의과대학생과 전공의를 위한 전문가적 행동규범 도출

Abstract

Purpose: The purpose of this study was to describe the development of a code of professional conduct that should be practicedby medical students and residents. Methods: The content of a draft version of a code of professional conduct was generated through extensive literature reviewsand the results of surveys that were administered to students and residents. The content validity for the draft version was reviewedby an expert panel: five experts in medical ethics and eight specialists in medical education. The survey was distributed as anemail questionnaire and included closed-ended items and open comments. SPSS for Windows version 12.0 (SPSS Inc.) was usedfor the analysis. Results: After analyzing the experts’ reviews and holding a reiterative discussion, we developed the final version of a code of conductfor professional behavior. It consists of nine categories and 44 items for students and 44 items for residents. The nine categorieswere academic integrity, responsibility during clerkship or hospital work, endeavor to improve clinical competency, respect for patientsand keeping confidentiality, honesty in patient care, boundary issues and conflicts of interests, impaired physician behaviors, respectfor others, and research ethics. Conclusion: Because our code of conduct for professional behaviors cannot extensively include all aspects of medical professionalism,we focused on behaviors that can be used to monitor and prevent misconduct by medical learners. Further studiesand discourse among stakeholders should be performed to develop a national consensus statement or code of conduct to reinforceprofessionalism for learners in medicine.