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KMID : 1034020150170010005
Korean Medical Education Review
2015 Volume.17 No. 1 p.5 ~ p.9
The Role of the Teaching Hospital in the Effective Clerkship
Baek Sun-Yong

Yune So-Jung
Kam Bee-Sung
Lee Sang-Yeoup
Woo Jae-Seok
Im Sun-Ju
Abstract
A teaching hospital is a place where both patient care and learning occur together. To identify the role of the teaching hospital in an effective clerkship, we first determined the features of workplace learning and the factors that affect learning in the workplace, and then we proposed a role for the teaching hospital in the clinical clerkship. Features of learning in a clerkship include learning in context, and learning from patients, supervising doctors, others in the team, and colleagues. During the clerkship, medical students learn in three-way learner-patient-teacher relationships, and students¡¯ participation in the tasks of patient care is crucial for learning. Factors that influence learning in the workplace are associated with tasks, context, and learner. Tying the three factors together, we proposed a role for the teaching hospital in the three categories: involvement in the tasks of patient care, engagement in the medical team, and engagement in the learning environment and system. Supervising doctors and team members in a teaching hospital support students¡¯ deep participation in patient care, while improving the learning environment through organizational guidelines and systems. Gathering both qualitative and quantitative data for the evaluation of a teaching hospital is important.
KEYWORD
Hospitals, Teaching, Role, Clinical clerkship
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