 
  13. Health information exchange [Internet]. Seoul: Korea Health Information Service; c2023 [cited 2023 Oct 5]. Available from: https://www.k-his.or.kr/menu.es?mid=a10207000000 
  14. Kim JG, Gitkind MJ, Coleman NE, Weber PF. Getting started: general considerations for health systems science implementation. In: Maben-Feaster R, Hammoud MM, Borkan J, DeWaters A, Gonzalo JD, Starr SR, editor. Health systems science education: development and implementation. Philadelphia (PA): Elsevier; 2022. p. 1-18. 
  15. A quick guide to the SWOT analysis: department of field activities [Internet]. Chicago (IL): Accreditation Council for Graduate Medical Education; 2017 [cited 2023 Oct 5]. Available from: https://www.acgme.org/globalassets/PDFs/SelfStudy/SS_SWOTGuide.pdf 
  16. Branch RM. Instructional design: the ADDIE approach. New York (NY): Springer; 2009. 
  17. Kirkpatrick DL. Evaluating training programs: the four levels. San Francisco (CA): Berrett-Koehler Publishers; 1994. 
  18. Toosi M, Modarres M, Amini M, Geranmayeh M. Context, Input, Process, and Product Evaluation Model in medical education: a systematic review. J Educ Health Promot. 2021;10(1):199. https://doi.org/10.4103/jehp.jehp_1115_20 
  19. Papanagnou D, Jaffe R, Ziring D. Highlighting a curricular need: uncertainty, COVID-19, and health systems science. Health Sci Rep. 2021;4(3):e363. https://doi.org/10.1002/hsr2.363 
  20. Snowden DJ, Boone ME. A leader's framework for decision making: a leader's framework for decision making. Harv Bus Rev. 2007;85(11):68-76, 149.