Patient-Centered Doctor’s Competency Framework in Korea

Abstract

With increasing demands for medical care by society, the medical system, and general citizens and rapid changes in doctor’s awareness, the competencies required of doctors are also changing. The goal of this study was to develop a doctor’s competency framework from the patient’s perspective, and to make it the basis for the development of milestones and entrustable professional activities for each period of medical student education and resident training. To this end, a big data analysis using topic modeling was performed on domestic and international research papers (2011–2020), domestic newspaper articles (2016–2020), and domestic social networking service data (2016–2020) related to doctor’s competencies. Delphi surveys were conducted twice with 28 medical education experts. In addition, a survey was conducted on doctor’s competencies among 1,000 citizens, 407 nurses, 237 medical students, 361 majors, and 200 specialists. Through the above process, six core competencies, 16 sub-competencies, and 47 competencies were derived as subject-oriented doctor’s competencies. The core competencies were: (1) competency related to disease and health as an expert; (2) competency related to patients as a communicator; (3) competency related to colleagues as a collaborator; (4) competency related to society as a health care leader (5) competency related to oneself as a professional, and (6) competency related to academics as a scholar who contributes to the development of medicine.

Analysis of Social Needs for Doctors and Medicine through a Keyword Analysis of Newspaper Articles (2016–2020)

“…The shift toward competency-based, performance-oriented training systems for residents necessitates the precise definition of these compe-tencies. With this objective in mind, the patient-centered physician competencies in Korea framework was developed in 2021, supported by the Korea Healthcare Research Institute [6]. As part of the development of this framework, this study employed topic modeling to analyze major Korean newspaper articles.…”

“…To achieve this, an analysis of the social value of doctors and healthcare as portrayed in the media, such as newspapers and news reports, is necessary. In response to this need, this study aimed to analyze major Korean newspaper articles to assess social demands for physicians' competencies in the process of developing a framework for "patient-centered physician competencies in Korea, " the first subtask of the "A Study on Improving the System of Graduate Medical Education to Enhance Patient-Centered Performance, " led by Jeon et al [6] with support from the National Evidence-based Healthcare Collaborating Agency.…”

A Delphi Study to Validate the Patient-Centered Doctor’S Competency Framework in Korea

“…Therefore, this study was conducted as part of an initiative to establish a competency framework for physicians, serving as a foundation for both undergraduate and graduate medical education [12][13][14][15][16][17]. The development of the competency framework proceeded in stages: In Stage 1, the research team formed an expert working group and devised a plan for constructing the framework.…”