Implementation of Student Internship with Intern-Level Responsibility

Abstract

The aim of the study is to evaluate the possibility of giving student interns internlevel responsibilities and to discuss the various obstacles.Methods: Modifications were made to the student internship program, including rotations through major departments, for 4th-year medical students and was conducted at the College of Medicine, Kangwon National University. We surveyed 49 students for the evaluation of the program, administered a checklist evaluation for their performance, and interviewed two focus groups of faculties and residents to find out the obstacles of the program.Results: Most of the students answered that the program was satisfactory and necessary. Of the students, 71.4% performed as an acting intern. The mean score of the students' performance was 84.1. The students had the most difficulty with time management and making diagnostic and management decisions. Initially, at the start of the program, both students and residents were somewhat confused about the student interns' duties. They suggested that definite learning objectives, legal and institutional support to students' clinical practice, and announcements to patients and hospital staff should be put in place prior to the implementation of such a program. Conclusion:We discovered that it was possible for student interns to perform at the level of interns. We suggest that systemic improvements continue for the establishment of such student internship program.

Feasibility of implementing a surgical student internship program in South Korea

“…The Academy had proposed the abolishment of the intern training system and that SI in the undergraduate curriculum could replace some part of the intern program [ 8 ]. Some schools have reported successful implementation of the SI program [ 9 , 10 ]. Thus, SI is expected to be established nationwide in the future.…”

“…However, whether SI is feasible in Korea, especially in the surgery department, has not been determined. SI has not yet gained popularity in Korea, and Korean patients and health care professionals are not accustomed to a system in which medical students take up the role of an intern [ 9 ]. Furthermore, previous articles about SI usually covered SI in only internal medicine [ 3 , 11 , 12 , 13 , 14 ].…”

The Student Internship Experience

“…Values are presented as number (%). (Roh et. al., 2007;Sidlow, 2001) (Aiyer et al, 2008;Coates et al, 2003;Hueston et al, 2004;Lampe et al, 2008;Lindeman et al, 2013;Yoon et al, 2013) (Green et al, 2002;Green et al, 2009;Sidlow et al, 2002)…”

Changes in the Clerkship in Korean Medical Schools: The Prospect of a Student Internship

“…우리나라에서 학생인턴제는 임상실습을 강화하는 개념으로 1999년부터 서울대학교 의과대학에서 내과실습에 subintern제도 라는 이름으로 시도되어 관심을 끌기 시작했고 (Kim, 2002), 의학전 문대학원제도의 논의과정에서도 제시되었는데(as cited in Roh et al, 2007), 2002년 제11차 의학교육합동학술대회에서 이 주제의 심 포지엄을 통해 우리나라 의학교육계에 본격적으로 알려지게 되었 다 (Kim, 2002;Kook, 2002;Lee, 2002;Yoo, 2002). 그 후 일부 의과 대학에서 진료참여형 임상실습 교육과정 개발로 학생인턴제를 시 작하고 (Park et al, 2003) 평가모듈을 개발하기도 하였으나 , 미국에서와 같이 4학년 학생을 대상으로 한 학생인턴제 는 2006년에 시작된 것으로 보인다 (Roh et al, 2007) (Yoon, 2010), 학생인턴제 시행에 대한 평가도 보고되고 있 다 (Choi et al, 2012). (Aiyer et al, 2008), 다른 전공에서도 이러한 노력이 이 어지고 있다 (Coates et al, 2003;Hueston et al, 2004;Lampe et al, 2008;Lindeman et al, 2013)…”