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. 2023 Aug 21;38(33):e259.
doi: 10.3346/jkms.2023.38.e259.

Needs Assessment for the Development of Training Curricula for Internal Medicine Residents

Kwi Hwa Park #  1 , Seung-Joo Na #  2 , Youngjon Kim  3 , Sun Jung Myung  4 , Ju Hee Lee  5 , Sun Woo Lee  6 , Bo Young Yoon  7
Affiliations

Needs Assessment for the Development of Training Curricula for Internal Medicine Residents

Kwi Hwa Park et al. J Korean Med Sci. .

Abstract

Background: Patient-centered outcomes can be achieved when common core and specialist competencies are achieved in a balanced manner. This study was conducted to assess the need to fill the gap between the defined competencies and learners' achievement, in order to improve the internal medicine (IM) training education curriculum for promoting patient-centered outcomes.

Methods: A cross-sectional online survey was conducted. The participants were 202 IM specialists who obtained board certification in 2020-2021. We developed a questionnaire to investigate the self-evaluation of common core competencies and achievement level of IM essential competencies. For analysis, frequency tests, paired t-test, Borich priority formula, and χ² were performed.

Results: In common core competencies, IM specialists recognized that their achievement levels in all competency categories were lower than their importance level (P < 0.001), and the highest educational demands were related to self-management. They assessed their five essential procedure skill levels as novice or advanced beginner status. The achievement level for the essential symptoms and signs that IM specialists should be able to manage was predominantly competent level. However, on average, 34.9% answered that they had never assessed during training for essential skills, and 29.7% answered the same for essential symptoms and signs.

Conclusion: We identified the priorities of core competencies, the level of achievement in essential procedures and patient care with essential symptoms and signs for IM training, and the related educational methods and assessment status. This study is expected to be used as basic data for developing and revising IM training educational curriculum.

Keywords: Competency-Based Medical Education; Curriculum Development; Graduate Medical Education; Needs Assessment; Patient-Centered Outcomes.

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Conflict of interest statement

The authors have no potential conflicts of interest to disclose.

Figures

Fig. 1
Fig. 1. The locus for focus model for educational needs for common core competencies.
HH = high importance and high discrepancy between importance level and current performance level (high educational priority), HL = high importance and low discrepancy between importance level and current performance level, LH = low importance and high discrepancy between importance level and current performance level, LL = low importance and low discrepancy between importance level and current performance level.
See this image and copyright information in PMC

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