임상실습을 위한 임상표현별 직무중심 학습성과목표 개발

Development of Task-Based Learning Outcomes according to Clinical Presentations for Clinical Clerkships

Purpose: The aim of the study was to introduce our experience of establish task-based learning outcomes for core clinical clerkships. Methods: We first define our educational goal and objectives of the clinical clerkship curriculum according to knowledge, cognitive function and　skill, and attitude. We selected clinical presentations and related diseases with expert panels and allocated them to core clinical departments. We classified doctor’s tasks into 6 categories: history taking, physical examination, diagnostic plan, therapeutic plan, acute and emergent management, and prevention and patient education. We described learning outcomes by task using behavioral terms. Results: We established goals and objectives for students to achieve clinical competency on a primary care level. We selected 75 clinical presentations and described 377 learning outcomes. Conclusion: Our process can benefit medical schools that offer outcome-based medical education, especially for clinical clerkships. To drive effective clerkships, a supportive system including assessment and faculty development should be implemented.